Interactive Relationship between Stressors and Maladaptive Cognitive Coping in Predicting Depressive Symptoms

Ali Mohammadzadeh-Ebrahimi, Tayebe Rahimi-Pordanjani



Background and Objective: Depression is among most disabling mental disorders and its prevalence is increasing. Identifying the risk factors and understanding the process of developing depressive symptoms is essential for prompt prevention and early interventions. The present study aimed to determine the interactive relationship between stressors and maladaptive strategies of cognitive coping in predicting depressive symptoms.

Materials and Methods: This descriptive correctional study was conducted with participation of 373 students of Shahid Chamran University in the first semester of 2014-2015. Stratified random sampling was used for selecting participants. Life Experiences Survey questionnaire, Cognitive Emotion Regulation questionnaire, and Beck Depression Inventory-second edition were used for data collection. Data were analyzed by the multiple regression analysis with the SPSS-24 software.

Results: The mean (SD) stressors score was 19.9 (10.1), maladaptive strategies of cognitive coping 39.4 (7.4), and depressive symptoms 11.5 (6.9). The β value for stressors was 0.51, Maladaptive Cognitive Coping 0.24 and their interactions 0.11 (P< 0.01). The variance of maladaptive strategies of cognitive coping was 5.2% (P<0.01). Stressors and maladaptive strategies of cognitive coping created 3% of the increased variance for the model, which indicates that these variables have a meaningful interaction with each other in predicting of depressive symptoms (P< 0.01).

Conclusion: Participants who used more maladaptive strategies of cognitive coping subsequent to encountering stressors tend to show more depressive symptoms and vice versa. Therefore, intervention and prevention programs should focus on identifying and modifying the maladaptive strategies of cognitive coping as well as training and acquiring adaptive strategies of cognitive coping.


Stressors; Maladaptive cognitive coping; Depressive symptoms

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Lay-Yee R, Milne BJ, Shackleton N, Chang K, Davis P. Preventing youth depression: simulating the impact of parenting interventions. Advances in Life Course Research 2018; 37: 15-22. .

Backenstrass M, Joest K, Rosemann T, Szecsenyi J. The Care of Patients with Subthreshold Depression in Primary Care: Is It All that Bad? A Qualitative Study on the Views of General Practitioners and Patients. BMC Health Serv Res 2007;7(1):190.

Hysenbegasi A, Hass SL, Rowland CR. The Impact of Depression on the Academic Productivity of University Students. J Ment Health Policy Econ 2005;8(3):145.

Garlow SJ, Rosenberg J, Moore JD, Haas AP, Koestner B, Hendin H, et al. Depression and Suicidal Ideation in College Students: Results from the American Foundation for Suicide Prevention College Screening Project at Emory University. Depress anxiety 2008;25(6):482-8.

Zivin K, Eisenberg D, Gollust SE, Golberstein E. Persistence of Mental Health Problems and Needs in a College Student Population. J Affect Disord 2009;117(3):180-5.

Monroe SM, Harkness KL. Life Stress, the" Kindling" Hypothesis, and the Recurrence ofDepression: Considerations from a Life Stress Perspective. Psychol rev 2005;112(2):417.

Burns RA, Machin MA. Psychological Wellbeing and the Diathesis-Stress Hypothesis Model: The Role of Psychological Functioning and Quality of Relations in Promoting Subjective Well-being in a Life Events Study. Pers Individ Dif 2013;54(3):321-6.

Garnefski N, Kraaij V. Relationships between Cognitive Emotion Regulation Strategies and Depressive Symptoms: A Comparative Study of Five Specific Samples. Pers Individ Dif 2006;40(8):1659-69.

Garnefski N, Kraaij V, Spinhoven P. Negative Life Events, Cognitive Emotion Regulation and Emotional Problems. Pers Individ Dif 2001;30(8):1311-27.

Compas BE, Connor-Smith JK, Saltzman H, Thomsen AH, Wadsworth ME. Coping with Stress During Childhood and Adolescence: Problems, Progress, and Potential in Theory and Research. Psychol Bull 2001;127(1):87.

