The relationship of borderline personality disorder, life events and functioning in an Australian psychiatric sample

Studies have documented poor functioning and higher rates of negative life events in association with personality disorders (PDs), in particular with borderline personality disorder (BPD). The current study investigated the impact of recent life events, daily hassles and uplifts on psychosocial functioning in patients with PDs, while extending previous research by examining the role of perceived coping effectiveness and perceived stress of recent life events. Ninety-seven participants (Axis I group, N = 30; BPD group, N = 23; Other PD group, N = 44) completed measures of functioning, recent life events, daily hassles and uplifts. Results indicated that the BPD group reported the poorest levels of functioning, especially interpersonal functioning. The BPD group also reported more negative life events, particularly in the interpersonal relationships, personal health, crime, and financial domains. The BPD group experienced less uplifts, more hassles and found employment circumstances particularly stressful and difficult to cope with. Intensity of hassles was a predictor of functioning independent of a BPD diagnosis. A greater frequency of life events was closely associated with a non-BPD diagnosis in predicting a decrease in psychosocial functioning.     

Centrality and Individual Differences In the Meaning of Dally Hassles

In this study we introduce the concept of centrality in an attempt to assess individual differences in the meaning underlying daily hassles. Central hassles are defined as those which reflect important ongoing themes or problems in the person's life. The characteristics of central hassles, and their role in psychological and somatic health, were assessed in a sample of 150 community-residing men and women. The results indicate that central hassles vary in content from person to person and touch more on problems with personal needs and deficits in coping skills compared to noncentral hassles. The dimension of centrality was found to play a significant role in the prediction of psychological symptoms. Although the empirical case for the importance of centrality in the stress-illness relationship is inconclusive due to problems of confounding and a cross-sectional rather than longitudinal design, the ideas presented appear promising and provide a basis for further research on psychological vulnerability to stress.     

Stress,coping, and adjustment in mothers and young adolescents in single- and two-parent families

Compared stress, coping, and psychological adjustment in single (divorced or separated) and married mothers and their young adolescent children. Single mothers reported more daily hassles related to economic, family, and personal health problems, and more symptoms of depression, anxiety, and psychoticism. Single mothers also reported using more coping strategies related to accepting responsibility and positive reappraisal. After controlling for level of family income, differences in family hassles and coping strategies remained significant. The two groups did not differ on subtypes of symptoms after controlling for income, but single mothers still reported more total psychological symptoms. No differences were found between children in these two family constellations on maternal reports of emotional/behavioral problems or on children's self-reported emotional/behavioral problems, stressful events, or coping. Implications of these findings for adjustment to life in single-parent families are discussed.     

Coping and negative appraisal as mediators between control beliefs and psychological symptoms in children of divorce

Examined control beliefs of children of divorce as predictors of their coping, negative appraisals for stressful events, and mental health problems. We tested whether coping and negative appraisal for stressful events mediated the relations between multiple dimensions of control beliefs and mental health problems. Different dimensions of control beliefs were related to different aspects of coping and negative stress appraisal. Internal control beliefs for positive events were related to both active and avoidant coping. Unknown control beliefs for positive events were related to higher active coping and higher negative appraisal. Unknown control beliefs for negative events were related to higher avoidant coping. In addition, evidence for mediation was found such that the effect of unknown control beliefs for positive events on mental health problems was mediated by negative appraisal. Implications and directions for further research are discussed.     

Adjustment in aging: the roles of life stress, hassles, and self-efficacy

This study examines the relationship of life stress, daily hassles, and perceived self-efficacy to adjustment in a community sample of 32 men and 32 women between ages 65 and 75. In a structured interview, negative life change events, daily hassles, self-efficacy, depression, psychosomatic symptoms, and negative well being were assessed. Both negative life events and daily hassles were related to psychological distress and physical symptoms for men, and hassles were associated with psychological distress and physical symptoms for women. An inverse relationship between self-efficacy and maladjustment was also found. Hassles showed the most powerful relationship to distress.     

The dimensionality of cognitive appraisal and its relationship to physical and psychological well-being

In current adjustment models, an individual's appraisal of life events has been included as an important determinant in the stress-illness process. In particular, these events have been defined in terms of a variety of unidimensional concepts, such as desirability, controllability, or as having the potential for threat or challenge. The present study investigated the multidimensional nature of cognitive appraisal and its relationship to physical and psychological well-being. Residents of a Canadian community (N = 184) responded to an extensive survey on life-event stress, appraisal, alcohol consumption, health status, and depression. A principal-axis factor analysis of 19 appraisal dimensions revealed five factors accounting for 60% of the variance: Undesirability/Threat, Gain/Challenge, Need for Information, Familiarity, and Need to Accept. Entered with total number of life events and coping behavior as predicted aspects of well-being.     

