Coping with adverse drug events in patients with heart failure: Exploring the role of medication beliefs and perceptions

This study describes coping strategies that patients with heart failure (HF) use to manage adverse drug events (ADEs). The included coping strategies were social support seeking, information seeking, non-adherence and taking alleviating medication. The role of beliefs about medication and ADE perceptions in explaining these coping strategies was assessed using the Self-Regulation Model. We performed a cross-sectional study including 250 HF patients who experienced an ADE. Patients completed validated questionnaires assessing their coping strategies, ADE perceptions and medication beliefs. Social support (60%) and information seeking (32%) were the most commonly used strategies to cope with ADEs. Non-adherence was reported by 7% of the patients. Multivariate linear regression analysis showed that demographics, clinical factors and medication beliefs explained only a small amount of the variance in coping strategies, whereas ADE perceptions explained a substantial amount of variance. Path analysis showed that patients’ perceptions about the timeline, consequences and controllability of ADEs by the health care provider were directly related to their coping behaviour. The effect of patients’ medication beliefs on their coping strategies was consistent with mediation through their ADE perceptions. Our results support the value of the Self-Regulation Model in understanding patients’ coping behaviour with regard to ADEs.     

Coping with adverse drug events in patients with heart failure: Exploring the role of medication beliefs and perceptions

This study describes coping strategies that patients with heart failure (HF) use to manage adverse drug events (ADEs). The included coping strategies were social support seeking, information seeking, non-adherence and taking alleviating medication. The role of beliefs about medication and ADE perceptions in explaining these coping strategies was assessed using the Self-Regulation Model. We performed a cross-sectional study including 250 HF patients who experienced an ADE. Patients completed validated questionnaires assessing their coping strategies, ADE perceptions and medication beliefs. Social support (60%) and information seeking (32%) were the most commonly used strategies to cope with ADEs. Non-adherence was reported by 7% of the patients. Multivariate linear regression analysis showed that demographics, clinical factors and medication beliefs explained only a small amount of the variance in coping strategies, whereas ADE perceptions explained a substantial amount of variance. Path analysis showed that patients' perceptions about the timeline, consequences and controllability of ADEs by the health care provider were directly related to their coping behaviour. The effect of patients' medication beliefs on their coping strategies was consistent with mediation through their ADE perceptions. Our results support the value of the Self-Regulation Model in understanding patients' coping behaviour with regard to ADEs.     

Coping rarely takes place in a social vacuum: Exploring antecedents and outcomes of dyadic coping in coach-athlete relationships

ObjectivesDespite widespread acceptance that coping is an interpersonal phenomenon, sport psychology research has focused largely on athletes' and coaches’ ways of coping individually. The aim of this study was to qualitatively explore coping from an interpersonal perspective (i.e., dyadic coping) in coach-athlete relationships.Methodology and methodsAntecedents and outcomes of dyadic coping were discussed with five coach-athlete dyads. We conducted individual interviews with athletes and coaches and then one interview with each coach-athlete dyad. Interviews were analyzed using dyadic analysis and composite vignettes were created to present the data. Methodological rigor was enhanced by focusing on credibility, resonance, rich rigor, significant contribution, and meaningful coherence.ResultsFive themes were identified. These represented the essence of dyadic coping (theme: the essence of dyadic coping), antecedents of dyadic coping (themes: lock and key fit, friendship and trust, communication of the stressor), and outcomes of dyadic coping (theme: protection and support). The first theme captures coaches' and athletes’ understanding of dyadic coping. The antecedent themes represent the factors that were necessary for dyadic coping to occur. Protection and support relates to the positive nurturing environment that was discussed as an outcome of dyadic coping.ConclusionThe results extend published research by exploring antecedents and outcomes of dyadic coping in sport. The findings highlight that dyadic coping was prevalent in coach-athlete relationships when various antecedents (lock and key fit, friendship and trust, communication of the stressor) existed. Protection and support were pertinent outcomes of dyadic coping that contributed to personal and relationship growth.     

大学生应对策略的特点及其与社会支持水平关系的研究

以423名大学生为被试,采用问卷法考察了大学生应对策略的特点、性别差异及其与社会支持之间的关系.研究发现:(1)大学生更多地倾向于使用积极解决问题和寻求情感支持的应对策略,而转移注意力和消极解决问题应对策略相对较少;(2)社会支持总体感受水平与积极解决问题和寻求情感支持的应对策略显著正相关,而与消极解决问题和转移注意力的应对策略显著负相关;对男生而言,社会支持感受在积极解决问题应对策略上贡献率相对较大;对女生而言,社会支持感受在寻求情感支持应对策略上贡献率相对较大;(3)不仅不同性别大学生的应对策略存在显著差异,而且不同社会支持感受水平的同性别大学生的应对策略也存在显著差异.男生比女生采取更多的消极解决问题策略,而采取更少的寻求情感支持应对策略;不论男生或女生高社会支持感受组均比低社会支持感受组采用更多的积极解决问题和寻求情感支持的应对策略,而更少的采用转移注意力和消极解决问题的应对策略.     

