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“Approach” and “avoidance” coping and PTSD symptoms in innercity youth

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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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References

  • Aiken, L. S. and West, S. G. (1991). Multiple regression: Testing and interpreting interactions. Thousand Oaks, CA: Sage.

    Google Scholar 

  • Aldwin, C. M. (1994). Stress, coping, and development: An integrative perspective. New York: Guilford.

    Google Scholar 

  • American Psychiatric Association (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, D.C.: Author.

    Google Scholar 

  • Armsworth, M. W. and Holaday, M. (1993). The effects of psychological trauma on children and adolescents. Journal of Counseling and Development, 72, 49–56.

    Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Article  Google Scholar 

  • Barbarin, O. A, (1993). Coping and resilience: Exploring the inner lives of african-american children. Journal of Black Psychology, 19(4), 478–492.

    Article  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Google Scholar 

  • Darlington, R. B. (1968). Multiple regression in psychological research and practice. Psychological Bulletin, 69,161–182.

    Article  PubMed  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    PubMed  Google Scholar 

  • 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.

    Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Google Scholar 

  • 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.

    Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Google Scholar 

  • 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.

    Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Horowitz, M. (1983). Post-traumatic stress disorders. Behavioral Sciences and the Law, 1(3), 9–23.

    Article  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Google Scholar 

  • 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.

    Article  Google Scholar 

  • Nolen-Hoeksema, S. (1992). Children coping with uncontrollable Stressors. Applied and Preventive Psychology, 1, 183–189.

    Article  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Google Scholar 

  • 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.

    Google Scholar 

  • Richters, J. E. and Martinez, P. E. (1990b). Checklist of children's distress symptoms: Self-report version. Rockville, MD: National Institute of Mental Health.

    Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Spaccarelli, S. (1994). Stress, appraisal, and coping in child sexual abuse: A theoretical and empirical review. Psychological Bulletin, 116(2), 340–362.

    Article  PubMed  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Google Scholar 

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Correspondence to Margaret Dempsey Ph.D..

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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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