More adaptive versus less maladaptive coping: What is more predictive of symptom severity? Development of a new scale to investigate coping profiles across different psychopathological syndromes

Moritz, Steffen; Jahns, Anna Katharina; Schröder, Johanna; Berger, Thomas; Lincoln, Tania M.; Klein, Jan Philipp; Göritz, Anja S.

doi:10.1016/j.jad.2015.11.027

Cited by 115Anxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesResilience and Mental HealthPersonality Disorders and Psychopathology

More adaptive versus less maladaptive coping: What is more predictive of symptom severity? Development of a new scale to investigate coping profiles across different psychopathological syndromes

Moritz, Steffen, Jahns, Anna Katharina, Schröder, Johanna, Berger, Thomas, Lincoln, Tania M., Klein, Jan Philipp, Göritz, Anja S.·2016·Journal of Affective Disorders

DOI 10.1016/j.jad.2015.11.027

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Abstract

Background Lack of adaptive and enhanced maladaptive coping with stress and negative emotions are implicated in many psychopathological disorders. We describe the development of a new scale to investigate the relative contribution of different coping styles to psychopathology in a large population sample. We hypothesized that the magnitude of the supposed positive correlation between maladaptive coping and psychopathology would be stronger than the supposed negative correlation between adaptive coping and psychopathology. We also examined whether distinct coping style patterns emerge for different psychopathological syndromes.Methods A total of 2200 individuals from the general population participated in an online survey. The Patient Health Questionnaire-9 (PHQ-9), the Obsessive-Compulsive Inventory revised (OCI-R) and the Paranoia Checklist were administered along with a novel instrument called Maladaptive and Adaptive Coping Styles (MAX) questionnaire. Participants were reassessed six months later.Results MAX consists of three dimensions representing adaptive coping, maladaptive coping and avoidance. Across all psychopathological syndromes, similar response patterns emerged. Maladaptive coping was more strongly related to psychopathology than adaptive coping both cross-sectionally and longitudinally. The overall number of coping styles adopted by an individual predicted greater psychopathology. Mediation analysis suggests that a mild positive relationship between adaptive and certain maladaptive styles (emotional suppression) partially accounts for the attenuated relationship between adaptive coping and depressive symptoms.Limitations Results should be replicated in a clinical population.Conclusions Results suggest that maladaptive and adaptive coping styles are not reciprocal. Reducing maladaptive coping seems to be more important for outcome than enhancing adaptive coping. The study supports transdiagnostic approaches advocating that maladaptive coping is a common factor across different psychopathologies.

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The findings corroborate previous studies showing that maladaptive coping strategies had stronger associations with mental illness relative to adaptive coping.
“The findings corroborate previous studies showing that maladaptive coping strategies had stronger associations with mental illness relative to adaptive coping [42].”
From Associations between COVID-19 Work-Related Stressors and Posttraumatic Stress Symptoms among Chinese Doctors and Nurses: Application of Stress-Coping Theory (2022) · cites this paper as [42]
The attempt to suppress negative emotions promotes their emergence.
“Paradoxically, the attempt to suppress negative emotions promotes their emergence.6”
From Feasibility, acceptability and preliminary outcomes of a mindfulness-based relapse prevention program in a naturalistic setting among treatment-seeking patients with alcohol use disorder: A prospective observational study (2019) · cites this paper as [6]

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Stenseng, F., Steinsholt, I. B., Hygen, B. W., & Kraft, P. (2023) · Frontiers in Psychology · doi:10.3389/fpsyg.2022.1035196 · Cited by 27 · see citing works
Feasibility, acceptability and preliminary outcomes of a mindfulness-based relapse prevention program in a naturalistic setting among treatment-seeking patients with alcohol use disorder: A prospective observational study
von Hammerstein, C., Khazaal, Y., Dupuis, M., Aubin, H.-J., Benyamina, A., Luquiens, A., & Romo, L. (2019) · BMJ Open · doi:10.1136/bmjopen-2018-026839 · Cited by 24 · see citing works
“cally, the attempt to suppress negative emotions promotes their emergence.(6) Complementary strategies to promote”
Background
Coping Strategies, Neural Structure, and Depression and Anxiety During the COVID-19 Pandemic: A Longitudinal Study in a Naturalistic Sample Spanning Clinical Diagnoses and Subclinical Symptoms
Holt-Gosselin, B., Tozzi, L., Ramirez, C. A., Gotlib, I. H., & Williams, L. M. (2021) · Biological Psychiatry Global Open Science · doi:10.1016/j.bpsgos.2021.06.007 · Cited by 26 · see citing works
Developing a measurement instrument for coping with occupational stress in academia
du Plessis, M., & Martins, N. (2019) · SA Journal of Industrial Psychology · doi:10.4102/sajip.v45i0.1653 · Cited by 30 · see citing works
“Maladaptive and Adaptive Coping Styles (MAX) Questionnaire ‒ Moritz et al. (2016) The MAX measures adaptive and maladaptive coping styles.”
