Ethnic and Gender Differences in Distress Among Anglo American, African American, Japanese American, and Mexican American Spousal Caregivers of Persons with Dementia

Distress, coping, and social resources were compared in a sample of 202 Japanese-, Anglo-, African-, and Mexican American spousal caregivers of persons with dementia using a Stress-Coping model. Both ethnicity and gender showed differential effects on the outcome and on the moderating variables. Female caregivers in all ethnic groups reported significantly higher levels of psychiatric symptomatology. All 4 ethnic groups reported high rates of psychological distress, with Mexican Americans reporting significantly higher rates of depression than Anglo or African Americans. Ethnicity was related to (1) the kind of caregiving appraisals (spiritual, pessimistic, and lack of support), (2) coping styles (escape-avoidance and seeking social support), and (3) social support. African Americans were more likely to be spiritual appraisers, to have more positive appraisals, and to have more social support available to them. Gender differences were evident on 4 out of the 6 caregiver appraisals, but none of the coping styles. Although males tended to have more perfectionistic appraisals, they were also more likely to view caregiving with a less negative and more self-efficacious outlook.     

Exploring the Relationships Between Object Relations/Reality Testing Functioning, Coping Styles, and Somatic Tension

In view of the importance of coping and of the apparent impact of individual differences on coping styles, it seems appropriate to examine relationships of coping with deeper and more complex psychological constructs such as those described in object relations psychology. Discovery of psychological predispositions to coping should have significant implications for both organizational and interpersonal intervention mechanisms. This study examined the relationships among six object relations/reality testing constructs and the coping styles of positive thinking coping, interpersonal coping, avoidance coping, direct action coping, and symptom-management coping, as well as somatic tension. Several significant relationships were evidenced. Implications and suggestions for future research are presented.     

On the importance of being ethnic: coping with the threat of prostate cancer in relation to prostate cancer screening

The relation between coping with a possible prostate cancer diagnosis and screening behavior was examined in men from seven precise ethnic groups. Five coping styles differed in their likelihood of use across ethnic groups and had somewhat different associations with frequency of prostate-specific antigen (PSA) testing. As expected, PSA test frequency differed among men from different ethnic groups and was differentially predicted by coping styles. Analyzing the results using typical groups of White, Black, and Hispanic, rather than precise ethnic groups, obscured these results. Researchers investigating psychological variables in preventive health behaviors must analyze diversity within the framework provided by ethnic specificity. Such an approach will guide the development and provision of interventions that are more sensitive to the characteristics of specific ethnic groups of at risk men.     

A multidimensional approach to explore cross-cultural differences in coping behavior: comparing Druze and Jews in Israel

Assuming that culture is a multidimensional variable, the current study explored the possibility that the interactions between ethnicity and other culture-related variables--rather than ethnicity alone--will better describe differences in coping behavior. In the study, cross-cultural differences among Israeli Jews and Israeli Druze in the use of various ways of coping were examined while also taking into account respondents' gender, age, self-esteem, sense of coherence, national identification, and religiosity. Comparing Israeli Jews and Israeli Druze, results indicate significant differences in levels of religiosity and coherence. Referring to coping behavior, findings show that differences in ways of coping could be attributed mainly to gender differences rather than ethnic differences Thus, at least in the case of comparing Israeli Jews vs. Israeli Druze, religiosity and gender are powerful determinants of coping behavior, while ethnicity has only a limited contribution in explaining variance in a preferred way of coping. It is suggested that ethnicity has a moderating role in shaping coping behavior, as it might influence person's self-perception and level of emotionality, which in turn shape the person's ways of coping. Future explorations among various age and ethnic groups are needed to enable generalization of the current study findings.     

Is the conflict model of decision making applicable to the decision to be screened for cervical cancer? A field study

The present study examined aspects of the conflict model of decision making (Janis and Mann, 1977) in the context of attending for a screening test for cervical cancer. In addition, the ability of decision coping styles as measured by Mann's (1982) Decision Making Questionnaire II (DMQ II) to predict screening status was examined. Three hundred and two women answered a questionnaire operationalizing the constructs in the conflict model about their beliefs and knowledge of cervical cancer and the Pap smear test. Four screening categories were identified: never screened, not screened in the last two years (overdue), screened in last two years and initiated the test, and screened in last two years and recruited to have the test. Differences in the decision processes of these groups were examined. Women who were overdue for their Pap test showed greater decisional conflict and were more likely to adopt a defensive avoidance coping pattern than those who had been screened in the last two years. Regression analyses exploring predictors of decisional stress and defensive avoidance for each group, except the never screen, showed that the model's suggested pathways were evidenced among the Overdue Group. Results failed to find any association between coping styles as measured by the DMQ II and screening status. Implications of these findings are discussed.     

