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The cortisol awakening response: predicting self-reported daily stress reactivity. 皮质醇唤醒反应:预测自我报告的日常压力反应。
IF 1.9 3区 心理学 Q2 PSYCHIATRY Pub Date : 2025-11-01 Epub Date: 2025-06-12 DOI: 10.1080/10615806.2025.2518113
Xia Shi, Wei Lu, Xin Nie, Shuai Liu, Kezu Hu

Background and Objectives: The cortisol awakening response (CAR) refers to a phenomenon characterized by a significant increase in cortisol levels following morning awakening. Previous studies have shown that an aberrant CAR is associated with stress-related disorders. However, there is a lack of prospective longitudinal studies examining whether individual differences in the CAR can predict daily stress reactivity.Design and Methods: In a sample of 68 healthy college students (23.5% female, Mage = 18.77, SD = 0.97), saliva samples were collected at 0, 15, 30, and 45 min after awakening on three consecutive days. The participants were then asked to report their daily perceived stress and daily negative affect for a period of 30 days, 18 months later, during the COVID-19-related lockdown in the region.Results: The results indicated that a higher CAR at the beginning of the COVID pandemic was associated with lower levels of daily negative affect assessed 18 months later. Furthermore, the CAR modulated the link between daily perceived stress and negative affect. Specifically, individuals with a higher CAR were more reactive to perceived stress in their daily lives.Conclusions: The present findings provide insights into the psychobiological mechanisms that connect daily stress with mental health.

背景和目的:皮质醇觉醒反应(CAR)是指早晨醒来后皮质醇水平显著升高的一种现象。先前的研究表明,异常的CAR与压力相关疾病有关。然而,缺乏前瞻性的纵向研究来检验CAR的个体差异是否可以预测日常应激反应。设计与方法:68名健康大学生(女性23.5%,Mage = 18.77, SD = 0.97),连续3天于醒来后0、15、30、45 min采集唾液样本。然后,参与者被要求在18个月后的30天内报告他们每天感受到的压力和每天的负面影响,在该地区与covid -19相关的封锁期间。结果:结果表明,COVID大流行开始时较高的CAR与18个月后评估的较低的每日负面影响水平相关。此外,CAR调节了日常感知压力和负面情绪之间的联系。具体来说,CAR值较高的个体在日常生活中对感知到的压力反应更强烈。结论:本研究结果为日常压力与心理健康之间的心理生物学机制提供了见解。
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引用次数: 0
Cross-sectional and longitudinal influences of stress mindset on adolescent depressive symptoms and cannabis use. 压力心态对青少年抑郁症状和大麻使用的横断面和纵向影响。
IF 1.9 3区 心理学 Q2 PSYCHIATRY Pub Date : 2025-11-01 Epub Date: 2025-05-22 DOI: 10.1080/10615806.2025.2507094
Kendra L Wilson, Bethany L Boettner, Ping Bai, Dylan D Wagner, Jodi L Ford, Christopher R Browning, Baldwin M Way

Background and objective: A stress-is-enhancing mindset refers to viewing the nature of stress as enhancing rather than debilitating and has been linked to better mental health in response to stressors. We examined the cross-sectional and longitudinal link between stress mindset and two mental health outcomes, depressive symptoms and cannabis use, over the COVID-19 pandemic in a diverse sample of adolescents.

Design and methods: A community sample of adolescents completed measures assessing depressive symptoms, cannabis use, and intentions to use cannabis at three time points (T1: 2018-2020, N = 299, T2: 2020, N = 219, T3: 2021, N = 173). Participants completed the stress mindset measure at T2.

Results: Cross-sectionally, a more stress-is-enhancing mindset was associated with fewer depressive symptoms and reduced intentions to use cannabis, which in turn were associated with less cannabis use. Longitudinally, a more stress-is-enhancing mindset was associated with fewer depressive symptoms and indirectly associated with less future cannabis use through behavioral intentions to use cannabis.

Conclusion: This study establishes a stress-is-enhancing mindset as a protective factor against cannabis use and contributes to a growing literature that stress mindset is protective against depression, indicating that stress mindset may be an important protective factor even in the face of naturalistic, chronic stressors.

