Perceived sources and levels of stress,general self-efficacy and coping strategies in clinical dental students

The aims of this study were to identify sources of stress among clinical students and to evaluate the students’ perceived levels of stress, general self-efficacy and effective coping strategies in a private dental school environment. The study group consisted of 130 undergraduate clinical dental students in a Turkish private dental school, during the academic year 2014–2015. The students were surveyed using modified version of the dental environment stress (DES) survey, the perceived stress scale, the general self-efficacy scale (G-SES) and the brief coping scale. Age, sex, year of study, history of psychiatric treatment and factors that affected the choice of dentistry were also recorded. Final year and female clinical dental students, who were found to be the most stressful students, had moderate to high perceived stress scores. Total and ‘Faculty and administration’ related DES scores increased with the year of study. Stressors related to ‘Workload’ and ‘Clinical training’ affected females more than males. G-SES scores were higher in male students and students, who had no history of psychiatric treatment. The most and the least common coping strategies were ‘Planning’ and ‘Substance abuse’, respectively. ‘Religion’ was found to be one of the main coping strategies. Stress factors affecting Turkish clinical dental students studying at private dental school differed from the previously reported stress factors affecting students studying at a governmental dental school. Advanced year and female students experienced more stress than the other students.     

Perceived sources and levels of stress,general self-efficacy and coping strategies in preclinical dental students

Dental education programs are known to be highly stressful and stress can affect general health. The aims were to identify sources of stress among preclinical students and to evaluate their perceived levels of stress, self-efficacy and effective coping strategies in a private dental school. One hundred preclinical students in a Turkish private dental school were surveyed using dental environment stress (DES), perceived stress (PSS), general self-efficacy (G-SES) and brief coping scales (Brief-COPE). Age, gender, history of psychiatric treatment, factors that affected the choice of dentistry, choice rank of dental school, scholarship and income was recorded. ‘Exams and grades’ followed by ‘Fear of failing course or year’ were found to be the most stressprovoking factors. The most and the least stressprovoking DES domains were ‘Workload’ and ‘Social stressors’, respectively. ‘Social stressors’ affected male more than female (p < .05). The most and the least common coping strategies were found to be ‘Planning’, and ‘Drug’, respectively. Female used ‘Instrumental support’ more than male (p < .05). Demographic factors had impact on the perceived stress factors and levels, as well as coping strategies. Unlike previous studies establishing high stress levels in dental students, preclinical students displayed moderate level of stress. Clinical dental education might be more responsible for creating stress.     

Monitoring–blunting coping styles and cognitive symptoms of dental fear

The present study investigates whether monitoring (i.e. vigilant) and blunting (i.e. avoidant) coping styles are associated with cognitive symptoms of dental fear. Results show that monitoring is positively related to the frequency and believability of negative thoughts about dental treatment, and negatively with the ability to control such thoughts. The opposite pattern is found for blunting. That is, blunting correlates negatively with the frequency and believability of negative thoughts, whereas a positive association emerges with cognitive control. These findings are in line with the Monitoring Process Model which proposes that ‘monitors’ (compared to ‘blunters’) generally show greater distress and arousal because of the way in which they cognitively elaborate threat.     

The effect on coping of monitoring, blunting, and the ability to achieve cognitive structure.

The effects of monitoring and blunting on individuals' choices of coping strategies and their effectiveness were examined. In addition, the authors explored the effect of the ability to achieve cognitive structure (AACS), defined as either or both of the following: (a) the ability to avoid information that either cannot be categorized or clashes with the individual's existing knowledge; (b) the ability to organize knowledge to fit an already existing cognitive structure. The results showed that in addition to the main effects of monitoring on problem-focused coping and social support seeking behaviors and of blunting on the use of wishful thinking, AACS was found to moderate blunting's influence on problem-focused coping as well as the effectiveness of distancing and avoidance coping. Finally, the results showed that the combination of high monitoring and high blunting sometimes contributes to coping effectiveness.     

Barriers perceived by teachers at work, coping strategies, self-efficacy and burnout

This study examines the relationships among stressors, coping strategies, self-efficacy and burnout in a sample of 724 Spanish primary and secondary teachers. We understood stressors as barriers perceived by teachers that interfere with their work meeting learning objectives and which cause them stress and burnout. An analysis of teacher responses using hierarchical regression revealed that pedagogical barriers had significant positive effects on the burnout dimensions. Furthermore, the results show not only the moderator role played by coping strategies in the pedagogical barriers-burnout dimensions relationship, but also the association between self-efficacy and the coping strategies used by teachers. Practical implications are discussed.     

