老年人特殊生活事件的应对意向与情境性应对

该研究旨在对老年人合法权益受侵此类特殊生活事件的应对意向（ＣＩ）和情境性应对（ＳＣ）进行比较分析,多元因素分析结果鉴别出应对意向的五种方式及其三种基本类型,以及六种情境性应对方式和四种应对类型。研究也发现今老年人采用不同方式的ＣＩ和ＳＣ的旨弱程度存在的异同点。同时,多元回归分析结果表明,年龄、文化程度、经济状况和法规了解程度是影响ＣＩ和ＳＣ的显著因素,此外健康状况和性别也分别对ＣＩ和ＳＣ产生影响。     

城市老年人社会支持网络与生活满意度的研究

本研究采用自编的社会支持网络调查表对上海市96位老人进行了调查，试图了解城市老年人社会支持的基本情况及其对生活满意度的影响。结果表明：（1）城市老年人社会支持网络得分为85．87±8．56（x±s）；（2）社会支持网络得分与生活满意度之间存在极其显著的正相关；（3）在各因素水平中，社会机构的支持对老年人生活满意度的影响最大，子女支持的影响次之，配偶支持的影响最小；情感支持的影响作用大于认知支持和行为支持。     

应对策略和社会支持对提高哮喘患者生活质量的作用

探讨应对策略及社会支持在心理干预对哮喘患者生活质量提高中的作用。采用随机对照的方法,将374名哮喘患者分为实验组（228人）及对照组（146人）,实验组除进行常规的药物治疗外,配合以系统的心理干预方法。选用生活质量问卷、医用应对问卷及社会支持评定量表对治疗前后的生活质量状况、应对策略及社会支持水平进行测量。治疗后,在生活质量总分及各维度、社会支持总分以及对社会支持的利用度上,实验组和对照组得分都有所提高．但实验组提高的分值要显著大于对照组;在回避应对上,实验组和对照组都有所降低,但对照组的降低程度要显著大于实验组,在屈服应对上,实验组和对照组也都有所降低,但实验组的降低程度要显著大于对照组。多元逐步回归分析的结果显示,屈服的降低和对社会支持利用度的提高能够显著预测哮喘患者生活质量的提高。     

1996至2015年中国老年人社会支持的变迁:一项横断历史研究

本研究对1996至2015年间85篇采用社会支持评定量表（SSRS）测量我国老年人（共43302名被试）社会支持的研究报告进行了横断历史元分析,以考察老年人社会支持水平随年代的变化情况。结果表明：（1）近20年,我国老年人的社会支持水平整体呈逐年下降趋势,社会支持总分、客观支持和对支持的利用度因子均与年代有显著负相关,主观支持因子与年代的相关不显著;（2）男性和女性老年人主观支持与年代均有显著正相关,其他因子均与年代没有显著相关,同时在社会支持水平上没有显著性别差异;（3）东部地区老年人主观支持与年代呈显著正相关,其他地区老年人社会支持总分、客观支持和对支持的利用度因子均与年代呈显著负相关。     

农村校外青少年社会支持现状初探——以甘肃省为例

运用社会支持评定量表对102名农村校外青少年进行了测查,结果发现:(1)农村校外青少年中女生多于男生,年龄集中在15～22岁之间,以初中文化程度为主。(2)校外青少年在社会支持的总分、客观支持因子、主观支持因子、对支持的利用度因子上均不存在显著的性别差异。(3)社会支持总分、主观支持因子、客观支持因子在文化程度上均存在显著的差异,初中文化程度的高于小学文化程度的,对支持的利用度在文化程度上没有显著的差异。     

老年人重要社会支持的特点及其与老化态度的关系

采用重要他人和老化态度问卷测查了441名老年人的社会支持和老化态度情况,并且从支持的数量和质量角度以及实际支持和期望支持的角度细致考察了社会支持与老化态度的关系。结果表明：（1）老年人的支持来源符合社会支持层级模式;（2）性别、年龄及受教育水平对老年人社会支持有显著影响;（3）老年人从重要他人那里获得的实际社会支持的质量越高,老化态度越积极。     

惠州市小金口镇居民主观幸福感的特点及其影响因素

本研究旨在探讨小金口镇居民主观幸福感的特点及其影响因素。抽取小金口镇125名18岁以上的成年人,采用《中国城市居民主观幸福感量表简本》和似会支持评量表》,测量他们的主观幸福感水平和影响因素。调查结果显示：（1）居民总体主观幸福感、目标价值维度和身体健康维度在健康状况上存在显著差异;（2）家庭经济收入、受教育程度和婚姻状况对居民总体主观幸福感的影响不显著,但是在具体维度上存在显著差异;（3）居民总体主观幸福感与社会支持及其各个维度正相关,进一步的回归分析表明,对支持的利用度对主观幸福感的预测力最大,客观支持对主观幸福感的预测作用不显著。     

脑卒中患者创伤后成长及其影响因素分析

探讨脑卒中患者创伤后成长状况及其影响因素.对200(190例有效)例脑卒中患者进行问卷调查.190例脑卒中患者中,创伤后成长在年龄、经济收入、诊断类型、患病时间、后遗症状、自觉痛苦程度及性格类型方面有差异.创伤后成长与社会支持呈正相关、与应对方式中面对呈正相关,回避呈负相关.多重线性回归分析显示,脑率中患者的创伤后成长与患病时间、年龄、自觉痛苦程度、内向性格、社会支持及面对有关.脑卒中患者创伤后成长状况与多种因素有关,应从多维度、多角度进行干预来改善患者的负性体验,以促进其身心康复.     

