Coping With Vicarious Trauma in the Aftermath of a Natural Disaster

This study documents the vicarious psychological impact of the 2010 earthquake in Haiti on Haitians living in the United States. The role of coping resources—family, religious, and community support—was explored. The results highlight the importance of family and community as coping strategies to manage such trauma. Este estudio documenta el impacto psicológico vicario que tuvo el terremoto de 2010 en Haití sobre los residentes haitianos que viven en Estados Unidos. Se explora el papel de los recursos de afrontamiento—apoyo familiar, religioso y comunitario. Lo resultados destacan la importancia de la familia y la comunidad como estrategias de afrontamiento para superar un trauma de esas características.     

Gender Group Differences in Coping with Chronic Terror: The Israeli Scene

Gender group differences in terror–stress, cognitive appraisals, ways of coping with terror, and stress reactions were explored in a sample of Israeli adults following prolonged exposure to political violence. Data were gathered at the height of the Al-Aqsa Intifada uprising (May/July 2002) from a sample of 707 adult participants (60% women and 40% men) residing in Haifa and northern Israel. Israeli women reported that they were more distressed by political violence than the men did, and they also appraised the crisis situation as more threatening and less manageable. Women reported using more problem-focused as well as emotion-focused coping than men did; both men and women used a mixture of coping strategies. Compared to men, women reported that they experienced more somatic symptoms and more frequent posttraumatic stress symptoms than men did. Negative affectivity was found to mediate gender differences in appraisals, coping, and outcomes. Overall, the nexus of relations among key variables was found to be highly similar for men and women. These data suggest that women may be more reactive to chronic political violence situations than men are. The data are discussed and explicated in the context of stress and coping theory and prior research on political violence and community disasters.     

大学生心理压力应对方式特点的研究

本研究采用自编的大学生压力应对方式闯卷,考察了全国各地2007名大学生心理压力应对方式的特点。结果表明：(1)大学生压力应对方式问卷具有良好的内容效度和预测能力,内部一致性和测量稳定性理想;(2)大学生的压力应对方式总体上以心理调节机制为主,自我防御和外部疏导机制使用较少;(3)在压力的应对方式上,大一学生以外部求助、压抑、幻想和调整情绪方式为主,大二、大三学生以自我防御方式和总结经验为主,大四学生则较多采用心理调节机制的方式;(4)女生的应对方式比男生更积极,农村来源的大学生倾向于压抑自己和总结经验,城市来源的学生更喜欢宣泄压力,独生子女的应对方式以消极防御机制居多。     

Avoidance Behavior Following Terror Event Exposure: Effects of Perceived Life Threat and Jewish Religious Coping

The current research was designed to examine associations of perceived life threat (PLT) and religious coping with the development of avoidance behavior following terror event exposure. Based upon the terror management theory (TMT), we hypothesized that religious coping, through its effect on religious beliefs as a meaning system, would moderate the impact of threat, as expressed in PLT, on an individual's reaction to terror event exposure, as manifested in avoidance behavior. Participants were 591 Israeli Jewish students who were vicariously or directly exposed to a terror event in the past. We report a significant interaction between PLT and negative religious coping. PLT was positively associated with avoidance behavior but this relationship was more profound among persons who reported high negative religious coping. Secular students reported higher rates of avoidance behavior and negative religious coping and were more likely than religious students to report intrapersonal religious conflict. Our findings suggest that terror event exposure is associated with an elevated sense of threat, which is, at least in part, associated with a weakening of prior religious beliefs.     

气候变化的心理影响及应对策略

气候变化是指人类活动直接或间接导致的气候方面的改变, 是本世纪人类面临的最大挑战之一。气候变化对个人的认知、情绪及行为均有影响, 这些心理影响对大多数人而言是渐进式的。目前已有的研究发现, 气候变化的应对策略包括问题聚焦、情绪聚焦和意义聚焦三种, 而意义聚焦可能是其中最有利于心理健康的应对策略。未来的研究需要进一步界定某些重要概念, 并使之能够操作化, 需要探讨气候变化应对策略与心理健康之间的关系, 研究中国人气候变化应对策略的特征等。     

失眠症患者压力应对特征的调查分析及对临床干预的启示

本研究对失眠症患者的压力应对特征进行调查与分析。按照CCMD-3诊断标准,试验组失眠患者52例,在社区分层抽样52人作为对照组,用匹茨堡睡眠指数量表、防御方式问卷、应对方式问卷、社会支持评定量表进行测量。试验组不成熟型防御方式明显高于对照组,成熟型防御方式低于对照组;应对方式试验组以消极应对为主;试验组社会支持总体高于对照组,其中客观支持较高而主观支持和社会支持利用度较低。这些因素共同作用形成了失眠症迁延不愈的主要病理心理机制。心理治疗中要运用恰当的心理治疗方法,引导患者用成熟的、积极的应对方式应对各种压力源。     

Coping with Severe Mental Illness: Relations of the Brief COPE with Symptoms, Functioning, and Well-Being

