Stress,psychiatric co-morbidity and coping in patients with chronic idiopathic urticaria

This study examined life event stress, perceived stress and psychiatric co-morbidity among patients with Chronic Idiopathic Urticaria (CIU). It also investigated the relationship between coping, stress, the severity of CIU and psychiatric co-morbidity. Total of 100 CIU patients and 60 allergy patients participated in the study. They completed the General Health Questionnaire, the Social Readjustment Rating Scale, the Perceived Stress Scale, and the Ways of Coping Checklist. Compared with allergy patients, CIU patients had worse co-morbidity and higher levels of life event stress and perceived stress. Emotion-focussed coping was associated with the severity of CIU; perceived stress was associated with co-morbidity.     

Coping Strategies With Minor Stressors in Adolescence: Relationships With Social Support,Self‐Efficacy,and Psychological Well‐Being

This study examined age and gender differences in coping strategies used by adolescents (N = 342; age = 14–19 years) in dealing with everyday minor stressors. Relationships with coping resources (self‐efficacy, social support) and the impact of coping on psychological well‐being were assessed. Coping strategies were measured using the Coping Across Situations Questionnaire (CASQ; Seiffge‐Krenke, 1995 ). Results showed that adolescents' coping strategies differed according to problem domain. The most frequently used strategies were active and internally focused. Females used a wider range of coping strategies than did males. Significant correlations were found among coping strategies and coping resources. Moreover, the adoption of some strategies significantly affected adolescents' psychological well‐being.     

Coping and social support and health related quality of life in women with breast cancer in Turkey

This study aims to investigate the role of social support and coping in explaining health related quality of life (HRQoL) among Turkish breast cancer patients. A cross-sectional sample of 188 women from three hospitals in Turkey completed the Multidimensional Scale of Perceived Social Support, the Ways of Coping Inventory, and the Short Form 36 Health Survey. Socio-demographic and medical information was also collected. Results indicated high HRQoL levels, with 7 of the 10 SF-36 scores being within 1 SD of population mean. Correlations showed that helplessness coping was inversely associated with HRQoL whereas social support, religious coping, optimistic coping and problem focused coping were positively associated with HRQoL. Multiple regressions indicated that time since diagnosis, time since operation, stage of cancer, post-operative treatment, social support and problem solving coping were significant predictors of HRQoL accounting for 54.7% to 46.4% of the variance in physical and emotional HRQoL. Coping and social support have an independent effect on HRQoL over and above sociodemographic and medical variables and should be targeted by appropriate interventions.     

DAILY HASSLES AND COPING STRATEGIES OF DUAL-EARNER AND NONDUAL-EARNER WOMEN

Comparisons were made of dual-earner and nondual-earner women's stress and coping strategies. A questionnaire was developed from the Hassles Scale (Kanner, Coyne, Schaefer, & Lazarus, 1981) and the Ways of Coping Checklist (Folkman & Lazarus, 1980). Dual-earner women reported significantly more hassles than nondual-earner women. However, there were no significant differences on intensity level of these hassles. Several between- and within-group differences on coping strategies were found. Both groups tended to use more problem-focused coping strategies than emotion-focused coping strategies and, contrary to expectations, both groups expressed overall satisfaction with their coping strategies.     

Coping strategies from the perspective of two developmental markers: age and social reasoning

In this study, we examined coping from a developmental perspective, including its relation to age and social cognitive maturity. The 60 participants, who ranged from adolescents to mature adults, were given Lazarus' Ways of Coping Scale. This consists of both an emotion-focused and problem-focused coping score and two measures of social reasoning performance. Social reasoning was the best predictor of emotion-focused coping, above and beyond years of education and age. None of the developmental variables predicted problem-focused coping. Analyses examining the effect of perceived controllability of the stressful situation on coping demonstrated that it differentially mediated choice of coping strategy across age groups. Whereas older participants endorsed more problem-focused strategies in perceived controllable situations and emotion-focused strategies in perceived uncontrollable situations, adolescents endorsed emotion-focused and defensive coping styles, irrespective of perceived controllability. Implications for the study of development of coping styles in affectively salient contexts is discussed.     