背景和目的:增强压力的心态指的是将压力的本质视为增强而不是削弱,并且与应对压力源时更好的心理健康有关。在不同的青少年样本中,我们研究了压力心态与两种心理健康结果(抑郁症状和大麻使用)之间的横断面和纵向联系。设计和方法:社区青少年样本在三个时间点(T1: 2018-2020年,N = 299, T2: 2020年,N = 219, T3: 2021年,N = 173)完成了抑郁症状、大麻使用和大麻使用意图的测量。参与者在T2完成压力心态测试。结果:从横截面上看,更能增强压力的心态与较少的抑郁症状和较少的使用大麻的意图有关,而后者又与较少的大麻使用有关。纵向上,压力增强的心态与抑郁症状减少有关,并通过使用大麻的行为意图间接与未来较少使用大麻有关。结论:本研究确立了压力增强心态作为大麻使用的保护因素,并为越来越多的文献表明压力心态对抑郁有保护作用做出了贡献,表明压力心态可能是一个重要的保护因素,即使面对自然的、慢性的压力源。
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引用次数: 0
Enhanced long-term memory for distractors via attention in trait and social anxiety. 通过特质和社交焦虑的注意增强干扰物的长期记忆。
IF 1.9 3区 心理学 Q2 PSYCHIATRY Pub Date : 2025-11-01 Epub Date: 2025-05-06 DOI: 10.1080/10615806.2025.2500746
Jun Moriya

Individuals with anxiety and social anxiety direct their attention toward emotionally neutral task-irrelevant distractors. However, what happens after attention is paid to neutral distractors remains unknown. This study examined whether attention to distractors enhances long-term memory (LTM) of distractors in individuals with anxiety and social anxiety. Participants performed a visual-search task using real-world objects under either anxiety induction (Experiment 1) or no anxiety induction (Experiment 2). Subsequently, in the surprise-recognition task, participants were required to indicate whether an object had been shown in the visual-search task. The results showed that anxiety and social anxiety, especially the fear of negative evaluation, positively correlated with attentional bias toward neutral distractors. Moreover, mediation analysis showed significant indirect effects of anxiety and social anxiety on LTM through attentional bias. These results suggest that individuals with anxiety and social anxiety involuntarily direct their attention to distractors, which enhances their LTM.

患有焦虑和社交焦虑的个体将注意力转向与任务无关的情绪中性干扰物。然而,注意到中性干扰物后会发生什么尚不清楚。本研究考察了对干扰物的注意是否能增强焦虑和社交焦虑个体对干扰物的长期记忆。参与者在焦虑诱导(实验1)和无焦虑诱导(实验2)下使用现实世界的物体执行视觉搜索任务。随后,在惊喜识别任务中,参与者被要求指出一个物体是否在视觉搜索任务中出现过。结果表明,焦虑和社交焦虑,尤其是对负面评价的恐惧,与中性干扰物的注意偏倚呈正相关。此外,中介分析显示焦虑和社交焦虑通过注意偏倚对LTM有显著的间接影响。这些结果表明,焦虑和社交焦虑个体不自觉地将注意力转向干扰物,从而增强了他们的LTM。
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引用次数: 0
Dynamic interplay among emotional support, social interaction, COVID-19 news exposure and anxiety symptoms in emerging adults during the early COVID-19 pandemic. 在COVID-19大流行早期,新兴成人的情感支持、社会互动、COVID-19新闻曝光和焦虑症状之间的动态相互作用
IF 1.9 3区 心理学 Q2 PSYCHIATRY Pub Date : 2025-11-01 Epub Date: 2025-05-29 DOI: 10.1080/10615806.2025.2512922
Yimei Zhang, Zhihao Ma

Background: Anxiety was prevalent among emerging adults during the COVID-19 pandemic. According to the Conservation of Resources Theory, our goal was to investigate the relations among emotional support, social interaction, COVID-19 news exposure and anxiety symptoms in emerging adults during the early COVID-19 pandemic.

Methods: Using the COVID-Dynamic dataset, we analyzed data from the first three waves (April 4-18, 2020), resulting in a total of 569 valid participants aged 18-29, with 46.2% identifying as female and a mean age of 23.88 years. The Gaussian Graphical Model was applied to estimate the network models.

Results: Contemporaneous network indicated that anxiety symptoms were related to emotional support, social interaction and COVID-19 news exposure. Temporal network revealed bidirectional relations between emotional support and anxiety, and between COVID-19 news exposure and anxiety. Several anxiety symptoms predicted social interaction one week later. Emotional support was a significant predictor of anxiety symptoms. "I feel nervous" had the highest strength value in the contemporaneous network. "I feel indecisive" had the highest in-strength centrality in the temporal network.

