The role of optimism in patients with tinnitus and in patients with hearing impairment

Abstract

Optimism was investigated in a sample of audiology clinic patients, consisting of one group of tinnitus sufferers (N = 30) and one group of hearing impaired subjects not experiencing tinnitus (N = 44). Optimism was measured by the Life Orientation Test (LOT). In the tinnitus group the LOT correlated significantly with measures of tinnitus related distress and in the hearing impaired group with measures of disability and emotional reactions due to the hearing impairment. Cronbach's alphas for the measures used were generally high. Principal components analysis of the LOT confirmed earlier findings by showing two separate factors; one with the positively worded LOT items reflecting the presence of optimism and one with the negatively worded LOT items reflecting the presence of pessimism. The results indicate that dispositional optimism is an usable concept in research with audiological samples, and that optimism is related with tinnitus distress and experienced disability and emotional reactions due to hearing impairment. Further research should investigate the possible role of personality factors in tinnitus and hearing impairment.     

Coping strategies of Ethiopian immigrants in Israel: Association with PTSD and dissociation

Finklestein, M., Laufer, A. & Solomon, Z. (2012). Coping strategies of Ethiopian immigrants in Israel: Association with PTSD and dissociation. Scandinavian Journal of Psychology 53, 490–498. The aim of this study was to examine the relations between coping strategies, posttraumatic stress disorder (PTSD), and dissociation among Jewish Ethiopian refugees in Israel (following exposure to pre‐, peri‐ and post‐migration stressful events). Method: A random sample (N = 478) of three waves of refugees took part in the research (N = 165; N = 169; N = 144). Religiosity, coping strategies, stressful and traumatic events, pre‐ and peri‐ migration, post‐migration difficulties, posttraumatic symptoms, and dissociation were assessed. Results: A significant relationship was found between PTSD symptoms and avoidance coping over and above immigration wave and traumatic events. Dissociation was positively associated with passivity and antisocial coping and negatively associated with social joining and level of religiosity, over and above immigration wave and traumatic events. The findings are discussed in the light of the coping strategies employed by Ethiopian refugees.     

Hearing Impairment, Coping Strategies, and Anxiety Sensitivity

The aim was to study coping strategies among hearing-impaired individuals by using a validated coping instrument—The Ways of Coping Questionnaire (WOCQ; S. Folkman & R. Lazarus, 1988)—and to relate the use of coping with anxiety sensitivity and experience of hearing impairment. A questionnaire booklet was sent out to the members of the local branch of the Swedish Hard of Hearing Association. Ninety-four members responded to the questionnaire, yielding a 53% response rate. Primary outcome measures were the WOCQ, the Anxiety Sensitivity Index, and visual analogue scale rating of discomfort from hearing impairment. Repeated measures analysis of WOCQ subscales showed that the participants used planful problem solving and self-controlling coping strategies whereas escape/avoidance responses were less frequently used than the other coping strategies. Anxiety sensitivity was associated with escape/avoidance coping (r = .63, p < .0001). In conclusion, hearing-impaired individuals do not use escape/avoidance coping more than other coping strategies. However, escape/avoidance coping is associated with anxiety sensitivity, suggesting that sensitivity to anxiety sensations is an important associated factor. Coping strategies were not associated with discomfort from hearing impairment in any meaningful way.     

Coping strategies and perceived social support in fibromyalgia syndrome: Relationship with alexithymia

Fibromyalgia (FM ) is a chronic pain syndrome characterized by high levels of psychological distress and alexithymia, a personality disposition affecting emotional self‐awareness. The main aim of the present study was to investigate for the first time the relationship between alexithymia and coping strategies on the one hand, and alexithymia and perceived social support on the other, in a sample of FM patients. To reach this aim, 153 FM patients completed a battery of tests assessing coping strategies, perceived social support, alexithymia, psychological distress and pain intensity. Four regression analyses were performed to assess whether alexithymia was still a significant predictor of coping strategies and perceived social support, after controlling for psychological distress. High levels of both psychological distress and alexithymia were found in our sample of FM patients. Regarding coping strategies, FM patients reported higher scores on problem‐focused coping, with respect to the other two coping strategies. The regression analyses showed that the externally‐oriented thinking factor of alexithymia significantly explained both problem‐ and emotion‐focused coping, while the difficulty‐describing feelings factor of alexithymia proved to be a significant predictor of perceived social support. Only the variance of dysfunctional coping ceased to be uniquely explained by alexithymia (difficulty identifying feelings factor), after controlling for psychological distress, particularly anxiety. These results highlight a negative relationship between alexithymia and both the use of effective coping strategies and the levels of perceived social support in FM patients. An adequate assessment of both alexithymia and psychological distress should therefore be included in clinical practice with these patients.     

