"Approach and avoidance coping responses among older problem and nonproblem drinkers": Clarification.

Reports a clarification in the article by R. H. Moos et al (Psychology and Aging, 1990[Mar], Vol 5[1], 31–40). The authors wish to note that research reported in the article by P. L. Brennan and R. H. Moos (see record 1991-10154-001) was based on the sample used in the research reported by Moos et al and that this information was inadvertently deleted in the Brennan and Moos article. (The following abstract of the article by Moos et al originally appeared in PA, Vol 77:14961.) 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)     

Spouses of late-life problem drinkers: Functioning, coping responses, and family contexts.

This prospective study focused on spouses of late-life problem drinkers. At initial assessment, 87 spouses of late-life problem drinkers reported poorer health-related and social functioning, more reliance on cognitive coping strategies, and more shared, cognitive avoidance coping than did 87 spouses of nonproblem drinkers; they also reported more stressful, less supportive family contexts. 22 spouses of individuals who would remit over a 1-yr interval did not appear to provide their partners with an impetus for recovery. However, spouses of remitted problem drinkers improved in several areas over the 1-yr follow-up. By contrast, 65 spouses of nonremitted partners continued to function more poorly and reported less supportive relationships with partners and escalating conflicts with children. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Approach, avoidance, and coping with stress.

Notes that the study of stress and coping points to 2 concepts central to an understanding of the response to trauma: approach and avoidance. This pair of concepts refers to 2 basic modes of coping with stress. Approach and avoidance are simply metaphors for cognitive and emotional activity that is oriented either toward or away from threat. Formulations of the approach–avoidance dimension are reviewed along with coping effectiveness literature. A general approach–avoidance model of coping is presented in the context of contemporary theoretical approaches to coping. The potential costs and benefits of approach and avoidance are outlined, and an ideal case of coping with stress, in which both modes would be operative, is presented. It is suggested that research focus on studying one stress or trauma at a time and following the coping processes over time. (30 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Reinforcement analysis of interaction in problem and nonproblem families.

Examined the patterns of consequents that problem and nonproblem family members provided for each other's behavior, and the responsivity of the members to those consequents. 20 families with a male child 5–10 yrs old were selected on the basis of their Locke-Wallace Marital Adjustment Scale and Peterson-Quay Behavior Problem Checklist scores. The families' interactions were observed in a laboratory setting and coded using a behavioral rating system. Results show that problem families provided more aversive and fewer positive consequents for prosocial behavior and more positive and fewer consequents for deviant behavior than nonproblem families. Problem family members were less responsive to the consequents than nonproblem family members. Results are discussed in terms of the development and maintenance of dysfunctional family systems. (24 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Hyperbolic temporal discounting in social drinkers and problem drinkers.

Two studies compared participants, distinguished by their typical alcohol consumption, on the degree to which they discounted the value of delayed, hypothetical amounts of money. Heavy social drinkers in Study 1 and problem drinkers in Study 2 both showed greater temporal discounting than light social drinkers; this difference was stronger in Study 2. Both studies found that a hyperbolic function described temporal discounting more accurately than an exponential function. These results are consistent with extending behavioral theories of intertemporal choice to characterize the determinants of alcohol consumption. The discounting differences also are consistent with more general behavioral economic and economic theories of addiction, although the hyperbolic functional form is inconsistent with the exponential discounting function in economic theory. The drinker groups also differed on impulsiveness and time orientation questionnaires, with light drinkers being less impulsive and more future oriented; however, these measures were not strongly correlated with the measure of temporal discounting. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Approach and avoidance responses of the hysterical personality to sexual stimuli.

Administered a paired-associates learning task and a visual recognition task to 32 female hysterical personalities and 32 nonhysterical personalities. Both tasks included neutral and sexual material. 1/2 the Ss in each group performed under sexually "seductive" conditions, the other 1/2 under neutral conditions. Results showed that (1) hysterics learned sexual material quickly under neutral conditions but relatively slowly under sexual conditions; (2) hysterics had a relatively low visual recognition threshold for sexual words under neutral conditions and a relatively high threshold under sexual conditions; and (3) these threshold differences were maximized when sexual stimuli referred to the self. It was concluded that the characteristic behavior of the hysteric was consistent with an approach-avoidance conflict involving sexual motives and behavior. (19 ref.) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Utility of WISC-R subtest analysis in discriminating among groups of conduct problem, withdrawn, mixed, and nonproblem boys.

