An integrative model of stress management groups for women

This article proposes an integrative model for stress management groups for women, representing a biopsychosocial point of view and drawing on theories of psychodynamic group psychotherapy, self-psychology, female development, and stress management. The basis of the model is an eight week traditional stress management group. The novel aspects of this integrative model are that it aims to increase the power of stress management groups for women by providing an articulated frame, attending to group process, promoting curiosity regarding resistance to behavior changes, encouraging the elaboration of affect, and giving importance to the role of relationships in each member's quest for self care and healthy entitlement.     

Cognitive appraisal,vulnerability and coping: An integrative analysis of appraisal and coping mechanisms

Research on stress has generally concluded that stress occurs within the person as a result of their cognitive appraisal of experience. However although a number of cognitive theories of emotion exist, an integrative analysis of cognitive appraisal and vulnerability to stress has not been produced. This report contains two studies. Study 1 draws together the major variables identified in the literature in an analysis of their power to differentiate between a clinical sample (n = 48), a self-help group (n = 54), and a control sample (n = 509). The analysis shows that achievement motivation, attributional style, problem-solving style, emotional reactivity; hopelessness, perceived control and perceived social support are significant discriminators. In a second study the relationship between these variables and aspects of life stress, work stress, life satisfaction, depression, anxiety, and positive affect were investigated. Again the data support an explanatory role for these variables. The suggestion is that these variables can be utilized in an integrative model of cognitive appraisal in the stress process to guide intervention.     

The magic of collective emotional intelligence in learning groups: No guys needed for the spell!

Using a cross‐lagged design, the present study tests an integrative model of emergent collective emotions in learning groups. Our results indicate that the percentage of women in the group fosters the emergence of collective emotional intelligence, which in turn stimulates social integration within groups (increases group cohesion and reduces relationship conflict) and the associated affective similarity, with beneficial effects for group effectiveness.     

Does a self management intervention lower distress in woman diagnosed with breast cancer?1

Psychological distress is particularly common with any cancer diagnosis. This paper examined the psychological distress in a cohort of women newly diagnosed with breast cancer and postulates on the underlying theory. A longitudinal study of a cohort of women (n = 147) diagnosed with breast cancer (within the past 1 year), was conducted at University Malaya Medical Centre, Kuala Lumpur. Data were collected at baseline and at post 4‐week intervention. Analysis of variance was conducted to examine for any significant differences in the change‐scores between the experimental group (n = 69) and the control group (n = 78). Using the change scores, analyses of variance showed significant differences between groups for stress, F(1, 140) = 13.68, p < .0001, anxiety F(1, 140) = 8.44, p < .004, and depression, F(1, 140) = 11.57, p < .0001. Levels of stress, anxiety and depression generally decreased significantly in the experimental groups, p < .05, but either maintained or increased in the control group. This study indicates that the level of psychological distress of women with breast cancer can be ameliorated with a 4‐week self‐management intervention. Lower stress levels were also found in women who reported engagement in higher physical activity than women with low physical activity.     

Books Received

The physical and mental consequences of the Holocaust combined with difficult present events and the problems of old age can have devastating effects on survivors. Our clinic has recently introduced a psychodynamic-supportive group therapy model for elderly Holocaust, survivors. The model includes specific integrative interventions, which are based on Horowitz's model, of mourning and coping with stress and the leaders' clinical experience. The aim of the group is to improve the patients' homeostasis and enhance their ego functions and adaptation to inner and outer worlds. The theory and working model, are described.     

Sexual Minority Stress and Social Support Explain the Association between Sexual Identity with Physical and Mental Health Problems among Young Lesbian and Bisexual Women

Bisexual women report more physical and psychological health problems than lesbian women do, which may be attributed to greater sexual minority stress and less social support. However, many studies combine lesbian and bisexual women into a single group. The current study examined if sexual minority stress and social support mediated the association between women’s sexual identity (lesbian or bisexual) and health-related outcomes. A total of 650 U.S. young adult lesbian (n?=?227) and bisexual (n?=?423) women completed an online survey about sexual minority stress, social support, and physical and mental health problems. Bisexual women reported more physical and mental health problems. A sequential mediation model showed that bisexual women reported greater sexual minority stress than lesbian women, which in turn was associated with less social support, which was associated with more physical and mental health problems. Greater sexual minority stress and lower social support may help explain why bisexual women report more health-related problems than lesbian women. The results of the present study support the importance of examining risk and protective factors for health problems separately for lesbian and bisexual women. Health-related intervention programs that target sexual minority women may need to be tailored differently for lesbian and bisexual women.

