The fit between stress appraisal and dyadic coping in understanding perceived coping effectiveness for adolescents with type 1 diabetes.

This study examined whether perceived coping effectiveness (PCE) was associated with better diabetes management and was higher when adolescents’ dyadic coping was matched to shared stress appraisals. There were 252 adolescents with Type 1 diabetes who completed stress and coping interviews where they appraised mothers’ and fathers’ involvement in stress ownership (mine, indirectly shared, directly shared with parent), in coping (uninvolved, supportive, collaborative, or controlling), and rated their effectiveness in coping. Adolescents completed assessments of depressive symptoms (Children’s Depression Inventory), self-care behaviors (Self-Care Inventory), and efficacy of disease management (Diabetes Self-Efficacy). Glycosylated hemoglobin levels were obtained from medical records. Higher PCE was associated with fewer depressive symptoms, self-care behaviors, and efficacy across age and, more strongly for older adolescents’ metabolic control. Appraisals of support or collaboration from parents were more frequent when stressors were appraised as shared. PCE was enhanced when dyadic coping with mothers (but not fathers) was consistent with stress appraisals (e.g., shared stressors together with collaborative coping). Stress and coping is embedded within a relational context and this context is useful in understanding the coping effectiveness of adolescents. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Adjustment to multiple sclerosis: Application of a stress and coping model.

This study examined the use of a stress and coping model of adjustment to multiple sclerosis (MS). A total of 122 MS patients were interviewed and completed self-administered scales at Time 1 and 12 months later, Time 2 (n?=?96). Predictors included stressful life events, illness (duration, severity, and disability), social support, appraisal (threat and control/challenge), and coping (problem focused and emotion [wishful thinking, self-blame, and avoidance] focused). Adjustment outcomes were Time 2 depression, global distress, social adjustment, and subjective health status. Results from hierarchical regression analyses indicated that after controlling for the effects of Time-1 adjustment, better Time-2 adjustment was related to less disability, greater reliance on problem-focused coping, and less reliance on emotion-focused coping. There was limited support for the stress buffering effects of coping and social support. Findings offer some support for the use of a stress and coping model of adaptation to MS. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The role of coping in the relationship between perceived racism and racism-related stress for Asian Americans: Gender differences.

On the basis of stress and coping theory, the authors examined coping as a mediator of the relationship between perceptions of racism and racism-related stress with a sample of Asian American college students (N = 336). Results indicated that coping mediated the relationship between racism and racism-related stress differentially by gender. The more that men perceived racism, the more likely they were to use support-seeking coping strategies that were associated with higher levels of racism-related stress. The more that women perceived racism, the more they used active coping strategies that were associated with higher levels of racism-related stress. The findings demonstrate how coping with racism differs for Asian Americans on the basis of gender. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The mediating role of coping: A cross-sectional analysis of the relationship between coping self-efficacy and coping effectiveness among athletes.

This study examines the relationship among global coping self-efficacy, coping, and coping effectiveness within athletes. We hypothesized that there would be a positive association between coping self-efficacy and coping effectiveness, which would be mediated by coping. It was also predicted that coping strategies within the task-oriented coping dimension would be positively associated with coping effectiveness, whereas strategies from the disengagement- and distraction-oriented coping dimensions would be negatively associated with coping effectiveness. Participants were 353 athletes between the ages of 18 and 29 years, who completed a measure of coping self-efficacy the night before they competed, in addition to a measure of the athletes' use of coping strategies and their perceived coping effectiveness, which was completed immediately after the competitive event. Results revealed that higher global coping self-efficacy scores were significantly (r = .33, p     

Romantic partners' individual coping strategies and dyadic coping: Implications for relationship functioning.

