Predicting Burnout Among HIV/AIDS and Oncology Health Care Workers

Abstract

This study examined the relationship between repressive coping, controllability, self-esteem and comparative optimism for health-related events. Repressors (low trait anxiety-high defensiveness) compared with both (a) specific control groups on anxiety and defensiveness (e.g., low-anxious, high-anxious and defensive high anxious) and (b) total nonrepressors were significantly more comparatively optimistic for health-related events. Repressors remained significantly more comparatively optimistic than total nonrepressors when self-esteem was partialled out.

For individual events, repressors differed in comparative optimism for events which were rated as high controllability. It is concluded that repressors are exhibiting comparative optimism over and above nonrepressor groups for events which are rated as controllable. These results suggest that comparative optimism findings may be exaggerated by not controlling for the disproportionate influence of repressors in skewing sample means. Suggestions for future studies are discussed.     

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.     

The relationship between dispositional optimism, dispositional pessimism, repressive coping and trait anxiety

The purpose of this study was to investigate the relationship between dispositional optimism, dispositional pessimism, repressive coping and trait anxiety. The Marlowe-Crowne scale (MC) and the Bendig version of the Taylor Manifest Anxiety Scale (MAS) were used to select repressor and control groups (N=143, aged between 18 and 47 years), who subsequently completed a measure of dispositional optimism, the Life Orientation Test (LOT), which consists of two sets of items: optimism and pessimism. Repressors (high MC, low MAS) reported significantly lower pessimism than all other participants. When the pessimism scale was divided into high and low categories, there were significantly more repressors in the low pessimism group than the other low trait anxiety group, low anxious (low MC, low MAS). However, for the optimism scale the opposite pattern of results was found, with significantly more low anxious in the high optimism group than repressors. These results support the assertion that the pessimism and optimism scales of the LOT are not the same construct and should be measured separately.     

Who is more proactive,the optimist or the pessimist? Exploring the role of hope as a moderator

This research tested the existence of a moderation role of hope on the effects of optimism and pessimism over proactive coping in a sample survey of 343 subjects. The results showed that optimism explained proactive coping, independent of hope. However, hope appeared to moderate the relationship between pessimism and passive coping, a criterion variable that emerged from the psychometric analysis of the proactive coping measure. Specifically, for individuals low in pessimism, being high or low in hope did not impact coping, but for individuals high in pessimism, having higher levels of hope reduced passive coping. A deeper analysis also indicated that this was particularly due to the moderating role of the pathways dimension of hope. We discuss these results in light of different adaptive strategies of optimists and pessimists and draw implications for psychological research and practice.     

Cognitions as mediators in the relationship between self-compassion and affect

Previous studies suggest that self-compassion is related to numerous facets of mental health, but the role of cognitions in this relationship remains unknown. To examine the mediating role of cognitions in the relationship between self-compassion and anxiety, depression, and life satisfaction when controlling for self-esteem in Japanese people, we conducted two studies. Study 1 (N = 231) examined the relationship between self-compassion and affect by modeling negative automatic thoughts as a mediator; Study 2 (N = 233) tested whether positive and negative automatic thoughts meditate this relationship. Results suggested that both self-compassion and self-esteem increased positive automatic thoughts and decreased trait anxiety, whereas only self-esteem increased life satisfaction and decreased depression directly. Positive automatic thoughts increased life satisfaction and decreased depression and trait anxiety, and positive automatic thoughts mediated the relationship between self-compassion and negative affect. These findings suggest that both positive and negative automatic thoughts mediate the relationship between self-compassion and affect in Japanese people.     

Belief in good luck and psychological well-being: the mediating role of optimism and irrational beliefs

The authors examined the relationship of belief in good luck with depression and anxiety within the context of a number of cognitive and personality variables used to explain depression and anxiety. Undergraduate students (46 men, 98 women) were administered measures of belief in good luck, depression, anxiety, optimism, neuroticism, attribution style, self-esteem, and irrational beliefs. The results showed that belief in good luck was significantly related to optimism and irrational beliefs. A number of models were tested to determine whether irrational beliefs or optimism mediated the relationship between belief in good luck and depression and anxiety. The findings suggested that negative relationships between belief in good luck and both depression and anxiety are best addressed by the theory that belief in good luck engenders optimistic traits and a reduced level of irrational beliefs.     

