Hostility and health: Mediating effects of belief systems and coping styles

The present study investigates the relationship between hostility, health, belief systems, and ways of coping with anger, anxiety, and sadness in a college student sample. Hostility is of interest in the health psychology literature because it has been associated with coronary heart disease, other illnesses, and general mortality. The results reveal that relative to their low-hostility counterparts, individuals scoring high on the Cook and Medley Hostility Scale report poorer physical health and a belief system characterized by vindictiveness, pessimism, unrealistic expectations of the self and others, and a desire to avoid difficulties. They were also more likely to employ confrontive and escape-avoidance coping styles when dealing with anger and escapeavoidance strategies in coping with anxiety and sadness. Irrational beliefs and escapeavoidance coping with anger were found to play a mediating role in the relationship between hostility and health. Clinical implications of the findings are discussed.     

Hostility and health: Mediating effects of belief systems and coping styles

The present study investigates the relationship between hostility, health, belief systems, and ways of coping with anger, anxiety, and sadness in a college student sample. Hostility is of interest in the health psychology literature because it has been associated with coronary heart disease, other illnesses, and general mortality. The results reveal that relative to their low-hostility counterparts, individuals scoring high on the Cook and Medley Hostility Scale report poorer physical health and a belief system characterized by vindictiveness, pessimism, unrealistic expectations of the self and others, and a desire to avoid difficulties. They were also more likely to employ confrontive and escape-avoidance coping styles when dealing with anger and escapeavoidance strategies in coping with anxiety and sadness. Irrational beliefs and escapeavoidance coping with anger were found to play a mediating role in the relationship between hostility and health. Clinical implications of the findings are discussed.     

Implicit Coping Styles as a Predictor of Aggression

Research exploring potential antecedents of aggression provides contradictory results, with some data relating adaptive coping styles with high aggression and other studies finding the inverse. Clarification of these relationships could improve intervention and prevention strategies. This study investigated relationships between aggression and 3 coping styles (adaptive, neurotic, and maladaptive) via cross-sectional correlational methodology (N = 355). Data supported both hypotheses: First, the use of less adaptive coping styles predicted higher levels of aggression; second, this relationship held true for both cognitive (anger and hostility) and overt (physical and verbal) expressions of aggression. Results indicate that maladaptive coping significantly predicts aggression. Implications include potential prediction and prevention strategies to reduce the probability of higher risk individuals exhibiting aggression.     

A multilevel mediation model of stress and coping for women with HIV and their families

Families are influential systems and may be an important context in which to consider the stress and coping process. To date, many studies have focused on modeling the stress and coping process for the individual, isolated from the family. The purpose of this secondary analysis was to investigate a cross-sectional stress and coping model for HIV-positive African-American mothers recruited from HIV service facilities in South Florida (n=214) and their family members (n=294). Avoidance coping was hypothesized to mediate the relationship between stress and psychological distress. In addition, the family average of individual stress was hypothesized to moderate the relationship between avoidance coping and psychological distress. For all constructs, individuals reported on themselves and multilevel modeling techniques were used to account for similarities between members of the same family. The estimated mediation effect was significant. Aggregated family stress significantly moderated the relationship between avoidance coping and psychological distress. This study suggests that individuals exhibit different relationships between avoidance coping and psychological outcomes and that average stress reported by members of a family moderates the relationship between avoidance coping and psychological distress.     

Suicidal and deliberate self-harm ideation among patients with physical illness: the role of coping styles

The relationship between coping styles and suicidal ideation (SI) or deliberate self-harm (DSH) ideation among patients with physical illness was examined. Four hundred fifteen adult male medical inpatients completed the Coping Styles Questionnaire. Patients with and without SI, and with and without DSH, were compared on coping styles. Sixteen percent of patients (n = 67) had SI and 18.3% (n = 76) had DSH. SI was associated with higher scores on emotional coping and lower scores on rational and detachment coping styles, compared with those without SI. DSH, compared with those without DSH, was associated with significantly higher scores on avoidance coping strategies. These data suggest coping styles among medical patients with and without SI or DSH may differ. The mechanism of this link is not entirely clear, but it may be that coping styles reflect one possible pathway of the association between poor physical health and SI and DSH. Replication of these results in a longitudinal study is needed. If replicated, incorporation of these data into the development of intervention strategies focused on improving coping strategies may be worthwhile.     

