The Relationships of Primary Appraisals of Infertility and Other Gynecological Stressors to Coping

Women experiencing infertility, pregnancy, medical gynecological problems, or annual checkups were assessed for primary appraisal of their stressor and types of coping strategies used. Diagnostic category approximated the subjective appraisal of stressor for pregnant (challenge) and checkup (no stress) groups. Most participants in the medical gynecological problems group appraised their stress as a threat, but a few participants chose other appraisal categories. Infertility was associated with two categories of appraisal—loss and challenge. Participants appraising their stressor as a loss made greater use of the coping strategies of Action, Wishful Thinking, and Fatalism than did women appraising their stressor as a challenge, a threat, or not stressful. Women appraising infertility as challenge were less distressed than women in any other group. The bimodal perception of infertility has implications for treating women who seek psychological help.     

The limits of 'adaptive' coping: well-being and mood reactions to stressors among women in abusive dating relationships

Coping is typically thought to be adaptive if it reduces immediate distress and promotes well-being. However, coping strategies might appear beneficial in a given situation, but when considered in the broader stressor context, those situational benefits may actually undermine well-being. Two studies (N = 473 and N = 80 women) demonstrated that, in the context of psychologically or physically abusive dating relationships, coping orientations were rooted in women's stressor history (prior assault trauma) and elevated emotion-focused and lower problem-focused efforts were predictive of greater depressive symptoms. Yet, in response to a stressor video that acted as a reminder of women's abusive experiences (but not to a stressor video unrelated to abuse), affective benefits (lower hostility, higher positive agency) were associated with abused women's emotion-focused coping endorsements, but were not linked to problem-focused coping. It seems that in some contexts, reduced distress might limit active efforts to alter a dysfunctional situation.     

Do allogeneic bone marrow transplant candidates match coping to controllability of pre-treatment stressors?

According to the Person x Situation theoretical framework, people adjust their coping to address the unique challenges of encountered stressors. Whether their strategies fit or appropriately address these stressor challenges influences adjustment. We examined the fit between pre-treatment stressors reported by hematological cancer patients awaiting allogeneic bone marrow transplantation (alloBMT) and their coping responses. Stressors were categorized as controllable versus uncontrollable; coping responses were categorized as problem- versus emotion-focused versus mixed (i.e., elements of both coping types). We hypothesized that patients would employ coping responses that fit the controllability of stressors (i.e., a match between stressor and coping response): problem-focused coping for controllable stressors and emotion-focused coping for uncontrollable stressors. In qualitative interviews, pre-BMT patients (10 men, 7 women) described encountered stressors and how they coped with them. Every reported stressor was linked with its associated coping response, resulting in a stressor-coping pair. We determined the proportion of total stressor-coping pairs in which the coping response matched the controllability of its linked stressor. Most stressor-coping pairs involving uncontrollable stressors showed the hypothesized match with emotion-focused or mixed coping. Contrary to hypotheses, fewer stressor-coping pairs that involved controllable stressors matched with problem-focused or mixed coping. Rather, these pairs were more likely to link controllable stressors with emotion-focused coping (i.e., mismatch between stressor controllability and type of coping). AlloBMT candidates may appraise the pre-treatment stage, globally, as permitting very little control. Coping efforts may consequently emphasize regulation of negative emotions (i.e., emotion-focused coping).     

Effect of Gender-Role Orientation of Primiparous Mothers on Their Cognitive Appraisals,Coping Strategies,and Mood Postpartum

Cognitive appraisals of mothering as a challenge and threat, coping strategies, affect balance, and depression were studied in 91 married gender-typed, cross-gender typed, and androgynous primiparous middle-class Israeli mothers of infants aged 3–5 months. The results indicated that gender-typed and androgynous women had significantly higher challenge scores and lower threat scores than did cross-gender typed women. With regard to coping strategies, gender-typed and androgynous women used more support-seeking than did cross-gender typed women. Gender-typed women also used less problem-focused strategy and more emotion-focused strategy than did cross-gender typed women. Gender-typed and androgynous women manifested more positive affect balance and less depression than did the cross-gender typed women.     

