TY  - JOUR
PY  - 2020//
TI  - Coping during pregnancy following exposure to a natural disaster: the QF2011 Queensland Flood Study
JO  - Journal of affective disorders
A1  - Chen, T.
A1  - Laplante, D. P.
A1  - Elgbeili, G.
A1  - Brunet, A.
A1  - Simcock, G.
A1  - Kildea, S.
A1  - King, S.
SP  - 341
EP  - 349
VL  - 273
IS  - 
N2  - INTRODUCTION: This study investigated how coping strategies moderated the impact of disaster-related objective hardship on subjective distress in pregnant women.     METHODS: The objective hardship (exposure severity), subjective distress (Peritraumatic Distress Inventory, Peritraumatic Dissociative Experiences Questionnaire and Impact of Event Scale-Revised) and coping styles (Brief COPE) of pregnant women (N = 226) exposed to the 2011 Queensland, Australia flood were assessed. Moderation analyses were used to assess how coping strategies moderated the relationship between objective hardship and subjective distress levels.     RESULTS: We found that the more severe the objective flood exposure, the greater the women's subjective distress. The moderation analyses were significant for the Brief COPE's three coping styles (i.e., problem-focused coping, emotion-focused coping, and dysfunctional coping). For women experiencing high levels of objective hardship, problem-focused (∆R2 = 1.7%) and dysfunctional coping (∆R2 = 1.5%) elevated subjective distress levels. For women experiencing low or moderate levels of objective hardship, emotion-focused coping reduced levels of subjective distress (∆R2 = 1.3%). A three-way interaction between objective hardship, emotion-focused coping, and dysfunctional coping approached significance (∆R2 = 1.0%), indicating a protective role of emotion-focused coping under high levels of objective hardship, for women who frequently use maladaptive coping strategies.     LIMITATIONS: Sample was generally high SES and no measure of social support was available.     CONCLUSION: Results suggest that both problem-focused and dysfunctional coping strategies were maladaptive for women with relatively high exposure levels. Overall, emotion-focused coping strategies were more likely than problem-focused or dysfunctional strategies to reduce pregnant women's subjective distress following the flood.<p />  <p>Language: en</p>
LA  - en
SN  - 0165-0327
UR  - http://dx.doi.org/10.1016/j.jad.2020.03.165
ID  - ref1
ER  -