Strategies for Coping with Work Stressors and Family Stressors: Scale Development and Validation

Purpose

Both individuals and organizations benefit when workers can effectively cope with stressors in the work and family domains. This study takes an inductive approach to the development of a work stressor coping scale and a family stressor coping scale.

Design/Methodology/Approach

In phase one, a comprehensive list of coping strategies was generated through a multi-step content analysis of qualitative interviews. In phase two, the content validity of the work stressor and family stressor coping strategy scales was established using data from three samples; and in phase three, convergent, discriminant, and criterion-related validity evidence were obtained using data from two samples.

Findings

A multi-step content analysis of qualitative interview data was used to develop a list of 365 coping strategy statements (182 work and 183 family) representing 11 work and 14 family stressor coping strategies. Multiple samples were used to reduce the number of scale items, and establish evidence for the scales’ content, construct, and criterion-related validity. The final work stressor coping scale consisted of 36 items assessing 12 different strategies, and the final family stressor coping scale consisted of 45 items assessing 15 different strategies.

Implications

Findings from the present study suggest that individuals may use a wider variety of strategies to cope with work stressors and family stressors than previously thought, and these strategies may be differentially effective depending on the stressor domain (i.e., work or family) and outcome (e.g., work-to-family conflict vs. family-to-work conflict).

Originality/Value

The inductive nature of our study resulted in a comprehensive and domain-specific scales assessing how individuals cope with work stressors and family stressors.     

Sequential Tree Analysis of Work Stressors: Exploring Score Profiles in the Context of the Stressor-Stress Relationship

In recent years concerns about whether the different measures of work stressors provide adequate information on the stressors themselves have led a number of reviewers to suggest that old constructs should be reconsidered and alternative approaches to measurement considered. One such alternative approach would be to consider the relationship between different work stressors in terms of score profiles and whether different score profiles emerge at different levels of tension. Sequential tree analysis was used to segment or split a sample into homogeneous subgroups reflecting the stressor or combination of stressors that reflected different levels of tension. The visual display that emerged from this analysis suggests that: (1) when considering the relationship between stressors and tension it is important to recognize that while absolute levels of work stressors scores may be low this is no reason to assume that the stressor-tension relationship will be correspondingly low; and (2) although individuals may report the same overall score for a work stressor, their experience of that stressor may be quite different. Finally, these results point to the need to consider the impact that generalizing work stressor scores may have on intervention strategies.     

The utility of the A1 and A2 criteria in the diagnosis of PTSD

In the field of posttraumatic stress disorder (PTSD), the revisions to the DSM-IV definition of a potentially traumatic event are contentious. Proponents praise the subjective emphasis, while others contend that the changes to the criterion broadened the conceptualization of PTSD. This study examined the predictive utility of Criterion A events, examining the stressor (A1) and subjective emotional response (A2) components of the definition of a traumatic event. Rates of Criterion A events and PTSD were calculated for three diverse samples, and predictive power, sensitivity, specificity, and ROC curves were computed to determine the predictive utility of Criterion A requirements for PTSD symptom, duration, and functional impairment diagnostic criteria. Across all samples, the current Criterion A requirements did not predict much better than chance. Specifically, A2 reports added little to the predictive ability of an A1 stressor, though the absence of A2 predicted the absence of PTSD-related symptoms, their duration, and impairment. Notably, the combination of three A1 and A2 criteria showed the best prediction. Confronted events also showed less predictive ability than experienced events, with more variable performance across samples. These results raise fundamental questions about the threshold or "gate" that Criterion A ought to play in our current nosology.     

A single exposure to severe stressors causes long-term desensitisation of the physiological response to the homotypic stressor