Examined the ability of WISC-R subtest scores to distinguish among 3 groups of behaviorally disordered boys and a group of nondisordered Ss. The 100 7–16 yr old Ss were assigned to 1 of the 4 groups, based on their scores from the Behavior Problem Checklist. Results suggest that although WISC-R subtest scores distinguished among the groups, their use as a classification metric would be highly misleading. (14 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Perceived self-efficacy and everyday problem solving among young and older adults.

This research tested the hypothesis that age differences in both self-efficacy perceptions and problem-solving performance would vary as a function of the ecological relevance of problems to young and older adults. The authors developed novel everyday problem-solving stimuli that were ecologically representative of problems commonly confronted by young adults (young-adult problems), older adults (older adult problems), or both (common problems). Performance on an abstract problem solving task lacking in ecological representativeness (the Tower of Hanoi problem) also was examined. Although young persons had higher self-efficacy beliefs and performance levels on the Tower of Hanoi task problem and the young-adult problems, this pattern reversed in the domain of older adult problems, where the self-efficacy beliefs and performance of older persons exceeded those of the young. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Approach and avoidance of social information.

Examined how an approach or avoidance tendency to information influences the perception of related social behaviors. The sexual attitudes of 50 male and 54 female undergraduates were assessed prior to viewing either a birth control, conservative social values, or educational issues lecture. Ss indicated the number of meaningful actions in the sequence by pressing a thumb switch. It was hypothesized that more units would be indicated when the topic was consistent with the S's sexual attitudes, due to an attempt to gain more informational content. Ss with positive sexual attitudes (erotophiles) indicated more units in the birth control condition, whereas Ss with negative sexual attitudes (erotophobes) indicated more units in the social values condition. Results suggest that there are chronic differences in the segmentation patterns of individuals, reflecting affective orientations toward social information. (French abstract) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Posttraumatic stress disorder: Silent problem among older combat veterans.

Examines posttraumatic stress disorder (PTSD) among older Vietnam combat veterans. It is suggested that PTSD among these veterans is generally chronic, silent, and exacerbated by the problems of aging. These Ss with PTSD can be divided into those with full PTSD and those with partial PTSD. Studies are cited showing prevalence rates for PTSD. The difficulties in measuring PTSD are described. Several moderating variables influence the expression of trauma problems at later life, including the presence of other stressors, health status, social support, and comorbidity. Several forms of therapy are considered, including cognitive behavioral therapy, reminiscence, and relaxational desensitization. Also, several treatment suggestions are given, advocating interventions of a stuck narrative in an aging population. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Prediction of controlled drinking by alcoholics and problem drinkers.

Recent research was reviewed on the following factors as predictors of controlled drinking (CD) by alcoholics and problem drinkers: severity of dependence, client attitudes and beliefs about controlled drinking and abstinence, previous treatment, pretreatment drinking style, psychological and social stability, demographic characteristics, family history of drinking, referral source, and posttreatment adjustment and drinking. No single personal characteristic has been consistently predictive, but there is convincing evidence that a lower severity of dependence and a persuasion that CD is possible are associated with CD after treatment. Prediction of CD might be improved by an approach that assesses the influence of 3 types of variables: enduring personal characteristics, changeable social and psychological characteristics, and transient precipitating events. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Approach and avoidance motivation in psychopathic criminal offenders during passive avoidance.

The authors evaluated competing theories that attribute psychopathic individuals' poor passive avoidance to a strong activating system, a weak inhibitory system, or poor modulation of behavioral activation when inhibitory cues appear. In Study 1, the continuous motor task involved a reward phase to elicit the activating system followed by a passive avoidance phase. Study 2 tested the generality of the theories by using an active avoidance phase to elicit the activating system. Heart rate and response speed results from Study 1 best supported the strong activating system and poor response modulation models in low-anxiety psychopathic offenders. Study 2 results did not clearly support any of the models. Further research is needed to determine if excessive activation by reward and poor response modulation are associated with passive avoidance deficits and other characteristics of low-anxiety psychopathic offenders. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Distinction between quality and quantity of problem-solving responses among depressed older women.

The purpose of this project was to investigate the extent to which depressed and nondepressed community-dwelling older women differed in their problem-solving responses to vignettes describing problematic situations common in this population. Contrary to expectations, the depressed and nondepressed older women showed an equal capacity to follow traditional problem-solving steps. There were differences, however, in the quality of solutions generated for dealing with social isolation and interpersonal conflict as judged by peer evaluators. Further work is needed in understanding the components of effective problem solving most important for adjustment to real-life difficulties. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Stress responses and coping propensity among paranoid and nonparanoid, episodic, and remitted schizophrenics.