Theological Strategies,Constructing Meaning,and Coping with Breast Cancer: A Qualitative Study

Examines ways in which the experience of breast cancer has impacted the theology and the ability to create meaning for 10 female breast cancer patients. Discusses three theological strategies emerging from participant interviews: 1) God causes cancer for a purpose, 2) God does not cause cancer, but there can still be meaning in illness, and 3) cancer is just part of life and has no inherent meaning, though meaning can be constructed through the experience.     

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

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

Deaf hearing: Implicit discrimination of auditory content in a patient with mixed hearing loss

We describe a patient LS, profoundly deaf in both ears from birth, with underdeveloped superior temporal gyri. Without hearing aids, LS displays no ability to detect sounds below a fixed threshold of 60 dBs, which classifies him as clinically deaf. Under these no-hearing-aid conditions, when presented with a forced-choice paradigm in which he is asked to consciously respond, he is unable to make above-chance judgments about the presence or location of sounds. However, he is able to make above-chance judgments about the content of sounds presented to him under forced-choice conditions. We demonstrated that LS has faint sensations from auditory stimuli, but questionable awareness of auditory content. LS thus has a form of type-2 deaf hearing with respect to auditory content. As in the case of a subject with acquired deafness and deaf hearing reported on a previous occasion, LS’s condition of deaf hearing is akin in some respects to type-2 blindsight. As for the case of type 2 blindsight the case indicates that a form of conscious hearing can arise in the absence of a fully developed auditory cortex.     

Aided speech-identification performance in single-talker competition by older adults with impaired hearing

This study examined the effects of increased processing load on the closed-set speech-identification performance of young and older adults in a one-talker background. Since the older adults had impaired hearing, speech-identification performance was measured for spectrally shaped stimuli comparable to those experienced when wearing well-fit hearing aids. There were three groups of listeners: (1) 19 older adults with high-frequency sensorineural hearing loss; (2) 10 young adults with normal hearing who were assessed with the same spectrally shaped stimuli as the older adults; (3) 9 young adults with normal hearing who were assessed without spectral shaping and at a poorer target-to-competition ratio in an effort to equate overall performance to that of the older adults. In addition to this group factor, there were three within-participant repeated-measures independent variables designed to increase the demands on processing for the target and competing speech stimuli. These were: (1) competition meaningfulness (played in forward or reverse direction); (2) gender match between target and competing talkers (same or different gender); and (3) talker uncertainty (either the same target/competition talker pair or one of many such pairs on each trial). These three repeated-measures independent variables were examined in a 2 × 2 × 2 factorial design. They showed roughly independent and additive effects on speech-identification such that combinations of these variables decreased performance cumulatively. Older adults performed worse than young adults across the board, but also showed diminished relative improvement as the processing load was decreased. Individual differences in performance among the older adults were also examined.     

Coping strategies of mother carers of children living with chronic illness and disease in a rural South African community

The present study explored the coping strategies used by mother carers of children living with chronic illness and disease (CID) in a rural South African community. Ten mothers (age range = 30 to 56 years) were selected through snowball sampling to participate in the present study. They provided care to their children, a majority (50%) of whom had epilepsy, followed by asthma (20%) and other conditions. Data on the coping strategies used by mothers of children living with CID were collected using semi-structured interviews and analysed thematically. The results showed that mother carers tended to use three types of coping strategies, namely: appraisal-focused, problem-focused and emotion-focused strategies. Appraisal-focused was commonly used by mother carers whose children had epilepsy, whilst mother carers of children with asthma tended to use problem-focused coping strategies. All mother carers were found to use emotion-focused strategies to varying degrees in coping with the chronic diseases of their children.     