     

Managing Workplace Conflict in the United States and Hong Kong

We propose that managers have norms (standards of appropriate behavior) for resolving conflict, that these norms are culturally based, and that they explain cultural differences in conflict management outcomes. We confirm that the traditionally American norms of discussing parties' interests and synthesizing multiple issues were exhibited more strongly by American managers than by their Hong Kong Chinese counterparts. In addition, we confirm that the traditionally Chinese norms of concern for collective interests and concern for authority appeared more strongly among Hong Kong Chinese managers than among their American counterparts. American managers were more likely than Hong Kong Chinese managers, to resolve a greater number of issues and reach more integrative outcomes, while Hong Kong Chinese managers were more likely to involve higher management in conflict resolution. Culture had a significant effect on whether parties selected an integrative outcome rather than an outcome that involved distribution, compromise, higher management, or no resolution at all. Conflict norms explained the cultural differences that existed between reaching an integrative outcome and reaching an outcome involving distribution, compromise, or higher management; however, conflict norms did not fully explain the cultural differences that existed between reaching an integrative outcome and reaching no resolution.     

Managing group process in nonprocess groups: Working with the theme-centered psychoeducational group

While there has been a recent proliferation of groups for consultative and psychoeducational purposes, little has been written about using the group process in these nonprocess groups. This paper investigates the management of various group processes in a group whose contracted focus is teaching stress management skills. Distinctions are made between psychotherapeutic and theme-centered psychoeducational process management. Many group processes can be predicted given the group's normal developmental stages, while other ongoing group processes arise spontaneously. A working dialogue between the presented content and the emerging process is necessary in order for psychoeducation to be personalized and most fully assimilated. A clinical vignette follows the evolution of a stress management group conducted for high-level executives who have been identified as manifesting Type-A behaviors. For each session, the format and material content are briefly outlined, the emerging group process is described, and the clinical interventions involved in the process management are discussed.     

School Psychologists at Mid-Century Edited by Norma E. Cutts

Considerable evidence suggests that group interventions are a valuable resource for cancer patients, but few conceptual frameworks are available to guide decisions about which approaches might be most usefulforwhich patients at what phases of illness. This article presents an integrative treatment model for group services. It describes different group interventions geared toward patients at different phases of illness to accommodate the shifting needs and concerns that evolve over the course of the disease. Recommendations are offered concerning further research and model development.     

The challenge of becoming an integrative counsellor: The trainee's perspective

Aim: Integrative therapeutic practice is commonplace within the UK. Counsellors and psychotherapists increasingly report working in this way and numerous training courses have developed which advocate such practice. Despite its popularity, researchers have paid little attention to the impact that such training has upon students. This study therefore explores newly qualified counsellors' reflections of undertaking professional training in integrative counselling. Design: Newly qualified counsellors were invited to take part in a focus group to discuss their training experiences. Two groups were held involving a total of seven people. The data generated was analysed using Grounded Theory. Findings: The core-category ‘The challenge of becoming an integrative counsellor’ was identified. Embedded within this were four sub-categories: (1) ‘training issues’, (2) ‘applied issues’, (3) ‘the development of an integrative theory and identity’, and (4) ‘the impact of integrative training post qualification’. Key findings include the willingness of trainees to tolerate theoretical ambiguity and the discomfort that surrounded not belonging to a pure paradigm community. Discussion: Recommendations are made that trainers and practice supervisors are mindful of the distinct struggles that integrative trainees encounter. Additionally, in response to the isolation that some trainees report, greater use of peer support networks is encouraged.     

The Relationships of Primary Appraisals of Infertility and Other Gynecological Stressors to Coping

Women experiencing infertility, pregnancy, medical gynecological problems, or annual checkups were assessed for primary appraisal of their stressor and types of coping strategies used. Diagnostic category approximated the subjective appraisal of stressor for pregnant (challenge) and checkup (no stress) groups. Most participants in the medical gynecological problems group appraised their stress as a threat, but a few participants chose other appraisal categories. Infertility was associated with two categories of appraisal—loss and challenge. Participants appraising their stressor as a loss made greater use of the coping strategies of Action, Wishful Thinking, and Fatalism than did women appraising their stressor as a challenge, a threat, or not stressful. Women appraising infertility as challenge were less distressed than women in any other group. The bimodal perception of infertility has implications for treating women who seek psychological help.     

