The role of meaning in gastric cancer patients: relationships among meaning structures,coping, and psychological well-being

ABSTRACT

Background and Objectives: Research demonstrates that the experience of cancer invariably violates patients’ meaning structures, prompting them to use coping strategies to alleviate stress and enhance well-being. The current study aimed to examine the mediating effects of coping strategies in the relationship between global and situational meaning and psychological well-being in gastric cancer patients.

Design and Method: One hundred eighty-seven patients (96 women and 91 men) with gastric cancer completed questionnaires measuring meaning in life, changes of beliefs and goals, coping, and psychological well-being. Participants were between 27 and 82 years of age. They were diagnosed with gastric cancer from 1 to 3.2 years ago. Using Structural Equation Modeling, both the direct and indirect associations between meaning structures, coping, and psychological well-being were examined.

Results: Meaning in life exerted significant indirect effects on psychological well-being through three coping strategies: problem-, emotion-, and meaning-focused. The relationship between changes of beliefs and goals and psychological well-being was also mediated by coping.

Conclusions: Findings suggest that coping strategies are mediators in the relationship between global and situational meaning and psychological well-being. They also provide empirical evidence that in severe cancer-related stress conditions both meaning structures and coping strategies influence patients’ psychological well-being.     

Inner Representations,Coping, and Posttraumatic Stress Symptomatology in a Community Sample of Trauma Survivors

To assess whether coping styles mediated the relation between inner representations and posttraumatic stress symptomatology, a community sample of self-defined trauma survivors (N = 95) completed the World Assumptions Scale, Ways of Coping Checklist—Revised, and Trauma Symptom Inventory. Regression analyses indicted that individuals with more positive inner representations reported experiencing less symptomatology and tended to use more active and less passive coping strategies. Furthermore, the relation between inner representations and the extent of symptomatology was mediated through the use of passive coping strategies, although the latter 2 variables were likely reciprocally related. The implications of these findings for the well-being of trauma survivors were discussed.     

Assessing the Role of Body Image Coping Strategies as Mediators or Moderators of the Links Between Self-Objectification, Body Shame, and Well-Being

We examined self-objectification in relation to well-being, and the potential moderating versus mediating role of body image coping strategies (appearance fixing, avoidance, positive rational acceptance). Undergraduate women from southern Ontario, Canada (Sample 1, n?=?104; Sample 2, n?=?314) completed measures of depression, disordered eating attitudes, subjective well-being, and body-image coping. Self-objectification was related to greater depression, disordered eating attitudes, and lower subjective well-being. A two-stage mediation model was supported: Body shame and body image coping strategies (appearance fixing and avoidance) partially mediated the associations between self-objectification and outcomes; appearance fixing and avoidance partially mediated the associations between body shame and outcomes. Body image coping strategies did not moderate any of the relations between body shame and outcomes.     

Relationships Between Locus of Control, Coping Strategies and Emotional Well-Being in Persons with Spinal Cord Lesion

Relations between locus of control, coping strategies and emotional well-being in persons with traumatically acquired spinal cord lesion (SCL) were examined. The sample included 132 community-residing adults. Structural equation modelling, including confirmatory factor analysis, was used. A model was hypothesized based on the transactional theory of stress and coping where coping strategies mediated the relation between locus of control and emotional well-being. The model showed acceptable fit to the data and was compared with five alternative models. The alternative models fitted the data less well or were difficult to interpret. In the preferred model, persons indicating internal control reported more coping strategies (Acceptance, Fighting spirit) related to increased well-being, whereas persons indicating external control reported a coping strategy (Social reliance) related to poorer well-being. The findings support the stress and coping framework in medical rehabilitation and illustrate why some persons need coping effectiveness training to enhance emotional adjustment.     

Coping strategies,depressive symptoms and quality of life in hypertensive patients: Mediational and prospective relations

This study examined whether depressive symptoms mediated the association between coping strategies and quality of life (QoL) in a sample of hypertensive patients, and the prospective contribution of depressive symptoms and coping strategies in the prediction of their QoL. One hundred and fifty patients (50% males and 50% females) with a diagnosis of essential hypertension were recruited from a general hospital. Symptoms of depression, coping and QoL measures (global score and dimensions) were collected at baseline. Sixty-three participants completed the QoL questionnaire again one year later (T2). The results indicated that the relations between emotion coping and QoL (global score, satisfaction and social support) were totally mediated by depressive symptoms. The association between emotion coping and well-being was, however, partially mediated by depressive symptoms. Furthermore, only baseline instrumental coping strategies predicted higher levels of QoL (global score, well-being and social support) at T2. Neither emotion coping nor depressive symptoms were significantly associated with prospective QoL. These findings suggest that depressive symptoms may be a mechanism linking the manner in which patients cope with their hypertension and their QoL. They also emphasise the adaptive role played by instrumental coping responses in the management of hypertension in the long term.     