Children's strategies for coping with stress: Blunting and monitoring

The present study examined children's suggestions for coping with uncontrollable stress, from the perspective of the monitoring/blunting distinction proposed by Miller (1987). Children in the first through sixth grades heard stories depicting four stressful situations that afforded little opportunity for control. Children's coping suggestions were classified as blunting (including reappraisal, cognitive distraction, and behavioral distraction), monitoring, or seeking support. Overall, blunting strategies were mentioned most often, followed by monitoring, and seeking support. A grade-level increase in blunting suggestions was found, and this developmental pattern was identical for reappraisal, cognitive distraction, and behavioral distraction. No grade-level differences were observed for monitoring or support. Situational differences in coping suggestions were explored, and there was mixed evidence of cross-situational consistency in coping style.The author would like to thank the staff and students of the Bell Top Child Care Centers and Kinder-Care Learning Center, Bloomington-Normal, Illinois. Thanks are also due to Cricket Blassage and Latoria Carroll for their help with the coding. This research was partially supported by a small grant from Illinois State University. An earlier version of this paper was presented at the meeting of the Society for Research in Child Development, Seattle, Washington, April, 1991.     

Coping with dental treatment correlates of dispositional and domain specific monitoring and blunting

Abstract

Relations between coping style and several variables on an intermediary level were studied in a group of dentally anxious patients (N = 68) awaiting dental treatment. Monitoring was found to be positively related to the need of information: General dispositional monitoring was the best predictor of the need of information in case of more distant threat, whereas domain specific monitoring was the best predictor in case of imminent threat. Furthermore. dental trait anxiety was strongly related to early anticipatory tension, degree of anticipatory tension at several moments in time, and tension during treatment as perceived by the dentist, thereby overshadowing the weaker effects of coping style. Domain specific blunting was negatively related to desires for informational adaptations in the waiting room, and to question proneness as perceived by the dentist during treatment. It is concluded that, in order to study further effects of coping style, a sample homogeneous with respect to domain specific anxiety is needed.     

Social-cognitive predictors of health behavior: action self-efficacy and coping self-efficacy.

The effects of social-cognitive variables on preventive nutrition and behavioral intentions were studied in 580 adults at 2 points in time. The authors hypothesized that optimistic self-beliefs operate in 2 phases and made a distinction between action self-efficacy (preintention) and coping self-efficacy (postintention). Risk perceptions, outcome expectancies, and action self-efficacy were specified as predictors of the intention at Wave 1. Behavioral intention and coping self-efficacy served as mediators linking the 3 predictors with low-fat and high-fiber dietary intake 6 months later at Wave 2. Covariance structure analysis yielded a good model fit for the total sample and 6 subsamples created by a median split of 3 moderators: gender, age, and body weight. Parameter estimates differed between samples; the importance of perceived self-efficacy increased with age and weight.     

Effects of coping skills training on generalized self-efficacy and locus of control

A number of studies have shown that mastery experiences strengthen self-efficacy expectancies that are specific to the mastery situation. In this study I assessed the effects of cognitive-behavioral coping skills training on generalized expectancies concerning self-efficacy and locus of control in test-anxious college students. Compared with a waiting-list control group, the trained subjects exhibited significant decreases on trait and state measures of test anxiety and a higher level of academic performance on classroom tests, as well as changes in specific self-efficacy expectancies relating to test-anxiety management and academic performance. Consistent with generalization predictions derived from self-efficacy theory, the coping skills group also exhibited decreases in general trait anxiety and increased scores on a trait measure of generalized self-efficacy. Locus of control was unaffected by the program, and changes in general self-efficacy were unrelated to changes in locus of control, suggesting the possibility that different parameters of experience are related to changes in the two types of generalized expectancies.     

Relations among self-efficacy, goal setting, and metacognitive experiences in problem-solving

This study examined the roles of metacognitive experiences in the self-regulation process before problem-solving. 260 Japanese undergraduate students participated. To investigate the role of metacognitive experiences, a structural equation model was constructed to examine the relations among Self-efficacy, Goal Setting, Metacognitive Experiences, and Performance. Analysis showed that Metacognitive Experiences mediated the influence of Self-efficacy on Goal Setting and Performance. In addition, these experiences were related to Performance to some extent. Finally, these results are discussed in relation to those obtained in previous studies.     