BackgroundInfluential
Childhood trauma and coping in patients with psychotic disorders and obsessive-compulsive symptoms and in un-affected siblings
Renkema, T. C., de Haan, L., Schirmbeck, F. N., Alizadeh, B. Z., van Amelsvoort, T., Bartels‐Velthuis, A. A., van Beveren, N. J. M., Bruggeman, R., Cahn, W., de Haan, L., et al. (2019) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2019.104243 · Cited by 21 · see citing works
Coping in the Emergency Medical Services: Associations with the personnel’s stress, self-efficacy, job satisfaction, and health
Rojas, R., Hickmann, M., Wolf, S., Kolassa, I., & Behnke, A. (2022) · Clinical Psychology in Europe · doi:10.32872/cpe.6133 · Cited by 23 · see citing works
“Some of them such as social support seeking, acceptance, and positive reappraisal are viewed as adaptive in reducing stress and benefiting health and well-being (Holton et al., 2016; Moritz et al., 2016).”
Background
New wine in an old bottle? Evaluation of myMCT as an integrative bibliotherapy for obsessive-compulsive disorder
Moritz, S., Hauschildt, M., Murray, S. C., Pedersen, A., Krausz, M., & Jelinek, L. (2018) · Journal of Obsessive-Compulsive and Related Disorders · doi:10.1016/j.jocrd.2017.12.009 · Cited by 18 · see citing works
The development of compulsive coping behavior depends on dorsolateral striatum dopamine-dependent mechanisms
Martí‐Prats, L., Giuliano, C., Domi, A., Puaud, M., Peña‐Oliver, Y., Fouyssac, M., McKenzie, C., Everitt, B. J., & Belin, D. (2023) · Molecular Psychiatry · doi:10.1038/s41380-023-02256-z · Cited by 19 · see citing works
The role of frontal-subcortical connectivity in the relation between coping styles and reactivity and downregulation of negative emotion
Wang, X., Blain, S. D., Wei, D., Yang, W., Yang, J., Zhuang, K., He, L., DeYoung, C. G., & Qiu, J. (2020) · Brain and Cognition · doi:10.1016/j.bandc.2020.105631 · Cited by 17 · see citing works
Adolescent School Bullying and Life Skills: A Systematic Review of the Recent Literature
Potard, C., Combes, C., Kubiszewski, V., Pochon, R., Henry, A., & Roy, A. (2021) · Violence and Victims · doi:10.1891/vv-d-19-00023 · Cited by 20 · see citing works
Profiles of Stress and Coping Associated With Mental, Behavioral, and Internet Use Problems Among Adolescents During the COVID-19 Pandemic: A Stratified Random Sampling and Cluster Analysis
She, R., Wong, K., Lin, J., Zhang, Y., Leung, K., & Yang, X. (2022) · Frontiers in Public Health · doi:10.3389/fpubh.2022.826911 · Cited by 17 · see citing works
Psychological distress and self-reported mental disorders: the partially mediating role of coping strategies
Woo, J., Whyne, E. Z., & Steinhardt, M. A. (2023) · Anxiety Stress & Coping · doi:10.1080/10615806.2023.2258805 · Cited by 15 · see citing works
“…on emotion-focused coping strategies in response to stress can have an adverse impact on one ’ s mental health (Rettie & Daniels, 2021), whereas a greater reliance on problem-focused coping strategies is generally associated with enhanced mental health (Holahan & Moos, 1986; Moritz et al., 2016).”
