Chronic parenting stress: moderating versus mediating effects of social support

The present study contrasted the widely cited "buffer" model of social support with an alternative mediator model. Distinctions were drawn between the functions of social support under chronic vs. acute stress conditions, and between situation-specific stressors and major life events. Ongoing parenting stress was assessed in 96 mothers of deaf children and 118 matched controls. Tests of the competing models showed no moderating effects for social support. However, path analyses suggested that social support mediated the relationship between stressors and outcomes. Chronic parenting stress was associated with lowered perceptions of emotional support, and greater symptoms of depression and anxiety. Furthermore, parenting stress accounted for a substantial proportion of the variance in psychological distress scores in contrast to life event stress, which was only weakly related to psychological outcomes. The implications of mediational models for understanding adaptation to chronic stress are discussed.     

Coping,life stress,and psychological and somatic distress

Theory and research have focused on the relationships among coping processes, stressful life events, and psychological and physical distress. This study was designed to examine the relationship of stressful life events and three styles of coping—emotion oriented, task oriented, and avoidance oriented—to physical and psychological distress. Questionnaires measuring coping styles, recent life stressors, and both physical symptoms and psychological symptoms were completed by 205 undergraduates (101 males and 104 females). It was hypothesized that task-oriented coping would negatively predict distress and that emotion-oriented coping would positively predict distress. The relationships of two types of avoidance-oriented coping (distraction and social diversion) to distress were also examined. Multiple regression analyses revealed that task-oriented coping was negatively related to distress, but only for males. Emotion-oriented coping was significantly positively predictive of distress for both males and females. The two subcomponents of avoidance-oriented coping—distraction and social diversion—were differentially related to measures of distress. Life event stress positively predicted distress, both as an independent contributor of variance and in interaction with several coping styles.     

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.     

Life Change and Psychological Distress: The Role of Perceived Control and Desirability

Two studies were conducted to specify what attributes of life change events increase the risk of future psychological distress. It was hypothesized that the events perceived as both undesirable and uncontrollable would be most likely to be linked to subsequent distress. In the fiist study, which employed a retrospective methodology, 117 college students reported the life changes that occurred to them over a 3-month span and indicated the desirability and controll-ability of each event. These subjects also responded to an inventory, used in studies of community mental health, to assess symptoms of psychological distress. The findings indicated that only events perceived as both undesirable and uncontrollable were related to the incidence of psychological distress symptoms. Study 2 examined the same hypothesis in a prospective methodology. As in Study 1, only undesirable, uncontrollable life events were significantly related to subsequent psychological distress symptoms. The results of both studies implicate the importance of perceptions of control over aversive events in understanding the link between real life outcomes and illness.     

Does distress tolerance moderate the impact of major life events on psychosocial variables and behaviors important in the management of HIV?

Living with HIV involves management of multiple stressful disease-related and other life events. Distress tolerance may provide a functional, individual-based context for qualifying the established relationships between major life events and psychosocial variables important in the management of HIV. The present study provided a preliminary test of the hypothesis that distress tolerance moderates the impact of major life events on these predictors of disease progression. HIV-positive patients (n=116) completed psychosocial and medical questionnaires. Results indicated that major life events interacted with distress tolerance such that lower distress tolerance and higher life events were associated with significantly higher levels of depressive symptoms, substance use coping, alcohol and cocaine use, and medication adherence. In addition, distress tolerance was directly related to self-reported HIV-related symptoms. These results suggest that low distress tolerance, particularly in the face of major life events, may present significant challenges to adaptive management of HIV. Distress tolerance assessment may help to specify targets for cognitive-behavioral and stress management treatments for people living with HIV.     

