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理解应对方式在抑郁症状发展中的作用:症状特异性、性别差异和跨文化适用性。

Understanding the role of coping in the development of depressive symptoms: symptom specificity, gender differences, and cross-cultural applicability.

机构信息

Department of Psychology, McGill University, Montreal, Quebec, Canada.

出版信息

Br J Clin Psychol. 2010 Nov;49(Pt 4):547-61. doi: 10.1348/014466509X479681. Epub 2010 Jan 22.

Abstract

OBJECTIVES

The primary aim examined whether coping deficits, a greater tendency to utilize maladaptive as opposed to adaptive coping strategies, was associated with increases in depressive symptoms following negative events. The secondary goals examined: the common vulnerability hypothesis, sex differences, and the cross-cultural generalizability.

DESIGN

Following the initial assessment, Canadian adolescents completed three follow-up assessments every 6 weeks. The Chinese adolescents completed an initial assessment and six follow-up assessments occurring monthly.

METHODS

At Time 1, 150 Canadian and 397 Chinese adolescents completed self-report measures assessing depressive symptoms, anxious symptoms, negative events, and coping. During each of the follow-up assessments, participants completed self-report measures assessing depressive symptoms, anxious symptoms, and negative events.

RESULTS

In both samples, higher levels of coping deficits were associated with increases in depressive, but not anxious, symptoms following negative events. Gender differences did not emerge.

CONCLUSIONS

The present study provides a theoretically driven model to examine the impact of broad-based coping on the development of depressive symptoms.

摘要

目的

本研究旨在探讨应对缺陷(即更倾向于采用适应性较差的应对策略而非适应性应对策略)是否与负性事件后抑郁症状的增加有关。次要目标包括:共同脆弱假说、性别差异和跨文化的普遍性。

设计

在初始评估之后,加拿大青少年每 6 周完成三次随访评估,而中国青少年则完成一次初始评估和六次每月一次的随访评估。

方法

在第 1 时间点,150 名加拿大青少年和 397 名中国青少年完成了自我报告量表,评估抑郁症状、焦虑症状、负性事件和应对方式。在每次随访评估中,参与者都要完成自我报告量表,评估抑郁症状、焦虑症状和负性事件。

结果

在两个样本中,应对缺陷程度较高与负性事件后抑郁症状的增加有关,但与焦虑症状无关。未出现性别差异。

结论

本研究提供了一个理论驱动的模型,用于检验广泛的应对方式对抑郁症状发展的影响。

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