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[应对不同问题领域的日常压力——临床转诊青少年与健康青少年的比较]

[Coping with everyday stress in different problem areas- comparison of clinically referred and healthy adolescents].

作者信息

Escher Fabian, Seiffge-Krenke Inge

机构信息

Psychologisches Institut, Johannes Gutenberg-Universität, <location>Mainz</location>

出版信息

Z Kinder Jugendpsychiatr Psychother. 2013 Sep;41(5):295-307; quiz 306-7. doi: 10.1024/1422-4917//a000245.

Abstract

OBJECTIVE

Studies are lacking that analyze how clinically referred adolescents and healthy adolescents cope with everyday stressors.

METHODS

Clinically referred adolescents from three problematic domains (diverse disorders including delinquency, drug abuse, and depression) were compared to healthy adolescents using the Coping Across Situations Questionnaire (Seiffge-Krenke, 1995) and a short version of the Youth Self-Report (Achenbach, 1991).

RESULTS

The different clinical groups (n = 469) showed unique patterns concerning their coping styles. The group of depressed youth altogether showed lower coping activities. The youth from institutions for drug abusive youth used more dysfunctional coping. The adolescents from youth welfare services (diverse disorders including delinquency) were more active in both dysfunctional and functional coping than the other two clinically referred groups. The control group showed more functional and less dysfunctional coping. The clinically referred adolescents did not differentiate in their coping behavior, depending on the type of stressor. Gender effects were apparent, albeit negligible.

CONCLUSIONS

Clinically referred youth are unable to adapt their coping behavior according to the given situation.

摘要

目的

目前尚缺乏对临床转介青少年和健康青少年如何应对日常压力源的分析研究。

方法

使用《情境应对问卷》(Seiffge-Krenke,1995年)和《青少年自我报告简版》(Achenbach,1991年),将来自三个问题领域(包括犯罪、药物滥用和抑郁等多种障碍)的临床转介青少年与健康青少年进行比较。

结果

不同临床组(n = 469)在应对方式上呈现出独特模式。抑郁青年组总体上应对活动较少。来自药物滥用青年机构的青年使用更多功能失调的应对方式。来自青年福利服务机构(包括犯罪等多种障碍)的青少年在功能失调和功能正常的应对方面都比其他两个临床转介组更积极。对照组表现出更多功能正常和更少功能失调的应对方式。临床转介青少年的应对行为不会因压力源类型而有所不同。性别效应明显,尽管微不足道。

结论

临床转介的青少年无法根据特定情况调整其应对行为。

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