Coping with human immunodeficiency virus: Do optimists fare better?

Individuals who test positive for human immunodeficiency virus (HIV) face a difficult adjustment task. It was hypothesized that those who were more optimistic would cope more effectively and experience less distress. Both general and health-specific measures of coping were used. Optimism and distraction were negatively related to state anxiety, whereas emotional preoccupation was positively related to state anxiety. Optimism was not a predictor of depression. Rather, distraction was negatively related to depression, whereas palliative coping, emotional preoccupation, and the interaction of palliative coping and optimism were positively related to depression. The mediation of optimism by coping variables indicated that emotion-oriented coping was a negative mediator of optimism on both state anxiety and depression. Distraction (which includes some social diversion content) was a mediator of the impact of optimism on depression.     

Coping with human immunodeficiency virus: Do optimists fare better?

Individuals who test positive for human immunodeficiency virus (HIV) face a difficult adjustment task. It was hypothesized that those who were more optimistic would cope more effectively and experience less distress. Both general and health-specific measures of coping were used. Optimism and distraction were negatively related to state anxiety, whereas emotional preoccupation was positively related to state anxiety. Optimism was not a predictor of depression. Rather, distraction was negatively related to depression, whereas palliative coping, emotional preoccupation, and the interaction of palliative coping and optimism were positively related to depression. The mediation of optimism by coping variables indicated that emotion-oriented coping was a negative mediator of optimism on both state anxiety and depression. Distraction (which includes some social diversion content) was a mediator of the impact of optimism on depression.     

Modeling cognitive adaptation: a longitudinal investigation of the impact of individual differences and coping on college adjustment and performance.

Drawing on cognitive adaptation theory, optimism, psychological control, and self-esteem were explored as longitudinal predictors of adjustment to college in a sample of 672 freshmen. Although a direct effect of optimism on adjustment was found, most of the predicted effects were mediated by coping methods. Controlling for initial positive and negative mood, the beneficial effects of optimism, control, and self-esteem on adjustment were mediated by the nonuse of avoidance coping, greater use of active coping, and greater seeking of social support. Alternative models of the causal relations among these variables did not fit the data as well as the a priori mediational model. The results of a 2-year follow-up indicated that self-esteem and control predicted greater motivation and higher grades, controlling for college entrance exam scores. Implications for cognitive adaptation theory and for interventions with populations under stress are discussed.     

Self-Favoring Biases, Self-Presentation, and the Self-Other Asymmetry in Social Comparison

ABSTRACT The relationship between self-favoring biases in social comparison, favorable self-presentation, and well-being and the self-other asymmetry effect was examined. Participants gave comparative chance estimations and trait ratings for positive and negative future events and traits. One-half of the participants compared themselves to the average other, while the remainder compared the average other to themselves. All participants completed measurements of two types of desirable responding (self-deception and impression management) and of subjective well-being. Participants who compared themselves to another showed stronger unrealistic optimism and illusory superiority effects for positive (but not for negative) future events und traits than participants comparing another to themselves, demonstrating a self-other asymmetry effect. Unrealistic optimism and illusory superiority concerning positive attributes were related to self-deception, while unrealistic optimism and illusory superiority concerning negative attributes were related to impression management. The relative independence of “positive” and “negative” self-favoring biases was further demonstrated by their differential relationship with self-esteem and subjective well-being.     

Does Maladaptive Coping Mediate the Relationship Between Borderline Personality Traits and Reactive and Proactive Aggression?

The aim of this study was to identify associations between borderline personality (BP) traits and reactive and proactive aggression, and to compare the meditational effects of maladaptive coping in samples of older adolescents (n = 133) and young adults (n = 93), which has not hitherto been explored. This was a cross‐sectional study that used self‐report measures to assess BP traits on a continuum, trait‐based reactive and proactive aggression, and coping strategies. In adults, maladaptive emotional coping significantly mediated the relationship between BP and reactive aggression, and maladaptive avoidant coping mediated the relationship between BP and proactive aggression; no significant mediational effects were found for adolescents. These findings highlight potential explanations for associations between BP traits and reactive and proactive aggression in young adults, and indicate that reactive aggression in adult BPs could be decreased by reducing emotional coping, and proactive aggression by reducing avoidant coping. Aggr. Behav. 38:403‐413, 2012. © 2012 Wiley Periodicals, Inc.     