小学教师核心自我评价、应对方式与工作倦怠的关系

采用核心自我评价量表、应对方式问卷、工作倦怠量表对广州市425名小学教师进行问卷调查,考察核心自我评价对小学教师工作倦怠的影响以及应对方式在其中所起的中介作用.结果表明:(1)核心自我评价对小学教师的情感耗竭、人格解体、成就感降低都具有显著的负向预测作用.(2)应对方式在核心自我评价对小学教师工作倦怠的影响中起着中介作用.其作用路径为:核心自我评价直接和通过积极应对和消极应对间接影响情感耗竭,核心自我评价通过积极应对和消极应对间接影响人格解体,核心自我评价直接和通过积极应对间接影响成就感降低.     

Enduring stress: A quantitative analysis on coping profiles and sport well-being in amateur endurance athletes

Endurance athletes experience physical and psychological stress during training and competition that can inhibit performance and promote negative health implications (i.e., lower well-being) without proper coping mechanisms (McCormick et al., 2018; Sakar & Fletcher, 2014). Additionally, these athletes that train at an amateur level have received limited attention regarding coping with stress and how it impacts well-being (McCormick et al., 2018). The purpose of this study was threefold: to (a) determine common coping profiles of trained amateur endurance athletes, (b) explore the relationship between sport well-being and these coping profiles, and (c) examine the potential roles that appraisals might play in the coping-well-being relationship. The results yielded five distinct coping profiles: Mixed Adaptive Copers (MAC), Mixed Maladaptive Copers (MMC), Engaged Copers (EC), Avoidant Copers (AC), and Social Copers (SC). Coping profiles differed across various variables including sport well-being, appraisals, and demographic factors. Overall, MAC and EC had higher levels of sport well-being. MAC viewed stressors as a challenge (i.e., opportunity) compared to EC and AC. These findings suggest the complex nature of coping in sport and that athletes should develop an assortment of coping strategies that provide different strategies for various stressful situations.     

Daily diaries and minority adolescents: random coefficient regression modeling of attributional style, coping, and affect

Many researchers underscore the importance of coping in the daily lives of adolescents, yet very few studies measure this and related constructs at this level. Using a daily diary approach to stress and coping, the current study evaluated a series of mediational coping models in a sample of low-income minority adolescents (N = 89). Specifically, coping was hypothesized to mediate the relationship between attributional style (and dimensions) and daily affect. Using random coefficient regression modeling, the relationship between (a) the locus of causality dimension and positive affect was completely mediated by the use of acceptance and humor as coping strategies; (b) the stability dimension and positive affect was completely mediated by the use of both problem-solving and positive thinking; and (c) the stability dimension and negative affect was partially mediated by the use of religious coping. In addition, the locus of causality and stability (but not globality) dimensions were also directly related to affect. However, the relationship between pessimistic explanatory style and affect was not mediated by coping. Consistent with previous research, these findings suggest that attributions are both directly and indirectly related to indices of affect or adjustment. Thus, attributions may not only influence the type of coping strategy employed, but may also serve as coping strategies themselves.     

Coping with Daily Stress: The Role of Conscientiousness

The current study examined how specific coping strategies mediate the relationship between Conscientiousness (C) and positive affect (PA) in a large, multiethnic sample. Using an internet-based daily diary approach, 366 participants (37.6% Caucasian, 30.6% Asian American, 20.7% Hispanic, 9.1% African American) completed measures that assessed daily stressors, coping strategies used to deal with those stressors, and PA over the course of five days. In addition, participants completed a measure of the Five-Factor Model of Personality. Problem-Focused coping partially mediated the relationship between C and PA. Individuals higher in C used more problem-focused coping, which, in turn, was associated with higher PA. The findings of the current study suggest C serves as a protective factor from stress through its influence on coping strategy selection. Other possible mediators in the C-PA relationship are discussed.     

