Resources for resilient caregiving by parents of children with schizophrenia in Swaziland: A multiple case study

This study reports on the care-provisioning experiences of parents (n = 6; females = 5) raising children with schizophrenia in a rural Swazi setting. The parents were individually interviewed at their homes on caregiving aspects such as burden, coping, quality of life, expressed emotions and social support of their child with schizophrenia. Data were thematically analysed. Parent carers of children with schizophrenia reported to have personal resources for resilient caregiving such as motivation for caring, and caregiving satisfaction. They perceived compassion gains from improved quality of life for their children through the caregiving experiences. Findings suggest a need for public mental health education and provision of welfare support of parents’ personal resources for resilient caregiving.     

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     

Understanding the utility of emotional approach coping: evidence from a laboratory stressor and daily life

Background: Dispositional emotional approach coping (EAC) marks an adaptive tendency to process and express emotions. EAC's association with cognitions, affect, and intra- and interindividual characteristics that may account for its utility was examined in response to an acute stressor and in daily life. Design: This study included a laboratory stress task and ecological momentary assessment. Methods: Healthy undergraduate students (n = 124; mean age: 20; women: 56%) completed a laboratory component (baseline survey, speech stress task, pre- and posttask measures) and five subsequent days of surveys via palm pilot (six surveys/day). Results: Controlling for sex, neuroticism, and social support, greater EAC was associated with more positive cognitive appraisals, personal resources, and positive affect and less-negative affect during the lab stressor, and with more perceived control and positive affect in daily life. Significant EAC × sex interactions were found for poststressor affect: men with high EAC reported more positive affect and women with high EAC reported less negative affect. Conclusions: Findings provide support that EAC's utility may be independent of intra- and interindividual characteristics, and that men and women may benefit from EAC in different ways in regards to affect. The proclivity to use EAC may come with a resiliency that protects against stress and promotes general well-being.     

Proactive Coping as a Mediator Between Resources and Outcomes: A Structural Equations Modeling Analysis

Proactive coping is a recent construct in the field of positive psychology. It refers to the efforts aimed at building general forces to facilitate the path toward challenging goals and personal growth. The current study adopted a theoretical model of proactive coping as a mediator of resources with positive and negative outcomes. Our aim was to examine two separate models with satisfaction with life and depression as the proposed outcomes of proactive coping. The proposed models presumed direct relationships between self-efficacy, optimism and social support with life satisfaction or depression, as well as indirect paths through proactive coping. We administered a set of questionnaires that consisted of demographic data, the Proactive Coping Scale, the General Self-efficacy Scale, the Life Orientation Test-Revised, the Perceived Social Support Scale, the Beck Depression Inventory, and the Satisfaction with Life Scale. Data were obtained from a sample of high school graduates (N?=?485, age 17 to 19, 174 males and 311 females). Our analyses confirmed presumed direct and indirect relationships between resources and outcomes. The results showed that the data fit well in the model with life satisfaction as an outcome, while the data did not fit well in the model with depression as an outcome. A subsequent model was formed in which satisfaction with life was used as a full mediator between proactive coping and depression; this model provided a good fit to the data. Theoretical implications, as well as suggestions for future research, are discussed.     

Alcohol dependency,recovery, and social words

The influence of social support to recovery is a well‐known phenomenon. We supposed that examining relapsed and recovered alcohol‐dependent patients' autobiography vocabularies we could detect special differences. First, we examined group of relapsed patients treated in hospital at least twice within a year (n = 30). We chose for at least 2 year abstinent persons into the second group (n = 20). We compared their autobiographies by the Atlas.ti 5.0 content analyzing software and detected higher frequency of social words referring to social connections and social activity in the recovered patients' groups. The chi‐square test showed significant difference (p = 0.000155 < 0.01) between the frequency of social words of the two groups. We could estimate the spontaneous indicators of their social support via the content analysis.     

