Stress Generation, Avoidance Coping, and Depressive Symptoms: A 10-Year Model.

This study examined (a) the role of avoidance coping in prospectively generating both chronic and acute life stressors and (b) the stress-generating role of avoidance coping as a prospective link to future depressive symptoms. Participants were 1,211 late-middle-aged individuals (500 women and 711 men) assessed 3 times over a 10-year period. As predicted, baseline avoidance coping was prospectively associated with both more chronic and more acute life stressors 4 years later. Furthermore, as predicted, these intervening life stressors linked baseline avoidance coping and depressive symptoms 10 years later, controlling for the influence of initial depressive symptoms. These findings broaden knowledge about the stress-generation process and elucidate a key mechanism through which avoidance coping is linked to depressive symptoms. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Life circumstances and personal resources as predictors of the ten-year course of depression

A 10-year naturalistic study of 313 patients who entered treatment for unipolar depression and a community comparison group of 284 nondepressed adults was conducted. We compared life stressors, social resources, personal resources, and coping among patients who were remitted (N = 76), partially remitted (N = 146), or nonremitted (N = 91). Compared with the controls and the remitted patients, the partially remitted and nonremitted patients consistently experienced more life stressors and fewer social resources, were less easygoing, and relied more on avoidance coping. A less easygoing disposition, fewer close relationships, and more reliance on avoidance coping were associated with higher odds of experiencing a course of partial remission or nonremission. In addition, more depressive symptoms and medical conditions predicted nonremission.     

Predicting the development of late-life late-onset drinking problems: a 7-year prospective study

There has been little empirical study of risk factors for the development of late-life late-onset drinking problems. In the current prospective study, we compare two groups of older adults who, at a baseline assessment, were nonproblem drinkers: individuals who developed drinking problems over the course of the next 7 years (n = 77) and those who did not (n = 197). Late-onset problem drinkers reported mild to moderate drinking problems and spontaneous remission rates were high. Compared with stable nonproblem drinkers, late-onset problem drinkers at baseline were more likely to report incipient problems, heavier alcohol consumption, greater friend approval of drinking, more reliance on avoidance coping strategies, were more likely to smoke, and were less likely to have acute medical conditions that could potentially be complicated by alcohol consumption. Contrary to expectation, life stressors did not predict drinking problem onset. However, compared with stable nonproblem drinkers, late-onset problem drinkers were more likely to have a history of responding to stressors and negative affect with increased alcohol consumption.     

The role of core self-evaluations in the coping process.

In 2 studies, the authors investigated whether core self-evaluations (CSE) serve as an integrative framework for understanding individual differences in coping processes. A meta-analytic review demonstrated that CSEs were associated with fewer perceived stressors, lower strain, less avoidance coping, more problem-solving coping, and were not strongly related to emotion-focused coping. Consistent with the meta-analytic results, a daily diary study demonstrated that individuals with high CSE perceived fewer stressors, experienced less strain after controlling for stressors, and engaged in less avoidance coping. However, both studies demonstrated that emotional stability was uniquely related to the stress and coping process and that emotional stability moderated the relationship between stressors and strain. The discussion focuses on the distinction between depressive self-concept represented by CSE and the anxiety and worry represented by emotional stability. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Reactivity to daily stressors in adulthood: The importance of stressor type in characterizing risk factors.

This study examined daily stressors in adults ages 18 to 89 years (M = 49.6 years) over 30 days. We examined the role of individual factors (i.e., age, self-concept differentiation [SCD], perceived control) in physical and psychological reactivity to interpersonal, network, home, and health stressors. Findings were consistent with the perspective that adults were less reactive to stress on days during which they felt in control and that younger adults and adults with high SCD were more vulnerable to stress. Age, SCD, and daily perceived control, however, interacted with one another, and findings varied by stressor type. For example, age differences in reactivity were moderated by SCD whereby older adults with low SCD were particularly resilient to home stressors. In addition, whether perceived control buffered adults’ reactivity to daily stress varied by age and SCD. For example, only adults with high SCD were psychologically reactive to network stressors and this was the case only on days during which they reported experiencing low control. The findings emphasize the importance of considering the varying ways in which individual characteristics interact to influence stress reactivity to different types of stressors. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Coping Style as a Predictor of Health and Well-Being Across the First Year of Medical School.

Medical students in their 1st year (N=71) were assessed prior to starting training and at year's end. Coping styles reported at baseline were strongly related to coping styles at the end of the year. Students' physical health and psychological well-being declined over the course of the year. The greater the students' use of both problem-focused coping and approach emotion-focused coping, the less their physical health deteriorated. Psychological well-being at year's end was more strongly related to baseline functioning, and coping style did not predict change. This study demonstrated the utility of measuring coping style and the predictive ability of coping on physical health in a healthy sample. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Prospective associations between coping and health among youth with asthma.