Perceived career barriers and coping among youth in Israel: Ethnic and gender differences

This study investigated gender and ethnic differences in the perception of different types of career barriers among young adults in relation to their views of themselves as individuals (Personal Career Barriers) and their views of their gender and ethnic group (Group Career Barriers). This study also explored gender and ethnic differences in the sense of efficacy in coping with career barriers. The participants were 406 university students: 156 Israeli-born Jews, 133 Jewish immigrants from the former Soviet Union and 117 Arab-Israelis. The results indicated that their perceptions of the different types of career barriers and their sense of coping efficacy differ according to gender and ethnic group and that there are also joint effects of gender and ethnicity. The results showed that participants rated group barriers higher than personal career barriers. However, the discrepancies were different in each of the three ethnic groups. Perceived career barriers were negatively associated with the sense of coping efficacy and positively associated with non-productive coping strategies. The implications for future research and counseling for minority groups are discussed.     

Dealing with Hurt: An Assessment of Dispositional Style and Ethnicity in Coping Strategies

This study explored differences in coping styles based on the type of hurt experienced. Participants included 398 students (291 female and 87 male), who completed a computerized assessment of dispositional hurt, coping styles, and depression. The interrelationships amongst the two hurt typologies (introjective and retaliatory), 12 coping styles, and depression then were analyzed. Results showed that people with an introjective hurt disposition were more likely to use emotional support and instrumental support than those with a retaliatory hurt disposition, who were more likely to engage in planning and humor. Moreover, ethnic differences for two coping styles emerged; specifically, African Americans were more likely to use religion, whereas Caucasians were more likely to use substances as primary coping mechanisms.     

Depression and coping in candidates for kidney transplantation: Racial and ethnic differences

Subjects were 288 adolescents and adults with end-stage renal disease who were candidates for kidney transplantation, a group identified at risk for noncompliance. The purpose was to examine racial and ethnic variations in coping—variables that may underlie noncompliance and impact upon health outcome. Secondarily, the relationship between depression and particular styles of coping was investigated. Race/Ethnicity was divided into three categories: Black/Non-Hispanic, White/Non-Hispanic, and Hispanic. Coping and depression were assessed using the COPE and Beck Depression Inventory, respectively. Results indicated that Hispanic and Black subjects were more likely to use maladaptive styles of coping and less likely to use adaptive coping than were White subjects and that Black subjects reported more physical symptoms of depression. These findings point to possible mechanisms underlying the occurrence of noncompliance and resulting poorer health outcome for individuals of different racial and ethnic groups.     

待岗人员的应付方式、控制感特点及其关系研究

对待岗人员的应付方式和控制感进行调查发现：（1）待岗人员对待压力的应付方式依次为退避、合理化、求助、自责、发泄。女性更多地采用这五种应付方式,年龄偏大组更倾向于选择合理化和退避,30岁是应付方式发展的转折时期;（2）待岗人员的控制感由高至低依次为环境变化、人际关系、情绪情感和生活方面的控制感。女性更能控制情绪情感;（3）在待岗人员应付待岗后各种压力的情境下,可将退避归为积极的应付方式,将自责、求助、发泄归为消极的应付方式。     

Managing terror: differences between Jews and Arabs in Israel

Using telephone surveys, we examined exposure to terror, coping, and mental health response in randomly selected Jewish-Israelis (n = 100) and Arab-Israelis (n = 100) living in five Israeli cities affected by terrorism. Jewish-Israelis and Arab-Israelis were randomly selected for study participation and completed telephone surveys in May 2002, following an extended string of terror attacks and hostilities. Although terrorism is designed to target Jewish-Israelis, the rates of exposure were similar in the two groups. Arab-Israelis reported using a wider array of coping strategies, yet also endorsed more frequent PTSD and more severe depression symptoms than Jewish-Israelis. We examined a variety of demographic, ethnic, and religious predictors of different coping styles and found varying results. For example, acceptance coping was best predicted by Arab-Israeli ethnicity, being female, greater religiosity, and lower education. Predictors of mental health response to terror were also examined, with Arab-Israeli ethnicity, being female, adaptation coping and collaborative coping best predicting PTSD and depression symptoms. Arab-Israelis may not have the same access to overarching sources of patriotic support that are readily available to their Jewish compatriots, and civilian and economic inequity experienced by the Arab minority may add to a sense of diminished resources. Our findings justify outreach efforts to overlooked minorities at risk for posttraumatic distress. Women seem to be at particular risk for the development of mental health symptoms following terrorism, which should also be noted for outreach purposes.     

