Stress appraisal in women with spinal cord injury: Supplementary findings through mixed methods.

A study was conducted to examine how women with spinal cord injury (SCI) perceive the stressors they encounter, and how cognitive appraisal is associated with coping and life satisfaction. Fifty women with SCI were interviewed regarding their experience with stress and coping. The interviews were then coded using a framework based on stress and coping theory (transactional model). The systematic application of quantitative methods to the coded interview data allowed for statistical analyses, which demonstrated that the context in which the women spoke about their experiences with various stressors was associated with coping strategies, time since injury, and life satisfaction. Although stress and coping are commonly seen as interacting constructs that influence quality of life outcomes, current findings suggest that appraisal of stressors in the context of loss (more common among women more recently injured) may have a direct impact on life satisfaction apart from any coping strategies put into effect. Interventions designed to facilitate coping with loss and enhance problem-solving skills, along with education about available resources, may foster a sense of empowerment after SCI and ultimately change how stressors are perceived and managed in order to dampen their negative impact on life satisfaction. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Dispositional affect and work-related stress.

Trait negative affectivity (NA) has been asserted to be a factor that spuriously inflates relationships between self-reported stressors and self-reported strain outcomes. This hypothesis was tested with conventional work stress instrument responses and physiological assessments obtained from 311 fire and police department employees. Confirmatory factor analyses indicated that NA did not measure a factor in common with measures of subjective strain. Latent-variable structural equations analyses, however, found that estimating the effects of NA on strain significantly attenuated the effects of work stressors. NA had no correlation with physiological stress outcomes. Trait positive affectivity did not attenuate relationships between work stressors and either subjective or objective stress outcomes. Implications for work stress research methodology and recommendations are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Minority stress predictors of HIV risk behavior, substance use, and depressive symptoms: Results from a prospective study of bereaved gay men.

Objective: Minority stress is the most frequently hypothesized risk factor for the increased rates of adverse behavioral and mental health outcomes among sexual minorities. However, there is a paucity of longitudinal research addressing this hypothesis. Design: Prospective, community-based cohort of 74 bereaved gay men. Participants were assessed before the partner or close friend died of AIDS and then at 1, 6, 13, and 18 months postloss. Main Outcome Measures: HIV risk behavior (unprotected anal intercourse), substance use and abuse symptoms, and depressive symptoms. Results: Hierarchical Linear Modeling analyses revealed that changes in internalized homophobia, discrimination experiences, and expectations of rejection were differentially associated with HIV risk behavior, substance use, and depressive symptoms, respectively. In contrast to the significant effects of minority stress, bereavement-related stressors (e.g., length of partner illness, quality of relationship with deceased) were largely unrelated to these outcomes. Conclusion: The results provide evidence for the predictive validity of minority stress, even in the context of a major life stressor, and suggest the importance of targeting minority stress experiences in HIV and mental health interventions with gay men. Future studies are needed to assess the mechanisms through which minority stress is associated with adverse health outcomes. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The impact of interpersonal violence in adulthood on women's job satisfaction and productivity: The mediating roles of mental and physical health.

Objective: With growing awareness of the prevalence of interpersonal violence victimization among women, research has begun to examine the impact of these experiences on employment. To date, much of this work in the United States has centered on low-income women moving from public assistance to paid employment and research gaps in our understanding of a broader range of working women's experiences still exist. The present study explored the impact of multiple types of victimization (sexual violence, physical intimate partner violence, psychological abuse, and stalking) on a range of work outcomes (job satisfaction, job benefits, job interference). Method: A random-digit-dial telephone survey of 1,079 women living in New Hampshire was conducted. Measures included questions about victimization in adulthood and current perceptions of employment. Results: A multivariate analysis of variance and regression analyses showed clear links between victimization experiences and negative work outcomes. Mental and physical health symptoms represent important mediators explaining these links. Conclusion: Results support the need for workplace policies and supports that provide safety nets for survivors and encourages the development of community norms that assist survivors in accessing such supports. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Measuring abuse stress and negative cognitive appraisals in child sexual abuse: validity data on two new scales

