title: Correlates of psychological distress among urban trauma-exposed adults: Influence of age and coping preferences.
abstract: OBJECTIVE
  This article examines direct and moderating effects of age on coping preferences for psychological distress among a sample of trauma-exposed adults to inform treatment approaches for this population.
  
  
  METHODS
  Using data from a community survey of trauma-exposed, urban-dwelling adults (n = 181), direct and moderating effects of coping preferences on the relationship between age and psychological distress were examined using hierarchical linear regression.
  
  
  RESULTS
  Direct effects with distress were supported for age, gender, and coping preferences of avoidance and positive reframing. No direct effects with problem-focused coping were present; however, a significant interaction resulted with the relationship between age and level of reported distress.
  
  
  CONCLUSIONS
  Problem-focused coping may provide a buffering effect on experiences with distress for older trauma-exposed adults. Findings highlight the benefits of directive and action-oriented approaches to care for aging adults. Implications for future intervention research and clinical considerations for treating trauma over the life course are discussed. (PsycINFO Database Record
authors.affiliation: College of Health and Human Services, School of Social Work, California State University, Long Beach.
authors.forename: Marissa C
authors.initials: MC
authors.lastname: Hansen
authors.affiliation: Department of Advanced Studies in Education and Counseling, California State University, Long Beach.
authors.forename: Bita
authors.initials: B
authors.lastname: Ghafoori
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D000328:Adult; D000368:Aged; D000375:Aging / Q000523:psychology*; D003430:Cross-Sectional Studies; D000069581:Exposure to Violence / Q000523:psychology*; D005260:Female; D006801:Humans; D016013:Likelihood Functions; D016014:Linear Models; D008297:Male; D008875:Middle Aged; D011569:Psychiatric Status Rating Scales; D057566:Self Report; D012737:Sex Factors; D013315:Stress, Psychological; D014505:Urban Population; D055815:Young Adult