The moderating effects of coping strategies on major depression in the general population
The moderating effects of coping strategies on major depression in the general population
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DOI：
10.1177/070674370204700207
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发表时间：
2002-03-01
影响因子：
4
通讯作者：
Patten, SB
中科院分区：
文献类型：
--
作者：
Wang, JL;Patten, SB
目的：为了评估各种应对策略之间的关联压力源和抑郁症的患病率在一般population.Methods的调节作用：从阿尔伯塔购买的1994 - 1995年全国人口健康调查（NPHS）的组成部分的主题包括在分析（n = 1039）。每个受试者被问到8个关于应对家庭问题和个人危机的意外压力的应对策略的问题。使用世界卫生组织（WHO）的复合国际诊断访谈简表（CIDI-SF）测量重度抑郁症。心理压力源的抑郁症的患病率有关的应对策略的影响，通过检查应对和生活压力之间的相互作用，对抑郁症使用Logistic回归modeling.Results：没有强大的影响，应对策略的关系，在NPHS评估的各种压力的观察。有证据表明，妇女使用“祈祷和寻求宗教帮助”和“与他人谈论情况”作为应对策略，在经济压力和关系压力（与伴侣）存在的情况下，减轻了严重抑郁症的风险。使用情绪表达作为一种应对策略的妇女可能会降低抑郁症的风险，在存在我或更近的生活事件，个人压力，关系压力（与合作伙伴），和环境stress.Conclusion：不同的应对策略可能有不同的影响，在特定的情况下，抑郁症的患病率。这些发现可能对预防和治疗抑郁症都很重要。
Objectives: To evaluate the moderating effects of various coping strategies on the association between stressors and the prevalence of major depression in the general population.Methods: Subjects from the Alberta buy-in component of the 1994 -1995 National Population Health Survey (NPHS) were included in the analysis (n = 1039). Each subject was asked 8 questions about coping strategies that dealt with unexpected stress from family problems and personal crises. Major depression was measured using the World Health Organization's (WHO) Composite International Diagnostic Interview-Short Form (CIDI-SF) for major depression. The impacts of coping strategies in relation to psychological stressors on the prevalence of major depression were determined by examining interactions between coping and life stress on major depression using logistic regression modelling.Results: No robust impact of coping strategies in relation to various categories of stress evaluated in the NPHS was observed. There was evidence that the use of "pray and seek religious help" and "talks to others about the situations" as coping strategies by women moderated the risk of major depression in the presence of financial stress and relationship stress (with a partner). Using emotional expression as a coping strategy by women might decrease the risk of major depression in the presence of I or more recent life events, personal stress, relationship stress (with a partner), and environmental stress.Conclusion: Different coping strategies may have a differential impact on the prevalence of major depression in specific circumstances. These findings may be important both to prevent and to treat depressive disorders.