Conclusions: Findings partially support the COR theory and emphasize the need to reevaluate the role of emotional support in the theory.

背景:在COVID-19大流行期间,焦虑在新兴成年人中普遍存在。根据资源守恒理论,我们的目的是研究新冠肺炎大流行早期新兴成人的情绪支持、社会互动、新冠肺炎新闻曝光与焦虑症状之间的关系。方法:使用COVID-Dynamic数据集分析前三波(2020年4月4日至18日)的数据,共获得569名有效参与者,年龄在18-29岁之间,其中46.2%为女性,平均年龄23.88岁。采用高斯图形模型对网络模型进行估计。结果:同时期网络显示,焦虑症状与情绪支持、社交互动和COVID-19新闻接触有关。时间网络显示情绪支持与焦虑、新冠肺炎新闻曝光与焦虑之间存在双向关系。一些焦虑症状预示着一周后的社交活动。情感支持是焦虑症状的重要预测因子。在同时期的网络中,“我感到紧张”的强度值最高。“我感觉优柔寡断”在时间网络中的强度中心性最高。结论:研究结果部分支持了心理支持理论,并强调需要重新评估情绪支持在心理支持理论中的作用。
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引用次数: 0
A qualitative investigation of elite athletes' coping insight patterns from self-distanced and self-immersed stressor reflections. 来自自我疏离和自我沉浸压力源反思的优秀运动员应对洞察模式的定性研究。
IF 1.9 3区 心理学 Q2 PSYCHIATRY Pub Date : 2025-11-01 Epub Date: 2025-06-27 DOI: 10.1080/10615806.2025.2520617
Elizabeth M Murdoch, Joanne Ayers, Monique F Crane, Nikos Ntoumanis, Carly J Brade, Eleanor Quested, Daniel F Gucciardi

Elite sport involves confronting stressors that can disrupt athletes' functionality and harm their psychological well-being. Reflecting on these stressors is crucial for gaining insights into coping strategies and future adaptations. We aimed to examine the coping insights developed from engagement in these reflective practices. Via a qualitative analysis of a pilot randomized controlled trial, athletes were randomized to a self-distanced (n = 33) or self-immersed condition (n = 33) and guided to reflect systematically on a key stressor each week over a five-week period. Using an established self-reflection and coping insight framework to guide our framework analysis, we interpreted both similarities and differences between groups across various coping insights. Athletes exhibited signs of self-awareness, trigger identification, and re-appraisal, regardless of their reflective perspective. However, athletes from both groups reported limited insight into values consideration, evaluation, and fostering a future-focus. Stressors reported by athletes were predominantly mild in magnitude or "everyday" in nature. Our findings highlight the need for robust examinations of the self-reflection approach to unlock higher-level insights (future-focus, evaluation of coping strategies) that can enhance resilient capacities. Challenges with recruitment and retention highlights the need for pilot and feasibility analyzes before progressing to fully powered randomized controlled trials with athlete populations.

精英运动包括面对可能破坏运动员功能和损害他们心理健康的压力源。反思这些压力源对于获得应对策略和未来适应的洞察力至关重要。我们的目的是研究从参与这些反思实践中发展出来的应对见解。通过对一项先导随机对照试验的定性分析,运动员被随机分为自我疏离(n = 33)和自我沉浸(n = 33)两组,并被引导在五周的时间内每周系统地反思一个关键的压力源。使用一个已建立的自我反思和应对洞察力框架来指导我们的框架分析,我们解释了不同应对洞察力的群体之间的异同。运动员表现出自我意识、触发识别和重新评估的迹象,无论他们的反思观点如何。然而,两组运动员在价值考虑、评估和培养对未来的关注方面的洞察力都很有限。运动员报告的压力源主要是轻微的或“日常”的性质。我们的研究结果强调,需要对自我反思方法进行强有力的检查,以揭示能够增强弹性能力的更高层次的见解(关注未来,评估应对策略)。招募和保留运动员所面临的挑战凸显了在对运动员群体进行完全随机对照试验之前进行试点和可行性分析的必要性。
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引用次数: 0
Cumulative stressful life events and Australian women's depressive symptom trajectories: a longitudinal study of potential non-additive effects. 累积压力生活事件和澳大利亚妇女的抑郁症状轨迹:潜在的非加性效应的纵向研究。
IF 1.9 3区 心理学 Q2 PSYCHIATRY Pub Date : 2025-10-29 DOI: 10.1080/10615806.2025.2579902
Edward Ashby Weston Hannemann, Anastasia Ejova