初中生乐观主义与其学业成绩的关系及中介效应分析

通过问卷考察了初中生乐观人格和乐观解释的关系、乐观主义与学生学业成绩的关系以及积极应对策略的中介效应,分析表明两种乐观主义存在着联系,乐观主义与学业成绩存在密切关系,不同水平的乐观对学生学业成绩产生的影响不一样,积极应对策略的中介效应不明显。结论:乐观主义是影响初中生学业成绩的一个重要影响因素,不同乐观主义对学业成绩产生的直接影响不一样,高水平的乐观是有利于学业成绩的。     

Disengagement and Engagement Coping with HIV/AIDS Stigma and Psychological Well-Being of People with HIV/AIDS

The stigma associated with HIV/AIDS poses a psychological challenge to people living with HIV/AIDS. We hypothesized that that the consequences of stigma-related stressors on psychological well-being would depend on how people cope with the stress of HIV/AIDS stigma. Two hundred participants with HIV/AIDS completed a self-report measure of enacted stigma and felt stigma, a measure of how they coped with HIV/AIDS stigma, and measures of depression and anxiety, and self-esteem. In general, increases in felt stigma (concerns with public attitudes, negative self-image, and disclosure concerns) coupled with how participants reported coping with stigma (by disengaging from or engaging with the stigma stressor) predicted self-reported depression, anxiety, and self-esteem. Increases in felt stigma were associated with increases in anxiety and depression among participants who reported relatively high levels of disengagement coping compared to participants who reported relatively low levels of disengagement coping. Increases in felt stigma were associated with decreased self-esteem, but this association was attenuated among participants who reported relatively high levels of engagement control coping. The data also suggested a trend that increases in enacted stigma predicted increases in anxiety, but not depression, among participants who reported using more disengagement coping. Mental health professionals working with people who are HIV positive should consider how their clients cope with HIV/AIDS stigma and consider tailoring current therapies to address the relationship between stigma, coping, and psychological well-being.     

初中生人格型乐观、应对策略与学业成绩的关系

采用生活取向测量、应对方式量表对514名初中生进行调查,旨在了解人格型乐观主义、应对策略与学业成绩之间的关系。运用相关分析和回归分析的方法对它们的关系进行了考察。结果发现初中生积极和消极应对策略在其乐观主义影响学业成绩中的中介效应不显著,在不同学业成绩群体中,乐观主义、应对策略和学业成绩的关系会产生变化,乐观主义和积极应对策略对学业成绩有显著的预测力。     

Meaning in Life Promotes Proactive Coping via Positive Affect: A Daily Diary Study

Previous research on meaning in life and coping has generally been focused on reactive coping strategies and global meaning judgments. To extend this, the present study used a daily diary method to collect longitudinal data, and examined whether individuals’ daily meaning in life predicted use of proactive coping techniques and whether this relationship was mediated by positive affect. Adults (n = 132) completed a diary to track their meaning in life and positive affect every day for 21 consecutive days. Global levels of meaning in life, positive affect, and proactive coping were measured both at baseline and after the daily reporting phase ended. Hierarchical linear modeling demonstrated that daily meaning in life was a positive predictor of daily positive affect. Furthermore, combined latent growth curve and structural equation models indicated that the rate of change in daily meaning in life predicted change in proactive coping over the course of the study, and that this relationship was mediated by change in positive affect. The mediational effect of positive affect in the relationship between meaning in life and proactive coping was also verified by the reported global levels of these variables. These findings suggest that meaning in life may play an important role in coping with future life stress. Our discussion centers on the positive functions of meaning in life and the mechanisms of the predictive relationship of meaning in life in terms of proactive coping.     