The validity of two measures assessing degree of stress associated with sexual abuse was examined in a sample of 48 girls who had been sexually abused. The Checklist of Sexual Abuse and Related Stressors (C-SARS) assessed negative life events that were part of or were related to the abuse, and the Negative Appraisals of Sexual Abuse Scale (NASAS) assessed negative cognitive appraisals of threat, harm, or loss associated with the abuse. Total scores for victim reports of both stressful events and negative appraisals were positively and significantly related to two other measures of abuse severity: therapist ratings of abuse stress and the number of types of sexual abuse reported. Stressful event scores were also related to aggressive behavior problems, sexual concerns, and total symptom scores on the Child Behavior Checklist. Negative cognitive appraisal scores were related to victims' self-reports of depression, anxiety, and posttraumatic stress symptoms, and to parents reports of child depression and total symptoms. Regression analyses indicated that there were significant effects of negative appraisals on internalizing symptoms when controlling for the level of stressful events experienced. The results suggest that negative life events and negative appraisals associated with sexual abuse are valid constructs that help account for variability in mental health outcomes among child victims. The implications of these results and future research directions in examining variable outcomes among sexual abuse victims are discussed.     

Use of both qualitative and quantitative approaches to study job stress in different gender and occupational groups.

Gender differences in job stress were investigated, collecting both qualitative (stressful incidents at work) and quantitative (rating scales of commonly experienced job stressors and strains) data from a sample of university employees. Content analyses of the qualitative data revealed 5 major job stressors, 5 major psychological strains, and 4 major physical strains experienced by both genders. When comparisons are made between men and women on their job stress experiences, a potential confounder is occupation, for which the authors controlled. While the authors controlled for occupation, women reported more overall psychological strains (as indicated by the qualitative data) and depression (as indicated by the quantitative data) than did men. Conversely, while the authors controlled for gender, faculty reported more anger and less frustration (as indicated by the qualitative data) and less turnover intentions (as indicated by the quantitative data) than did support staff. In this study, both qualitative and quantitative data indicated interaction effects between gender and occupation in predicting job stressors and strains. Finally, there was a stronger relation between interpersonal conflicts and negative emotions/job satisfaction were stronger for faculty than for staff. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Genetic and environmental effects on daily life stressors: More evidence for greater variation in later life.

People vary in the occurrence and perceived severity of stressors experienced in their daily lives. In the current study, the authors examined the extent to which individual differences in these relatively minor occurrences are determined by genetic endowment as well as environmental influences and how these effects vary by age. Identical (npairs = 111) and fraternal (npairs = 99) twin adults ranging from 25 to 73 years old reported the occurrence and severity of their daily stressors on 8 consecutive evenings. Both genetic and unique environmental effects accounted for the variance in stressor occurrence, whereas shared family and unique environmental effects accounted for the variance in the perceived severity of these stressors. In addition, the influence of unique environment on perceived stress exerted a stronger influence among the older adults than the younger adults. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

An integrated model of weekday stress and weekend recovery of students.

In previous research on psychological stress recovery, recovery activities and recovery experiences have been studied separately rather than jointly. The present study advances previous knowledge about stress recovery by integrating the effects of these separate recovery constructs within a single study and examining them outside the work context. We propose and test an integrated model of the stress-recovery process that includes weekday stressors and weekend recovery activity behaviors, psychological recovery experiences, and recovery outcomes. Undergraduates (n = 221) from a Midwestern university reported on Friday about stressors experienced during the week, followed by a weekend during which recovery could occur. On Monday they reported their weekend activities and their current well-being. Results suggest that participating in specific recovery activities during a weekend and accompanying specific subjective recovery experiences reduce negative psychological outcomes. Future research and practical applications of the integrated model of the recovery process are discussed. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

The relation between methods of coping during adulthood with a history of childhood sexual abuse and current psychological adjustment.

With a community sample of 192 women who had been sexually abused during childhood, the investigators determined if methods of coping in adulthood with the aftermath of child sexual abuse were associated with current symptoms of psychological distress. Multiple regression analyses indicated that disengagement methods of coping with the sexual abuse accounted for unique variance in general psychological distress even after controlling for characteristics of the abuse and methods of coping with other stressors. Disengagement methods of coping were also used more often to deal with the stressful aspects of having been sexually abused than to deal with other stressful events. In contrast, engagement methods of coping were used more often to deal with the other stressors than with sexual abuse. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The Impact of Sense of Coherence and Negative Affectivity on the Work Stressor-Strain Relationship.