28 remitted and 28 episodic paranoid and nonparanoid schizophrenics performed a "coping task" consisting of a simple tapping response purported to affect the duration of stressing loud sounds. Cognitive appraisals of the effectiveness of the available response, and task-performance measures of propensity (vis-à-vis reticence) to engage in the response were monitored. Results indicate both paranoid and nonparanoid Ss appraised the available coping response as being less effective than did controls; behavioral measures indicated generally lower propensity to cope among the nonparanoid Ss; the paranoid Ss were similar to controls on selected coping-propensity measures. These differences remained constant across episodic and remitted stages of illness. Psychophysiological evidence of stress arousal (heart-rate acceleration) indicated elevated responsivity specifically among the episodic patients. Results were discussed in terms of current formulations concerning vulnerability to schizophrenic episodes and efforts to cope with environmental stressors. (French abstract) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Family history of problem drinking among young male social drinkers: Modeling effects on alcohol consumption.

This research tested the effect of social drinking models on the drinking behavior of 19- to 21-year-old subjects with (FH+) and without (FH-) family histories of problem drinking. The project involved 50 subjects (24 FH+ and 26 FH-) whose drinking habits did not differ. Measures of alcohol intake and the resulting blood alcohol concentration each indicated an interaction between FH and model treatment. The drinking by FH+ subjects changed significantly to conform with the model. Similar but nonsignificant model effects were displayed by FH- subjects. The evidence suggests that social drinking models may have a particularly salient influence on the drinking behavior of FH+ individuals. Because modeling effects have not previously been explored in relation to family history of problem drinking, the present study identifies a promising direction for research on the etiology of alcohol abuse and the development of prevention programs. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Relapse crises and coping among dieters.

We examined situational antecedents of dieting relapse crises and dieters' attempts to cope with temptations to overeat. We analyzed postreatment interviews with 57 obese Ss with Type II diabetes, comparing situations in which Ss lapsed with those in which they overcame temptation to overeat. Cluster analysis yielded 3 categories of relapse crises: mealtime, low-arousal, and emotional upset situations. The cluster differed in outcome: Upset situations almost always resulted in overeating; situational factors, especially food-related cues, increased relapse risk; but performance of coping was the strongest correlate of outcome. Cognitive and behavioral coping responses were each equally associated with positive outcomes. When Ss reported combining both types of coping, they were less likely to report overeating. The dynamics of relapse crises among dieters resemble those that govern relapse crises in addictive behaviors. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Gender differences in the relations between depressive symptoms and drinking behavior among problem drinkers: A three-wave study.

Prior research has suggested that the relation between depression and drinking behavior is stronger for women than for men. In a 3-wave study spanning 3 years, we examined the nature of reciprocal relations between depressive symptoms and drinking behavior among women (n?=?207) and men (n?=?207) seeking detoxification or referral services for their drinking problems. Latent variable structural equation modeling analyses revealed that more baseline depression was associated with less alcohol consumption 1 year later among women and men. However, later on, more depression predicted heavier alcohol consumption, but only among women. Among women and men, heavier alcohol consumption predicted more subsequent depression, although the timing of this effect differed by gender. Reciprocal effects between depression and drinking problems were found only among men. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Evaluation of a preventive self-management programme for problem drinkers.

31 Ss (average age 39 yrs) participated in either of 2 variations of a self-management, controlled drinking program: Type R used regular techniques; Type E used those methods and taught Ss additional strategies for coping with life stresses related to drinking. Results show that a significant reduction occurred for all Ss over the 1-yr treatment period. Type E Ss were significantly more likely to be drinking in a nonhazardous fashion than Type R Ss. (French summary) (11 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Perceived control, coping efficacy, and avoidance coping as mediators between spousal unsupportive behaviors and psychological distress.

This study examined whether avoidance, coping efficacy, and perceived control mediate the effects of spouses" unsupportive behaviors on patient psychological distress among 191 married individuals enrolled in cancer treatment. Results of the structural equation analyses suggested that avoidance and coping efficacy mediated the relationship between spouses" unsupportive behaviors and patient psychological distress. Perceived control of emotional aspects of the illness, including emotional responses and relationships with family and friends, and perceived control of the medical course of the cancer did not mediate the relationship between spouses" unsupportive behaviors and patient psychological distress. These findings suggest 2 mechanisms to explain why unsupportive responses from spouses may be associated with psychological distress among cancer patients. (PsycINFO Database Record (c) 2010 APA, all rights reserved)