Although some laboratories have reported that a single session of stress is able to induce a long-lasting sensitisation of the hypothalamic-pituitary-adrenal (HPA) response to further exposures to stress, we have found that a single exposure to severe emotional (immobilisation, restraint or shock) or systemic (endotoxin) stressors reduces the responsiveness of the HPA to the same, but not to a novel (heterotypic), stressor, in which case a slight sensitisation was observed. Long-term desensitisation has been found to reduce not only secretion of peripheral HPA hormones (ACTH and corticosterone), but also to reduce responses of central components of the HPA axis (c-fos and CRF gene expression at the level of the paraventricular nucleus of the hypothalamus, PVN). In addition, desensitisation also applies to the impact of the stressor on food intake and, probably, to stress-induced hyperglycaemia. The development of long-term desensitisation of the HPA axis does not appear to be a universal consequence of exposure to severe stressors as it was not observed in response to insulin-induced hypoglycaemia. Whether or not the development of long-term effects of stress depend on the specific pathways activated by particular stressors remains to be tested. The observed desensitisation of the HPA axis in response to the homotypic stressor shows two special features which makes it difficult to be interpreted in terms of an habituation-like process: (a) the effect increased with time (days to weeks) elapsed between the first and second exposure to the stressor, suggesting a progressive maturational process; and (b) the stronger the stressor the greater the long-term desensitisation. Therefore, it is possible that desensitisation of the HPA axis is the sum of two different phenomena: long-term effects and habituation-like processes. The contribution of the former may be more relevant with severe stressors and longer inter-stress intervals, and that of the latter with mild stressors and repeated exposures. Long-term stress-induced changes may not take place at the level of the PVN itself, but in brain nuclei showing synaptic plasticity and putatively involved in the control of the HPA axis and other physiological responses. As for the precise areas involved, these remain to be characterized.     

The temporal factor of change in stressor-strain relationships: a growth curve model on a longitudinal study in east Germany

Several theoretical models describing how stressor-strain relationships unfold in time (e.g., M. Frese & D. Zapf, 1988) were tested with a longitudinal study, with 6 measurement waves, using multivariate latent growth curve models. The latent growth curve model made it possible to decompose trait and state components of strains and to show that both trait and state components are affected by work stressors. Because East Germany constitutes a high-change environment, it is an appropriate setting in which to study the relationship between work stressors and strains. The results showed that both the state and trait components of strains were affected by stressors. For example, individual trends in uncertainty (stressor) and worrying (strain) were related, whereas worrying also showed a short-term relationship with time pressure (another stressor). In particular, the decomposition into trait and state components was only possible with the growth curve method that was used.     

Emotional-processing in posttraumatic stress disorder II: startle reflex modulation during picture processing

This study examined the impact of a trauma-related stressor on subsequent emotional behavior in veterans with (n = 35) and without (n = 24) posttraumatic stress disorder (PTSD). Self-report and physiological responses, including acoustic startle, were recorded during viewing of emotionally evocative photographs at baseline and following exposure to trauma-related and non-trauma-related stressors. The 2 groups exhibited equivalent patterns of emotional response across self-report and physiological measures at baseline. In contrast, following the trauma challenge, participants with PTSD showed a pattern of startle modulation suggestive of greater defensive reactivity and reduced visual perceptual engagement. These findings, along with augmented corrugator EMG reactivity during the same interval, suggest that trauma-related reexperiencing primes subsequent negative emotional responding in individuals with PTSD.     

Stress, intrusive imagery, and chronic distress

Discusses the nature of stress in the context of problems with its definition and sources of confusion regarding its usefulness and specificity. Stress can be defined as a negative emotional experience accompanied by predictable biochemical, physiological, and behavioral changes that are directed toward adaptation either by manipulating the situation to alter the stressor or by accommodating its effects. Chronic stress is more complex than most definitions suggest and is clearly not limited to situations in which stressors persist for long periods of time. Responses may habituate before a stressor disappears or may persist long beyond the physical presence of the stressor. This latter case, in which chronic stress and associated biobehavioral changes outlast their original cause, is considered in light of research at Three Mile Island and among Vietnam veterans. The role of intrusive images of the stressor or uncontrollable thoughts about it in maintaining stress is explored.     

An outsider-insider's views about revising the DSMs

After having a leadership role in the development of the 3rd edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-III; American Psychiatric Association, 1980) and its revision (DSM-III-R; American Psychiatric Association, 1987), I now comment as an outsider-insider on the development of DSM-IV. Many features of the DSM-IV process, such as systematic literature reviews and focused field trials, represent significant advances that will increase the role of empirical findings in the decision-making process in this latest edition of the DSM. However, it is likely that when final decisions are made about DSM-IV, the decisions will still be based primarily on expert consensus, rather than on data, as was the case with DSM-III and DSM-III-R.     

A school-based assessment of secondary stressors and adolescent mental health 18 months post-Katrina

The goals of the current study were to examine the prevalence of secondary stressors related to Hurricane Katrina and to determine their impact on posttraumatic stress disorder (PTSD) symptoms among a sample of high school students. In addition, the moderating role of problem substance use was examined to determine whether it increased the risk of PTSD symptoms in the face of secondary stressors. A total of 271 ethnically and socioeconomically diverse adolescents completed an anonymous survey. Results indicated that problem substance use potentiated the positive relation between secondary stressors and PTSD symptoms, specifically symptoms of re-experiencing. The findings highlight the need for school-based assessment of and interventions for the long-term psychological effects of disasters.     

