Coping Strategies,Substance Use,Sexual Activity,and HIV Sexual Risks in a Sample of Gay Male STD Patients1

The relationships of coping strategies with levels of substance use and sexual activity, and with HIV sexual risks, are examined in a sample of gay male STD clinic patients (n = 416). Previous research has suggested that use of problem-focused coping strategies should be negatively related to levels of substance use, levels of sexual activity, and HIV sexual risks; use of emotion-focused coping strategies should be positively related to these outcomes. It is argued that substance use and sexual activity clearly fit within a coping perspective, but that the HIV sexual risks/coping relationship is less clear. In multivariate analysis, the problem-focused strategy of advice seeking is negatively related to the number of types of drugs used and to the number of sexual partners; the problem-focused strategy of support seeking is negatively related to the number of days using drugs; and the use of emotion-focused strategies is positively related to the number of types of drugs used. Problem-focused coping strategies are less directly related to engaging in HIV sexual risks when measures of substance use and of sexual activity are included in the prediction; emotion-focused coping strategies are more stably related to HIV risk. Indirect effects of coping on HIV risk are also identified through the effects of coping on the number of types of drugs used, number of sex partners, and number of times having sex. It is proposed that the relationships between coping and levels of substance use and sexual activity reflect the use of these activities as ways of relieving strain, but that relationships between coping and HIV sexual risks involve less clearly understood direct and indirect relationships.     

Moderating effects of age and context on the relationship between gender,sex role differences,and coping

We examined age, gender, sex role, and context differences in type of coping among adolescents through older adults. They were given measures of coping and sex role orientation for both relationship and achievement contexts. Emotion-focused coping decreased with age, with high-femininity individuals reporting higher levels of coping. Older low-feminine adults reported greater use of emotion-focused coping than all other subjects except adolescents. Problem-focused coping showed an upward trend with age for low-feminine subjects. High-feminine subjects followed a similar trend until adulthood and then showed a decrease. Achievement and relationship contexts moderated the relationship between age, gender, sex role orientation, and problem-focused coping. Results are discussed in terms of sex roles and adult development.     

The roles of sex, gender, and coping in adolescent depression

This study investigated the roles of coping and masculinity in higher rates of depressive symptoms among adolescent girls, as compared to boys. A model was designed and tested through path analysis, which involved the variables of sex, gender, problem-focused coping, rumination, and distraction. The Reynolds Adolescent Depression Scale and the Bem Sex Role Inventory, as well as a measure of coping with general stressors was completed by 246 adolescents. Results showed that adolescent girls were more depressed than boys, and that girls used more emotion-focused and ruminative coping than did boys. Greater degrees of ruminative coping were related to high levels of depressive symptoms. Problem-focused and distractive coping were positively correlated with masculinity and negatively associated with depression. Surprisingly, girls were more likely to use problem-focused coping. Problem-focused and distractive coping were found to mediate the negative relationship between masculinity and depression.     

Adjustment to the stress of simulated captivity: effects of emotion-focused versus problem-focused preparation on hostages differing in locus of control

We instructed 57 subjects about to be exposed to a simulated abduction and 4 days of captivity in either problem- or emotion-focused coping techniques, or we gave them a control orientation presentation. Retrospective self-report data obtained on the Ways of Coping Checklist indicated that subjects tended to use coping processes consistent with the type of prestress preparation they had received. Dramatic fluctuations in State Anxiety scores over the course of captivity indicated that the simulation was perceived to be highly stressful. Subjects given emotion-focused preparation reported the lowest anxiety and emotional distress levels and were rated as exhibiting the lowest levels of behavioral disturbance during captivity. Externals engaged in more emotion-focused coping than internals, but externals given problem-focused preparation responded the most poorly of all subgroups on all response measures. Overall, locus of control differences were of secondary impact (vs. situational variables) in influencing anxiety and adjustment. We discuss the characteristics of the stressor that may have accounted for the major findings and the stressful circumstances under which emotion-focused versus problem-focused coping may be of differential utility.     

