Ling Jiying, Chen Sisi, Marina Maya
Michigan State University College of Nursing, East Lansing, MI, USA.
Department of Exercise Science, Mercer University College of Health Professions, Macon, GA, USA.
Health Psychol Behav Med. 2024 Sep 7;12(1):2399211. doi: 10.1080/21642850.2024.2399211. eCollection 2024.
This study aimed to (1) examine coping strategies and their relationship with demographics, perceived stress, and hair cortisol; and (2) explore whether coping partially mediated the relationship between perceived stress and hair cortisol.
Baseline data from 191 socioeconomically marginalized parents enrolled in two community-based clinical trials were used. The IBM SPSS Statistics Version 27 and Mplus Version 8 were used for data analyses.
Parents' engagement in various coping strategies differed by age, ethnicity, race, marital status, education level, and number of children living in the household. Parents' use of problem-focused (instrumental support, planning), emotion-focused (venting, self-blame), and avoidant coping (self-distraction, denial, behavioral disengagement) increased from having low to moderate stress. However, when perceived stress increased from moderate to high, their use of emotion-focused and avoidant coping increased significantly, but problem-focused coping did not. Emotion-focused coping lowered the influence of perceived stress on hair cortisol, while avoidant coping increased the relationship between perceived stress and hair cortisol.
Although needing future investigation with longitudinal studies, the results suggest the need of promoting adaptive emotion-focused coping (emotional support, venting, and humor) to help socioeconomically marginalized parents manage their appraised overwhelming and uncontrollable stressors of food, house, and income insecurity.
本研究旨在(1)研究应对策略及其与人口统计学、感知压力和头发皮质醇的关系;(2)探讨应对是否部分介导了感知压力与头发皮质醇之间的关系。
使用了参与两项社区临床试验的191名社会经济边缘化父母的基线数据。数据分析使用了IBM SPSS Statistics 27版和Mplus 8版。
父母在各种应对策略上的参与程度因年龄、种族、民族、婚姻状况、教育水平和家庭中子女数量的不同而有所差异。父母对以问题为中心的应对方式(工具性支持、计划)、以情绪为中心的应对方式(发泄、自责)和回避性应对方式(自我分心、否认、行为脱离)的使用随着压力从低到中等而增加。然而,当感知压力从中等增加到高时,他们对以情绪为中心和回避性应对方式的使用显著增加,但以问题为中心的应对方式没有。以情绪为中心的应对方式降低了感知压力对头发皮质醇的影响,而回避性应对方式增加了感知压力与头发皮质醇之间的关系。
尽管需要通过纵向研究进行进一步调查,但结果表明有必要促进适应性的以情绪为中心的应对方式(情感支持、发泄和幽默),以帮助社会经济边缘化的父母应对他们所评估的关于食物、住房和收入不安全的压倒性和无法控制的压力源。