What do Suicide Survivors Tell Us They Need? Results of a Pilot Study

Few studies have examined the natural coping efforts used by suicide survivors, or have identified specific problems and needs survivors experience following the death of a significant other by suicide. In the present study, we used a newly developed needs assessment survey to examine four areas of natural coping efforts: practical, psychological, and social difficulties; formal and informal sources of support; resources utilized in healing; and barriers to finding support since the loss. Sixty-three adult survivors of suicide were recruited from suicide survivor conferences and support groups. Results indicate that participants experienced high levels of psychological distress since the suicide, including elevated symptoms of depression, guilt, anxiety, and trauma. Participants experienced substantial difficulties in the social arena (e.g., talking with others about the suicide). The majority of the sample viewed professional help as beneficial; although many informal sources of support were also valued (e.g., one-to-one contact with other survivors). Depression and a lack of information about where to find help served as barriers to help-seeking behaviors for our participants. Participants who reported higher levels of functional impairment were more likely to report higher levels of psychological distress, social isolation, and barriers to seeking help. Future research with a longitudinal and more inclusive sample is needed to build on these preliminary findings and to provide a solid foundation for evidenced-based interventions with survivors.     

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.     

Perceived career barriers and coping among youth in Israel: Ethnic and gender differences

This study investigated gender and ethnic differences in the perception of different types of career barriers among young adults in relation to their views of themselves as individuals (Personal Career Barriers) and their views of their gender and ethnic group (Group Career Barriers). This study also explored gender and ethnic differences in the sense of efficacy in coping with career barriers. The participants were 406 university students: 156 Israeli-born Jews, 133 Jewish immigrants from the former Soviet Union and 117 Arab-Israelis. The results indicated that their perceptions of the different types of career barriers and their sense of coping efficacy differ according to gender and ethnic group and that there are also joint effects of gender and ethnicity. The results showed that participants rated group barriers higher than personal career barriers. However, the discrepancies were different in each of the three ethnic groups. Perceived career barriers were negatively associated with the sense of coping efficacy and positively associated with non-productive coping strategies. The implications for future research and counseling for minority groups are discussed.     

Coping Strategies of Adults with High-Functioning Autism: A Qualitative Analysis

The objective of this research is to study, via a qualitative and exploratory approach, the coping strategies used by adults with autism and with no intellectual impairment. Semi-directive interviews were carried out with 31 adults diagnosed with Asperger’s syndrome or high-functioning autism (HFA). The data were analysed using an open coding system. Eight coping strategies were identified: special interests, militancy, diagnosis, seeking support from atypical friends, seeking support from animals, normalisation, intellectualisation, and humour. The practical and theoretical implications of the results are discussed in relation to the existing literature on this subject. A new approach is proposed in which special interests are seen as a resource and not as a symptom.     

中国大学生应对方式变迁的横断历史研究

为探究近15年来我国大学生应对方式的年代特点,对2001至2015年67篇采用肖计划等人编制的应付方式问卷测量我国大学生（涉及35332名被试）应对方式的研究报告进行了横断历史的元分析。结果表明：（1）近15年来,我国大学生应对方式在“解决问题”“求助”这2个因子上的得分随年代显著上升,总体来说我国大学生愈益倾向于采取积极的应对方式。（2）男生除“解决问题”、女生除“求助”因子没有显著变化外,其余因子都显著升高,而且应对方式各因子得分的性别差异不明显。     

Relationships Between Treatment Attitudes,Psychological Symptoms,Emotional Competence,and Help‐Seeking Intentions

The authors examined whether emotional competence (i.e., awareness, coping strategies) predicted help‐seeking intentions above and beyond previously identified factors (i.e., attitudes and perceived stigma toward professional help, psychological symptom severity) in an undergraduate sample (N = 531). Emotional awareness predicted help‐seeking intentions for personal/emotional problems and suicidal thoughts. Emotional coping strategies predicted help‐seeking intentions for suicidal thoughts and moderated the relationship between symptom severity and help‐seeking intentions for suicidal thoughts. Efforts to increase help‐seeking should address students' emotional competence.     

Monitoring: a dual-function coping style

Monitoring (Miller, 1991) is defined as a cognitive coping style characterized by the tendency to seek information about threats. This study found that information seeking in stressful situations is perceived by individuals as related to the emotion-focused more than the problem-focused function of coping and that there is considerable variance among individuals in the perceived functions of information seeking and the relationships among information-seeking reactions and their perceived functions. Information-seeking preferences in a natural stressful situation (a final course examination) were predicted by individual differences in perceived functions of information seeking rather than by generalized behavioral coping styles (monitoring). The results were interpreted in relation to the cognitive-affective system theory (Mischel & Shoda, 1995), and implications for the measurement of coping dispositions were discussed.     

