Abstract
This study examined the function of approach and avoidant coping on the relations between exposure to violence and post-traumatic stress disorder (PTSD) symptoms. The sample included seventy African-American, inner-city children (ages eleven to fourteen). Tests of moderating effects investigated the mechanism of two avoidant coping strategies, cognitive distraction and behavioral avoidance. Cognitive distraction was found to moderate the level of violence exposure such that, as violence increased, the use of cognitive distraction was related to an increased frequency of cognitive arousal. Behavioral avoidance moderated violence such that, under higher exposure to violence, the lowered use of behavioral avoidance was related to an increased frequency of behavioral arousal. Tests of moderating effects examined the function of two approach strategies, problem-solving and social support. Neither strategy showed significant effects. This study provided a first-step in the examination of coping within inner-city children.
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Aiken, L. S. and West, S. G. (1991). Multiple regression: Testing and interpreting interactions. Thousand Oaks, CA: Sage.
Aldwin, C. M. (1994). Stress, coping, and development: An integrative perspective. New York: Guilford.
American Psychiatric Association (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, D.C.: Author.
Armsworth, M. W. and Holaday, M. (1993). The effects of psychological trauma on children and adolescents. Journal of Counseling and Development, 72, 49–56.
Attar, B. K., Guerra, N. G., and Tolan, P. H. (1994). Neighborhood disadvantage, stressful life events, and adjustment in urban elementary-school children. Journal of Clinical Child Psychology, 23, 391–400.
Band, E. B. and Weisz, J. R. (1988). How to feel better when it feels bad: Children's perspectives on coping with everyday stress. Developmental Psychology, 24(2), 247–253.
Barbarin, O. A, (1993). Coping and resilience: Exploring the inner lives of african-american children. Journal of Black Psychology, 19(4), 478–492.
Baron, R. M. and Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 1173–1182.
Compas, B. E., Banez, G. A., Malcarne, V., and Worsham, N. (1991). Perceived control and coping with stress: A developmental perspective. Journal of Social Issues, 47(4), 23–34.
Curie, C. E. and Williams, C. (1996). Post-traumatic stress reactions in children: Gender differences in the incidence of trauma reactions at two years and examination of factors influencing adjustment. British Journal of Clinical Psychology, 35, 297–309.
Darlington, R. B. (1968). Multiple regression in psychological research and practice. Psychological Bulletin, 69,161–182.
Donaldson, D., Danovsky, M., Prinstein, M., and Spirito, A. (1998). Children's patterns of coping with pediatrie compared to other types of life stress. Presented at the Society of Pediatrie Psychology Meeting. Louisville, KY.
Duncan, D. F. (1996). Growing up under the gun: Children and adolescents coping with violent neighborhoods. Journal of Primary Prevention, 16(4), 343–356.
DuRant, R. H., Cadenhead, C, Pendergrast, R. A., Slavens, G., and Linder, C. W. (1994). Factors associated with the use of violence among urban black adolescents. American Journal of Public Health, 84(4), 612–617.
Eisenberg, N., Fabes, R. A., and Guthrie, I. K. (1997). Coping with stress: The roles of regulation and development. In S. A. Wolchik and I. N. Sandier, (Eds.), Handbook of children's coping: Linking theory and intervention (pp. 41–70). New York: Plenum.
Fitzpatrick, K. M. and Boldizar, J. P. (1993). The prevalence and consequences of exposure to violence among african-american youth. Journal of the American Academy of Child and Adolescent Psychiatry, 32(2), 424–430.
Fletcher, K. E. (1996). Childhood post-traumatic stress disorder. In E. J. Mash and R. A. Barkley (Eds.), Child Psychopathology (pp. 242–276). New York: Guilford.
Folkman, S. (1991). Coping across the life span: Theoretical issues. In E. M. Cummings, Greene, A. L., and Karraker, K. H. (Eds.), Life-span developmental psychology: Perspectives on stress and coping (pp. 3–19). Hillsdale, NJ: Erlbaum.
Garmezy, N. (1987). Stress, competence, and development: Continuities in the study of schizophrenic adults, children vulnerable to psychopathology, and the search for stress-resistant children. American Journal of Orthopsychiatry, 57, 159–174.
Gonzales, N. A. and Kim, L. S. (1997). Stress and coping in an ethnic minority context: Children's cultural ecologies. In S. A. Wolchik and I. N. Sandier (Eds.), Handbook of children's coping: Linking theory and intervention (pp. 481–511). New York: Plenum.
Holahan, C. J., Moos, R. H., & Schaefer, J. A. (1996). Coping, stress resistance, and growth: Conceptualizing adaptive functioning. In M. Zeidner, Endler, N. S. (Ed.), Handbook of coping: Theory, research, and applications (pp. 24–43). New York: Wiley.