The present study evaluated whether primary and secondary coping would predict longitudinal asthma-related clinical outcomes, such as peak expiratory flow rate (PEFR) and self-reported school absenteeism, rescue inhaler use, and asthma-related physician contacts, in youth with asthma. The 62 youth (68% males) had an average age of 12.6 ± 2.73 years and were primarily of European origin. Coping and asthma outcomes were obtained by youth self-report at baseline and over a 12-month follow-up period. Greater secondary coping at baseline was related to greater increases in PEFR and a greater likelihood of physician contact over the following year. Greater primary coping at baseline was related to greater likelihood of rescue inhaler use, school absenteeism, and physician contact over the following year. In contrast, asthma measures at baseline did not predict changes in coping over the following year. These patterns suggest that youth who engage in secondary coping accept and adapt to their asthma in ways that improve pulmonary function over time. Youth who engage in primary coping may be more likely to communicate asthma problems to others, and such communication perhaps leads to increases in behaviors meant to address these problems. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The role of gender and negative affectivity in stressor appraisal and coping selection.

Individual differences in stress may arise from many sources. This study investigated the role of gender and negative affectivity (NA) in stressor appraisal and coping selection. Differential exposure to stressors was controlled by requiring participants to rate the stressfulness of identical hypothetical scenarios. As predicted, women rated the scenarios as more stressful than men, and perceptions of stressfulness increased with participant NA. Women endorsed the use of emotion-focused coping strategies more than men, even when perceived stressfulness was controlled. NA predicted use of both emotion- and avoidance-focused coping, although only the latter association remained significant after controlling for stressor appraisals. Gender × NA interaction effects were not significant. Implications for the prediction and management of stress are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Appraisals and coping with workplace interpersonal stress: A model for women managers.

This study extended a previously developed integrative model of workplace stress by focusing specifically on interpersonal stressors. After controlling for negative affect, results of the prospective study of 157 Canadian managerial women indicated that conflicts appraised as threats to self-interest, less perceived control over the stressor, and more upsetting appraisals led to the use of disengagement coping, whereas conflicts appraised as threats to social relationships and greater control were associated with the use of engagement coping. Individual differences were also associated with primary appraisals and perceptions of the work environment. Primary appraisals had both direct and indirect effects on psychosomatic distress and fully mediated the effects of individual differences on distress. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Employee personality as a moderator of the relationships between work stressors and counterproductive work behavior.

The current study, which is framed within the context of the Transactional Theory of Stress and Coping, examined counterproductive work behaviors (CWBs) as a response to ineffective coping with work stressors. More specifically, we examined whether the relationship between work stressors and CWBs was moderated by employee personality. Analyses using data collected from 726 adults employed in a diverse set of occupations found that work stressors were more strongly related to CWBs among workers who were low in conscientiousness, or high in negative affectivity (NA) than among workers who were high in conscientiousness, or low in NA. We found less consistent support, however, for the moderating effects of agreeableness. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

An experimental investigation of consistency in female undergraduates' reports of coping efforts for the same versus different stressful situations.

For each of 3 event categories (harm/loss, threat, challenge), with a 6-week test-retest time interval, female undergraduates were randomly assigned to report on coping efforts (problem- vs. emotion-focused coping) for the same stressful event or a different stressful event across the 2 sessions. For problem-focused coping and each category of stressor, test-retest correlations were strongest when subjects reported on coping efforts for the same situation but were still of moderate size and significant for reports of coping with different stressful situations. This difference between conditions was found only for the challenge stressor for emotion-focused coping. These findings imply that stressor context, type of coping, and response tendencies across different stressors relate to the reliability of self-reported coping efforts. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Disentangling the indirect links between socioeconomic status and health: The dynamic roles of work stressors and personal control.

Prior research has documented an indirect link between socioeconomic status (SES) and health, and the goal in this study was to help unravel this phenomenon from a dynamic perspective. The authors hypothesized that SES would be positively related to feelings of personal control and negatively related to perceived work stressors. Drawing on dynamic conceptualizations of these psychosocial factors, they suggest that these psychosocial factors relate to one another over time. Individuals who have higher levels of personal control experience increasingly fewer work stressors over time than do those with lower levels of personal control, and those who experience greater work stressors increasingly perceive less personal control over time than do those with fewer work stressors. Finally, the authors argue that trajectories of personal control and work stressors are associated with the accumulation of health problems over the same period. Their model was tested with 3-wave data (over 4 years) from a nationally representative sample of Canadian employees (N = 3,419). Latent curve modeling provides support for the proposed dynamic model. Conceptual and practical implications are drawn, and suggestions for future research are outlined. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Do resources bolster coping and does coping buffer stress? An organizational study with longitudinal aspect and control for negative affectivity

Psychiatric workers facing redeployment completed questionnaire measures of stressors, resources (locus of control and perceived social support), coping, well-being, and negative affectivity, at baseline (N = 109) and 1 year later (loss of 7 participants). Regression analyses of the baseline data suggested that as stressors increased, so did avoidance coping, but less so for those high in internality or perceived social support. Problem-focused coping was bolstered by internality and emotion-focused coping by perceived social support. Other regression analyses, with a longitudinal aspect, suggested that stressors had a deleterious effect on well-being. Problem- and emotion-focused coping had beneficial effects, whereas avoidance coping had a (delayed) deleterious effect. These effects of coping were predominantly main and not buffering effects.     

