Differences in Individual and Dyadic Coping Among Low and High Depressed, Partially Remitted, and Nondepressed Persons

Investigations of the individual and interpersonal coping resources of depressed persons are underrepresented in the field of research on depression. Whereas some studies have been conducted on depressed couples evaluating individual coping or social support from others, only a few studies have addressed the topic of dyadic coping, or the way both partners cope together. In the present effort, male and female participants with a current or past diagnosis of depression, all of whom were married or cohabiting in a close relationship, reported on their individual and dyadic coping and were compared on these variables with a matched group of control participants. Results corroborate previous findings on deficits in individual coping, and to a lesser degree in dyadic coping.     

Risk factors for psychological morbidity in women attending a one-stop diagnostic clinic with suspected breast disease

Abstract

The present study was designed to identify risk factors for psychological morbidity in women attending a one-stop diagnostic clinic with suspected breast disease. A cohort of 158 women were recruited and were asked to complete scales measuring psychological morbidity and psychosocial factors in the period immediately before their appointment and to repeat the assessments of psychological morbidity on the day of the appointment. Relevant clinical and demographic data were also collated. Within the cohort 1.4% of respondents received a diagnosis of malignant disease. Psychological morbidity, both prior to and during the diagnostic appointment was strongly predicted by psychosocial factors (i.e., acceptance-resignation coping, personal self esteem and discrepancies in social support), accounting for 54% and 63% of the variance at pre-appointment and appointment day phases respectively. Other measured variables were found not to be correlated with and/or to account for a significant proportion of the variance in the measures of morbidity. These results suggest that these psychosocial variables should be targeted in interventions designed to reduce psychological morbidity in this patient group.     

Maternal views on aggression: Japan and Israel

Maternal views on aggressive behavior in their children were investigated in Japan and Israel. Sixty Japanese and 60 Israeli mothers of kindergarten children were interviewed individually about their children's fighting and quarreling. The findings indicate that both Japanese and Israeli mothers disapprove of their children's aggression on the basis of their value system, but their views of the same aggressive behavior differ considerably; Japanese mothers consider aggression among children as natural; aggression is a fact of life which has its constructive as well as destructive aspects, but it should be kept under control in order not to cause harm to others. Israeli mothers consider their children's aggression to be dangerous both for the child and for the relationship with the opponent. It is approved as a reaction to assault, mainly in self-defense and considered caused by emotions, tension, and lack of self-control. Thus, aggression is perceived by Japanese mothers as a natural and necessary aspect of development, while Israeli mothers perceive the same behaviors as justified mainly as reactions to assault or provocation and as expressing negative emotional states. © 1992 Wiley-Liss, Inc.     

Social influences on cognitive processing in enacted social support: effects on receivers’ cognitive appraisals,emotion, and affiliation

Background and objectives. Social support is linked with psychological health, but its mechanisms are unclear. We examined supporters’ influence on recipients’ cognitive processing as a mechanism of effects of support on outcomes associated with depression.

Design/methods. 2?×?2 between-subjects experiment. 147 participants (1) experienced a negative event (false feedback); (2) received social support modeling one of two contrasting cognitive processing modes (abstract/evaluative or concrete/experiential); (3) generated explanations for the event, later coded for processing mode and internal/external causal attribution; and (4) reported on emotion, perceptions of self and future, and social affiliation. To examine relational effects, half of participants were led to perceive the supporter as similar to themselves via a shared birthday manipulation.

Results. Support condition influenced participants’ processing mode and causal attributions as predicted. Abstract/evaluative support led to more positive emotion and self-perceptions, and less pessimistic expectancies for the future than concrete/experiential support. Perceived similarity moderated effects on beliefs about an upcoming social interaction, magnifying positive affiliation outcomes of abstract/evaluative versus concrete/experiential support.

Conclusions. Processing modes that are generally maladaptive at the intrapersonal level may be adaptive (and vice versa) when they are interpersonally influenced, and perceived similarity may facilitate interpersonal effects of processing mode on affiliation.     