Adolescent Coping and Neighborhood Violence: Perceptions, Exposure, and Urban Youths' Efforts to Deal with Danger

Neighborhood violence is a persistent source of danger, stress, and other adverse outcomes for urban youth. We examined how 140 African American and Latino adolescents coped with neighborhood danger in low, medium, and high crime neighborhoods throughout Chicago. Participants reported using a range of coping strategies (measured via a modified version of the Ways of Coping Scale; R. S. Lazarus & S. Folkman, 1984). In low and medium crime rate areas, using confrontive strategies was significantly correlated with increased exposure to violence, and no strategies were associated with perceptions of safety. Coping strategies were associated with perceived safety to a substantial degree only in high crime neighborhoods, and none were associated with exposure to violence. A k means cluster analysis identified groups that differed in coping profiles and varied in rates of exposure to violence. Moderating effects of gender, ethnicity, and neighborhood were found for both person level and variable level analyses.     

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.     

Coping With Life Events Through Possible Selves1

This study examines the integration of life events into the possible‐selves repertoire and explores the potential relationship between event‐related possible selves and coping. The sample consisted of 198 participants between 18 and 84 years old. Participants were given the Possible Selves Interview, the Social Readjustment Rating Scale, and the Ways of Coping Checklist–Revised. The results indicate that a positive correlation exists between the stress level of a life event and the degree to which that event integrates into the possible‐selves repertoire. A life event that demonstrates a high degree of integration results in a positive impact on coping. This study paves the way for prevention programs aimed at promoting an individual's well‐being while facing challenging life events across adulthood.     

Relations Among Racial Identity Attitudes,Perceived Stressors,and Coping Styles in African American College Students

This study expanded on previous research with African American college students at predominantly White institutions by examining the theoretically relevant but unexplored relations among racial identity attitudes and (a) both general and culture-specific stressors and (b) problem-focused coping styles. Ninety African American college students at a predominantly White university completed the Black Racial Identity Attitudes Scale, Black Student Stress Inventory, Problem Solving Inventory, and Problem-Focused Style of Coping Scale. A series of multivariate regression analyses revealed that specific racial identity attitudes were statistically significant predictors of both general and culture-specific stressors. In addition, one racial identity attitude status (immersion/emersion) was a unique predictor of general perceived stressors and problem solving. Results suggest the importance of racial identity schemata as a critical factor in predicting stress and coping responses of African American students at predominantly White institutions. The findings also underscore the utility in distinguishing between general and culture-specific stressors, which traditionally have been ignored in the psychological literature.     

Development of a coping with stress scale for a non-western population of children and adolescents

Background and objectives: In the related literature numerous instruments have been developed to measure children and adolescents’ coping with stress. Considering the cultural differences in individuals’ choice for coping strategies, along with the limitations of the existing measures of coping for children and adolescents (e.g., being derived from coping measures developed for adults; unrepresentative samples with limited age range, etc.), the current study aimed to construct a self-report coping scale for a non-western population of children and adolescents.

Design and methods: The study design included both qualitative and quantitative methodology. Three consecutive studies were conducted for the development and validation of the Children and Adolescents’ Coping with Stress Scale (CACSS), a self-report measure assessing coping strategies of children and adolescents aged from 9 to 18 in response to self-identified stressors.

Results: Exploratory and confirmatory factor analyses resulted in a 61-item CACSS with 10 factors. The scale appears to have a clear factor structure; sufficient temporal stability; and good convergent, discriminant, and construct validity.

Conclusions: By addressing limitations of existing coping scales, CACSS is believed to contribute to the literature as a developmentally appropriate and multidimensional tool.     

Stress and quality of life in international and domestic university students: cultural differences in the use of religious coping

Studying overseas entails a number of transitions and challenges, and the present study investigated the strategies international university students use to cope with stressors. Previous research suggests that international students may be more likely than domestic students to draw on religion/spirituality as a source of dealing with stress, but the direct links between stress, religious coping and quality of life are yet to be documented explicitly. A sample of 679 university students in New Zealand completed the quality of life scale WHOQOL-BREF with an additional WHOQOL module used to assess spiritual, religious, and personal beliefs (SRPB). The students also completed the Perceived Stress Scale and the Brief COPE inventory. Irrespective of stress levels encountered or whether participants were international or domestic students, Asian students were more likely to use religious coping strategies than European students. Unlike European students, Asian students’ use of religious coping was effective in improving psychological and social quality of life. The findings also provide support for the main effects hypothesis of religion/spirituality. The present study demonstrates that cultural factors play an important role in the manner in which individuals maintain mental health and quality of life.     