Connor-Smith JK, Compas BE. Vulnerability to Social Stress: Coping as a Mediator or Moderator of Sociotropy and Symptoms of Anxiety and Depression. Cognit Ther Res 2002;26(1):39-55.

Wang Y, Yi J, He J, Chen G, Li L, Yang Y, Zhu X. Cognitive Emotion Regulation Strategies as Predictors of Depressive Symptoms in Women Newly Diagnosed with Breast Cancer. Psycho‐Oncology.2014 Jan 1;23(1):93-9.

Lei H, Zhang X, Cai L, Wang Y, Bai M, Zhu X. Cognitive Emotion Regulation Strategies in Outpatients with Major Depressive Disorder. Psychiatry research. 2014 Aug 15;218(1):87-92.

Ehring T, Fischer S, Schnülle J, Bösterling A, Tuschen-Caffier B. Characteristics of Emotion Regulation in Recovered Depressed Versus Never Depressed Individuals. Pers Individ Dif 2008;44(7):1574-84.

Kraaij V, Garnefski N. The Role of Intrusion, Avoidance, and Cognitive Coping Strategies more than 50 Years After War. Anxiety Stress Coping 2006;19(1):1-14.

Omran MP. Relationships between Cognitive Emotion Regulation Strategies with Depression and Anxiety. Open Journal of Psychiatry. 2011 Oct 28;1(03):106.

Doron J, Thomas-Ollivier V, Vachon H, Fortes-Bourbousson M. Relationships between Cognitive Coping, Self-esteem, Anxiety and Depression: A Cluster-Analysis Approach. PersIndivid Dif 2013;55(5):515-20.

Bonanno GA, Burton CL. Regulatory flexibility: An Individual Differences Perspective on Coping and Emotion Regulation. Perspect Psychol Sci 2013;8(6):591-612.

Sideridis GD. Coping Is Not An'either''Or':The Interaction of Coping Strategies in Regulating Affect, Arousal and Performance. Stress Health 2006;22(5):315-28.

Baron RM, Kenny DA. The Moderator–Mediator Variable Distinction in Social Psychological Research: Conceptual, Strategic, andStatistical Considerations. J Pers Soc Psychol 1986;51(6):1173.

Sarason IG, Johnson JH, Siegel JM. Assessingthe Impact of Life Changes: Development of the Life Experiences Survey. J Consult Clin Psycho 1978;46(5):932.

Beck AT, Steer RA, Brown GK. Beck depression inventory-II. San Antonio. 1996;78(2):490-8.

Ghasemzadeh H, Mojtabai R, Karamghadiri N, ebrahimkhani N. Psychometric Propertiesof a Persian Language Version of the Beck Depression Inventory-Second Edition: BDI-II Persian.J Depress Anxiety 2005, 21(4), 185-192.

Aiken LS, West SG, Reno RR. Multiple regression: Testing and Interpreting Interactions: Sage; 1991.

Connolly SL, Alloy LB. Rumination Interacts with Life Stress to Predict Depressive Symptoms: An Ecological Momentary Assessment Study. Behaviour research and therapy. 2017 Oct 1;97:86-95.

Moritz S, Lüdtke T, Westermann S, Hermeneit J, Watroba J, Lincoln TM. Dysfunctional Coping with Stress in Psychosis. An Investigation with the Maladaptive and Adaptive Coping Styles (MAX) Questionnaire. Schizophrenia research. 2016 Aug 1;175(1):129-35.

De Leo D, Heller TS. Who are the kids who self-harm? An Australian self-report school survey. Medical journal of Australia. 2004. 2;181(3):140- 144.28. Hankin BL, Abramson LY, Moffitt TE, Silva PA, McGee R, Angell KE. Development of Depression from Preadolescence to Young Adulthood: Emerging Gender Differences in a 10-Year Longitudinal Study. Journal of abnormal psychology. 1998 Feb;107(1):128.

Nolen-Hoeksema S, Wisco BE, Lyubomirsky S. Rethinking Rumination. Perspectives on psychological science. 2008 Sep;3(5):400-24.

Sullivan MJ, Bishop SR, Pivik J. The Pain Catastrophizing Scale: Development and Validation. Psychological Assessment. 1995 Dec;7(4):524.


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