Discriminative facility in the face of threat: Relationship to psychological distress

Abstract

This study explored whether discriminative facility in dealing with threatening situations is negatively associated with distress. Discriminative facility entails the ability to (1) “accurately” appraise the controllability of stressors and (2) use more problem-focused relative to emotion-focused coping with controllable stressors and at the same time more emotion-focused relative to problem-focused coping with uncontrollable stressors. We conducted a preliminary study to obtain “accurate” appraisals of the controllability of two stressors. In the main study, college students (N = 109) provided information regarding their appraisal of the controllability of the two stressors, how they coped with these two stressors, and their level of both stressor-specific distress and general distress. The relationship between coping strategy (problem- vs emotion-focused) and stressor-specific distress was found to be a function of the controllability of the stressor. Specifically, with controllable stressors, the high use of problem-focused coping was associated with less distress than the high use of emotion-focused coping. The opposite was found to be the case with uncontrollable stressors. More importantly, discriminative facility was negatively related to general distress. The results suggest that discriminative facility in the appraisal of and coping with stressors is an important mediator in the experience of psychological symptoms as a result of stress.     

Do allogeneic bone marrow transplant candidates match coping to controllability of pre-treatment stressors?

According to the Person x Situation theoretical framework, people adjust their coping to address the unique challenges of encountered stressors. Whether their strategies fit or appropriately address these stressor challenges influences adjustment. We examined the fit between pre-treatment stressors reported by hematological cancer patients awaiting allogeneic bone marrow transplantation (alloBMT) and their coping responses. Stressors were categorized as controllable versus uncontrollable; coping responses were categorized as problem- versus emotion-focused versus mixed (i.e., elements of both coping types). We hypothesized that patients would employ coping responses that fit the controllability of stressors (i.e., a match between stressor and coping response): problem-focused coping for controllable stressors and emotion-focused coping for uncontrollable stressors. In qualitative interviews, pre-BMT patients (10 men, 7 women) described encountered stressors and how they coped with them. Every reported stressor was linked with its associated coping response, resulting in a stressor-coping pair. We determined the proportion of total stressor-coping pairs in which the coping response matched the controllability of its linked stressor. Most stressor-coping pairs involving uncontrollable stressors showed the hypothesized match with emotion-focused or mixed coping. Contrary to hypotheses, fewer stressor-coping pairs that involved controllable stressors matched with problem-focused or mixed coping. Rather, these pairs were more likely to link controllable stressors with emotion-focused coping (i.e., mismatch between stressor controllability and type of coping). AlloBMT candidates may appraise the pre-treatment stage, globally, as permitting very little control. Coping efforts may consequently emphasize regulation of negative emotions (i.e., emotion-focused coping).     

Race-Related Differences in the Experiences of Family Members of Persons with Mental Illness Participating in the NAMI Family to Family Education Program

Families play an important role in the lives of individuals with mental illness. Coping with the strain of shifting roles and multiple challenges of caregiving can have a huge impact. Limited information exists regarding race-related differences in families’ caregiving experiences, their abilities to cope with the mental illness of a loved one, or their interactions with mental health service systems. This study examined race-related differences in the experiences of adults seeking to participate in the National Alliance on Mental Illness Family-to-Family Education Program due to mental illness of a loved one. Participants were 293 White and 107 African American family members who completed measures of problem- and emotion-focused coping, knowledge about mental illness, subjective illness burden, psychological distress, and family functioning. Multiple regression analyses were used to determine race-related differences. African American caregivers reported higher levels of negative caregiving experiences, less knowledge of mental illness, and higher levels of both problem-solving coping and emotion-focused coping, than White caregivers. Mental health programs serving African American families should consider targeting specific strategies to address caregiving challenges, support their use of existing coping mechanisms and support networks, and increase their knowledge of mental illness.     

The Effect of Locus of Control on University Students' Mental Health: Possible Mediation through Self-Esteem and Coping

The purpose of this study was to examine the effect of locus of control on university students' mental health and to examine possible mediational roles of self-esteem and coping. A total of 418 university students completed Rotters I-E Scale, Self-liking/self-competence Scale, Endlers Coping with Stressful Situations Scale and Depression, Anxiety and Stress Scale. The results showed that external locus of control, lower self-liking and self-competence, as well as less problem-focused and more emotion-focused coping predict more symptoms of depression, anxiety, and stress in university students. However, mediational analysis revealed that the effect of locus of control was fully mediated by self-esteem and coping, with self-liking and emotion-focused coping being the strongest mediators. Results suggest that beliefs about control affect beliefs about one's self-worth and coping strategies, which in turn can affect one's mental health.     