What Differentiates Employees' Job Performance Under Stressful Situations: The Role of General Self-Efficacy

The aim of this research is to verify the two-dimensional challenge–hindrance stressor framework in the Chinese context, and investigate the moderating effect of general self-efficacy in the stress process. Data were collected from 164 Chinese employee–supervisor dyads. The results demonstrated that challenge stressors were positively related to job performance while hindrance stressors were negatively related to job performance. Furthermore, general self-efficacy strengthened the positive relationship between challenge stressors and job performance, whereas the attenuating effect of general self-efficacy on the negative relationship between hindrance stressors and job performance was nonsignificant. These findings qualify the two-dimensional challenge–hindrance stressor framework, and support the notion that employees with high self-efficacy benefit more from the positive effect of challenge stressors in the workplace. By investigating the role of an individual difference variable in the challenge–hindrance stressor framework, this research provides a more accurate picture of the nature of job stress, and enhances our understanding of the job stressor–job performance relationship.     

Job demands,coping, and impacts of occupational stress among journalists: a systematic review

This paper systematically reviews empirical research published from 2002 to July 2015 investigating journalists’ occupational stressors, coping strategies, and the impacts of these variables on the health and well-being of such professionals, whether on their daily work or as special envoys to critical scenarios. A meta-analytic approach was displayed to analyse the association between exposure to traumatic events during work and journalists’ symptoms of post-traumatic stress disorder (PTSD). Twenty eight articles met the inclusion criteria and revealed that very few studies distinguish (and none compare) the distress of journalists in their daily work from the distress of reporting major disasters, not a single study addressed positive emotional responses and only one research study focused on an in-depth analysis of the most commonly used coping strategies by journalists. The impacts of occupational stress among these professionals were sorely negative (e.g., burnout, PTSD), and no study was found to address the design and assessment of preventive interventions for these impacts on the health and well-being of journalists. Thirteen studies were included in a random-effects model meta-analysis and a small to moderate effect size (r = 0.272) between exposure to traumatic events during assignments and PTSD was found. The article closes with directions for future studies.     

Posttraumatic stress disorder and retrospectively reported stressor exposure: a longitudinal prediction model

There has been recent concern about the degree to which posttraumatic stress disorder (PTSD) symptomatology influences reports of prior exposure to highly stressful life events. In this longitudinal study of 2,942 male and female Gulf War veterans, the authors documented change in stressor reporting across 2 occasions and the association between change and PTSD symptom severity. A regression-based cross-lagged analysis was used to examine the relationship between PTSD symptom severity and later reported stressor exposure. Shifts in reporting over time were modestly associated with PTSD symptom severity. The cross-lagged analysis revealed a marginal association between Time 1 PTSD symptom severity and Time 2 reported stressor exposure for men and suggested that later reports of stressor exposure are primarily accounted for by earlier reports and less so by earlier PTSD symptomatology.     

Sleep Symptoms as a Partial Mediator Between Combat Stressors and Other Mental Health Symptoms in Iraq War Veterans

Sleep symptoms are a prominent feature of mental health disorders like PTSD and depression. However, it is unknown whether sleep symptoms mediate the relationship between combat stress and these disorders. We examined the mediating role of sleep symptoms on the relationship between combat stress and PTSD; and the relationship between combat stress and depression using data from 576 Army veterans of the Iraq War surveyed in 2004. Correlational analyses revealed that when insomnia was included in the model, the correlation between combat stressors and other depression symptoms decreased by 65%; and when nightmares were included in the model, the correlation between combat stressors and other PTSD symptoms decreased by 69%. We replicated these analyses using individual items assessing PTSD and depression and found that the insomnia and nightmare items had the largest and second largest mediation effect between combat stressors and PTSD and depression symptoms. Our result support the theory that sleep symptoms contribute to the development and/or maintenance of other mental health symptoms and that early treatment of sleep symptoms may mitigate the other mental health consequences of combat stress.     

