University of Michigan, Department of Psychiatry, Ann Arbor, MI 48109-5765, USA.
J Adolesc. 2011 Oct;34(5):1077-85. doi: 10.1016/j.adolescence.2010.10.004. Epub 2010 Nov 12.
The coping strategies used by adolescents to deal with stress may have implications for the development of depression and suicidal ideation. This study examined coping categories and specific coping behaviors used by adolescents to assess the relation of coping to depression and suicidal ideation. In hierarchical regression models, the specific coping behaviors of behavioral disengagement and self-blame were predictive of higher levels of depression; depression and using emotional support were predictive of suicidal ideation. Results suggest that specific behaviors within the broad coping categories of emotion-focused coping (e.g., self-blame) and avoidant coping (e.g., behavioral disengagement) account for these categories' associations with depression and suicidal ideation. Specific problem-focused coping strategies did not independently predict lower levels of depression or suicidal ideation. It may be beneficial for interventions to focus on eliminating maladaptive coping behaviors in addition to introducing or enhancing positive coping behaviors.
青少年应对压力的策略可能对抑郁和自杀意念的发展产生影响。本研究通过考察青少年应对压力的策略类别和具体行为，评估了应对方式与抑郁和自杀意念的关系。在分层回归模型中，行为脱离和自责等具体应对行为与较高水平的抑郁有关；抑郁和使用情感支持与自杀意念有关。研究结果表明，情绪聚焦应对（如自责）和回避应对（如行为脱离）这两个广泛应对类别的具体行为可以解释这些类别与抑郁和自杀意念的关联。具体的问题聚焦应对策略并不能独立预测较低水平的抑郁或自杀意念。干预措施除了引入或增强积极的应对行为外，还可能需要关注消除不良应对行为。
