Stress associated with attempts to integrate into a new culture is directly linked to mental health outcomes among refugees. However, there is a paucity of literature on how refugees cope to reduce their stress. This study assessed the association between coping strategies and perceived stress among resettled Bhutanese adults in Western Massachusetts. A cross-sectional survey was conducted among 225 Bhutanese (men: 113, women: 112) refugees aged 20-65 years residing in Massachusetts. Coping was measured with the 32-item Tobin Coping-Strategies Inventory-Short Form (CSI-SF). The 32-item CSI-SF includes 8 subscales: problem-solving, cognitive-structuring, express-emotions, social-contact, problem-avoidance, wishful thinking, self-criticism, and social-withdrawal, each with 4 items. Four composite constructs were created from subscales, namely, problem-focused engagement (problem solving + cognitive structuring), emotion-focused engagement (express emotions + social contact), problem-focused disengagement (problem avoidance + wishful thinking), and emotion-focused disengagement (self-criticism + social withdrawal). Perceived stress was measured with the 10-item Cohen Perceived Stress Scale. Associations of coping scores with perceived stress score (PSS) were assessed using multiple linear-regression analyses adjusting for sociodemographic, and lifestyle factors. The coping scores of 4 subscales were inversely associated with PSS including problem solving (β = -0.430, p ≤ .0001), cognitive structuring (β = -0.416, p = .0002), express emotions (β = -0.292, p = .004), and social contact (β = -0.448, p ≤ .0001). Two composite constructs of subscales, namely, problem-focused (β = -0.236, p ≤ .0001) and emotion-focused (β = -0.199, p = .0003) engagement coping strategies were inversely associated with PSS. Greater use of problem- or emotion-focused engagement coping strategies was associated with reduced PSS among Bhutanese, suggesting that problem-focused or emotion-focused stress management interventions hold promise for stress reduction among resettled Bhutanese. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

中文翻译：

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马萨诸塞州不丹重新定居的成年人的应对策略和压力。

试图融入新文化的压力与难民的心理健康状况直接相关。但是，关于难民如何应付减轻压力的文献很少。这项研究评估了西部马萨诸塞州不丹重新定居的成年人的应对策略与感知压力之间的关联。对居住在马萨诸塞州的225名20-65岁不丹人（男性：113，女性：112）进行了横断面调查。用32项Tobin应对策略库存-短表格（CSI-SF）来测量应对。CSI-SF共32个项目，包括8个子量表：解决问题，认知结构，表达情绪，社交接触，避免问题，如意算盘，自我批评和社交退缩，每个子集有4个项目。根据分量表创建了四个复合构造，即 以问题为中心的参与（解决问题+认知结构），以情感为中心的参与（表达情绪+社交接触），以问题为中心的脱离接触（避免问题+如意算盘）和以情感为中心的脱离接触（自我批评+社会退缩）。感知压力使用10个项目的科恩感知压力量表进行测量。使用多元线性回归分析评估应对得分与感知压力得分（PSS）的相关性，并根据社会人口统计学和生活方式因素进行调整。4个分量表的应对得分与PSS呈负相关，包括解决问题（β= -0.430，p≤.0001），认知结构（β= -0.416，p = .0002），表达情绪（β= -0.292，p = （.004），以及社交接触（β= -0.448，p≤.0001）。分量表的两个复合构造，即关注问题（β= -0.236，p≤.0001）和以情感为中心（β= -0.199，p = .0003）的参与应对策略与PSS呈负相关。以问题或情绪为中心的参与应对策略的更多使用与不丹人的PSS降低有关，这表明以问题或情绪为中心的压力管理干预措施有望为不丹人减轻压力。（PsycInfo数据库记录（c）2020 APA，保留所有权利）。