The way patients cope with the experience of having an episode and being hospitalized for psychiatric disorder may relate to symptom severity, social functioning, and psychological well-being. Coping was assessed among 70 psychiatric inpatients diagnosed primarily with schizophrenia, major depressive disorder, and schizoaffective disorder. The Brief COPE—a questionnaire developed in health psychology (C. S. Carver, 1997)—was administered in interviewer-assisted format during patients' stay on the ward. Thirty patients were re-interviewed an average of 6 weeks after discharge. Among patients with schizophrenia, schizophrenia symptom severity correlated inversely with adaptive coping (e.g., acceptance, planning, seeking support) but did not correlate with maladaptive coping (e.g., self-blame, denial). Among those with schizophrenia, deficits in adaptive coping also predicted relative increases in schizophrenia symptoms over time, controlling for intake symptom severity. Among patients without schizophrenia, maladaptive coping correlated concurrently with depressive symptoms. Several hypothesized associations between concurrent coping, functioning, and well-being were also documented.     

Religious Coping,Body Dissatisfaction,and Bulimic Symptomatology

The authors explored the association among body dissatisfaction, religious coping, and bulimic symptomatology. The results suggest that spiritual discontent religious coping was detrimental for the college female participants (N= 398) when considered in relationship to bulimic symptomatology. Implications of the findings for theory refinement, future research, and clinical practice are discussed.     

心理干预对急性冠脉综合征伴抑郁患者应对方式的影响

为了解心理干预对急性冠脉综合征（ACS）伴抑郁患者应对方式的影响,对42名ACS伴抑郁患者随机分为干预组和对照组,在入组时、入组3月后和6月后分别进行HAD（d）、MCMQ测评。结果显示入组3月后和6月后,干预组HAD（d）总分、回避因子分、屈服因子分较对照组降低,面对因子分较对照组升高,与入组时相比干预组HAD（d）...     

大学生社会比较与抑郁：人际自立影响的性别差异

社会比较是人类生活中的普遍现象。通过对701名大学生的问卷调查,研究分析了大学生社会比较、抑郁、人际自立以及性别间的影响关系,结果发现：大学生抑郁与能力比较显著正相关,与人际自立显著负相关。多重调节模型分析表明,人际自立显著调节能力比较与抑郁关系,且有性别差异。低人际自立男大学生,能力比较显著影响其抑郁程度。建议重点关注低人际自立男大学生,及时化解其由于社会比较产生的负性情绪,避免陷入抑郁“泥潭”。     

Coping with the Angry Patient

This patient is enacting two chronic maladaptive patterns. In one he alternates between the role of victim and abuser while inducing the therapist to play the counterrole. He tries to master the abuse he suffered passively as a child by becoming abusive with the therapist and having her experience what it feels like to be mistreated. My effort would be to interpret this pattern even while acknowledging and absorbing some degree of his anger. In a second pattern he acts like an angry, demanding child in an effort to extract nurturance and special treatment from the therapist. I would help him explore this posture in terms of his deprived background and its maladaptiveness in his current life. Finally, I present vignettes from my own practice to demonstrate how I work with patients' anger when it is expressed indirectly rather than in Mr. P's very direct manner.     

集体心理干预对癌症患者应对方式影响的研究

为了探索集体心理干预对癌症患者应对方式的影响,本研究在90名癌症患者中随机选取46人进行干预研究。为考察干预效果,在干预后分别以医学应对方式问卷各维度因子的前测得分为协变量,以医学应对方式问卷各维度因子的后测得分为因变量,进行2(分组:实验组、对照组)×2(性别:男、女)×3(年龄:低龄组、中龄组、高龄组)的三因素协方差分析。结果表明,经过集体心理干预的实验组在应对方式各分量表上的得分要显著高于对照组,集体心理干预在性别和年龄上不存在显著差异。研究结果表明集体心理干预能够有效地改善癌症患者的应对方式。     

预先应对:一种面向未来的应对

预先应对是个体针对未来的潜在压力源所提前采取的预防性措施。文章阐述了预先应对的概念及特点,分析了预先应对的发展阶段和影响因素并讨论了预先应对对个体的利与弊。     

Coping Self-Efficacy as Mediator in the Dynamics of Psychological Well-Being in Various Contexts

The aim of this study was to explore whether coping self-efficacy mediates between various distress related variables on the one hand (symptoms of stress and depression), and the degree of psycho-social well-being as measured on the upper end of the mental health continuum on the other hand. Participants were two multi-cultural student groups (n₁ = 568; n₂=1480) as well as two community samples of Setswana speaking adults (n₃=477; n₄=1275). Students completed the English versions of measures, and the community samples of adults the Setswana versions. Mediation was evaluated through the testing of structural equation models. Coping self-efficacy mediated significantly between distress and wellbeing, although stressors also influenced the level of psychosocial well-being directly.     