Psychological distress,stressful life events,and religiosity in younger African American adults

Prior research has found that stressful life events relate to increased psychological distress as well as mental and physical morbidity, particularly in minority groups. However, there is limited understanding of factors that may influence this relationship. This paper examines psychological distress, stressful life events, and religiosity among younger African American adults between the ages of 18 and 43 (n?=?215). Stressful life events and religiosity levels did not differ by gender, though females reported greater levels of each distress category. Female gender and stressful events were predictive of increased levels of distress. Dimensions of religiosity related in unique ways to individual categories of distress. This would suggest that the role of religion in reduced distress differs according to the type of religious experience. Intrinsic religiosity was found inversely related to both total distress and depression; organizational religiosity inversely related to somatization and obsessive-compulsiveness; finally, non-organizational religiosity was inversely related to interpersonal sensitivity. Further research is needed across additional sociodemographic and economic categories to further clarify the relationship of religiosity, stressful events, and distress in younger African American adults.     

Influence of life event stress on physical illness: substantive effects or methodological flaws?

This study tests the hypothesis that the reported relationship between life event stress and physical illness is primarily a function of criterion and other content contamination in the stress measure. In particular, conventional life event measures include events related to physical health, which overlap with the criterion; events related to neuroticism, which influences the criterion; and events that are vague or subjective and could be affected by individual differences in psychological distress, response sets, and retrospective bias. In this study 386 adult males and females completed standard measures of life events and physical illness. Illness was significantly related to event subscales containing, respectively, health-related events, neuroticism-related events, and subjective events, but not to an "uncontaminated" event subscale. These results support the hypothesis of contamination and suggest that alternative approaches to the conceptualization and measurement of stress may need to be developed.     

Psychological adjustment of children in the pretransplant phase of bone marrow transplantation: Relationships with parent distress,parent stress,and child coping

Families of 22 children preparing to undergo bone marrow transplantation (BMT) provided information concerning parent-reported major negative life stress, child coping strategies, parental psychological symptomatology, and child adjustment. Immediately prior to BMT, children and families are confronted with multiple stresses which challenge the child's coping and strain the parents' ability to assist the child with coping. Hence, stress, parental adjustment (distress), and child coping may be important factors affecting the child's overall psychological adjustment. Results showed that 15–25% of children and parents experienced clinically significant levels of psychological distress. Parent and child psychological distress were closely related. Major negative life stresses experienced by the parent and use of avoidant coping by the child significantly predicted child adjustment problems in the pretransplant period. Coping skills interventions targeting avoidant coping and management of parental stress/distress may reduce child psychosocial risk prior to BMT.     

Global Maladaptive Schemas, Negative Life Events, and Psychological Distress

The relationship between maladaptive self-schemas, negative life events, and psychological distress was assessed. The model tested was based on Young's (J. Young, 1990) diathesis–stress conceptualization of maladaptive schemas, which are believed to represent the cognitive diathesis underlying Axis II personality pathology. Young's model predicts that schemas are chronically activated in individuals with maladaptive schemas. Therefore, the experience of salient negative life events is less likely to exacerbate the level of distress experienced by those having maladaptive schemas. A nonclinical sample (N = 93) was assessed using the Schema Questionnaire (SQ), a measure of maladaptive self-schemas, a measure of negative life events, and several measures of psychological distress. Support was found for this prediction indicated by a Schema × Negative Life Events interaction in which the distress level of High SQ participants was less affected by negative life events compared to Low SQ participants.     

The Long-Term Effects of Operation Desert Storm on the Psychological Distress of U.S. Army Reserve and National Guard Veterans1

This study assessed factors related to the long-term psychological health of a sample of U.S. Army National Guard and Reserve Unit veterans who served during Operation Desert Storm (ODS). In the analysis, general distress symptom measures were obtained and comparisons made from soldiers who deployed to Germany, the Persian Gulf region, and throughout the United States, with soldiers who did not deploy. Elevated symptom levels were found for veterans of the Persian Gulf that could not be explained by variance attributed to demographics, or current life stress events. Reported exposure and the degree of current concern due to petrochemical fires in Kuwait were found to be significantly related to elevated symptom measures beyond the effect of combat-zone-related stresses. These findings suggest that a subset of Persian Gulf reserve veterans continue to have elevated levels of distress that are related to oil fire exposure.     