Background
What Role Do Maladaptive Coping and Escape Expectancies Play in the Relationship Between Stress and Problem Gambling? Testing a Moderated Mediation Model
Caudwell, K. M., Bacovic, I., & Flack, M. (2024) · International Journal of Mental Health and Addiction · doi:10.1007/s11469-023-01238-0 · Cited by 15 · see citing works
“This may be especially pertinent to mental disorders experienced by problem gamblers, where maladaptive coping is largely implicated (Moritz et al., 2016).”
The development of compulsive coping behaviour is associated with a downregulation of Arc in a Locus Coeruleus neuronal ensemble
Velázquez-Sánchez, C., Mureşan, L., Martí‐Prats, L., & Belin, D. (2023) · Neuropsychopharmacology · doi:10.1038/s41386-022-01522-y · Cited by 15 · see citing works
Acceptance and efficacy of a metacognitive self-help intervention in an Arabic-speaking mixed patient sample with depression and/or obsessive–compulsive disorder: A randomized controlled trial
Moritz, S., Irshaid, S., Beiner, A., Hauschildt, M., & Miegel, F. (2019) · Journal of Experimental Psychopathology · doi:10.1177/2043808718820683 · Cited by 13 · see citing works
A Qualitative Study of Self and Caregiver Perspectives on How Autistic Individuals Cope With Trauma
Ng‐Cordell, E., Rai, A., Peracha, H., Garfield, T., Lankenau, S. E., Robins, D. L., Berkowitz, S. J., Newschaffer, C. J., & Kerns, C. M. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.825008 · Cited by 14 · see citing works
“Though avoidance-focused strategies are traditionally viewed as maladaptive, and approach-focused strategies as adaptive (11), this dichotomy has recently been challenged by research demonstrating that the functionality of coping is nuanced and context-dependent (13, 14).”
Background
Predictors and Functional Outcomes Associated With Longitudinal Trajectories of Anxiety and Depression from 2 to ≥36 Months After Moderate to Severe Traumatic Brain Injury
Heath, L. M., Kidwai, M. R., Colella, B., Monette, G. A., Tselichtchev, P., Tomaszczyk, J. C., & Green, R. (2023) · Journal of Neurotrauma · doi:10.1089/neu.2023.0003 · Cited by 14 · see citing works
Do coping strategies really affect cardiovascular events? The Isfahan cohort study of adults in Eastern Mediterranean Regional Office
Roohafza, H., Askari, M., Nouri, F., Talaei, M., Sarrafzadegan, N., & Sadeghi, M. (2021) · European Journal of Cardiovascular Nursing · doi:10.1093/eurjcn/zvab110 · Cited by 14 · see citing works
Emotional instability and expressive suppression are related to paranoia in daily life: An electronic mobile assessment study in nonclinical individuals
Nittel, C. M., Lamster, F., Rief, W., Kircher, T. T. J., Soll, D., & Mehl, S. (2019) · Journal of Experimental Psychopathology · doi:10.1177/2043808719868119 · Cited by 13 · see citing works
“Other ER strategies such as reappraisal and acceptance are considered as adaptive as they are associated with lower levels of general psychopathology and enhanced interpersonal functioning and well-being (Aldao & Nolen-Hoeksema, 2010, 2012b; Moritz et al., 2015).”
Background
Coping styles moderate the relationship between perceived discrimination and eating behaviors during the transition to college
Lee, S. Y., Agocha, V. B., Hernandez, P. R., Park, C. L., Williams, M., & Carney, L. M. (2021) · Appetite · doi:10.1016/j.appet.2021.105699 · Cited by 13 · see citing works
Interactions Between Experience, Genotype and Sex in the Development of Individual Coping Strategies
Ventura, R., Cabib, S., Babicola, L., Andolina, D., Segni, M. D., & Orsini, C. (2021) · Frontiers in Behavioral Neuroscience · doi:10.3389/fnbeh.2021.785739 · Cited by 11 · see citing works
It's a balancing act: The ratio of maladaptive (vs. All) emotion regulation strategies is associated with depression
Polack, R. G., Paganini, G., Zhang, A. K., Dworschak, C., Silk, J. S., Hedy Kober, A., & Joormann, J. (2024) · Behaviour Research and Therapy · doi:10.1016/j.brat.2024.104600 · Cited by 10 · see citing works
Navigating wellness through integration: coping strategies for depression among Syrian refugees in Norway
Larios, D. B. (2024) · BMC Psychology · doi:10.1186/s40359-024-01987-0 · Cited by 10 · see citing works
“As a result of a situational context and desired outcomes, coping strategies can also be adaptive or maladaptive [51–53].”