The firefighter coping self-efficacy scale: measure development and validation

The authors evaluated the psychometric properties of the Firefighter Coping Self-Efficacy (FFCSE) Scale, a new measure developed to assess firefighters' perceived competence in managing stressful and traumatic experiences encountered on the job. Two samples of firefighters completed the FFCSE Scale at two different time points. Exploratory factor analysis yielded a unidimensional structure, which was further supported with confirmatory factor analysis using a second sample. Internal consistency of the measure was excellent. Analysis of cross-sectional data indicated FFCSE was positively associated with measures of psychological well-being and social support, and negatively associated with work-related stress and psychological distress. FFCSE also uniquely contributed to the variance in psychological distress, over and above variables previously shown to be associated with distress among this population. Implications and suggestions for future research are discussed.     

Management of multiple sclerosis: the role of coping self-efficacy and self-esteem

Patients with multiple sclerosis (MS) engage in various coping behaviours in order to manage their disease. The aim of this study is to find out if the self-esteem of patients is associated with coping strategies – problem-focused (e.g. making a plan of action when confronted with a problem); emotion focused (e.g. get emotional support from community); and focused on stopping unpleasant emotions and thoughts (e.g. keeping oneself from feeling sad), and if it can enhance or hinder coping efforts in the disease management. We collected data from 155 consecutive MS patients who completed the Coping Self-Efficacy Scale (CSE) and the Rosenberg Self-esteem Scale (RSE). Explained variance for problem-focused coping, emotion-focused coping, and coping focused on stopping unpleasant emotions and thoughts was 33, 24, and 31%, respectively. Self-esteem seems to be associated with coping strategies indicating that feelings of self-worth are linked with the ability to handle difficult life situations and can be helpful in chronic disease management.     

矛盾态度的成因与应对

矛盾态度是指个体或群体对某一态度客体同时存在的积极与消极的认知评价和情绪体验。近年来, 学者们从认知、社会、个体差异等角度探讨了矛盾态度的成因, 并指出个体主要使用情绪中心策略、信息加工策略和补偿性策略以应对矛盾态度带来的不适。未来研究需要继续整合矛盾态度的测量方式, 考察矛盾态度在不同文化和不同个体发展阶段的差异, 并进一步深入探索影响矛盾态度与个体行为后果的变量。     

Poverty, stressful life events, and coping strategies

It was hypothesized that individuals of low socioeconomic status are exposed to a greater number of stressful events and therefore have a higher incidence of psychological disorders. However, the way they interpret, evaluate and cope with these stressful situations may either cause them to maintain, intensify or eliminate their overall stress. Past research indicates that the poorest individuals tend most frequently to falsely minimize or avoid stressful situations, which lowers the probability of resolving their problems. The objective of this study is to discover and compare the situations that have produced a high level of stress in subjects of three different socioeconomic groups over the last three months, as well as the strategies they used to cope, and their perceived effectiveness. The sample included 900 subjects of both sexes living in Mexico City. Among them, 346 were extremely poor, 260 were moderately poor and 312 were not poor. The results indicate that socioeconomic status is related to the frequency with which subjects report certain kinds of stressful situations. It was also found that non-poor subjects use problem-focused coping methods more than the other groups, while the poor use more emotionally-focused coping strategies, This article analyzes the strategies used by each group in each type of stressful situation reported.     

Acculturation strategies, coping process and acculturative stress

Using structural equation modeling, this study examines the influences of motivational factors (Need for Cognitive Closure--NCC--and Decisiveness), coping strategies and acculturation strategies on levels of acculturative stress. Two groups of immigrants in Rome (Croatians n= 156 and Poles n= 179) completed a questionnaire that included scales for the various factors. Although our initial hypothesized model was not confirmed, a modified model showed that the motivational factors of NCC and Decisiveness indirectly influence acculturative stress. The modified model with good fit indices indicated that the relationship between NCC and Decisiveness are mediated by coping strategies and acculturation strategies. Specifically, NCC is associated positively with avoidance coping, which in turn is negatively associated with the host group relationships and positively with the original culture maintenance. The last two dimensions predicted lower levels of acculturative stress. Decisiveness was positively associated with the problem-oriented coping and, negatively, with emotional and avoidance coping.     

