Department of Population Health and Disease Prevention, University of California, Irvine.
Department of Psychology, Soochow University.
Health Psychol. 2024 Jun;43(6):397-417. doi: 10.1037/hea0001364. Epub 2024 Feb 8.
A systematic review and meta-analysis was conducted to examine associations between attempts to cope with stressors through the two facets of emotional approach coping (EAC; i.e., processing and expressing stressor-related emotions) and indicators of physical and mental health.
EBSCO databases including MEDLINE, PsycINFO, and Cochrane Collections were searched from inception to November 2022. In all, 86 studies were included in a meta-analytic evaluation using a random-effects model and meta-regression analysis.
EAC was associated with better overall health ( = .05; = .04; 95% confidence interval = [.003, .10]). Emotional expression (EE) and emotional processing (EP) also were positively associated with better overall health, although these relationships were not statistically significant. In meta-regressions examining specific health domains, EAC was linked to better health in biological/physiological, physical, and resilience-related psychological adjustment domains, as well as to worse outcomes in the risk-related psychological adjustment and mental/emotional distress domains. Results for EE and EP mirrored this pattern; however, only EP was associated with more engagement in health-promoting behaviors.
Coping with stressors through emotional approach appears to be associated with better mental and physical health, with some observed differences for EE and EP. The literature on EAC and health is marked by heterogeneity across study methodologies and measures. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
系统回顾和荟萃分析旨在研究通过情绪趋近应对的两个方面（即处理和表达与应激源相关的情绪）来应对应激源的尝试与身心健康指标之间的关联。
从 EBSCO 数据库（包括 MEDLINE、PsycINFO 和 Cochrane 集合）中搜索了从开始到 2022 年 11 月的所有研究。使用随机效应模型和元回归分析，共有 86 项研究纳入了荟萃分析评估。
情绪趋近应对与整体健康状况较好相关（ =.05； =.04；95%置信区间为[.003，.10]）。情绪表达（EE）和情绪处理（EP）也与整体健康状况较好相关，尽管这些关系没有统计学意义。在元回归分析中，考察特定的健康领域，情绪趋近应对与生物/生理、身体和与弹性相关的心理适应领域的健康状况较好相关，与风险相关的心理适应和心理/情绪困扰领域的较差结果相关。EE 和 EP 的结果反映了这种模式；然而，只有 EP 与更多参与促进健康的行为有关。
通过情绪趋近应对来应对压力源似乎与更好的心理健康和身体健康相关，EE 和 EP 存在一些观察到的差异。情绪趋近应对和健康的文献在研究方法和测量方面存在很大的异质性。