Religious coping and the threat of heart transplantation

The concern of this article is to examine the relationship between religiousness and state-and-trait anxiety in a sample of cardiac transplantation candidates. Religiousness was made operational by integrating measures of religious orientation and religious coping with cluster analysis to form religious coping profiles. Three religious coping profiles were identified:Deferring/Collaborators, Self-Directors, andEclectic. Analyses of variance indicated that coping profiles were significantly different in their report of trait anxiety, such that the Eclectics reported a good deal more trait anxiety than did the Self-Directors. This leads to a discussion of the implications for the clinical presentation of religious coping profiles in cardiac transplantation candidates.     

The role of optimism and pessimism in chronic pain patients adjustment

This study analyses the relationships between patients' dispositional optimism and pessimism and the coping strategies they use. In addition, the coping strategies repercussions on adjustment to chronic pain were studied. Ninety-eight patients with heterogeneous chronic pain participated. The assessment tools were as follows: Life Orientation Test (LOT), the Vanderbilt Pain Management Inventory (VPMI), the McGill Pain Questionnaire (MPQ), Hospital Anxiety and Depression Scale (HADS), and the Impairment and Functioning Inventory for Chronic Pain Patients (IFI). The hypothetical model establishes positive relationships between optimism and the use of active coping strategies, whereas pessimism is related to the use of passive coping. Active coping is associated with low levels of pain, anxiety, depression and impairment and high levels of functioning. However, passive coping is related to high levels of pain, anxiety, depression and impairment and low levels of functioning. The hypothetical model was empirically tested using the LISREL 8.20 software package and the unweighted least squares method. The results support the hypotheses formulated regarding the relations among optimism, pessimism, coping and adjust of chronic pain patients. By analysing optimism among chronic pain patients, clinicians could make better predictions regarding coping and adjustment.     

The influences of cultural values, ethnic identity, and language use on the mental health of Korean American college students

Little research has examined ethnic identity, cultural values, and native language maintenance as predictors of mental health in Korean Americans. The authors explored the influences of ethnic identity, maintenance of Asian cultural values, and maintenance of Korean language usage on self-esteem, anxiety, and depression in Korean American college students (N = 133). Findings indicated that Korean American men reported relatively high levels of state and trait anxiety and that the overall sample reported a relatively high level of depression. Whereas language and ethnic identity had a minimal influence on the mental health of students, greater cultural value maintenance was associated with decreased self-esteem and increases in state anxiety, trait anxiety, and depression. The positive relationship between cultural values and mental health problems may be indicative of being caught in an ethnic bind, in which the clash of traditional and modern values contributes to psychological distress. The authors discuss clinical implications of the findings.     

Culture-specific personality correlates of anxiety among Chinese and Caucasian college students

The present study investigated the relationship between a set of personality constructs (i.e. perfectionism, independent-interdependent self-construal, and collective self-esteem) and trait and social anxiety among 324 Mainland Chinese and 333 Caucasian college students. It was hypothesized that the strength of the correlation between these personality factors and anxiety would be different for the two samples. The results indicated that socially prescribed perfectionism was a better predictor of social anxiety for the Chinese participants, but of trait anxiety for the Caucasian participants. Independent self-construal predicted social anxiety better for the Caucasians than for the Chinese. Overall, aspects of collective self-esteem were more correlated with anxiety among the Chinese than the Caucasians. The authors argued that the findings can be used to improve multicultural counselling in China and the USA and to provide more culturally specific interventions to clients having anxiety disorders.     

Making the Best of a Bad Situation: Proactive Coping with Racial Discrimination

Proactive coping with racial discrimination takes three forms: self-focused coping, situation-focused coping, and avoidance. Overall, African Americans used self-focused coping more than situation-focused coping or physical avoidance, though there were interesting differences between retrospective recall of racial discrimination and daily reports. Relative to reports during the diary week, when recalling how they typically dealt with racial discrimination, African Americans overestimated their use of situation-focused strategies and underestimated their use of self-focused strategies. For both retrospective and daily reports, proactive coping was positively related to primary appraisals of harm but unrelated to secondary appraisals of resources. African American identification, but not stigma consciousness or optimism, was uniquely associated with proactive coping. We discuss the potential benefits and limitations of proactive coping with racial discrimination.