Coping responses and problem appraisal in Spanish adolescents

This study uses Moos's Coping Responses Inventory (Youth Form, 1993) to examine coping behavior in Spanish adolescents. 1362 adolescents were recruited from the metropolitan area of Barcelona, Spain. All subjects were in high school and ages 12 to 16 years. The socio-economic status was primarily middle class. Adolescents' coping behaviors were examined by sex and age, and the relationship between problem appraisal and choice of coping strategy was analyzed. Girls used more approach, avoidance, and behavioral responses than boys, especially Logical Analysis, Seeking Guidance and Support, and Emotional Discharge strategies. At older ages, Logical Analysis and Emotional Discharge became more frequent in girls and Cognitive Avoidance less frequent in boys. The results also suggest that problem appraisal has only a limited effect on the selection of coping strategies and that only few strategies are related to the problems' outcomes.     

Coping among children and adolescents with chronic illness

The present study was aimed to investigate age and gender effects on coping with everyday stressors among children and adolescents with chronic illness and healthy controls. Patients (8–13 years of age) with asthma (n=47), atopic dermatitis (n=52), and cancer (n=57) were compared to healthy controls (n=158) matched by age, gender, and grade. Self-report data on coping with academic and interpersonal stressors were collected. The primary results indicated that coping with everyday stressors was improved in children and adolescents with chronic illness compared to healthy controls. Thus, patients reported less passive avoidance on cross-situational coping and tended to show more situation-specific coping with social and school-related stressors than healthy controls. Additionally, among the clinical groups, patients with atopic dermatitis and cancer scored higher on positive self-instructions than patients with asthma. Conclusively, the results suggest that coping with a chronic illness may lead to more effective coping with everyday stressors. Implications for evaluating coping styles in patients with chronic illness are discussed.     

Psychometric properties of the Coping Response Inventory with Brazilian adolescents

To analyze the psychometric properties of the Coping Response Inventory-Youth Form (CRI-Y) and its applicability, 426 Brazilian adolescents (43.3% boys, 56.7% girls), ages 12 to 18 years (M = 16.5, SD = 1.6), completed the authorized Brazilian/Portuguese version of the 1993 original. Analysis showed higher use of Approach coping and Emotional Discharge by the girls. The inventory showed internal consistency reliability was similar to that of the original scale. A two-factor structure reflecting Approach and Avoidance coping was found; however, the distribution of loadings of specific coping scales on this two-factor structure did not fit the original Moos model. The criterion validity analyzed by the use of the Youth Self-Report showed significant positive relation between the Avoidance dimension and Psychopathological symptoms for boys and girls. Data were discussed with respect to coping theory, assessment, and cultural influences.     

Coping strategies and depression in Puerto Rican adolescents: an exploratory study

The use of inadequate coping strategies in stressful situations results in the development of depression in adolescents. This study identified coping strategies used by Puerto Rican adolescents and evaluated the relationship between coping and depression. Fifty-one adolescents participated in the study. Results indicated that the most frequently used coping strategy was developing positive perceptions about life situations. Significant differences were observed according to the severity of depressive symptoms. Investing in family relationships and developing positive perceptions about life situations seemed to reduce depression. Furthermore, the strategies of investing in family relationships and relieving tension through diversion were the variables with more predictive value for depression. The importance of exploring coping responses within the cultural context of the adolescent is discussed.     

Coping with coping assessment: A critical review

The recent literature on self-report measures of coping reactions and strategies is reviewed and critically evaluated. Most of the coping research has focused on assessing several basic coping behaviours or reactions. These include dimensions such as task-oriented coping, emotion-oriented coping, and avoidance-oriented coping. In general, most of the coping scales that have been developed have a variety of psychometric inadequacies. This state of affairs has created at least two major problems in the coping literature: (1) The proliferation of problematic coping scales, sometimes measuring different constructs, makes it difficult to generalize from one population and/or one health problem to another. (2) Since psychometrically sound instruments are a precondition for studying the relationships among coping, personality, and health, scales with psychometric problems preclude obtaining valid and generalizable information about coping behaviour. Methodological problems in the area have seriously restricted the development of a systematic body of theory and empirical knowledge about coping.     