Life Stress and Major Depression

ABSTRACT— People have long believed that adversity and stress contribute to emotional problems in general and to depression in particular. A considerable body of research has supported this intuition, documenting a consistent association between major stressful life events and the onset of clinical depression. However, most individuals under stress do not become depressed, sometimes depression develops without prior stress, and distinguishing psychological distress from major depression can be diagnostically challenging. In varying forms and degrees, life stress may play multiple roles in relation to major depression. In this article, we outline the opportunities and obstacles associated with conceptualizing depression from a life-stress perspective and discuss the implications for future research.     

Dysfunctional attitudes and psychosocial stress: The differential prediction of future psychological symptomatology

The interactive effects of dysfunctional attitudes, stressful life events, and social support on symptoms of depression and general psychological distress were investigated in the present study. Self-report measures of these five constructs were administered to 57 female undergraduates twice, with 3 months between testing sessions. Whereas the interactions of dysfunctional attitudes with stressful life events and with social support were expected to predict the subsequent severity of symptoms of depression, it was hypothesized that these two-way interactions would not predict symptoms of general psychological distress. These predictions were confirmed, with the exception that the interaction between dysfunctional attitudes and stressful life events was not a significant predictor of depressive symptoms. Specifically, it was found that the combination of a high number of dysfunctional attitudes measured at Time 1 with a low level of social support measured at Time 2 was positively related to the level of depressive symptoms assessed at Time 2. These results suggest that dysfunctional attitudes moderate the relationship between stress and mild depressive symptomatology. The implications of these findings for an interactional model of depression, as well as for directions for future research, are discussed.Preparation of this article was facilitated by a Medical Research Council of Canada Studentship to the first author, and by Grant MA-8574 from the Medical Research Council of Canada to the second author.     

Coping with a threat to life: A longitudinal study of self-concept,social support,and psychological distress

The relationship of self-concept (self-esteem and mastery) and social support to psychological distress was studied among 68 Israeli women immediately prior to undergoing biopsy for suspected cancer (acute stress) and 3 months later for the noncancer group (everyday stress). It was predicted that women with stronger self-concepts and more social support would experience less state depression and state anxiety during the acute crisis than women with weaker self-concepts and less social support. It was further predicted that self-concept would be more critical than social support due to the acute nature of the event. Finally, self-concept was predicted to be related to psychological distress both during the acute and everyday stress situations (a direct effect), while social support was predicted to be related to psychological distress only during the acute stress situation (a buffering effect). The hypotheses were generally confirmed. However, self-concept and social support were seen as complexly related to psychological distress during the acute phase, one not necessarily being more critical than the other. The selective employment of available resistance resources to fit the situation and implications for preventive intervention were discussed.     

Sense of coherence, negative life events and appraisal of physical health among university students

We examined the stress-buffering effects of the ‘sense of coherence' among 116 undergraduates (70 females and 46 males) with a mean age of 18.6 years. Self-reported physical well-being and psychological distress were assessed on two occasions separated by two months. Assessment of the sense of coherence occurred at time-one, whereas assessment of negative life-events for the past year occurred at time-two. Sense of coherence correlated negatively with negative life events and reported psychological symptoms of both occasions, and negative life events correlated positively with both assessments of psychological distress. Negative life events correlated positively with physical ailments reported for both occasions only among students low in sense of coherence; this significant correlation persisted after accounting for the relationship between psychological and physical symptoms. We discuss the possible salubrious effects of a sense of coherence on the health appraisals of young adults experiencing stress.     

Desirable versus undesirable life events: their relationship to stress and mental distress.

The research of Holmes, Rahe, and their associates disclosing that life events and stress are related to the onset of physical illness is extended to the psychological domain in the present study. Using a modified version of their life events checklist, it is shown that an accumulation of life events is correlated with self-reported tension and distress, with emotional disturbances manifested by depression, paranoid thinking, suicidal proclivity, and anxiety, as well as with behavioral indications of stress such as drinking and traffic accidents. Most importantly, it is shown that these relationships do not hold for desirable life events but primarily for undesirable events. Thus, the authors suggest that the quality of the events in terms of their desirability is the crucial determinant of stress and the above-mentioned relationships rather than simply the life change produced by the events, as suggested in earlier studies. Methodological and theoretical implications for future research are discussed, emphasizing the importance of studying additional stress-relevant dimensions such as anticipation of the events and control over their outcome.     

