Coping, locus of control, social support, and combat-related posttraumatic stress disorder: A prospective study.

We examined the relations between coping, locus of control, and social support and combat-related posttraumatic stress disorder (PTSD). The sample consisted of 262 Israeli soldiers who suffered a combat stress reaction episode during the 1982 Lebanon war and were followed 2 and 3 years after their participation in combat. Cross-sectional analyses revealed significant relations between locus of control, coping, and social support and PTSD at the two points of assessment. Changes in PTSD from Time 1 to Time 2 were also associated with changes in coping. We discuss theoretical and methodological implications of the findings. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Posttraumatic intrusion, avoidance, and social functioning: A 20-year longitudinal study.

The study assesses posttraumatic intrusion, avoidance, and social functioning among 214 Israeli combat veterans from the first Lebanon War with and without combat stress reaction (CSR) 1, 2, 3, and 20 years after the war. CSR veterans reported higher intrusion and avoidance than did non-CSR veterans. With time, there was a decline in these symptoms. In addition, intrusion and avoidance were associated with problems in social functioning on a given year, and they longitudinally predicted social dysfunction 2, 3, and 20 years after the war. CSR veterans presented stronger temporal covariations between intrusion-avoidance and social functioning. The findings suggest that CSR is a marker for future psychopathology and point to the role of avoidance in social dysfunction. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Expectancies for negative mood regulation, coping, and dysphoria among college students.

Participants (N?=?222) completed measures of negative mood regulation (NMR) expectancies, negative life events, coping responses, dysphoria, and somatic symptoms. After 6 to 8 wks, they completed the same questionnaires except that daily hassles in the previous month were assessed instead of negative life events. In cross-sectional analyses and with stable variance in coping and symptoms controlled, NMR expectancies were positively related to active coping and negatively related to avoidant coping and symptoms. Changes in NMR expectancies and dysphoria were correlated. Time 1 dysphoria was positively related to daily hassles at Time 2, which in turn was associated with changes in coping and dysphoria from Time 1 to Time 2. Implications for counseling and stress-management interventions are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Stressful life events, psychological distress, coping, and parenting of divorced mothers: A longitudinal study.

This was a prospective longitudinal study of the relationships among life stress, psychological distress, coping, and parenting behaviors in a sample of divorced custodial mothers. First, the differential effects of major events and daily stressors on psychological distress and parenting were explored. Second, the mediational links among stress, distress, and 3 dimensions of parenting behaviors were studied. Third, 3 coping strategies were studied as moderators of the relationship between distress and parenting. The results showed that both major and small events had significant effects on parental distress, with the effects of daily negative events being greater than those of major events. Parental distress mediated the relationships between stressful life events and parental acceptance of their children's behaviors. Parental coping strategies moderated the relationship between mothers' psychological distress and mothers' discipline practice. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Life stress and adjustment: Effects of life events experienced by young adolescents and their parents.

A longitudinal design was used to test the effects of life events experienced by young adolescents and their parents. The criteria were the adolescents' depression, anxiety, and self-esteem. The longitudinal analysis revealed a significant effect for the adolescents' controllable, but not uncontrollable, negative events. However, causal analyses revealed that this effect was the result of the significant relation between initial adjustment and the subsequent occurrence of controllable life stress (e.g., school suspension). The longitudinal analysis also revealed the stress-protective role of positive events, but only with respect to girls' self-esteem. There was no longitudinal support for the role of the parents' negative life events. These findings do not support the etiological importance of an accumulation of relatively discrete negative events experienced by early adolescents and their parents, but they do suggest the need (a) to conceptualize (controllable) life stress as a dependent variable in future research on developmental psychopathology; (b) to examine gender differences in early adolescent life stress; and (c) to develop more sophisticated measures of family life stress. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Coping with Gulf War combat stress: Mediating and moderating effects.