婚姻冲突、应对策略及其与婚姻满意度的关系

探讨婚姻冲突、应对策略、婚姻满意度的特点及其关系。采用方便取样,选取辽阳市已婚完整家庭1～10年的夫妻620对进行问卷调查。结果表明：1）夫妻报告的前三项冲突是：家务琐事、不良习惯和交流解决问题方面。在家务琐事、交流解决问题和孩子方面,妻子报告的冲突显著多于丈夫;妻子报告的双方回避应对显著多于丈夫;2）人际关系冲突和工作方面的冲突分别对妻子和丈夫的婚姻满意度有显著预测作用;双方都报告人际关系方面的冲突对对方婚姻满意度有显著预测作用,但妻子报告的人际关系冲突对丈夫婚姻满意的预测作用更大;3）自己和对方的应对策略在妻子报告的冲突与婚姻满意中起完全中介作用,在丈夫报告的冲突与婚姻满意中起部分中介作用。     

压力和应对策略在女性大学生负性情绪产生中的作用

通过对239名女性大学生的问卷调查,探讨了不同类型的压力和应对策略在负性情绪产生中的作用及其特点。结果表明:(1)压力和应对策略作用于负性情绪的过程模型既存在差异性又存在一致性。学业压力可以直接作用于负性情绪,也可通过消极解决问题策略的中介间接作用于负性情绪;经济压力主要通过消极解决问题和寻求支持策略的中介间接作用于负性情绪;人际压力对负性情绪的产生具有直接作用,也通过消极解决问题和寻求支持策略的中介间接作用于负性情绪;(2)在三种压力情境下,消极解决问题和寻求支持策略对负性情绪的产生均具有重要作用。     

Acculturation strategies, coping process and acculturative stress

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

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。     

COVID-19 non-death loss and acceptance coping: A 3-wave cross-lagged panel analysis

Numerous individuals have lost loved ones during the COVID-19 pandemic while millions of others have also experienced ongoing pervasive non-death loss. The understanding of how people deal with non-death loss is still relatively limited. Incorporating theory of coping and loss, this study examines the reciprocal relationship between non-death loss and acceptance coping. Based on the results of a cross-lagged panel model involving 314 participants in China, we found that before the end of the zero-Covid policy, non-death loss at Time 1 predicted less acceptance coping at Time 2, but in the opening up stage in late 2022, non-death loss at time 2 did not predict acceptance coping at time 3. The findings have significant implications for understanding the interplay between non-death loss and acceptance coping and highlights abrupt psychological changes during the COVID-19 pandemic.     

Age-related hearing loss associated with altered response efficiency and variability on a visual sustained attention task

ABSTRACT

This study investigated the association between age-related hearing loss (ARHL) and differences in response efficiency and variability on a sustained attention task. The study population comprised 32 participants in a hearing loss group (HLG) and 34 controls without hearing loss (CG). Mean reaction time (RT) and accuracy were recorded to assess response efficiency. RT variability was decomposed to examine temporal aspects of variability associated with neural arousal and top-down executive control of vigilant attention. The HLG had a significantly longer mean RT, possibly reflecting a strategic approach to maintain accuracy. The HLG also demonstrated altered variability (indicative of greater decline in neural arousal) but maintained executive control that was significantly predictive of poorer response efficiency. Adults with ARHL may rely on higher-order attention networks to compensate for decline in both peripheral sensory function and in subcortical arousal systems which mediate lower-order automatic neurocognitive processes.     

癌症患者人格类型及其与应对策略、社会支持的关系

该研究旨在调查和分析癌症患者人格类型及其与应对策略、社会支持的关系。采用艾森克人格问卷简式量表、社会支持评定量表、医用应对问卷等测查工具对205名癌症病人进行调查。结果显示:1.癌症患者可以聚类为两类人格:温和健康型和身心障碍型;2.身心碍型患者的屈服应对显著高于温和健康型患者;3.身心障碍型患者的客观社会支持和主观社会支持都显著低于温和健康型患者。研究表明,癌症患者可分为温和健康型和身心障碍型两种人格类型。身心障碍型患者采用更多的屈服应对,同时获得的社会支持也更少。     