Background
The pragmatic derivation and validation of measures of adaptive and maladaptive coping styles
Brown, L. J., & Bond, M. J. (2019) · Cogent Psychology · doi:10.1080/23311908.2019.1568070 · Cited by 10 · see citing works
“…that the identified constructs may be labelled “adaptive” and “maladaptive” was evident from item content (i.e., face validity), and also from previous similar scales in the literature (Badura et al., 1997; Meyer, 2001; Moritz et al., 2016; Roger et al., 1993; Rohland, 2000; Tuncay et al., 2008).”
BackgroundMethodResultInfluential
The architecture of paranoia in the general population: A self-report and ecological momentary assessment study
Neidhart, M., Mohnke, S., Vogel, B. O., & Walter, H. (2024) · Schizophrenia Research · doi:10.1016/j.schres.2024.07.021 · Cited by 9 · see citing works
“The Maladaptive and Adaptive Coping Styles Scale (MAX) by Moritz et al. (2016) measures coping strategies across three dimensions: maladaptive coping, adaptive coping, and avoidance, with 21 items on a 4-point Likert scale (1 = not true, 4 = true).”
Background
Gender differences in participation one year after stroke: exploring biopsychosocial predictors for women and men
de Graaf, J. A., van Miltenburg, S., Wermer, M. J. H., Post, M. W. M., & Visser‐Meily, J. M. A. (2024) · Topics in Stroke Rehabilitation · doi:10.1080/10749357.2024.2377518 · Cited by 9 · see citing works
Problem Solving and Emotion Coping Styles for Social Anxiety: A Meta-analysis of Chinese Mainland Students
Dong, Z., Chiu, M. M., Zhou, S., & Zhang, Z. (2023) · Child Psychiatry & Human Development · doi:10.1007/s10578-023-01561-6 · Cited by 12 · see citing works
“Still, on balance, PSC’s advantages likely exceed its disadvantages [36].”
Tripping to Cope: Coping Strategies and Use of Hallucinogens during the COVID-19 Pandemic in Three Cultural Contexts
Oña, G., Révész, D., Kohek, M., Rossi, G. N., Rocha, J. M., SANTOS, R. G. D., Hallak, J. E. C., Alcázar‐Córcoles, M. Á., & Bouso, J. C. (2022) · Psychoactives · doi:10.3390/psychoactives1010003 · Cited by 10 · see citing works
Associations between COVID-19 Work-Related Stressors and Posttraumatic Stress Symptoms among Chinese Doctors and Nurses: Application of Stress-Coping Theory
She, R., Li, L., Yang, Q., Lin, J., Ye, X., Wu, S., Yang, Z., Guan, S., Zhang, J., Ling, R. H. Y., et al. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19106201 · Cited by 8 · see citing works
“The findings corroborate previous studies showing that maladaptive coping strategies had stronger associations with mental illness relative to adaptive coping [42].”
Result
Impact of workplace incivility on choice of coping strategies: A mixed method study
Hashemi, B., & Shrivastava, A. (2024) · Journal of Workplace Behavioral Health · doi:10.1080/15555240.2024.2337942 · Cited by 8 · see citing works
“Coping styles are important in mediating the effects of organizational stressors impacting the level of emotional exhaustion, emotional regulation, job anxiety, and job satisfaction one experiences at work (Boyd et al., 2009; Moritz et al., 2015).”
