a Medical Psychological Institute, Second Xiangya Hospital, Central South University , Changsha , P.R. China.
b Department of Medical Psychology , Clinical Medical College, Ningxia Medical University , Yinchuan , P.R. China.
Psychol Health Med. 2018 Jan;23(1):58-68. doi: 10.1080/13548506.2017.1325506. Epub 2017 May 5.
The association between cognitive emotion regulation strategy use and adolescents' risk behavior has long been emphasized. To identify coping profiles of Chinese adolescents having unprotected sex and to examine the characteristics and associations among those subgroups, 541 adolescents (age, 14-19 years) were screened from secondary schools in 10 Chinese cities. By latent profile analysis (LPA), the participants were identified into three latent profiles: the low reaction profile (LRP, N = 70), the medium reaction profile (MRP, N = 369), and the high reaction profile (HRP, N = 102) based on nine subscales of the Cognitive Emotion Regulation Questionnaire (CERQ). By one-way analysis of variance, chi-square tests, and multivariate logistic regression analysis, we found that: the HRP has the highest level of using eight strategies and the lowest unprotected sex, meanwhile the LRP has the lowest level of using nine strategies and the highest unprotected sex among three groups (both p < .05). The low response coping was more prevalent among boys and younger students. It indicates that more active cognitive coping, using both adaptive and maladaptive strategies, may associate with less unprotected sex. The programs of enhancing active copying may be targeted in interventions aiming to reduce adolescent unprotected sex.
认知情绪调节策略的使用与青少年风险行为之间的关系一直受到重视。为了确定中国青少年发生无保护性行为的应对模式，并研究这些亚组之间的特征和关联，我们从中国 10 个城市的中学中筛选了 541 名 14-19 岁的青少年。通过潜在剖面分析（LPA），根据认知情绪调节问卷（CERQ）的九个分量表，将参与者分为三个潜在剖面：低反应剖面（LRP，N=70）、中反应剖面（MRP，N=369）和高反应剖面（HRP，N=102）。通过单因素方差分析、卡方检验和多变量逻辑回归分析，我们发现：HRP 使用八种策略的水平最高，无保护性行为的比例最低，而 LRP 使用九种策略的水平最低，无保护性行为的比例最高（均 P<.05）。低反应应对模式在男孩和年龄较小的学生中更为普遍。这表明，更积极的认知应对方式，包括适应性和不适应性策略，可能与较少的无保护性行为有关。在旨在减少青少年无保护性行为的干预措施中，可能需要针对增强积极应对模式的项目。
