Stress, personal coping resources, and psychiatric symptoms: an investigation of interactive models.

Stress, personal coping resources, and psychiatric symptoms: an investigation of interactive models.
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压力、个人应对资源和精神症状:交互模型的调查。

DOI:
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发表时间:
1983
影响因子:
5
通讯作者:
B. Wheaton
B. Wheaton
中科院分区:
医学2区
文献类型:
--
作者:
B. Wheaton

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在过去的十年中,有相当大的兴趣在缓解压力的影响,应对资源的研究主要集中在环境应对资源,如社会支持。本文探讨了可能的相互作用的压力,急性和慢性,和个人的应对资源,相互作用分别估计精神分裂症,抑郁症和焦虑症状群。个人应对资源被认为是个人的倾向,可能会对典型的应对努力或应对能力产生影响。两个相关的性格特征被认为是:宿命论和可预见性。低宿命论和低可靠性都被发现对压力的影响有很强的调节作用,但是,也许更重要的是,这些影响取决于压力的类型和所考虑的症状结果。这些发现被解释在一个一般的权变理论的社会因素在解释精神障碍的作用,强调所涉及的症状类型之间的差异。
In the last ten years, there has been considerable interest in the moderating influence of coping resources on the effects of stress; research has focused mainly on environmental coping resources, such as social support. This paper explores possible interactions between stressors, both acute and chronic, and personal coping resources; interactions are estimated separately for schizophrenic, depression and anxiety symptom clusters. Personal coping resources are conceived of in terms of individual dispositions that may have consequences for either the amount of typical coping effort expended or coping ability. Two related dispositional characteristics are considered: fatalism and inflexibility. Both low fatalism and low inflexibility are found to have a strong moderating influence on the impact of stress, but, perhaps more important, these effects depend both on the type of stress and the symptom outcome considered. These findings are interpreted in terms of a general contingency theory for the role of socialfactors in explaining psychiatric disorder, emphasizing the differences between the types of symptoms involved.