Perceived sources and levels of stress,general self-efficacy and coping strategies in preclinical dental students

Dental education programs are known to be highly stressful and stress can affect general health. The aims were to identify sources of stress among preclinical students and to evaluate their perceived levels of stress, self-efficacy and effective coping strategies in a private dental school. One hundred preclinical students in a Turkish private dental school were surveyed using dental environment stress (DES), perceived stress (PSS), general self-efficacy (G-SES) and brief coping scales (Brief-COPE). Age, gender, history of psychiatric treatment, factors that affected the choice of dentistry, choice rank of dental school, scholarship and income was recorded. ‘Exams and grades’ followed by ‘Fear of failing course or year’ were found to be the most stressprovoking factors. The most and the least stressprovoking DES domains were ‘Workload’ and ‘Social stressors’, respectively. ‘Social stressors’ affected male more than female (p < .05). The most and the least common coping strategies were found to be ‘Planning’, and ‘Drug’, respectively. Female used ‘Instrumental support’ more than male (p < .05). Demographic factors had impact on the perceived stress factors and levels, as well as coping strategies. Unlike previous studies establishing high stress levels in dental students, preclinical students displayed moderate level of stress. Clinical dental education might be more responsible for creating stress.     

An exploration of the role of leisure in coping with work related stress using sequential tree analysis

The past three decades have seen an explosion of interest into the nature, causes and consequences of stress in both work and non-work settings. Given that leisure is of growing importance in most people's lives and that the impact of stress influences the way in which leisure is used, then the role that leisure plays as a means of coping with stress represents an important research agenda. In order to explore leisure's role in coping with work stress this research explored, using a sample of secondary school principals and deputy principals, three issues: (1) why an involvement in leisure was important, (2) what reasons were given as to why leisure was important to cope with stress, and (3) what coping strategies were actually used to cope with stress in relation to whether or not leisure had always been regarded as an important part of life. Each of these issues was explored using a technique called sequential tree analysis. This technique identifies patterns of data and arranges them in hierarchical order to provide a visual display that captures the richness of relationships not always present when more traditional methods are used. The different patterns that emerged point to the complex role that leisure plays. The results also point to the need to better understand combinations and patterns before it is possible to determine the exact nature of the presumed emotion-focused role that leisure may play in coping with work stress. These findings have implications for stress management interventions and the role of leisure in them and the need to distinguish between the meanings people give to the importance of leisure as distinct from the actual use of leisure as a coping strategy     

Victimization in the school and the workplace: Are there any links?

We examine whether reported roles in school bullying, and victimization in the workplace, are connected; the influence of victim coping strategies at school; and sex differences. A questionnaire was completed by 5,288 adults from various workplace venues in Great Britain. We analysed two questions on school experiences (participant role; coping strategies if bullied) and questions on workplace bullying (experiences of being bullied). We found a significant relationship between reported roles in school bullying, and experience of workplace victimization. The highest risk of workplace victimization was for those who were both bullies and victims at school (bully/victims), followed by those who were only victims. An analysis of relative risk of workplace bullying, given being a victim at school plus using various coping strategies, revealed an increased risk for the strategies ‘tried to make fun of it’, and ‘did not really cope’. Women were at slightly higher risk of getting bullied at work, but there were no interactions with roles at school, and only one interaction with coping strategies. This is the first study to report an association between school and workplace bullying. Victims at school are more at risk of workplace victimization, but the especial risk for ‘bully/victims’ supports other indications that this particular category of school pupils should be a focus of concern. The findings also suggest that school pupils who consistently cannot cope with bullying, or try to make fun of the bullying, are more at risk for later problems in the workplace. However, associations are modest; many victims of school bullying are not being victimized in later life, and the results also suggest important contextual or environmental effects on risks of victimization.     

Perceived sources and levels of stress,general self-efficacy and coping strategies in clinical dental students

The aims of this study were to identify sources of stress among clinical students and to evaluate the students’ perceived levels of stress, general self-efficacy and effective coping strategies in a private dental school environment. The study group consisted of 130 undergraduate clinical dental students in a Turkish private dental school, during the academic year 2014–2015. The students were surveyed using modified version of the dental environment stress (DES) survey, the perceived stress scale, the general self-efficacy scale (G-SES) and the brief coping scale. Age, sex, year of study, history of psychiatric treatment and factors that affected the choice of dentistry were also recorded. Final year and female clinical dental students, who were found to be the most stressful students, had moderate to high perceived stress scores. Total and ‘Faculty and administration’ related DES scores increased with the year of study. Stressors related to ‘Workload’ and ‘Clinical training’ affected females more than males. G-SES scores were higher in male students and students, who had no history of psychiatric treatment. The most and the least common coping strategies were ‘Planning’ and ‘Substance abuse’, respectively. ‘Religion’ was found to be one of the main coping strategies. Stress factors affecting Turkish clinical dental students studying at private dental school differed from the previously reported stress factors affecting students studying at a governmental dental school. Advanced year and female students experienced more stress than the other students.     

