Validation of the shortened cope for use with breast cancer patients undergoing radiation therapy

To study the relationship between cancer and emotional adjustment, investigation of situation-specific coping behaviors with respect to narrowly defined Stressors has recently been promoted. The development and validation of shorter instruments, designed to facilitate completion by clinical populations, has also been recommended. The current study examined the coping skills used by French-Canadian women undergoing radiation therapy for breast cancer. A factor analysis of the 28-item shortened COPE (Carver, Scheier, & Weintraub, 1989) yielded the following eight factors: disengagement, self-distraction, active coping, using emotional support from husband/ partner, using emotional support from friends, turning to religion, humor, and substance use. The test-retest and Cronbach alpha internal consistency reliability coefficients of the French-Canadian shortened COPE were actually higher than those observed in the full-length version of the instrument. In addition, the eight factor-based scores correlated in a theoretically meaningful manner with existing measures of coping skills with illness (Coping with Health Injuries and Problems; CHIP) and mood disturbance (Profile of Mood States; POMS), thus suggesting good construct convergent and concurrent criterion validity. In particular, the disengagement COPE scale was correlated highly with anxiety, depression, and anger. While further validation is recommended, the results show promise for the shortened COPE in assessing coping in women with breast cancer, and also provide continued evidence for the notion that specific coping skills are associated with particular mood states.     

Validation of the shortened cope for use with breast cancer patients undergoing radiation therapy

To study the relationship between cancer and emotional adjustment, investigation of situation-specific coping behaviors with respect to narrowly defined Stressors has recently been promoted. The development and validation of shorter instruments, designed to facilitate completion by clinical populations, has also been recommended. The current study examined the coping skills used by French-Canadian women undergoing radiation therapy for breast cancer. A factor analysis of the 28-item shortened COPE (Carver, Scheier, & Weintraub, 1989) yielded the following eight factors: disengagement, self-distraction, active coping, using emotional support from husband/ partner, using emotional support from friends, turning to religion, humor, and substance use. The test-retest and Cronbach alpha internal consistency reliability coefficients of the French-Canadian shortened COPE were actually higher than those observed in the full-length version of the instrument. In addition, the eight factor-based scores correlated in a theoretically meaningful manner with existing measures of coping skills with illness (Coping with Health Injuries and Problems; CHIP) and mood disturbance (Profile of Mood States; POMS), thus suggesting good construct convergent and concurrent criterion validity. In particular, the disengagement COPE scale was correlated highly with anxiety, depression, and anger. While further validation is recommended, the results show promise for the shortened COPE in assessing coping in women with breast cancer, and also provide continued evidence for the notion that specific coping skills are associated with particular mood states.     

Depression and Social Anxiety in Children: Differential Links with Coping Strategies

Strategies that children use for coping with stressors are known to be related to emotional adjustment, but not enough is understood about specific links with social anxiety and depression. The present investigation tested differentiated associations of social anxiety and depression with specific types of coping strategies, and evaluated the direction of these associations over time. In Study 1, 404 children aged 8–13 years completed a coping scale modified from Kochendefer-Ladd and Skinner (Developmental Psychology 38:267-278, 2002) in order to evaluate factor structure and subscale internal consistency. In Study 2, 270 8–11-year-old children completed depression and social anxiety scales, a sociometric survey, and the coping scale from Study 1, with a follow-up timepoint 9 months later. In Study 1, factor analysis revealed six internally consistent coping subscales. In Study 2, social anxiety and depression were found to have distinctive longitudinal associations with subsequent coping strategies. Decreased problem-solving, social support-seeking, and distraction were uniquely predicted by depression but not by social anxiety. Internalising coping was a stronger outcome of social anxiety, and increased externalising was uniquely predicted by depression. There was also some evidence for a moderating role of peer relations. However, none of the coping strategies predicted changes in depression or social anxiety over the two timepoints. These results highlight the impact that emotional adjustment may have on children’s coping strategies, and clarify important distinctions between social anxiety and depression in relation to coping.     