Attachment to God,Images of God,and Psychological Distress in a Nationwide Sample of Presbyterians

Drawing broadly on insights from attachment theory, the present study outlines a series of theoretical arguments linking styles of attachment to God, perceptions of the nature of God (i.e., God imagery), and stressful life events with psychological distress. Main effects and potential stress-moderator effects are then evaluated using data from a nationwide sample of elders and rank-and-file members of the Presbyterian Church (U.S.A.). Key findings indicate that secure attachment to God is inversely associated with distress, whereas both anxious attachment to God and stressful life events are positively related to distress. Once variations in patterns of attachment to God are controlled, there are no net effects of God imagery on levels of distress. There is only modest support for the hypothesis that God images moderate the effects of stressful life events on psychological distress, but no stress-moderator effects were found for attachment to God. Study limitations are identified, and findings are discussed in terms of their implications for religion-health research, as well as recent extensions of attachment theory.     

Immigration, lack of control and psychological distress: findings from the Oslo Health Study

The aims of this study are to compare the level of psychological distress between Norwegian born and immigrants from countries with different income levels and culture, and to investigate the explanatory effect of socioeconomic and psychosocial factors, with special emphasis on lack of control (powerlessness and self-efficacy). A cross-sectional survey with self-administered questionnaire was conducted in 2000-2001 in a sample of 15,723 adults living in Oslo. Psychological distress was measured by a ten-item shortened version of Hopkins Symptom Checklist-25 items, whereas psychosocial variables were measured by various instruments. The results show that the level of psychological distress is significantly higher in immigrants from low- and middle-income countries than in the Norwegian born and the immigrants from high-income countries. They also report more powerlessness, more negative life events, less social support, less income and less paid work. It is concluded that negative life events, mainly related to social network, somatic health and economic situations, as well as lack of social support, are important mediators between immigration from low- and middle-income countries to Norway and psychological distress. Powerlessness also plays a role, but this is mainly because of a concept overlap between psychological distress and powerlessness.     

Control Beliefs and Faith as Stress Moderators for Korean American Versus Caucasian American Protestants

Examined relationships among negative life events, four locus of control attributions (Internality, Powerful Others, Chance, and God Control), and psychological distress for Korean American versus Caucasian American Protestants. Negative events and Powerful Others beliefs were positively related to distress, whereas Internality was negatively related to distress. Ethnicity and God Control interacted: The relationship between God Control beliefs and anxiety was negative for Caucasians but positive for Koreans. Three-way interactions (Ethnicity × Locus of Control × Negative Events) also emerged. As Caucasians' Powerful Others beliefs increased, the positive relationship between negative events and depression became stronger; Koreans' Powerful Others beliefs had no such effect. As Caucasians' God Control beliefs increased, the negative event–depression relationship changed from positive to negative; the reverse was true for Koreans. Findings support the value of assessing ethnoculture and religiousness in stressful life events research.     

Daily and major life events: A test of an integrative model of psychosocial stress

The hypothesis that negative daily events mediate the relationship between major negative events and psychological symptomatology was tested using a three-wave, three-variable panel design. Measures of major and daily life events and psychological symptomatology were administered to 58 older adolescents at three time points during the transition from high school to college. The results indicated that the pathways from major life events to daily events and from daily events to psychological symptomatology were significant at each of the time points, but that the direct pathways from major events to psychological symptomatology were not significant at any time point. Thus, the hypothesis was fully supported. The findings are discussed in light of their implications for an integrative theory of the process by which major and daily events have an effect on psychological symptomatology.     

A prospective study of life events,social support,and psychological symptomatology during the transition from high school to college

Life events, perceived social support, and psychological symptoms were studied prospectively among older adolescents during the transition from high school to college. These variables were reciprocally related to one another in patterns which changed over a period of 6 months. The findings are supportive of a transactional model of stress that emphasizes reciprocal, rather than linear, paths of influence. Further, the study highlights the importance of studying stress and social support during life transitions that may constitute periods of greater vulnerability to life events.