Brincks Ahnalee M, Feaster Daniel J, Mitrani Victoria B
Leonard M. Miller School of Medicine, Epidemiology & Public Health, University of Miami, 1425 NW 10 Ave., Miami, FL 33136, USA.
Fam Process. 2010 Dec;49(4):517-29. doi: 10.1111/j.1545-5300.2010.01337.x.
Families are influential systems and may be an important context in which to consider the stress and coping process. To date, many studies have focused on modeling the stress and coping process for the individual, isolated from the family. The purpose of this secondary analysis was to investigate a cross-sectional stress and coping model for HIV-positive African-American mothers recruited from HIV service facilities in South Florida (n=214) and their family members (n=294). Avoidance coping was hypothesized to mediate the relationship between stress and psychological distress. In addition, the family average of individual stress was hypothesized to moderate the relationship between avoidance coping and psychological distress. For all constructs, individuals reported on themselves and multilevel modeling techniques were used to account for similarities between members of the same family. The estimated mediation effect was significant. Aggregated family stress significantly moderated the relationship between avoidance coping and psychological distress. This study suggests that individuals exhibit different relationships between avoidance coping and psychological outcomes and that average stress reported by members of a family moderates the relationship between avoidance coping and psychological distress.
家庭是有影响力的系统，可能是考量压力与应对过程的一个重要背景。迄今为止，许多研究都聚焦于构建个体的压力与应对过程模型，将其与家庭隔离开来。本次二次分析的目的是调查从南佛罗里达州的艾滋病服务机构招募的214名感染艾滋病毒的非裔美国母亲及其294名家庭成员的横断面压力与应对模型。回避应对被假定为压力与心理困扰之间关系的中介变量。此外，个体压力的家庭平均值被假定为调节回避应对与心理困扰之间的关系。对于所有构念，个体对自己进行报告，并使用多层次建模技术来考量同一家族成员之间的相似性。估计的中介效应显著。家庭压力总和显著调节了回避应对与心理困扰之间的关系。本研究表明，个体在回避应对与心理结果之间表现出不同的关系，并且家庭成员报告的平均压力调节了回避应对与心理困扰之间的关系。