Do Coping Styles Differ Across Sociocultural Groups? The Role of Measurement Equivalence in Making This Judgment

Cross-sociocultural group measurement equivalency is an important issue that generally has not been studied in the coping literature. Measurement equivalency of the COPE (Carver, Scheier, & Weintraub, 1989) was assessed across two sociocultural groups, a sample of 100 Anglo middle-class divorced mothers and a sample of 122 low-income Mexican American/Mexican immigrant mothers. A series of restrictive confirmatory factor analyses revealed that seven of the COPE's subscales may be measuring the same underlying construct across populations. However, scores derived from the subscales may not represent the same magnitude of the construct in these two groups. This study makes an important first step in furthering the understanding of coping strategies in low-income Mexican American/Mexican immigrant mothers. This study also illustrates the importance of testing for measurement equivalency before conducting comparative research in disparate populations.     

Examination of the Hierarchical Structure of the Brief COPE in a French Sample: Empirical and Theoretical Convergences

This study aimed to determine whether the various factors of coping as measured by the Brief COPE could be integrated into a more parsimonious hierarchical structure. To identify a higher structure for the Brief COPE, several measurement models based on prior theoretical and hierarchical conceptions of coping were tested. First, confirmatory factor analysis (CFA) results revealed that the Brief COPE's 14 original factors could be represented more parsimoniously with 5 higher order dimensions: problem-solving, support-seeking, avoidance, cognitive restructuring, and distraction (N = 2,187). Measurement invariance across gender was also shown. Second, results provided strong support for the cross-validation and the concurrent validity of the hierarchical structure of the Brief COPE (N = 584). Results indicated statistically significant correlations between Brief COPE factors and trait anxiety and perceived stress. Limitations and theoretical and methodological implications of these results are discussed.     

Unemployment, coping and psychological distress

This study addressed the role of coping sytle in anxiety and depression of unemployed people. Two-hundred thirty-three people checking in at unemployment services participated. They filled in Carver, Scheier and Weintraub's (1989) coping measure (COPE), the Hospital Anxiety and Depression scale (HAD), gave information as to age, duration of unemployment and their appraisal of their situation. Four secondary dimensions of COPE were used in data analyses. Multiple regression analyses were undertaken with anxiety/depression as dependent and the coping variables as independent variables, with background/appraisal variables entered first. Coping variables added to the prediction of anxiety and depression over and above background/appraisal variables. For women Focus on Emotion coping as well as Avoidance was related to higher anxiety/depression scores ( p <0.01), whereas Reappraisal was related to lower anxiety/depression ( p <0.05). For men only Avoidance was related to anxiety/depression ( p <0.01). More Avoidance co-occurred with higher levels of anxiety as well as depression. The results are discussed with respect to possible intervention.     

Negative life events, cognitive emotion regulation and emotional problems

A new questionnaire, named the Cognitive Emotion Regulation Questionnaire, has been constructed, measuring nine cognitive coping strategies people tend to use after having experienced negative life events. A test–retest design was used to study the psychometric properties and relationships with measures of depression and anxiety among 547 high school youngsters. Principal component analyses supported the allocation of items to subscales, while alphas of most subscales exceeded 0.80. Cognitive coping strategies were found to play an important role in the relationship between the experience of negative life events and the reporting of symptoms of depression and anxiety. The results suggest that cognitive coping strategies may be a valuable context of prevention and intervention     

Coping with neck and low back pain in the general population.

This study had 2 objectives: (a) to assess the psychometric properties of the Pain Management Inventory (PMI; G. K. Brown & P. M. Nicassio, 1987) with individuals in the general population with neck or low back pain, and (b) to assess the relationship between pain severity and coping. Data were taken from a mailed survey of a random sample of adults residing in Saskatchewan, Canada. Results validated the 2-factor structure of the PMI and provided evidence for the internal consistency of the coping subscales. Regression analyses revealed that passive coping was associated with being married, greater pain severity, depression, and poor health. Active coping was associated with female gender, higher education, less depression, good health, and frequent exercise. This study provides psychometric data to support the use of the PMI and information about factors associated with use of active and passive coping strategies in pain sufferers.     