Relations between the Big Five personality traits and dispositional coping in Korean Americans: Acculturation as a moderating factor

The current study examined the individual and joint effects of the Big Five personality traits and acculturation on coping styles. Using the proposed framework of McCrae ( 22 2001), the relations among these variables were evaluated at the intracultural level to exploit previously unexplored within‐culture variability for an unstudied Asian American group (Korean Americans). This approach emphasizes the unique expression of specific personality traits in a single culture. A community sample of Korean Americans completed measures of the Five‐Factor Model of Personality (NEO‐PI‐R; Costa & McCrae, 13 1992), coping (Brief COPE; Carver, 7 1997), and acculturation (SL‐ASIA; Suinn, Ahuna, & Khoo, 40 1992). The results primarily showed statistically significant relations between the Big Five personality traits and coping. Neuroticism was positively related to indices of emotion‐focused coping (emotional support) and avoidance (substance abuse, behavioural disengagement, venting, self‐blame); Extraversion, Conscientiousness, and Openness were positively related to indices of problem‐focused (active coping, planning) and emotion‐focused coping (positive reframing, humour, acceptance); and Agreeableness was positively associated with active coping and humour. Acculturation was only significantly (and positively) associated with venting. Significant Acculturation×Big Five personality traits interactions were found, however. For individuals high in acculturation, both Neuroticism and Openness were positively related to indices of avoidance coping. Moreover, for individuals low in acculturation, a negative relationship was found between Conscientiousness and venting. These results show that there is considerable within‐culture variation for the dimensions of the Five‐Factor Model of Personality, coping styles, and acculturation in this largely bicultural sample. Moreover, the amount of variation and its directionality among the target study variables is similar to that typically found in Caucasian American samples. Finally, the stronger relations found between the dimensions of personality and coping styles (relative to the relations found between acculturation and coping styles) suggests that personality traits rather than acculturation may be more important clinically when profiling patients and developing treatment plans.     

All work and no play: A focus on leisure time as a means for promoting health

In a study of 294 participants the relationship between attitude to leisure time and engagement in leisure activities and psychological and physical health was investigated Using questionnaire methods a consistent and significant relationship was found in that individuals with more positive attitudes towards and engagement in leisure activities experienced less general psychological distress, anxiety, depression, and hostility. They also experienced higher levels of positive affect and reported feeling physically healthier. Leisure measures were also related to levels of achievement motivation. The data points to leisure time behaviour as a rich source of information about coping styles and the positive use of leisure counselling as a therapeutic intervention.     

Relationship problems and physical aggression: The moderating role of temporal comparison

Because physical aggression in relationships frequently occurs within the context of disagreements, partners with more fodder for disagreements (e.g., more relationship problems) may be especially prone to engage in aggression. However, this may be less true among partners who have a means of coping with their relationship problems. Because previous research suggests that perceptions of improvement serve as a coping strategy in a wide range of adverse circumstances, the current study examined whether this coping strategy would prove effective in the context of relationship problems by examining data from a sample of married and cohabiting individuals. In both groups, perceived changes in problems moderated the association between problems and aggression; number of relationship problems was only significantly associated with level of physical aggression among partners who perceived low levels of improvement in those problems over time. Results are discussed in terms of implications for intervention strategies.     

Personality and Illness Adaptation in Adults with Type 1 Diabetes: The Intervening Role of Illness Coping and Perceptions

Inspired by the common sense model, the present cross-sectional study examined illness perceptions and coping as intervening mechanisms in the relationship between Big Five personality traits and illness adaptation in adults with Type 1 diabetes. A total of 368 individuals with Type 1 diabetes (18–35 years old) completed questionnaires on personality, diabetes-related problems, illness perceptions, and illness coping. First, Neuroticism, Agreeableness, and Conscientiousness predicted patients’ illness adaptation, above and beyond the effects of sex, age, and illness duration. Second, illness coping was found to be an important mediating mechanism in the relationship between the Big Five and illness adaptation. Finally, perceived consequences and perceived personal control partially mediated the relationship between the Big Five and illness coping. These findings underscore the importance of examining patients’ personality to shed light on their daily functioning and, hence, call for tailored intervention programs which take into account the personality of the individual patient.     