Relation of positive affect with emotion-focused coping in Japanese undergraduates

This study examined the relationships between coping and positive affect and sex differences in those relationships, focusing on emotional expression as an emotion-focused coping strategy. Undergraduates (193 men and 225 women) completed the Center for Epidemiologic Studies-Depression to assess positive affect by using the Positive Affect subscale and the General Coping Questionnaire for measurement of coping. Analysis showed a positive relationship between positive affect and both problem-solving and cognitive reinterpretation, but only for men, while a positive relation between positive affect and emotional expression was found only for women. Also there were no interactions of emotional expression and other coping strategies, such as problem-solving, cognitive reinterpretation, and emotional support-seeking, on positive affect. These findings provide evidence to suggest that the relationship between positive affect and coping should be examined by sex.     

Stress,coping, and resources in mothers of adults with developmental disabilities

This study examined the relationship of various stressors, coping resources, and coping strategies on the level of stress reported by 147 mothers of adults with delayed development. A sense of mastery and the mother's health as well as financial well-being were significantly negatively related to stress. Coping behaviours of reframing of the problem and acquisition of social support were also significantly negatively related to stress. Implications of the results of this study for service providers are discussed.     

Coping Strategies as Predictors of Distress in Survivors of Single and Multiple Sexual Victimization and Nonvictimized Controls

This study investigated the relationship between coping strategies and distress symptomatology in survivors of sexual revictimization. Coping strategies were assessed with the revised Ways of Coping Scale (Aldwin & Revenson, 1987). Distress symptoms included global distress, depression, anxiety, and somatization. Subjects were 44 survivors of sexual victimization in both childhood and adulthood; 54 survivors of a single incident of sexual victimization in childhood; and 256 nonvictimized individuals. All were drawn from a subject pool of female undergraduate students. Multivariate analysis of variance revealed significant differences between groups on reported symptomatology and coping strategies. Victimized groups reported more distress than did the nonvictimized group. The multiple victimization group indicated greater use of coping strategies than did the nonvictimized group, and both victimized groups reported greater use of the escapism strategy than did the nonvictimized group. Multiple backward regression analysis found that coping strategies were predictive of distress symptomatology in all three groups, with escapism as the most potent predictor of distress for each group. Coping strategies were the most powerful predictors of distress in the multiply victimized group. The results of this study provide strong support for the importance of addressing coping strategies in clinical intervention of distress, particularly with survivors of multiple sexual victimization.     

Type D personality, physical symptoms and subjective stress: the mediating effects of coping and social support

Coping style and social support may represent mechanisms to explain the relationship between Type D personality and ill-health. This study investigated whether Type D is associated with physical symptoms and perceived stress in a non-cardiac population, and if these relationships are mediated by coping and social support. In a cross-sectional study, 304 participants (110 males, mean age 22.1 years) completed measures of Type D, physical symptoms, coping, perceived stress and social support. Results showed that Type D, the interaction of negative affectivity and social inhibition (NA × SI), was positively correlated with physical symptoms, perceived stress, and avoidant coping, and negatively correlated with social support, problem-focused coping and emotion-focused coping. A series of bootstrapped multiple mediator tests showed that social support and avoidant coping fully mediated the relationship between Type D and physical symptoms. Furthermore, social support and emotion-focused coping partially mediated the relationship between Type D and perceived stress. These findings demonstrate for the first time that Type D personality is associated with physical symptoms in a non-cardiac population. Social support and coping style represent mechanisms that can, in part, explain the relationship between Type D and physical symptoms, and Type D and perceived stress.     

Type D personality,physical symptoms and subjective stress: The mediating effects of coping and social support

Coping style and social support may represent mechanisms to explain the relationship between Type D personality and ill-health. This study investigated whether Type D is associated with physical symptoms and perceived stress in a non-cardiac population, and if these relationships are mediated by coping and social support. In a cross-sectional study, 304 participants (110 males, mean age 22.1 years) completed measures of Type D, physical symptoms, coping, perceived stress and social support. Results showed that Type D, the interaction of negative affectivity and social inhibition (NA?×?SI), was positively correlated with physical symptoms, perceived stress, and avoidant coping, and negatively correlated with social support, problem-focused coping and emotion-focused coping. A series of bootstrapped multiple mediator tests showed that social support and avoidant coping fully mediated the relationship between Type D and physical symptoms. Furthermore, social support and emotion-focused coping partially mediated the relationship between Type D and perceived stress. These findings demonstrate for the first time that Type D personality is associated with physical symptoms in a non-cardiac population. Social support and coping style represent mechanisms that can, in part, explain the relationship between Type D and physical symptoms, and Type D and perceived stress.     