Holmbeck, G. N. (1997). Toward terminological, conceptual, and statistical clarity in the study of mediators and moderators: Examples from the child-clinical and pediatrie psychology literatures. Journal of Consulting and Clinical Psychology, 65, 599–610.
Horowitz, M. (1983). Post-traumatic stress disorders. Behavioral Sciences and the Law, 1(3), 9–23.
Kliewer, W. (1991). Coping in middle childhood: Relations to competence, type A behavior, monitoring, blunting, and locus of control. Developmental Psychology, 27(4), 689–697.
Kliewer, W., Lepore, S. J., Oskin, D., and Johnson, P. D. (1998). The role of social and cognitive processes in children's adjustment to community violence. Journal of Clinical and Consulting Psychology, 66(1), 199–209.
Knapp, L. G., Stark, L. J., Kurkjian, J. A., and Spirito, A. (1991). Assessing coping in children and adolescents: Research and practice. Educational Psychology Review, 3(4), 309–334.
Lepore, S. J. (1997). Social-environmental influences on the chronic stress process. In B. H. Gottlieb (Ed.), Coping with chronic stress (pp. 133–157). New York: Plenum.
Lewis, H. A., and Kliewer, W. (1996). Hope, coping, and adjustment among children with sickle cell disease: Tests of mediator and moderator models. Journal of Pediatrie Psychology, 21(1), 25–41.
Nolen-Hoeksema, S. (1992). Children coping with uncontrollable Stressors. Applied and Preventive Psychology, 1, 183–189.
Pastore, D. R., Fisher, M., and Friedman, S. B. (1996). Violence and mental health problems among urban high school students. Journal of Adolescent Health, 18, 320–324.
Pynoos, R. S. and Nader, K. (1988). Psychological first aid and treatment approach to children exposed to community violence: Research implications. Journal of Traumatic Stress, 1,445–473.
Richters, J. E. and Martinez, P. E. (1990a). Things I have seen and heard: An interview for young children about exposure to violence. Rockville, MD: National Institute of Mental Health.
Richters, J. E. and Martinez, P. E. (1990b). Checklist of children's distress symptoms: Self-report version. Rockville, MD: National Institute of Mental Health.
Richters, J. E. and Martinez, P. E. (1993). Violent communities, family choices, and children's chances: An algorithm for improving the odds. Development and Psychopathology, 5,609–627.
Rogers, M. J. and Holmbeck, G. N. (1997). Effects of interparental aggression on children's adjustment: The moderating role of cognitive appraisal and coping. Journal of Family Psychology, 11(1), 125–130.
Rudolph, K. D., Dennig, M. D., and Weisz, J. R. (1995). Determinants and consequences of children's coping in the medical setting: Conceptualization, review, and critique. Psychological Bulletin, 118(3), 328–357.
Sandier, I. N., Wolchik, S. A., MacKinnon, D., Ayers, T. S., and Roosa, M. W. (1997). Developing linkages between theory and intervention in stress and coping processes. In S. A. Wolchik and I. N. Sandier (Eds.), Handbook of children's coping: Linking theory and intervention (pp. 3–40). New York: Plenum.
Singer, M. I., Anglin, T. M, Song, L. Y., and Lunghofer, L. (1995). Adolescents' exposure to violence and associated symptoms of psychological trauma. Journal of the American Medical Association, 273, 477–482.
Spaccarelli, S. (1994). Stress, appraisal, and coping in child sexual abuse: A theoretical and empirical review. Psychological Bulletin, 116(2), 340–362.
Spirito, A., Stark, L. J., and Williams, C. (1988). Development of a brief checklist to assess coping in pediatrie patients. Journal of Pediatrie Psychology, 13,555–574.
Tolan, P. H., Guerra, N. G., and Montaini-Klovdahl, L. R. (1997). Staying out of harm's way: Coping and development of inner-city children. In S. A. Wolchik and I. N. Sandier (Eds.), Handbook of children's coping: Linking theory and intervention (pp. 453–479). New York: Plenum.
Warner, B. S. and Weist, M. D. (1996). Urban youth as witnesses to violence: Beginning assessment and treatment efforts. Journal of Youth and Adolescence, 25, 361–377.
Wright, J. (1997). C. J. Peete: What are the problems? What are the solutions? Executive summary submitted to the Tulane-Xavier Campus Affiliates Program. New Orleans, LA: Tulane University.
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Portions of this research were supported by a grant from the U. S. Department of
Portions of this research were supported by a grant from the U. S. Department of
Portions of this research were supported by a grant from the U. S. Department of
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Dempsey, M., Stacy, O. & Moely, B. “Approach” and “avoidance” coping and PTSD symptoms in innercity youth. Curr Psychol 19, 28–45 (2000). https://doi.org/10.1007/s12144-000-1002-z
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DOI: https://doi.org/10.1007/s12144-000-1002-z