Shisana O, Celentano D D
Soc Sci Med. 1987;24(2):145-57. doi: 10.1016/0277-9536(87)90247-4.
This study investigates how social support and coping style affect the relationship between a traumatic chronic stressor and health status. A population of 88 Namibian refugees living in an equatorial region of Africa participated in the study. The central hypothesis was that social support and coping style moderate the relationship between length of stay in exile (a proxy measure of chronic stress) and health status (symptoms of generalized anxiety disorders, self-reported physical health status and length of stay in hospital). The results show that when social support is high the relationship between length of stay in exile and all three health outcomes is substantially reduced. When social support is low, the relation between stress and poor health outcomes is high. Coping style moderates the relationship between length of stay in exile and period of hospitalization but has no effect on level of anxiety or perceived health status. When both social support and coping style are simultaneously considered, the best results emerge.
本研究调查了社会支持和应对方式如何影响创伤性慢性应激源与健康状况之间的关系。88名生活在非洲赤道地区的纳米比亚难民参与了该研究。核心假设是社会支持和应对方式调节流亡时间（慢性应激的替代指标）与健康状况（广泛性焦虑症症状、自我报告的身体健康状况和住院时间）之间的关系。结果表明，当社会支持较高时，流亡时间与所有三项健康结果之间的关系会大幅降低。当社会支持较低时，压力与不良健康结果之间的关系则较高。应对方式调节流亡时间与住院时间之间的关系，但对焦虑水平或感知到的健康状况没有影响。当同时考虑社会支持和应对方式时，会出现最佳结果。
