Stress,achievement, marriage and social support: Effects on the psychological well-being of physicians entering midlife/mid-career

Abstract

The major aim of this study was to examine the relative contribution of stress, professional achievement, personality, quality of marriage and family life, social support satisfaction, work satisfaction, average hours worked and family responsibilities to the psychological well-being (life satisfaction and psychological symptoms) of medical practitioners entering mid-life/mid-career. Fifty-nine female and 57 male physicians completed interviews, questionnaires, and daily stress records. The results confirm the central role that stress plays in the well-being of physicians. Pearson correlations and hierarchical multiple regressions showed other major variables examined did not explain additional variance in psychological symptoms, but did in some instances (professional achievement, quality of marriage, social support satisfaction for work issues) contribute to life satisfaction. A path model indicating a direct and independent effect of professional achievement on life satisfaction and a specific causal sequence of stress, quality of marriage and social support satisfaction for work issues is suggested.     

Evaluation of the psychometric properties of a modified Positive and Negative Affect Schedule including a direction scale (PANAS-D) among French athletes

ObjectivesThe goal of these studies was to provide validity and reliability evidence of a modified Positive and Negative Affect Schedule (PANAS) including a direction scale (PANAS-D). Study 1 tested the validity and reliability of the PANAS-D to measure both intensity and direction of affects. Study 2 examined the relationships between direction of affects and selected variables (i.e., coping, attainment of achievement goals and sport satisfaction) by controlling for intensity of affects.MethodA total of 306 and 296 athletes (studies 1 and 2) completed the PANAS-D and other self-report questionnaires. Data were analysed with reliability, confirmatory factor analyses (study 1) and correlational analyses (studies 1 and 2).DesignCross-sectional with self-reported questionnaires.ResultsIn study 1, the 4-factor structure of the PANAS-D (intensity and direction of positive affect and negative affect) fitted the data adequately. Multiple-group CFAs showed that PANAS-D was partially invariant across the two measurement occasions (before and after competition). The patterns of relationships between PANAS-D, attainment of achievement goals and coping provided evidence for the criterion-related validity of the PANAS-D. In study 2, direction of positive affect and negative affect were associated with selected outcomes (i.e., coping, attainment of sport achievement goals, and/or sport satisfaction) after intensity of these affective states were held constant.ConclusionsThis study provided support for the reliability and validity of the PANAS-D (study 1) and the incremental validity of the direction of affective states (study 2), supporting the distinction between athletes' intensity and direction of affective states.     

Regulatory Focus and Subjective Well-Being: The Mediating Role of Coping Styles and the Moderating Role of Gender

Abstract

Although previous research has suggested that regulatory focus may exert considerable impacts on individuals’ subjective well-being (SWB), little research has explored the mechanism for this relation and the potential gender difference. The current study investigated the potential mediating effects of coping styles on the relationship between regulatory focus and three aspects of SWB (indicated by life satisfaction, positive affect, and negative affect) among Chinese adolescents. Total of 2943 Chinese adolescents participated in this cross-sectional survey and completed self-reported questionnaires (M_age = 14.47, SD?=?1.59, 44.50% boys). Hypothesized pathways were tested by structural equation models. Results showed that regulatory foci were significantly associated with SWB. Promotion focus predicted SWB mainly through problem-focused coping, and the mediating effects of emotion-focused coping were also observed; Prevention focus predicted SWB mainly through emotion-focused coping, and the mediating effects of problem-focused coping were observed. Furthermore, relative to boys, the prediction of problem-focused coping on life satisfaction was stronger and the prediction of promotion focus on life satisfaction was weaker for girls. These findings provide a new approach to understand the mechanism for the relationship between regulatory foci and SWB, and indicate the gender differences of this process.     

Self-acceptance,resilience, coping and satisfaction of life in people who stutter

PurposeThe purpose of the present study was to evaluate self-acceptance and satisfaction with life with people who stutter and the influence of coping and resilience on the two factors.MethodForty-seven people who stutter (PWS) and 47 people who do not stutter (PWNS) participated in an online survey. Participants completed a survey assessing 6 main areas: (a) background information, (b) satisfaction with life, (c) coping, (d) avoidance, (e) self-acceptance, and resilience.ResultsAvoidant coping and maladaptive coping moderated the association between stuttering and self- acceptance but not satisfaction with life. Resilience was found to moderate the association between stuttering and self-acceptance as well as satisfaction with life.ConclusionStuttering was associated with lower self-acceptance at higher levels of avoidant coping and maladaptive coping. PWS who have lower levels of resilience were more likely to have a lower satisfaction with life indicating that higher levels of resilience could serve as a protective factor for having a greater satisfaction with life. Further, stuttering was associated with lower self-acceptance at lower levels of resilient attitude. Resilience and coping appear to protect against having diminished self-acceptance and satisfaction with life for PWS.     

