The relative efficacy of avoidant and nonavoidant coping strategies: a meta-analysis

A casual review of the research literature on coping strategies suggests that strategies involving avoidant tactics are effective in reducing pain, stress, and anxiety in some cases, whereas nonavoidant strategies (called here attention), appear to be more effective in others. This article reports the results of a series of meta-analyses to ascertain whether there are systematic patterns in the empirical literature that describe when attention strategies are more or less effective than avoidant strategies. In particular, we consider the role of different kinds of attentional sets and also the role of time--whether some kinds of strategies work best in the early phases of the stress experience, and others are more efficacious in later phases of the stress experience. Results of an overall analysis of studies providing tests of attention versus avoidance indicated little evidence for one strategy's superiority. However, supplementary analyses, motivated by theoretical reasons, suggest there are boundary conditions that define the relative efficacy of a specific strategy. Overall, avoidance was associated with more positive adaptation in the short-run. However, attention was superior to avoidance if the former involved a focus on sensory schemata rather than emotional processing. If attention involved an emotional interpretational set or no explicit set, then it was associated with more negative outcomes than avoidance. In terms of long-term outcomes, avoidance indicates better outcomes initially, but with time, attention was associated with more positive outcomes. A final set of analyses found that both attention and avoidance facilitate adaptation as compared with no instruction controls. The meta-analyses suggest the important role of interpretational set and whether one looks at the immediate or at the long-term effects of coping. Limitations of the analyses and directions for future research are discussed.     

Anger and Anger’s Expression Generally and in Romantic Relationships

This research explored whether anger and anger expression differed when experienced generally versus in the context of a romantic relationship. Undergraduates completed trait anger and anger expression measures as they applied to their experiences generally and again as they applied to their romantic, partnered relationships. Students reported more anger and anger suppression generally than in relationships, but women reported more anger in relationships than men. Women reported more anger-out forms of anger expression in relationships than in general, whereas men did not differ in their anger expression style as a function of context. Men reported more overall anger-control in both contexts than women. Effect sizes for context and gender × context interactions were small to moderate. Parallel measures generally and in relationships were highly correlated. Findings are consistent with research demonstrating that context, and specifically the context of an intimate partnered relationship, influences anger and anger expression, but also suggest a large person factor as well. Implications for future research and work with couples in therapy are given.     

Twenty Years of the Journal of Clinical Psychology in Medical Settings: We Hope You Will Enjoy the Show

The 20th anniversary of the Journal of Clinical Psychology in Medical Settings is celebrated by highlighting the scientist-practitioner philosophy on which it was founded. The goal of the Journal—to provide an outlet for evidence-based approaches to healthcare that underscore the important scientific and clinical contributions of psychology in medical settings—is discussed. The contemporary relevance of this approach is related to the current implementation of the Patient Protection and Affordable Care and its focus on accountability and the development of an interprofessional healthcare workforce; both of which have been foci of the Journal throughout its history and will continue to be so into the future. Several recommendations of future topic areas for the Journal to highlight regarding scientific, practice, policy, and education and training in professional health service psychology are offered. Successfully addressing these topics will support the growth of the field of psychology in the ever evolving healthcare system of the future and continue ensure that the Journal is a key source of professional information in health service psychology.     

Developmental Features of Rapid Aiming Arm Movements Across the Lifespan

Using a lifespan approach, the authors investigated developmental features of the control of ballistic aiming arm movements by manipulating movement complexity, response uncertainty, and the use of precues. Four different age groups of participants (6- and 9-year-old boys and girls and 24- and 73-year- old men and women, 20 participants in each age group) performed 7 types of rapid aiming arm movements on the surface of a digitizer. Their movement characteristics such as movement velocity, normalized jerk, relative timing, movement linearity, and intersegment intervals were profiled. Analyses of variance with repeated measures were conducted on age and task effects in varying movement complexity (Study 1), response uncertainty (Study 2), and precue use (Study 3) conditions. Young children and senior adults had slower, more variant, less smooth, and less linear arm movements than older children and young adults. Increasing the number of movement segments resulted in slower and more variant responses. Movement accuracy demands or response uncertainty interacted with age so that the 6- and 74-year-old participants had poorer performances but responded similarly to the varying treatments. Even though older children and young adults had better performances than young children and senior adults, their arm movement performance declined when response uncertainty increased. The analyses suggested that young children's and senior adults' performances are poorer because less of their movement is under central control, and they therefore use on-line adjustments. In addition, older children and young adults use a valid precue more effectively to prepare for subsequent movements than do young children and senior adults, suggesting that older children and young adults are more capable of organizing motor responses than arc young children and senior adults.     

A Canonical-Correlation Analysis of 16 Fear Factors and the MMPI

To determine clinical correlates of 16 fear factors of the Wolpe-Lang Fear Survey Schedule, the fear factor and MMPI scores of 92 psychiatric inpatients were subjected to a canonical-correlation analysis. The results produced three combinations of scores which yielded statistically reliable canonical-correlation coefficients: three fear factors related to psychotic levels of personality disorganization; two related to fairly directly experienced neurotic anxiety; and five related to neurotic levels of anxiety “bound” by somatic complaints. The results suggest different treatment approaches for different patterns of expressed fears. The interpretation of several of the factors (previously related to clinical status) awaits further research.     

Perceived Church-Based Needs and Assets for HIV/AIDS Prevention in an Urban Nigerian Community

Health intervention programs have the potential to use church-based assets to address a wide range of health issues. This study examined the assets Nigerian church members believed their churches needed, including the assets they thought they had to engage in HIV/AIDS prevention activities. Eight hundred and thirty members from 83 churches completed a questionnaire designed from forum focus group data. Respondents were males and females aged 18 years old and above, with primary, secondary, university, or vocational education, and were more likely to be married than single (never married), separated, divorced, widowed or remarried. The data revealed that church members needed access to health promotion assets, including the expertise of members who are health professionals to engage in HIV/AIDS prevention activities. We recommend an intensive HIV/AIDS prevention reorientation-training workshop for church leaders to ensure a sustainable plan to address HIV/AIDS prevention needs.     

Zoo Visitors' Affective Responses to Observing Animal Behaviors

ABSTRACT

The opportunity to observe or interact with animals in a zoo is often vital in influencing visitors' positive feelings towards animals and ultimately their conservation behavior. This study explores the relationship between observed animal behavior and zoo visitors' responses. A self-administered questionnaire was completed by 717 visitors across four exhibits (giraffe, lion, cheetah, and red panda) at three zoos (Brookfield Zoo, San Diego Zoo Safari Park, and Central Park Zoo). The questionnaire measured observed animal behaviors and visitors' predispositions, affective responses, and meaning-making at animal exhibits. Multivariate path analyses indicated that up-close encounters with zoo animals, along with observable active animal behaviors, predicted visitors' reported positive affective responses which, in turn, predicted their meaning-making. These findings lend support to the role of positive affect as a mediator between observable animal behaviors and visitor meaning-making. Implications are discussed in relation to achieving both conservation education and animal welfare outcomes.     

Application of the MMPI in Differentiating A.W.O.L. Recidivists from Non-Recidivists

Forty Ss were required to learn two lists of paired associates (an “easy” list and a “difficult” list). A modified anticipation method allowed measures of short-term and long-term retention to be taken. Item difficulty had no effect on STR, but had a large effect upon LTR. The data were interpreted to indicate that two distinct memory mechanisms are involved in the two retention durations.