Social support coping style predicts women’s cortisol in the laboratory and daily life: the moderating role of social attentional biases

Background and Objectives: Social stress and associated coping responses can profoundly influence women’s stress physiology and health. Implicit social attentional biases can also influence psychological and physiological stress responses. The purpose of this study was to explore whether a coping style characterized by greater use of social support predicts indices of cortisol activity in laboratory and daily life contexts among female university students. We hypothesized that the relation of this coping style to cortisol activity would be moderated by women’s attentional biases.

Methods: Seventy-four women (M_age?=?19.44, range: 17.8–27.8, 64% White) completed an interpersonal stress task and an attentional bias task in the lab, along with a self-report coping inventory. Participants provided five saliva samples during the lab protocol, followed by three saliva samples per day for three consecutive weekdays. Outcome measures included cortisol response to lab tasks (AUCg), diurnal cortisol slope, diurnal AUCg, and cortisol awakening response (CARi).

Results: A coping style characterized by greater use of social support predicted lower lab AUCg and lower, flatter average diurnal cortisol slope for women with attentional avoidance compared to women with attentional vigilance (ps?<?.05).

Conclusions: Responding to stress by using social support is linked to lower cortisol responses to social stress and diurnal cortisol activity for women with implicit avoidance of social threat cues.     

Effects of Prolongea Isolation in Extreme Environments on Stress,Coping, and Depression1

This influence of prolongea isolation in an extreme environment on depressive symptoms, personality, and coping resources was examined in 121 members of the United States Antarctic Program in 1988–1989. Subjects were followed for a 1-year period in Antarctica. Winter-over personnel experienced an increase in depressive symptoms, avoidance as a coping method, and emotional discharge as a coping resource from baseline (T₀) to Year-1 (T₁). At T₀, education, negative life events, job-related stress, low self-confidence, active cognitive and behavioral coping methods, and low satisfaction with social support were independent predictors of depressive symptoms. At T₁, negative life events, low self-confidence, active behavioral and avoidance coping methods, affective regulation as a coping resource, and low satisfaction with social support were independent predictors of depressive symptoms. However, with the exception of T₀ depressive symptoms, none of the social and demographic characteristics and T₀ psychosocial measures predicted T₁ depressive symptoms. The results of this study support the hypothesis that coping may be more strongly associated with environmental conditions that influence severity of stressor and availability of coping resources than with more remote and stable background factors.     

The impact of a laryngectomy on the spouse: Who is better off?

Background: Diabetes self-care is a key element in the overall management of diabetes. However, the importance of psychosocial factors for successful disease management is under investigated. This study aimed at exploring the role of coping styles and social support in the relationship between self-care activities and glycated haemoglobin in patients with type 2 diabetes.

Methods: One hundred adults (60% female, aged 40–70 years) with type 2 diabetes completed questionnaires assessing self-care activities, coping styles and social support. In addition, a blood test was performed to obtain glycated haemoglobin levels.

Results: Result showed significant relationships of glycated haemoglobin with self-care activities, coping styles and social support. Regression analysis indicated that social support had a moderating role on the relationship between self-care activities and glycated haemoglobin, such that, at very high levels of social support the association, between Self-Care and HbA1c disappears.

Conclusions: Findings indicate that health care providers, within the context of the Iranian social and cultural situation, should pay more attention to psychosocial factors when addressing self-care activities. Delineation of the role of coping styles and social support might be useful for identifying patients in need of particular counselling and support for improving self-care activities and HbA1c levels.     

Cognitive neutralising strategies and their use across differing stressor types

Abstract

Three studies are described which investigate the kinds of strategies that individuals use to devalue the threatening meaning of a stressor (cognitive neutralising strategies, CNS). These studies identified seven factorially independent constructs corresponding to Downward Comparison, Positive Reappraisal, Cognitive Disengagement, Optimism, Faith in Social Support, Denial and Life Perspective. The use of CNS was highly correlated with the use of problem-focused coping strategies regardless of stressor type, but associated with the use of avoidance coping and emotion-focused coping only in the case of certain stressor types. The role of CNS in the coping process is discussed in the light of the present results.     