Coping strategies: Evidence for cross-cultural differences? A preliminary study with the Italian version of coping orientations to problems experienced (COPE)

The internal structure of the COPE inventory (Carver, Scheier & Weintraub, 1989), a questionnaire which measures 15 different coping strategies, was studied. The Italian version of COPE was administered to 521 undergraduate students. Alpha and test-retest reliabilities were very similar to those obtained in the above American study. A rotated factor analysis resulted in 13 factors, which came out in a different order with respect to those obtained in the original study. A second-order factor analysis yielded five factors similar to those obtained by Carver etal., except for ‘Turning to religion’, which was present in the Italian study only. It is concluded that the Italian version of COPE has good construct validity and that the traditional taxonomy of coping strategies should also be studied in the light of transcultural differences.     

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.     

Aging and symptoms of anxiety and depression: structural invariance of the tripartite model

Negative affect measures were evaluated in a cross-sectional community sample of adults aged 18-93 (N = 335) to examine the structure of neuroticism, anxiety, and depressive symptoms in young, middle, and older adult cohorts. Structural equation modeling was used to contrast 3 nested models: a 1-factor general distress model; a 2-factor high negative-low positive affect model; and a 3-factor "tripartite model" reflecting a higher order Negative Affect factor that is common to depression and anxiety problems and 2 lower order factors, Low Positive Affect (mostly specific to depression) and Arousal (specific to anxiety/panic). As expected, the tripartite model fit best for all age groups. Further, multigroup analyses indicated age invariance for the tripartite model, suggesting the model can be effectively applied with older populations.     

Identifying correlates of self-stigma in adults who stutter: Further establishing the construct validity of the Self-Stigma of Stuttering Scale (4S)

PurposeThis study was set up to further establish the construct validity of the Self-Stigma of Stuttering Scale (4S) by demonstrating its associations with other established scales and replicating its original factor structure and reliability estimates.MethodWeb surveys were completed by 354 adults who stutter recruited from Board Certified Specialists in Fluency Disorders, and adult chapters of the National Stuttering Association. Participants completed a series of psychometrically validated scales measuring self-stigma, hope, empowerment, quality of life, social support, anxiety, depression, and self-rated speech disruption.ResultsHigher subscale and total stigma scores on the 4S were associated with significantly lower levels of hope, empowerment, quality of life, and social support, and significantly higher levels of anxiety, depression, and self-rated speech disruption. The original factor structure of the 4S was replicated, and reliability estimates of the subscales ranged from adequate to excellent.ConclusionsThe findings of this study support the construct validity of the 4S and its use by clinicians and researchers intending to measure the construct of self-stigma in adults who stutter.Educational objectives: Readers should be able to: (a) distinguish between the various components of self-stigma; (b) describe how the various components of the self-stigma model relate to hope, empowerment, quality of life, and social support, self-rated speech disruption, anxiety, and depression; (c) summarize the psychometric properties of the Self-Stigma of Stuttering Scale (4S) in terms of reliability, factor structure, and construct validity; (d) discuss how the 4S could be used in research and clinical practice.     

Good and Bad Sides of Self-Compassion: A Face Validity Check of the Self-Compassion Scale and an Investigation of its Relations to Coping and Emotional Symptoms in Non-Clinical Adolescents

To demonstrate that the positive and negative subscales of Self-Compassion Scale (SCS) are very different in nature, we conducted a series of face validity checks on the items of this questionnaire among psychologists and psychology students (Study 1). Furthermore, a survey was administered to a convenience sample of non-clinical adolescents to examine the relations between various SCS subscales and symptoms of anxiety and depression as well as coping styles (Study 2). The results of the face validity checks revealed that the positive subscales seem to be well in line with the protective nature of self-compassion as they were mainly associated with cognitive coping and healthy functioning, whereas the negative subscales were chiefly associated with psychopathological symptoms and mental illness. The survey data demonstrated that the positive SCS subscales were positively correlated with adaptive coping (r’s between .22 and .50) and negatively correlated with symptoms of anxiety and depression (r’s between ?.19 and ?.53), while the negative subscales were positively correlated with symptoms (r’s between .49 and .61) and maladaptive coping strategies such as passive reacting (r’s between .53 and .56). Additional analyses indicated the negative subscales of the SCS accounted for a significant proportion of the variance in symptoms, whereas the unique contribution of the positive SCS subscales was fairly marginal. We caution to employ the total SCS score that includes the reversed negative subscales as such a procedure clearly inflates the relation between self-compassion and psychopathology.     