大学生应付活动的测验研究

以ＣＯＰＥ量表为工具,对我国７４４名大学生的应付活动进行了测验研究。结果表明：（１）我国大学生应付活动主要有四种方式：针对问题积极主动应付、寻求社会支持、逃避和听之任之。（２）我国大学生在面临应激情境时,较多地采取“针对问题积极主动应付”和“寻求社会支持”的应付方式,而较少采取“逃避”和“听之任之”的应付方式,并表现出较大的情境差异、年级和性别差异,以及较小的专业、城乡和性格差异。（３）中国和美国大学生在应付活动中具有非常明显的社会文化差异     

The impact of coping and resilience on anxiety among older Australians

Objective: This study aims to explore the relationships between various coping types, resilience, and anxiety among older Australians. Particular attention is paid to whether resilience moderates coping's effect on anxiety. Method: A total of 324 Australians aged between 55 and 90 (M = 66.7, SD = 8.6) were surveyed as part of the study. Moderation was assessed using structural equation modelling and plots of simple slopes. Results: Significant negative correlations were detected between anxiety and both proactive coping and preventive coping. Higher levels of resilience were associated with lower levels of anxiety. Age moderated both proactive coping and reflective coping's effects on anxiety and gender moderated avoidance coping's effect on anxiety. Resilience was found to moderate the relationships between proactive coping and anxiety, and instrumental support seeking and anxiety. For those high in resilience, there was little association between anxiety and proactive coping or anxiety and instrumental support seeking. Among low resilience individuals, there was a negative association between proactive coping and anxiety, but a positive association between instrumental support seeking and anxiety. Conclusion: Resilience, proactive coping, and preventive coping are all important predictors of anxiety among older people. Among those who are low in resilience, proactively coping with stress may be particularly important for good mental health. The results of the study highlight the complexity of the relationship between resilience, coping, and anxiety among older people.     

Assessing coping strategies: a theoretically based approach

We developed a multidimensional coping inventory to assess the different ways in which people respond to stress. Five scales (of four items each) measure conceptually distinct aspects of problem-focused coping (active coping, planning, suppression of competing activities, restraint coping, seeking of instrumental social support); five scales measure aspects of what might be viewed as emotional-focused coping (seeking of emotional social support, positive reinterpretation, acceptance, denial, turning to religion); and three scales measure coping responses that arguably are less useful (focus on and venting of emotions, behavioral disengagement, mental disengagement). Study 1 reports the development of scale items. Study 2 reports correlations between the various coping scales and several theoretically relevant personality measures in an effort to provide preliminary information about the inventory's convergent and discriminant validity. Study 3 uses the inventory to assess coping responses among a group of undergraduates who were attempting to cope with a specific stressful episode. This study also allowed an initial examination of associations between dispositional and situational coping tendencies.     

Coping Strategies,Substance Use,Sexual Activity,and HIV Sexual Risks in a Sample of Gay Male STD Patients1

The relationships of coping strategies with levels of substance use and sexual activity, and with HIV sexual risks, are examined in a sample of gay male STD clinic patients (n = 416). Previous research has suggested that use of problem-focused coping strategies should be negatively related to levels of substance use, levels of sexual activity, and HIV sexual risks; use of emotion-focused coping strategies should be positively related to these outcomes. It is argued that substance use and sexual activity clearly fit within a coping perspective, but that the HIV sexual risks/coping relationship is less clear. In multivariate analysis, the problem-focused strategy of advice seeking is negatively related to the number of types of drugs used and to the number of sexual partners; the problem-focused strategy of support seeking is negatively related to the number of days using drugs; and the use of emotion-focused strategies is positively related to the number of types of drugs used. Problem-focused coping strategies are less directly related to engaging in HIV sexual risks when measures of substance use and of sexual activity are included in the prediction; emotion-focused coping strategies are more stably related to HIV risk. Indirect effects of coping on HIV risk are also identified through the effects of coping on the number of types of drugs used, number of sex partners, and number of times having sex. It is proposed that the relationships between coping and levels of substance use and sexual activity reflect the use of these activities as ways of relieving strain, but that relationships between coping and HIV sexual risks involve less clearly understood direct and indirect relationships.     