Understanding pro‐environmental intentions by integrating insights from social mobility,cosmopolitanism, and social dominance

To offer an integrative account bridging individuals’ sociocultural orientations with pro‐environmentalism, the current research tested the mediating and moderating relationships among pro‐environmental intentions and three person‐level factors: perceived social mobility, cosmopolitan orientation, and social dominance orientation (SDO). With a Singaporean college student sample (N = 220), we found support for the hypothesized second‐stage moderation model that perceived social mobility positively predicts cosmopolitan orientation, and in turn, cosmopolitan orientation is moderated by SDO to positively predict pro‐environmental intentions. Specifically, lower levels of SDO strengthen the pro‐environmental advantages of endorsing higher levels of cosmopolitan orientation. These findings add novel knowledge to the environmental psychology literature by advancing an integrative approach that demonstrates how the interplay of people's perceptions about the social, cultural, and group standing impacts their likelihood to engage in pro‐environmental actions. We discuss the implications that an egalitarian worldview toward other cultures, social groups, and human–nature relations might be the key to addressing the global challenge of climate change.     

Stress management: a randomized study of cognitive behavioural therapy and yoga

In this study, a stress management program based on cognitive behavioural therapy principles was compared with a Kundaliniyoga program. A study sample of 26 women and 7 men from a large Swedish company were divided randomly into 2 groups for each of the different forms of intervention; a total of 4 groups. The groups were instructed by trained group leaders and 10 sessions were held with each of groups, over a period of 4 months. Psychological (self-rated stress and stress behaviour, anger, exhaustion, quality of life) and physiological (blood pressure, heart rate, urinary catecholamines, salivary cortisol) measurements obtained before and after treatment showed significant improvements on most of the variables in both groups as well as medium-to-high effect sizes. However, no significant difference was found between the 2 programs. The results indicate that both cognitive behaviour therapy and yoga are promising stress management techniques.     

Do conflict management styles affect group decision making? Evidence from a longitudinal field study

This study examined the relationship between group conflict management styles and effectiveness of group decision making in 11 ongoing, naturally occurring workgroups from 2 large U.S. organizations. The major postulate of the study was that groups develop norms regarding how they will manage conflicts that carry over to affect other activities, such as decision making, even when these activities do not involve open conflict. To determine the impact of conflict management style on decision effectiveness, a longitudinal design was used that identified conflict management styles in the initial portion of each team's series of meetings and then analyzed a group decision taken in a meeting near the end of that series. Group conflict management styles were determined using observational methods, and decision effectiveness was measured using multiple indices that tapped member, facilitator, and external observer viewpoints. Task complexity also was considered as a possible moderating variable. The findings suggest that groups that developed integrative conflict management styles made more effective decisions than groups that utilized confrontation and avoidance styles. Groups that never developed a stable style were also less effective than groups with integrative styles.     

Individual differences in responses to workplace stress: the contribution of attachment theory

Work stress is a major cause of physical and psychological distress, and both theory and research highlight the importance of individual differences in coping efforts. The present research clarifies the mechanisms linking attachment insecurities (anxiety and avoidance) to maladaptive coping; specifically, we tested an integrative model assessing stress appraisals as a mediator between attachment insecurities and coping strategies, together with mediating and moderating effects of coping resources (perceived self‐efficacy and social support). A community sample of 113 men and 115 women completed an online survey which incorporated a standardized vignette depicting workplace stress. The results supported stress appraisal as a mediator between attachment anxiety and less adaptive coping, and established both mediating and moderating effects of perceived coping resources. The effects support the relevance of attachment theory to the study of workplace stress.     

A Systematic Framework for Integrating Psychological Evaluations and Interventions

A systematic framework for an integrative approach to psychological evaluations and interventions is proposed based on the executive system model of intelligence, the transactional processes of stress and coping, and the field properties of the personal domain. The executive system of intelligence is a comprehensive model that helps to explain the active components of various types of psychotherapies. We are proposing that psychotherapies facilitate clients' uses of their executive functions to develop coping strategies in their transactions with the environment and the events in their life space. A clinical case is presented to illustrate our systematic approach to psychological evaluation and intervention.     

TRAIT AND BEHAVIORAL THEORIES OF LEADERSHIP: AN INTEGRATION AND META‐ANALYTIC TEST OF THEIR RELATIVE VALIDITY

The leadership literature suffers from a lack of theoretical integration ( Avolio, 2007 , American Psychologist, 62, 25–33). This article addresses that lack of integration by developing an integrative trait‐behavioral model of leadership effectiveness and then examining the relative validity of leader traits (gender, intelligence, personality) and behaviors (transformational‐transactional, initiating structure‐consideration) across 4 leadership effectiveness criteria (leader effectiveness, group performance, follower job satisfaction, satisfaction with leader). Combined, leader traits and behaviors explain a minimum of 31% of the variance in leadership effectiveness criteria. Leader behaviors tend to explain more variance in leadership effectiveness than leader traits, but results indicate that an integrative model where leader behaviors mediate the relationship between leader traits and effectiveness is warranted.     

