Caregiver models of self and others, coping, and depression: predictors of depression in children with chronic pain.

Caregiver models of self and others, coping, and depression: predictors of depression in children with chronic pain.
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自我和他人、应对和抑郁的照顾者模型:患有慢性疼痛的儿童抑郁的预测因素。

DOI:
10.1037//0278-6133.21.4.405
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发表时间:
2002
期刊:
Health psychology : official journal of the Division of Health Psychology, American Psychological Association
影响因子:
--
通讯作者:
Shaffer,DavidR
Shaffer,DavidR
中科院分区:
--
文献类型:
--
作者:
Williamson,GailM;Walters,AndrewS;Shaffer,DavidR

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在59名慢性病儿科患者及其母亲照顾者的样本中,儿童报告的疼痛和照顾者报告的抑郁都预测了儿童报告的抑郁。结果进一步表明,照顾者的应对策略可以改善儿童疼痛和抑郁之间的关系,照顾者如何应对是他们对自我和他人的依恋相关表征的一个功能。拥有消极自我模式的照顾者更抑郁,而那些拥有消极他人模式的照顾者更倾向于使用回避型应对策略,反过来,他们也更抑郁。然而,具有消极自我模式的照顾者在多大程度上使用更多的回避和更少的方法应对似乎取决于他们是否认为其他人可能会对他们的需求做出反应。
In a sample of 59 chronically ill pediatric patients and their maternal caregivers, both child-reported pain and caregiver-reported depression predicted child-reported depression. Results further suggested that the association between pain and depression in children is ameliorated by caregiver coping strategies and that how caregivers cope is a function of their attachment-related representations of the self and others. Caregivers with a negative model of the self were more depressed, and those with a negative model of others were more prone to use avoidant coping strategies, and, in turn, to be more depressed. However, the extent to which caregivers with negative models of self used more avoidant and less approach coping appeared to depend on whether they perceived that others were likely to respond to their needs.
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