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

ABSTRACT

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

Life Circumstances and Personal Resources as Predictors of the Ten-Year Course of Depression

A 10-year naturalistic study of 313 patients who entered treatment for unipolar depression and a community comparison group of 284 nondepressed adults was conducted. We compared life stressors, social resources, personal resources, and coping among patients who were remitted (N = 76), partially remitted (N = 146), or nonremitted (N = 91). Compared with the controls and the remitted patients, the partially remitted and nonremitted patients consistently experienced more life stressors and fewer social resources, were less easygoing, and relied more on avoidance coping. A less easygoing disposition, fewer close relationships, and more reliance on avoidance coping were associated with higher odds of experiencing a course of partial remission or nonremission. In addition, more depressive symptoms and medical conditions predicted nonremission.     

Exploitation in Older Adults: Personal Competence Correlates of Social Vulnerability

ABSTRACT

Clinical assessment of older people at heightened risk of financial exploitation (also termed social vulnerability) is a difficult task. There are a number of previously untested domains of personal competence which could influence social vulnerability in later life. In this study, intellectual, cognitive, and social-cognitive functioning was assessed in a combined sample of dementia patients (n = 31) and neurologically healthy individuals (n = 68) aged 50 years or over. Informants provided assessments of participants' social functioning, personality, and social vulnerability. In the combined sample, multiple regression analyses revealed significant relationships between each personal competence domain and (lower) social vulnerability, apart from personality which was non-significant. General cognitive functioning and, in particular, executive functioning showed significant overlap with social vulnerability after controlling for memory and age. Social measures were also important correlates of vulnerability, indicating that both neurocognitive and social cognitive deficits may contribute to financial exploitation in later life.     

A one year study of coping,social support and quality of life in parkinson's disease

Abstract

The role of coping and social support in the quality of life for Parkinson's Disease (PD) patients is not well understood. Most studies are cross-sectional and concentrate on depression as an outcome measure. The aim of the present study was to explore the role of coping and social support in quality of life for patients with PD. Self-report measures were completed by 105 sufferers of PD; 75 completed the same questionnaire a year later. Patients had the most problems with social function, followed by problems with mobility control and psychological autonomy and communication. After controlling for age, gender and illness duration, the number of PD symptoms predicted mobility control, social functioning and psychological function. Passive coping explained additional variance in most functional domains with more passive coping being related to increased problems. The quality of life was highly stable over the course of the year. Active coping was related to superior psychological functioning one year later. In fact, this was the only coping and social support variable related to functioning after one year, when controlling for previous functions. The results are discussed in terms of the importance of symptom management in PD.     

The Ways in Which Adolescents Cope and their Relationship to Age,Gender and Specific Religious Variables

This study investigated the roles of age, gender, the importance of religion/spirituality, attending church activities and frequency of prayer on the types of adolescents’ coping strategies. Participants were drawn from ten public high schools. Data on coping strategies, personal variables and religiosity and spirituality were collected using the Adolescent Coping Orientation for Problem Experiences (A-COPE) coping inventory. Scheffé posthoc tests were used to evaluate associations between the coping strategies used by adolescents and the identified personal and faith-oriented variables. Gender and age explained some differences in types of coping strategies preferred. Specifically, females used the developing social support coping strategy more than males; older adolescents used the avoiding problems coping strategy more than younger adolescents. Adolescents for whom religion/spirituality is of lesser importance, obtained a significantly higher mean score for the avoiding problems subscale. Both personal variables (age and gender) as well as one of the faith-oriented variables (importance of religion) were identified as important role players in using developing social support and avoiding problems as coping strategies by adolescents.     

Housing insecurity and intersecting social determinants of health among transgender people in the USA: A targeted ethnography

Abstract

Background: Housing is an important social determinant of health (SDOH). Transgender people face a unique blend of discrimination and compromised social services, putting them at risk for housing insecurity and associated public health concerns.