The Dimensionality of Cognitive Appraisal and Its Relationship to Physical and Psychological Well-Being

In current adjustment models, an individual's appraisal of life events has been included as an important determinant in the stress-illness process. In particular, these events have been defined in terms of a variety of unidimensional concepts, such as desirability, controllability, or as having the potential for threat or challenge. The present study investigated the multidimensional nature of cognitive appraisal and its relationship to physical and psychological well-being. Residents of a Canadian community (N = 184) responded to an extensive survey on life-event stress, appraisal, alcohol consumption, health status, and depression. A principal-axis factor analysis of 19 appraisal dimensions revealed five factors accounting for 60% of the variance: Undesirability/Threat, Gain/Challenge, Need for Information, Familiarity, and Need to Accept. Entered with total number of life events and coping behavior as predictors in a series of stepwise regressions, these appraisal factors differentially predicted aspects of well-being.     

Social support, stress, and depressive symptoms among the elderly: test of a process model.

Effects of social support, negative life events, and daily hassles on depressive symptoms were assessed in 301 adults aged 65 or older, in person 3 times at 6-month intervals and by mail questionnaires every month over a 12-month period. Initial social support predicted severity of depressive symptoms 12 months later. Social support and initial levels of depressive symptomatology predicted number of daily hassles but not number of major life events. Effects of social support, depression, and major life events on the incidence of daily hassles remained significant without the inclusion of hassles reflecting depressive symptomatology or problems in relationships or whose content overlapped with major life events. Daily hassles mediated the effects of major life events on subsequent depression. Results did not differ for men and women. Implications for models of the relations among social support, stress, and depression are discussed.     

Life Stress,Hassles, and Self-Efficacy in Aging: A Replication and Extension1

This study examines the roles of life stress, hassles, and self-efficacy in the prediction of adjustment in aging. Twenty-six men and 26 women between the ages of 65 and 75 participated in an initial structured interview and a follow-up interview one year later. Measures of negative life change events, daily hassles, and self-efficacy were used to predict depression, psychosomatic symptoms, and negative well-being both in concurrent and time-lag designs. Frequency of hassles was the strongest predictor, showing significant relationships with depression and psychosomatic symptoms both concurrently and one year later, even when initial distress was controlled. Perceived self-efficacy was also shown to be predictive of current and subsequent depression, even after initial depression was controlled. Frequency of negative life events was a weak predictive factor. The only area where life events related significantly to health was in time-lag analyses with negative well-being, even when initial distress was controlled.     

Stress, health and illness: four challenges for the future

The concept of stress has a long and perhaps foundational history in health psychology. However, it is also not without its detractors, who point out imprecise and simplistic use of the concept. Four challenges for stress research in health psychology delineate the nuanced and contextualised future. First, 'stress' can be located in the environment, in appraisal or in response (e.g., emotions or physiology). Careful conceptualisation and assessment can differentiate among these locales, as well as reveal interactions among them. Second, coping refers to the transaction between stress and the affected person. Understanding exactly why coping moderates the effects of stress is a major challenge for coping research. Third, stress happens to different people with different personalities and temperaments and at different stages of their lives. People may even be different from themselves at different life stages. These individual differences can impact all manner of stress and coping. Fourth, stress is dynamic. Minor events come and go, and major events create a cascade of changes in the individual's life. Understanding how stress, coping and health change over time within individuals (i.e., in a multi-level framework) will be a major advance for the field.     

生命意义感对大学新生日常烦心事和心理适应的影响

为验证日常烦心事对个体心理适应的作用过程,并探讨生命意义感是否在烦心事知觉与心理适应之间起调节作用。研究采用纵向追踪方式对153名大学新生进行新近生活经历问卷、压力知觉量表、生命意义感量表和心理适应的测量。结果显示压力知觉在日常烦心事与心理适应之间起完全中介作用;拥有意义在烦心事知觉与心理适应之间起调节作用,但追求意义的调节作用不显著。这说明日常烦心事会通过压力知觉影响个体心理适应,拥有意义对个体心理适应具有调节作用。     