Mediating Effects of Perceived Personal Control in Coping With a Health Threat: The Case of Genetic Counseling1

The potential impact of perceived personal control on coping with a medical threat was investigated in genetic counseling, a clinical setting where issues of personal control are central. Data were collected from 72 counselees at a genetic clinic before, immediately after, and 1 month after initiating genetic counseling. Findings supported the hypothesized mediating model. Higher perceived control (cognitive-interpretive and decisional) and satisfaction with genetic counseling mediated between genetic counseling and the use of less emotion-focused coping strategies. Problem-focused coping was predicted only directly by counselees' knowledge of their problem after genetic counseling. Changes in emotion-focused coping were related to perceived increases in positive affect 1 month later, while changes in use of problem-focused coping were related to perceived decreases in both positive and negative affect.     

Salesperson Burnout: A Test of the Coping-Mediational Model of Social Support

Salesperson burnout continues to be a major concern among sales organizations. In this work, the authors examine whether certain coping strategies mediate the impact of sales manager support on salesperson burnout; as suggested by Thoits’s (1986) Coping-Mediational Model. More specifcally, this work investigates if problem-focused coping and emotion-focused coping mediate the impact of sales manager support on feelings of emotional exhaustion in a feld sales setting. Study fndings indicate that positive sales manager support has a signifcant negative direct effect on salespersons’ emotional exhaustion. Findings also support the assertion that sales manager support encourages salespersons’ use of problem-focused coping strategies that, in turn, further reduce emotional exhaustion. In contrast, sales manager support does not signifcantly infuence salespersons’ use of emotion-focused coping; however, emotion-focused coping does signifcantly increase emotional exhaustion.     

Causal attribution,coping strategies,and combat-related post-traumatic stress disorder

The present study assesses the intervening role of ways of coping in mediating the effects of causal attribution for negative events on combat-related post-traumatic stress disorder (PTSD). The sample consisted of Israeli soldiers who suffered a combat stress reaction episode during the 1982 Lebanon War and were followed 2 and 3 years after their participation in combat. The results showed that an attribution of negative events to stable and uncontrollable causes was associated with both a more frequent use of emotion-focused coping and a less frequent use of problem-focused coping. It was also found that emotion-focused coping and problem-focused coping were more direct antecedents of combat-related PTSD than causal attribution. Finally, it was found that the association between causal attribution and combat-related PTSD was mediated by variations in emotion-focused coping. The discussion attempts to integrate theoretical notions derived from attributional models and Lazarus and Folkman's stress-coping model.     

Discriminative facility in the face of threat: Relationship to psychological distress

Abstract

This study explored whether discriminative facility in dealing with threatening situations is negatively associated with distress. Discriminative facility entails the ability to (1) “accurately” appraise the controllability of stressors and (2) use more problem-focused relative to emotion-focused coping with controllable stressors and at the same time more emotion-focused relative to problem-focused coping with uncontrollable stressors. We conducted a preliminary study to obtain “accurate” appraisals of the controllability of two stressors. In the main study, college students (N = 109) provided information regarding their appraisal of the controllability of the two stressors, how they coped with these two stressors, and their level of both stressor-specific distress and general distress. The relationship between coping strategy (problem- vs emotion-focused) and stressor-specific distress was found to be a function of the controllability of the stressor. Specifically, with controllable stressors, the high use of problem-focused coping was associated with less distress than the high use of emotion-focused coping. The opposite was found to be the case with uncontrollable stressors. More importantly, discriminative facility was negatively related to general distress. The results suggest that discriminative facility in the appraisal of and coping with stressors is an important mediator in the experience of psychological symptoms as a result of stress.     

Coping with Job Loss and Reemployment: A Two-Wave Study

Using a national sample, this study investigated the effects of unemployed workers’ coping resources and coping strategy use on reemployment after a three-month period. Based on previous research, it was expected that (1) three types of coping resources (self-esteem, social support, and financial resources) would be positively related to problem-focused coping with job loss, (2) coping resources would be negatively related to emotion-focused coping with job loss, (3) problem-focused coping would be positively related to reemployment, (4) problem-focused coping would be more strongly related to reemployment than emotion-focused coping, and (5) coping strategies would mediate the relationship between the availability of coping resources and obtaining reemployment. Results provided support for the direct effects of coping resources (self-esteem, social support, and, to some extent, financial resources) on coping strategies, and a direct effect of problem-focused coping on reemployment 3 months later. Self-esteem and social support were each indirectly related to subsequent employment status, mediated by problem-focused coping. In other words, individuals with higher levels of self-esteem and social support were not only more likely to engage in problem-focused coping, but having a higher level of self-esteem and social support was also associated with a higher likelihood of being reemployed three months later. Findings are pertinent for the design of more effective interventions that mitigate adverse effects of unemployment and facilitate a successful return to the workforce.     