Coping with Missile Attack: Resources, Strategies, and Outcomes

ABSTRACT The coping process was examined in a group of Israeli subjects experiencing SCUD missile attacks during the Persian Gulf War. We were interested in examining the relationship of coping resources, optimism, perceived control, and coping strategies, to anxiety, to physical symptoms, and to cognitive functioning during a real crisis. Data were gathered via structured questionnaires in the midst of the Persian Gulf War (February 1991) on a sample of 261 adult respondents residing in northern Israel. Although people reported a mixture of palliative and active coping strategies, it was the use of palliative coping efforts that predicted greater anxiety and physical symptoms. Subjects with greater coping resources used more palliative and active coping strategies and had higher cognitive functioning. However, active coping did not predict any of the negative stress reactions (i.e., anxiety and physical symptoms). People who perceived being in control of the situation reported using less palliative coping and fewer symptoms. That active coping did not predict negative stress reactions may have been a function of the severity of the stressor, and the resultant high levels of anxiety that were engendered. Overall, these findings do point to a different coping process in a grave and ongoing disaster situation than that reported in reaction to more normal life events.     

Strategies for Coping with Work Stressors and Family Stressors: Scale Development and Validation

Purpose

Both individuals and organizations benefit when workers can effectively cope with stressors in the work and family domains. This study takes an inductive approach to the development of a work stressor coping scale and a family stressor coping scale.

Design/Methodology/Approach

In phase one, a comprehensive list of coping strategies was generated through a multi-step content analysis of qualitative interviews. In phase two, the content validity of the work stressor and family stressor coping strategy scales was established using data from three samples; and in phase three, convergent, discriminant, and criterion-related validity evidence were obtained using data from two samples.

Findings

A multi-step content analysis of qualitative interview data was used to develop a list of 365 coping strategy statements (182 work and 183 family) representing 11 work and 14 family stressor coping strategies. Multiple samples were used to reduce the number of scale items, and establish evidence for the scales’ content, construct, and criterion-related validity. The final work stressor coping scale consisted of 36 items assessing 12 different strategies, and the final family stressor coping scale consisted of 45 items assessing 15 different strategies.

Implications

Findings from the present study suggest that individuals may use a wider variety of strategies to cope with work stressors and family stressors than previously thought, and these strategies may be differentially effective depending on the stressor domain (i.e., work or family) and outcome (e.g., work-to-family conflict vs. family-to-work conflict).

Originality/Value

The inductive nature of our study resulted in a comprehensive and domain-specific scales assessing how individuals cope with work stressors and family stressors.     

Presurgical Coping, Depression, and Quality of Life in Persons with Parkinson's Disease

This study describes utilization of coping strategies and evaluates the interaction between coping strategies, depression, and quality of life (QOL) in patients with Parkinson's disease (PD) who are being considered for neurosurgical intervention. Eighty patients (mean age 61.7 years) with PD being evaluated for possible deep brain stimulation completed self-report instruments of coping strategies (Coping Responses Inventory), depression (Beck Depression Inventory), and disease-specific QOL (Parkinson's Disease Questionnaire-39). Analyses showed that patients with PD cope with the acute stressor of approaching neurosurgery through a variety of strategies, but particularly avoidant and behavioral strategies. When the correlated but apparently opposing effects of cognitive and behavioral strategies were teased apart, greater use of cognitive strategies was associated with more severe depressive symptomatology (and poorer QOL), while greater use of behavioral strategies appeared to be associated with less depression. Depressive symptomatology, in turn, was associated with poorer QOL. However, coping had minimal direct association with QOL. From this it was concluded that patients with advanced PD generate a variety of coping responses to an acute stressor such as surgery, and the use of behavioral strategies, in particular seeking of alternative enjoyable activities, may be associated with better mood if salutary effects are not overwhelmed by less helpful cognitive coping techniques. The minimization of depressive symptomatology, in turn, is associated with better QOL.     