This study investigated different ways in which work stressors, sense of coherence (SOC), and negative affectivity (NA) might influence strain. Three models covering direct, moderating, and mediating effects between the variables were tested for hyperresponsitivity, causality, perception, selection, and stressor-creation mechanisms. The sample consisted of 205 hospital employees (nurses, physicians, and medical technicians). Work stressors, SOC, NA, and strain were measured and analyzed in structural equation models and with analyses of variance. Besides direct effects on strain, significant perception, selection, and stressor-creation mechanisms of SOC could be identified. After controlling for SOC and NA, work stressors remain substantial predictors of strain. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Work stress and health

OBJECTIVES: This article describes work stress experienced by the employed population. It examines associations between job strain, job insecurity, physical demands, low co-worker support and low supervisor support, and four health outcomes: migraine, work injury, high blood pressure and psychological distress. DATA SOURCE: The data are from the household component of the 1994/95 National Population Health Survey conducted by Statistics Canada. Results are based on a sample of 9,023 employed Canadians aged 18 to 64. ANALYTICAL TECHNIQUES: Multivariate analyses were used to estimate associations between work stress and health problems, while controlling for other potential stressors. MAIN RESULTS: Among men, job strain was associated with migraine and psychological distress, and among women, with work injury. Job insecurity was associated with migraine among women. High physical demands were related to work injury in both sexes. Low co-worker support was related to migraine among men, and to work injury and psychological distress among women.     

Chronic and acute stressors among military personnel: Do coping styles buffer their negative impact on health?

This study examined the moderating impact of positive and negative coping styles on the relationship of acute and chronic job stressors with self-reported health symptoms of 521 military personnel. The number of acute work-related events was associated with a high frequency of self-reported symptoms. Similarly, role ambiguity, overload, and lack of job stimulation were associated with increased symptoms. Only the negative coping styles (i.e., venting of negative emotions and denial/disengagement) were uniquely associated with symptoms. Only 5 of the 13 proposed Stressor?×?Coping interactions were significant, and they all involved the negative coping styles. That is, instead of alleviating the negative outcomes of work stressors, these coping styles were associated with high strain, regardless of the amount of stressor, and, in some cases, these coping styles exacerbated the negative effect of the stressor on the strain outcomes. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Cumulative stress and cortisol disruption among Black and Hispanic pregnant women in an urban cohort.

While adult hypothalamic-pituitary-adrenocortical (HPA) axis functioning is thought to be altered by traumatic experiences, little data exist on the effects of cumulative stress on HPA functioning among pregnant women or among specific racial/ethnic groups. The goal of this study was to explore the effects of multiple social stressors on HPA axis functioning in a sample of urban Black (n = 68) and Hispanic (n = 132) pregnant women enrolled in the Asthma Coalition on Community, Environment, and Social Stress (ACCESS). Women were administered the Revised Conflict Tactics Scale (R-CTS) survey, the Experiences of Discrimination (EOD) survey, the Crisis in Family Systems-Revised (CRISYS-R) negative life events survey, and the My Exposure to Violence (ETV) survey, which ascertains community violence exposure. A cumulative stress measure was derived from these instruments. Salivary cortisol samples were collected five times per day over three days in order to characterize diurnal salivary cortisol patterns. Repeated measures mixed models, stratified by race/ethnicity, were performed adjusting for education level, age, smoking status, body mass index and weeks pregnant at time of cortisol sampling. The majority of Hispanic participants (57%) had low cumulative stress, while Black participants had intermediate (35%) or high (41%) cumulative stress. Among Black but not Hispanic women, cumulative stress was associated with lower morning cortisol levels, including a flatter waking to bedtime rhythm. These analyses suggest that the combined effects of cumulative stressful experiences are associated with disrupted HPA functioning among pregnant women. The etiology of racial/ethnic differences in stress-induced HPA alterations warrants further research. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Shiftwork and environment as interactive predictors of work perceptions.

Evidence suggests that the work environment may play a role in the elevated risk of adverse health outcomes among shiftworkers compared with dayworkers. Perceived work environment measures (physical stressors, job demand, job control, skill discretion, supervisor support, and safety perceptions) from UK oil industry personnel (N=1,867) were analyzed in relation to shiftwork (day/night rotation vs daywork) and objective work environment (onshore vs offshore). Age, education, job type, and negative affectivity were also included. The Environment × Shiftwork interaction was significant in multivariate tests and in 5 of the 6 univariate analyses. Onshore, shiftworkers perceived their environment significantly less favorably than dayworkers, but differences were less marked offshore. Results are discussed in relation to the demand-control-support model of work stress. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Chronic parenting stress: Moderating versus mediating effects of social support.