应对行为跨文化测评的构念等同与偏差性研究

本文对COPE量表测评我国大学生应对行为方式的构念等同与偏差性进行深入探讨。采用验证性因素分析的方法测试了原版量表(COPE)及其中文修订本(C-COPE)的不同因素结构模型与465名大学生测评数据的拟合优度。研究结果支持C—COPE的测评维度结构,表明COPE量表对我国人群所进行的应对测评与西方社会的相比确实存在跨文化构念不等同性或偏差性,两者测评结果的跨文化比较因此缺乏必要前提条件。文中对所发生的构念偏差现象进行了详细分析。     

Worry and Pathological Worry in Patients with Psoriasis: Cross Sectional and Longitudinal Analyses of the Penn State Worry Questionnaire (PSWQ) in Four Samples of Patients

The purpose of the present study was to examine the psychometric properties of the Penn state Worry Questionnaire (PSWQ) in patients with psoriasis. A series of cross-sectional and longitudinal studies were undertaken to assess the reliability, stability and validity of the measure. Patients with psoriasis from four samples (consecutive attendees, anxious patients, depressed patients, and 6-month follow-up of consecutive attendees) completed the PSWQ and measures assessing related constructs of anxiety and depression (HADS) and coping (COPE). The clinical severity of patients psoriasis was also assessed by dermatologists using the Psoriasis Area and Severity Index (PASI). Exploratory factor analysis was undertaken and receiver operator characteristic (ROC) analyses were used to examine the clinical utility of the PSWQ cut-off score for normal and pathological worry. Exploratory factor analysis suggested that the PSWQ is essentially unidimensional in patients with psoriasis. Intraclass correlation demonstrated that, over a 6-month period, the reproducibility of the PSWQ total scale was good in patients with anxiety and moderate in patients with depression. ROC analysis suggested that the optimum cutoff differentiating pathological worry was > 60, which is commensurate with findings in adult mental health more generally. The PSWQ cutoff for pathological worry showed a lower specificity for depression than anxiety. The PSWQ is an appropriate measure of pathological worry in patients with psoriasis. The cutoff on the scale for pathological worry demonstrates appropriate conceptual overlap with subordinate distress categories of anxiety and depression.     

Disorder-specific Effects of CBT for Anxious and Depressed Youth: A Meta-analysis of Candidate Mediators of Change

The commonalities between anxiety and depression have been discussed before, but few have delineated the potentially different mechanisms through which treatments work for these populations. The current study conducted a comprehensive review of child and adolescent randomized clinical trials that tested cognitive-behavioral therapy (CBT) for anxiety or depression. All studies were required to have assessed both treatment outcomes and at least one theory-specific process target, including behavioral, physiological, cognitive, and coping variables. Using a meta-analytic approach, CBT demonstrated positive treatment gains across anxiety, depression, and general functioning outcomes. CBT for anxiety also produced moderate to large effects across behavioral, physiological, cognitive, and coping processes, with behavioral targets demonstrating potentially the greatest change. CBT for depression produced small effects for cognitive processes but nonsignificant effects for behavioral and coping variables. Findings were generally consistent with CB theory but suggest potentially different mediators in the treatment of anxiety and depression. Results are discussed in terms of implications for mechanisms research, theories of change, and treatment development.     