Examining the individual within marriage: Personal strengths and relationship satisfaction

The present investigation aims to identify individual strengths that may benefit efforts toward marital enhancement. Ninety‐two married couples from the Southeastern United States completed questionnaires measuring positive affectivity, optimism, coping skills, personal expansion, and marital satisfaction. Results indicate that perceptions of a spouse's positive affectivity, as well as one's own positive affectivity, are related to relationship satisfaction. In addition, positive affectivity contributed to satisfaction above and beyond negative affectivity. Finally, optimism, coping skills, and personal expansion appear to be important resources for marriage via their association with each partner's affectivity. The discussion considers these results in the context of marital enhancement and relationship flourishing.     

Personality and coping in life challenge narratives

BackgroundSelf-reported personality traits are known to correlate with self-reported coping strategies. However, these correlations may be inflated by common method variance. The current study examined personality traits and coping strategies in autobiographical narratives.MethodIn open-ended interviews, 122 late-midlife participants described their single greatest life challenge. Participants’ responses were content coded for various coping strategies. We examined correlations between narrated coping strategies and self-reported personality traits assessed by the NEO-Five Factor Inventory.ResultsExtraversion was associated with narrated engagement coping. Neuroticism was associated with narrated disengagement coping. A trend suggested that conscientiousness was negatively associated with narrated disengagement coping. Surprisingly, openness was negatively associated with narrated problem-solving.ConclusionsThe current study replicates and extends the personality and coping literature into the domain of life narrative. Associations between extraversion, neuroticism, and coping styles appear to be robust outside the context of self-report coping questionnaires.     

Relationships among Athletic Identity,Coping Skills,Social Support,and the Psychological Impact of Injury in Recreational Participants

Abstract

The purpose of the present investigation was to examine athletic identity, coping skills, and social support as moderators of mood disturbance and physical self-esteem with the occurrence of injury in recreational participants. Thirty participants, who sustained an injury that prohibited physical activity for at least 6 weeks, completed a battery of questionnaires including measures of social support (Sarason, Levine, Basham, & Sarason, 1983), coping skills (Smith, Smoll, & Ptacek, 1990), athletic identity (Brewer, Van Raalte, & Linder, 1993), mood state (McNair, Lorr, & Droppleman, 1971), and physical self-esteem (Fox & Corbin, 1989). Results from multiple regression analysis revealed that individuals' satisfaction with their social support network was significantly related to mood disturbance with increased satisfaction leading to lower levels of mood disturbance. No other relationships were significant. Results are discussed within the context of cognitive appraisal models of adjustment in order to better understand the injury process.     

A Place at the Table: Integrating Diet and Nutrition into Family Therapy Practice

Most schools of family therapy directly or indirectly recognize that personal qualities of the therapist influence therapy process. If personal qualities of therapists are associated with therapy process, it seems plausible that there would be some interaction between their personal relationships and therapy process. The present study examines the relationship between emotion management at home and emotion management at work to job satisfaction and marital satisfaction of marriage and family therapists. Results suggest that men and women experience a different interaction between emotion management, relationship satisfaction, and job satisfaction.     

Self-Compassion and Forgiveness: Major Predictors of Marital Satisfaction in Young Couples

Abstract

This study examined self-compassion and forgiveness versus marital satisfaction in 200 couples aged 20-40?years, with a marriage history of 1-10?years. We collected the data, using the Enrich couple, self-compassion and family forgiveness scales. Pearson’s correlation and multiple regressions for women showed that marital satisfaction was associated with self-compassion; however, forgiveness predicted marital satisfaction in men. Self-compassion primarily and forgiveness, to a lesser extent, could predict marital satisfaction in the total samples. These variables were the predictors of marital satisfaction in the young couples. Family counselors should encourage couples to improve upon these attributes to enhance their marital relationships.     

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.     

The psychosocial predictors of long-term distress in partners of patients with acute coronary syndrome

Objective: Partners of acute coronary syndrome (ACS) patients are at risk of experiencing long-term distress and the purpose of this study was to identify its predictors.

Design: Using an observational design, 80 partners of ACS patients completed validated questionnaires at three time points. The predictor variables, marital satisfaction and optimism were assessed three weeks after patient hospital discharge (T1). The outcomes, depressive symptoms and physical health status (from a quality of life scale) were measured 6 (T2) and 12 (T3) months post-discharge, and scores were combined to indicate the long-term response.

Main outcome measures: Depressive symptoms and physical health status.