The role of coping, anxiety, and stress in depression post-acute coronary syndrome

Depressive symptoms are common and can affect prognosis following acute coronary syndromes (ACS). This study examined the psychological factors, coping, anxiety, and perceived stress associated with depression following ACS. Psychological variables were assessed in 15 females and 66 males (M = 57 years, SD = 12). Repeated measures at 2, 12, and 24 weeks post-ACS compared depression, anxiety, perceived stress, and coping resources as determined by the Cardiac Depression Scale, Beck Depression Inventory-II, State Trait Anxiety Inventory, Perceived Stress Scale, and Coping Resources Inventory. Depression, anxiety, and perceived stress remained high in the depressed group across time. Coping scores at 2 weeks post-ACS predicted depression scores at 24 weeks post-ACS. It appears that trait anxiety and coping resources are related to depressive symptoms post-ACS.     

Adolescent Girls' Coping With Relational Aggression

This study was designed to examine coping strategies for relational aggression. Ninety-eight female middle- and high-school students completed the Revised Ways of Coping Scale (Folkman & Lazarus, 1985) and reported characteristics of a relational aggressive act of which they were the victim and characteristics of their friendship before and after the act. We explored the relationship between characteristics of the relationally aggressive act and the method of coping. Results of the study indicate that the more hurt the girl was by the aggression, the more likely she was to use passive and avoidant coping strategies, such as wishful thinking. The girls who felt closer to their friends after the aggressive act were the girls who coped by seeking social support significantly more often than any other type of coping strategy.     

Coping responses in the midst of terror: The July 22 terror attack at Utøya Island in Norway

This study examined the peri‐trauma coping responses of 325 survivors, mostly youth, after the July 22, 2011 terror attack on Utøya Island in Norway. The aim was to understand peri‐trauma coping responses and their relation to subsequent post‐traumatic stress (PTS) reactions. Respondents were interviewed face‐to‐face 4–5 months after the shooting, and most were interviewed at their homes. Peri‐trauma coping was assessed using ten selected items from the “How I Cope Under Pressure Scale” (HICUPS), covering the dimensions of problem solving, positive cognitive restructuring, avoidance, support seeking, seeking understanding, and religious coping. PTS reactions were assessed with the UCLA PTSD Reaction Index. The participants reported using a wide variety of coping strategies. Problem solving, positive cognitive restructuring, and seeking understanding strategies were reported most often. Men reported using more problem‐solving strategies, whereas women reported more emotion‐focused strategies. There were no significant associations between age and the use of coping strategies. Problem solving and positive cognitive restructuring were significantly associated with fewer PTS reactions. The results are discussed in light of previous research and may help to inform early intervention efforts for survivors of traumatic events.     

Inner Representations,Coping, and Posttraumatic Stress Symptomatology in a Community Sample of Trauma Survivors

To assess whether coping styles mediated the relation between inner representations and posttraumatic stress symptomatology, a community sample of self-defined trauma survivors (N = 95) completed the World Assumptions Scale, Ways of Coping Checklist—Revised, and Trauma Symptom Inventory. Regression analyses indicted that individuals with more positive inner representations reported experiencing less symptomatology and tended to use more active and less passive coping strategies. Furthermore, the relation between inner representations and the extent of symptomatology was mediated through the use of passive coping strategies, although the latter 2 variables were likely reciprocally related. The implications of these findings for the well-being of trauma survivors were discussed.     