Background
Exploring College-Aged Student Anxiety: Aggravating Factors and Coping Strategies
Volkman, J. E., Wolf, B. M., Morse, C. R., Browning, E., High, A. C., Lacey, H. P., Trunzo, J. J., & Samter, W. (2024) · American Journal of Qualitative Research · doi:10.29333/ajqr/15163 · Cited by 8 · see citing works
The influence of maternal negative parenting, peer victimization and FKBP5 gene on adolescent depressive symptoms
Tian, X., Cao, Y., & Zhang, W. (2020) · Acta Psychologica Sinica · doi:10.3724/sp.j.1041.2020.01407 · Cited by 8 · see citing works
“…加得分分析 (Huang & Starr, 2019; Pearson-Fuhrhop et al., 2014; Vrshek-Schallhorn et al., 2015)。最后, 我们进行线性基因模型检验发现, 分解模型比线性基因效应模型的解释率更高, 但两个模型间 R2 改变量并不显著(ΔR2 = 0.014, F(12, 444) = 2.81, p > 0.05), 表明本研究中 FKBP5 基因三个位点没有显著偏离线性基因位点效应假设。因此, 按照个体携带的 FKBP5 基因次要等位基因数量进行线性(0、1、2)编码, 并…”
Influential
Coping Patterns and Emotional Distress in Patients With Chronic Obstructive Lung Disease Who Are Undergoing Lung Transplant Evaluation
Søyseth, T. S., Dew, M. A., Lund, M. B., Haugstad, G. K., Søyseth, V., & Malt, U. F. (2020) · Progress in Transplantation · doi:10.1177/1526924820933817 · Cited by 9 · see citing works
COVID-19: Contrasting experiences of South African physiotherapists based on patient exposure
Hassem, T., Israel, N., Bemath, N., & Variava, T. (2022) · South African Journal of Physiotherapy · doi:10.4102/sajp.v78i1.1576 · Cited by 9 · see citing works
“This has important implications for potential intervention, as the use of maladaptive coping strategies has been linked to reduced levels of mental health and thus finding effective ways to shift coping mechanisms to more adaptive forms may create a buffer against the negative mental health effects of COVID-19 patient…”
Background
Impact of coping styles on substance use in persons with psychosis, siblings, and controls
van der Heijden, H. S., Schirmbeck, F. N., Berry, L., Simons, C. J. P., Bartels‐Velthuis, A. A., Bruggeman, R., de Haan, L., & Vermeulen, J. M. (2022) · Schizophrenia Research · doi:10.1016/j.schres.2022.01.030 · Cited by 8 · see citing works
Neural correlates of emotional reactivity predict response to cognitive-behavioral therapy in obsessive-compulsive disorder
Paul, S., Kathmann, N., Elsner, B., Reuter, B., Barnow, S., Simón, D., Endraß, T., & Klawohn, J. (2022) · Journal of Affective Disorders · doi:10.1016/j.jad.2022.04.024 · Cited by 8 · see citing works
Clinical and theoretical relevance of responses to analogues of psychotic experiences in people with psychotic experiences with and without a need-for-care: an experimental study
Ward, T., Garety, P. A., Jackson, M. C., & PETERS, E. R. (2019) · Psychological Medicine · doi:10.1017/s0033291719000576 · Cited by 8 · see citing works
“It has been argued that reducing maladaptive coping may be more important for outcome than increasing adaptive strategies (Moritz et al., 2016b), although focus and timing of clinical interventions is likely to be crucial.”
BackgroundMethodResultInfluential
Cognitive-behavioral statuses in depression and internet gaming disorder of adolescents: A transdiagnostic approach
She, R., Lin, J., Wong, K. M., & Yang, X. (2024) · PLoS ONE · doi:10.1371/journal.pone.0304715 · Cited by 7 · see citing works
“It has been argued that maladaptive coping rather than adaptive coping might be more predictive of health problems [64].”
Background
Perceived Social Support and Symptoms of Depression and Anxiety among Chinese Adolescents: A Moderated Chain Mediation Model
Jin, L., Pan, C., Li, D., Zhang, T., Zhao, C.-H., & Wu, Y. (2025) · International Journal of Mental Health Promotion · doi:10.32604/ijmhp.2025.057962 · Cited by 6 · see citing works
“PIU represents an unhealthy form of coping that may hinder the development of emotional regulation in adolescents [63].”
Factors Influencing Farmers’ Use of Adaptive and Maladaptive Coping Strategies
Holmstrom, A. J., Lim, J. I., Zhang, Y., & Shelle, G. (2023) · Journal of Agromedicine · doi:10.1080/1059924x.2023.2242835 · Cited by 7 · see citing works
Emotion Experience and Expressive Suppression Scale: Psychometric properties and relationships with depression and schizotypy
Bedwell, J., Cohen, A., Spencer, C. C., & Simpson, S. D. (2019) · Personality and Individual Differences · doi:10.1016/j.paid.2019.02.001 · Cited by 7 · see citing works
Unique relations of avoidant, emotion, and problem focused coping and suicidality in a sample of sexual and gender minorities.