Contrasted the widely cited "buffer" model of social support with an alternative mediator model. Distinctions were drawn between the functions of social support under chronic vs acute stress conditions, and between situation-specific stressors and major life events. Ongoing parenting stress was assessed in 96 mothers of deaf children and 118 matched controls. Tests of the competing models showed no moderating effects for social support. However, path analyses suggested that social support mediated the relationship between stressors and outcomes. Chronic parenting stress was associated with lowered perceptions of emotional support and greater symptoms of depression and anxiety. Furthermore, parenting stress accounted for a substantial proportion of the variance in psychological distress scores in contrast to life event stress, which was only weakly related to psychological outcomes. The implications of mediational models for understanding adaptation to chronic stress are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Reported exposure and emotional reactivity to daily stressors: The roles of adult age and global perceived stress.

A central goal of daily stress research is to identify resilience and vulnerability factors associated with exposure and reactivity to daily stressors. The present study examined how age differences and global perceptions of stress relate to exposure and emotional reactivity to daily stressors. Sixty-seven younger (Mage = 20) and 116 older (Mage = 80) adults completed a daily stress diary and measures of positive and negative affect on 6 days over a 14-day period. Participants also completed a measure of global perceived stress. Results revealed that reported exposure to daily stressors is reduced in old age but that emotional reactivity to daily stressors did not differ between younger and older adults. Global perceived stress was associated with greater reported exposure to daily stressors in older adults and greater stress-related increases in negative affect in younger adults. Furthermore, across days on which daily stressors were reported, intraindividual variability in the number and severity of stressors reported was associated with increased negative affect, but only among younger adults. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Work-family spillover and life satisfaction among professional psychologists.

How do the professional lives of psychologists influence their personal and family lives? Data from 485 psychologists who responded to a survey on professional and family life were analyzed to examine work-to-family spillover, life satisfaction, and family support. Respondents reported a significantly higher incidence of positive spillover, termed family enhancers, than negative spillover, termed family stressors. The low incidence of family stressors suggested that stresses associated with the professional work of psychology do not routinely spill over into professionals' family lives. Both positive and negative spillover, however, played significant roles in mediating the relationship between work and family domains. On the positive side, a sense of personal accomplishment at work was associated with increased family enhancers, which appeared to lead to greater family support and life satisfaction. On the negative side, emotional exhaustion at work was associated with more family stressors, which appeared to lead to less family support and life satisfaction. The implications of these findings for training and practice are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Do the Effects of Job Stressors on Health Persist Over Time? A Longitudinal Study With Observational Stressor Measures.

Observational work analyses were conducted among 222 office workers (131 women, 91 men) from 12 German companies to measure stressors independently of worker appraisal. Stressors were determined twice (1990, 1991), along with 7 health indicators separately assessed by questionnaire. Health indicators were assessed again in 1992 and once more in 1998. This 2-wave, 2-variable design with 2 follow-up measurements of health indicators determines (a) the causal directions using cross-lagged partial correlations (stressors seem to have an impact on health); (b) the strength of the impact (cross-lagged correlations for Waves 1 to 4 range from .18     

Psychological resilience, positive emotions, and successful adaptation to stress in later life.

In 3 studies, the authors investigated the functional role of psychological resilience and positive emotions in the stress process. Studies 1a and 1b explored naturally occurring daily stressors. Study 2 examined data from a sample of recently bereaved widows. Across studies, multilevel random coefficient modeling analyses revealed that the occurrence of daily positive emotions serves to moderate stress reactivity and mediate stress recovery. Findings also indicated that differences in psychological resilience accounted for meaningful variation in daily emotional responses to stress. Higher levels of trait resilience predicted a weaker association between positive and negative emotions, particularly on days characterized by heightened stress. Finally, findings indicated that over time, the experience of positive emotions functions to assist high-resilient individuals in their ability to recover effectively from daily stress. Implications for research into protective factors that serve to inhibit the scope, severity, and diffusion of daily stressors in later adulthood are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Rethinking the effects of stressors: A longitudinal study on personal initiative.

This study examined the relationship between stressors at work and personal initiative (PI), one proactive concept of extra-role performance. Using a control theory framework to describe the stress process, the authors hypothesized that stressors should be positively related to PI. This departs from findings of negative relationships between stressors and other types of performance. Furthermore, curvilinear relationships were tested. The analyses, based on 4 measurement waves of a longitudinal field study with 172 to 193 participants, showed that stressors were positively related to subsequent changes in PI; there was no support for a curvilinear relationship. (PsycINFO Database Record (c) 2010 APA, all rights reserved)