Richardson Cele E, Magson Natasha R, Fardouly Jasmine, Oar Ella L, Forbes Miriam K, Johnco Carly J, Rapee Ronald M
Centre for Emotional Health, Department of Psychology, Macquarie University, Sydney, NSW, Australia.
Centre for Sleep Science, School of Psychological Science, Faculty of Science, University of Western Australia, Perth, WA, Australia.
J Youth Adolesc. 2021 Jun;50(6):1189-1204. doi: 10.1007/s10964-020-01330-x. Epub 2020 Oct 29.
Much of the literature investigating the association between coping and psychopathology is cross-sectional, or associations have been investigated in a unidirectional manner; hence, bidirectionality between coping and psychopathology remains largely untested. To address this gap, this study investigated bidirectional relations between coping and psychopathology during pre-adolescence. Participants (N = 532, 51% male) and their primary caregiver both completed questionnaires assessing pre-adolescents' coping (i.e., avoidant, problem solving, social support seeking) and symptoms of psychopathology (i.e., generalized anxiety, social anxiety, depression, eating pathology) in Wave 1 (M = 11.18 years, SD = 0.56, range = 10-12) and Wave 2 (M = 12.18 years, SD = 0.53, range = 11-13, 52% male), one year later. Cross-lagged panel models showed child-reported avoidant coping predicted increases in symptoms of generalized and social anxiety, and eating pathology. In separate child and parent models, symptoms of depression predicted increases in avoidant coping. Greater parent-reported child depressive symptoms also predicted decreases in problem solving coping. Taken together, results suggest unique longitudinal associations between coping and psychopathology in pre-adolescence, with avoidant coping preceding increases in symptoms of anxiety and eating pathology, and depressive symptoms predicting later increases in maladaptive coping.
许多研究应对方式与精神病理学之间关联的文献都是横断面研究，或者是以单向方式研究两者之间的关联；因此，应对方式与精神病理学之间的双向性在很大程度上仍未得到检验。为了填补这一空白，本研究调查了青春期前应对方式与精神病理学之间的双向关系。参与者（N = 532，51%为男性）及其主要照顾者在第一波（M = 11.18岁，标准差 = 0.56，范围 = 10 - 12岁）和一年后的第二波（M = 12.18岁，标准差 = 0.53，范围 = 11 - 13岁，52%为男性）均完成了问卷调查，评估青少年的应对方式（即回避、解决问题、寻求社会支持）和精神病理学症状（即广泛性焦虑、社交焦虑、抑郁、饮食病理学）。交叉滞后面板模型显示，儿童报告的回避应对方式预示着广泛性焦虑、社交焦虑和饮食病理学症状的增加。在单独的儿童和父母模型中，抑郁症状预示着回避应对方式的增加。父母报告的儿童抑郁症状增加也预示着解决问题应对方式的减少。综合来看，结果表明青春期前应对方式与精神病理学之间存在独特的纵向关联，回避应对方式先于焦虑和饮食病理学症状的增加，而抑郁症状预示着后期适应不良应对方式的增加。