The Perceived Stress Scale: Factor structure and relation to depression symptoms in a psychiatric sample

The present study sought to examine the factor structure and psychometric properties of the Perceived Stress Scale (PSS) when administered to psychiatric patients. We also examined predictive validity of the PSS by assessing the association between the Perceived Stress Scale and the Beck Depression Inventory. A heterogeneous sample of 96 psychiatric patients (48 men, 48 women) completed the Perceived Stress Scale (PSS) and the Beck Depression Inventory. Factor analysis of the PSS established that the scale consisted of two factors. The first factor was comprised primarily of items reflecting adaptational symptoms. In contrast, the second factor consisted of items reflecting coping ability. Both factors had an adequate degree of internal consistency. Finally, a series of regression analyses predicting depression found that both factors accounted for unique variance in depression scores in women, but only the first factor accounted for unique variance in men. It is concluded that the PSS is a multidimensional and internally consistent measure of perceived stress.This research was supported by Grant 410-91-1690 from the social sciences and Humanities Research Council of Canada as well as by grants from the Research and Program Evaluation Committee Brockville Psychiatric Hospital.     

流动儿童压力应对方式与抑郁感、社交焦虑的关系:一项追踪研究

为了探讨流动儿童压力应对方式与抑郁感、社交焦虑的变化特点及其动态关系,本研究通过整群抽样法从5所北京市公立学校和1所打工子弟学校选取1164名流动儿童,采用问卷调查的形式对其进行为期一年的追踪测查,追踪时回收有效数据680份.对前、后测均参加调查的680名被试的数据进行分析,结果发现:(1)经过一年的城市适应,流动儿童整体的积极应对增多,消极应对减少,抑郁感下降,但社交焦虑水平无明显变化;(2)流动儿童个体在压力应对、抑郁感、社交焦虑的发展上均表现出两极分化的现象,年龄越小、来京时间越短、低年级及女生流动儿童群体的发展趋势更为良好;(3)流动儿童压力应对方式与抑郁感、社交焦虑间存在相互作用的动态关系,前测压力应对方式、抑郁感、社交焦虑均能显著预测后测相应变量的水平,前后测压力应对方式对抑郁感、社交焦虑均有即时预测作用,而前测抑郁感和社交焦虑对后测压力应对方式有不同的延时性影响.     

支气管哮喘伴发抑郁与人格、应对和社会支持的关系分析

研究分析支气管哮喘伴发抑郁与人格、应对和社会支持的关系。对216例支气管哮喘患者应用自评抑郁量表、大五人格量表、特质应对方式问卷和社会支持评定量表进行调查,对收集到的数据进行Pearson相关分析、多元逐步回归分析和路径分析。结果显示49．1％的支气管哮喘患者存在不同程度的抑郁情绪;哮喘患者的抑郁程度、人格、应对方式和社会支持之间存在着不同程度的显著相关;人格、应对和社会支持都是影响支气管哮喘伴发抑郁的影响因素,人格的神经质是其重要的预测因素,它除了能直接影响哮喘患者的抑郁程度,还能通过社会支持和应对方式对其起间接的作用。研究提示人格的神经质、公正严谨性和消极应对方式是支气管哮喘伴发抑郁的直接的预测因素。     

How do I cope with pain? Let me count the ways: awareness of pain coping behaviors and relationships with depression and anxiety

Patients with chronic pain are often undertreated with medications alone and need alternative ways of coping. Identifying pain coping skills patients use may be beneficial; however, no research has investigated whether patients are aware of their coping skills. The purpose of this study was to determine whether patients are aware of their pain coping skills, whether certain patient characteristics were related to using coping strategies, and whether coping strategies were related to psychiatric symptoms. Chart reviews were conducted on seventy-eight chronic pain patients who completed a semi-structured psychological interview. Patients endorsed using more coping strategies on the measure compared to the verbal self-report. Identifying with certain patient demographics was related to higher use of some coping strategies. Symptoms of anxiety and depression were also related to the use of some coping strategies. Anxiety was negatively related to ignoring the pain and using self-talk coping statements and positively related to catastrophizing. Depression was negatively related to the use of distraction, ignoring the pain, and using self-talk coping statements. Depression and pain severity were both positively related to catastrophizing and prayer. Results suggest that clinicians may need to help patients become aware of adaptive coping strategies they already use and that the use of certain coping strategies is related to lower levels of depression and anxiety.     

