Coping with the Uncontrollable: The Use of General and Religious Coping by Caregivers to Spouses with Dementia

SUMMARY

Using a transactional model of stress and coping, we examined the general (i.e., Problem-Focused, Emotion-Focused) and religious (i.e., Self-Directing, Collaborative, Deferring) coping strategies used by 64 caregivers to spouses with dementia to cope with their most significant, albeit uncontrollable, caregiving hassle over a two-month period. With respect to general coping, we hypothesized that caregivers who used Emotion-Focused coping would demonstrate fewer Depressive Symptoms at Month 2 after controlling for Depressive Symptoms at Month 1. With respect to religious coping, we hypothesized that care-givers who used Deferring Coping would also demonstrate fewer Depressive Symptoms. Results revealed interesting patterns between caregivers' use of general and religious coping strategies. Contrary to our hypotheses, caregivers who used Emotion-Focused and Collaborative coping reported greater Depressive Symptoms. Implications for the empirical study of stress and coping and directions for future research are discussed.     

Responses of Clergy to 9/11: Posttraumatic Stress, Coping, and Religious Outcomes

This study examines posttraumatic stress, religious coping, and nonreligious coping in relation to positive religious outcomes following the tragedies of 9/11. In November 2001, a mailed survey of 814 active, ordained ministers in the Presbyterian Church (U.S.A.) measured posttraumatic stress, perceived threat, coping activities, positive and negative religious coping, positive religious outcomes, and perceived congregational responses. A majority of the respondents (75 percent) experienced some posttraumatic stress symptoms, with 63 percent feeling threatened for their personal safety. Nonreligious coping behaviors included contributing money (60 percent) and displaying the flag (56 percent). Looking to God for strength, support, and guidance was the most frequently used strategy; increased prayer was second. High stress was associated with higher frequency of coping strategies, both religious and nonreligious. More frequent positive religious coping was related to less severe stress symptoms of numbness and avoidance, and higher positive religious outcomes. Although religion failed to provide protection against stress in a population of religiously dedicated individuals, it provided a pathway for positive and effective coping strategies that resulted in positive religious outcomes .     

Trauma and substance use: the role of defences and religious engagement

Substance use disorders commonly co-occur with posttraumatic stress disorder and are associated with greater impairment. There is some evidence to suggest that different coping strategies, including defence mechanisms and religious forms of coping, may buffer the relationship between trauma and SUDs. The purpose of this study was to evaluate the potential moderating roles of defence mechanisms and religious coping on the already-established relationship between trauma symptoms and substance abuse. Data were gathered from a sample of college students (N?=?380). Trauma symptoms were associated with increased substance use and abuse. The use of immature defences was significantly associated with trauma and substance use. Increased substance abuse was also associated with higher rates of negative religious coping. Individuals who endorsed trauma symptoms were also more likely to use positive and negative religious coping. Defences and coping did not moderate the relationship between trauma and substance use.     

The Impact of Religious Coping on the Acculturative Stress and Alcohol Use of Recent Latino Immigrants

Religion plays a prominent role in Latino culture and could be influential during difficult life transitions, such as those experienced during the immigration process. This study examines relations between religious coping, acculturative stress, and alcohol use in a sample of 415 recent Latino immigrants. Higher levels of acculturative stress were associated more positive and negative religious coping. Positive religious coping was related to lower alcohol use. Negative religious coping moderated the relationship between acculturative stress and alcohol use. Participants who used more negative religious coping had higher rates of alcohol use when experiencing high levels acculturative stress. Implications for culturally tailored prevention/interventions are discussed.     

Racism-related stress, Africultural coping, and religious problem-solving among African Americans

This study explored the extent to which three types of racism-related stress (i.e., individual, institutional, and cultural) would predict the use of specific Africultural coping strategies (i.e., cognitive/emotional debriefing, spiritual-centered, collective, and ritual-centered coping) and religious problem-solving styles (i.e., self-directing, deferring, and collaborative) in a sample of 284 African American men and women. The authors found that higher institutional racism-related stress was associated with greater use of cognitive/emotional debriefing, spiritual-centered, and collective coping in African American women. Findings also indicated that higher cultural racism-related stress was predictive of lower use of self-directing religious problem-solving in African American women. Moreover, higher perceived cultural racism-related stress was related to greater use of collective coping strategies in African American men. Individual racism-related stress was not predictive of any forms of Africultural coping strategies or religious problem-solving. Implications of the findings are discussed.     