Adjustment to the stress of simulated captivity: effects of emotion-focused versus problem-focused preparation on hostages differing in locus of control

We instructed 57 subjects about to be exposed to a simulated abduction and 4 days of captivity in either problem- or emotion-focused coping techniques, or we gave them a control orientation presentation. Retrospective self-report data obtained on the Ways of Coping Checklist indicated that subjects tended to use coping processes consistent with the type of prestress preparation they had received. Dramatic fluctuations in State Anxiety scores over the course of captivity indicated that the simulation was perceived to be highly stressful. Subjects given emotion-focused preparation reported the lowest anxiety and emotional distress levels and were rated as exhibiting the lowest levels of behavioral disturbance during captivity. Externals engaged in more emotion-focused coping than internals, but externals given problem-focused preparation responded the most poorly of all subgroups on all response measures. Overall, locus of control differences were of secondary impact (vs. situational variables) in influencing anxiety and adjustment. We discuss the characteristics of the stressor that may have accounted for the major findings and the stressful circumstances under which emotion-focused versus problem-focused coping may be of differential utility.     

Parental relationships and coping with life stress

Abstract

The primary goal of this investigation was to explore how the quality of parent-student relationships relates to coping style by examining multiple aspects of this relationship–including support and conflict–and by examining the contribution that both parents' and students' perceptions of their relationship make to students' coping reports. We found that perceptions of conflict and depth in the parent-child relationship were each associated with different styles of coping. Moreover, parents' and students' perceptions each accounted for unique variance in students' coping reports. Greater perceived depth (both parent and student reports) predicted higher problem-focused scores, while students' perceptions of conflict predicted higher emotion-focused coping scores. Specific support provisions reported by students and parents also related differentially to the specific coping styles. Finally, the extent to which parents and students reported coping in a similar fashion was predicted by the quality of their relationship.     

Stress,Sex Differences,and Coping Strategies Among College Students

The sources of stress (academics, financial, family, social, and daily hassles) and coping strategies (self-help, approach, accommodation, avoidance, and self-punishment) of 166 college students were examined. The relationship between sex, specific sources of stress, and coping strategies was also investigated. Students completed a stress assessment inventory and a stress coping inventory based on a 5-factor revised COPE model (Zuckerman and Gagne Journal of Research in Personality, 37:169–204, 2003). Results found that college women reported a higher overall level of stress and greater use of emotion-focused coping strategies than college men. College men and women also reported different coping strategies for different stressors; however the use of emotion-focused coping strategies dominated over problem-solving strategies for both men and women. These results have implications for designing stress reduction workshops that build on the existing adaptive emotion-focused strategies of college students.     

Dispositional and situational coping and mental health among Palestinian political ex-prisoners

We examined, first, differences in dispositional and situational coping, and psychological distress between political ex-prisoners and their matched controls, and second, coping effectiveness in protecting mental health from impacts of imprisonment and military trauma. Thirdly, we tested the hypothesis that compatibility ("goodness of fit") between dispositional and situational coping would predict low psychological distress. Participants were 184 men recruited from a Palestinian community sample, 92 were former political prisoners and 92 non-prisoners. The dispositional coping was assessed as a general response style to hypothetical stressors and situational coping as responses to their own traumatic experiences. Psychological distress was measured by SCL-90-R, and posttraumatic stress disorder, depression and somatoform symptoms by scales based on CIDI 2.1 diagnostic interview. The results showed that, compared to non-prisoners, the political ex-prisoners employed less avoidant, denying, and emotion-focused coping strategies. Military trauma was associated with avoidant and denying coping only among non-prisoners. The ex-prisoners showed more mental health and medical problems, especially when exposed to military trauma. None of the coping styles or strategies were effective in protecting the mental health in general or in either groups. However, main effect results revealed that the high level of active and constructive and low level of emotion-focused coping were associated with low levels of psychiatric symptoms and psychological distress.     

Coping with Intimate Partner Violence: Battered Women's Use and Perceived Helpfulness of Emotion-Focused Coping Strategies

This study investigated intimate partner violence (IPV) victims' emotion-focused coping efforts, as well as their retrospective ratings of the perceived helpfulness of these efforts, in the context of a longitudinal study of battered women's experiences over time. Four hundred and six primarily African American, low-income battered women who had experienced IPV within the previous 12 months were interviewed. Patterns of coping use and perceived helpfulness were explored. The correlation between prevalence of use of emotion-focused coping strategies and perceived helpfulness of these strategies was examined, and results showed that the strategies used by more battered women were less helpful in dealing with feelings about abuse. Implications for clinical interventions with battered women are discussed.     

