Mothers' and fathers' coping with chronic childhood disease

Abstract

Mothers and fathers with a child with diabetes, asthma, cardiac conditions, epilepsy or leukaemia completed questionnaires to investigate their appraisal of disease-related difficulties and patterns of coping. There were differences both in appraised difficulties and coping patterns as a function of diagnostic group. In general, mothers who perceived more difficulties reported that it was helpful to cope by gaining disease-related knowledge. Fathers who perceived more difficulties reported it was more helpful to adopt strategies to enhance their own personal autonomy. Fathers who perceived more difficulties also reported that contact with medical staff was less helpful. Implications are discussed in terms of the differential implications of coping with chronic childhood diseases for mothers and fathers. Theoretical models need to take into account the differential demands of specific diseases in accounting for parents' stress appraisal and coping patterns.     

Longitudinal analysis of stressors,stress, coping and coping effectiveness in elite esports athletes

ObjectiveThe current study aimed to longitudinally examine the stressors, stress appraisal, coping, and coping effectiveness experienced by elite esports athletes.DesignSix elite male League of Legends (LoL) athletes, competing in the Oceanic Challenger Series (OCS), completed diaries over the 2020 competitive season (87 days).MethodAthletes completed weekly diaries after three events: solo training, team training, and competitive matches. Each diary collected data on the stressors experienced, stressor intensity and threat/challenge perception (appraisal), coping strategies used, and perceived coping effectiveness.ResultsGeneral performance, outcome, critical moment performance, and teammate mistakes accounted for 55% of the stressors reported. More stressors were reported in competitive diaries than in training diaries. Competitive stressors were rated as being more intense than training stressors. There were no differences in overall challenge and threat perception, but performance stressors were more likely to be perceived as a challenge, and teammate stressors were more likely to be perceived as a threat. Problem-focused coping (PFC) was the most frequently employed coping strategy. PFC and emotion-focused coping (EFC) strategies were perceived as more effective at reducing stress than avoidance coping (AC).ConclusionsElite LoL athletes experienced a small number of reoccurring stressors over an 87-day competitive period. Athletes reported more stressors around competitive matches and perceived competitive stressors as more intense than team and solo training stressors. Similarly to traditional sports athletes, PFC strategies were the most frequently employed and, PFC and EFC were rated as being more effective than AC.     

Chapter Five: Aging in Rapidly Changing Chinese Societies: A Summary and Interpretation of Our Study

ABSTRACT

Older adults at a church-related continuing care retirement community perceived themselves as being more spiritual in their later years and having a stronger emotional connection to their spirituality than when they were younger. Respondents were currently stable in their religious practice and spirituality, suggesting that changes occurred prior to the recent past, possibly around the time of retirement. This may uphold the notion that increased spirituality in the later years is a natural developmental phenomenon of the aging process. The association between religious coping and perceived health was noted, suggesting that religious coping may buffer perceived health from the negative impact of medical problems. The contribution to spirituality by physical environment and pastoral care was also noted.     

Determinants of sanitary measures and lockdown compliance among health professionals during the COVID-19 pandemic

IntroductionCOVID-19 pandemic forced several countries to establish sanitary and lockdown measures to prevent the spreading of the virus. Only necessary workers were allowed to work, including health workers in hospitals.ObjectivesThis study explores the association between some variables and sanitary measures compliance among health workers during a pandemic.MethodA total of 299 Health workers were recruited online using social networks. Participants completed questionnaires evaluating personality, coping, Anxiety and depression, psychological flexibility and sanitary measures compliance.ResultsCorrelations indicated most observant participants were more likely to present efficient coping and more based on problem solving. Also, Honesty-Humility as a personality trait was positively correlated to a better compliance. Regressions indicated the perceived utility of sanitary measures was the strongest predictor for compliance among health workers. Honesty-Humility and sanitary risks perception were predictors for compliance.ConclusionsThis study conducted among health workers points indicates variables associated with higher compliance. Our results suggest compliance and non-compliance as health behaviours or risk behaviours are linked to perceived threats. This perception is linked to health workers’ knowledges, their coping strategies, and personality.     

Personal and Situational Variables That Describe Coping With Acute Stress in Competitive Sport

Abstract

The authors examined the degree to which competitive basketball players in Australia were consistent in their cognitive appraisals and coping strategies in response to 4 types of stressful situations that they had experienced during previous basketball games as functions of perceived stress intensity. The authors predicted that both approach and avoidance coping strategies would be dependent on the type of stressful event, in accord with the transactional model. The results supported that prediction: Approach strategies were more prevalent than avoidance strategies following 3 of the 4 events. Cognitive appraisals and perceived stress intensity also strongly influenced the participants' use of coping strategies, accounting for 34% of the variance.     