Perceived self-efficacy in coping with cognitive stressors and opioid activation

This experiment tested the hypothesis that perceived self-inefficacy in exercising control over cognitive stressors activates endogenous opioid systems. Subjects performed mathematical operations under conditions in which they could exercise full control over the cognitive task demands or in which the cognitive demands strained or exceeded their cognitive capabilities. Subjects with induced high perceived self-efficacy exhibited little stress, whereas those with induced low perceived self-efficacy experienced a high level of stress and autonomic arousal. Subjects were then administered either an inert saline solution or naloxone, an opiate antagonist that blocks the analgesic effects of endogenous opiates, whereupon their level of pain tolerance was measured. The self-efficacious nonstressed subjects gave no evidence of opioid activation. The self-inefficacious stressed subjects were able to withstand increasing amounts of pain stimulation under saline conditions. However, when endogenous opioid mechanisms that control pain were blocked by naloxone, the subjects were unable to bear much pain stimulation. This pattern of changes suggests that the stress-induced analgesia found under the saline condition was mediated by endogenous opioid mechanisms and counteracted by the opiate antagonist.     

Determinants of stress-related growth: Gender,stressfulness of the event,and coping strategies

The present study aimed to investigate the determinants of stress-related growth. For this aim the associations of gender, stressfulness of the event, and three coping strategies (problem-oriented, fatalistic, and helplessness) with stress-related growth were tested by multiple regression analysis. Participants were 132 undergraduate students. Results revealed that females reported higher levels of stress-related growth than males, and as expected, higher levels of the stressfulness of the event associated with more stress-related growth. Furthermore, frequent utilization of problem-oriented and fatalistic coping strategies was associated with higher stress-related growth. These findings were discussed in the light of relevant literature and culture-specific features. This work has been supported by the Turkish Academy of Sciences, in the framework of the Young Scientist Award Program (TG-TUBA-GEB>P/2002-l-l 1).     

Effects of an experimental social stressor on resources loss,negative affect,and coping strategies

This experimental study, grounded in Hobfoll's conservation of resources (COR) theory, assessed the effects of manipulating a social stressor on loss of psychological resources, negative affect, and coping strategies. Israeli student volunteers were randomly allocated to one of two conditions: (1) social stressor (n = 66) and (2.) nonstressor (n = 59). The social stressor, aimed at reducing participant's personal resources, was experimentally induced via the Trier Social Stress Test protocol. The protocol consisted of a mock job interview administered under evaluative conditions, followed by performing a difficult arithmetic calculation task. The nonstressor condition involved a neutral interaction with an experimenter, followed by performing a relatively easy mental calculation task. Consistent with our hypotheses, the social stressor, compared to the nonstressor condition, resulted in statistically significant lower mean levels of psychological resources, higher levels of negative affect, and increased emotion-oriented and avoidance-oriented coping. Furthermore, under the social stressor condition, compared with the nonstressor condition, negative affect was more strongly related to loss of psychological resources and various coping strategies. Overall, the data provide experimental support for key tenets of COR theory     

Determinants of stress-related growth: Gender, stressfulness of the event, and coping strategies

The present study aimed to investigate the determinants of stress-related growth. For this aim the associations of gender, stressfulness of the event, and three coping strategies (problem-oriented, fatalistic, and helplessness) with stress-related growth were tested by multiple regression analysis. Participants were 132 undergraduate students. Results revealed that females reported higher levels of stress-related growth than males, and as expected, higher levels of the stressfulness of the event associated with more stress-related growth. Furthermore, frequent utilization of problem-oriented and fatalistic coping strategies was associated with higher stress-related growth. These findings were discussed in the light of relevant literature and culture-specific features. This work has been supported by the Turkish Academy of Sciences, in the framework of the Young Scientist Award Program (TG-TUBA-GEB>P/2002-l-l 1).     

Coping and learned helplessness: Effects of coping strategies on performance following unsolvable problems

The current study assesses the effects of individuals' coping strategies for dealing with stress on cognitive performance following unsolvable problems. In this study, subjects responded to a questionnaire tapping the use of problem-focused and emotion-focused coping strategies in dealing with failure in achievement settings. Then they were exposed to either no-feedback or failure in four unsolvable problems. Upon completing these problems, subjects performed a visual search task with a memory component. Results showed that failure, as compared with no-feedback, produced performance deficits among subjects who habitually relied on a single coping strategy, either problem- or emotion-focused, and among subjects who did not rely on any coping response. Only subjects who relied on both problem-focused and emotion-focused strategies did not show any performance deficit following unsolvable problems. The results are discussed in terms of Lazarus and Folkman's stress-coping model.