Wills T A
Health Psychol. 1986;5(6):503-29. doi: 10.1037//0278-6133.5.6.503.
Measures of stress and coping were obtained from two cohorts of urban adolescents during the seventh- to eighth-grade period and were related to indices of cigarette smoking and alcohol use. Predictions were derived from a stress coping model of substance use. Stress was indexed by measures of subjective stress, recent events, and major life events; coping was assessed by behavior-based and intention-based methods. Concurrent and prospective analyses were consistent with predictions, indicating that stress was positively related to substance use, and four coping mechanisms (behavioral coping, cognitive coping, adult social support, and relaxation) were inversely related to substance use. Two types of predicted interactions, Stress X Coping and Positive X Negative Events, were found. Measures indexing peer support, distraction coping, and aggressive coping were positively related to substance use, independent of other predictors. Implications for substance use theory and prevention research are discussed.
在七年级至八年级期间,从两组城市青少年中获取了压力和应对措施,并将其与吸烟和饮酒指标相关联。预测是从物质使用的压力应对模型得出的。压力通过主观压力、近期事件和重大生活事件的测量来索引;应对则通过基于行为和基于意图的方法进行评估。同时性和前瞻性分析与预测一致,表明压力与物质使用呈正相关,而四种应对机制(行为应对、认知应对、成人社会支持和放松)与物质使用呈负相关。发现了两种预测的相互作用类型,即压力×应对和积极×消极事件。索引同伴支持、分散应对和攻击性应对的测量与物质使用呈正相关,独立于其他预测因素。讨论了对物质使用理论和预防研究的启示。