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首页> 外文期刊>International journal of cognitive therapy >Examination of Coping in the Anxiety Disorders With and Without Comorbid Depression
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Examination of Coping in the Anxiety Disorders With and Without Comorbid Depression

机译：有和没有合并抑郁症的焦虑症应对方法的检查

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Reduced coping resources have long been implicated in the onset and persistence of depression and the anxiety disorders, and may help account for vulnerability to experiencing mood and anxiety comorbidity. The current study aimed to examine whether patients with primary DSM-IV-TR (American Psychiatric Association, 2000) anxiety disorders with secondary major depression show more maladaptive coping than patients with anxiety disorders without secondary depression. The association between coping and anxiety and depression was examined in rela-tion to dimensional and categorical symptom ratings in relation to a well-vali-dated, multidimensional measure of coping that taps: emotion-oriented coping, problem( task)-oriented coping, and avoidance-oriented coping (Coping Inventory for Stressful Situations; Endler & Parker, 1990). Consistent with the hypotheses, anxious individuals with comorbid depression demonstrated increased use of emotion-oriented, and decreased use of task-oriented coping strategies compared to individuals without a comorbid diagnosis. These same coping dimensions were significant predictors of dimensional ratings of depression. No effect was found in avoidance-oriented coping between the two groups, nor was avoidance coping associated with dimensional ratings of anxiety or depression. The results are discussed in relation to the risk/resources model of anxiety and depression and the impact of comorbidity on a person's resources and subsequent prompting of maladaptive strategies.
机译：长期以来，应对资源的减少一直与抑郁症和焦虑症的发作和持续存在牵连，并且可能有助于解决情绪和焦虑症合并症的易感性。当前的研究旨在检查患有原发性DSM-IV-TR的患有继发性重度抑郁症的焦虑症患者是否比没有继发性抑郁症的焦虑症患者表现出更多的适应不良反应。应对应对与焦虑和抑郁之间的关联，与维度和类别症状评分相关，涉及相对良好的，多维的应对措施：情感导向应对，问题（任务）导向应对，以及以回避为导向的应对措施（应对压力的应对措施清单; Endler和Parker，1990年）。与该假设一致的是，与没有共病诊断的个体相比，患有共病抑郁的焦虑个体表现出增加了以情感为导向的使用，而减少了以任务为导向的应对策略的使用。这些相同的应对维度是抑郁维度评级的重要预测指标。两组之间的回避应对没有发现效果，焦虑或抑郁的尺寸等级与回避应对也没有关系。讨论的结果与焦虑和抑郁的风险/资源模型以及合并症对人的资源的影响以及随后的适应不良策略的引发有关。

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