Individual coping strategies and dyadic coping independently predict partner well-being and relationship functioning; however, it is unclear whether the coping processes are inter-related and whether they uniquely contribute to romantic relationship functioning. One hundred heterosexual dating couples rated the individual coping strategy of negative mood regulation as well as positive and negative dyadic coping. Relationship functioning was assessed via partners' reports of relationship satisfaction and observers' ratings of negative interaction in conflict. Actor-Partner Interdependence Models (APIMs; Cook & Kenny, 2005; Kashy & Kenny, 2000) revealed associations between individual coping and dyadic coping in the predicted directions. APIMs also indicated the unique contributions of positive and negative dyadic coping to relationship functioning, above and beyond contributions of individual coping strategies. Implications of dyadic coping as a target of efforts to prevent or treat partner and/or relational distress are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Coping effectiveness and coping diversity under traumatic stress.

The effectiveness of different strategies of coping and the impact of coping diversity were tested under traumatic stress conditions. Participants were 632 U.S. soldiers stationed in Iraq (mean age = 27.7, 98 male). Results indicate that four of nine functional coping strategies (including some emotion-focused coping) as defined by the COPE scale were inversely related to psychological symptom, whereas five of six dysfunctional strategies were positively related. Overall, in comparison to the norm group, soldiers showed a depressed level of functional coping strategies. Hierarchical regression, used to control for demographics and coping strategy intercorrelations, indicated that positive reinterpretation, emotional social support, and humor were most strongly related to lower psychological symptoms, whereas venting emotions, denial, mental disengagement, behavioral disengagement, and alcohol and drug use were related to higher levels of psychological symptoms. Two indices of coping diversity were tested. The index more strongly related to higher psychological adjustment was the sum of deviations from the mean of specific coping strategies combined with the alignment of functional and dysfunctional strategy clusters. Implications for research and application were discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Moderating effects of three coping strategies and self-esteem on perceived discrimination and depressive symptoms: A minority stress model for Asian international students.

This study examined 3 coping strategies (reflective, suppressive, and reactive), along with self-esteem, as moderators of the relation between perceived discrimination and depressive symptoms. International students (N = 354) from China, India, Korea, Taiwan, and Hong Kong provided data via an online survey. The role of perceived general stress was statistically controlled. Hierarchical regression analyses indicated a significant direct effect of perceived discrimination, a significant 2-way interaction of perceived discrimination and suppressive coping, and a significant 3-way interaction of perceived discrimination, reactive coping, and self-esteem in predicting depressive symptoms. An increased tendency to use suppressive coping appeared to strengthen the association between perceived discrimination and depressive symptoms. In contrast, the association between perceived discrimination and depressive symptoms was not significant when reactive coping was infrequently used, but only for students with relatively high self-esteem. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The relationship between voluntary employer changes and perceived job stress in Taiwan.

Although the career strategy of voluntary employer changes has been recognized, it remains unclear whether those adopting such a strategy pay a price of higher job stress or experience a benefit of lower job stress. Two competing hypotheses of the relationship between voluntary employer changes and perceived job stress were proposed. Data from a survey of master's of business administration degree holders in Taiwan supported the hypothesis of a negative relationship. Those with more voluntary employer changes perceive lower job stress. This finding expands the knowledge of the link between behavioral characteristics and job stress. The situations for this finding are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Students' stress, coping strategies, and school completion: A longitudinal perspective.

This study investigated the relationship between two intrapersonal variables-- stressful life change events and reported coping strategies-- and high school completion status among early adolescents. The sample was comprised of 92 students (44 females and 48 males) who had completed questionnaires regarding the number and types of life change events they had experienced and the coping strategies they reported using during ninth grade. A 3-year follow-up study of these students was completed to determine whether they finished high school or reported dropping out. Discriminant analysis was used to build a prediction model and indicated that the coping factors of Social Activities and Seeking Professional Support significantly predicted high school dropout status, whereas Family Involvement was negatively related to this outcome. These findings are discussed in light of current research, and suggestions for future research are provided. Interventions that focus on the contextual variables related to family and peers are indicated, as is the need for school psychologists and other school mental health professionals to offer coping skills training. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Nurse occupational stress research. 4: The prevalence of stress

This article, the fourth in a six-part series on nurse occupational stress, reviews the prevalence of nurse stress. It will attempt to address questions which are both critical and crucial to an examination of the prevalence of nurse stress. Does the evidence support the claim that the levels of nurse stress within the new NHS are increasing? Does current nurse stress research methodology permit like-for-like comparisons of nurse stress methodology in relation to issues such as frequency and degree of stress? Are certain areas of nursing more stressful than others?     

