Kelly Morgen A R, Sereika Susan M, Battista Deena R, Brown Charlotte
University at Buffalo, State University of New York and VA Pittsburgh Healthcare System, USA.
Br J Clin Psychol. 2007 Sep;46(Pt 3):315-32. doi: 10.1348/014466506X173070.
Leventhal's common-sense model of illness representation provides a conceptual framework for exploring the relationship between beliefs about depressive illness and use of coping strategies. We explored this relationship among depressed patients both across genders and in terms of gender differences.
Depressed primary care patients prescribed antidepressants provided self-report measures of beliefs about depression, emotional reaction to depression, beliefs about medications and coping strategies used. Baseline data from a longitudinal study is presented.
Primary data analyses were conducted using canonical correlation analysis, a multivariate statistical method akin to principal component and regression analyses. It allows for parsimonious description of the association between two multivariate sets of variables (in this case, beliefs about depression and coping strategies) by identifying pairs of linear combinations that account for the majority of the between association from the two sets of variables.
The sample consisted of 189 depressed primary care patients (70.4% female). Results indicated that emotional reaction to depression is a major factor in determining coping strategies. Greater emotional reaction to depression was associated with maladaptive coping for men and women, while women showed additional relationships between greater perceived control over depression and more adaptive coping techniques as well as between perception of consequences of depression and problem solving.
The present research provides preliminary evidence that beliefs about depression are related to coping styles. Further, men and women may differ in the way in which their perceptions about depression influence coping styles adopted.
莱文索尔的疾病表征常识模型为探究关于抑郁症的信念与应对策略的使用之间的关系提供了一个概念框架。我们在抑郁症患者中探讨了这种关系，包括不同性别之间以及性别差异方面的情况。
正在服用抗抑郁药的抑郁症初级保健患者提供了关于抑郁症信念、对抑郁症的情绪反应、对药物的信念以及所使用的应对策略的自我报告测量。呈现了一项纵向研究的基线数据。
主要数据分析采用典型相关分析，这是一种类似于主成分分析和回归分析的多元统计方法。它通过识别两组变量之间关联的大部分的线性组合对，来简洁地描述两组多变量之间的关联（在这种情况下，是关于抑郁症的信念和应对策略）。
样本包括189名抑郁症初级保健患者（女性占70.4%）。结果表明，对抑郁症的情绪反应是决定应对策略的一个主要因素。对抑郁症更大的情绪反应与男性和女性的适应不良应对相关，而女性在对抑郁症有更大的感知控制与更多适应性应对技巧之间，以及在对抑郁症后果的感知与解决问题之间还呈现出其他关系。
本研究提供了初步证据，表明关于抑郁症的信念与应对方式有关。此外，男性和女性在他们对抑郁症的认知影响所采用的应对方式的方式上可能存在差异。
