Coping behavior in depression: report on a new scale

The Coping Strategies Scales (COSTS) were developed to provide a means of measuring how depressed persons cope with depression and to identify the behavior which they find to be most or least helpful. Items were rated by eight psychologists, psychiatrists and social workers. Those items achieving 75% level of agreement on scale assignments were included. The COSTS was then administered to 100 depressed outpatients and inpatients currently in psychotherapy. A replication study of 64 patients was also completed. Nine of the 10 scales had acceptable internal reliability, ranging from 0.70 to 0.86. An initial factor analysis of the 10 scale scores showed there to be three primary factors. Internal reliability coefficients for these three factorially-derived scales ranged from 0.86 to 0.91.