Coping and learned helplessness: Effects of coping strategies on performance following unsolvable problems

The current study assesses the effects of individuals' coping strategies for dealing with stress on cognitive performance following unsolvable problems. In this study, subjects responded to a questionnaire tapping the use of problem-focused and emotion-focused coping strategies in dealing with failure in achievement settings. Then they were exposed to either no-feedback or failure in four unsolvable problems. Upon completing these problems, subjects performed a visual search task with a memory component. Results showed that failure, as compared with no-feedback, produced performance deficits among subjects who habitually relied on a single coping strategy, either problem- or emotion-focused, and among subjects who did not rely on any coping response. Only subjects who relied on both problem-focused and emotion-focused strategies did not show any performance deficit following unsolvable problems. The results are discussed in terms of Lazarus and Folkman's stress-coping model.     

Does Emotional Intelligence Predict Depressed Mood? A Structural Equation Model with Elderly People

It is widely accepted that older people need to perceive and understand their feelings and believe in their ability to adapt to negative situations or losses that occur in aging. In this study, we examined the relationships among emotional intelligence, coping, and depressed mood, measuring these relationships through a structural equation model (SEM). A total of 215 subjects over 60 years old with no cognitive impairment participated in the study. The results show that emotional intelligence positively predicts problem-focused coping, which in turn negatively predicts depressed mood. However, there is no significant relationship between emotional intelligence and emotion-focused coping, which positively predicts depressed mood. These results indicate that emotionally intelligent people make greater use of problem-focused strategies, and they benefit from them in achieving a positive mood and, therefore, better psychological adjustment, whereas emotional strategies foster depressed mood. It should be noted that emotional intelligence can be seen as an indicator of psychological adjustment and as a precursor of feelings associated with good mental health. Therefore, the implementation of activities that promote emotional intelligence can improve the quality of life of older people.     

Social Support, Social Undermining, and Coping in Underemployed and Unemployed Persons

Participants (94 unemployed, 77 underemployed) were administered scales tapping social support, social undermining, coping, and distress. We hypothesised that the unemployed would exhibit less social support but more social undermining and distress than the underemployed; females would report more social support but less social undermining; social support would better predict coping than social undermining; social undermining would better predict distress than social support. The unemployed reported less social support, more distress, and poorer coping. Males reported less social support and more emotion-focused coping. Social support significantly predicted distress and coping. No group or gender differences were identified for social undermining, which did not predict distress or coping. We discuss the role of social undermining and distress in the unemployed.     

Discriminative Facility in Perceptions of Control and Its Relation to Psychological Distress

This study explored the relationship between discriminative facility and distress. Individuals high in discriminative facility were characterized by high perceptions of primary control and high use of problem- relative to emotion-focused coping with controllable stressors and by low perceptions of primary control, high perceptions of compensatory control, and low use of problem- to emotion-focused coping with uncontrollable stressors. Participants provided information regarding their perceptions of control (control over outcome and control over one's feelings), how they coped, and their level of stressor-specific distress with three stressors, which varied in degree of controllability. They also provided information regarding their level of general distress. Problem-focused coping was found to be adaptive with the two most controllable stressors, but more so when perceptions of primary control were high. Control over one's feelings was helpful with all three stressors, but more so for individuals who had low perceptions of primary control. Finally, individuals high in discriminative facility were found to experience less distress than individuals low in discriminative facility.     