The mediators of minority ethnic underperformance in final medical school examinations

Background. UK‐trained medical students and doctors from minority ethnic groups underperform academically. It is unclear why this problem exists, which makes it difficult to know how to address it. Aim. To investigate whether demographic and psychological factors mediate the relationship between ethnicity and final examination scores. Sample. Two consecutive cohorts of Year 5 (final year) UCL Medical School students (n= 703; 51% minority ethnic). A total of 587 (83%) had previously completed a questionnaire in Year 3. Methods. Participants were administered a questionnaire in 2005 and 2006 that included a short version of the NEO‐PI‐R, the Study Process Questionnaire, and the General Health Questionnaire (GHQ) as well as socio‐demographic measures. Participants were then followed up to final year (2007–2010). White and minority ethnic students’ questionnaire responses and final examination grades were compared using univariate tests. The effect of ethnicity on final year grades after taking into account the questionnaire variables was calculated using hierarchical multiple linear regression. Results. Univariate ethnic differences were found on age, personality, learning styles, living at home, first language, parental factors, and prior education. Minority ethnic students had lower final exam scores, were more likely to fail, and less likely to achieve a merit or distinction in finals. Multivariate analyses showed ethnicity predicted final exam scores even after taking into account questionnaire factors. Conclusions. Ethnic differences in the final year performance of two cohorts of UCL medical students were not due to differences in psychological or demographic factors, which suggests alternative explanations are responsible for the ethnic attainment gap in medicine.     

The role of ethnic identity and self-construal in coping among African American and Caucasian American seventh graders: an exploratory analysis of within-group variance

Much coping research has been conducted comparing members of different ethnic groups using discrete racial classifications. However, the past two decades have seen the construct of ethnicity evolve into a complex variable that must be assessed in a more comprehensive way. This study explored how ethnicity, a discrete variable, and the continuous variables of a person's ethnic identity and self-construal contribute to the use of particular coping strategies across various situations. One hundred twelve seventh graders (67 African Americans and 45 Caucasian Americans) from three suburban middle schools completed questionnaires assessing ethnic identity, self-construal, and coping strategies for medical, test, and social criticism stressors. Results supported the hypothesis that ethnicity as a discrete variable is not associated with coping, but that ethnic identity and self-construal are. It was also found that high scores on the ethnic identity and self-construal scales were indicative of more positive psychological adjustment. Implications for future research and methodological considerations are discussed.     

Repressive Adaptive Style Across Ethnicities

There may be significant differences in coping styles across ethnicities. Previous research has suggested disparities in the number of individuals who utilize repressive adaptive coping style among cultural groups. Repressive adaptive style is a coping mechanism in which individuals report low distress levels while they actually experience high levels of stress. Developing an enhanced understanding of the prevalence of the utilization of repressive adaptive style in different ethnic groups is important for informing intervention techniques to better account for the cultural influences on mental health. The present study investigated the utilization of repressive adaptive style across American Indian (n?=?31), African American (n?=?53), and European American (n?=?48) children in the Midwest. The age range of the children was 10 to 13 years and 50.8% were male. Dependent measures included the Children’s Social Desirability Scale and the State-Trait Anxiety Inventory for Children. Results indicated significant differences in reports of anxiety between ethnic groups. Additionally, it was discovered that African American and European American children utilized repressive adaptive style more than American Indian children, albeit not significantly. Because of the high rates of suicide and emotional distress believed to be experienced by American Indian children this result is interesting. Continued research investigating protective factors, such as high levels of cultural identity and connectedness, is warranted.     