Retrospective coping strategies during sexual identity formation and current biopsychosocial stress

Background: Lesbian, gay men, and bisexual individuals (LGBs) often experience distress related to the recognition, self-acceptance, and disclosure of their sexual orientation. Objectives and Design: Retrospectively reported coping strategies enacted during sexual identity formation among LGBs were assessed in relation to current stress indices measured using environmental (frequency of perceived daily hassles), psychological (perceived distress), and biological (allostatic load [AL] levels representing physiological dysregulations) perspectives. Methods: Forty-six healthy LGBs between the ages of 18 and 45 (M = 23.91, SE = .80) participated. Questionnaires included the Ways of Coping Checklist adapted to disclosure milestones, Daily Hassles Inventory, and Perceived Stress Scale. AL was calculated using 21 biomarkers of neuroendocrine, immune, cardiovascular, and metabolic functioning. Results: Avoidance coping during sexual identity formation was positively associated with frequency of daily hassles (β = .598, p < .001), perceived stress (β = .361, p = .015), and AL (β = .405, p = .006). By contrast, seeking social support was negatively associated with perceived stress (β = –.598, p = .048). Conclusions: Emotion-focused coping strategies during LGB sexual identity development are associated with current indices of biopsychosocial stress.     

Coping Strategies as Predictors of Distress in Survivors of Single and Multiple Sexual Victimization and Nonvictimized Controls

This study investigated the relationship between coping strategies and distress symptomatology in survivors of sexual revictimization. Coping strategies were assessed with the revised Ways of Coping Scale (Aldwin & Revenson, 1987). Distress symptoms included global distress, depression, anxiety, and somatization. Subjects were 44 survivors of sexual victimization in both childhood and adulthood; 54 survivors of a single incident of sexual victimization in childhood; and 256 nonvictimized individuals. All were drawn from a subject pool of female undergraduate students. Multivariate analysis of variance revealed significant differences between groups on reported symptomatology and coping strategies. Victimized groups reported more distress than did the nonvictimized group. The multiple victimization group indicated greater use of coping strategies than did the nonvictimized group, and both victimized groups reported greater use of the escapism strategy than did the nonvictimized group. Multiple backward regression analysis found that coping strategies were predictive of distress symptomatology in all three groups, with escapism as the most potent predictor of distress for each group. Coping strategies were the most powerful predictors of distress in the multiply victimized group. The results of this study provide strong support for the importance of addressing coping strategies in clinical intervention of distress, particularly with survivors of multiple sexual victimization.     

应对方式、社会支持和心理压力对中学生心理健康的影响研究

该研究采用中学生应激源量表、中学生应对方式量表、领悟社会支持量表和症状自评量表(SCL-90)对852名初一至高三的学生进行了调查。通过单因变量多维交互效应的方差分析,结果表明：消极应对方式对中学生的心理健康影响较大;积极应对方式与心理健康的相关不显著;社会支持对心理健康的影响同时具有主效应和缓冲效应;心理压力与心理健康之间存在着显著相关;应对方式和社会支持在心理压力与心理健康的关系中彼此独立起作用,两者之间的交互作用不明显。     

Predictors of stress in adolescents: an exploratory study of pregnant and of parenting females

A study of 152 adolescents enrolled in school-based programs for pregnant and parenting youth in Colorado in 1987-88 found no differences in overall stress levels between these two groups; however, salient predictors of stressful life events for pregnant teens were not the same as those for teen mothers. The mean age of study subjects was 16.5 years (range 14-19 years); most were living with a parent rather than the child's father. The dependent variable, level of stress, was measured through use of an abbreviated Life Events Questionnaire. Independent variables were assessed through administration of the Inventory of Social Supportive Behaviors, Rosenberg Self-Esteem Scale, and the Adolescent Coping Orientation for Problem Experiences scale. Of the 5 sources of stress measured (family, accidents, autonomy, deviance, relocation, and distress), only stress related to accidents differed significantly between pregnant and parenting adolescents. For pregnant adolescents, self-esteem was the only significant predictor of the overall level of stress; among parents, the only significant predictor was objective social support. Among adolescents, self-esteem was associated with more frequent use of social support and coping strategies. For parenting adolescents, self-esteem was correlated with the frequency of use of social support, satisfaction resulting from such use, and frequent use of coping strategies. Overall, the independent variables of social support, self-esteem, coping, and age were stronger predictors of stress in pregnant than in parenting adolescent females. This finding suggests that parenting teens may have successfully negotiated the multiple transitions involved in this new stage of the life-cycle. An important implication of this study is the need to design separate counseling components of school-based programs for pregnant versus parenting adolescents rather than to use a single curriculum.