The Adolescent Religious Coping Scale: Development,Validation, and Cross-Validation

Research literature on adolescent coping is growing, but typically such studies have ignored religious coping strategies and their potential impact on functioning. To address this lack, we developed the Adolescent Religious Coping Scale and used its seven subscales to examine the relationship between religious coping and emotional functioning. A cross-sectional research design was used with both a validation sample of Christian school students (Sample 1, N = 500, ages 12–19) and a cross-validation sample of Christian youth group attenders (Sample 2, N = 62, ages 11–18). Emotional functioning was assessed positively (life satisfaction) and negatively (hopelessness). Factor analyses supported factorial validity, and alpha levels supported reliability of the seven religious coping subscales (Positive God-Focused Coping, Seeking Religious Support, Constructive Distraction, Questioning, Avoidance, Denial, and Deferring). For both samples, religious coping was significantly related (unique variance) to religious support, parental support, and emotional functioning, respectively. In general, positive religious coping strategies were related to more support and better functioning, whereas the reverse was true for negative religious coping strategies. Moreover, many of these results were maintained even after controlling for variance due to age, gender, and religious attendance. As such, clinicians working with religious adolescents should consider encouraging these teens to optimize use of positive religious coping strategies and minimize reliance on negative ones as part of a holistic approach to handling stress. Religious coping findings are discussed regarding their comparison to general adolescent coping and with respect to future research directions.     

Religiousness and Religious Coping in a Secular Society: The Gender Perspective

Women are found to be more religious than men and more likely to use religious coping. Only few studies have explored religious gender differences in more secular societies. This population-based study comprised 3,000 Danish men and women (response rate 45 %) between 20 and 40 years of age. Information about demographics, religiousness and religious coping was obtained through a web-based questionnaire. We organized religiousness in the three dimensions: Cognition, Practice and Importance, and we assessed religious coping using the brief RCOPE questionnaire. We found substantial gender differences in both religiousness and religious coping. Nearly, 60 % of the women believed in some sort of spirit or in God compared to 40 % of the men. Generally, both men and women scored low on the RCOPE scale. However, for respondents reporting high levels of religiousness, the proportion of men who scored high in the RCOPE exceeded the proportion of women in using positive and especially negative coping strategies. Also, in a secular society, women are found to be more religious than men, but in a subset of the most religious respondents, men were more inclined to use religious coping. Further studies on religious coping in secular societies are required.     

Religious Coping and Depression in Young Adulthood: Effects of Global Stress Exposure and Pre-Teenage Religious Service Attendance

This paper builds upon previous research on the association between religiosity and depressive symptomatology in young adults by focusing on the coping aspects of religious involvement (use of beliefs, comfort seeking, and prayer). Data come from a representative sample of Miami-Dade County, Florida, youths interviewed initially at around age 11 and then at age 19 to 21 (N = 1,210). OLS regression models demonstrate an inverted U-shaped curvilinear relationship between religious coping and depression which, in subgroup analyses, applies only to females, and specifically to those young women reporting above-average stress exposure who had attended religious services at least once a week during their middle school years. No association is found among those reporting lower stress exposure or less frequent pre-teenage service attendance. These results provide evidence that early religious exposure on a regular basis and high global stress exposure may be essential preconditions for a relationship at the aggregate level between current religious coping and depressive symptomatology in young adults.     

Achievement goal orientations and the use of coping strategies among Winter Olympians

Objectives: To examine the relationship between task and ego orientations and the use of stress-coping strategies among athletes participating in the 1994 Winter Olympic Games. We expected that athletes who were high on task and low on ego orientation would employ more problem-solving strategies than athletes with other ego and task profiles. We also expected that athletes high in ego and low in task orientation would employ more emotion-focused strategies than other athletes with other ego and task profiles. Gender differences were also investigated.Design: Cross-sectional, retrospective. Data were collected immediately after the closing of the Olympic Games.Methods: Norwegian athletes (N=69, 50 males and 20 females, mean age=25.2 years) participated in the study. Goal orientations and coping strategies were assessed using questionnaires.Results: After a median split on the task and the ego orientation scales to determine the athletes who were high/low, high/high, low/high or low/low in task and ego orientation respectively, 54 athletes remained in the final analysis. Several separate univariate 2×2 analyses of variance were conducted. High task/low ego orientation was related to the use of active coping and social emotional support, while low task/high ego orientation was related to the use of positive redefinition and growth strategies. High ego orientation was associated with less use of active coping and planning strategies among female athletes, but not among male athletes. Furthermore, high ego orientation in female athletes was related to the use of denial as a coping strategy.Conclusions: The relative strength of high and/or low task and ego orientation has an impact on elite athletes' use of coping strategies in competition. Being high in ego orientation seems to be more influential among female than male elite athletes in their use of coping strategies.     

