Department of Psychiatry, Lady Davis Institute-Jewish General Hospital.
J Couns Psychol. 2014 Oct;61(4):616-33. doi: 10.1037/cou0000036. Epub 2014 Aug 11.
The present study addressed a fundamental gap between research and clinical work by advancing longitudinal explanatory conceptualizations of stress and coping processes that trigger daily affect in the short- and long-term for individuals with higher levels of personality vulnerability. Community adults completed measures of 2 higher order dimensions of perfectionism (personal standards [PS], self-criticism [SC]), neuroticism, and conscientiousness. Then, 6 months later and again 3 years later, participants completed daily questionnaires of stress, coping, and affect for 14 consecutive days. PS was associated with aggregated daily problem-focused coping and positive reinterpretation, whereas SC was uniquely associated with daily negative social interactions, avoidant coping, negative affect, and sadness at Month 6 and Year 3. Multilevel modeling results demonstrated that both individuals with higher PS and those with higher SC were emotionally reactive to event stress, negative social interactions, and avoidant coping at Month 6 and Year 3 and to less perceived control at Year 3. Positive reinterpretation was especially effective for individuals with higher SC at Month 6 and Year 3. The effects of PS on daily stress reactivity and coping (in)effectiveness were clearly distinguished from the effects of neuroticism and conscientiousness, whereas the SC effects were due to shared overlap with PS and neuroticism. The present findings demonstrate the promise of using repeated daily diary methodologies to help therapists and clients reliably predict future client reactions to daily stressors, which, in turn, could help guide interventions to break apart dysfunctional patterns connected to distress and build resilience for vulnerable individuals.
本研究通过推进对压力和应对过程的纵向解释性概念化,解决了研究与临床工作之间的一个基本差距,这些概念化可以在短期和长期内触发具有较高人格脆弱性个体的日常情绪。社区成年人完成了 2 个较高阶维度的完美主义(个人标准[PS],自我批判[SC])、神经质和尽责性的测量。然后,6 个月后和 3 年后,参与者完成了 14 天连续的每日压力、应对和情绪问卷。PS 与聚合的日常问题解决应对和积极重新解释有关,而 SC 与每日负面社交互动、回避应对、负面情绪和悲伤有关,这是在 6 个月和 3 年时的结果。多层次模型结果表明,无论是 PS 较高还是 SC 较高的个体,在 6 个月和 3 年时都会对事件压力、负面社交互动和回避应对产生情绪反应,并且在 3 年时对感知控制较少产生情绪反应。在 6 个月和 3 年时,积极的重新解释对 SC 较高的个体尤其有效。PS 对日常压力反应性和应对(无效)的影响明显区别于神经质和尽责性的影响,而 SC 的影响是由于与 PS 和神经质的重叠共享。本研究结果表明,使用重复的日常日记方法学可以帮助治疗师和客户可靠地预测未来客户对日常压力源的反应,这反过来又可以帮助指导干预措施打破与痛苦相关的功能失调模式,并为脆弱个体建立弹性。