Human psychobiology in Scandinavia: I. Psychophysiology—theory, method and empirical research

The present paper reviews Scandinavian contributions to the field of psychophysiology in a fifteen year perspective (1968–1983). Psychophysiology is defined as that domain within psychobiology where the investigator uses a physiological measure to indirectly assess a psychological construct, e.g. heart-rate to index anxiety. Only research that fit this definition is reviewed. Thus, research belonging to physiological psychology and behavior pharmacology is excluded. The paper is divided into several areas covering studies related to attention and the orienting response (OR); classical autonomic conditioning and biofeed-back learning; clinical psychology and behavior medicine; emotion and motivation, and methodological contributions. The review of studies related to attention and OR is focussed on the work by Näätänen and by Öhman who both have made distinguished contributions to this area of research. The so-called "prepared-learning" project is described as an example of Scandinavian conditioning studies. Other examples include Bohlin's research on attention and habituation, and the work by Schalling and by Fredrikson in clinical psychology and psychopathology. Norwegian research on muscle tension and respiratory activity done by Svebak is also reviewed. A total of 114 papers written by about 95 different researchers are reviewed. Thus, psychophysiology may be regarded as a firmly rooted research tradition in Scandinavia, both qualitatively and quantitatively. It is concluded that Scandinavian psychophysiology research is at the front line internationally concerning problem areas and methodology.     

Age differences in stress and coping processes

The dramatic increase in the numbers of people who are living into old age has been accompanied by a growing interest among psychologists and health care professionals in their sources of stress and how they cope with them. Despite this interest, little is known about normative stress and coping patterns and the ways in which these patterns differ in older and younger people. This study, which draws on stress and coping theory, compares younger and older community-dwelling adults in daily hassles and eight kinds of coping. Two interpretations of age differences are evaluated: a developmental interpretation, which says that there are inherent, stage-related changes in the ways people cope as they age, and a contextual interpretation, which says that age differences in coping result from changes in what people must cope with. The findings indicate that there are clear age differences in hassles and coping. Overall, the findings tend to support the developmental interpretation, although the contextual interpretation also applies.     

Personal control and stress and coping processes: a theoretical analysis

Laboratory and field research indicates that the relationships between personal control and stress, coping, and adaptational outcomes are more complex than was once assumed. Believing that an event is controllable does not always lead to a reduction in stress or to a positive outcome, and believing that an event is uncontrollable does not always lead to an increase in stress or to a negative outcome. These complex relationships involving control are examined in the context of Lazarus's cognitive theory of stress and coping. The first part of the article elaborates this theory and shows how two forms of control, generalized beliefs about control and situational appraisals of control, fit into the overall model. Situational appraisals of control are explored in this section, including the question, Control over what? which must be addressed in order to explain some of the perplexing findings. The second part of the article draws on the theoretical formulation of stress and coping to examine three important issues: (a) how believing one has control in a stressful transaction can heighten threat, (b) the relationship between control and coping, and (c) pathways through which control can affect the adaptational outcomes of stressful encounters.     

Family processes,resourcefulness, coping,and stress: A prospective study

A review of the family therapy literature indicates that few studies have investigated the complex relationship among family processes, coping, and stress in understanding how people manage stressful events and conditions. The purpose of the present study was to utilize a prospective research design to systemically explore the impact of family processes on an individual's ability to use effective coping responses when faced with a stressful situation. The results did indicate that individuals experienced greater strain at Time 1 (awaiting exam). However, no differences were found between family process variables and an individual's coping responses between Time 1 and Time 2 (awaiting results). Suggestions for further research on intergenerational family systems theory and implications for family therapy practice are provided.     

Momentary mood and coping processes in TMD pain.

Temporomandibular dysfunction (TMD) pain, like many chronic pain problems, appears to be multiply determined. Patients with TMD pain of at least 6 months duration (N = 30) were administered questionnaires measuring dispositional coping styles and appraisals to explore the dynamic interactions of the pain and coping process. Patients were then issued handheld computers that prompted them to record their momentary pain and coping processes 4 times per day for 7 days. Hierarchical linear regression models using both the dispositional and momentary predictors indicated that momentary pain was a function both of dispositional tendency to catastrophize and of momentary measures of catastrophization, self-efficacy, and mood states. Results were seen as supporting a situational model of intervention for chronic TMD pain.     

Constructive thinking and coping with laboratory-induced stress.

In a laboratory stress test, poor constructive thinkers produced more negative affective and cognitive responses in all experimental periods and a greater increase in such responses in the stress period than did good constructive thinkers. The groups differed in physiological arousal in the recovery period but not in the stress period. Stressor-instigated negative thoughts and spontaneous negative thoughts produced different patterns of relations with variables measured in the laboratory and with symptoms reported in everyday life. Discriminating patterns of relations were found between measures of cognition and affect in the laboratory and self-reported emotional, physical, and behavioral symptoms in everyday life. The results help explain the relation between maladaptive automatic thinking, on the one hand, and elevated physiological arousal and emotional, physical, and behavioral symptoms, on the other.     