Cognitive coping strategies and blood pressure responses to real-life stress in healthy young men.

10 high- and 10 low-self-focused-coping (SFC) male college students (aged 18–22 yrs) were tested with ambulatory blood pressure (BP) monitoring on 2 typical schooldays, one of which included an examination. The high-SFC Ss (those who tend to keep to themselves and/or blame themselves in stressful situations) showed higher BP responses on the exam day, not only during the exam, but also during other activities throughout the same day, including evening rest. Results are discussed in terms of the relation between psychological and physiological responding. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Response to stress, cognitive coping strategies, and the Type A behavior pattern.

Examined (a) whether Type A (coronary-prone) individuals respond with more psychophysiological arousal to threat to self-esteem than to threat of shock, (b) whether differences between Type A and Type B individuals in psychophysiological responses are greater under high than low stress, and (c) whether Type A and Type B individuals differ in how they cognitively cope with stress. 84 male college students participated. Results indicate that Type A Ss manifested higher pulse rates across all conditions and greater systolic and diastolic blood pressures in response to threat to self-esteem than did Type B Ss. Type A Ss also employed more suppression in response to both threat to self-esteem and threat of shock and employed more denial in response to threat to self-esteem than did Type B Ss. Implications regarding the means by which Type A behavior increases the risk of premature heart disease are discussed. (25 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Personal control and stress and coping processes: A theoretical analysis.

Analyzes the role of personal stress and coping processes from the perspective of a cognitively oriented theory developed by R. S. Lazarus and colleagues, beginning in 1951. Believing that an event is controllable does not always lead to a reduction in stress or to a positive outcome, and believing that an event is uncontrollable does not always lead to an increase in stress or to a negative outcome. The present author shows how 2 forms of control, generalized beliefs about control and situational appraisals of control, fit into the overall model of Lazarus and colleagues. Situational appraisals of control are explored, especially as they relate to health matters. The theoretical formulation of stress and coping is drawn on to examine 3 important issues: (a) how believing one has control in a stressful transaction can heighten threat, (b) the relationship between control and coping, and (c) pathways through which control can affect the adaptational outcomes of stressful encounters. (88 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The effectiveness and practicality of occupational stress management interventions: A survey of subject matter expert opinions.

96 stress management subject matter experts (SMEs) (aged 27–67 yrs) evaluated 6 widely used occupational SM interventions (relaxation, physical fitness, cognitive restructuring, meditation, assertiveness training, and stress inoculation) on the basis of 10 practicality criteria and 7 effectiveness objectives. Relaxation was evaluated overall as the most practical intervention, while meditation and stress inoculation were judged as the least practical. Physical fitness was chosen to be the most effective intervention, while both meditation and assertiveness training were rated overall as the least effective. The findings also revealed that the SMEs considered history of success and duration of effect, rather than "relevance to program objectives," as the most important factors when selecting stress management interventions. Incongruence between effectiveness ratings and actual choices of interventions are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Effects of stressful daily events on mood states: relationship to global perceived stress

This study used experience sampling methodology to examine the relationship between stressful daily events and mood. Eighty-five male white-collar workers completed self-reports 10 times a day for 5 days. Controlling for individual differences in mood levels, multilevel regression analyses showed that events were followed by increases in negative affect (NA) and agitation (Ag) and by decreases in positive affect (PA). More unpleasant events were associated with greater changes in all three mood dimensions; controllability mitigated the effects of events on NA and PA. Prior events had persistent effects on current mood. High perceived stress (PS) was associated with greater reactivity of NA and PA to current events, whereas trait anxiety moderated reactivity of Ag. Results indicate that PS is related not only to a higher frequency of reported events but also to more intense and prolonged mood responses to daily stress.     

