Primary Care Companion J Clin Psychiatry 2002;4:33-34
© Copyright 2014 Physicians Postgraduate Press, Inc.
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This study evaluated the moderating effects of different
coping strategies on the association between stressors
and the prevalence of major depression in the general population.
The analysis included subjects from the Alberta
(Canada) buy-in component (N = 1039) of the 1994–1995 National
Population Health Survey (NPHS), each of whom were
asked 8 questions regarding strategies for coping with unexpected
stress arising from family problems and personal crises.
The World Health Organization’s Composite International Diagnostic
Interview-Short Form for major depression was used
to diagnose major depression. Logistic regression modeling was
used to examine interactions between coping and life stress,
thus allowing determination of the impacts of coping strategies
in relation to psychological stressors on the prevalence of major
There was no robust impact of coping
strategies in relation to various categories of stress evaluated in
the NPHS. Results suggested that the risk in women of major
depression in the presence of financial stress and relationship
stress (with a partner) was moderated by the use of the coping
strategies “pray and seek religious help” and “talks to others
about the situations.” The risk of major depression in the presence
of 1 or more recent life events, personal stress, relationship
stress (with a partner), and environmental stress may be decreased
in women by using emotional expression as a coping
A differential impact on the prevalence of
major depression in specific circumstances may be exhibited by
different coping strategies. These findings may inform both prevention
and treatment of depressive disorders.