Socioeconomic differences in coping with childbearing

The socioeconomic status of 200 women, who were completing a childbearing year, was found to be significantly associated with their attitudes, affective arousal and coping strategies. Differences in attitude existed toward 11 of 18 aspects of childbearing, working-class women holding more positive attitudes with the exception of their negative attitudes concerning physical problems and labor. Affective arousal, as measured by the application of 12 content analysis scales to the women's recollections, was greatest among working-class women who experienced more mutation, guilt, and total anxiety. This was associated with their tendency to avoid confrontation and be fatalistic in dealing with problems. They were less likely to exhibit instrumental coping by attending prenatal classes, seeking information, or planning. Interactions of socioeconomic status, type of problem, and coping strategy chosen occurred, as did some variations in the reactions of middle- and upper middle-class women.     

Rural breast cancer patients,coping and depressive symptoms: A prospective comparison study

Many studies have revealed that individual differences in coping responses to the diagnosis and treatment of breast cancer are associated with psychological adjustment. The vast majority of these studies, however, focus exclusively on urban breast cancer survivors despite that rural breast cancer survivors are likely to have distinct experiences both in general and in relation to breast cancer. The current study quantitatively examined the coping strategies employed by both rural and urban breast cancer patients while they were undergoing radiation therapy. Further, the influence of these coping behaviours on concurrent as well as subsequent depressive symptoms (3 and 6 months later) was examined. The results revealed that the rurality of breast cancer patients was unrelated to the ways in which they coped, but did influence the relationships between some coping responses and depressive symptoms. Specifically, active coping and positive reinterpretation were negatively related to depressive symptoms for more rural breast cancer patients, but not their relatively urban counterparts. Similarly, behavioural disengagement was more strongly related to depressive symptoms for more rural patients. Possible reasons for this pattern of results and implications are discussed.     

Latin-American immigrant women and mental health: differences according to their rural or urban origin

Spain is one of the EU countries that receive most immigrants, especially from Latin America. The process of migration implies a high level of stress what may have repercussions for the mental health of immigrants. The purposes of this study were: (a) to determine whether the degree of mental health of immigrant women differs according to their rural or urban origin, (b) to compare the mental health of immigrant women with that of the female normative sample of host population (Spain). A sample of 186 Latin American immigrant women (142 from urban areas and 44 from rural areas) was recruited in Barcelona by means of a consecutive case method. A structured interview and the SCL-90-R were administered. The results indicated that the immigrant women from rural origin reported higher levels of psychological symptomatology than those from urban areas. Immigrants reported higher levels of psychological symptomatology than the native female population and in most of the psychological symptoms exceeded 90% of the native Spanish population. Migration is a powerful stressor which may lead to psychological distress. Being female of rural origin and being in an illegal situation is related with an increase in symptomatology.     

Independent Female Escort’s Strategies for Coping with Sex Work Related Stigma

Despite the reframing of ??prostitution?? as ??sex work?? in research and advocacy literature, the stigma associated with this activity persists. This study examines how independent female sex workers advertising online as ??escorts?? perceive and manage the stigma associated with their work, and how these coping strategies impact their personal relationships. Thirty escorts participated in semi-structured qualitative interviews; Goffman??s (1963) theory of stigma and information management strategies was used as a theoretical framework to guide the analysis of women??s experiences. Women who engaged in selective disclosure regarding sex work reported greater access to social support, while women who concealed their work from most people often reported feeling lonely and socially isolated. Escorts?? stigma coping strategies may have significant impact on their social relationships and access to social support.     