Women's Reactions to Miscarriage: The Role of Attributions,Coping Styles,and Knowledge1

This study examined 72 women's retrospectively reported reactions to miscarriage, including depression, stress, and anxiety. The buffering role of women's attributional explanations for the event, the significance of the loss of the baby, coping strategies, and women's knowledge of miscarriage were also assessed. Correlational analyses revealed that women's attributions were tied to their reactions, in that the more women blamed their own character or doctor, the more severely they reacted. Coping strategies accounted for a large portion of the variance (64%), whereby women who used cognitive restructuring as a strategy suffered less adverse reactions than did those who used social withdrawal or wishrul thinking. Women's knowledge before miscarriage, rather than after, accounted for 6% of the variance in their reactions. Examining the interrelations of these variables revealed that the amount of women's knowledge before miscarriage was related to less wishful thinking, and their knowledge after the event was related to less problem avoidance. Women's attributions were also related to their coping strategies: Blaming one's character, behavior, or doctor were positively related to self-criticism and social withdrawal, and negatively related to support from doctors and significant others. The implications of these findings for interventions to facilitate adjustment to miscarriage and future research are discussed.     

Psychological Well-Being of Canadian Forces Officer Candidates: The Role of Personality and Coping Strategies

Previous research has suggested that personality influences the coping strategies an individual uses to deal with stressors, which, in turn, influences psychological well-being. This study examines whether coping strategies mediate the relationship between neuroticism and the psychological well-being of Canadian Forces officer candidates undergoing basic training. Only partial evidence was found for the mediating role of coping strategies between neuroticism and psychological well-being. These findings suggest that coping strategies and personality may constitute two independent constructs, both of which have significant contributions to well-being among military personnel.     

Coping strategies from the perspective of two developmental markers: age and social reasoning

In this study, we examined coping from a developmental perspective, including its relation to age and social cognitive maturity. The 60 participants, who ranged from adolescents to mature adults, were given Lazarus' Ways of Coping Scale. This consists of both an emotion-focused and problem-focused coping score and two measures of social reasoning performance. Social reasoning was the best predictor of emotion-focused coping, above and beyond years of education and age. None of the developmental variables predicted problem-focused coping. Analyses examining the effect of perceived controllability of the stressful situation on coping demonstrated that it differentially mediated choice of coping strategy across age groups. Whereas older participants endorsed more problem-focused strategies in perceived controllable situations and emotion-focused strategies in perceived uncontrollable situations, adolescents endorsed emotion-focused and defensive coping styles, irrespective of perceived controllability. Implications for the study of development of coping styles in affectively salient contexts is discussed.     

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.     

The role of coping in the stress-strain relationship among senior police officers

In a large-scale study of senior police officers in Great Britain (Superintendent and Chief Superintendent ranks), the role of coping in the stress-strain relationship was explored. There was no indication of a direct impact of coping on physical well-being nor was there any evidence of a direct effect on job satisfaction, but coping was related to mental health. Coping also exhibited a direct relationship to subjectively perceived job stress. Moreover, coping moderated the relationship between job stress and job satisfaction, but a buffering influence was not observed on the job satisfaction-health linkages. Job satisfaction had a direct impact on both mental and physical ill-health (showing high satisfaction was associated with superior physical and psychological health). Likewise, there was a direct relationship between overall job stress and job satisfaction.     

Mental health of caregiving spouses: coping as mediator, moderator, or main effect?

Coping strategies used by 315 persons providing care to a spouse diagnosed with Alzheimer's disease were characterized as either emotion-focused (wishfulness, acceptance, intrapsychic) or problem-focused (instrumental). Models in which coping strategies were postulated as having mediator, moderator, and independent main effects were tested using multiple indexes of mental health. Wishfulness and intrapsychic strategies mediated the relationship between degree of stress and CES-D, Anxiety, and Depression. Wishfulness had a direct effect on Obsessive-Compulsive, Somatization, and Interpersonal Sensitivity; intrapsychic strategies had a direct effect on Obsessive-Compulsive, Somatization, and Interpersonal Sensitivity; and instrumental strategies had a direct effect on Positive Affect. Hierarchical regression analyses indicated that stressors and coping strategies explained between 12% and 40% of the variance on mental health indexes.