The relationship between self-control and health: The mediating effect of avoidant coping

Trait self-control is related to a number of positive outcomes, including mental health, interpersonal success, academic success and health-related behaviours. This study sought to explore the relationships between self-control, reports of mental and physical health symptoms and coping styles. The results revealed that higher self-control was related to fewer mental and physical health symptoms and less avoidance coping. There was not a significant relationship between self-control and problem-focused or emotion-focused coping styles. Further, the relationships between self-control and mental and physical health outcomes were partially mediated by avoidance coping style. Specifically, the data suggest lower self-control is associated with unhealthy coping strategies (avoidance coping), which in turn are associated with worse mental health outcomes and greater reports of physical health symptoms. Thus lower trait self-control can serve as an indicator, suggesting circumstances in which individuals' tendencies to engage in unhealthy coping strategies are increased. These findings add to a growing body of literature underscoring the importance of trait self-control.     

Stress and coping among gay men: age and ethnic differences

Previous studies suggest that perceived stigmatization of sexual minority status, ethnicity, and age are associated with negative mental health outcomes, and other studies suggest that coping styles may influence these outcomes. However, no studies have examined these relationships among gay men of varying ethnicities and age groups. Three hundred eighty-three Black and White, younger, middle-aged, and older adult gay men completed measures of perceived stigmatization, coping style, and mental health outcomes. Black older adult gay men reported significantly higher levels of perceived ageism than the older White group, significantly higher levels of perceived racism than the younger Black group, significantly higher levels of homonegativity than the younger Black and the White groups, and were more likely to use disengaged coping styles than White gay men. However, Black older adult gay men did not experience significantly higher levels of negative mental health outcomes. Results suggest that further research should examine how older Black gay men, who perceive higher levels of stigma while reporting greater use of less effective coping styles, do not appear to be experiencing more negative mental health outcomes as a result.     

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.     

The relationship between self-control and health: The mediating effect of avoidant coping

Trait self-control is related to a number of positive outcomes, including mental health, interpersonal success, academic success and health-related behaviours. This study sought to explore the relationships between self-control, reports of mental and physical health symptoms and coping styles. The results revealed that higher self-control was related to fewer mental and physical health symptoms and less avoidance coping. There was not a significant relationship between self-control and problem-focused or emotion-focused coping styles. Further, the relationships between self-control and mental and physical health outcomes were partially mediated by avoidance coping style. Specifically, the data suggest lower self-control is associated with unhealthy coping strategies (avoidance coping), which in turn are associated with worse mental health outcomes and greater reports of physical health symptoms. Thus lower trait self-control can serve as an indicator, suggesting circumstances in which individuals’ tendencies to engage in unhealthy coping strategies are increased. These findings add to a growing body of literature underscoring the importance of trait self-control.     

Avoidance coping style and the risk of developing an eating disorder in adolescents

The first aim of this study was to analyse the relationship between coping styles and strategies in Spanish adolescents of both genders, with high and low eating disorder risk. Secondly, this study aims to examine the relation of coping styles and coping strategies with eating disorder risk. The sample comprised 2142 adolescents (1.130 girls and 1.012 boys), mean age 13,96 years (SD= 1.34). They completed the Adolescent Coping Scale (ACS) and the Eating Attitude Test (EAT-40). The results showed high use of intropunitive avoidance coping in both female and male adolescents with high EAT-40 scores. The regression analysis indicated that, in both girls and boys, the intropunitive avoidance and the tension reduction coping strategy explained a high percentage of variance of eating disorder risk. The results of this study have implications for the prevention of these behaviours in adolescents, because people with a high risk of developing an eating disorder present a maladaptive coping style before the onset of the eating disorder.     

Coping Responses and the Experience of Discrimination1

This study examines the coping responses of individuals reporting experiences of racial/ethnic discrimination (N=156). Racial/ethnic differences in contextual appraisals and coping strategies were reported in response to discrimination. African and Asian American participants reporting experiences of discrimination were more likely to perceive the situation as a challenge. African Americans reporting experiences of discrimination were more likely to report seeking support and guidance when compared to Asian and European Americans. Contextual appraisals did not predict the use of coping strategies in response to experiences of discrimination. Emotional discharge and past experiences of discrimination were positively associated with re‐experiencing symptoms. Cognitive avoidance coping strategies were associated with avoidance symptoms. Clinical implications of the findings are explored.     

Coping with stress in the australian job network: Gender differences

The authors attempted to identify (a) the coping strategies used by employment service case managers in Queensland, Australia, and (b) the strategies that could be beneficial in reducing the relatively high burnout levels that have been observed in this population. Significant gender differences in coping styles were found, and an association between burnout and escape‐avoidance behavior was identified for both female and male respondents.