Aims: This targeted ethnography explores housing insecurity as a SDOH among transgender people in the U.S.

Methods: In-depth interviews were conducted with transgender people (n?=?41) throughout the U.S.A., identified through purposive sampling. A semi-structured guide was used to elicit personal stories and peer accounts of insecure housing experiences and coping strategies. Interviews were audio recorded and transcribed. Data was coded, sorted, and analyzed for key themes.

Results: Responses revealed pervasive housing insecurity and inter-related challenges. Respondents discussed how intersecting identities create unique constellations of vulnerability, which “intersect like a star.” Financial insecurity and interpersonal rejection were lead housing insecurity causes, often resulting in psychological strain, which was sometimes addressed with substances and sexual risk-taking. These factors were cyclically accompanied by financial and employment insecurity and a cascade of unmet social needs. Social support facilitated coping.

Discussion: Findings support increasing transgender housing security intervention resources that address intersecting and cyclical discrimination, trauma, housing, employment, and health issues.     

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.     

Adaptive Tasks in Multiple Sclerosis: Development of an Instrument to Identify the Focus of Patients' Coping Efforts

Objective : Adaptive tasks, referring to the subjective evaluation of disease-related stressors in relation to personal concerns, have been neglected in the extensive literature on coping with chronic disease. In this study, the development of an instrument for measuring adaptive tasks is described: the Questionnaire Adaptive Tasks in Multiple Sclerosis (QuAT-MS). Method : The QuAT-MS is based on a bottom-up categorization of patients' statements on the losses, threats, and challenges brought about by their disease, and employs 10 scales to measure the importance attached to particular disease-related stressors. Validity and reliability of this bottom-up categorization were established in a sample of MS patients ( N = 259) by examining their associations with related concepts relevant in adaptation to disease, such as coping (CISS), coping resources (LOT, self-efficacy), and quality of life (SIP). We also investigated whether patients' backgrounds and disease characteristics were related to adaptive tasks. Results : Adaptive tasks are more closely related with concepts relevant for adaptation (coping and coping resources) than with physical functioning (SIP) and disease-related characteristics (illness duration). Adaptive tasks are also associated with gender and level of education. Conclusion : It is concluded that adaptive tasks can be distinguished from related concepts like coping and quality of life. Furthermore, the QuAT-MS offers a reliable and patient-centred instrument for measuring the tasks which MS patients identify in their adaptation process.     

Coping Strategies With Minor Stressors in Adolescence: Relationships With Social Support,Self‐Efficacy,and Psychological Well‐Being

This study examined age and gender differences in coping strategies used by adolescents (N = 342; age = 14–19 years) in dealing with everyday minor stressors. Relationships with coping resources (self‐efficacy, social support) and the impact of coping on psychological well‐being were assessed. Coping strategies were measured using the Coping Across Situations Questionnaire (CASQ; Seiffge‐Krenke, 1995 ). Results showed that adolescents' coping strategies differed according to problem domain. The most frequently used strategies were active and internally focused. Females used a wider range of coping strategies than did males. Significant correlations were found among coping strategies and coping resources. Moreover, the adoption of some strategies significantly affected adolescents' psychological well‐being.     

Characteristics of Personal Networks Associated with Physical and Psychological Quality of Life Among Demobilized Individuals from the Colombian Armed Conflict

The study identifies relationships between the characteristics of personal networks of demobilized individuals and their quality of life, through the evaluation of a sample of 102 ex‐combatants from a demilitarized zone in Colombia's Caribbean coast. The data was processed using centrality values calculation and statistical analysis through the Pearson correlation coefficient. Results showed moderate levels of nodality, proximity and intermediation degrees regarding small, closed networks with an unsatisfied high demand for support resources. Quality of life showed medium performance levels, with inverse relationships between mental health (p = .009 < .05) and vitality (p = .011 < .05) and intermediation. Positive feedback related significantly to general health (p = .041 < .05), while negative interactions showed inverse relationships to physical functioning (p = .012 < .05), physical role (p = .005), mental health (p = .001 < .05), and emotional role (p = .009 < .05). In conclusion, among the highly cohesive personal networks, there were less observations of social support that fosters increased energy and psychological health, given that access to this support is limited to a small number of members of the personal network. Copyright © 2013 John Wiley & Sons, Ltd.     

