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适应性应对策略与适应不良性应对策略:来自经历多重危机的黎巴嫩年轻人的见解。

Adaptive versus maladaptive coping strategies: insight from Lebanese young adults navigating multiple crises.

作者信息

Chaaya Roni, Sfeir Michel, Khoury Samar El, Malhab Sandrella Bou, Khoury-Malhame Myriam El

机构信息

Department of Psychology and Education, School of Arts and Sciences, Lebanese American University, Beirut, Lebanon.

Department of Clinical Psychology, University of Mons, Mons, Belgium.

出版信息

BMC Public Health. 2025 Apr 21;25(1):1464. doi: 10.1186/s12889-025-22608-4.

Abstract

BACKGROUND

Coping strategies are composites of cognitive and behavioral efforts to manage the internal and external demands of stressful situations. They have been documented to relate to general well-being and mental health. However, not all types of coping are created equal, and adaptive versus maladaptive strategies seem to have understudied differential impacts, notably with accumulated adversities.

METHODS

We examined coping strategies in a sample of 489 Lebanese university students during accumulating crises, including socio-political unrest and the COVID- 19 pandemic. They were asked to fill out an online survey including standardized questionnaires of well-being (WEMWBS), depression (PHQ- 9), anxiety (HAM-A), intolerance of uncertainty (IUS), and coping (Brief COPE), in addition to demographics and questions about their attitudes and future perspectives.

RESULTS

The results highlight that adaptive coping strategies positively correlate with psychological well-being, whereas maladaptive ones are associated with higher levels of psychopathology. Specifically, it was shown that a positive association exists between anxiety, depression, intolerance of uncertainty, and maladaptive coping strategies while evidencing a negative association between the latter and well-being. Our multinominal regression showed that anxiety, intolerance of uncertainty and well-being were associated with low levels of adaptive coping when taking adaptive coping as a dependent variable.

CONCLUSION

Our study mainly highlights the relation between coping, uncertainty, and mental health. Although intended to help relieve tension, maladaptive strategies might worsen it instead. We emphasize previous findings to promote healthy adaptive coping strategies in times of unprecedented crises.

摘要

背景

应对策略是为应对压力情境的内部和外部需求而进行的认知和行为努力的组合。已有文献证明它们与总体幸福感和心理健康有关。然而,并非所有类型的应对方式都是一样的,适应性策略与适应不良性策略似乎存在尚未充分研究的差异影响,尤其是在面对累积的逆境时。

方法

我们在489名黎巴嫩大学生样本中研究了在累积危机期间的应对策略,这些危机包括社会政治动荡和新冠疫情。除了人口统计学信息以及关于他们的态度和未来展望的问题外,还要求他们填写一份在线调查问卷,其中包括幸福感(WEMWBS)、抑郁(PHQ - 9)、焦虑(HAM - A)、对不确定性的不耐受(IUS)和应对方式(简易应对方式问卷)的标准化问卷。

结果

结果表明,适应性应对策略与心理健康呈正相关,而适应不良性应对策略则与更高水平的精神病理学相关。具体而言,研究表明焦虑、抑郁、对不确定性的不耐受与适应不良性应对策略之间存在正相关,同时表明后者与幸福感之间存在负相关。我们的多项回归分析表明,当将适应性应对作为因变量时,焦虑、对不确定性的不耐受和幸福感与适应性应对水平较低有关。

结论

我们的研究主要强调了应对方式、不确定性和心理健康之间的关系。尽管旨在帮助缓解紧张情绪,但适应不良性策略可能反而会使其恶化。我们强调先前的研究结果,以在前所未有的危机时期促进健康的适应性应对策略。

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