The authors examined relationships between method of coping with combat-related stress and psychological symptoms among Gulf War Army personnel (N?=?1,058). Participants were surveyed on return from the Gulf region (Time 1) with the Coping Responses Inventory (R. Moos, 1990) and a measure of combat exposure. Outcomes were symptom measures of posttraumatic stress disorder (PTSD) and depression. At Time 2 (18–24 months) participants completed the same symptom measures and an index of postwar stress. Higher proportions of approach-based coping in the war zone were related to lower levels of psychological symptoms. Combat exposure moderated the effects of coping on Time 1 PTSD. Coping predicted changes in symptoms of depression but not PTSD. Combat exposure affected changes in depression through postwar stress but had a direct negative effect on PTSD. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

War Zone stress, personal and environmental resources, and PTSD symptoms in Gulf War Veterans: A longitudinal perspective.

Cross-sectional research has demonstrated a link between personal and environmental resources and development of emotional distress after war zone service. Less is known about the longitudinal relationship between resources and distress. The authors addressed this issue in a study of 348 Gulf War returnees tested at 2 time points. Resources decreased and posttraumatic stress disorder (PTSD) symptoms increased over time. Time 1 avoidance and family cohesion predicted PTSD symptoms at Time 2. Regression analyses revealed a bidirectional relationship over time between resources and PTSD symptoms. Time 1 resources predicted Time 2 psychopathology after accounting for Time 1 emotional distress. PTSD symptoms at Time 1 also predicted changes in coping and family relationships, even after accounting for Time 1 resources. Findings are consistent with the concept of a loss spiral (Hobfoll, 1989), in which resource factors and emotional sequelae to war stress exert reciprocal effects. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Recent Life Events Preceding Suicide Attempts in a Personality Disorder Sample: Findings From the Collaborative Longitudinal Personality Disorders Study.

Few studies have examined the relationship between life events, suicide attempts, and personality disorders (PDs), in spite of the strong associations between PDs and suicidal behavior, and the poor coping strategies often exhibited by these individuals. The authors examined whether participants with PDs who attempted suicide during the first 3 years of a prospective, longitudinal study were more likely to experience specific life events in the month during and preceding the suicide attempt. Of 489 participants with PDs, 61 attempted suicide during the 3-year, follow-up interval. Results indicated that negative life events, particularly those pertaining to love-marriage or crime-legal matters, were significant predictors of suicide attempts, even after controlling for baseline diagnoses of borderline PD, major depressive disorders, substance use disorders, and a history of childhood sexual abuse. Therefore, certain types of negative life events are unique risk factors for imminent suicide attempts among individuals with PDs. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Does repressive coping promote resilience? Affective-autonomic response discrepancy during bereavement.

Traditional theories of coping emphasize the value of attending to and expressing negative emotion while recovering from traumatic life events. However, recent evidence suggests that the tendency to direct attention away from negative affective experience (i.e., repressive coping) may promote resilience following extremely aversive events (e.g., the death of a spouse). The current study extends this line of investigation by showing that both bereaved and nonbereaved individuals who exhibited repressive coping behavior--as measured by the discrepancy between affective experience and sympathetic nervous system response--had fewer symptoms of psychopathology, experienced fewer health problems and somatic complaints, and were rated as better adjusted by close friends than those who did not exhibit repressive coping. Results are discussed in terms of recent developments in cognitive and neuroimaging research suggesting that repressive coping may serve a protective function. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Intrinsic religiousness and religious coping as life stress moderators for Catholics versus Protestants.

Two prospective studies were conducted to test the stress-moderating effects of intrinsic religiousness and overall religious coping on the depression and trait anxiety of Catholic and Protestant college students. Both studies found a significant cross-sectional interaction between controllable life stress and religious coping in the prediction of Catholics' depression, with religious coping serving a protective function at a high level of controllable negative events. Both studies also found a significant prospective interaction between uncontrollable life stress and intrinsic religiousness in the prediction of Protestants' depression; the relationship between uncontrollable stress and depression was positive for low intrinsic Protestants, flat for medium intrinsic Protestants, but negative for high intrinsic Protestants. The findings are discussed in terms of their implications for the role of religion in life stress adjustment. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Identifying survivors at risk: Long-term impairment following the Beverly Hills Supper Club fire.