The relationship of ambivalent coping to depression symptoms and adjustment.

Objective: To assess the influence of mental distancing and venting emotions on depressive symptoms and health-related quality of life (HRQOL). Participants: Seventy-six individuals hospitalized with acute burn injuries. Design: Prospective longitudinal study. Measures: Beck Depression Inventory (A. T. Beck, E. Ward, M. Mendelson, J. Mock, & J. Erbaugh, 1961), COPE (C. S. Carver, M. F. Scheier, & J. K. Weintraub, 1989), and Short Form--36 Health Survey (J. E. Ware, K. K. Snow, M. Kosinski, & B. Gandek, 1993). Results: Ambivalent coping at baseline (i.e., using both mental distancing and venting emotions, relative to using only 1 or neither) led to more symptoms of depression at follow-up, even when baseline symptoms were controlled. Ambivalent coping was related to postburn psychosocial HRQOL, and baseline symptoms of depression only slightly attenuated this relationship. Conclusions: Ambivalent coping appears to result from vacillation between motives. Decreasing inconsistent coping or reducing antithetical motivation may reduce depression and improve adjustment. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Adjustment to a low-control situation: Reexamining the role of coping responses.

The aim of the study was to test a revised conceptualization of the role of coping in adjustment to a low-control stressor—women's adjustment to a failed in vitro fertilization (IVF) attempt. Data were collected prior to the IVF treatment (Time 1) and twice after the failed IVF attempt (1 to 2 weeks after finding out the results, n?=?171, and 6 weeks later, n??139). Initial adjustment was assessed at Time 1, whereas measures of coping and both self-report and partner ratings of adjustment were obtained at Times 2 and 3. As predicted, escapist strategies and problem-management strategies (mainly at Time 2) were associated with poor adjustment, whereas problem-appraisal coping was associated with better adjustment. There was also support for the proposed positive relationship between adjustment and emotional approach coping (on self-report adjustment). (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Sickle cell disease pain: Relation of coping strategies to adjustment.

This study examines pain coping strategies in a relatively neglected pain population, sickle cell disease (SCD) patients. Seventy-nine patients diagnosed with SCD were given a structured interview to assess pain, activity level, and health care use during painful episodes. Patients also completed the SCL-90—R as an index of psychological distress and the Coping Strategies Questionnaire. Regression analyses controlled for age, sex, and disease severity measures. Results indicated that the coping strategies factors were important predictors of pain and adjustment. Individuals high on Negative Thinking and Passive Adherence had more severe pain, were less active and more distressed, and used more health care services. Individuals high on Coping Attempts were more active during painful episodes. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The meaning of occupational stress items to survey respondents.

Tested the effect of using the word stress in the measurement of self-reported occupational stressors and strains. Employees from 2 organizations responded to a questionnaire that included specific occupational stressors, strains, and 16 items in which the word stress was used. Survey respondents tended to interpret the word stress to refer both to employees' strains or reactions to the work environment and to job stressors or elements of the environment itself. Implications of these findings for occupational stress research are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Caring for an institutionalized parent: The role of coping strategies.

Extends knowledge about the stresses of caregiving by considering relationships between adult children and their institutionalized parents. Although previous studies have indicated that emotional strains experienced by adult children with institutionalized parents are of similar magnitude to those experienced by caregivers in the community, little attention has been paid to effects that may mediate the stressor–mental health relationship. Coping strategies were hypothesized as mediators of the stressor–mental health relationship. Data from 424 adult children with a parent living in a nursing home revealed that emotion-focused coping strategies mediate the relationship between stressors and mental health, whereas problem-focused coping strategies do not mediate this relationship. Findings emphasize the importance of examining coping strategies as multidimensional entities having differential effects on mental health. (PsycINFO Database Record (c) 2010 APA, all rights reserved)