There is strong evidence that accumulation of stressful life events (SLEs) contributes to depressive episodes, but the effect of cumulative SLEs on longitudinal trajectories of depressive symptoms in the general population is less well understood. In a pre-registered analysis involving multi-group Bayesian piecewise growth curve modeling applied to nationally representative data from the Australian Longitudinal Study of Women's Health, we investigated whether, over 36 years, among women aged 45-50 at baseline, the effects of cumulative SLEs on depression symptoms are positive ("sensitizing") or negative ("steeling"), and additive or non-additive (interaction or threshold). Participants were grouped based on the number of SLEs experienced over the first 24 years of the study period: 0-4, 5-9, 10-14, 15-19, or 20-24. Groups were propensity-score-matched at baseline. While groups differed on mental and physical health at baseline, no group exhibited an increase in depressive symptoms following their final SLE. Moreover, groups with the most SLEs exhibited faster declines in depressive symptoms. There was significant heterogeneity of trajectories within groups. The findings contribute to the growing literature supporting the steeling hypothesis, and suggest that, if SLEs increase the severity of depressive symptoms, they do so in small sub-populations that require further research attention.

有强有力的证据表明,压力生活事件(SLEs)的积累有助于抑郁发作,但累积的SLEs对一般人群抑郁症状的纵向轨迹的影响尚不清楚。在一项预先登记的分析中,我们将多组贝叶斯分段增长曲线模型应用于澳大利亚妇女健康纵向研究的全国代表性数据,研究了在超过36年的45-50岁基线女性中,累积的SLEs对抑郁症状的影响是积极的(“敏感化”)还是消极的(“强化”),以及是加性的还是非加性的(相互作用或阈值)。参与者根据研究前24年经历的SLEs数量分组:0-4、5-9、10-14、15-19或20-24。各组在基线时倾向得分匹配。虽然各组在基线时的精神和身体健康状况不同,但没有组在最终SLE后表现出抑郁症状的增加。此外,SLEs最多的组表现出抑郁症状更快的下降。组内轨迹存在显著异质性。这些发现有助于越来越多的文献支持钢铁假说,并表明,如果SLEs增加了抑郁症状的严重程度,它们在小的亚人群中起作用,需要进一步的研究关注。
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引用次数: 0
Family history of alcohol use disorder and stress-reactivity. 酒精使用障碍和应激反应的家族史。
IF 1.9 3区 心理学 Q2 PSYCHIATRY Pub Date : 2025-10-15 DOI: 10.1080/10615806.2025.2571524
Brianna Harney-Delehanty, Stephen Armeli, Howard Tennen

Background: Family history of alcohol use disorder (FHA) is posited to convey its risk on problematic drinking partly through how individuals react to stressful situations. Research thus far has found equivocal results, with some studies concluding that FHA is associated with heightened stress-reactivity and others finding FHA associated with blunted stress-reactivity. In addition, the preponderance of this research has been conducted using laboratory-based paradigms, raising questions about the ecological validity of the findings. The purpose of the current study was to further clarify the association between FHA and affective reactions to two types of stress (social and academic stress) using an ecologically valid, intensive-longitudinal research design.

Methods: Participants were 1,606 undergraduate students (54% women) who completed a baseline survey, including questions related to family history of alcohol use, and who subsequently completed a 30-day daily diary reporting on their daily stress and affective states.

Results: Results showed a weaker positive association between social stress and anxiety and depressive affect among individuals with more paternal alcohol use disorder symptoms, consistent with a blunted stress-reactivity perspective.

Conclusions: The results add to the current literature, providing a direction for future research to continue to clarify the nature of FHA and stress-reactivity.

