Coping with stress during childhood and adolescence: problems, progress, and potential in theory and research

Progress and issues in the study of coping with stress during childhood and adolescence are reviewed. Definitions of coping are considered, and the relationship between coping and other aspects of responses to stress (e.g., temperament and stress reactivity) is described. Questionnaire, interview, and observation measures of child and adolescent coping are evaluated with regard to reliability and validity. Studies of the association of coping with symptoms of psychopathology and social and academic competence are reviewed. Initial progress has been made in the conceptualization and measurement of coping, and substantial evidence has accumulated on the association between coping and adjustment. Problems still remain in the conceptualization and measurement of coping in young people, however, and aspects of the development and correlates of coping remain to be identified. An agenda for future research on child-adolescent coping is outlined.     

ADOLESCENT IDENTITY FORMATION VERSUS SPIRITUAL TRANSFORMATION

Since 1950, Erik Erikson's emphasis on ego-identity formation as the crucial task of adolescence has been the framework for almost all subsequent research and programming to empower positive adolescent development. Chatlos has recently described a “Framework of Spirituality” and contends that identity formation significantly interferes with and should occur after a spiritual transformational process for optimal and more meaningful adolescent development. This article reviews the current status of research in identity formation, including religious and spiritual identity formation contributing to his conclusion, and describes the spiritual transformational process that is proposed to be central to positive adolescent development. A possible link between systemic focus on identity formation and current social upheaval is also identified.     

Posttraumatic stress and depression: potential pathways to disease burden among heart failure patients

Background and Objectives: Posttraumatic stress disorder (PTSD) and Major Depressive Disorder (MDD) are associated with high disease burden. Pathways by which PTSD and MDD contribute to disease burden are not understood. Design: Path analysis was used to examine pathways between PTSD symptoms, MDD symptoms, and disease burden among 251 low-income heart failure patients. Methods: In Model 1, we explored the independent relationship between PTSD and MDD symptoms on disease burden. In Model 2, we examined the association of PTSD symptoms and disease burden on MDD symptoms. We also examined indirect associations of PTSD symptoms on MDD symptoms, mediated by disease burden, and of PTSD symptoms on disease burden mediated by MDD symptoms. Results: Disease burden correlated with PTSD symptoms (r = .41; p < .001) and MDD symptoms (r = .43; p < .001) symptoms. Both models fit the data well and displayed comparable fit. MDD symptoms did not mediate the association of PTSD symptoms with disease burden. Disease burden did mediate the relationship between PTSD symptoms and MDD symptoms. Conclusions: Results support the importance of detection of PTSD in individuals with disease. Results also provide preliminary models for testing longitudinal data in future studies.     

Religio‐Spiritual Participation in Two American Indian Populations

Following a previous investigation of religio‐spiritual beliefs in American Indians, this article examined prevalence and correlates of religio‐spiritual participation in two tribes in the Southwest and Northern Plains (N = 3,084). Analysis suggested a “religious profile” characterized by strong participation across three traditions: aboriginal, Christian, and Native American Church. However, sociodemographic variables that have reliably predicted participation in the general American population, notably gender and age, frequently failed to achieve significance in multivariate analyses for each tradition. Religio‐spiritual participation was strongly and significantly related to belief salience for all traditions. Findings suggest that correlates of religious participation may be unique among American Indians, consistent with their distinctive religious profile. Results promise to inform researchers’ efforts to understand and theorize about religio‐spiritual behavior. They also provide tribal communities with practical information that might assist them in harnessing social networks to confront collective challenges through community‐based participatory research collaborations.     

How do loss- and restoration-oriented coping change across time? A prospective study on adjustment following spousal bereavement

Background and objectives: According to the Dual Process Model (DPM), shifting between loss-oriented (LO) and restoration-oriented (RO) coping is essential for adjustment following bereavement. Knowledge about how LO and RO coping change over time and how such changes are related to adjustment is missing. With a prospective design this study investigated (1) relations between levels of LO/RO coping and selected outcomes and (2) changes in LO/RO coping across time and their relations to adjustment.

Methods: A sample of 145 spousal bereaved individuals completed questionnaires measuring LO and RO coping, grief symptoms, positive affect, and attachment orientation approximately 2–3 months (baseline) and 7 months (follow-up) post-loss.

Results: High usage of LO coping was associated with poorer outcomes and high usage of RO coping was associated with better outcomes at both baseline and follow-up. Individuals generally shifted towards more RO coping across time and those who exhibited this shift showed lower levels of grief at follow-up compared to individuals who changed towards more LO coping across time.

Conclusions: Individuals showing more RO coping reported better adjustment both early and later in the bereavement process. Changes in coping orientation over time might be useful for understanding complicated grief reactions following loss.     

Cognitive flexibility as a meta-competency / Flexibilidad cognitiva como meta-competencia

Abstract

There exists a large body of research that has studied cognitive flexibility as an executive function assessed through shifting and set-switching tasks. This approach has been criticized as overly narrow and reductionist, thereby undermining the relevance of cognitive flexibility beyond tightly controlled cognitive tasks. In light of such limitations, we review the extant literature and reflect on the understanding of cognitive flexibility as (1) an cognitive approach to novelty processing and (2) as a conative disposition towards novelty. We present a theoretical model of cognitive flexibility as a meta-competency reflected in adaptive performance which emerges as a strategic response to novelty in dynamic environments. This meta-competency draws on a confluence of cognitive and conative variables that are actively and adaptively harnessed by an individual under specific circumstances.     

Pardoning Puritanism: Community, Character, and Forgiveness in the Work of Richard Baxter

The English Puritan Richard Baxter (1615–1691) developed an account of forgiveness that resonates with twentieth-century virtue ethics. He understood forgiveness as one component of a larger disposition of character developed in community as human beings recognize themselves as sinful creatures engaged in complex relationships of dependency and responsibility, with both God and one another. In the midst of these relationships, persons experience divine and human forgiveness and discover opportunities to practice forgiveness in return. Baxter thus negotiated a distinctive relationship between Christian hope for reconciliation and more stereotypical Puritan emphases on punishment, civil order, and justice. At the same time that recent moral reflection allows us to raise questions about some features of Baxter's argument (such as his treatment of anger), his work provides important resources for correlating dispositions with concrete obligations, establishing a place for forgiveness in the public realm, and counterbalancing the modern emphasis on individual rights.