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应对作为越战退伍军人残疾与心理社会适应之间的调节因素

Coping as a moderator of disability and psychosocial adaptation among Vietnam theater veterans.

作者信息

Martz Erin, Bodner Todd, Livneh Hanoch

机构信息

University of Memphis. Memphis, TN 38152, USA.

出版信息

J Clin Psychol. 2009 Jan;65(1):94-112. doi: 10.1002/jclp.20541.

Abstract

The purpose of this archival research was to investigate whether coping moderated the association between disability status and the outcome of psychosocial adaptation while controlling for demographic variables, posttraumatic stress disorder, and environmental conditions and social support. This research analyzed data from the U.S.'s National Vietnam Veterans Readjustment Study (NVVRS; R.A. Kulka et al., 1990a). In this study, the existence of a disability significantly and negatively predicted psychosocial adaptation after controlling for specific variables. Further, the multiple regression analysis showed that the association of disability and adaptation was moderated by problem-solving coping, indicating that the negative effect of disability on adaptation was smaller for participants with lower levels of problem-solving coping. Clinical implications of these findings are discussed.

摘要

这项档案研究的目的是调查应对方式是否在控制人口统计学变量、创伤后应激障碍、环境条件和社会支持的情况下,调节了残疾状况与心理社会适应结果之间的关联。本研究分析了来自美国国家越战老兵重新适应研究(NVVRS;R.A.库尔卡等人,1990年a)的数据。在这项研究中,在控制特定变量后,残疾的存在对心理社会适应有显著的负面影响。此外,多元回归分析表明,解决问题的应对方式调节了残疾与适应之间的关联,这表明对于解决问题应对水平较低的参与者,残疾对适应的负面影响较小。本文讨论了这些发现的临床意义。

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