Mastering moral misery: Emotional and coping responses to intragroup morality (vs. competence) evaluations

In social groups, individuals are often confronted with evaluations of their behaviour by other group members and are motivated to adapt their own behaviour accordingly. In two studies we examine emotional responses towards, and perceived coping abilities with, morality vs. competence evaluations individuals receive from other in-group members. In Study 1, we show that evaluations of one's immoral behaviour primarily induce guilt, whereas evaluations of incompetent behaviour raise anger. In Study 2, we elaborate on the psychological process associated with these emotional responses, and demonstrate that evaluations of immorality, compared to incompetence, diminish group members’ perceived coping abilities, which in turn intensifies feelings of guilt. However, when anticipating an opportunity to restore one's self-image as a moral group member, perceived coping abilities are increased and the experience of guilt is alleviated. Together these studies demonstrate how group members can overcome their moral misery when restoring their self-image.     

Hospital downsizing,individual resources,and occupational stressors in nurses

Abstract

Restructuring and downsizing are occurring increasingly throughout the workplace. As a result, many individuals are losing their jobs. Many others experience job insecurity as a result of the threat of downsizing. As with most other work spheres, several hospitals are closing, resulting in thousands of layoffs. Since nurses constitute one of the main groups employed in hospitals, they are faced with increasing job shortages. This study examines psychological reactions of nurses in response to stressors resulting from hospital downsizing. Individual resources, particularly coping strategies and self-efficacy, can affect the extent to which individuals experience distress as a result of downsizing. A self-report, anonymous questionnaire was filled out and returned by 1363 nurses employed in hospitals in Canada. Results of this study show that amount of work was a consistent and significant stressor in nurses. The greater the nurse's workload, the greater her emotional exhaustion, cynicism, depression and anxiety. Further results reported here indicated that control coping and self-efficacy lessened distress on the job and increased job satisfaction, while escape coping was associated with greater psychological distress and less job security.     

Associations Between Sexual Orientation Discrimination and Depression Among Same-Sex Couples: Moderating Effects of Dyadic Coping

Drawing from minority stress theory and the systemic–transactional model, we examined whether perceptions of partner's dyadic coping behavior moderated the association between sexual orientation discrimination stress and symptoms of depression among individuals in a same-sex relationship. Data from 95 same-sex couples revealed that, overall, sexual orientation discrimination stress was positively associated with depressive symptoms; however, perceived partner emotion-focused supportive dyadic coping weakened this association. Specifically, higher sexual orientation discrimination stress was associated with greater depressive symptoms only for individuals perceiving low partner emotion-focused supportive dyadic coping. Implications for researchers and clinicians are presented.     

Appraisal, coping, health status, and psychological symptoms

In this study we examined the relation between personality factors (mastery and interpersonal trust), primary appraisal (the stakes a person has in a stressful encounter), secondary appraisal (options for coping), eight forms of problem- and emotion-focused coping, and somatic health status and psychological symptoms in a sample of 150 community-residing adults. Appraisal and coping processes should be characterized by a moderate degree of stability across stressful encounters for them to have an effect on somatic health status and psychological symptoms. These processes were assessed in five different stressful situations that subjects experienced in their day-to-day lives. Certain processes (e.g., secondary appraisal) were highly variable, whereas others (e.g., emotion-focused forms of coping) were moderately stable. We entered mastery and interpersonal trust, and primary appraisal and coping variables (aggregated over five occasions), into regression analyses of somatic health status and psychological symptoms. The variables did not explain a significant amount of the variance in somatic health status, but they did explain a significant amount of the variance in psychological symptoms. The pattern of relations indicated that certain variables were positively associated and others negatively associated with symptoms.     

Stress processes in HIV-positive African American mothers: moderating effects of drug abuse history

This study examined the mechanism by which stressors, dissatisfaction with family, perceived control, social support, and coping were related to psychological distress in a sample of HIV-positive African American mothers. Additional analyses explored whether women who had a history of a drug abuse or dependence diagnosis differed either on levels of the study variables or the model pathways. The results indicated that HIV-positive African American mothers who had higher levels of stressors perceived their stressors as a whole to be less controllable. Coping resources, available social support and perceived control, were positively associated with active coping and negatively associated with psychological distress. Avoidant coping was the most important predictor of psychological distress. Furthermore, the effect of avoidant coping on psychological distress was stronger for mothers with a history of drug diagnosis. The implications of these findings for targeting interventions are discussed.     

Kashmiri women's perceptions of their emotional and psychological needs,and access to counselling

This paper explores the meaning of mental illness for Kashmiri women, the issues that cause them distress, their coping mechanisms, and their perceptions and understanding of counselling. Interviews were used to compare the experiences and attitudes of two groups of Kashmiri women: those born in Britain and those who had been brought up in Kashmir and had settled in Britain as adults. It was found that Kashmiri women in this study had a clear understanding of mental illness, with little difference in beliefs between those born and raised in the UK and those brought up in Kashmir. In both groups the majority of those who were not aware of formal counselling still wanted to talk to a professional about their emotional distress. The majority of UK born women, and a smaller proportion of Kashmiri born women, were aware of counselling. Most women associated it with talking to someone about one's feelings, about problems in one's heart, in one's mind, and as a means of support when experiencing distress. The implications of these findings for practice are discussed.     

