Psychological distress and self-reported mental disorders: the partially mediating role of coping strategies.

IF 2.3 3区心理学 Q2 PSYCHIATRY

Anxiety Stress and Coping Pub Date : 2024-03-01 Epub Date: 2024-01-22 DOI:10.1080/10615806.2023.2258805

Jihun Woo, Erum Z Whyne, Mary A Steinhardt

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引用次数: 0

Abstract

Background and objectives: Accumulating evidence suggests a substantial prevalence of mental health disorders worldwide and the association between psychological distress and mental disorders. However, the mechanisms underlying this association are underexplored. Using longitudinal data, this study examined coping strategies as a potential mechanism.

Methods: Participants (N = 2,333) from the Midlife in the United States (MIDUS) completed psychosocial and mental health surveys over 19 years. A parallel mediation model was used to test the direct association between psychological distress (baseline) and self-reported mental disorders (17-19 years follow-up) and the indirect associations via coping strategies (8-11 years follow-up), controlling for demographics and baseline self-reported mental disorders.

Results: Psychological distress predicted an increased likelihood of mental disorders later in life. Emotion-focused coping was a significant mediator of this association, but problem-focused coping was not. Psychological distress was positively associated with emotion-focused coping, and emotion-focused coping was positively associated with mental disorders. Psychological distress was negatively associated with problem-focused coping; however, no association was found between problem-focused coping and mental disorders.

Conclusions: Findings provide further support for the longitudinal association between psychological distress and mental health disorders and extend prior research by showing the partial mediating role of emotion-focused coping in this association.

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心理困扰和自我报告的精神障碍：应对策略的部分中介作用。

背景和目的：越来越多的证据表明，心理健康障碍在世界范围内相当普遍，心理困扰与心理障碍之间存在联系。然而，这种关联的机制尚未得到充分的探索。利用纵向数据，本研究考察了作为一种潜在机制的应对策略。方法：参与者（N = 2333）完成了19年的心理社会和心理健康调查。平行中介模型用于测试心理困扰（基线）和自我报告的精神障碍之间的直接关联（17-19年随访），以及通过应对策略（8-11年随访）的间接关联，控制人口统计学和基线自我报告的心理障碍。结果：心理困扰预示着以后生活中出现精神障碍的可能性增加。以情绪为中心的应对是这种关联的重要中介，但以问题为中心的应付不是。心理困扰与情绪型应对呈正相关，情绪型应对与精神障碍呈正相关。心理困扰与以问题为中心的应对方式呈负相关；然而，以问题为中心的应对方式与精神障碍之间没有关联。结论：研究结果进一步支持了心理困扰和心理健康障碍之间的纵向关联，并通过显示情绪集中应对在这种关联中的部分中介作用扩展了先前的研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Anxiety Stress and Coping Multiple-

CiteScore

7.20

自引率

0.00%

发文量

期刊介绍： This journal provides a forum for scientific, theoretically important, and clinically significant research reports and conceptual contributions. It deals with experimental and field studies on anxiety dimensions and stress and coping processes, but also with related topics such as the antecedents and consequences of stress and emotion. We also encourage submissions contributing to the understanding of the relationship between psychological and physiological processes, specific for stress and anxiety. Manuscripts should report novel findings that are of interest to an international readership. While the journal is open to a diversity of articles.