Results: Partner depressive symptoms increased and physical health status deteriorated over the months following the patients’ ACS. After controlling for demographics, clinical severity of ACS and T1 levels of the outcome variable, partners’ long-term depressive symptoms were predicted by poor marital satisfaction and low optimism at T1, and poor physical health status was predicted by low T1 optimism.

Conclusion: Psychosocial factors are predictors of long-term distress for ACS partners. Partners in an unhappy marriage or with low optimism after ACS are at an increased risk of depression and low physical health status, and should be the target of additional support.     

Coping as a building mechanism to explain the unique association of affect and goal motivation with changes in affective states

Background and objectives: In this study, we examined the mediating role of university students’ coping strategies in the unique/additive influence of affective states and goal motivation on upward changes in affect during a midterm exam period. Design: Using a short-term prospective design, key assumptions from the self-concordance model and the broaden-and-build theory were drawn upon to determine whether coping strategies are influenced by goal motivation and affective states, while also subsequently influencing short-term changes in affective states during a semester. Method: A sample of 272 students (79% females and 21% males) participated in a study in which they completed questionnaires twice during the semester. Results: Results of structural equation modeling, using a true latent change approach, have generally supported our hypotheses. Positive affective states and autonomous goal motivation prospectively predicted task-oriented coping which, in turn, was associated with increases in positive affect. Negative affective states and controlled goal motivation prospectively predicted disengagement-oriented coping which, in turn, was associated with increases in negative affect. Conclusion: Coping partially mediates the unique association of affect and goal motivation with changes in affective states of university students.     

Roles of Leisure in Coping with Stress Among University Students: A Repeated-Assessment Field Study

This article reports findings of a study to examine the effects of leisure coping on various stress coping outcomes including: immediate outcomes (perceived coping effectiveness, perceived satisfaction with coping outcomes, and perceived stress reduction) and distal or long-term outcomes (physical and mental ill-health and psychological well-being), above and beyond the contributions of general coping - coping not directly associated with leisure. A repeated-assessment field design was used to examine ways in which university students cope with stressors in their daily lives. The study found that leisure coping beliefs (leisure-generated dispositional coping resources) significantly predicted lower levels of mental and physical ill-health and greater levels of psychological well-being above and beyond the effects of general coping. Also, the use of leisure coping strategies (situation-specific stress coping strategies through leisure) was significantly associated with higher levels of perceived coping effectiveness and stress reduction when the effects of general coping were taken into account. Significant contributions of specific leisure coping dimensions were found as well.     

Implicit Theories of Marriage and Evaluations of Marriage on Television

This study integrated social-cognitive and interpersonal frameworks in the mass communication setting. Although television presents a fairly consistent view of marriage as conventional and happy, we proposed that college students’ marital schemata, or implicit theories about marriage, would influence their evaluations of television couples’ marital satisfaction. College students (N = 358) completed two waves of questionnaires that used Fitzpatrick's (2988) Relational Dimensions Instrument to assess marital schemata and perceptions of married couples on television. Partial correlations revealed that greater similarity between marital schemata and ratings of television couples’ marriage type was associated with higher ratings of perceived television marital satisfaction. Analysis of covariance indicated that this effect held only for the Traditional schema type. The discussion focuses on the implications of the findings for media effects and marital communication research.     

Psychological support needs of patients with head and neck cancer and their caregivers: A qualitative study

Objective: The aim of this study was to explore the psychological support needs of patients with head and neck cancer (HNC) and their caregivers. The appropriate timing, length, format and content of sessions were also investigated.

Design: Eighty-three patients with HNC and 73 of their caregivers completed questionnaires at diagnosis. Follow-up questionnaires were mailed to patients six months later.

Main outcome measures: Free text-comments to open-ended questions in the questionnaires were analysed using an inductive thematic approach with coding and theme development directed by the content of responses. This was used to determine psychological support needs both at diagnosis and at six month follow-up.

Results: Patients described ‘just being there’, empathy, maintaining normality and practical support as helpful from family/friends. They desired information, honesty, positivity and empathy from clinical staff. Formal psychological support was desired by approximately 40% of patients and caregivers, particularly early after diagnosis and during treatment. Most participants desired face to face sessions, providing individualised information and coping strategies.

Conclusion: The results of this study suggest that psychological interventions for patients with HNC and their caregivers should be delivered early after diagnosis in face to face sessions, presenting honest and factual information about the disease and coping strategies.     