Perceived social support,coping, and symptoms of distress in American and Spanish students

Abstract

The aim of this study was to test whether coping responses mediated the influence of perceived social support on symptoms of anxiety/depression, social withdrawal, and aggressive behavior in American (N=349) and Spanish students (N=437). Participants completed measures of perceived support, social stress, coping, and distress. Coping partially mediated relations between perceived support and distress, with coping mediation most evident in individuals facing high levels of social stress. Decreased use of disengagement coping by individuals with high perceived support appears to partially explain the protective value of perceived social support. Multiple group covariance structure analysis showed that models linking perceived support, coping, and distress were very similar across cultures, suggesting that the mechanisms underlying decreased risk for individuals with high perceived support may be relatively independent of cultural context, and that interventions designed to increase perceived support and decrease disengagement could be appropriate in both cultures.     

Type D personality,physical symptoms and subjective stress: The mediating effects of coping and social support

Coping style and social support may represent mechanisms to explain the relationship between Type D personality and ill-health. This study investigated whether Type D is associated with physical symptoms and perceived stress in a non-cardiac population, and if these relationships are mediated by coping and social support. In a cross-sectional study, 304 participants (110 males, mean age 22.1 years) completed measures of Type D, physical symptoms, coping, perceived stress and social support. Results showed that Type D, the interaction of negative affectivity and social inhibition (NA?×?SI), was positively correlated with physical symptoms, perceived stress, and avoidant coping, and negatively correlated with social support, problem-focused coping and emotion-focused coping. A series of bootstrapped multiple mediator tests showed that social support and avoidant coping fully mediated the relationship between Type D and physical symptoms. Furthermore, social support and emotion-focused coping partially mediated the relationship between Type D and perceived stress. These findings demonstrate for the first time that Type D personality is associated with physical symptoms in a non-cardiac population. Social support and coping style represent mechanisms that can, in part, explain the relationship between Type D and physical symptoms, and Type D and perceived stress.     

The Joint Effects of Stress,Coping, and Coping Resources on Depressive Symptoms in the Elderly

The objective of the present study was to examine the joint effects of stress, coping, and coping resources in predicting depressive symptoms. A community sample comprising 194 people aged 65 and older was interviewed. Task-oriented coping and emotion-oriented coping both appeared to be directly related to depressive symptoms. In addition, emotion-oriented coping moderated the impact of stress to varying degrees, depending on the amount of stress experienced. Coping resources (social support and coping self-efficacy) also were directly related to depressive symptoms. Furthermore, coping self-efficacy appeared to be related to the kind of coping strategies used. Respondents with higher coping self-efficacy used more task-oriented coping and less emotion-oriented coping. These findings suggest that it is advisable to include coping resources when studying stress-coping processes. Developing prevention and intervention programs aimed at teaching people adaptive coping strategies and helping them to build up their coping resources seems advisable.     

Examining the effects of perceived social support on momentary mood and symptom reports in asthma and arthritis patients

Objective: Social support has been linked to beneficial effects on health directly (main effect) and as a buffer to stress. Most research, however, has examined these relationships using global and retrospective assessments of health and stress, which may be subject to recall biases. This study used ambulatory ecological momentary assessment (EMA) methods to test the main and stress-buffering effects of social support on the daily health and well-being of asthma and rheumatoid arthritis (RA) patients.

Design: Community volunteers with asthma (n?=?97) or RA (n?=?31) responded to EMA prompts five times daily for one week.

Main outcomes: Baseline perceived social support was obtained, and then, participants reported mood, stress and symptoms using EMA. Multilevel mixed-modelling examined whether social support predicted mood and symptoms directly or via stress-reducing effects.

Results: Supporting a main effect, more perceived social support predicted decreased negative mood and stress severity. Supporting a stress-buffering effect, more perceived social support resulted in fewer reported symptoms when stress was present.

Conclusion: Results suggest perceived social support directly relates to better ambulatory status and dynamically buffers individuals against the negative effects of stressors, and highlight the importance of studying social support across different temporal and contextual levels.     

Collective efficacy following a series of natural disasters

This article examined adolescents' reports of how they cope with a specific social stressor: authority conflict with parents. This situation was presented to 626 adolescents as part of a larger study on coping with stress. Students were requested to report on the intensity of the stress experienced, intensity of emotions, emotion regulation, perceived availability of social support, goal framing, and coping strategies used. Coping strategies split up factor-analytically into two coping patterns, namely fighting the stressor and coming to terms with the stressor. The relations between these two coping modes and various aspects of the students' mental representation of the stressor were examined. It was predicted that the way students frame the coping goal would affect their choice of coping strategies. Direct effects of coping strategy, emotion regulation and social support on intensity of stress were tested as well as moderating effects of the type of coping mode used on the relationship between emotion regulation and experienced stress. It is suggested that some youngsters consider an authority conflict with their parents as a normal aspect of daily functioning, whereas other view it as a developmental challenge.     

