Coping with Stress, Coping with Violence: Links to Mental Health Outcomes Among At-risk Youth

  • Paul Boxer
  • Elizabeth Sloan-Power
  • Ignacio Mercado
  • Ashley Schappell


Coping reactions to stressful events are important links between difficult experiences and the emergence of psychopathology. In this study we compared youths’ negative coping with stress in general to their negative coping with violence in particular, and utilized a person-centered analytic approach to examine how patterns of coping relate to various mental health outcomes. We utilized survey interview measures to collect data from a sample of 131 youth (ages 11–14, 100 % ethnic minority) residing in an economically distressed metropolitan area of the northeast. We observed significant relations between youths’ tendencies to cope with stress and violence via externalized-internalized strategies (e.g., yelling to let off steam, crying) and their mental health symptoms. However, we generally did not observe relations between engagement in distancing coping strategies (e.g., making believe nothing happened) and any problematic outcomes. Negative coping does not appear be a monolithic construct uniformly associated with negative outcomes for youth. Distancing coping might represent an especially useful short-term coping response for youth living in socioeconomically distressed conditions from the standpoint of inhibiting symptom development.


Coping Mental health Violence PTSD 


  1. Achenbach, T. M., & Rescorla, L. A. (2001). Manual for the ASEBA school-age forms & profiles. Burlington: University of Vermont, Research Center for Children, Youth, & Families.Google Scholar
  2. Aldenderfer, M. S., & Blashfield, R. K. (1984). Cluster analysis. Beverly Hills: Sage.Google Scholar
  3. American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders—4th edition, text revision. Washington, DC: American Psychiatric Association.CrossRefGoogle Scholar
  4. Bjorck, J. P., & Cohen, L. H. (1993). Coping with threats, losses, and challenge. Journal of Social and Clinical Psychology, 12, 36–72.CrossRefGoogle Scholar
  5. Bouchard, G., Guillemette, A., & Landry-Leger, N. (2004). Situational and dispositional coping: an examination of their relation to personality, cognitive appraisals, and psychological distress. European Journal of Personality, 18, 221–238.CrossRefGoogle Scholar
  6. Boxer, P., Edwards-Leeper, L., Goldstein, S. E., Musher-Eizenman, D., & Dubow, E. F. (2003). Exposure to “low-level” aggression in school: associations with aggressive behavior, future expectations, and perceived safety. Violence and Victims, 18, 691–705.PubMedGoogle Scholar
  7. Boxer, P., Morris, A. S., Terranova, A. M., Kithakye, M., Savoy, S. C., & McFaul, A. (2008). Coping with exposure to violence: relations to aggression and emotional symptoms in three urban samples. Journal of Child and Family Studies, 17, 881–893.CrossRefGoogle Scholar
  8. Brady, S., Gorman-Smith, D., Henry, D., & Tolan, P. (2008). Adaptive coping reduces the impact of community violence exposure on violent behavior among African American and Latino male adolescents. Journal of Abnormal Child Psychology, 36, 105–115.PubMedCrossRefGoogle Scholar
  9. Causey, D. L., & Dubow, E. F. (1992). Development of a self-report coping measure for elementary school children. Journal of Clinical Child Psychology, 21, 47–59.CrossRefGoogle Scholar
  10. Clay, C., Ellis, M. A., Amodeo, M., Fassler, I., & Griffin, M. L. (2003). Recruiting a community sample of African American subjects: the nuts and bolts of a successful effort. Families in Society, 84(3), 396–404.Google Scholar
  11. Compas, B. E., Connor-Smith, J. K., Saltzman, H., Thomsen, A. H., & Wadsworth, M. E. (2001). Coping with stress during childhood and adolescence: progress, problems, and potential in theory and research. Psychological Bulletin, 127, 87–127.PubMedCrossRefGoogle Scholar
  12. Connell, A. M., Dishion, T. J., & Deater-Deckard, K. D. (2006). Variable and person-centered approaches to the analysis of early adolescent substance use: linking peer, family, and intervention effects with developmental trajectories. Merrill-Palmer Quarterly, 52, 421–448.CrossRefGoogle Scholar
  13. Connor-Smith, J. K., & Compas, B. E. (2004). Coping as a moderator of relations between reactivity to interpersonal stress, health status, and internalizing problems. Cognitive Therapy and Research, 28, 347–368.CrossRefGoogle Scholar
  14. Dempsey, M. (2002). Negative coping as mediator in the relation between violence and outcomes: inner-city African American youth. The American Journal of Orthopsychiatry, 72, 102–109.PubMedCrossRefGoogle Scholar
  15. Dubow, E. F., & Rubinlicht, M. (2011). Coping. In B. B. Brown & M. Prinstein (Eds.), Encyclopedia of adolescence (pp. 109–118). San Diego: Academic.CrossRefGoogle Scholar
  16. Dubow, E. F., Roecker, C. E., & D’Imperio, R. (1997). Mental health. In R. T. Ammerman & M. Hersen (Eds.), Handbook of prevention and treatment with children and adolescents: Interventions in the real world context. New York: Wiley.Google Scholar