父母冲突、青少年应对策略及其与青少年社会适应的关系

以736名小学、初中、高中学生为被试,着重探讨了父母冲突内容、青少年应对策略和青少年社会适应之间的关系。研究发现:(1)父母冲突中指向孩子和指向父母自身的冲突普遍较少,但指向孩子的冲突显著地多于指向父母自身的冲突。指向孩子的冲突存在显著的性别和年级主效应;(2)青少年所使用的间接应对策略要显著地多于直接应对策略,直接应对和间接应对策略均存在显著的性别和年级主效应;(3)青少年的不良行为存在显著的性别主效应,学习问题、抑郁和主观幸福感存在显著的年级主效应;(4)父母冲突多的青少年和使用应对策略少的青少年出现的不良行为、学习问题和抑郁要显著地高于父母冲突少、使用应对策略多的青少年,但前者感受到的主观幸福感要显著地少于后者;(5)指向孩子的冲突和直接应对策略可以显著地预测青少年的不良行为,指向孩子和指向父母自身的冲突可以显著地预测青少年的学习问题。间接应对策略和指向父母自身的冲突可以显著地预测青少年的抑郁情绪,同时,间接应对策略可以显著地影响青少年的主观幸福感。     

Work stressors, Chinese coping strategies, and job performance in Greater China

The aim of this research was to jointly test effects of work stressors and coping strategies on job performance among employees in the Greater China region. A self-administered survey was conducted to collect data from three major cities in the region, namely Beijing, Hong Kong, and Taipei (N = 380). Four important work stressors were assessed: heavy workload, organizational constraints, lack of work autonomy, and interpersonal conflict. We used a four-factor model of Chinese coping strategies composed of hobbies/relaxation, active action, seeking social support, and passive adaptation. Job performance was indicated by both task performance (quantity of work, quality of work, job knowledge) and contextual performance (attendance, getting along with others). We found that: (1) work stressors were related to job performance. Specifically, workload had a positive relation with quantity of work, whereas organizational constraints had negative relations with quantity of work and attendance. In addition, interpersonal conflict had a negative relation with getting along with others. (2) Chinese positive coping strategies were positively related to job performance. Specifically, seeking social support had positive relations with quantity of work and getting along with others, whereas active action had positive relations with attendance and job knowledge. (3) Chinese passive adaptation coping behaviors were negatively related to job performance. Specifically, passive adaptation had negative relations with quantity of work, quality of work, and getting along with others. The present study thus found joint effects of work stressors and coping behaviors among Chinese employees in the Greater China region, encompassing three sub-societies of mainland China, Hong Kong, and Taiwan. Differential effects of Chinese positive and passive coping strategies were also noted. Most importantly, all these effects were demonstrated on multiple indicators of job performance, a rarely studied but important strain variable from the organizational point of view.     

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.     

Predicting adolescent posttraumatic stress in the aftermath of war: Differential effects of coping strategies across trauma reminder,loss reminder,and family conflict domains

Background and Objectives: The vast majority of youth who lived through the Bosnian war were exposed to multiple traumatic events, including interpersonal violence, community destruction, and the loss of a loved one. This study examined factors that predict post-war psychological adjustment, specifically posttraumatic stress, in Bosnian adolescents. Design: Regression analyses evaluated theorized differential relations between three types of post-war stressors – exposure to trauma reminders, loss reminders, and intrafamilial conflict – specific coping strategies, and posttraumatic stress symptom dimensions. Methods: We examined 555 Bosnian adolescents, aged 15–19 years, to predict their long-term posttraumatic stress reactions in the aftermath of war. Results: Findings indicated that post-war exposure to trauma reminders, loss reminders, and family conflict, as well as engagement and disengagement coping strategies, predicted posttraumatic stress symptoms. Secondary control engagement coping responses to all three types of post-war stressors were inversely associated with posttraumatic stress symptoms, whereas primary control engagement coping responses to family conflict were inversely associated with hyperarousal symptoms. Disengagement responses to trauma reminders and family conflict were positively associated with re-experiencing symptoms. Conclusions: These findings shed light on ways in which trauma reminders, loss reminders, and family conflict may intersect with coping responses to influence adolescent postwar adjustment.