Roles of Leisure in Coping with Stress Among University Students: A Repeated-Assessment Field Study

This article reports findings of a study to examine the effects of leisure coping on various stress coping outcomes including: immediate outcomes (perceived coping effectiveness, perceived satisfaction with coping outcomes, and perceived stress reduction) and distal or long-term outcomes (physical and mental ill-health and psychological well-being), above and beyond the contributions of general coping - coping not directly associated with leisure. A repeated-assessment field design was used to examine ways in which university students cope with stressors in their daily lives. The study found that leisure coping beliefs (leisure-generated dispositional coping resources) significantly predicted lower levels of mental and physical ill-health and greater levels of psychological well-being above and beyond the effects of general coping. Also, the use of leisure coping strategies (situation-specific stress coping strategies through leisure) was significantly associated with higher levels of perceived coping effectiveness and stress reduction when the effects of general coping were taken into account. Significant contributions of specific leisure coping dimensions were found as well.     

Asian American Women Sexual Assault Survivors’ Choice of Coping Strategies: The Role of Post-Assault Cognitive Responses

ABSTRACT

Even though approximately one in three Asian American (AA) and Pacific Islander women experience sexual assault victimization, there is a dearth of literature examining how AA women sexual assault survivors cope with this traumatic experience. This study examined AA female sexual assault survivors’ choice of coping strategies post-assault and how their cognitive responses toward sexual assault victimization (e.g., attributions of self-blame, perceived control over the recovery process) relate to their use of coping strategies. Using the AA subsets of two large community studies, a total of 64 AA women ages 18 to 58 with unwanted sexual experiences after the age of 14 years were included in the analyses. Results indicated that AA survivors used Acceptance and Self-Distraction the most to cope with sexual assault. In addition, those who perceived they had less control over their recovery process tended to use more maladaptive coping strategies, such as substance abuse and behavioral disengagement (e.g., giving up). The discussion includes clinical implications and recommendations for using language, modalities, and foci of interventions that are consistent with clients’ and their families’ worldviews (e.g., indirect inquiries, solution-focused).     

Stress with parents and peers: how adolescents from 18 nations cope with relationship stress

Background and Objectives: We investigated how adolescents from five regions around the world perceived and coped with parent- and peer-related stress. Design: The study comprised N = 4957 adolescents (mean age of 15.2 years) from 18 countries. Methods: The study used self-report measures for stress perception and coping style. Results: Across countries, adolescents perceived parent-related stress to be considerably greater than peer-related stress. They coped less actively with parent-related stress than with peer-related stress. Significant differences emerged with respect to geographic region and key demographic indicators. Adolescents from Eastern European and Western countries had generally quite low levels of stress. Adolescents from Southern Europe exhibited the highest stress levels and the greatest coping activity in dealing with stress in both domains, whereas adolescents from Southern Emerging and Asian countries reported high levels of parent-related stress and dealt much less actively with parent-related stress than with peer-related stress. Conclusions: Adolescents from all countries were remarkably competent in dealing with relationship stressors. Cultural and regional differences have a stronger effect on stress perception and coping style than gender.     

Stress and Coping as Determinants of Adolescent Smoking Behavior1

Relationships between perceived stress, coping, and smoking behavior were examined both cross-sectionally and prospectively in a large sample of English adolescents recruited from secondary schools in East Sussex. Significant cross-sectional and prospective associations are reported between smoking behavior and perceived stress, “cathartic” coping, and perception of smoking as a coping resource. The hypothesis that female adolescents smoke more than do males because they perceive more stress in their lives and cope with it differently was not supported.     

Coping mediates between social support,neuroticism, and depression after earthquake and examination stress among adolescents

Abstract

The objective of this study was to investigate the mediating role of coping strategies in the relationships between neuroticism, social support, and depression in two groups of adolescents: earthquake group and examination group. Adolescents facing earthquake stress (earthquake group, N=219) completed measures of neuroticism, perceived social support, coping strategies, and self-rating depression. Similarly, adolescents facing examination stress (examination group, N=241) completed the same measures. Results indicated that the earthquake group reported more use of secondary control engagement coping, whereas the examination group reported more use of primary control engagement coping. In addition, neuroticism was more strongly associated with coping in earthquake group and coping strategies explained significantly larger part of the relationship between neuroticism and depression. In contrary, perceived social support was more strongly associated with coping in examination group, and coping strategies explained significantly larger part of the relationship between perceived social support and depression.     