The daily inventory of stressful events: an interview-based approach for measuring daily stressors

This study introduces the Daily Inventory of Stressful Events (DISE), an interview-based approach to the measurement of multiple aspects of daily stressors through daily telephone interviews. Using a U.S. national sample of adults aged 25 to 74 (N = 1,031), the prevalence as well as the affective and physical correlates of daily stressors are examined. Respondents had at least one daily stressor on 40 percent of the study days and multiple stressors on 11 percent of the study days. The most common class of stressors was interpersonal tension followed by work-related stressors for men and network stressors (events that occur to close others) for women. Stressors that involved danger of loss were more prevalent than stressors in which loss actually occurred. Regression analyses showed that specific types of daily stressors such as interpersonal tensions and network stressors were unique predictors of both health symptoms and mood.     

Testing the stress-buffering effects of self engagement among soldiers on a military operation

The present research examined whether self engagement moderated the stressor-strain relationship in a sample of U.S. soldiers deployed on a peacekeeping mission to Bosnia. Given that individuals were nested within groups (Army companies), we examined the relationships of interest using multilevel random coefficient models. The results of these analyses revealed that self engagement interacted with three different stressors (lower amounts of sleep, work stress, family stress) in the prediction of psychological distress. In support of self engagement as a buffer against stress, when stressors were low (high amounts of sleep, low levels of work stress, and family stress), soldiers reported relatively low levels of psychological distress and physical symptoms, regardless of whether they were engaged in or disengaged from their job. However, when stressor levels were high, soldiers who were engaged in their job reported less elevation in reports of psychological distress than soldiers who were disengaged from their job. The results are discussed in terms of the potential mechanisms by which self engagement might protect individuals from stressful circumstances.     

组织支持对工作压力的中介效应研究——基于知识型员工样本的实证分析

采用中介变量分析的一般范式,以知识型员工为研究样本,实证检验了组织支持在工作压力源与压力反应之间的中介效应。研究表明:组织支持在良性压力源(如任务要求、能力要求)与积极压力反应(如组织承诺、工作满意度、工作参与感)之间发挥显著的中介作用;在负性压力源(如人际冲突、组织结构问题、时间冲突)与积极和消极压力反应(如消极工作情绪)之间都发挥显著的缓冲作用。管理者在知识型员工压力管理过程中,应高度重视组织支持的中介缓冲作用。     

Childhood stress: Perceptions of children and professionals

An assessment instrument was developed to measure children's perceptions of stressors in their lives, as well as their experiences and emotional reactions to these stressors. Two approaches from the adult literature, major life events and daily hassles, were compared for children. In addition, a comparison between children's and professionals' ratings of the severity of various stressors was made, as well as an examination of the relationship of experience and self-reported reaction to children's ratings. Results indicate that children's ratings of the severity of stressors do differ from adults', particularly when children have experienced the stressor. Further investigation in the study of childhood stress incorporating children's perceptions is proposed.     

Problems of diagnosis and legal causation in courtroom use of post-traumatic stress disorder

Serious problems with the diagnosis of Post-Traumatic Stress Disorder (PTSD) render it vulnerable to legal challenge and subject to abuse. Problems in legal causation are outlined and include the issues of prior susceptibility, identification of the stressor, symptom assessment, intervening factors, and criminal responsibility. Trial courts continue to question the admissibility of PTSD expert witness testimony. To ensure the continuing validity of PTSD, its use should be limited, and expert witness testimony increasingly supported by empirically based research data.     

“非典”流行期大学生面对非典的压力源和压力研究

该研究旨在探索非典流行期大学生面对非典的压力源和压力状况,用“大学生非典压力状况调查表”和“大学生非典压力源调查表”测查了723名大学生。结果表明:(1)大学生的非典压力源来自3个方面,它们是非典疾病压力源、非典信息压力源和应对非典措施压力源。(2)非典流行期大学生对非典的恐慌程度、所感受到的非典压力强度以及非典压力对其造成的影响程度均处于中等水平。     

Do Background Stressors Influence Reactivity to and Recovery From Acute Stressors?1

This review examines the effect of background stressors with acute stressor reactivity and recovery in the 19 available studies. Background stressors were associated with increased acute stressor reactivity in slightly over half of the studies of ongoing stressors. However, a substantial minority of studies demonstrated reduced acute stressor reactivity, suggesting habituation for certain people in certain situations. Background stressors were associated with delayed blood-pressure and immunological recovery from acute stressor events, but were not associated with delayed heart-rate recovery. Possible mechanisms underlying the association between background stressors and acute stressor reactivity and recovery are discussed. Background stressors should be measured thoroughly in future acute stress research to understand the meaning of the acute stress responses.