Examined the chronic responses of survivors of a 1977 supper club fire, in which 165 people died, from the standpoint of linking individual differences in aspects of the fire experience to differential outcome. 117 Ss were interviewed on stress, life events, coping, social supports, psychopathology, and symptoms 1 yr postfire. 67 Ss were reinterviewed a year later. Hierarchical regression analyses for multiple outcome measures showed that the most predictable symptoms at 1 yr were those associated with stress disorders. The independent variables contributing most to that prediction were aspects of the S's experience (e.g., bereavement, injury). Predictability shifted somewhat in the 2nd yr for the outcome measures: Secondary measures (those with a hostility component) became more predictable. Overall, up to 45% of outcome variance 1-yr postfire could be explained by the individual's experiences surrounding the fire. (17 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Crisis decision theory: Decisions in the face of negative events.

How do people respond to negative life events? Crisis decision theory combines the strengths of coping theories with research on decision making to predict the responses people choose under negative circumstances. The theory integrates literatures on coping, health behavior, and decision making, among others, into 3 stages that describe the process of responding to negative events: (a) assessing the severity of the negative event, (b) determining response options, and (c) evaluating response options. The author reviews and organizes the relevant research on factors that shape information processing at each stage and that ultimately predict decisions in the face of negative events. Finally, the author presents a critique of crisis decision theory and discusses areas for future research. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Life stressors, social resources, coping, and the 4-year course of unipolar depression.

Little is known about the effects of psychosocial factors on the long-term course of unipolar depression. This article examines the 4-year stability and change in life stressors, social resources, and coping, and their effect on the course of treated unipolar depression among 352 men and women. Depressed patients were assessed at treatment intake and at 1-year and 4-year follow-ups. Over the 4 years, patients improved in symptom outcomes, the quality of social resources, and coping responses; there were some declines in life stressors. Life stressors, social resources, and coping were related to patient functioning concurrently, after controlling for demographics, initial treatment, and initial dysfunction severity. Preintake medical conditions and family conflict consistently predicted poorer long-term outcomes. The findings imply that medical conditions and family conflict are important risk factors that predict poorer long-term outcome of depression. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Clinical assessment of long-term cognitive and emotional sequelae to World War II prisoner-of-war confinement: Comparison of pilot twins.

Assessed late-life psychological outcomes of World War II flight combat exposure among identical-twin pilots raised, educated, and trained together but discordant for combat exposure and war imprisonment, using twin study methodology. It was hypothesized that the prisoner of war (POW) survivor would exhibit psychopathology attributable, in part, to nonshared environmental events, specifically war trauma. Differences were evident in reported psychological symptoms, MMPI profile patterns, psychiatric diagnoses, and intellectual performances. Assigned a lifetime diagnosis of posttraumatic stress disorder (PTSD), the former POW showed deficits in visuospatial analysis and organization, planning, impulse control, concept formation, and nonverbal memory. Results may be used to enhance understanding of measurement of stress-related symptoms among robust and well-trained servicemen. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Sensation seeking, stress, and adolescent injuries: A test of stress-buffering, risk-taking, and coping skills hypotheses.

The potential stress-buffering effects of sensation seeking were assessed in a prospective study involving high school athletes. A significant positive relation between major negative sport-specific life events and subsequent injury time-loss occurred only for athletes low in sensation seeking. No evidence was obtained for a competing hypothesis that high sensation seeking would constitute an injury vulnerability factor by increasing risk-taking behaviors. Although low sensation seekers reported poorer stress management coping skills, there was no evidence that differences in coping efficacy mediated the injury vulnerability difference. Results indicate that sensation seeking is a stress-resiliency factor and suggest the utility of assessing relations between life stressors and outcomes that occur within the same environmental context. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Dealing with negative social exchanges in later life: Coping responses, goals, and effectiveness.