社会支持缓解高互依自我个体的急性心理应激反应

高互依自我构念个体以社会角色来定义自己, 更看重自己的社会关系; 社会评价威胁是诱发个体社会心理应激反应的重要情境因素, 然而高互依自我构念个体在心理性应激情境中是否会表现出更高的应激反应, 以及社会支持是否会缓解高互依自我构念个体的急性心理应激反应还不可知。本研究以特里尔社会应激测试为范式, 以主观应激报告、心率和唾液皮质醇作为应激指标, 使用自我构念问卷测量个体互依自我构念水平, 将健康大学生被试随机分配到自我支持启动组和社会支持启动组。结果发现, 互依自我构念水平正向预测个体在应激情境中的皮质醇水平增加量; 同时, 相比于自我支持启动, 高互依自我构念的个体在经历社会支持后有更低的唾液皮质醇变化量。研究结果提示, 社会支持对高互依自我构念个体的急性心理应激反应起到了良好的缓解作用。     

Mental toughness, stress, stress appraisal, coping and coping effectiveness in sport

The aim of the present study was to investigate the relationship between mental toughness, stressor appraisal, coping strategies and coping effectiveness among a sample of athletes. Participants were 482 athletes (male n = 305; female n = 177), aged between 16 and 45 years (M age = 20.44 years, SD = 3.98). In support of a priori predictions, mental toughness was associated with stress intensity and control appraisal, but not the type of stressor experienced by athletes. Total mental toughness and its six components predicted coping and coping effectiveness in relation to the self-selected stressor. In particular, higher levels of mental toughness were associated with more problem-focused coping, but less emotion-focused and avoidance coping. Coping effectiveness was influenced by the coping strategy employed by the athletes.     

Hope and social support utilisation among different age groups of women with breast cancer and their spouses

Objective: Social support and hope are considered positive, important contributors to psychological well-being for women with breast cancer and their spouses. Few studies examine the role of age in relation to these variables. The current study compares the relationship between social support, hope and depression among different age groups of women with advanced breast cancer and their healthy spouses.

Design: Cross-sectional sample of 150 women with advanced breast cancer and their spouses.

Main outcome measures: Social support, hope, depression and socio-demographic data. Analysis included comparison of these variables between groups of older and younger patients and their spouses. Structural equation modelling (SEM) was used to examine hope as a mediator of the relationship between social support and depression within each group (older and younger patients and spouses).

Results: Older patients and spouses reported lower levels of depression than younger ones. SEM showed that social support related directly to depression among younger women and older spouses, while hope was directly related to depression among older women and younger spouses and acted as a mediator between social support and depression.

Conclusions: Theoretical, empirical and clinical implications regarding the understanding of the role of age in coping with cancer are discussed.     

Towards a psychosocial mediator model of hostility and CHD

Abstract

How might hostility contribute to the development of CHD? One possible explanation, labelled “psychosocial vulnerability”, is that hostile individuals inhabit a more taxing interpersonal world, and that increased stress, in turn, causes CHD. However, previous research testing this proposition has suffered from a measurement confound by employing self-reports of stress, social support, and hostility. One hundred and twelve subjects participated in the current study and completed the Cook-Medley Hostility scale. Then, each subject's closest friend was asked to estimate for the past year: (1) how many stressors had been encountered by the subject; (2) how easily the subject was upset by a stressor; (3) how many emotional reactions the subject disclosed after a stressor; and (4) how much social support was available to the subject. Results suggested that hostile men and women may both be phychosocially vulnerable, but they are so at different stages of the stressor-distress process. There was no relation between hostility and observed stressor frequency for either men or women, however, hostility in men was found to be related to increased distress in reaction to stressors and in women was related to decreased disclosure about these stressful events. Importantly, hostility in both men and women was related to decreased levels of observed social support, as compared to their non-hostile peers.     

Depressive Symptomatology among HIV-Positive Women in the Era of HAART: A Stress and Coping Model

Objective: An enhanced stress and coping model was used to explain depression among HIV-positive women in healthcare and community settings where highly active anti-retroviral treatment (HAART) was commonplace. Method: HIV-infected women in four cities (N=978) were assessed, cross-sectionally, for mental and physical health, stress, social support, and other background factors. Results: Self-reported level of depressive symptomatology was high. Number of physical symptoms, illness intrusiveness, and perceived stress were positively associated with depressed mood, while coping self-efficacy and social support were negatively associated. Stress mediated the effect of health status on depression and coping self-efficacy mediated the effect of psychosocial resources on depression. Our enhanced stress and coping model accounted for 52% of variance in depressive symtpomatology. Conclusions: Interventions focused on improving coping self-efficacy, bolstering social supports, and decreasing stress in the lives of HIV-positive women may help to reduce the negative effects of HIV disease on mood.     