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

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

Role of Religion and Spirituality in Stress Management Among Nurses

Religion and spirituality play a significant role as coping resources under stressful circumstances. Nursing professionals confront with a variety of stressors repeatedly and are found to employ religious/spiritual coping techniques in managing the negative impact of work stress. The present review explores different religious and spiritual coping strategies utilized by nurses of different socio-cultural and religious backgrounds and highlights the importance of treating religion and spirituality as two separate entities in studying their stress-buffering effect. The MEDLINE, CINAHL, PsycINFO, PsycArticles databases and Google Scholar were searched from 2006 to 2017 with the key words nursing, stress, religious coping, religiosity and spirituality. Various notions of the divine/transcendent aspect of life have led to lack of consensus over a functional definition of religion as well as spirituality. This is found to be the core element of methodological inadequacy in studying individuals’ reliance on religion and spirituality during stress. Further, most of the existing measures do not adequately explore spirituality as a construct independent of religion. Measures should be more culture sensitive to discover culturally enriched religious practices and rituals adopted by individuals belonging to different socio-cultural milieu to overcome stress. The role of religion and spirituality in stress resilience, emotion regulation and burnout among nurses around the globe needs further empirical support. Multiple levels at which religious and spiritual coping may moderate/mediate the relationship between work stress and behavioral/emotional outcomes among human service personnel who face high emotional labor demands should be more comprehensively analyzed.     

Religiousness and depression: evidence for a main effect and the moderating influence of stressful life events

The association between religiousness and depressive symptoms was examined with meta-analytic methods across 147 independent investigations (N = 98,975). Across all studies, the correlation between religiousness and depressive symptoms was -.096, indicating that greater religiousness is mildly associated with fewer symptoms. The results were not moderated by gender, age, or ethnicity, but the religiousness-depression association was stronger in studies involving people who were undergoing stress due to recent life events. The results were also moderated by the type of measure of religiousness used in the study, with extrinsic religious orientation and negative religious coping (e.g., avoiding difficulties through religious activities, blaming God for difficulties) associated with higher levels of depressive symptoms, the opposite direction of the overall findings.     

A re-examination of religious fundamentalism: positive implications for coping

The majority of the research on religious fundamentalism explores its negative implications. Religious coping theory provides an opportunity to examine both positive and negative implications of fundamentalism. The present study incorporated various advanced methodologies utilised in the religious coping literature (mediation analyses, hierarchical regression procedures, and longitudinal design) to assess the relationship between religious fundamentalism and religious coping in 723 American college students. Religious fundamentalism was associated with a number of religious coping strategies that have positive implications and inversely related to religious coping with negative associations. Fundamentalism predicted religious coping over and above right-wing authoritarianism and religious orthodoxy. The religious coping methods mediated the relationship between religious fundamentalism and adjustment to stress both concurrently and over time. Limitations of the current study and suggestions for future research are offered.     

Spontaneous Reports of Religious Coping by Patients with Chronic Physical Illness

Individuals undergoing the stress of physical illness often report the use of religious coping activities. This study compared the frequency of spontaneous reports of religious coping in three groups of patients including those with cancer preparing for a bone marrow transplant (n = 22), chronic pain (n = 36), and cardiovascular disease (n = 53). Participants were asked to respond to a written, open-ended question asking how they were coping with the challenges involved in their medical condition. The question asked them to list the resources, strategies, strengths, or behaviors that they found most helpful. No mention of religion or religious coping was included with the question. Of the 111 participants surveyed, 26.1% included religious coping in their responses. The relative percentage of religious coping was calculated by dividing the total number of coping responses by number of religious responses. Mean percentage of religious coping was highest in participants preparing for a bone marrow transplant (22.9%), followed by the cardiac group (5.7%), and the chronic pain group (3.8%).     