The relationship between therapeutic engagement,cognitive errors,and coping action patterns: An exploratory study

Aim: This exploratory study examined the relationship between clients’ involvement in therapy and their cognitive errors (CE) and coping action patterns (CAP). Method: Therapy sessions from N = 26 clients were rated for CE and CP using the CE and CAP methods. Client involvement was measured with the Positive and Negative Affect Schedule, as well as the . Results: The CEs’ ‘magnification of the negative or minimisation of the positive’ and ‘labelling’ were associated with measures of affective therapeutic engagement. The coping styles ‘negotiation’, ‘opposition’, ‘submission’, ‘isolation’, ‘support seeking’, ‘information seeking’, ‘delegation’, and ‘escape’ were found to be associated with affective and behavioural dimensions of therapeutic involvement. Conclusions: These findings provide preliminary supporting evidence that CE and CP are related to the extent to which clients engage in the work of therapy. Implications for researchers and therapists are discussed.     

Linking psychological risk profiles to running-related injuries and chronic fatigue in long-distance runners: A latent profile analysis

IntroductionConsistently predicting adverse outcomes of long-distance running, such as running-related injuries (RRIs) and chronic fatigue, has proven to be a complicated matter. However, research suggests that a stronger focus on psychological factors of runners might provide further insights. Consequently, in this study, we explored the interplay between self-regulatory coping strategies and motivational aspects. Using a person-centered approach, we investigated whether latent psychological profiles of runners were associated with RRIs and chronic fatigue.MethodsQuestionnaire data were gathered from Dutch recreational long-distance runners (N = 425) using a cross-sectional design. We determined whether specific psychological combinations (i.e., latent profiles) based on coping strategies (i.e., running-related resources and recovery) and motivational aspects (i.e., harmonious and obsessive passion) could be distinguished using latent profile analysis (LPA). The resulting profiles were tested for their associations with RRIs and chronic fatigue.ResultsLPA revealed three different psychological risk profiles, termed the ‘low-risk’, ‘medium-risk’, and ‘high-risk’ profile. The low-risk profile showed low scores on obsessive passion and high scores on all recovery dimensions, whereas the high-risk profile resembled the opposite pattern. Furthermore, the low-risk profile showed significantly fewer RRIs and lower chronic fatigue scores than the high-risk profile.DiscussionThe results reveal that (1) patterns of passion and coping strategies interact in defining different profiles and (2) that such profiles are indeed linked to RRIs and chronic fatigue. Utilizing profiles might enable targeted intervention and more effective preventative measures by pinpointing at-risk runners. Specific combinations of psychological aspects, as reflected by our profiles, thus appear a worthwhile direction to consider in understanding RRIs and chronic fatigue in long-distance running.     

Pre-Reflective Ethical Know-How

In recent years there has been growing attention paid to a kind of human action or activity which does not issue from a process of reflection and deliberation and which is described as, e.g., ‘engaged coping’, ‘unreflective action’, and ‘flow’. Hubert Dreyfus, one of its key proponents, has developed a phenomenology of expertise which he has applied to ethics in order to account for ‘everyday ongoing ethical coping’ or ‘ethical expertise’. This article addresses the shortcomings of this approach by examining the pre-reflective ethical know-how individuals first develop and on which all later forms of ethical expertise are dependent. In the first section an account is given of the ‘ethical second nature’ which every individual develops from childhood onwards and which forms the basis of pre-reflective ethical know-how. The acquisition of an ethical second nature early on opens up the very domain of ‘the ethical’ for us in the first place and is constitutive of our sensitivity to it. The second section turns to pre-reflective ethical know-how and whether it is conceptual in nature. Just as sensorimotor understanding forms the basis of our reflective perceptual concepts, pre-reflective ethical know-how is similarly proto-conceptual and is the source of our reflective ethical and moral concepts. Finally, the third section examines the process whereby ethical second nature and pre-reflective ethical know-how are actually acquired, namely, through immersion in an ‘ethical world’. This world consists of both the web of ethical meanings and significances which has evolved in a particular society or community as well as its members whose actions and interactions continually reproduce that web.     