Discriminative facility in the face of threat: Relationship to psychological distress

Abstract

This study explored whether discriminative facility in dealing with threatening situations is negatively associated with distress. Discriminative facility entails the ability to (1) “accurately” appraise the controllability of stressors and (2) use more problem-focused relative to emotion-focused coping with controllable stressors and at the same time more emotion-focused relative to problem-focused coping with uncontrollable stressors. We conducted a preliminary study to obtain “accurate” appraisals of the controllability of two stressors. In the main study, college students (N = 109) provided information regarding their appraisal of the controllability of the two stressors, how they coped with these two stressors, and their level of both stressor-specific distress and general distress. The relationship between coping strategy (problem- vs emotion-focused) and stressor-specific distress was found to be a function of the controllability of the stressor. Specifically, with controllable stressors, the high use of problem-focused coping was associated with less distress than the high use of emotion-focused coping. The opposite was found to be the case with uncontrollable stressors. More importantly, discriminative facility was negatively related to general distress. The results suggest that discriminative facility in the appraisal of and coping with stressors is an important mediator in the experience of psychological symptoms as a result of stress.     

MEETING CALENDAR

Abstract

Stress, coping, and appraisal were explored in order to better understand the factors associated with smoking cessation. Employees from 61 worksites received one of three programs which incorporated the use of self-help manuals, incentives, social support groups, and cognitive-behavioral techniques. Results indicated successful quitters perceived less stress in their lives, used more problem-focused coping and less emotion-focused coping, and perceived more control over their stressors than participants who were not able to quit smoking.     

The role of postdeployment social factors in linking deployment experiences and current posttraumatic stress disorder symptomatology among male and female veterans

Background and Objectives: The postdeployment social context is likely highly salient in explaining mental health symptoms following deployment. The aim of this study was to examine the role of postdeployment social factors (social support and social reintegration difficulty) in linking deployment-related experiences (warfare exposure, sexual harassment, concerns about relationship disruptions, and deployment social support) and posttraumatic stress disorder (PTSD) symptomatology in male and female veterans.

Design: A survey was administered to 998 potential participants (after accounting for undeliverable mail) who had returned from deployment to Afghanistan or Iraq. Completed surveys were received from 469 veterans, yielding a response rate of 47%.

Methods: Hypotheses were examined using structural equation modeling.

Results: For male and female veterans, deployment factors predicted later PTSD symptoms through postdeployment social support and social reintegration, with lower support and higher social reintegration difficulty both associated with higher PTSD symptomatology. While the final models for women and men indicated similar risk mechanisms, some differences in pathways were observed. Sexual harassment presented more of a risk for women, whereas lower social support was a greater risk factor for men.

Conclusions: Postdeployment social factors appear to represent potentially important targets for interventions aiming to reduce the potential impact of stressful deployment experiences.     

Use of student support services among university students: associations with problem-focused coping,experience of personal difficulty and psychological distress

ABSTRACT

Universities provide a range of problem-focused social support services to help students who are experiencing personal difficulties. The current study examines how the effectiveness of students' (N = 131) problem-coping style, experience of personal difficulty and psychological distress are associated with actual use of support services in the academic setting. Results indicate that students who experienced a personal difficulty and who had a more reflective problem-coping style were more likely to use student support services. In addition, students with less effective problem-focused coping styles (more reactive and suppressive, less reflective) reported greater psychological distress. The potential personal, psychological and academic benefits of the reflective problem-coping style are discussed.     

Social anxiety and perceptions of likeability by peers in children

The current study aimed to investigate the discrepancy between self-reported and peer-reported likeability among children, and the relation with social anxiety, depression, and social support. In total, 532 children between 7 and 12 years completed questionnaires about social anxiety symptoms, depressive symptoms, and social support, estimated their own likeability, and indicated how much they liked their classmates. Children with higher levels of social anxiety or depression overestimated their likeability less or even underestimated their likeability. Social anxiety symptoms, but not depressive symptoms, were significant predictors of the discrepancy. Social support was positively related to likeability and negatively related to social anxiety, but did not moderate the association between social anxiety symptoms and perception accuracy of likeability. These results are in line with cognitive theories of childhood social anxiety, and they stress the importance of using multi-informant measures when studying the relation between social anxiety and social functioning in children.