Clausen, B. K., Porro, D., Zvolensky, M., Capron, D. W., Buitron, V., & Albanese, B. (2025) · Journal of Affective Disorders · doi:10.1016/j.jad.2025.03.077 · Cited by 7 · see citing works
Lack of robust associations between prepandemic coping strategies and frontolimbic circuitry with depression and anxiety symptoms during the COVID-19 pandemic: A preregistered longitudinal study.
Holt-Gosselin, B., Cohodes, E. M., McCauley, S., Foster, J. C., Odriozola, P., Zacharek, S. J., Kribakaran, S., Haberman, J. T., Hodges, H. R., & Gee, D. G. (2022) · Behavioral Neuroscience · doi:10.1037/bne0000534 · Cited by 4 · see citing works
Understanding effects of COVID ‐19 on undergraduate academic stress, motivation and coping over time
Fridkin, L., Fonts, N. B., Quy, K., & Zwiener‐Collins, N. (2023) · Higher Education Quarterly · doi:10.1111/hequ.12425 · Cited by 5 · see citing works
A concealable intervention for a concealed group: Applying self‐affirmation interventions to people with concealable stigmatized identities
Monheim, C. L., & Himmelstein, M. S. (2024) · Social and Personality Psychology Compass · doi:10.1111/spc3.70017 · Cited by 5 · see citing works
The interrelations between religiosity and consumer well-being: evidence on coping strategies during the COVID-19 pandemic
Abdelrazek, N. A., Hammad, H., Adib, H., & El-Bassiouny, N. M. (2022) · Management & Sustainability An Arab Review · doi:10.1108/msar-06-2022-0028 · Cited by 6 · see citing works
Associations between emotion regulation, symptom severity, and affect in obsessive-compulsive disorder
Hohensee, N., Bischof, C., Dietel, F. A., Klein, N., Doebler, P., & Buhlmann, U. (2024) · Journal of Obsessive-Compulsive and Related Disorders · doi:10.1016/j.jocrd.2024.100934 · Cited by 4 · see citing works
“Given the used instructions and item wordings, these questionnaires assess ER regardless of whether the elicited emotions are due to psychopathology or completely unrelated to experienced symptoms (e.g., Gratz & Roemer, 2004; Gross & John, 2003; Moritz et al., 2016).”
Longitudinal assessment of the common sense model before and during the COVID-19 pandemic: A large coeliac disease cohort study
Möller, S. P., Apputhurai, P., Tye–Din, J. A., & Knowles, S. R. (2021) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2021.110711 · Cited by 4 · see citing works
“…model showing unstandardised estimates, standard errors in parentheses, followed by critical ratios, and standardised estimates. symptomatology [75], it is possible that the effects of such strategies on outcomes were largely accounted for by psychological distress symptoms in the present…”
Development of the Adaptive Cognition and Behaviors about Sleep-6 (ACBS-6) for sleep-related conditions or behaviors diminishing insomnia severity
Chung, S., Yoo, S., & Suh, S. A. (2025) · Sleep Medicine · doi:10.1016/j.sleep.2025.106703 · Cited by 4 · see citing works
Compulsive Coping Behavior, Developed Predominantly by Sign-Trackers, Is Exacerbated by Chronic Atomoxetine
Chernoff, C. S., Belin‐Rauscent, A., Puaud, M., Torrisi, S. A., Fouyssac, M., Németh, B., Yu, C., Higuera‐Matas, A., Jones, S., & Belin, D. (2025) · Biological Psychiatry · doi:10.1016/j.biopsych.2025.07.012 · Cited by 4 · see citing works
The development of compulsive coping behaviors depends on the engagement of dorsolateral striatum dopamine-dependent mechanismsPreprint
Giuliano, C., Martí‐Prats, L., Domi, A., Puaud, M., Peña‐Oliver, Y., McKenzie, C., Everitt, B. J., & Belin, D. (2022) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2022.09.27.509680 · Cited by 4 · see citing works
“However, some humans (23-30) and individuals of other species (31) characterized, for instance by a high impulsivity trait (32), lose control over these coping strategies which become excessive and promote the development of compulsive disorders such as obsessive compulsive and substance use disorders.”