Negative exchanges have been shown to detract from psychological well-being in later life, but little research has investigated how older adults respond to such exchanges. The authors examined older adults' coping responses, goals, and effectiveness following a specific negative social exchange. The findings revealed that participants' coping responses and the effectiveness of these responses varied as a function of their coping goals. The results underscore the importance of considering older adults' coping responses and goals when evaluating factors that affect the impact of negative social exchanges on well-being in later life. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Coping with perceived peer stress: Gender-specific and common pathways to symptoms of psychopathology.

This study investigated gender differences in the moderating and mediating effects of responses to stress on the association between perceived peer stress and symptoms of psychopathology. A sample of 295 middle school students (63.7% female; Mage = 12.39 years, SD = 0.99) completed self-report surveys on stress, coping, and behavioral problems. Involuntary responses to stress (e.g., physiological arousal, intrusive thoughts, impulsive action) mediated the association between perceived stress and anxiety/depression and aggression for girls and for boys. Disengagement coping (e.g., denial, avoidance) partially mediated the association between peer stress and anxiety/depression for boys and for girls. In contrast, disengagement coping mediated the association between peer stress and overt aggression for boys only. Finally, engagement coping (e.g., problem solving, emotion regulation, cognitive restructuring) buffered the indirect effect of peer stress on symptoms of psychopathology for girls only. Implications for prevention and intervention efforts are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Personal and contextual determinants of coping strategies.

This study examined personal and contextual predictors of active and avoidance coping strategies in a community sample of over 400 adults and in a sample of over 400 persons entering psychiatric treatment for unipolar depression. Sociodemographic factors of education and income (except for active-cognitive coping), personality dispositions of self-confidence and an easy-going manner, and contextual factors of negative life events and family support each made a significant incremental contribution to predicting active and avoidance coping. Among both healthy adults and patients, active and avoidance coping were positively associated with negative life events. Individuals who had more personal and environmental resources were more likely to rely on active coping and less likely to use avoidance coping. Moreover, for both groups, most of the predictors continued to show significant relations with active and avoidance coping strategies even after the stable component in coping was controlled in a longitudinal design. A comprehensive framework to understand the determinants of coping can be of practical value in suggesting points for therapeutic interventions aimed at fostering more adaptive coping efforts. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Long-term patterns and predictors of successful stressor resolution in later life.

At 1 year, 4 years, and 10 years after baseline, late-middle-aged adults reported whether they had successfully resolved their most important stressor of the past year. Compared to individuals who never resolved focal stressors over the 10-year interval, those who always did consistently showed less negative stressor appraisal, less reliance on avoidance coping, and less use of exploratory relative to directed coping responses, independent of type and severity of focal stressor. Less use of exploratory relative to directed coping and having more social resources, fewer health problems, and fewer depressive symptoms at baseline predicted more stressor resolution over the next 10 years. These predictors are promising foci for prospective efforts to optimize ways in which aging adults manage late-life stressors. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Vulnerability and resilience to combat exposure: Can stress have lifelong effects?

Examined whether appraisals of desirable and undesirable effects of military service mediated the effect of combat stress on posttraumatic stress disorder (PTSD) symptoms in later life in 1,287 male veterans (aged 44–91 yrs), 40% of whom had been in combat. The men reported more desirable effects of military service (e.g., mastery, self-esteem, and coping skills) than undesirable ones; both increased linearly with combat exposure. Path analysis revealed that the appraisals were independent and opposite mediators, with undesirable effects increasing and desirable effects decreasing the relationship between combat exposure and PTSD, even controlling for depression and response style. Although lifelong negative consequences of combat exposure were observed, perceiving positive benefits from this stressful experience mitigated the effect. (PsycINFO Database Record (c) 2010 APA, all rights reserved)