Gender, Appraisal, and Coping: A Longitudinal Analysis

ABSTRACT For 21 consecutive days, 186 male and female college students recalled the most stressful event of the day, recorded how the event was appraised, and indicated the coping methods they employed as well as their perceived effectiveness and the sequence in which they were used. Gender differences in seven coping strategies were examined in terms of frequency of use, extent of use, relative use, and the frequency with which each method was used first in the coping sequence. The gender differences that emerged were consistent with a socialization hypothesis that predicts more problem-focused coping in men and more use of support seeking and emotion-focused coping in women. Both men and women rated problem-focused coping responses as more generally effective than seeking social support, and the latter as more effective than emotion-focused coping responses. Additionally, we explored the roles of stressor type and of threat, challenge, and control appraisals in the observed gender differences.     

Mental toughness, stress, stress appraisal, coping and coping effectiveness in sport

The aim of the present study was to investigate the relationship between mental toughness, stressor appraisal, coping strategies and coping effectiveness among a sample of athletes. Participants were 482 athletes (male n = 305; female n = 177), aged between 16 and 45 years (M age = 20.44 years, SD = 3.98). In support of a priori predictions, mental toughness was associated with stress intensity and control appraisal, but not the type of stressor experienced by athletes. Total mental toughness and its six components predicted coping and coping effectiveness in relation to the self-selected stressor. In particular, higher levels of mental toughness were associated with more problem-focused coping, but less emotion-focused and avoidance coping. Coping effectiveness was influenced by the coping strategy employed by the athletes.     

Stress,Sex Differences,and Coping Strategies Among College Students

The sources of stress (academics, financial, family, social, and daily hassles) and coping strategies (self-help, approach, accommodation, avoidance, and self-punishment) of 166 college students were examined. The relationship between sex, specific sources of stress, and coping strategies was also investigated. Students completed a stress assessment inventory and a stress coping inventory based on a 5-factor revised COPE model (Zuckerman and Gagne Journal of Research in Personality, 37:169–204, 2003). Results found that college women reported a higher overall level of stress and greater use of emotion-focused coping strategies than college men. College men and women also reported different coping strategies for different stressors; however the use of emotion-focused coping strategies dominated over problem-solving strategies for both men and women. These results have implications for designing stress reduction workshops that build on the existing adaptive emotion-focused strategies of college students.     

Marital interactions and experiences of women living in polygamy: An exploratory study

The study examines interactions and experiences of Bedouin women living in polygamous households in Israel. A mixed-method approach was applied in a two-part study. The quantitative part examined differences in differentiation of self and marital satisfaction between 50 Bedouin women in polygamous marriages and 50 in monogamous marriages. It found that, in polygamous families, women's levels of marital satisfaction were positively related to their I-position and fusion with others and negatively related to emotional cutoff and number of children at home, whereas among monogamous counterparts, marital satisfaction was only negatively associated with emotional cutoff. Surprisingly, fused relationships with the family of origin predicted higher satisfaction only in women in polygamous marriages. The qualitative part, which yielded deeper understanding of the authentic voices and experiences of 18 senior wives, revealed that they had severe emotional and physiological responses to their husbands' marriage to another woman. For most, particularly those who married young, living in a polygamous family adversely affected their marital satisfaction. Interactions ranged from violent relationships, accompanied by jealousy and anger, to respectful and harmonious relations. Along with the challenges, some women, especially the educated, chose proactive ways of coping. Educated women also preferred cohabitation with the other wife.     

Coping with challenge and hindrance stressors in teams: Behavioral,cognitive, and affective outcomes

The purpose of this study was to utilize the challenge–hindrance framework to examine the discrete and combined effects of different environmental stressors on behavioral, cognitive, and affective outcomes at the team level. Results from 83 teams working on a command and control simulation indicated that the introduction of a challenge stressor positively affected team performance and transactive memory. The introduction of a hindrance stressor negatively affected team performance and transactive memory and positively affected psychological withdrawal. When the hindrance stressor was combined with the challenge stressor, teams exhibited the lowest levels of performance and transactive memory, and the highest levels of psychological withdrawal. These effects were due to the adoption of specific coping strategies by team members. Implications are discussed, as well as limitations and directions for future research.     