Emotional competence and quality of life of children with asthma: The mediating effect of coping strategies

This study explored the mediating effect of coping strategies on the relationship between emotional competence (EC) and quality of life (QOL) among children with asthma. Participants were 87 children (M age?=?11.72, SD?=?2.58) with controlled and partially controlled asthma, undergoing everyday treatment. They filled in questionnaires assessing EC, coping strategies and QOL. Results showed that the association between some ECs and the QOL of children with asthma was fully mediated by two maladaptive cognitive coping strategies. Among children with asthma, a greater ability to differentiate their emotions, a reduced attention to bodily signals of emotions and a reduced analysis of their current emotional state were related to decreased engagement in two coping strategies (‘Ignoring Asthma’ and ‘Worrying about Asthma’), which in turn increased their QOL. These findings show that EC has an indirect effect on QOL through very specific coping strategies. They also emphasise the importance of screening EC in children with asthma and the importance of developing and using multidisciplinary interventions for them.     

HIGHLY ANXIOUS PUPILS IN FORMAL AND INFORMAL PRIMARY CLASSROOMS; THE RELATIONSHIP BETWEEN INFERRED COPING STRATEGIES AND: I—COGNITIVE ATTAINMENT

Summary . This study was carried out in conjunction with the Teaching Styles project (Bennett, 1976). Questionnaire measures of ‘anxiety’ and ‘achievement motivation’, together with cognitive tests of English, mathematics and reading were administered to a sample of 956 primary school pupils in classes taught by teachers representing formal, informal and mixed teaching styles at the beginning and towards the end of the final year in primary school. Based on the premise that self-report measures of ‘anxiety’ and ‘achievement motivation’ may be indicative of coping strategies, zonal analyses of post-test data were carried out separately by sex and within teaching style. Results showed higher levels of attainment for highly anxious highly motivated pupils (an inferred coping strategy of approach) than for highly anxious low motivated pupils (an inferred coping strategy of avoidance). Further analyses indicated a close link between anxiety, motivation and ability for girls, a finding interpreted in terms of sex-related conformity, but for boys considerable discrepancies in attainment in relation to the inferred coping strategies were still in evidence at the lower ability level under all teaching styles. At the upper ability level significant discrepancies in attainment were shown only for boys in formal classrooms, where an inferred coping strategy of ‘approach’ was found to be associated with the highest level of attainment and an inferred coping strategy of ‘avoidance’ was associated with the lowest level of attainment. These findings are interpreted in terms of extrinsic motivational incentives, success and failure experience and possible parental influence. Further analysis indicated that ‘avoiders' tended to be introverted and ‘approachers' extraverted in personality. This finding is interpreted in the light of Gray's 1970 postulate that introverts are relatively more susceptible to punishment/non-reward, whereas extraverts are relatively more susceptible to reward.     

The importance of leisure as a means of coping with work related stress: An exploratory study

Work stress researchers have long recognized the importance of coping in the work stress relationship and there is now a growing body of literature exploring the measurement and classification of coping strategies. While a range of coping activities have been explored one area that has received a less than complete treatment is the importance individuals give to leisure as a means of coping with work related stress. This research set out to explore the important reasons individual attach to leisure as a means of coping with work stress. The sample was made up of 695 principals and deputy principals from secondary schools throughout New Zealand. Analysis revealed that there were two reasons why leisure is important as a means of coping; one because of its active/challenging nature and the other because of its more passive/recuperative nature. The items that made up these two broad categories were then further explored in relation to a number of measures of well-being. This involved the use of sequential tree analysis and the sequential unfolding of the different reasons. The pattern to emerge suggested that 'being totally focused' was an important reason for engaging in active/challenging leisure whereas a more complex profile emerged for using passive/recuperative leisure activities. The significance of these findings is discussed in terms of intervention strategies and the role of leisure within work stress research.     

A pilot study examining the effects of priming headache illness schema on attentional engagement towards pain relief medication,in those with high and low medication treatment beliefs

Few studies have assessed the underlying theoretical components of the Common Sense Model. Past studies have found, through implicit priming, that coping strategies are embedded within illness schema. Our aim was to evaluate the effect priming ‘headache’ illness schema upon attentional engagement to pain relief medication and to examine the interaction with illness treatment beliefs. Attentional engagement to the pain relief medication (‘Paracetamol’) was assessed using a 2 (primed vs. control) × 2 (strong belief in medication efficacy vs. weak belief in medication efficacy) design. During a grammatical decision task (identifying verbs/non-verbs), participants were randomised to receive a headache prime or a control. Response latency to the target word, ‘Paracetamol’ was the dependent variable. ‘Paracetamol’ treatment beliefs were determined using the brief illness perception questionnaire. Sixty-three participants completed the experiment. There was a significant interaction between illness-primed vs. control and high vs. low treatment efficacy of Paracetamol (p < .001), suggesting an attentional disengagement effect to the coping strategy in illness-primed participants whom held stronger treatment beliefs regarding the efficacy of Paracetamol. In summary, implicit illness schema activation may simultaneously activate embedded coping strategies, which appears to be moderated by specific illness beliefs.     