  17. Dubow, E. F., Pargament, K. I., Boxer, P., & Tarakeshwar, N. (2000). Initial investigation of Jewish early adolescents’ ethnic identity, stress, and coping. Journal of Early Adolescence, 20, 418–441.CrossRefGoogle Scholar
  18. Empirisoft, I. (2008). MediaLab Research Software. New York City: Empirisoft, Inc.Google Scholar
  19. Foa, E. B., Johnson, K. M., Feeny, N. C., & Treadwell, K. R. H. (2001). The Child PTSD Symptom Scale: a preliminary examination of its psychometric properties. Journal of Clinical Child Psychology, 30, 376–384.PubMedCrossRefGoogle Scholar
  20. Folkman, S. (1984). Personal control and stress and coping processes: a theoretical analysis. Journal of Personality and Social Psychology, 46, 839–852.PubMedCrossRefGoogle Scholar
  21. Fowler, P. J., Tompsett, C. J., Braciszewski, J. M., Jacques-Tiura, A. J., & Baltes, B. B. (2009). Community violence: a meta-analysis on the effect of exposure and mental health outcomes of children and adolescents. Development and Psychopathology, 21, 227–259.PubMedCrossRefGoogle Scholar
  22. Gaylord-Harden, N., Cunningham, J. A., Holmbeck, G. N., & Grant, K. E. (2010). Suppressor effects in coping research with African American adolescents from low-income communities. Journal of Consulting and Clinical Psycholoogy, 78, 843–855.CrossRefGoogle Scholar
  23. Hatchett, B. F., Holmes, K., Duran, D. A., & Davis, C. (2000). African Americans and research participation: the recruitment process. Journal of Black Studies, 30(5), 664–675.CrossRefGoogle Scholar
  24. Institute of Medicine. (1994). Reducing risks for mental disorders: Frontiers for preventive intervention research. Washington, DC: National Academies Press.Google Scholar
  25. Kitzmann, K. M., Gaylord, N. K., Holt, A. R., & Kenny, E. D. (2003). Child witnesses to domestic violence: a meta-analytic review. Journal of Consulting and Clinical Psychology, 71(2), 339–352.PubMedCrossRefGoogle Scholar
  26. Kliewer, W., Parrish, K. A., Taylor, K. W., Jackson, K., Walker, J. M., & Shivy, V. A. (2006). Socialization of coping with community violence: influences of caregiver coaching, modeling, and family context. Child Development, 77(3), 605–623.PubMedCrossRefGoogle Scholar
  27. Lazarus, R. S., & Cohen, J. B. (1977). Environmental stress. In I. Altman & J. F. Wohlwill (Eds.), Human behavior and environment (Vol. 2). New York: Plenum.Google Scholar
  28. Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal, and coping. New York: Springer.Google Scholar
  29. Ng-Mak, D. S., Salzinger, S., Feldman, R. S., & Stueve, A. C. (2002). Normalization of violence among inner-city youth: a formulation of research. The American Journal of Orthopsychiatry, 72, 92–101.PubMedCrossRefGoogle Scholar
  30. Ng-Mak, D. S., Salzinger, S., Feldman, R. S., & Stueve, A. C. (2004). Pathologic adaptation to community violence among inner-city youth. The American Journal of Orthopsychiatry, 74, 196–208.PubMedCrossRefGoogle Scholar
  31. Reed, P. S., Foley, K. L., Hatch, J., & Mutran, E. J. (2003). Recruitment of older African Americans for survey research: a process evaluation of the community and church-based strategy in the Durham Elders Project. The Gerontologist, 43(1), 52–61.PubMedCrossRefGoogle Scholar
  32. Reid-Quiñones, K., Kliewer, W., Shields, B. J., Goodman, K., Ray, M. H., & Wheat, E. (2011). Cognitive, affective, and behavioral responses to witnessed versus experienced violence. The American Journal of Orthopsychiatry, 81(1), 51–60.PubMedCrossRefGoogle Scholar
  33. Roecker, C. E., Dubow, E. F., & Donaldson, D. (1996). Cross-situational patterns in children’s coping with observed interpersonal conflict. Journal of Clinical Child Psychology, 25, 288–299.CrossRefGoogle Scholar
  34. Roth, S., & Cohen, L. J. (1986). Approach, avoidance, and coping with stress. American Psychologist, 41, 813–819.PubMedCrossRefGoogle Scholar
  35. Scarpa, A., & Haden, S. C. (2006). Community violence victimization and aggressive behavior: the moderating effects of coping and social support. Aggressive Behavior, 32, 502–515.CrossRefGoogle Scholar
  36. Tolan, P., & Grant, K. (2009). How social and cultural contexts shape the development of coping: Youth in the inner-city as an example. In E. A. Skinner, & M. J. Zimmer-Gembeck (Eds.), Coping and the development of regulation. New Directions for Child and Adolescent Development, 124, 6174.Google Scholar
  37. Tolan, P. H., Gorman-Smith, D., Henry, D., Chung, K., & Hunt, M. (2002). The relation of patterns of coping of inner-city youth to psychopathology symptoms. Journal of Research on Adolescence, 12, 423–449.CrossRefGoogle Scholar
  38. Weisz, J. R., McCabe, M. A., & Denning, M. D. (1994). Primary and secondary control among children undergoing medical procedures: adjustment as a function of coping style. Journal of Consulting and Clinical Psychology, 62, 324–332.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • Paul Boxer
    • 1
  • Elizabeth Sloan-Power
    • 2
  • Ignacio Mercado
    • 1
  • Ashley Schappell
    • 1
  1. 1.Department of PsychologyRutgers UniversityNewarkUSA
  2. 2.Department of Social WorkRutgers UniversityNewarkUSA

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