社会支持对抑郁影响的中介模型探讨

本研究旨在探索预先应对和积极情绪在社会支持和抑郁间的中介作用。采用两个时间点的纵向数据搜集方式对181名大学生施以量表,然后通过路径分析对假设的中介模型进行拟合度检验,结果表明：（1）预先应对是社会支持和积极情绪之间的部分中介变量;（2）积极情绪是社会支持和预先应对与抑郁间的中介变量。结论：社会支持是预防抑郁的重要途径,提升预先应对策略和积极情绪的体验可以进一步增进社会支持对抑郁的缓解作用。     

Social anxiety and related social impairment are linked to self‐efficacy and dysfunctional coping

Thomasson, P. & Psouni, E. (2010). Social anxiety and related social impairment are linked to self‐efficacy and dysfunctional coping. Scandinavian Journal of Psychology, 51, 171–178. This study investigated relationships between severity of social anxiety as well as related experiences of social impairment and self‐efficacy, social control and coping strategies. Social anxiety was regarded as a continuum ranging from mild social discomfort to totally inhibiting anxiety. Participants (N = 113, ages 19–60 years), recruited from a forum for individuals with social phobia and among university students, responded to a self‐administered questionnaire. Besides the expected association between a low sense of social control and more severe social anxiety and related social impairment, we found severity of social anxiety and related impairment to be associated with low self‐efficacy. This relationship was partly mediated by dysfunctional coping strategies. We suggest that low self‐efficacy may increase an individual’s tendency to rely on dysfunctional coping strategies for dealing with anxiety experienced in social situations. In turn, using dysfunctional coping strategies appears to exacerbate the experience of impairment from social anxiety.     

Social Anxiety Disorder in Childhood and Adolescence: Current Status and Future Directions

This paper reviews the current status of research on the phenomenology, etiology, maintenance, assessment, and treatment of childhood and adolescent social anxiety disorder (SAD). Despite being one of the most prevalent disorders of childhood and adolescence, SAD paradoxically stands as one of the least recognized, researched, and treated pediatric disorders. The small treatment outcome literature provides preliminary support to the effectiveness of various forms of cognitive behavior therapy. The majority of studies to date, however, are limited by inadequate control conditions. Other findings include some support for the utility of parental involvement in treatment, significant advancements in outcome measures (e.g., normative comparisons, indices of naturalistic social functioning), and impressive durability of gains for the majority of treatments. Future directions are suggested, including experimental and naturalistic studies of developmental pathways and maintenance factors, the incorporation of positive psychology constructs (e.g., positive emotions, hope, self-control) in treatment and prevention, and the continued delineation of differences between child, adolescent, and adult manifestations of SAD.     

A Cross-Cultural Comparison of Social Phobia Symptoms

This study examined two forms of social anxiety or phobia, social phobia as defined by DSM-IV and Taijin Kyofusho (TKS, a Japanese form of social anxiety), in relation to their respective culturally prescribed self-construals as independent and interdependent. Japanese university students (N = 124) and U.S. university students (N = 123) were administered the Social Interaction Anxiety Scale, the Social Phobia Scale, the TKS Scale, and the Self-Construal Scale. From the results of a hierarchical regression analysis, TKS symptoms are more likely to be expressed by individuals who are Japanese and individuals who construe themselves low on independence but high on interdependence. In addition, social phobia symptoms are more likely to be expressed by individuals who construe themselves low on independence but high on interdependence irrespective of culture. Implications for therapists from each culture who have clients who present social anxiety or phobia symptoms are discussed.     

高一学生应对灵活性及其影响因素的研究

本研究采用问卷调查和实验室任务相结合的方法,对59名高一学生进行一个月的跟踪调查,对结果进行聚类分析,旨在探寻高一学生在应对灵活性方面表现出的不同风格,同时从自我效能感、社会支持两方面探讨影响高一学生应对灵活性的主观和客观因素。研究结果表明:(1)聚类分析得到高一学生应对灵活性的四种类型:应对灵活型,积极不灵活型,消极不灵活型和积极不一致型;(2)应对灵活型和积极不灵活型被试的控制感显著高于消极不灵活型和积极不一致型;策略选择方面,积极不灵活型、积极不一致型倾向于使用问题焦点应对,应对灵活型、消极不灵活型倾向于使用情绪焦点应对;(3)自我效能感和社会支持在一定程度上可对应对灵活性类型产生预测作用,应对灵活型学生的自我效能感和对社会支持的利用度明显高于其他三类学生。研究结果有助于我们深入了解高中学生的适应问题。