背景:酒精使用障碍家族史(FHA)被认为是通过个体对压力情况的反应来部分传达其对问题饮酒的风险。迄今为止的研究发现了模棱两可的结果,一些研究得出结论认为,FHA与压力反应性增强有关,而另一些研究则发现FHA与压力反应性减弱有关。此外,这项研究的优势是使用基于实验室的范式进行的,这引发了对研究结果的生态有效性的质疑。本研究的目的是进一步阐明FHA和对两种压力(社会压力和学业压力)的情感反应之间的关系,采用生态有效的、密集的纵向研究设计。方法:参与者为1606名本科生(54%为女性),他们完成了一项基线调查,包括与酒精使用家族史相关的问题,并随后完成了30天的每日日记,报告他们的日常压力和情感状态。结果:结果显示,在父亲酒精使用障碍症状较多的个体中,社会压力与焦虑和抑郁影响之间的正相关较弱,这与钝化应激反应的观点一致。结论:该结果补充了现有文献,为进一步阐明FHA的性质和应激反应性提供了方向。
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引用次数: 0
Development and initial testing of an online security prime writing intervention during COVID-19. COVID-19期间在线安全主编写干预措施的开发和初步测试。
IF 1.9 3区 心理学 Q2 PSYCHIATRY Pub Date : 2025-10-02 DOI: 10.1080/10615806.2025.2542298
Angie S LeRoy, Andreas Weyland, Jade Kanemitsu, Arya Tsay-Jones, Vincent D Lai, E Lydia Wu-Chung, Nyla Vela, Amanda Perozo, Valentina I Maza, Sierra Wickline, Katherine Beach, Robert Suchting

Background and objectives: During the COVID-19 pandemic, we tested the efficacy of a one-week online security prime (SP) writing intervention in reducing distress among 254 adults (60+ years and/or having an underlying health condition). The efficacy of writing interventions can depend on several factors. Attachment orientations, characterized by dimensions of anxiety and avoidance, reflect individuals' tendencies in how they seek proximity to and rely on others for support, and influence how people experience and regulate their emotions.

Design and methods: Participants were randomly assigned to one of three conditions: Security Priming (SP), where people wrote about what made them feel safe and secure, Self-regulation (SR), where people wrote about their pandemic-related stressors, coping, and lifestyle changes, or a Control group (C); they also completed pre- and post-intervention measures.

Results: Our hypothesis that the SP condition would outperform the SR and C conditions in reducing distress, was not supported. In the SP condition, attachment avoidance demonstrated a negative relationship with distress at follow-up, unlike the other two conditions. Further, those in the SP condition demonstrated a negative relationship between attachment anxiety and distress at follow-up.

Conclusions: The SP writing intervention was impactful for those insecurely attached and may have utility in other loss-related contexts beyond COVID-19.

背景和目的:在COVID-19大流行期间,我们测试了为期一周的在线安全prime (SP)写作干预在减少254名成年人(60岁以上和/或有潜在健康问题)的痛苦方面的效果。写作干预的效果取决于几个因素。依恋取向以焦虑和回避维度为特征,反映了个体如何寻求接近他人和依赖他人支持的倾向,并影响人们如何体验和调节自己的情绪。设计和方法:参与者被随机分配到三种情况中的一种:安全启动(SP),人们写下让他们感到安全的事情,自我调节(SR),人们写下与流行病相关的压力源,应对和生活方式的改变,或者对照组(C);他们还完成了干预前和干预后的措施。结果:我们的假设,即SP条件会比SR和C条件减少痛苦,不支持。与其他两种情况不同,在SP条件下,依恋回避与随访时的痛苦呈负相关。此外,SP组在随访中表现出依恋焦虑与痛苦之间的负相关关系。结论:SP书写干预对不安全依恋者有影响,可能在COVID-19以外的其他与损失相关的情况下也有用。
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引用次数: 0
Understanding job demands and resources through network analysis: insights into workplace interconnectivity. 通过网络分析了解工作需求和资源:对工作场所互联性的洞察。
IF 1.9 3区 心理学 Q2 PSYCHIATRY Pub Date : 2025-10-02 DOI: 10.1080/10615806.2025.2564323
E Karin, D F Gucciardi, T Rigotti, S Parker, R Kalisch, M F Crane

Background: This study uses network analysis to explore how job demands and resources may proliferate and interconnect within the workplace.

Objectives: To examine how demands and resources escalate and form ecologies by mapping their interconnections within workplace dynamics.

Design: We capitalized on a large-scale cross-sectional data collection in Navy personnel preparing for deployment.

Methods: Data were collected via paper-survey from 558 participants (75.8% males; Mage  = 30.22 years). A diversity of demands and resources were measured including from distinct sources.