Background
Perceived Social Support, Aggression, Age, and Repeat Offending as Predictors of Coping Amongst Male Maximum-Security Offenders
Gwambe, S., Jordaan, J., & Cronjé, M. (2025) · Journal of Forensic Psychology Research and Practice · doi:10.1080/24732850.2025.2549006 · Cited by 3 · see citing works
Individual Differences in Risk and Protective Factors: The Role of Self-Compassion Components among Emergency Responders
Colpizzi, I., Berti, C., Sica, C., Alfei, V., & Caudek, C. (2024) · Behavioral Sciences · doi:10.3390/bs14030178 · Cited by 4 · see citing works
“On the other hand, the lack of adaptive coping mechanisms seems to have less significant repercussions for the development of psychological disorders [37,39].”
Background
Less Maladaptiveness of the Maladaptive Coping Styles in Japan than in Germany: Cross-cultural Comparison of Adaptive and Maladaptive Coping Styles
Nishiguchi, Y., Ishikawa, R., Ishigaki, T., & Hashimoto, K. (2022) · International Journal of Cognitive Therapy · doi:10.1007/s41811-022-00143-z · Cited by 3 · see citing works
The Prospective Effects of Coping Strategies on Mental Health and Resilience at Five Months after HSCT
Corman, M., Dambrun, M., Rubio, M., Cabrespine, A., Brindel, I., Bay, J., & de Latour, R. P. (2023) · Healthcare · doi:10.3390/healthcare11131975 · Cited by 3 · see citing works
“, resilience, optimism) and mental health in the sense of protecting and buffering psychological distress in the short and long term [21,23,24].”
Background
Impact of pre-diagnosis awareness of HIV-related stigma and dispositional coping on linkage to HIV care among newly diagnosed HIV+ Peruvian patients
Molina, Y., Ulrich, A. K., Greer, A., Primbas, A. D., Wandell, G. M., Sánchez, H., Bain, C. E., Konda, K. A., Clark, J. L., Grecca, R. D. L., et al. (2019) · AIDS Care · doi:10.1080/09540121.2018.1563282 · Cited by 3 · see citing works
“Some coping research in HIV and other conditions support this possibility (McIntosh & Rossellli, 2012; Moritz et al., 2016; Vosvick et al., 2002).”
Cognitive Reactivity in Depressed Outpatients: How Different is Severe Depression?
Batmaz, S., Koçbıyık, S., & Yüncü, Ö. A. (2016) · Journal of Rational-Emotive & Cognitive-Behavior Therapy · doi:10.1007/s10942-016-0249-8 · Cited by 3 · see citing works
Àgora de salut vol. V (número complet)
varios, A. (2018) · Àgora de salut · doi:10.6035/agorasalut.2018.5 · Cited by 3 · see citing works
Historical Nonsuicidal Self‐Injury and Current Coping Strategies: The Role of Emotion Regulation
Bradley, H., Orchard, F., & Matcham, F. (2025) · Personality and Mental Health · doi:10.1002/pmh.70035 · Cited by 2 · see citing works
“Gender imbalance in NSSI research is an unfortunately common limitation which brings concern, as there are reported gender differences in NSSI behaviours, as well as in ER and coping (Bresin and Schoenleber 2015; Cipriano et al. 2017; Moritz et al. 2016; Zimmermann and Iwanski 2014).”
Posttraumatic Growth Following Suicide Bereavement: An Updated Systematic Review and Meta-Analysis
Whittaker, S., Rasmussen, S. A., Cogan, N. A., Tse, D. C. K., Martin, B., Andriessen, K., Shiramizu, V. K. M., Krysinska, K. E., & Levi‐Belz, Y. (2025) · Journal of Loss and Trauma · doi:10.1080/15325024.2025.2586763 · Cited by 3 · see citing works
“…this dichotomy of adaptive and maladaptive coping strategies to be related positively and negatively, respectively, to post-trauma outcomes (Kirby et al., 2011), as well as the weak-ening of and improved resilience against depression symptomatology (Moritz et al., 2016; Thompson et al., 2010).”
Moderated mediations of occupational stress on mental health: the different roles of resilience and coping
Kunas, B., Gruber, H., & Laireiter, A. (2026) · Current Psychology · doi:10.1007/s12144-025-08757-0 · Cited by 2 · see citing works
“Moreover, the lack of a negative correlation between mal - adaptive and adaptive coping supports the view that these mechanisms are not opposing poles of a single continuum (Moritz et al., 2016).”
