Coping variables as predictors of perioperative emotional states and adjustment

Abstract

Surgery, regardless of its kind and severity, can be regarded as a major stress situation for any patient. High preoperative emotional arousal may negatively influence adaptation during surgery and, consequently, rate of postoperative recovery. In a series of previous studies, our research group analyzed the influence of dispositional and actual coping on subjective and objective stress indicators before, during, and after surgery. The present study investigates the influence of the dispositional coping variables vigilance and cognitive avoidance on actual surgery-related coping, state anxiety, and indicators of intra- and postoperative adjustment. The sample consisted of 42 male and 42 female patients undergoing elective maxillofacial surgery under general anaesthesia. Dispositional coping was measured on the dimensions vigilance and cognitive avoidance with the Mainz Coping Inventory. Actual surgery-related coping was assessed by means of a newly constructed inventory containing items to measure the four dimensions avoidance, vigilance, positive restructuring, and seeking social support.

Self-reported state anxiety was differentiated according to the cognitive, affective, and somatic components. The patients' adaptation was assessed by measuring doses of the narcotic agents used for induction of anaesthesia, the intraoperative status, and the amount of postoperative (analgesic and psychotropic) medication. Significant effects of coping mode, gender, and time of measurement were observed on the cognitive, affective and somatic component of state anxiety, the indicators of intraoperative adaptation and on postoperative medication. Also, patients' actual coping behavior could partly be predicted by dispositional coping. Results indicate that actual coping behavior and gender should be taken into account when trying to predict adaptation and developing psychological preparatory intervention programs.     

Coping styles and self-regulation predict complementary and alternative medicine and herbal supplement use among college students

Studies have suggested that complementary and alternative medicine (CAM) and herbal supplement use may be high on college campuses. This study investigated the relationship between CAM and herbal supplement utilization and coping, self-regulatory, cognitive styles, and healthcare satisfaction among college students (n=370). Indeed, overall CAM and herbal supplement use during the past year appeared high; however, users of these practices appeared somewhat heterogeneous. Dispositional factors were predictive of utilization with active coping style associated with both practices, whereas support-seeking and intrinsic self-regulation were only associated with CAM use and avoidant coping was only related to use of herbal supplements. Notably, dissatisfaction with healthcare services was not associated with either CAM or herbal supplement use among students. The findings from this study offer insight regarding motives for usage that may assist in more openly dialoguing with students regarding their health-enhancing and/or health-compromising behaviors. Moreover, future studies assessing utilization of CAM will benefit from examining the definitional issues of CAM practices that are addressed.     

Stress coping and the adjustment process among university freshmen

The purpose of the present study was to investigate causal relationships between dispositional and situational coping and health status in university freshmen. Two hundred and twenty-nine university freshmen completed questionnaires at Time 1 (immediately after university matriculation) and at Time 2 (approximately three months later) in a short-term, prospective study. Structural equation modeling was used to analyze causal relationships between four coping strategies (i.e., emotion expression, emotional support seeking, cognitive reinterpretation, and problem solving) and four health status variables (i.e., somatic symptoms, anxiety and insomnia, social dysfunction, and depression). Increases in dispositional coping predicted increases in situational coping at certain time points. In addition, increases in dispositional emotion-focused coping, such as emotion expression and emotional support seeking, predicted poor health status. This relationship was mediated by situational coping variables. Finally, increases in dispositional problem-focused coping, such as cognitive reinterpretation and problem solving, predicted better health status. This relationship was direct or indirectly mediated by situational coping variables. Our data suggest that the use of coping skills such as cognitive reinterpretation and problem solving may promote better health and adaptation in university freshmen.     

Self-presentational determinants of health risk behavior among college freshmen

Abstract

This study examined adolescents' use of unhealthy and potentially dangerous behaviors for self-presentational reasons. At the start of their first semester at college, 110 freshmen (M age = 18.2) completed trait measures of self-presentational concern. At the end of the semester they were asked about their use of health risk behaviors as impression management tactics. Seventy-five percent of respondents reported performing at least 1 risky behavior for self-presentational reasons during their first college semester. The most common behaviors were smoking, drinking, driving recklessly and performing dangerous stunts. The desire to be perceived as “cool” or a “risk-taker” often prompted healdi risks. Modest correlations between the trait measures and health risk behaviors provided additional evidence that self-presentational motives sometimes play a role in adolescent health risk behavior.     