Correlates of coping behaviours: Internal and external resources

This study examined some possible factors that were expected to influence choices of coping strategies. They were demographic variables (age, sex, marital status, education, and family income), personality traits (extroversion, neuroticism and locus of control), perceived life stress, and received social support. Five hundred and eighty one randomly selected community adults living in Kaohsiung city were interviewed and completed questionnaires measuring the above variables. Multivariate analyses had shown that: (a) higher income and education were related to more use of ‘Seeking social resources’ and ‘Planning & hoping’ coping; (b) higher extroversion was related to more use of ‘Seeking social resources’, ‘Planning & hoping’ and ‘Emotional suppression’ coping, whereas the last was also related to higher neuroticism; (c) people with higher internal locus of control favoured ‘Planning & hoping’, but not ‘Emotional suppression’ coping; (d) perceived life stress was not related to any use of coping behaviours; however, (e) more social support was related to more use of all kinds of coping behaviours. Implications of results were discussed in the context of stress and adaptation.     

The relationship between marital standards,dyadic coping and marital satisfaction

Different types of cognitions in close relationships have been identified. Yet, little is known about the nature and effects of most of them, such as marital standards. In our research project ‘What makes marriages last?’ we applied a German adaptation of the ‘Inventory of Specific Relationship Standards,’ a questionnaire measuring how much sharing, egalitarianism and investment spouses feel they should have and actually experience in their own marriage. We hypothesized that high, i.e., relationship‐focused standards, should be associated with dyadic coping processes as well as with marital satisfaction. Thereby, dyadic coping was expected to play a mediating role between standards and marital satisfaction. Based on a sample of 663 German married couples, we found significant correlations between standards, marital satisfaction, and dyadic coping processes. Moreover, supportive behavior in stressful situations had the expected partial mediating effect, which turned out to be slightly different for husbands and wives. Implications for preventive and therapeutic intervention are discussed. Copyright © 2006 John Wiley & Sons, Ltd.     

“It can save you if you just forget”: Closeness and Competence as Conditions for Coping among Ugandan Orphans

This article explores the coping strategies of orphaned children and their caregivers supported by a community-based organization in a Ugandan slum area. In-depth qualitative interviews were conducted with eight orphans (aged 12 to 16 years) and their caregivers selected by the community-based organization. The children had experienced several co-occurring risk factors such as loss and separation, poverty, disease, and an unsafe environment. Most caregivers were extended family members. One caregiver was an unrelated foster carer. Three of the households were child-headed. Data were analysed using an adapted approach of Giorgio's (Hafting, 1995; Malterud, 2001) psychological-phenomenological method. Participating children from child-headed households lacked protective factors associated with closeness (i.e., supportive dyadic relationships). All the children in the study experienced competence in the arenas of school and household chores. Cultural advice on handling adversity, including ‘forgetting’, ‘accepting’ and ‘adjusting’, appears to contradict Western theories of coping. Sommerschild's theoretical model on the conditions for coping was effective in identifying conditions in children's lives that may impair their coping, self-worth, and resilience.     

Cognitions About Problematic Internet Use: the Importance of Negative Cognitive Stress Appraisals and Maladaptive Coping Strategies

The effects of cognitive appraisals of stress and coping strategies on cognitions about problematic Internet use have not been studied together in the literature. The Lazarus’s cognitive-relational theory is selected as the theoretical framework to further our understanding of problematic Internet use. The aim of the present study is to examine the mediator roles of uncontrollability appraisals of stress and maladaptive coping strategies on threat appraisals of stress and cognitions about problematic Internet use. The roles of negative stress appraisals and maladaptive coping strategies on the cognitions about problematic Internet Use are determined by using structural equation modeling (SEM) in a sample of 549 Turkish university students. The results reveal that by playing a mediator role, both escape-avoidance and accepting responsibility maladaptive coping strategies were found to be related with uncontrollability and hence indirectly influenced the relationship between threat appraisal and cognitions about problematic Internet use. Examining the role of the negative stress appraisals and maladaptive coping strategies will provide a new starting point for further research.     