Influential
Service Robot Failures’ Effect on Employees and Customers in Hospitality
Gong, T. (2026) · Cornell Hospitality Quarterly · doi:10.1177/19389655261426343 · Cited by 2 · see citing works
“Adaptive coping was measured with four items adapted from Moritz et al. (2016), rated on a 7-point Likert-type scale from 1 (not at all) to 7 (very much).”
A mouse model of the 3-hit effects of stress: Genotype controls the effects of life adversities in females
Babicola, L., Mancini, C., Riccelli, C., Segni, M. D., Passeri, A., Municchi, D., D’Addario, S. L., Andolina, D., Cifani, C., Cabib, S., et al. (2023) · Progress in Neuro-Psychopharmacology and Biological Psychiatry · doi:10.1016/j.pnpbp.2023.110842 · Cited by 2 · see citing works
The Effect of Depression, Stress, Coping Strategies on the Suicidal Ideation in Healthy Controls and Psychiatric Patients
Park, C., Lim, J., Choi, Y. M., Park, J., & Joe, S. (2017) · 신경정신의학 · doi:10.4306/jknpa.2017.56.2.68 · Cited by 2 · see citing works
Exploring Taiwanese university students’ self-regulatory processes, perceived stress, and academic coping
Shih, S., & Tu, W.-L. (2024) · International Journal of Education and Practice · doi:10.18488/61.v12i3.3817 · Cited by 1 · see citing works
“Rather, they are inclined to employ disengagement coping as a strategy to evade the distress linked with academic adversity (Carver & Connor-Smith, 2010; Moritz et al., 2016).”
Background
Validation of the schema coping inventory for dysfunctional coping strategies
Gazzellini, S., Pellegrini, V., Napoli, E., Ventre, V., Lettori, D., Castelli, E., Basile, B., & Giacomantonio, M. (2024) · Frontiers in Psychology · doi:10.3389/fpsyg.2024.1441794 · Cited by 1 · see citing works
DSM‐5 AMPD Maladaptive Personality Traits: One‐Year Temporal Stability and Associations With Therapeutic Processes and Outcomes
Buck, B., Chauhan, K., Thompson, R., & Donahue, J. J. (2025) · Journal of Clinical Psychology · doi:10.1002/jclp.70070 · Cited by 1 · see citing works
Psychological self-care in chronic illness: a cross-sectional mixed-methods examination of strategies used by adults with cardiovascular disease
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Authors: Moritz, S., Jahns, A. K., Schröder, J., Berger, T., Lincoln, T. M., Klein, J. P., & Göritz, A. S.
Affiliations: University Medical Center Hamburg-Eppendorf (DE)
University of Bern (CH)
Universität Hamburg (DE)
University of Lübeck (DE)
University of Freiburg (DE)
Corresponding author: Moritz, Steffen
ORCID: Moritz, Steffen
Schröder, Johanna
Berger, Thomas
Lincoln, Tania M.
Klein, Jan Philipp
Göritz, Anja S.
Venue: Journal of Affective Disorders
Publisher: Elsevier BV
Published: 2016-02
Volume: 191
Pages: 300-307
ISSN: 0165-0327 (ISSN-L)
DOI: 10.1016/j.jad.2015.11.027
OpenAlex: W2178396700
Cited by: 115
References: 68
Citations by year: 2026: 12 · 2025: 15 · 2024: 19 · 2023: 11 · 2022: 16 · 2021: 11 · 2020: 4 · 2019: 13 · 2018: 7 · 2017: 3 · 2016: 4
FWCI: 7.04
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Journal of Affective Disorders (publishedVersion)
PubMed (publishedVersion)
Bern Open Repository and Information System (University of Bern) (submittedVersion)
OPUS (Augsburg University) (submittedVersion)
Topics: Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Social Sciences › Psychology › Clinical Psychology › Resilience and Mental Health
Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
Keywords: adaptive coping, maladaptive coping, coping styles, psychopathology, symptom severity, depression, obsessive-compulsive symptoms, paranoia, avoidance, emotional suppression, transdiagnostic factors, scale development
MeSH terms: Adaptation, Psychological, Adult, Avoidance Learning, Mental Disorders, Cross-Sectional Studies, Depression, Emotions, Female, Humans, Longitudinal Studies, Male, Psychopathology, Surveys and Questionnaires, Syndrome, Symptom Assessment

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More adaptive versus less maladaptive coping: What is more predictive of symptom severity? Development of a new scale to investigate coping profiles across different psychopathological syndromes

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