Coping behavior of Finnish adolescents: Remarks on a cross-cultural comparison

As part of a larger cross-cultural project, the present study analyses the coping styles of Finnish adolescents. A sample of 548 adolescents aged 15 to 17 years was investigated. Coping styles were defined by a matrix of 20 coping strategies applied across eight different developmental areas. Factor analysis revealed a three-dimensional structure of coping styles. The first dimension involves activities such as seeking support or taking advice (Active Coping), the second emphasizes the adolescent's appraisal of the situation and the search for a compromise (Internal Coping/Compromising) and the third includes defenses like denial and withdrawal (Withdrawal) and may be regarded as dysfunctional. The Finnish adolescents most frequently employed functional forms of coping like Active Coping and Internal Coping/Compromising: dysfunctional coping style such as Withdrawal was used less often. In addition, significant main effects for age and gender were found. Girls favored more Active Coping and support seeking behavior, as compared to boys. Both functional coping modes showed an increase with age. A comparison of coping styles across eight different problem areas revealed situation specific influences, too. The discussion compares the coping styles of Finnish adolescents with results of two parallel studies focussing on German and Israeli adolescents, using the same instrument. In spite of the considerable impact of environmental and historical conditions in the three countries, the similarities in coping behavior were impressive.     

The assessment of suicidal behavior in adolescents.

All available assessment instruments (N = 29) used to study suicidal behaviors in adolescents and young adults (age 12-20) were collected and reviewed. Instruments were found to vary substantially in purpose, format, informat, and theoretical orientation. The items from these tools (N = 461) were categorized according to behavior type (thoughts, feelings, or actions) and content categories (death/life-related, disease-promoting/preventing, injury-producing/reducing, person-reducing/enhancing, and factual information). The majority of the items were found to assess thoughts and were focused on death-related content. Recommendations include the need for more rigorous validation of instruments, clearer operational definitions, additional normative information, and expansion of the pool of available items to encompass a broader array of self-destructive behaviors.     

Coping with chronic childhood diseases: Implications for counselling children and adolescents

Children with chronic diseases have to cope with a number of potentially stressful situations. Some relate specifically to the disease and treatment, and others, relating to school and home, are shared with all children. Research has tended to focus on environmental or personal variables that influence ‘adjustment’ to the disease. In contrast, work in general developmental psychology is concerned with identifying changes in children's appraisal of what constitutes a stressful situation, and describing appropriate coping skills. It is argued that this latter approach should be integrated with work concerned with coping in childhood illness. Implications for clinical practice are considered.     

Coping patterns of African American adolescents: a confirmatory factor analysis and cluster analysis of the Children's Coping Strategies Checklist

The current study examined patterns of coping strategies in a sample of 497 low-income urban African American adolescents (mean age = 12.61 years). Results of confirmatory factor analysis indicated that the 4-factor structure of the Children's Coping Strategies Checklist (T. S. Ayers, I. N. Sandler, S. G. West, & M. W. Roosa, 1996) was not replicated in the current sample. The final model was a 3-factor model that was invariant across gender. The Active Coping factor and Revised Avoidant Coping factor were highly correlated in the present sample. Results of cluster analyses identified 2 coping groups differing on the frequency of coping use and preferred coping methods. The 1st group was more likely to use avoidant coping and less likely to use social support-seeking coping than the 2nd group, which showed more consistent use across coping strategies. There were no significant differences in the association between stressors and symptoms across the 2 groups. The results highlight the importance of examining factor structures of coping measures with underrepresented groups.     

Coping style and memory specificity in adolescents and adults with histories of child sexual abuse

Individuals with histories of childhood trauma may adopt a nonspecific memory retrieval strategy to avoid unpleasant and intrusive memories. In a sample of 93 adolescents and adults with or without histories of child sexual abuse (CSA), we tested the hypothesis that nonspecific memory retrieval is related to an individual's general tendency to use avoidant (i.e., distancing) coping as a personal problem-solving or coping strategy, especially in victims of CSA. We also examined age differences and other individual differences (e.g., trauma-related psychopathology) as predictors of nonspecific memories. Distancing coping was significantly associated with less specific autobiographical memory. Younger age, lower vocabulary scores, and non-CSA childhood maltreatment (i.e., physical and emotional abuse) also uniquely predicted less autobiographical memory specificity, whereas trauma-related psychopathology was associated with more specific memory. Implications for the development of autobiographical memory retrieval in the context of coping with childhood maltreatment are discussed.     

Coping strategies and psychological distress: Prospective analyses of early and middle adolescents

Administered measures of coping, life events, and anxiety and depression to junior high and senior high school samples on two occasions, separated by a 5-month interval. Factor analyses supported the creation of coping subscales for problem solving, cognitive coping, social entertainment, physical exercise, and peer support. A one-item index of parental support was also included in the analyses. The coping subscales showed moderate temporal stability. Mothers' reports of their children's coping provided only marginal support for the validity of the adolescents' self-reports. Prospective regression analyses of the early adolescent data revealed that problem-solving coping was negatively related to depression, and that social entertainment coping was negatively related to anxiety. The prospective effects for the middle adolescents' coping were nonsignificant. The findings are discussed in terms of their implications for the measurement of adolescent coping strategies and research on the relation between these strategies and psychological functioning.     