Illness Beliefs and Coping Strategies of Diabetic Women

The present study examines the relationship between illness beliefs and coping strategies in diabetic women patients. Measures of illness beliefs and coping strategies were administered to 100 diabetic women. Patients, who believed more strongly in psychosocial, supernatural, and environmental causes of illness, adopted avoidance coping strategies, whereas those who believed less strongly in these causes adhered to approach coping strategies. Patients, who held a strong belief in disease control by themselves and doctors, used approach coping strategies, whereas those who believed in supernatural control of illness used avoidance coping strategies. Approach coping was linked to less severe consequences of illness, less pain, and greater hope for positive outcomes of illness.     

青少年心理一致感水平及其与应付方式的关系

本研究以265名高中生为被试,探讨青少年心理一致感发展的特点以及与应付方式的关系。研究结果表明,(1)被试在心理一致感发展水平上存在显著的年级差异;(2)三个年级被试的应付方式存在显著的差异;(3)被试心理一致感水平与问题解决、求助两种应付方式存在显著的正相关;(4)被试心理一致感水平与自责、幻想、退避、合理化四种应付方式存在显著的负相关。高心理一致感个体在压力调节上倾向于采用成熟而积极的应付方式。本研究从压力应对的过程角度分析心理一致感与应付方式之间的关系。     

Love styles,coping, and relationship satisfaction: A dyadic approach

Romantic partners have different attitudes on what love is and what it means to be in a romantic relationship. These attitudes are conceptualized as love styles that relate to relationship‐maintenance behaviors and relationship satisfaction. Specifically, love styles could be associated with how partners cope with stress (dyadic coping), which in turn may be associated with relationship satisfaction. Using self‐report data from 92 heterosexual couples, findings showed that: (a) eros and agape love styles have positive direct effects on dyadic coping and relationship satisfaction, whereas ludus has a negative direct effect on dyadic coping and relationship satisfaction and (b) dyadic coping partially mediated the association between love styles and relationship satisfaction. Overall, associations were stronger for women than for men.     

Dimensions of impulsivity and aggression associated with suicide attempts among bipolar patients: a preliminary study

Impulsivity and hostility are often thought to be interrelated among depressed patients with suicidal behavior, but few studies have examined this relationship empirically. In this study, we assessed trait impulsivity and hostility among 52 DSM-IV bipolar subjects with and without histories of suicide attempts. Impulsivity and hostility were correlated among attempters (r = .41, p = .03) but not non-attempters (r = .22, p = .28). As compared to non-attempters, attempters had significantly higher levels of overall hostility, more extensive subcomponents of hostility, and a trend toward higher overall impulsivity. Associations between lifetime suicide attempts and overall hostility were significant while controlling for current depression severity and lifetime illness duration. Aggression and impulsivity appear linked among bipolar patients with lifetime suicide attempts but may be independent constructs among non-attempters. The presence of both factors may elevate risk for suicidal behavior.     

Positive Affect and Health

ABSTRACT— Negative affective styles such as anxiety, depression, and hostility have long been accepted as predictors of increased risk for illness and mortality. In contrast, positive affective styles have been relatively ignored in the health literature. Here we highlight consistent patterns of research associating trait positive affect (PA) and physical health. The evidence we review suggests an association of trait PA and lower morbidity and decreased symptoms and pain. PA is also associated with increased longevity among community-dwelling elderly. The association of PA and survival among those with serious illness is less clear and suggests the possibility that PA may be harmful in some situations. We conclude by raising conceptual and methodological reservations about this literature and suggesting directions for future research.     