Cognitive processes underlying coping flexibility: differentiation and integration

This study investigates how individuals formulate flexible coping strategies across situations by proposing differentiation and integration as two stress-appraisal processes. Results showed that participants who coped more flexibly adopted the dimensions of controllability and impact in differentiating among different stressful situations. They also deployed an integrated strategy: the deployment of more monitoring in situations perceived as controllable but less of this strategy in situations perceived as uncontrollable. Participants who coped less flexibly did not adopt any given dimensions and tended to use more monitoring regardless of situational characteristics. These results suggest that individuals with different extents of coping flexibility differ in the cognitive processes. Individuals who cope more flexibly display a greater extent of differentiation and integration than do those who cope less flexibly. These findings are translated into strategies for stress management workshops.     

The role of familism in stress and coping processes among African American and White dementia caregivers: effects on mental and physical health.

OBJECTIVE: To explore how familism, burden, and coping styles mediate the relationships between ethnicity and the mental and physical health of caregivers. DESIGN: A probability sample of 65 White and 95 African Americans respondents caring for an older family member with dementia was used to test hypotheses from a sociocultural stress and coping model using path analysis. MAIN OUTCOME MEASURES: Measures of caregivers' health included subjective health, self-reported diseases, blood pressure, and heart rate. Mental health measures included self-reported depression and psychological symptoms. RESULTS: Contrary to the hypothesis, familism had an adverse effect on outcomes and was related to low education levels rather than to African American ethnicity. A buffering effect of active coping between being African American and diastolic blood pressure was found even after controlling for levels of education. CONCLUSIONS: Findings supported a core stress and coping model in which more behavior problems of care recipients were associated with poorer mental health of caregivers via greater burden and more use of avoidant coping. Results also demonstrate that this core model can be extended to physical health.     

'People-work': emotion management, stress and coping

Workers involved in 'people-work' are expected to engage in a great deal of emotion management as they attempt to convey the appropriate emotions (which they may not genuinely feel) to their clients or customers whilst perhaps suppressing inappropriate ones. Should this emotion management be unsuccessful within some industries, a customer may be lost as they choose to take their business to a competitor; however, within the 'caring' business, such as the counselling and guidance professions, a failure to display the appropriate emotion (e.g. sympathy) or a leakage of an inappropriate one (e.g. boredom) can have much more serious implications for the well-being of the client and their continued relationship with the professional. This paper will thus argue that emotion management or 'emotional labour' is a vital skill within the counselling and guidance professions, but one that can also be a significant source of work stress. Strategies for coping with the stress of performing emotional labour are suggested.     

Work-related stress and well-being: the roles of direct action coping and palliative coping

The purpose of the present study is to analyze the roles of direct action coping and palliative coping in the relationship between work stressors and psychological well-being, as well as their possible interactions, in a sample of 464 bank employees. Hierarchical regression analyses showed main effects of direct action coping on well-being. Palliative coping predicts higher levels of psychological distress. Contrary to what was expected, the interactions between work stressors and direct action coping were not significant. Palliative coping interacted with work stressors when predicting psychosomatic complaints. The interaction between the two types of coping was significant on psychosomatic complaints and psychological distress, but not on job satisfaction. The paper discusses theoretical and practical implications of these results, in order to design intervention strategies to prevent and manage job stress.     

Self-defeating personality and strategies for coping with stress.

People who scored higher on a measure of self-defeating personality also scored low on ego-strength, showed an external locus of control, and used less adaptive coping strategies than those who scored lower. These strategies (denial, mental disengagement, alcohol and drug use) were viewed as helping to perpetuate their positions as victims.     

Hospitalization stress in children: sensitizer and repressor coping styles

To examine the effects of individual sensitizer/repressor coping styles on responses to hospital procedures, 56 children (mean age = 6.5 years) were observed during hospitalization for minor surgery. Although the sensitizer children, as classified by their mothers, did not differ from the repressor children on baseline measures including hospital preparation, they were more talkative, expressive, and active during hospital play observations. During blood tests and preoperative injections, the sensitizers, compared with the repressors, were reported by their mothers to observe the procedures, to seek additional information about the procedures, and to show more protest behaviors. Finally, the sensitizer children required fewer hours of intensive care.     

Social factors and the psychobiology of depression: relations between life stress and rapid eye movement sleep latency.