Living with depression: Coping strategies used by South Asian women,living in the UK,suffering from depression

This brief study employed a qualitative, grounded theory approach within a constructivist paradigm, to explore the coping strategies used by Asian women suffering from depression. Ten Asian women were interviewed about their choice of coping strategies, factors affecting this and how this relates to treatment. The patients were interviewed individually using a brief semi-structured interview. The data were gathered and analysed according to the grounded-theory approach. Findings revealed that coping strategies included religion and prayer, talking, crying and self harm. The strategies were mediated by the individual's perception of the problem as depression, motivating factors and access to help. A distinction is made between general and culture-specific coping strategies and clinical implications for mental health services are also briefly discussed. Limitations of the study were also presented in line with qualitative research guidelines.     

Class,housework, and happiness: Women's work and life satisfaction

Large-sample surveys often fail to find a difference in self-reported satisfaction between housewives and employed women. Several explanations that have been offered for this failure are explored here in greater detail. The suggestion that the ease of housewives' lives is experienced as a benefit compensating for fewer satisfactions in other areas is rejected; greater time pressure is associated with greater satisfaction for housewives. The suggestion that working-class women are happier at home, while middle-class women prefer careers is also not supported; working-class women appear to be less satisfied with their lives and no more satisfied with their work whether the comparison group is working-class women with jobs or middle-class housewives. Social desirability, on the other hand, is found to be a major factor predicting the self-reported happiness of housewives, and the general issue of the role of social expectations in evaluating satisfaction is raised.     

The Effect of Intracouple Coping Concordance on Psychological and Marital Distress in Infertility Patients

The effect of intracouple coping concordance on psychological and marital distress was examined in a sample of 46 couples undergoing different stages of infertility treatment. Results indicate that the effect of coping similarity within couples is dependent on both the type of coping examined and the stage of the stressor. Specifically, for women the use of high levels of task-oriented coping by their partners and themselves is associated with the highest level of marital satisfaction. The findings also indicate that the use of high emotion-oriented coping by both partners is associated with the most psychological distress for men. Finally, the results show that marital satisfaction among women undergoing late stage treatment is highest in couples where the males are using low levels of emotion-oriented coping. Interestingly, the least satisfaction for women is evident when the woman is using less emotion-oriented coping while her partner is using more, rather than when both partners are using more emotion-oriented coping strategies. Clinical implications of the findings are discussed.     

Relationship Between Miscarriage and Dysfunctional Cognitions About Trauma,Coping Mechanisms,and Posttraumatic Growth

Many studies have described grief and psychiatric symptomatology as a typical feature following miscarriage. How women who had a miscarriage (MG) respond to trauma in terms of negative cognitions about their selves and the world, the coping strategies they employ to overcome the effects of the trauma, and what factors might be indicative of posttraumatic growth (PTG) in this population have not been extensively studied so far. We aimed to identify whether women who had a miscarriage (N = 74 vs. N = 82 control subjects) exhibited higher levels of psychological distress symptoms, dysfunctional cognitions, and maladaptive coping strategies, and whether women with lower PTG employed more maladaptive coping strategies, and reported higher levels of dysfunctional cognitions. Group comparisons according to the diagnostic groups based on self-report measures for depression, anxiety, posttraumatic stress disorder and according to the level of PTG, and stepwise linear regression analyses with PTG as the outcome were performed. Our study demonstrated that the MG does not necessarily differ from the control group on some measures of psychopathology, coping mechanisms, dysfunctional cognitions, or PTG. Yet, the MG who exhibited higher levels of PTG had specific predictors, and women with a psychiatric diagnosis differed from participants with no diagnoses on some measures of dysfunctional cognitions, coping mechanisms, and PTG. Further studies with a prospective design could further clarify the needs of the MG requiring psychotherapeutic interventions.