The role of esteem and coping in response to a threat communication

Two experiments examined the relations among self-esteem, perceived competency to cope, and actual coping behaviors following a threat communication. Leventhal's “parallel response model” (in Advances in experimental social psychology, L. Berkowitz (Ed.), New York: Academic Press, 1970, Vol. 5) predicts that low-esteem subjects will show deficits in both competency and coping behaviors. Experiment 1 manipulated threat level of a tetanus communication. Low-esteem subjects showed coping deficits on measures of free associations, free recall, fatalism, and coping. Threat groups differed only on fear and danger measures. Experiment 2 manipulated the fear level of an antismoking film and used false feedback to alter perceived competency. Positive feedback increased perceived competency to quit smoking among low-esteem subjects only. Without feedback, low-esteem subjects reduced smoking less than high-esteem subjects; positive feedback reversed the pattern. The discussion argued that, consistent with Leventhal's model, the low-esteem coping deficit has two independent causes: (1) excessive concern with fear, and (2) inadequate perceived competency.     

Coping with type 1 diabetes through emerging adulthood: Longitudinal associations with perceived control and haemoglobin A1c

Objective: This study, which is part of a larger longitudinal study focusing on the biopsychosocial functioning of emerging adults with type 1 diabetes, examined how perceived personal control, coping and HbA_1c relate to one another over time.

Design and main outcome measures: Emerging adults with type 1 diabetes (18–30 years old) participated in a two-wave longitudinal study spanning five years (N = 164 at Time 1). At both times, patients completed questionnaires on perceived control and coping (i.e. diabetes integration, avoidant coping and passive resignation). HbA_1c values were obtained from treating clinicians. We investigated the directionality of effects using cross-lagged path analysis.

Results: Higher HbA_1c values predicted relative decreases in diabetes integration and increases in avoidant coping five years later. Feeling less in control over diabetes predicted the use of passive coping over time. Passive coping predicted a relative decrease in perceived control five years later.

Conclusion: These findings indicate that tackling poor glycaemic control is not only important to avoid medical complications but also to prevent patients from resorting to more avoidant coping strategies. Furthermore, given the longitudinal interplay between perceived control and passive coping, it is important that intervention efforts include both cognitive and behavioural components to be effective.     

Psychological Predictors of Coping Responses Among Greek Basketball Referees

Abstract

The authors examined the effects of situational appraisals (perceived control and intensity), coping styles (monitoring and blunting), and personal dispositions (optimism and self-esteem) on the approach and avoidance coping responses of skilled Greek basketball referees (N = 162) and the consistency of their responses following 3 game-related stressful situations. In an effort to clarify the variables involved in coping and to consider the theoretical principles both within and beyond sports, the authors replicated an earlier study among Australian basketball referees (A. Kaissidis-Rodafinos, M. H. Anshel, & A. Porter, 1997). The results were equivocal: The Greek referees were not consistent in using avoidance and approach coping responses across situations. Approach coping was more predictable than avoidance coping in accounting for both situational and personal variables.     

Spécificité des stratégies de coping des patients en rémission de la maladie de Crohn : une étude qualitative

IntroductionCrohn's disease (CD), a chronic inflammatory bowel disease, has strong psychological and social repercussions related to the specificity of the symptomatology. To better understand how patients cope with the disease, coping strategies have been studied but without taking into account the specificity of the CD experience.ObjectiveOur objective is to identify the perceived coping strategies used by patients in relation to their illness experience.MethodUsing a qualitative approach, semi-structured interviews and thematic content analysis with 33 CD patients in remission were conducted.ResultsOur results highlight that some of the coping strategies used are not taken into account by the coping scales frequently used in the literature. Indeed, the illness experience appears to be fundamental in the establishment of new strategies based on the experiential knowledge patients use to reduce the stress induced by a potential relapse. Moreover, coping strategies based on positive emotions are also implemented, and they enable patients to make sense of the disease.ConclusionThe coping strategies, i.e., “experiential knowledge” and “positive emotions”, may shed more light on the complexity of the illness experience of CD patients and allow us to make recommendations concerning the psychological support of patients.     

Perceived social support,coping, and symptoms of distress in American and Spanish students

Abstract

The aim of this study was to test whether coping responses mediated the influence of perceived social support on symptoms of anxiety/depression, social withdrawal, and aggressive behavior in American (N=349) and Spanish students (N=437). Participants completed measures of perceived support, social stress, coping, and distress. Coping partially mediated relations between perceived support and distress, with coping mediation most evident in individuals facing high levels of social stress. Decreased use of disengagement coping by individuals with high perceived support appears to partially explain the protective value of perceived social support. Multiple group covariance structure analysis showed that models linking perceived support, coping, and distress were very similar across cultures, suggesting that the mechanisms underlying decreased risk for individuals with high perceived support may be relatively independent of cultural context, and that interventions designed to increase perceived support and decrease disengagement could be appropriate in both cultures.     