We examined psychosocial factors (i.e., life stress) and biological factors (i.e., REM sleep latency) that are hypothesized to be of complementary importance for defining depressive subtypes in a sample of 61 nonpsychotic, endogenous major depressives. Subjects were evaluated on several diagnostic scales for life stress, on electroencephalographic sleep data, and on 2 symptom measures for depression. As predicted, persons with severe stress that occurred shortly before depression onset had essentially normal REM latency values; patients without such stress had reduced REM latency values. Both stress and REM latency were also associated with greater severity of self-reported depressive symptoms. Alternative explanations of these findings are discussed, with particular emphasis on different roles of pre-onset and post-onset stressors.     

Neonatal stress and coping in intensive care

Examples are given of research on (a) stressful procedures and assessments in the neonatal intensive care nursery and (b) natural caregiving stimulation and self-comforting behaviors that alleviate these stressful experiences. The data from the studies on stressful procedures and assessments revealed that (a) weaning from mechanical ventilation was associated with increased plasma cortisol levels; (b) heelsticks and tube insertions for gavage feedings were accompanied by decreases in oxygen tension (TcPO2); and (c) Brazelton neonatal behavior assessments were followed by increased cortisol levels and decreased growth hormone levels. To alleviate stress, various interventions were tried including caregiver comforting techniques and giving the neonates opportunities to comfort themselves by sucking on pacifiers. The caregiver intervention studies revealed that (a) a simple placement of hands on the head and abdomen of the NICU neonate resulted in a lesser need for oxygen and (b) massaging the NICU neonate resulted in greater weight gain and earlier discharge. In those studies that explored the infant's self-comforting, nonnutritive sucking behavior, the following results emerged: (a) sucking on pacifiers during heelsticks resulted in less crying and lower heart rate and respiration and (b) sucking on pacifiers during tube feedings resulted in smoother bottle feedings later and in greater weight gain. Thus, it appears that several forms of cost-effective interventions can alleviate these stressful procedures and facilitate infant growth and development.     

Adjustment to multiple sclerosis: application of a stress and coping model.

This study examined the use of a stress and coping model of adjustment to multiple sclerosis (MS). A total of 122 MS patients were interviewed and completed self-administered scales at Time 1 and 12 months later, Time 2 (n = 96). Predictors included stressful life events, illness (duration, severity, and disability), social support, appraisal (threat and control/challenge), and coping (problem focused and emotion [wishful thinking, self-blame, and avoidance] focused). Adjustment outcomes were Time 2 depression, global distress, social adjustment, and subjective health status. Results from hierarchical regression analyses indicated that after controlling for the effects of Time-1 adjustment, better Time-2 adjustment was related to less disability, greater reliance on problem-focused coping, and less reliance on emotion-focused coping. There was limited support for the stress buffering effects of coping and social support. Findings offer some support for the use of a stress and coping model of adaptation to MS.     

Religion and coping with health-related stress

Abstract

The empirical evidence concerning the association between various aspects of religion and adjustment to health-related stressors is reviewed, including examination of whether religion acts as a stress buffer or deterrent. Considerable literature suggests that some aspects of religion are consistently associated with adjustment to illness, and evidence for religion as a stress buffer and as a stress deterrent were found. Potential pathways by which religion may influence adjustment to illness were also delineated, including: (1) providing an interpretive framework or cognitive schema; (2) enhancing coping resources; and (3) facilitating access to social support and promoting social integration. Design, methodological and measurement limitations in the extant literature were noted. Further research is needed to elucidate how religion functions as a natural resource during health-related crises.     

Work stress and coping: drawing together research and practice

Despite the enthusiasm for coping research, reviewers are concerned that much of the research has failed to live up to expectations as to its practical relevance. Yet the debate about the application of coping research is not short on writers pointing the way forward. By examining a number of issues at the heart of the debate on coping research this paper focuses on what may be ways of bridging the gap between coping research and practice. What follows is a discussion around the belief that if coping research is to become more clinically relevant, then researchers need to make better use of transactional models of stress. More specifically this paper points to the explanatory potential in concepts like appraisal that provide the psychological links between the individual and the stressful encounter. Moreover if coping researchers are to focus on more process-focused models, then what is needed is a time of quiet reconstruction where researchers consider where current methodologies are taking us and what alternative methods can provide. The argument here is that coping research needs to adopt measurement methods that reflect the techniques of clinicians. The emphasis is for coping methods to become more ecologically sensitive, person- and meaning-centred, daily processing and narrative in application.     

Cognitive and motivational processes underlying coping flexibility: a dual-process model

Discriminative facility was proposed as a cognitive process and need for closure was proposed as a motivational process underlying coping flexibility. The dual-process model posits that need for closure influences discriminative facility, which in turn modifies coping flexibility and psychological adjustment. In Study 1, results of structural equation modeling provided support for the dual-process model. This model was further examined using experimental methods (Study 2) and a prospective design (Study 3). Consistent with the dual-process model, results from all 3 studies showed that participants who were more motivated to seek alternative coping strategies tended to encode stressful situations in a more differentiated way. These individuals used a greater variety of strategies to fit different situational demands and were better adjusted.