Coping with long-term unemployment

As very little research has focused on the experiences of long-term unemployed people, 38 females and males attending a Skillshare were invited to complete a short survey and participate in an in-depth interview. Both of these research methods were designed to provide information on the experience of this group with respect to how people who have been experiencing unemployment for over one year cope. GHQ cut-off scores and qualitative responses converged on the notion that this sample should be considered as two discrete groups: those who were coping relatively effectively with unemployment and those who were not. Coping themes identified in the group associated with negative well-being included keeping busy, emotional release, and withdrawal. These coping processes were generally viewed as transient and ineffectual. Conversely, coping strategies of those associated with positive well-being could be grouped into four themes, including keeping busy, having a positive outlook, religious faith, and re-evaluating expectations. Research and practice implications are considered. © 1998 John Wiley & Sons, Ltd.     

Coping with the Uncontrollable: The Use of General and Religious Coping by Caregivers to Spouses with Dementia

SUMMARY

Using a transactional model of stress and coping, we examined the general (i.e., Problem-Focused, Emotion-Focused) and religious (i.e., Self-Directing, Collaborative, Deferring) coping strategies used by 64 caregivers to spouses with dementia to cope with their most significant, albeit uncontrollable, caregiving hassle over a two-month period. With respect to general coping, we hypothesized that caregivers who used Emotion-Focused coping would demonstrate fewer Depressive Symptoms at Month 2 after controlling for Depressive Symptoms at Month 1. With respect to religious coping, we hypothesized that care-givers who used Deferring Coping would also demonstrate fewer Depressive Symptoms. Results revealed interesting patterns between caregivers' use of general and religious coping strategies. Contrary to our hypotheses, caregivers who used Emotion-Focused and Collaborative coping reported greater Depressive Symptoms. Implications for the empirical study of stress and coping and directions for future research are discussed.     

Israeli Adolescents' help-seeking behaviours in relation to terrorist attacks: the perceptions of students, school counsellors and teachers

Exposure to terror seriously threatens the well-being of children and adolescents. School mental health professionals cope simultaneously with the counselling needs of their clients and with their own fears and doubts. This report is based on two studies. The first study was concerned with the perceptions of Israeli adolescents of the place of terrorist attacks in their lives. It also examined adolescents' help-seeking attitudes and behaviours in relation to terrorist attacks. The second study investigated Israeli school counsellors' and teachers' perceptions of their own roles and professional attitudes in relation to terror. A better understanding of the effects of terrorism on adolescents as well as potentially effective approaches to coping with its individual and organisational outcomes are proposed.     

青少年及其家长应付方式、心理健康状况的相关研究

研究者通过对800名12——16岁中学生及其家长的测试,比较了青少年及其家长应付方式、心理健康状况的异同和相关,结果表明：1、中学生的积极、成熟应付方式和心理健康状况低于成年人;2、青少年的应付方式与其家长的应付方式呈现出同质化的特点,观察、模仿家长是形成青少年应付方式的重要途径;3、“合理化”应属于不成熟的应付方式。     

Validation of a Coping Scale in an African Context

The research aims were to compile and validate a multi-dimensional coping measure, taking African-centred coping behaviour into consideration. In a pilot study the Setswana-COPE (S-COPE) and the Africultural Coping Systems Inventory (ACSI) were administered to Setswana-speaking participants (N = 274). Selected items from these measures were combined into a single 35-item measure, the N-COPE, which was administered to another group of Setswana-speaking participants (N = 1050) together with a number of measures of psychological well-being. Reliability coefficients yielded a Cronbach alpha of.74 for the N-COPE total. Criterion-related validity was determined by correlating the N-COPE with other measures of psychological well-being. It was concluded that the N-COPE showed promising results for use in this context, but further refinement and validation is necessary.     

Coping strategies and perceived social support in fibromyalgia syndrome: Relationship with alexithymia

Fibromyalgia (FM ) is a chronic pain syndrome characterized by high levels of psychological distress and alexithymia, a personality disposition affecting emotional self‐awareness. The main aim of the present study was to investigate for the first time the relationship between alexithymia and coping strategies on the one hand, and alexithymia and perceived social support on the other, in a sample of FM patients. To reach this aim, 153 FM patients completed a battery of tests assessing coping strategies, perceived social support, alexithymia, psychological distress and pain intensity. Four regression analyses were performed to assess whether alexithymia was still a significant predictor of coping strategies and perceived social support, after controlling for psychological distress. High levels of both psychological distress and alexithymia were found in our sample of FM patients. Regarding coping strategies, FM patients reported higher scores on problem‐focused coping, with respect to the other two coping strategies. The regression analyses showed that the externally‐oriented thinking factor of alexithymia significantly explained both problem‐ and emotion‐focused coping, while the difficulty‐describing feelings factor of alexithymia proved to be a significant predictor of perceived social support. Only the variance of dysfunctional coping ceased to be uniquely explained by alexithymia (difficulty identifying feelings factor), after controlling for psychological distress, particularly anxiety. These results highlight a negative relationship between alexithymia and both the use of effective coping strategies and the levels of perceived social support in FM patients. An adequate assessment of both alexithymia and psychological distress should therefore be included in clinical practice with these patients.