The impact of coping flexibility on the risk of depressive symptoms.
The impact of coping flexibility on the risk of depressive symptoms.
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DOI：
10.1371/journal.pone.0128307
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发表时间：
2015
期刊：
影响因子：
3.7
通讯作者：
Kato T
中科院分区：
文献类型：
--
作者：
Kato T
根据双重加工理论，应对灵活性被定义为产生和实施新的应对策略以取代无效应对策略的能力。具体而言，应对灵活性包括评价性应对和适应性应对两个过程。评估应对是指对应对策略有效性反馈的敏感性，适应性应对则是指实施替代应对策略的意愿。应对灵活性假说（CFH）假设更灵活的应对将与更适应的结果;重要的是，有许多理论和研究支持CFH。本研究的主要目的是检验基于双加工理论的CFH。共有1，770名日本大学生参与，并完成了一套问卷，测量应对灵活性（评估应对和适应性应对）和抑郁症状。通过流行病学研究中心抑郁量表测量抑郁症状。当使用CES-D的临界评分16时，报告抑郁症状的女性和男性比例分别为58.69%（95% CI [55.74，61.66]）和54.17%（95% CI [50.37，57.95]）。多变量Logistic回归分析显示，评估应对（OR = 0.86，95%CI [0.83，0.0.89]）和适应性应对（OR = 0.91，95%CI [0.88，0.93]）与较低水平的抑郁症状显著相关。本研究的结果表明，基于双加工理论的CFH在日本样本中得到了支持。
According to the dual-process theory, coping flexibility is defined as the ability to produce and implement a new coping strategy in place of an ineffective coping strategy. Specifically, coping flexibility includes two processes: evaluation coping and adaptive coping. Evaluation coping refers to sensitivity to feedback about the efficacy of a coping strategy, and adaptive coping involves the willingness to implement alternative coping strategies. The coping flexibility hypothesis (CFH) postulates that more flexible coping will be associated with more adaptive outcomes; importantly, there are numerous theories and studies that support the CFH. The main purpose of this study was to test the CFH based on dual-process theory. A total of 1,770 Japanese college students participated and, completed a set of questionnaires that measured coping flexibility (evaluation coping and adaptive coping) and depressive symptoms. Depressive symptoms were measured via the Center for Epidemiologic Studies Depression Scale. The proportions of women and men who reported depressive symptoms were 58.69% (95% CIs [55.74, 61.66]) and 54.17% (95% CIs [50.37, 57.95]), respectively when a cut-off score of 16 on the CES-D was used. A multivariable logistic regression analysis revealed that evaluation coping (OR = 0.86, 95% CIs [0.83, 0.0.89]) and adaptive coping (OR = 0.91, 95% CIs [0.88, 0.93]) were significantly associated with lower levels of depressive symptoms. The results of the present study indicated that the CFH based on dual-process theory was supported in a Japanese sample.
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