Associations of Trait Emotional Intelligence with Social Support,Work Engagement,and Creativity in Japanese Eldercare Nurses

Work‐related resources can be positive antecedents of employee work engagement (WE) and creativity. Although trait emotional intelligence (EI) and social support may be crucial resources in nursing, their relationships with WE and creativity remain unclear. Hence, with special focus on the role of trait EI, we examined this relationship by applying the job demands‐resources (JD‐R) model. The participants were 489 eldercare nurses in Japan (female: n = 401; male: n = 88; age = 39.5 ± 11.0 years). The results showed positive associations between EI and the other studied variables. Furthermore, moderated mediation analyses revealed that higher trait EI enhanced the positive association among the triad of social support, WE, and creativity. The findings provide additional evidence that, in nurses, trait EI may be a noteworthy personal resource for creativity in the relationship between social support and WE.     

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

Abstract

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

Emotion Beliefs and Cognitive Behavioural Therapy for Social Anxiety Disorder

Despite strong support for the efficacy of cognitive behavioural therapy (CBT) for social anxiety disorder (SAD), little is known about mechanisms of change in treatment. Within the context of a randomized controlled trial of CBT, this study examined patients' beliefs about the fixed versus malleable nature of anxiety—their ‘implicit theories’—as a key variable in CBT for SAD. Compared to waitlist (n = 29; 58% female), CBT (n = 24; 52% female) led to significantly lower levels of fixed beliefs about anxiety (M_baseline = 11.70 vs. M_Post = 7.08, d = 1.27). These implicit beliefs indirectly explained CBT-related changes in social anxiety symptoms (κ² = .28, [95% CI = 0.12, 0.46]). Implicit beliefs also uniquely predicted treatment outcomes when controlling for baseline social anxiety and other kinds of maladaptive beliefs (perceived social costs, perceived social self-efficacy, and maladaptive interpersonal beliefs). Finally, implicit beliefs continued to predict social anxiety symptoms at 12 months post-treatment. These findings suggest that changes in patients' beliefs about their emotions may play an important role in CBT for SAD.     

Coping Mechanisms of Unemployed African Men with Dependents

The primary objective of the study was to evaluate the efficiency of the coping mechanisms of 82 unemployed African men with dependents. Results revealed significant relationships between perceived stress and stressful life events, as well as between perceived stress and four groups of coping mechanisms, the strongest relationships being reported for stressful life events, psychological coping resources, and family resources. Only four of the fifteen identified coping mechanisms could reduce the relationship between stressful life events and perceived stress. These were an internal locus of control, extended family social support, mastery and health within the family, and the utilization of community resources.     

Coping mediates between social support,neuroticism, and depression after earthquake and examination stress among adolescents

Abstract

The objective of this study was to investigate the mediating role of coping strategies in the relationships between neuroticism, social support, and depression in two groups of adolescents: earthquake group and examination group. Adolescents facing earthquake stress (earthquake group, N=219) completed measures of neuroticism, perceived social support, coping strategies, and self-rating depression. Similarly, adolescents facing examination stress (examination group, N=241) completed the same measures. Results indicated that the earthquake group reported more use of secondary control engagement coping, whereas the examination group reported more use of primary control engagement coping. In addition, neuroticism was more strongly associated with coping in earthquake group and coping strategies explained significantly larger part of the relationship between neuroticism and depression. In contrary, perceived social support was more strongly associated with coping in examination group, and coping strategies explained significantly larger part of the relationship between perceived social support and depression.