Approach and avoidance coping responses among older problem and nonproblem drinkers.

The Coping Responses Inventory (CRI) was used to study coping among older problem and nonproblem drinkers. The CRI organizes coping efforts according to their focus (approach or avoidance) and method (cognitive or behavioral). Compared with nonproblem drinkers, older problem drinkers were more likely to use cognitive and behavioral avoidance responses to manage life stressors. Problem drinkers who experienced more negative life events and more severe stressors used both more approach and more avoidance coping. Those who had more financial and social resources relied more on approach and less on avoidance coping. Problem drinkers who relied more on avoidance coping tended to have more drinking problems and to report more depression and physical symptoms and less self-confidence. Positive reappraisal was associated with less depression and more self-confidence. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Stress and alcohol use: Moderating effects of gender, coping, and alcohol expectancies.

A stressor vulnerability model of stress-induced drinking was tested in a stratified random sample of 1,316 Black and White adult drinkers. Stressors were highly predictive of both alcohol use and drinking problems among men who relied on avoidant forms of emotion coping or held strong positive expectancies for alcohol's effects and accounted for more than 35% of the variance in alcohol use among the subgroup of men who were high in both vulnerability factors. In contrast, stressors were negatively related among men who were low in both and were unrelated among women regardless of their coping or expectancies. These findings suggest that tension reduction theories of alcohol use are overly broad and that individual characteristics must be considered to account for stress-related effects on alcohol use and abuse. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

"You can try or you can just give up": The impact of perceived control and coping style on childhood homesickness.

Research on children's coping with homesickness during relatively uncontrollable separations has suggested that secondary control coping (i.e., adjusting oneself to fit objective conditions) is often preferred over primary control coping (i.e., modifying objective conditions to fit oneself). Related research suggests that negative affect is associated with (a) relinquishing control or using primary control to cope with uncontrollable stressors and (b) perceiving low control over stressors. The convergence of these factors was examined for the stressor of homesickness. Among 1,032 boys and girls spending 2 weeks at residential summer camps, the most frequent and effective way of coping with homesickness was to exert secondary control by engaging in a distracting physical activity. Contrary to speculation, the use of secondary control coping rose in adolescence. Congruent with empirical predictions, the most homesick children perceived low control over homesickness and separation, and coped by relinquishing control. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Estimating test-retest reliability in functional MR imaging. II: Application to motor and cognitive activation studies

Research on children's coping with homesickness during relatively uncontrollable separations has suggested that secondary control coping (i.e., adjusting oneself to fit objective conditions) is often preferred over primary control coping (i.e., modifying objective conditions to fit oneself). Related research suggests that negative affect is associated with (a) relinquishing control or using primary control to cope with uncontrollable stressors and (b) perceiving low control over stressors. The convergence of these factors was examined for the stressor of homesickness. Among 1,032 boys and girls spending 2 weeks at residential summer camps, the most frequent and effective way of coping with homesickness was to exert secondary control by engaging in a distracting physical activity. Contrary to speculation, the use of secondary control coping rose in adolescence. Congruent with empirical predictions, the most homesick children perceived low control over homesickness and separation, and coped by relinquishing control.     

Stressors in highly valued roles, religious coping, and mortality

This study examines the relationships among stress, religious coping, and mortality. It is hypothesized that religious coping will offset the effects of stressors arising in highly valued roles on mortality, but similar stress-buffering effects will not emerge with events in less important roles. It is further predicted that the beneficial properties of religious coping will be especially evident among older adults with less education. Data from a nationwide survey of older adults (N = 819; M age = 73.8 years; 41% male) indicate that religious coping offsets the effects of stressors in highly valued roles on mortality, but only among older adults with less educational attainment (p < .05). In contrast, events in roles that are not valued highly do not have significant additive effects on mortality or significant interaction effects with religious coping.     

Coping with specific stressors in Alzheimer's disease caregiving

Strategies used to cope with specific caregiving stressors were examined in a sample of 170 Alzheimer's disease (AD) caregivers. The most commonly identified stressors were memory deficits, loss of ability to communicate, and gradual decline of a loved one. Wishfulness was related to more depressed affect, regardless of stressor type. Other strategies related to more depressed affect included taking direct action when coping with patient memory deficits and stoicism in response to decline of a loved one. Strategies related to less depressed affect included relaxation in response to memory deficits, acceptance in dealing with communication impairments and decline of a loved one, and seeking social support in coping with decline of a loved one.