Incremental validity in the psychological assessment of children and adolescents

Incremental validity in the process of psychological assessment of children and adolescents is explored. The authors highlight the dependence of the incremental validity of assessment information on factors such as goal of assessment, other information available, base rate of the problem or outcome, age or gender of the child, and type of problem being assessed. The authors discuss the incremental validity of assessment information from alternate sources, methods, and constructs. In view of the limited number of studies directly relevant to incremental validity in child clinical assessments, the authors call for more clinically relevant research. To have the greatest impact on child and adolescent services, this research must be readily generalized and immediately relevant to actual clinical practice.     

The sense-making approach for audience assessment of adolescents

The purpose of the research was to test the methodology used to identify how adolescents approach their nutrition concerns and questions. The methodology was based on Dervin's sense-making theory. Using a time-line interview technique, 305 adolescents 14 to 16 years of age detailed a situation involving their most important nutrition concerns. Other pertinent information was obtained. Cluster analysis was chosen as the appropriate analysis to identify groups of adolescents who responded similarly to the technique. Discriminant analysis was then used to determine which variables maximally separated the groups. Four groups were identified, two of which described action-oriented approaches to dealing with nutrition situations and differed in terms of how much outside help they wanted. The remaining two groups perceived barriers to dealing with situations and also differed in how much help they wanted. A fifth group indicated no nutrition concerns or questions. The results will be used to develop and test the effectiveness of nutrition education when it is focused on the different approaches.     

Strength-based assessment of African-American adolescents with behavioral disorders

The study examined consistencies and differences between 60 parents and their adolescent children with behavioral problems when rating the adolescents' strengths. The parents and teenagers agreed on most of the strength categories of the Behavior and Emotional Rating Scale. However, caretakers rated the adolescents as more involved in family life, while the adolescents rated themselves as more involved in school activities.     

The assessment of adolescents: preconceptions and realizations

The paper explores, in detail, the process of a single assessment as it unfolds session by session. It draws attention to the inevitability of the clinician's harbouring preconceptions of all kinds - especially when working with adolescents. It focuses on the difficulty of withstanding those preconceptions and allowing the patient's true anxieties, conscious and unconscious, to emerge. The process is a complex one requiring close attention to transference and countertransference manifestations, to the central significance of observation, to Bion's notion of the opacity of memory and desire. The case, that of a hypochondriacal 17-year-old young woman, highlights some main concerns and defences of the age group, for example, somatization, separation, fears of madness, issues of identity and, most fundamental of all, sexuality.     

MMPI-A in the inpatient assessment of adolescents with eating disorders.

The MMPI-A (Butcher et al., 1992), like the older MMPI (Hathaway & McKinley, 1983), distinguishes between anorexia and bulimia. In this study, 245 adolescent girls diagnosed with anorexia, bulimia, or eating disorder not otherwise specified completed the MMPI-A. Multivariate analyses revealed significant differences between anorexia and bulimia on the MMPI-A's validity, clinical, content, and supplementary scales, particularly suggesting multiple impulse control problems among bulimic patients. However, profiles were also more homogeneous across eating disorder groups than in studies using the older MMPI, with high points involving some combination of Scales 1, 2, 3, and 0 for two thirds of the patients in this study. Implications are considered for understanding the common and differential psychopathology of eating disorders.     

Comparative assessment of a coping model for school adolescents

Four brief, interpersonal coping courses were conducted in a junior high school setting for early adolescent students who volunteered for the experience. Two of the classes (N=24) consisted of students who regularly utilized school guidance personnel; the remaining two classes (N=19) consisted of adolescents from the general school population. Course objectives included higher self-esteem and increased ability to perceive, interpret, and express nonverbal communication and feeling. Session tape recordings provided verbal data for analysis by the Hill Interaction Matrix (HIM) procedure. Results showed that the intervention had significant impact on students' patterns of interaction: interactions were fewer, but longer; conventional interactions decreased, while speculative ones increased; and personal and relationship content increased. Generally, the two class types exhibited similar patterns and changes, although some specific differences were detected. Social class background, stressful life events, and the intensity of the problems experienced by the two types of student were postulated as the sources of this variability. When coupled with ancillary postcourse data, these results support the conclusion that students' interpersonal coping skills were improved by the experience.     

The role-taking interview: an assessment technique for adolescents

This paper presents the Role-Taking Interview (RTI) as a tool for assessing the subjective experiences of adolescents in crisis. The RTI is intended as an adjunct to traditional assessment approaches and can provide clinicians with information regarding adolescents' perceptions of social relationships. A five-step approach for utilizing the method is presented along with its theoretical basis, rooted in role theory and psychodramatic concepts. Illustrative case examples are provided.