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老年人对应激性生活事件应对反应的内部因素与外部因素

Internal vs. external determinants of coping responses to stressful life-events in the elderly.

作者信息

Patterson T L, Smith L W, Grant I, Clopton P, Josepho S, Yager J

机构信息

VA Medical Center, San Diego, CA 92161.

出版信息

Br J Med Psychol. 1990 Jun;63(2):149-60. doi: 10.1111/j.2044-8341.1990.tb01608.x.

Abstract

Coping appears to function in the relationship between stressful life-events and health. Factors that may influence an individual's use of a particular coping strategy, however, are not well understood. Coping consistency within individuals and across situations was examined in a longitudinal study of 74 independently living elderly persons, as were the effects of the type of event experienced, appraisal of its degree of threat, and demographic variables on coping behaviour. Correlational analyses indicated that coping responses were more a function of event type than of an individual's consistent style. A number of distinct life-events were associated with particular types of coping responses. The degree of threat, one's expectation of the changeability of an event, and one's appraisal of possible courses of action were also correlated with specific coping behaviours. Age was negatively correlated with problem-focused coping and total number of coping responses. This study suggests that the type of stressful event an individual experiences may be a more important general determinant of one's coping response than is one's overriding propensity to cope in a particular way.

摘要

应对方式似乎在应激性生活事件与健康之间的关系中发挥作用。然而,对于可能影响个体采用特定应对策略的因素,人们还了解得不够充分。在一项对74名独立生活的老年人进行的纵向研究中,考察了个体内部以及不同情境下应对方式的一致性,同时也研究了所经历事件的类型、对其威胁程度的评估以及人口统计学变量对应对行为的影响。相关分析表明,应对反应更多地取决于事件类型,而非个体一贯的应对方式。许多不同的生活事件与特定类型的应对反应相关联。威胁程度、个体对事件可变性的预期以及对可能行动方案的评估也与特定的应对行为相关。年龄与以问题为中心的应对方式以及应对反应的总数呈负相关。这项研究表明,个体所经历的应激事件类型可能是其应对反应的一个比其以特定方式应对的总体倾向更为重要的一般决定因素。

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