Results: Resources were extensively and positively interconnected, consistent with the resource spirals concept. Distal resources were connected via job control and organizational-based self-esteem. In contrast, demands were more compartmentalized. Positive links between demands across domains, especially those involving interpersonal conflict, suggest that social mechanisms may underlie their interconnection.

Conclusions: These findings suggest how interconnected resources may help strengthen resource ecologies within organizations, while minimizing demand interconnectivity could reduce strain. The observed structure suggests that social factors may support the association between distinct resources (e.g., organizational-based self-esteem) or demands (i.e., interpersonal conflict), suggesting a role in resource or demand spirals. This highlights the potential role of psychological needs, particularly autonomy and relatedness, in shaping resource networks and creating more supportive workplace conditions.

背景:本研究使用网络分析来探讨工作需求和资源如何在工作场所内扩散和相互联系。目的:通过绘制工作场所动态中的相互联系,研究需求和资源如何升级并形成生态。设计:我们利用海军人员准备部署的大规模横断面数据收集。方法:采用问卷调查的方式收集558名参与者的资料,其中男性75.8%,年龄30.22岁。测量了需求和资源的多样性,包括来自不同来源的需求和资源。结果:资源广泛、正向联系,符合资源螺旋概念。远端资源通过工作控制和组织自尊连接。相比之下,需求则更加分散。跨领域需求之间的积极联系,特别是那些涉及人际冲突的需求,表明社会机制可能是其相互联系的基础。结论:这些发现表明,相互关联的资源如何有助于加强组织内部的资源生态,而最小化需求互联性可以减少压力。观察到的结构表明,社会因素可能支持不同资源(如基于组织的自尊)或需求(如人际冲突)之间的联系,表明在资源或需求螺旋中起作用。这突出了心理需求,特别是自主性和相关性,在形成资源网络和创造更支持性的工作环境方面的潜在作用。
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引用次数: 0
Patterns in transitions of coping and their associations with adolescents' post-traumatic distress and growth: a random intercept latent transition analysis. 应对转变模式及其与青少年创伤后痛苦和成长的关系:随机拦截潜在转变分析。
IF 1.9 3区 心理学 Q2 PSYCHIATRY Pub Date : 2025-09-30 DOI: 10.1080/10615806.2025.2563397
Yifan Li, Yingying Ye, Xima Yang, Jiali Huang, Zijian He, Xiao Zhou

Objective: We aimed to investigate whether adolescents employ different profiles of coping, how profiles transition, and how transitions influence adolescents' depressive symptoms, posttraumatic stress symptoms (PTSS), and posttraumatic growth (PTG).

Method: We surveyed 585 Chinese adolescents (Age: M = 15.50, SD = 1.58) 12 (T1), 21 (T2), 27 (T3) months after the Jiuzhaigou earthquake. We used latent profile analysis and random intercept latent transition analysis in identifying emergent profiles and transitions of coping, and examined their associations with depressive symptoms, PTSS, and PTG.

Results: We identified three profiles (Low Generic Copers; Problem-focused Copers; High Generic Copers) that formed seven transitions. Stable low or high generic coping and the transition from low to high generic coping were related with high distress and high growth; stable high problem-focused, low emotion-focused coping or transitions from high problem-focused coping to low or high generic coping were related with low distress and high growth; transition from high to low generic coping was related with low distress and low growth.

Conclusions: The findings highlight that adolescent employ heterogeneous coping strategies that dynamically transition over time.

目的:探讨青少年是否采用不同的应对方式,不同的应对方式如何转变,以及这种转变对青少年抑郁症状、创伤后应激症状(PTSS)和创伤后成长(PTG)的影响。方法:对九寨沟地震后12 (T1)、21 (T2)、27 (T3)个月的585名中国青少年(年龄:M = 15.50, SD = 1.58)进行调查。我们使用潜在特征分析和随机截点潜在转变分析来识别应对的突发特征和转变,并研究它们与抑郁症状、ptsd和PTG的关系。结果:我们确定了三种类型(低通用型;问题聚焦型;高通用型),形成了七个过渡。稳定的低或高通用应对以及从低到高通用应对的过渡与高痛苦和高增长有关;稳定的高问题关注、低情绪关注或从高问题关注到低或高一般性应对的过渡与低痛苦和高成长相关;一般应对从高到低的过渡与低痛苦和低成长有关。结论:研究结果强调了青少年采用的异质性应对策略会随着时间的推移而动态转变。
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Anxiety Stress and Coping
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