Racial differences in adolescent coping and self-esteem

Racial differences in coping strategies and self-esteem were examined for 361 male and female adolescents in Grades 7-12. Coping strategies were assessed with the Adolescent Coping Orientation for Problem Experiences (J. M. Patterson & H. I. McCubbin, 1986). Self-esteem was assessed by the Coopersmith Self-Esteem Inventory (S. Coopersmith, 1987). Multivariate analysis revealed racial differences in adolescent coping strategies of ventilating feelings, seeking diversions, developing self-reliance, avoiding problems, seeking spiritual support, investing in close friends, engaging in demanding activities, solving family problems, and relaxing. In particular, African American adolescents reported using diversions, self-reliance, spiritual support, close friends, demanding activities, family problems, and relaxation more frequently than Caucasian adolescents did. Implications for professionals and recommendations for future research are discussed.     

Racial Differences in Adolescent Coping and Self-Esteem

Racial differences in coping strategies and self-esteem were examined for 361 male and female adolescents in Grades 7–12. Coping strategies were assessed with the Adolescent Coping Orientation for Problem Experiences (J. M. Patterson & H. I. McCubbin, 1986). Self-esteem was assessed by the Coopersmith Self-Esteem Inventory (S. Coopersmith, 1987). Multivariate analysis revealed racial differences in adolescent coping strategies of ventilating feelings, seeking diversions, developing self-reliance, avoiding problems, seeking spiritual support, investing in close friends, engaging in demanding activities, solving family problems, and relaxing. In particular, African American adolescents reported using diversions, self-reliance, spiritual support, close friends, demanding activities, family problems, and relaxation more frequently than Caucasian adolescents did. Implications for professionals and recommendations for future research are discussed.     

Coping behavior of Finnish adolescents: Remarks on a cross-cultural comparison

As part of a larger cross-cultural project, the present study analyses the coping styles of Finnish adolescents. A sample of 548 adolescents aged 15 to 17 years was investigated. Coping styles were defined by a matrix of 20 coping strategies applied across eight different developmental areas. Factor analysis revealed a three-dimensional structure of coping styles. The first dimension involves activities such as seeking support or taking advice (Active Coping), the second emphasizes the adolescent's appraisal of the situation and the search for a compromise (Internal Coping/Compromising) and the third includes defenses like denial and withdrawal (Withdrawal) and may be regarded as dysfunctional. The Finnish adolescents most frequently employed functional forms of coping like Active Coping and Internal Coping/Compromising: dysfunctional coping style such as Withdrawal was used less often. In addition, significant main effects for age and gender were found. Girls favored more Active Coping and support seeking behavior, as compared to boys. Both functional coping modes showed an increase with age. A comparison of coping styles across eight different problem areas revealed situation specific influences, too. The discussion compares the coping styles of Finnish adolescents with results of two parallel studies focussing on German and Israeli adolescents, using the same instrument. In spite of the considerable impact of environmental and historical conditions in the three countries, the similarities in coping behavior were impressive.     

Revisiting the changing and stable properties of coping utilization using latent class growth analysis: A longitudinal investigation with soccer referees

ObjectivesThis study examined the longitudinal factor invariance of problem-focused, disengagement-focused, and seeking social support coping to provide an unbiased estimation of the mean-level and differential stability of coping with longitudinal confirmatory factor analyses with mean structure. This study also examined different patterns of longitudinal coping utilization with Latent Class Growth Modeling (LCGM).MethodSoccer referees (N = 227), aged from 15 to 53 years, completed a French version of the Ways of Coping Checklist at three times over an entire season.ResultsThe structure of the coping dimensions could be assumed longitudinally invariant. The mean-level utilization of problem-focused coping did not change significantly over the season despite the presence of test–retest instability. Both disengagement and seeking support coping utilization have significantly decreased over time while displaying moderate test–retest stability. Results of LCGM revealed that, while most referees did not change their utilization of problem-focused coping, two subgroups have respectively increased and decreased their use of problem-focused coping. Two subgroups decreased significantly their use of both disengagement-oriented and seeking support coping whereas one subgroup maintained the same level of utilization.ConclusionsResults indicated that coping utilization displayed both trait-like and state-like properties, differing for distinct subgroups of referees. This research provided further evidence for the need of moving beyond the sole reliance on traditional analyses of change to recast the trait-like versus state-like debate on coping into a more idiosyncratic-nomothetic framework.     

初中生自我概念、应对方式及其关系的研究

以初中197名学生为被试,研究了初中生自我概念、应对方式的特点及关系.研究表明:(1)初中生在一般自我、自我价值感、身体自我方面存在性别差异,在一般自我、学业自我方面存在年级差异,在自我价值感与身体自我概念方面存在性别与年级的交互作用,女生的自我价值感、身体自我概念随年级升高而降低.(2)初中生在应对方式方面的幻想应对上存在性别差异,在求助应对、发泄应对方面存在年级差异.(3)自我概念各因子与问题解决、求助应对存在一定的显著正相关,自我概念越积极,越有可能以问题解决、寻求帮助来应对挫折和烦恼;自我概念部分因子对应对方式的部分因子存在着不同程度的显著回归效应.