家庭居住与机构居住老年人社会支持的比较研究

以65位家庭居住和92位机构居住的老年人为样本,采用Sherbourne和Stewart的MOS社会支持问卷和自编社会支持问卷调查了老年人的社会支持现状,比较了家庭居住与机构居住老年人社会支持的不同特点。结果发现：（1）家庭居住和机构居住老年人在社会支持维度上存在显著差异：在心理支持、行为支持、活动支持等维度上,机构居住的老年人显著高于家庭居住的老年人;而在感情支持维度上家庭居住的老年人显著高于机构居住的老年人。（2）社会支持对老年人的身心健康具有显著影响。（3）性别,年龄,教育水平,职业状况,婚姻状况,子女数量,健在兄弟姐妹数量等人口统计变量对不同居住背景老年人的社会支持有显著影响。     

老年人的自我评价

虽然社会有老年的年龄标准,但老人并不仅唯此来评价自己是否已衰老。传统的社会偏见是造成老人否定性自我评价的主要原因。具有被动依赖及整合不良型人格、健康状况不佳、社会经济地位低下和女性老人易有否定性自我评价,易自认为衰老了。否定性评价会严重损害老年人的社会适应能力和心身健康。     

高中学生心理应激及其中介变量的研究

学生的心理应激与心理健康问题日益受到人们的关注。本研究对浙江省范围内的４３７名高中学生进行应激源、中介变量和应激反应方面的调查研究,并在此基础上,对高中学生的心理应激过程作了较详细的探讨。研究表明：（１）高中学生的主要应激源是学习压力及与家庭亲友的人际关系问题,（２）对高中学生的应激反应有影响的中介变量主要是社会支持和“问题解决”、“逃避”等应对策略。本研究结论认为,在高中学生的心理卫生工作中要注意减轻他们的学习压力,加强社会支持系统的建立及积极应对方式的教育。     

Adjustment to multiple sclerosis: application of a stress and coping model.

This study examined the use of a stress and coping model of adjustment to multiple sclerosis (MS). A total of 122 MS patients were interviewed and completed self-administered scales at Time 1 and 12 months later, Time 2 (n = 96). Predictors included stressful life events, illness (duration, severity, and disability), social support, appraisal (threat and control/challenge), and coping (problem focused and emotion [wishful thinking, self-blame, and avoidance] focused). Adjustment outcomes were Time 2 depression, global distress, social adjustment, and subjective health status. Results from hierarchical regression analyses indicated that after controlling for the effects of Time-1 adjustment, better Time-2 adjustment was related to less disability, greater reliance on problem-focused coping, and less reliance on emotion-focused coping. There was limited support for the stress buffering effects of coping and social support. Findings offer some support for the use of a stress and coping model of adaptation to MS.     

亲子支持对老年人主观幸福感的影响机制

采用自编的“老年人亲子支持问卷”、“老年人恩情感问卷”和已有量表,对来自4个省市的288名53-87岁的老年人进行问卷调查。结果表明,亲子支持通过影响老年人的自尊感、孤独感、恩情感,进而影响其主观幸福感。其中接受支持对自尊感、孤独感、恩情感产生积极的影响效应;给予支持对老年人的自尊感产生积极的影响效应。     

Revisiting the changing and stable properties of coping utilization using latent class growth analysis: A longitudinal investigation with soccer referees

ObjectivesThis study examined the longitudinal factor invariance of problem-focused, disengagement-focused, and seeking social support coping to provide an unbiased estimation of the mean-level and differential stability of coping with longitudinal confirmatory factor analyses with mean structure. This study also examined different patterns of longitudinal coping utilization with Latent Class Growth Modeling (LCGM).MethodSoccer referees (N = 227), aged from 15 to 53 years, completed a French version of the Ways of Coping Checklist at three times over an entire season.ResultsThe structure of the coping dimensions could be assumed longitudinally invariant. The mean-level utilization of problem-focused coping did not change significantly over the season despite the presence of test–retest instability. Both disengagement and seeking support coping utilization have significantly decreased over time while displaying moderate test–retest stability. Results of LCGM revealed that, while most referees did not change their utilization of problem-focused coping, two subgroups have respectively increased and decreased their use of problem-focused coping. Two subgroups decreased significantly their use of both disengagement-oriented and seeking support coping whereas one subgroup maintained the same level of utilization.ConclusionsResults indicated that coping utilization displayed both trait-like and state-like properties, differing for distinct subgroups of referees. This research provided further evidence for the need of moving beyond the sole reliance on traditional analyses of change to recast the trait-like versus state-like debate on coping into a more idiosyncratic-nomothetic framework.     

