Personal resilience, cognitive appraisals, and coping: an integrative model of adjustment to abortion.
Personal resilience, cognitive appraisals, and coping: an integrative model of adjustment to abortion.
复制标题
个人复原力、认知评估和应对：堕胎调整的综合模型。
DOI：
10.1037//0022-3514.74.3.735
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发表时间：
1998
影响因子：
7.6
通讯作者：
Zubek,J
中科院分区：
文献类型：
--
作者：
Major,B;Richards,C;Cooper,ML;Cozzarelli,C;Zubek,J
我们假设人格（自尊、控制和乐观）对流产后适应（痛苦、幸福和决策满意度）的影响将完全由流产前认知评估（压力评估和自我效能评估）和流产后应对来调节。我们进一步提出，流产前评估对适应的影响将完全由流产后应对来调节。对 527 名妊娠早期堕胎的妇女进行的纵向研究结果支持了我们的假设。性格坚韧的女性认为堕胎压力较小，应对堕胎的自我效能感较高。更积极的评价预示着更多的接受/重构应对和更少的回避/否认、发泄、寻求支持和宗教应对。接受-重构预示着所有措施的更好调整，而回避-否认和发泄则与所有措施的较差调整有关。寻求更多的支持与减少痛苦相关，而更多的宗教应对则与较低的决策满意度相关。
We hypothesized that the effects of personality (self-esteem, control, and optimism) on postabortion adaptation (distress, well-being, and decision satisfaction) would be fully mediated by preabortion cognitive appraisals (stress appraisals and self-efficacy appraisals) and postabortion coping. We further proposed that the effects of preabortion appraisals on adaptation would be fully mediated by postabortion coping. Results of a longitudinal study of 527 women who had first-trimester abortions supported our hypotheses. Women with more resilient personalities appraised their abortion as less stressful and had higher self-efficacy for coping with the abortion. More positive appraisals predicted greater acceptance/reframing coping and lesser avoidance/denial, venting, support seeking, and religious coping. Acceptance–reframing predicted better adjustment on all measures, whereas avoidance–denial and venting related to poorer adjustment on all measures. Greater support seeking was associated with reduced distress, and greater religious coping was associated with less decision satisfaction.