A test of the functional avoidance hypothesis in the development of overgeneral autobiographical memory

Overgeneral memory (OGM) refers to the failure to recall memories of specific personally experienced events, which occurs in various psychiatric disorders. One pathway through which OGM is theorized to develop is the avoidance of thinking of negative experiences, whereby cumulative avoidance may maladaptively generalize to autobiographical memory (AM) more broadly. We tested this, predicting that negative experiences would interact with avoidance to predict AM specificity. In Study 1 (N = 281), negative life events (over six months) and daily hassles (over one month) were not related to AM specificity, nor was avoidance, and no interaction was found. In Study 2 (N = 318), we revised our measurements and used an increased timeframe of 12 months for both negative life events and daily hassles. The results showed no interaction effect for negative life events, but they did show an interaction for daily hassles, whereby increased hassles and higher avoidance of thinking about them were associated with reduced AM specificity, independent of general cognitive avoidance and depressive symptoms. No evidence was found that cognitive avoidance or AM specificity moderated the effect of negative experiences on depressive symptoms. Our findings suggest that life events over 6–12 months are not associated with AM specificity, but chronic daily hassles over 12 months predict reduced AM specificity when individuals avoid thinking about them. The findings provide evidence for the functional-avoidance hypothesis of OGM development and future directions for longitudinal studies.     

Counting blessings versus burdens: an experimental investigation of gratitude and subjective well-being in daily life

The effect of a grateful outlook on psychological and physical well-being was examined. In Studies 1 and 2, participants were randomly assigned to 1 of 3 experimental conditions (hassles, gratitude listing, and either neutral life events or social comparison); they then kept weekly (Study 1) or daily (Study 2) records of their moods, coping behaviors, health behaviors, physical symptoms, and overall life appraisals. In a 3rd study, persons with neuromuscular disease were randomly assigned to either the gratitude condition or to a control condition. The gratitude-outlook groups exhibited heightened well-being across several, though not all, of the outcome measures across the 3 studies, relative to the comparison groups. The effect on positive affect appeared to be the most robust finding. Results suggest that a conscious focus on blessings may have emotional and interpersonal benefits.     

STRESS AMONG PALESTINIAN WOMEN UNDER MILITARY OCCUPATION; WOMEN'S APPRAISAL OF STRESSORS,THEIR COPING MODES,AND THEIR MENTAL HEALTH

Psychological responses and mental health of 174 Palestinian women living in the occupied West-Bank and the Gaza Strip were studied through a stress model. Thirty-five Palestinian women living in Israel proper who had not been exposed to military occupation were interviewed as a comparison group. The stress process studied consists of women's appraisal of threat and the importance of the stressors in their lives, the estimation of their own resources to cope with stress, actual coping modes, and mental health outcomes. Women living under military occupation tended to appraise their environment as highly threatening and their experiences as strain-producing. At the same time they believed they had sufficient assets, especially collective and ideological resources, to deal with the stressors. This tendency was particularly evident among victims of political violence. Women strongly exposed to hardships of military occupation tended to employ more social and political activity and less inactive and accommodative coping modes than did less traumatized women. Exposure to stressful events, characteristic to military occupation and armed conflict, tended to deteriorate women's mental health, as indicated by severe anxiety, depression, hostile feelings and psychiatric symptoms, and also deteriorating their general health. Multiple regression analysis of the data pertaining to the stress process indicated not only the existence of objective stressors but also the appraisal of their harmfulness, the coping modes as well as vulnerability-protective factors which determine the outcomes of the stress process. A good economic situation, sufficient social support, and religious commitment functioned as protective factors in stress process, i.e., they were able to diminish the impact of exposure to stressors on women's mental health. In the case of the Palestinian women the hardships due to military occupation and national struggle initiated a different stress process than did the daily life difficulties. This indicates that in studies on psychological functioning in a political and armed conflict, the collective level of coping, values, norms, ideology as well as the concrete political aims of the society should be included in analysis and interpretation.     

Problem Solving,Stress, and Coping in Adolescent Suicide Attempts

Twenty adolescents who had made suicide attempts were compared with 20 nonpsychiatric control subjects on measures of problem solving, stress, and coping. The suicidal group did not show evidence of “rigid” thinking or of deficits in the ability to generate solutions to standardized interpersonal problems. However, they did report recent histories of more severe life stress and had inaccurate appraisal of the extent to which stressful events could be controlled. Although suicidal patients were able to generate as many adaptive strategies as control subjects for coping with their own most severe recent real-life stressor, they actually used fewer. They were also more likely to identify maladaptive behaviors as ways of coping. These findings support a transactional model of adolescent suicidal behavior, whereby inaccuracies in the appraisal aspects of problem solving (but not in the solution-generation aspects) in the face of high life stress lead to a reduction in the use of adaptive efforts to cope.     