Individual differences as predictors of illicit drug use among Turkish college students

Although the prevalence of drug use in the young adult population in Turkey is still far below the figures reported for most European Union countries and the United States, there seems to be a noteworthy increase in drug use, especially among high school and college students. The purpose of the present study was to examine the extent of drug use among college students in Turkey and to identify some of the individual-difference variables associated with drug use. Participants were 781 college students. A survey package including (a) measures of sensation seeking-risk taking, self-esteem, affectivity level, global mental health, overall life satisfaction, and the rate and nature of substance use and (b) demographic questions was administered to the participants during regularly held class meetings. A logistic regression analysis revealed that sensation seeking-risk taking, parental education level, smoking, and frequency of alcohol use predicted illicit drug experience. Implications of the findings and limitations of the study are discussed using the context of the study as a framework.     

Androgyny and traditional versus nontraditional major choice among college freshmen

The present study investigated the relationship of psychological androgyny to career choice among college freshmen. Women in home economics and engineering and men in engineering (N = 231) completed the Bem Sex-Role Inventory and rating scales of satisfaction with and certainty of college major and intended occupation. As a group, women in engineering scored in a more androgynous direction than did either men in engineering or women in home economics. Among sex-typed subjects, more women in engineering scored in a masculine sex-typed category than did women in home economics. Men and women in engineering did not differ on satisfaction and certainty ratings of major or career; however, feminine-typed women were significantly less satisfied with and tended to be less certain of their choice of major than other women in engineering.     

Attachment styles and demographic factors as predictors of sociocultural and psychological adjustment of Eastern European immigrants in the Netherlands

The present study examined the relationship between adult attachment styles and psychological and sociocultural adjustment of Polish, Russian, and Hungarian immigrants (N = 631) to Dutch society. In addition, it also examined the relationship between demographic factors and adjustment and compared the predictive value of attachment styles and demographic factors for immigrants' adjustment. The Attachment Style Questionnaire was used to assess respondents' attachment. Psychological adjustment was measured with the Psychological Health Scale and the Satisfaction With Life Scale. Sociocultural adjustment was measured with the Social Support List - Interactions scale. Two scales for measuring identification and contact with the native and with the Dutch culture were developed and used as indicators of cultural adjustment. We found relations between attachment styles and psychological and sociocultural adjustment. Secure attachment was positively related (p<.01) to psychological and sociocultural adjustment, fearful attachment was negatively (p<.01) associated with psychological adjustment, and more negatively with identification with the Dutch culture than with identification with the native culture. Preoccupied attachment was negatively related (p<.01) to psychological adjustment and to identification with the Dutch culture. Dismissing attachment was weakly negatively related (p<.01) to sociocultural adjustment. Correlation patterns across the three immigrants' samples indicate that dismissing individuals remain relatively indifferent towards their native and the Dutch culture. Regarding demographic factors we found that education and age at immigration were positively associated with psychological and sociocultural adjustment, and length of residence appeared to be positively related to sociocultural adjustment. In general, demographic factors showed a stronger association with sociocultural than with psychological adjustment. Regression analysis revealed that attachment styles were better predictors of immigrants' psychological and sociocultural adjustment than demographic factors-education, age at immigration, and length of residence. The results indicate that immigrant studies would benefit from taking an attachment perspective.     

Sociotropy-dependency and autonomy as predictors of eating disturbance among Canadian female college students

The authors (a) tested the generalizability of A. Sugarman, D. Quinlan, and L. Devenis's (1982) psychodynamic account of eating disturbances, which posits that overt autonomy strivings associated with eating problems are a defense against unconscious dependency concerns, and (b) evaluated the degree to which autonomy and sociotropy had unique associations with eating disturbances. Canadian female college students (N= 286) completed self-report measures of autonomy, sociotropy, depression, and bulimia as well as the Rorschach Inkblot Test. Findings suggest, contrary to Sugarman and colleagues' psychodynamic account, that experiences of dependency related to self-reported eating pathology do not necessarily lie outside of conscious awareness. Moreover, reported bulimic symptoms were uniquely associated with sociotropy but not autonomy-self-criticism among the participants.     