Validity of the trait emotional intelligence questionnaire in sports and its links with performance satisfaction

ObjectiveThis research project consisted of two studies aimed at validating the trait emotional intelligence questionnaire (TEIQue) in a sports sample.DesignStudy 1 used a confirmatory factor analysis (CFA) to investigate if the original 4-factor structure of the TEIQue could be replicated in a sample of athletes. In addition, we explored the relationship between trait emotional intelligence (trait EI) and the demographic variables age, sex, type of sport (individual vs. team), expertise, and years of training. Study 2 used a path analysis approach to explore if trait EI is related to performance satisfaction through stress appraisal and coping behaviors.MethodIn Study 1, 973 athletes completed the TEIQue and a demographic questionnaire. In Study 2, 291 athletes completed the TEIQue. Moreover, with a recent competition in mind, they completed the Coping Inventory for Competitive Sports, as well as items on perceived intensity of stress, perceived controllability of stress, challenge and threat appraisals, coping effectiveness, and performance satisfaction.ResultsStudy 1 showed with a CFA that the original 4-factor structure of the TEIQue could be replicated in a sports sample. Of the demographic variables, only age showed a significant positive relationship with trait EI. Study 2 showed that trait EI was related to performance satisfaction through stress appraisal and coping variables.ConclusionsThis research showed that the TEIQue can be used with athletes and that trait EI is useful for understanding certain aspects of sports performance satisfaction.     

Passionate hockey fans: Appraisals of,coping with,and attention paid to the 2012–2013 National Hockey League lockout

ObjectivesWe examined if harmonious and obsessive passion for watching hockey were differentially related to stress experiences during the 2012–2013 National Hockey League (NHL) lockout.DesignCross-sectional data were collected from 256 undergraduate hockey fans.MethodParticipants completed questionnaires that measured passion types, stress appraisals, coping, and how they attended to lockout-related information.ResultsObsessive passion was positively associated with stress appraisals, most types of coping, and with avoiding information about the lockout. Harmonious passion was unrelated to stress appraisals, showed few relationships with coping, and was positively related with monitoring lockout-related information. Structural equation modelling supported a model whereby threat appraisal mediated the relationship between obsessive passion and disengagement-oriented coping.ConclusionsAppraising, coping with, and paying attention to the NHL lockout among hockey fans varied to the extent that their passion for hockey was more harmonious or obsessive.     

Determinants of sanitary measures and lockdown compliance among health professionals during the COVID-19 pandemic

IntroductionCOVID-19 pandemic forced several countries to establish sanitary and lockdown measures to prevent the spreading of the virus. Only necessary workers were allowed to work, including health workers in hospitals.ObjectivesThis study explores the association between some variables and sanitary measures compliance among health workers during a pandemic.MethodA total of 299 Health workers were recruited online using social networks. Participants completed questionnaires evaluating personality, coping, Anxiety and depression, psychological flexibility and sanitary measures compliance.ResultsCorrelations indicated most observant participants were more likely to present efficient coping and more based on problem solving. Also, Honesty-Humility as a personality trait was positively correlated to a better compliance. Regressions indicated the perceived utility of sanitary measures was the strongest predictor for compliance among health workers. Honesty-Humility and sanitary risks perception were predictors for compliance.ConclusionsThis study conducted among health workers points indicates variables associated with higher compliance. Our results suggest compliance and non-compliance as health behaviours or risk behaviours are linked to perceived threats. This perception is linked to health workers’ knowledges, their coping strategies, and personality.     

The impact of a laryngectomy on the spouse: Who is better off?

Background: Diabetes self-care is a key element in the overall management of diabetes. However, the importance of psychosocial factors for successful disease management is under investigated. This study aimed at exploring the role of coping styles and social support in the relationship between self-care activities and glycated haemoglobin in patients with type 2 diabetes.

Methods: One hundred adults (60% female, aged 40–70 years) with type 2 diabetes completed questionnaires assessing self-care activities, coping styles and social support. In addition, a blood test was performed to obtain glycated haemoglobin levels.

Results: Result showed significant relationships of glycated haemoglobin with self-care activities, coping styles and social support. Regression analysis indicated that social support had a moderating role on the relationship between self-care activities and glycated haemoglobin, such that, at very high levels of social support the association, between Self-Care and HbA1c disappears.

Conclusions: Findings indicate that health care providers, within the context of the Iranian social and cultural situation, should pay more attention to psychosocial factors when addressing self-care activities. Delineation of the role of coping styles and social support might be useful for identifying patients in need of particular counselling and support for improving self-care activities and HbA1c levels.     

The Lost Parents' Perspective on Parental Alienation Syndrome

This study examined five alienated fathers' and one alienated mother's perception of parental alienation syndrome (PAS). The data were collected via semistructured, open-ended interview questionnaires to determine if there were shared characteristics among alienated families, common issues in the marital conflicts that contributed to the marriage dissolution, the nature of the participants reports of alienation, similarities in the experience of alienation, and what things a lost parent might do differently. The findings are discussed along with limitations of the study.