应对的多测评维度的鉴别分析

本文对ＣＯＰＥ中文版（Ｃ－ＣＯＰＥ）的应对测评维度进行鉴别分析,７３６名大学生的测试数据的探索性因素分析结果表明,Ｃ－ＣＯＰＥ的应对维度为八个：心理资源积聚、主动控制与筹划、寻求社会支持、正面认识、情绪专注与渲泄、失助性反应、否认与心理摆脱、求助宗教。此量表结构效度良好,并且其信度也符合心理测量学要求。各应对维度测评的样本描述统计学结果反映现今大学生使用各种应对方式的程度有所不同,从群体平均水平而     

Factors that influence emotional disturbance in adults living in extreme poverty

Living in poverty conditions implies exposure to severe circumstances of social disadvantage, associated with greater propensity to contract illnesses. A negative correlation has consistently been observed between health and poverty. The chronic exposure to stress affects people's well-being through the development of symptoms of anxiety and depression. The suffering of these symptoms for a long time period may be considered as part of a more general syndrome of emotional disturbance, in detriment to a person's mental health. The objective of this study is to identify psychological factors that influence emotional disturbance, measured as symptoms of anxiety and depression, in adults living in poverty conditions in Mexico's central region. A total of 913 adults, 65.2% female, were surveyed. The mean age of the participants was 43.71 (±12.58) years and the mean number of years of schooling was 4.04 (±3.36). Variables corresponding to personal characteristics were measured. The results indicate that the most important risk factor for depression is anxiety and vice versa. Additionally, gender, negative self-esteem, lack of adequate strategies for confronting and resolving difficulties, and lack of self-regulation predicted depression, whereas stress, lack of self-regulation, and coping style predicted anxiety. These variables were better predictors than optimism, locus of control, sense of humor or religiosity.     

The Association of Negative Urgency with Psychological Distress: Moderating Role of Proactive Coping Strategies

Abstract

Negative urgency, which is the tendency to act impulsively under the influence of negative emotions, is a risk factor for various psychological disorders including anxiety and depression. In contrast, proactive coping is a future oriented coping strategy that aims to prepare the self for future stressors by reappraising the stressors as challenges or keep oneself prepared for impending losses. Although the effect of proactive coping and preventive coping strategies on reducing depression and anxiety has been consistently documented, the association of their interaction with risk factors received little attention. In the current study, the moderator roles of two dimensions of Proactive Coping strategies in the association of negative urgency with anxiety and depression, is examined. Data were collected from 404 individuals (255 women) aged 18 to 59 (M?=?31.29, SD = 11.70) through scales assessing negative urgency, proactive coping, anxiety and depression from a community sample. The results revealed that the interaction of proactive coping with negative urgency to be significantly associated with individual differences in depression scores, indicating that appraising the threats as challenges may have potential for buffering the effects of negative urgency on depression. However, a similar pattern was not observed for anxiety or preventive coping.     

Action Type-Based Factorial Structure of Brief COPE among Hong Kong Chinese

Brief COPE (Carver in International journal of Behavioral Medicine, 4(1), 92–100, 1997) is a multidimensional scale that measures situational and dispositional coping responses. This study evaluated its factor structure and psychometric properties using two Hong Kong college samples (Sample 1; n = 204 & Sample 2; n = 221). Results of confirmatory factor analysis (CFA) indicated that an eleven-factor model, based on action goals (Skinner et al. in Psychological Bulletin, 129(2), 216, 2003), demonstrated a good fit across the two samples. The eleven-factor model fit the data better than five alternative models. We also validated a Traditional Chinese translation of the scale. Multiple-groups CFAs indicated partial scalar invariance across the English and Chinese versions in Hong Kong participants. Nonetheless, convergent validity was supported by the associations between the scores of some, but not all, of the dimensions and related psychological constructs, including psychological distress, optimism, and locus of control. Such associations might help differentiate conceptually distinct coping dimensions. Likewise, our results provided support for the reliability of some, but not all, of the subscale scores. In sum, our results support the multidimensionality of Brief COPE and the use of some of the measure’s factors and subscales. Moreover, Brief COPE and its translated version demonstrated acceptable psychometric properties in Hong Kong Chinese.