Effects of occupational stress, job characteristics, coping, and attributional style on the mental health and job satisfaction of university employees

Well-being at work has been shown to be influenced by job characteristics and individual differences in coping styles. This study investigated the relationships between job demands, control, social support, efforts, rewards, coping, and attributional style in predicting anxiety, depression, and job satisfaction in a sample of 307 university employees from the UK. Results were compared to those from a sample of 120 members of the general population. Workplace demands, intrinsic and extrinsic effort, and negative coping and attributional behaviors were associated with high levels of depression and anxiety and low job satisfaction in university employees. Rewards, social support, job control, and positive coping and attributional behaviors were associated with lower levels of depression and anxiety and high job satisfaction. The study adds to the growing research on university samples by showing that a transactional approach should be adopted. This has implications for interventions and suggests that rather than just trying to change job characteristics one should identify at-risk individuals in this population and help them adopt appropriate positive coping styles.     

Effects of occupational stress,job characteristics,coping, and attributional style on the mental health and job satisfaction of university employees

Well-being at work has been shown to be influenced by job characteristics and individual differences in coping styles. This study investigated the relationships between job demands, control, social support, efforts, rewards, coping, and attributional style in predicting anxiety, depression, and job satisfaction in a sample of 307 university employees from the UK. Results were compared to those from a sample of 120 members of the general population. Workplace demands, intrinsic and extrinsic effort, and negative coping and attributional behaviors were associated with high levels of depression and anxiety and low job satisfaction in university employees. Rewards, social support, job control, and positive coping and attributional behaviors were associated with lower levels of depression and anxiety and high job satisfaction. The study adds to the growing research on university samples by showing that a transactional approach should be adopted. This has implications for interventions and suggests that rather than just trying to change job characteristics one should identify at-risk individuals in this population and help them adopt appropriate positive coping styles.     

Interpersonal coping styles and couple relationship quality: Similarity versus complementarity hypotheses

This study employs a dyadic approach and examines how two partners' interpersonal coping styles may independently and jointly predict their relationship quality. Hypotheses were derived on the basis of dyadic coping theory focusing on how similar versus complementary styles of interpersonal coping may be useful in explaining couples' relationship quality. On the basis of attachment theory and self‐determination theory, three interpersonal coping styles were included: dismissive, adaptive, and anxious/expressive. Data were collected from 123 romantic couples. Actor–partner interdependence models revealed that interpersonal coping styles were related to self‐perceived (actor effect) and partner‐perceived (partner effect) relationship quality. Furthermore, results also showed that relationship quality was predicted by the interactions between self's and partner's interpersonal coping styles. Findings suggest that future research should focus on understanding interpersonal coping behaviors of both partners in a relationship, especially the complex interactions between two partners' characteristics and their effects on relationship outcomes. Copyright © 2014 John Wiley & Sons, Ltd.     

Stress,healthiness and health behaviours: An exploration of the role of life events,daily hassles,cognitive appraisal and the coping process

In a study of 220 participants, the relationship between life events, daily hassles, cognitive appraisal and coping, stress and general healthiness was investigated utilizing a self report methodology. The different aspects of healthiness and health behaviour/lifestyle appear to be related to different appraisal and coping styles. The role of daily hassles and life events in the process also vary across different aspects of health, illness and health behaviours. In fact the number of life events experienced appear to contribute more to hardiness than to vulnerability. It is proposed that to understand the process an integrative model is required which allows for flexibility in analysis.     

Depression, anxiety, hostility, and physical health

This study assessed the relationship of depression, anxiety, and hostility to physical health in a multicultural student population (N=106). When controlling for a variety of demographic and health risk factors (viz., age, sex, body mass, smoking, alcohol, salt, caffeine, and exercise), hostility, depression, and anxiety were related to higher reported incidences of physical symptoms and somatic illness. Depression and hostility had the strongest relationships with physical health, although the most striking single relationship was between depression and illness. Results suggest that it may be premature to focus our attention on hostility in research on the personality-illness relationship. They also suggest that the health behavior model of the relationship between personality and disease does not provide an adequate explanation, since negative affect was significantly associated with illness even when controlling for a variety of health risk factors. This work was supported, in part, by an intramural grant from the University of Hawaii, #R511.