Social Support and Help-Seeking in Daily Hassles Versus Major Life Events Stress1

The present study evaluated the hypothesis that major life events differ from daily life hassles in the extent to which a person receives social support and seeks social support. Specifically, it was expected that the experience of major life events would be associated with the greatest social support. The subjects were 320 students (160 men, 160 women). Each subject read a scenario describing a male or female target person who had experienced either major life events or daily hassles. Subjects then rated the amount of emotional support and the amount of practical support that the target person would receive and would seek from significant others. The analyses confirmed that targets who had suffered severe events in the form of major life events were rated higher in both seeking and receiving social support from significant others. These differences were present for the ratings of emotional support and practical support. Overall, the findings suggest that the greater negative influence of daily hassles on psychological adjustment may be due, in part, to the reduced social support associated with the experience of daily life hassles. The implications of the findings are discussed with particular reference to help seeking in therapeutic contexts.     

The relationship between daily hassles,ways of coping,and menstrual cycle symptomatology

The purpose of this study was to investigate the relationships found among daily hassles, the use of specific coping strategies, and reported menstrual cycle symptoms. One hundred and sixty-seven female undergraduate psychology students completed a series of questionnaires assessing their most recent menstrual cycle experience, how they coped with those symptoms, and the frequency and severity of daily stressors experienced in the past month. Frequency and severity of daily hassles were positively correlated with symptoms for all phases of the menstrual cycle. A significant negative correlation was obtained between premenstrual symptoms and the use of distancing, as a coping strategy. In addition, distancing was negatively related to menstrual tension symptoms.Northwestern State University     

Stress,coping, HIV status,psychosocial resources,and depressive mood in African American gay,bisexual, and heterosexual men

The associations between stress, physical health, psychosocial resources, coping, and depressive mood were examined in a community sample of African American gay, bisexual, and heterosexual men (N=139). Data were collected from physical exams and in-person interviews. In our theoretical framework, depressive mood scores were regressed first on stressors, next on psychosocial resources, and finally on coping strategy variables. Results revealed that psychosocial resources mediate the effects of stressors, including health symptoms, hassles, and life events, on depressive mood. There were no significant differences in depressive mood associated with HIV status or sexual orientation. Results are discussed in terms of community interventions needed to provide social support as a buffer between stress and psychological distress in African American men. The research was completed at the Center for AIDS Prevention Studies, University of California at San Francisco and was supported in part by National Institute of Mental Health Grants MH44045 and MH42459. The authors express their appreciation to the participants in this study.     

Creative Problem Solving and Problem Finding in Young Adults: Interconnections with Stress,Hassles, and Coping Abilities

This study examined the relationship among creative problem solving (PS) and problem generation (PG) abilities, stress and daily hassles, and coping skills in a sample of college undergraduates. Heirarchical regression analyses indicated that separate sets of both PS and PS task scores were predictive of scores on certain coping scales even after the variance accounted for by indices of stress and hassles was removed. Specifically, PG and PS abilities were negatively related to such coping processes as confrontation, distancing, escape-avoidance tendencies, and excessive acceptance of responsibility, and positively associated with more general adaptive qualities. The findings strongly suggest that PS and PG abilities are important components of an individual's overall capacity to cope with both major and minor stresses of life.     

A Longitudinal Investigation of Depression,Hopelessness, Social Support,and Major and Minor Life Events and Their Relation to Suicidal Ideation in Adolescents

The longitudinal relationship of psychological and social-environmental factors with adolescent suicidal ideation over a 1-year-period was examined in a sample of 374 high school students. Students were assessed twice over a 1-year period with measures of depression, hopelessness, major negative life events, daily hassles, social support, and suicidal ideation. At the initial assessment, daily hassles and negative life events for males and social support and depression for females were significant factors related to suicidal ideation levels 1 year later. Changes in depression and hopelessness were significantly related to changes in suicidal ideation over the 1 year interval for males and females. Differences found between males and females in the relationship of psychological and social-environmental variables with suicidal ideation supports the need to examine gender specific relationships when conducting research on suicidal behavior in adolescents.