MEETING CALENDAR

Abstract

Stress, coping, and appraisal were explored in order to better understand the factors associated with smoking cessation. Employees from 61 worksites received one of three programs which incorporated the use of self-help manuals, incentives, social support groups, and cognitive-behavioral techniques. Results indicated successful quitters perceived less stress in their lives, used more problem-focused coping and less emotion-focused coping, and perceived more control over their stressors than participants who were not able to quit smoking.     

Appraisal and coping processes in acute time-limited stressful situations: A study of police officers

This study focuses on the appraisal and coping process in acute, time-limited stressful situations in a stress experienced group: 54 Swedish police officers. Each police officer retrospectively reported their thoughts, emotions, and actions during five recent stressful job events. The relations among appraisals of threat and of coping options, seven forms of problem- and emotion-focused coping strategies, and selfrated performance were examined. Compared with previous studies of ordinary people in stressful situations, the police officers felt less threatened, appraised the situations as more solvable, and used considerably more problem-focused forms of coping. Age had a significant effect on appraisal, while organizational position had a significant effect on coping. Using latent profile analysis, four appraisal styles were obtained. Consistency of cross-situational appraisal style amongst individuals was high. The functional relationships among variables, i.e. appraisal, coping, and performance, are discussed.     

Stressors and Coping Strategies among Early and Middle Adolescent Premier League Academy Soccer Players: Differences According to Age

The purpose of this study was to examine stressors and coping strategies among early (12–14 years) and middle adolescents (15–18 years). Forty male academy soccer players, aged between 12–18 years (M age = 14.22 years), participated in semi-structured interviews, which were inductively and deductively content analyzed. Findings revealed that middle adolescents reported more stressors than early adolescents and that these two groups experienced both common and different stressors. Early adolescents identified making errors, opponents, team performance, and family as salient stressors. Making errors, team performance, coaches, selection, contracts, social evaluation, and playing at a higher level were more prominent among middle adolescents. Middle adolescents reported a greater number and repertoire of coping strategies than early adolescents, and used more problem- and emotion-focused strategies, but fewer avoidance strategies than early adolescents. Based on these findings, it is recommended that applied practitioners working within soccer academies take into account the players' age when providing psychological support.     

A Meta-Analytic Review of the Common-Sense Model of Illness Representations

A meta-analysis of empirical studies ( N = 45) adopting Leventhal, Meyer and Nerenz's (1980) Common Sense Model (CSM) of illness representations is presented. The average corrected intercorrelation matrix for the sample of studies showed that the CSM illness cognition dimensions of consequences, control/cure, identity and timeline followed a logical pattern supporting their construct and discriminant validity across illness types. A content analysis classified coping strategies into seven distinctive categories and health outcomes into six categories. Examining the average corrected correlation coefficients across the studies revealed that perceptions of a strong illness identity were significantly and positively related to the use of coping strategies of avoidance and emotion expression. In addition, perceived controllability of the illness was significantly associated with cognitive reappraisal, expressing emotions and problem-focused coping strategies. Perceptions of the illness as highly symptomatic, having a chronic timeline and serious consequences was significantly correlated with avoidance and expressing emotions coping strategies. Further, perceptions that the illness was curable/controllable was significantly and positively related to the adaptive outcomes of psychological well-being, social functioning and vitality and negatively related to psychological distress and disease state. Conversely, illness consequences, timeline and identity exhibited significant, negative relationships with psychological well being, role and social functioning and vitality. The analyses provide evidence for theoretically predictable relations between illness cognitions, coping and outcomes across studies.     

Coping Style Following Acute Stress in Competitive Sport

Abstract

The purpose of this study was to ascertain coping styles among competitive athletes in response to various acute stressors. Specifically, the authors used a 134-item survey to measure approach and avoidance coping styles, with task-focused and emotion-focused coping tendencies nested hierarchically as subdimensions under each. Australian and U.S. college-aged participants indicated the extent to which they used approach, avoidance, task-focused, and emotion-focused coping strategies (a 4-factor model) in response to selected acute stressors experienced during sport competition. The authors computed confirmatory factor analysis to test the theoretically driven model. The criterion loading of .30 and above for each of the factors reduced the survey to 65 items. Findings indicated stronger links between the 2 approach constructs of task- and emotion-focused coping than between the 2 avoidance constructs of those subdimensions. The goodness-of-fit indices for the 4-factor model were 0.58 and 0.57 for Australian and U.S. samples, respectively, and .71 overall. Concomitant low correlations between the 2 approach (0.18) and the 2 avoidance dimensions (0.43) reflected relatively high residuals between stressors. In general, psychometric analyses suggest that coping style may be more prevalent in some situations than others, lending partial support for the transactional model of coping.