The Olympic Games as a career change-event: Israeli athletes' and coaches' perceptions of London 2012

ObjectivesThis study used the Scheme of Change for Sport Psychology Practice (SCSPP; Samuel & Tenenbaum, 2011a) to examine athletes' and coaches' personal characteristics, perceptions of, coping with, and perceived outcome of the London 2012 Olympic Games (OGs). We also contrasted several sub-groups (e.g., Olympic and Paralympic athletes) in certain variables, and examined the decision-making and support systems involved in the OGs change process.Design and methodsA cross-sectional and retrospective design was used. Israeli Olympic and Paralympic athletes and coaches (N = 61) completed measures of change-event experiences (Samuel & Tenenbaum, 2011b) and athletic/coaching identity (AI/CI; Brewer & Cornelius, 2001) two years after the London 2012 OGs.ResultsOlympic athletes trained more, and had higher motivation and AI than Paralympic athletes. The OGs were perceived as a significant and positive change-event in the participants' careers. AI/CI was associated with the perceived significance of the OGs. At the time of Olympic qualification, the participants tended either to ignore this change-event or cope with it independently. Most participants reported making a decision to change related to adjustment and coping. Professional support was mainly available prior to and during the OGs. During this experience the participants did not consider using sport psychology services, but retrospectively, valued the usefulness of this support. Athletes' motivation after the OGs was predicted from their satisfaction of coping, and their perceived outcome of this change-event was predicted from their satisfaction of competition results.ConclusionsPsychological support must be provided as part of the Olympic cycle, especially in promoting a decision to change. Maintaining realistic expectations may be critical for facilitating a positive perception of this change-event.     

Emotion,controllability and orientation towards stress as correlates of children’s coping with interpersonal stress

Guided by the motivational theory of coping (Skinner and Zimmer-Gembeck in Ann Rev Psychol 58:119–144. doi:10.1146/annurev.psych.58.110405.085705, 2007), we investigated children’s anticipated coping with three different stressful events (bullying, parental argument, parent–child verbal conflict), and examined whether their reliance on challenge coping responses versus threat coping responses could be accounted for by emotional reactions (including feelings of sadness, anger and fear), perceived controllability, and orientation or interest in the stressor. In addition, we examined parents’ reports of their children’s temperamental traits as correlates of coping. In random order followed by a positive stimulus, children (N = 206, age 8–12 years) watched each of the three stressful events, and reported their emotions, perceived control, orientation and coping after each one. As anticipated, results indicated that controllability was associated with more challenge coping (a composite of adaptive/approach coping responses such as problem solving and support seeking) and less threat coping (a composite of maladaptive/withdrawal coping responses such as helplessness and escape). In general, feelings of sadness were more strongly associated with challenge coping, whereas fear and anger especially related to more threat coping. Greater orientation towards the stressor was particularly predictive of more challenge coping, but also was associated with more threat coping in response to parent stressors. These associations were significant, even after controlling for temperament (negative reactivity, task persistence, withdrawal, and activity), which was generally unrelated to children’s coping. Other combinations of coping responses were also examined.     

Predictors of mental distress and poor physical health among homeless women

Abstract

We tested a latent variable path model in which situational, personal, and social resources predicted several mediators and the key health outcomes of mental distress and poor physical health among 871 homeless women. Mental distress was predicted by risky sexual behavior, less social support, avoidant coping, less self-esteem, client abuse history, social support from deviant sources, less drug self-efficacy and health care utilization. Poor physical health was predicted by a client abuse history, less drug self-efficacy, fewer perceived rewards for drug use, higher perceived costs for drug use, and a doctor visit. Current risky sexual behavior was predicted by a parent drug abuse history, less drug self-efficacy, and more social support from deviant sources. Current drug use was predicted by parent drug abuse history, less drug self-efficacy, more social support from deviant sources and by high perceived costs for drug use. Implications of results for intervention and theory are discussed.     

Retrospective coping strategies during sexual identity formation and current biopsychosocial stress

Background: Lesbian, gay men, and bisexual individuals (LGBs) often experience distress related to the recognition, self-acceptance, and disclosure of their sexual orientation. Objectives and Design: Retrospectively reported coping strategies enacted during sexual identity formation among LGBs were assessed in relation to current stress indices measured using environmental (frequency of perceived daily hassles), psychological (perceived distress), and biological (allostatic load [AL] levels representing physiological dysregulations) perspectives. Methods: Forty-six healthy LGBs between the ages of 18 and 45 (M = 23.91, SE = .80) participated. Questionnaires included the Ways of Coping Checklist adapted to disclosure milestones, Daily Hassles Inventory, and Perceived Stress Scale. AL was calculated using 21 biomarkers of neuroendocrine, immune, cardiovascular, and metabolic functioning. Results: Avoidance coping during sexual identity formation was positively associated with frequency of daily hassles (β = .598, p < .001), perceived stress (β = .361, p = .015), and AL (β = .405, p = .006). By contrast, seeking social support was negatively associated with perceived stress (β = –.598, p = .048). Conclusions: Emotion-focused coping strategies during LGB sexual identity development are associated with current indices of biopsychosocial stress.