HIV-related stigma in African and Afro-Caribbean communities in the Netherlands: manifestations, consequences and coping

HIV-related stigma in African and Afro-Caribbean diaspora communities in the Netherlands was investigated. Interviews with HIV-positive and HIV-negative community members demonstrated that HIV-related stigma manifests as social distance, physical distance, words and silence. The psychological consequences of HIV-related stigma among those diagnosed with HIV reported were emotional pain, sadness, loneliness, anger, frustration and internalised stigma. The social consequences included decreased social network size, limited social support and social isolation, and resulted from not only enacted stigma but also self-imposed social withdrawal. Also, poor treatment adherence was a health-related consequence. People living with HIV employed both problem-focused and emotion-focused coping strategies to mitigate the negative consequences of stigma. Problem-focused coping strategies included selective disclosure, disengagement, affiliating with similar others, seeking social support and, to a lesser extent, activism. Emotion-focused strategies included distraction, positive reappraisal, religious coping, external attributions, disidentification and acceptance. HIV-related stigma clearly permeates African and Afro-Caribbean communities in the Netherlands, and should be targeted for intervention.     

Self-Esteem, Discrimination, and Coping Among Refugees: The Moderating Role of Self-Categorization

The present study examines the relationship between the personal self and ethnic identity among Iranian refugees living in the Netherlands. The extent to which participants considered themselves to be typical members of their ethnic minority group moderated the relationship between (a) personal self-esteem and ethnic self-esteem; (b) perceived personal discrimination and group discrimination; and (c) ethnic self-esteem and the use of emotion-focused and problem-focused strategies for coping with discrimination. Participants who saw themselves as typical Iranians showed a stronger association between personal and ethnic self-esteem, less personal/group discrimination discrepancy, and a relationship between ethnic self-esteem and coping with discrimination. In addition, participants favored problem-focused coping over emotion-focused coping, and perceived greater group discrimination than personal discrimination overall.     

A model of stress and coping and their influence on individual and organizational outcomes

A model of coping with stress is proposed in which coping mediates the relationship among organizational stressors and personal characteristics, and job-related strains and organizational outcomes. Study results, based on a sample of professional salespeople, provide overall support for most of the hypothesized relationships among work-related stressors, personal characteristics, and coping styles. Findings also support the influence of emotion-focused coping on the psychological outcomes of emotional exhaustion and job-induced anxiety; which in turn are found to influence job satisfaction and intention to withdraw. While problem-focused coping had no effect on job-induced anxiety, problem-focused coping did effect emotional exhaustion, which in turn influences job satisfaction and intention to withdraw. Minor differences were found when the proposed model was applied to saleswomen versus salesmen. Overall, however, the model was robust across both genders.     

情绪创造性的影响因素及其与应对方式的关系

探讨情绪创造性的影响因素以及情绪创造性与应对方式的关系及其途径。研究1对150名高中生施测父母教养觉知量表、简式人格问卷、情绪创造性问卷;研究2对152名高中生施测情绪创造性问卷、成就动机量表、应对方式问卷。结果表明,大五人格和父母教养方式均可显著预测情绪创造性;情绪创造性通过成就动机间接影响应对方式,其中有效性通过追求成功动机而促进问题中心应对,准备性通过避免失败动机而促进情绪中心应对。     

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.     

Coping use versus effectiveness as moderating the stress—strain relationship

This paper takes another look at coping as a moderator of the stress—strain relationship by assessing the extent of correspondence between subjects' use of various coping behaviours and their perception of their helpfulness (coping effectiveness). The use of four coping strategies and the perception of their helpfulness, as well as the stress and psychological distress of 79 subjects whose spouses were hospitalized, were assessed by questionnaires. The results show that when applying coping effectiveness scores, problem-focused coping and avoidance coping moderate the stress—strain relationship. Coping use scales revealed that only positiveappraisal coping reduced psychological distress.     

Psychological adjustment in breast cancer: processes of emotional distress.

The process of psychological adjustment to breast cancer was examined at diagnosis and at 3- and 6-month follow-ups in a sample of 80 women with Stage I-Stage IV breast cancer. At diagnosis, symptoms of anxiety/depression were predicted by low dispositional optimism, and this path was partially mediated by use of emotion-focused disengagement coping. Younger age also was predictive of anxiety/depression symptoms at time of diagnosis, and this relationship was fully mediated by magnitude of intrusive thoughts. At 3 months, changes in anxiety/depression symptoms were predicted only by intrusive thoughts. At 6 months, low dispositional optimism reemerged as a significant predictor of changes in anxiety/depression and again was partially mediated by the use of emotion-focused disengagement coping. Independent effects for problem-focused engagement and disengagement and emotion-focused engagement coping were also found at 6 months. Implications of these data for psychosocial interventions with breast cancer patients are highlighted.