Coping styles in adults with cystic fibrosis: implications for emotional and social quality of life

As life expectancy increases, interest has grown surrounding the factors that may influence quality of life (QOL) for people with cystic fibrosis (CF). The aim of the current study was to examine which specific coping styles were positively or negatively associated with social and emotional QOL in a CF sample. One hundred and twenty-two respondents aged 18 and over were recruited through an online support group. Respondents completed the ‘CF Questionnaire-Revised (CFQ-R)’ and the ‘Brief COPE’. The CFQ-R is a disease-specific instrument designed to measure the impact of CF on nine QOL domains and the Brief COPE is a 28 item questionnaire which assesses 14 coping scales. A multivariate regression model revealed that higher substance abuse and disengagement was associated with lower emotional QOL whereas greater use of religion, instrumental coping and acceptance was positively associated with emotional QOL. Active coping was linked to better social QOL and a negative association was reported between distraction coping with both emotional and social domains. Given the burden of CF, ascertaining which factors enhance or diminish emotion and social well-being is now an integral component of QOL research. The current findings may therefore have value in informing clinical interventions which aim to cater for the psychological needs of individuals with CF.     

高一学生应对灵活性及其影响因素的研究

本研究采用问卷调查和实验室任务相结合的方法,对59名高一学生进行一个月的跟踪调查,对结果进行聚类分析,旨在探寻高一学生在应对灵活性方面表现出的不同风格,同时从自我效能感、社会支持两方面探讨影响高一学生应对灵活性的主观和客观因素。研究结果表明:(1)聚类分析得到高一学生应对灵活性的四种类型:应对灵活型,积极不灵活型,消极不灵活型和积极不一致型;(2)应对灵活型和积极不灵活型被试的控制感显著高于消极不灵活型和积极不一致型;策略选择方面,积极不灵活型、积极不一致型倾向于使用问题焦点应对,应对灵活型、消极不灵活型倾向于使用情绪焦点应对;(3)自我效能感和社会支持在一定程度上可对应对灵活性类型产生预测作用,应对灵活型学生的自我效能感和对社会支持的利用度明显高于其他三类学生。研究结果有助于我们深入了解高中学生的适应问题。     

大学生应付活动的测验研究

以ＣＯＰＥ量表为工具,对我国７４４名大学生的应付活动进行了测验研究。结果表明：（１）我国大学生应付活动主要有四种方式：针对问题积极主动应付、寻求社会支持、逃避和听之任之。（２）我国大学生在面临应激情境时,较多地采取“针对问题积极主动应付”和“寻求社会支持”的应付方式,而较少采取“逃避”和“听之任之”的应付方式,并表现出较大的情境差异、年级和性别差异,以及较小的专业、城乡和性格差异。（３）中国和美国大学生在应付活动中具有非常明显的社会文化差异     

COPING WITH THE EXPERIENCE OF RAPE

The coping strategies that a victim of a rape engages in can have a strong impact on the development and persistence of psychological symptoms. Research provides evidence that victims who rely heavily on avoidance strategies, such as suppression, are less likely to recover successfully than those who rely less heavily on these strategies. The present study utilized structural path analysis to identify predictors of avoidance coping following rape and examined factors in the assault itself (e.g., force, alcohol use), sequelae of the assault (e.g., self-blame, loss of self-worth), and social support as potential direct and indirect predictors of avoidance coping. From a sample of 1,253 university women, the responses of 216 women who endorsed an experience of rape were examined. Results suggested that sequelae of the assault such as feelings of self-blame and negative reactions received from others are potentially important predictors of avoidance coping. Implications of the results for future rape recovery research are discussed.     

The impact of a laryngectomy on the spouse: Who is better off?

Background: Diabetes self-care is a key element in the overall management of diabetes. However, the importance of psychosocial factors for successful disease management is under investigated. This study aimed at exploring the role of coping styles and social support in the relationship between self-care activities and glycated haemoglobin in patients with type 2 diabetes.

Methods: One hundred adults (60% female, aged 40–70 years) with type 2 diabetes completed questionnaires assessing self-care activities, coping styles and social support. In addition, a blood test was performed to obtain glycated haemoglobin levels.

Results: Result showed significant relationships of glycated haemoglobin with self-care activities, coping styles and social support. Regression analysis indicated that social support had a moderating role on the relationship between self-care activities and glycated haemoglobin, such that, at very high levels of social support the association, between Self-Care and HbA1c disappears.

Conclusions: Findings indicate that health care providers, within the context of the Iranian social and cultural situation, should pay more attention to psychosocial factors when addressing self-care activities. Delineation of the role of coping styles and social support might be useful for identifying patients in need of particular counselling and support for improving self-care activities and HbA1c levels.