The Relation of Emotion Knowledge to Coping in European American and Chinese Immigrant Children

Emotion knowledge contributes to emotion regulation and coping among adults, but few studies have investigated its role in children’s coping development, especially in a cross-cultural context. We examine relations between children’s emotion knowledge and coping in European American and Chinese immigrant families. One hundred and three 7- to 10-year-old children and their mothers from European American and Chinese cultural background participated in this study. Children's emotion knowledge was assessed using emotion-situation knowledge production task. This task examines their understanding of situational antecedents o discrete emotions. Children’s use of coping strategies was reported by mothers using the Children’s Coping Strategies Checklist. Results showed that Chinese immigrant children had greater emotion knowledge of fear and pride but were reported using less variety of coping strategies than European American children. The relationship between children’s knowledge of self-conscious emotions and their use of distraction coping strategies was moderated by culture, whereby knowledge of self-conscious emotions was negatively associated with the parent-reported distraction strategies only for European American children but not for Chinese immigrant children. The importance of culture in both theory and practice related to emotion knowledge and coping is discussed. Findings in this study suggest that family intervention and children’s emotion training programs may need to consider children’s cultural background.     

Teachers’ high maintenance behaviour as perceived by university students in Taiwan,and their coping strategies

Using a questionnaire survey, this study probed into interpersonal cues and characteristics of teachers’ high maintenance behaviors perceived by university students and their coping strategies, and then analyzed the relationship between their perceived high maintenance behaviors and the dimensions of their coping strategies. The Scale of Teachers’ High maintenance Behaviors and the Scale of Coping with Teachers’ High maintenance Behaviors were used as the measurement tools. The subjects were 248 university students, of which 59.3 % were male and 40.7 % were female. According to the research results, the subjects mostly suggested that they define teachers as being high maintenance after getting along with them for one to two weeks and communicating with them using 6–20 sentences. The subjects also suggested that the ranking of the behavioral characteristics of the most significant high maintenance behaviors of teachers is: being old-fashioned, followed by rule followers, idealization, and irresponsible opinions. According to the scores, the ranking of the subjects’ coping strategies for high maintenance behaviors of teachers is obedience and endurance, followed by gentle resistance, compromise, and obvious unhappiness. There is a significant correlation between teachers’ high maintenance behaviors perceived by university students and the dimensions of their coping strategies. It was found that teachers’ high maintenance behaviors perceived by university students could significantly predict the dimensions of coping strategies. Based on the above, this study proposed some suggestions and provided a discussion for university teachers and future studies.     

Coping,caring and believing: The embodied work of disaster recovery workers

This paper examines the embodied experiences of coping, caring and believing by disaster recovery workers in Australia in the context of the growing frequency and intensity of disasters, especially bushfires. The study draws on three concepts: faith as performative, embodiment, and the ‘holding environment’ as a system that shapes coping capacity. Faith emerges in the study as having two modalities (introspection and group-communion) that are not synonymous with religious adherence. Instead it is linked to the holding environment, which comprises the strategies that individuals and groups have developed to cope with risks and exposure, through their embodied responses, and the observed responses of others, to the impact of potential and actual harm. The holding environment provides mental, spiritual and physical spaces and practices where disaster recovery workers can safely confide, reflect, debate, grow and heal. These processes, in turn, provide anchor points and sense of purpose. They also accentuate the individual and collective choices we face in terms of mitigating and adapting to growing social and environmental uncertainty with climate change.     

Coping strategies: A prospective study of patterns,stability, and relationships with psychological distress

The aims of this article are: (1) to explore patterns (clusters) of coping strategies; (2) to examine the stability of individual coping strategies and patterns of coping over time; and (3) to establish long term associations between coping and psychological distress. Coping strategies were assessed with the Brief Cope questionnaire, whereas psychological distress was measured with the ten‐item version of the Hopkins Symptom Checklist, in a two‐year prospective sample comprising 3,738 employees. Based on TwoStep cluster analysis of the Brief Cope, three different coping patterns were identified: low coping, engagement coping, and disengagement coping. Analyses of long‐term stability indicated malleable properties for the individual coping strategies as well as the three clusters. Disengagement coping strategies in the form of self‐blame and self‐distraction were most strongly associated with distress at follow‐up, whereas baseline distress was related to increased use of these strategies two years later. Coping patterns at baseline had no main effects on later levels of distress, but levels of distress at baseline predicted subsequent use of engagement and disengagement coping patterns. The finding that specific coping strategies are malleable suggests that it is possible to modify and develop dysfunctional strategies. The associations between disengagement coping strategies and distress indicate that this kind of coping is especially problematic with regard to mental health problems. A main contribution of this study is that it establishes cluster analytic techniques as beneficial in the assessment of coping.