Religious Coping and Quality of Life Among Severely Ill Lung Patients in a Secular Society

This survey study investigated the prevalence of religious beliefs and religious coping and possible associations between religious factors and quality of life (QoL) among a group of severely ill lung patients (lung cancer and chronic obstructive pulmonary disease) in Denmark (N = 111). Almost two thirds (64.8%) reported having some belief in God and/or a spiritual power. Patients who reported believing in God and patients who believed in God and a spiritual power reported better QoL than patients who reported that they believed in a spiritual power only. Religious coping was prevalent; for positive religious coping strategies, those used from least to most often, respectively, were invoked 15% to 37% of the time; for negative religious coping strategies the percentages were 3% to 16%. Negative religious coping was associated with lower QoL (β = ?0.320, p < .006), whereas no associations were found between positive religious coping and QoL. Results are discussed in relation to the cultural context of secularized societies like the Scandinavian countries.     

Moderating Effects of Religious/Spiritual Coping in the Relation Between Perceived Stress and Psychological Well-Being

Although the relationship between stress and depressive symptoms is well documented, less is known about the role of coping strategies, in particular strategies for coping via religious or spiritual means. To investigate the relationships among these factors, data was collected with questionnaires completed by 127 MSW students at a northeastern university in 2003. Significant Stress×Religious/Spiritual Coping buffer interactions were found in the relationship between stress and depression. EQS 6.1 and hierarchical moderated regression analysis showed that religious/spiritual coping reduced the impact of stress on depression. Implications for practice are discussed.     

Bereaved African American Adults: The Role of Social Support,Religious Coping,and Continuing Bonds

The present study identified relationships between social support, religious coping, continuing bonds, prolonged grief disorder (PGD) symptoms, and the quality of life among bereaved African American adults (N = 154). Perceived social support and less use of negative religious coping strategies predicted a higher quality of life and fewer PGD symptoms. Also, greater perceived social support, less use of negative religious coping strategies, and less use of continuing bonds significantly predicted fewer PGD symptoms. Implications suggest that the conceptualization of grief and loss for African Americans might include social support, religious coping, and continuing bonds.     

Stress, Religious Coping Resources, and Depressive Symptoms in an Urban Adolescent Sample

We surveyed low-income urban adolescents about their total exposure to urban stressors and their use of religious coping resources, specifically in the areas of social support, spiritual support, and community service opportunities provided by their congregations. Additionally, we assessed their current levels of depressive symptomatology. Among females, the relationship between stress and depressive symptoms was moderated by the use of spiritual support and community service opportunities. The moderating relationship was such that at low levels of stress, high usage of these resources protected against the development of depressive symptoms. At high levels of stress, however, the protective relationship was lost. Lastly, when the social support aspects of religious coping were statistically controlled, the moderation effect disappeared, suggesting that within this sample, the social support seeking aspects of the resources, rather than their religious nature, was responsible for the effects.     

Exploring the Relationship Between Religious Coping and Spirituality Among Three Types of Collegiate Substance Abuse

Religion and spirituality are protective factors against collegiate substance abuse; however, considering the variance among different types of drug abuse is important. We investigated religious coping and spirituality in relation to hazardous drinking, marijuana use, and psychostimulant use. Results indicated that positive religious coping and several dimensions of spirituality protect against hazardous drinking and marijuana use. Furthermore, differences in religious coping and spirituality may not exist between groups of psychostimulant users.     

Coping patterns of in vitro fertilization nurse coordinators: Strategies for combating low outcome effectance

Abstract

Data were gathered concerning coping strategies that nurse coordinators working in the field of in vitro fertilization would use to meet typical work-related stressors. Causality orientation—or tendency to perceive oneself as autonomous, controlled or helpless—was also measured. It was hypothesized that nurses using problem-focused/disengaged strategies, such as thinking about therapeutic successes or trying not to dwell on stressors, and who were high in autonomy, would be most effective in coping with situations where control over outcomes is limited. Statistical analyses revealed a group of nurses following the coping pattern described in the hypothesis. These individuals reported less work-related stress than other nurse coordinators.