The role of coping styles as predictors of depressive symptoms among adolescents: a prospective study

The present study prospectively explored the main and interactive effect of approach and avoidant like coping styles, as well as school-related stress on depressive symptoms in a sample of 327 (167 females, 160 males) students in two Norwegian secondary schools. The results showed that seeking parental support as a coping style served as a negative predictor of later depression, and results give some support for aggressive coping styles being a risk factor for depressive symptoms. A significant interaction between aggressive coping style and stress in relation to depressive symptoms was found. We were also able to show that school-related stress at T(1) predicted depressive symptoms at T(2).     

Culture and self-presentation as predictors of shyness among Japanese and American female college students

Self-presentation theories of shyness have been supported in North American samples but have not been evaluated cross-culturally. This study examined the relative influence of cultural and psychological variables on self-reported shyness among Japanese and American college students. 35 female Japanese-born and 47 United States-born Euro-American female students completed the Shyness Scale, Rosenberg Self-esteem Scale, Interpersonal Competence Questionnaire, Sensitivity to Rejection Scale, and Individualism-Collectivism Scale, and a demographic data sheet. After statistically controlling for Individualism-Collectivism, psychological measures, especially perceived interpersonal competence and sensitivity to rejection, combined for Adjusted R2 = .32 in shyness. Findings suggest that similar factors are central to experiences of shyness for both samples. Researchers should assess the stability of such findings in larger, heterogeneous samples and evaluate whether treatment strategies that reduce expectations of rejection and increase perceived interpersonal competence have comparable efficacy in reducing shyness across cultures.     

Attachment styles and personality disorders as predictors of symptom course.

Adult attachment styles and personality disorders (PDs) show some conceptual and empirical overlap and both may complicate the course of symptoms among psychiatric patients. In this naturalistic prospective study, 149 patients with affective, anxiety, substance use, and other disorders were interviewed shortly after entering treatment, which included psychotherapy, pharmacotherapy, or both. Follow-up interviews were conducted 6 and 12 months later. Attachment styles, DSM-III-R PDs, and symptoms were assessed using structured interviews and consensus ratings. At intake, borderline, avoidant, and dependent PD features correlated consistently with symptom severity and secure attachment correlated inversely with two of four symptom scales. Secure attachment was linked with greater relative improvement in global functioning and a more benign course of anxiety symptoms over 6 months. Borderline PD features predicted less relative improvement of depressive symptoms over 6 months. These findings clarify the relations between attachment styles and PD features and they point to potential mediators of treatment response.     

The process of coping among ethnic minority first-generation college freshmen: a narrative approach

Using a narrative approach, the authors explored the process of coping among ethnic minority college students. Participants were 30 freshmen, predominantly the 1st members of their families to attend college, who wrote journals once a week for 3 weeks on their ways of coping with stress. They also completed a survey of background information. Those who were more successful in coping, compared to those who were less successful, expressed a greater sense of self-efficacy and did not feel that they lacked needed social support. However, those who were more successful in coping did not differ on demographic variables, including ethnicity, gender, country of birth, and parental education. The narratives provide evidence of the complex and interactive process of coping among ethnic minority college students.     

The relationship of academic major and career choice status to anxiety among college freshmen

This study examines the relationship of career and academic major choice status to levels of state anxiety among undergraduate students. A total of 179 resident freshmen responded to a questionnaire concerning their career development status. On the basis of that information, subjects were arranged within a 2 × 2 factorial design of two dichotomous variables: career choice status (decided/undecided) and major choice status (declared/undeclared). Participants were administered the State-Trait Anxiety Inventory. An analysis of variance of state anxiety scores yielded a significant main effect for career choice status, with subjects reporting they had already decided on a career direction exhibiting lower levels of state anxiety than those who had not.