Effects of mindfulness-based stress reduction on prenatal stress,anxiety and depression

Low well-being is common among Chinese pregnant women but few effective interventions currently exist to improve prenatal stress and negative emotions. Mindfulness-based stress reduction (MBSR) has been proved to be effective in reducing stress and rarely studies were focused on Chinese pregnant women. The aim of the current paper is to investigate the effects of 8-week MBSR on prenatal stress, anxiety and depression among Chinese pregnant women. A sample of 66 pregnant women randomly allocated into either the MBSR group (n=34) or the control group (n=32). Participants in the MBSR group received a group 8-week, 90-min each time intervention. The results found a significant interaction between time and condition for prenatal stress (F=45.51, p<0.001, η ²=0.427), anxiety (F=19.30, p<0.001, η ²=0.240), while depression showed no time-by-group interaction (F=0.29, p=0.589, η ²=0.005). As for the sub-scale of state anxiety, while there was only no time effect (F=3.68, p=0.060, η ²=0.057). The findings of this study preliminary indicated effects of the MBSR intervention on self-reported prenatal stress and anxiety in comparison to a treatment-as-usual control. Effect on depression was not observed may due to the low level of depression of participants. This study provides preliminary evidence that MBSR is suitable for Chinese pregnant women and be effective in decreasing prenatal stress, anxiety.     

Leaders' achievement goals and their integrative management of creative ideas voiced by subordinates or superiors

The purpose of this research was to examine the joint impact of leader achievement goals and hierarchical position of the voicer of creative ideas (subordinate vs. superior) on the extent to which leaders (intent to) integrate these voiced creative ideas with their own ideas (integrative idea management). In a scenario‐based survey (study 1; N = 189), in which we measured participants' achievement goals, we found that the relationship between leaders' performance goals and their intention to integrate voiced creative ideas is contingent on the hierarchical position of the idea voicer. Similarly, in an experimental study (study 2; N = 94), in which we experimentally induced achievement goals, we found that leaders display lower integrative intentions when ideas are voiced by a subordinate rather than a superior, but this was only true for leaders pursuing performance goals. Furthermore, the results of an additional, exploratory analysis suggest that the hierarchical position of the voicer of creative ideas had an indirect effect on integrative behavior through integrative intentions for performance goal leaders and no effect for mastery goal leaders. Together, these findings advance our understanding of how middle management leaders are influenced by their own achievement goals when managing the creative ideas voiced by subordinates and superiors.     

A self-regulation-based intervention to increase physical activity in cancer patients

The study examined whether a behavior-change intervention focusing on self-regulatory strategies and emphasizing role model support increases physical activity (PA) among insufficiently active (not meeting PA guidelines of 150 min/week) cancer patients. Ambulatory cancer patients [N = 72; 54% female; M = 56 years, SD = 12.34; most with breast or colon cancer (34, 15%)] were enrolled in the MOTIVACTION-study, a 4-week intervention (1-hr counseling, followed by weekly phone calls), with pretest (T1), posttest (T2) and a 10-week follow-up (T3). Participants were randomized to either an exercise or to a stress management intervention (active control). The exercise intervention emphasized self-regulatory strategies (e.g. action- and coping planning and self-monitoring); patients were also encouraged to contact a physically active same-sex role model as a potential exercise partner. The active control condition consisted of coping and relaxation techniques. Sixty-seven patients remained in the study and completed the SQUASH assessment of PA and a measure of perceived stress. PA was validated by Actigraph accelerometry. At T2, 46% of the patients in the exercise group and 19% of stress management patients increased their activity levels to meet PA guidelines (>150 min/week; χ²(1) = 5.51, p = .019). At T3, participants in the exercise intervention maintained their exercise level (46%), but also 31% of the stress management patients met the guidelines. All patients reported reductions in perceived stress. Additional analyses comparing patients in the exercise group by role model contact (63% realized contact) revealed that those who had contact with their role model were significantly more likely to adhere to the recommended guidelines (T2:50%; T3:64%) compared to those who did not have contact with a role model (T2:39%; T3:15%), suggesting the potential of mobilizing role model support to facilitate PA. In sum, cancer patients may not only benefit from an exercise intervention emphasizing self-regulation, but also from stress management, regarding both reducing stress and increasing PA.