An Emotionally Inexpressive (Type C) Coping Style Influences HIV Disease Progression at Six and Twelve Month Follow-ups

This study examined the effects of specific psychosocial factors on the progression of HIV infection in 200 HIV-1 seropositive but asymptomatic men and women. At baseline, participants' disease status was determined, and they were administered self-report assessments of coping style, social support and loneliness. Participants were classified at 6 and 12 month follow-ups as progressed or unchanged, compared to their baseline status. In logistic regression analyses, higher baseline Type C coping scores (indicating emotional inexpressiveness and decreased recognition of needs and feelings) significantly predicted progression at 6 months ( p <0.01) and 12 months ( p <0.02), but only among participants classified at baseline as CDC-A2 (between 200-499 CD4 cells/mm 3 ). In participants originally classified as CDC-A1 (CD4 cell counts > 500/mm 3 ), no psychosocial variable showed any significant relationship. Results emphasize the need to consider the disease context, as well as the interaction between biological and psychological factors in contributing to disease progression.     

Component analysis of verbal versus spatial working memory training in adolescents with ADHD: A randomized,controlled trial

Adaptive training of working memory (WM) using the Cogmed-RM intervention has recently shown some efficacy as an alternative treatment for ADHD, but this intervention may not be optimally designed. A recent component analysis of WM has suggested that maintenance in primary memory (PM) appears to be largely intact whereas recall from secondary memory (SM) appears to be deficient in ADHD relative to age-matched controls. However, extrapolating from basic research, there is reason to believe that Cogmed-RM may target the PM component more than the SM component; though training with spatial exercises may target the SM component more than training with verbal exercises. To investigate, participants diagnosed with ADHD were randomly assigned to either a verbal training condition (n?=?24) or a spatial training condition (n?=?23) using a randomized, controlled design, and both groups were instructed to complete at least 20 days of training. The PM and SM components of WM were assessed immediately before and after training using both verbal and spatial free recall tasks. The main findings showed that both versions of the intervention enhanced the maintenance of information in PM regardless of test modality, but not the recall of information from SM. Therefore, the component of WM that is improved by Cogmed-RM is not the same component of WM that is deficient in ADHD.     

The regulation of subjective well-being in cancer patients: An analysis of coping effectiveness

Abstract

The hypothesis that individual coping efforts affect subjective well-being in the face of severe chronic disease is examined with questionnaire data from N=332 cancer patients in a one-year longitudinal study. After depicting conceptual and methodological requirements for the analysis of coping effectiveness, the following five coping modes were investigated in the sample: Rumination, search for affiliation, threat minimization, search for information and search for meaning in religion. Results from a series of hierarchical regression analyses yielded findings that questioned the underlying assumption of a general uniform causal direction within coping-adjustment relationships. Threat minimization proved to be the only coping mode that obviously was “effective” in well-being regulation, that is, was revealed to be predictive of well-being changes over time and to be unaffected by prior levels of well-being. It is argued that the problem of causal directionality has to be carefully examined in future studies on coping effectiveness since interindividual differences in coping behaviors might be a consequence rather than the cause of differences in adjustment status.     

Goal engagement in coping with occupational uncertainty predicts favorable career-related outcomes

We investigated whether goal engagement and disengagement in coping with occupational uncertainty (e.g., perceptions of growing difficulties in career planning and lacking job opportunities) predicts three objective career-related outcomes: job loss, job finding, and income change. We also tested for the buffering effects of these coping strategies on the association between objectively unfavorable labor market conditions (as indicated by regional unemployment rates) and these outcomes. We used four-wave survey data from a longitudinal sample of 620 German adults aged 16–43 years at the first wave and analyzed changes in the three career-related outcomes across 1294 pairs of successive annual waves. Analyses revealed that goal engagement predicted a higher chance of job finding over one year. Moreover, goal engagement buffered the association between higher regional unemployment rates and a higher likelihood of job loss, as well as a lower income, over one year. Goal disengagement predicted a lower income but had no other statistically significant effects. Thus, even in a relatively highly regulated labor market like the German one, goal engagement in coping with occupational uncertainty can contribute to objective career success.     

Getting going and letting go: Religiosity fosters opportunity‐congruent coping with work‐related uncertainties

This study investigated how religiosity relates to goal engagement (i.e., investing time and effort; overcoming obstacles) and goal disengagement (i.e., protecting self‐esteem and motivational resources against failure experiences; distancing from unattainable goals) in coping with perceived work‐related uncertainties (e.g., growing risk of job loss) that arise from current social change. We hypothesised that religiosity not only expands individuals' capacities for both engagement and disengagement but also fosters an opportunity‐congruent pattern of engagement and disengagement, promoting engagement especially under favourable opportunities for goal‐striving in the social ecology and facilitating disengagement especially under unfavourable opportunities. Multilevel analyses in a sample of N = 2089 Polish adults aged 20–46 years partly supported these predictions. Religiosity was associated with higher goal engagement, especially under favourable economic opportunities for goal‐striving in the social ecology (as measured by the regional net migration rate). For disengagement, the results were more mixed; religiosity was related to higher self‐protection independently of the economic opportunity structure and predicted higher goal‐distancing only under the most unfavourable opportunities. These results suggest that religiosity can promote different coping strategies under different conditions, fostering a pattern of opportunity‐congruent engagement and, to some extent, disengagement that is likely to be adaptive.     

Protective role of coping flexibility in PTSD and depressive symptoms following trauma

The aim of the study was to examine whether coping flexibility would function as a protective factor for PTSD and depressive symptoms in trauma-exposed adults in Korea. A total of 510 adults with a lifetime history of traumatic events completed the Perceived Ability to Cope with Trauma (PACT), the Korea version of the Posttraumatic Stress Diagnostic Scale (PDS-K), and the Patient Health Questionnaire (PHQ-9). Hierarchical regression indicated that coping flexibility was associated with a reduced level of PTSD or depressive symptoms after controlling for comorbid symptoms, age, and elapsed time since the most distressing traumatic event. The interaction of traumatic events and coping flexibility was significant only on PTSD symptom severity but not on depressive symptom severity. Specifically, individuals with low coping flexibility reported higher levels of PTSD symptoms as the number of traumatic events increased. These findings supported the hypothesis that coping flexibility is a protective factor for PTSD and depression following trauma, and lack of coping flexibility may aggravate the risk for PTSD among people with multiple trauma.     

“All I have to do is pass”: A discursive analysis of student athletes' talk about prioritising sport to the detriment of education to overcome stressors encountered in combining elite sport and tertiary education

ObjectivesIncreasingly, athletes are expected to undertake tertiary education contemporaneously with their sporting careers. However, to do so may prove difficult and stressful. Exploration of the stressors encountered by student-athletes in combining the two pursuits is limited. There is also limited research examining whether combining the two pursuits impacts upon sporting or educational success.Design and methodA discursive psychological approach was employed, examining twenty interviews conducted with Australian athletes enrolled in tertiary education, exploring how athletes integrated sport and education.ResultsWithin the interviews, athletes constructed their primary academic goal as to ‘just pass’. Athletes repeatedly presented themselves as sacrificing educational success to integrate the two pursuits. Moreover, athletes constructed accounts of themselves as prioritising sport, but as passive in decision-making around priorities. In doing so, athletes produced accounts that removed their own agency for their sacrificed academic success. The interviewees also constructed time as a barrier to the successful integration of sport and education. In the dataset time was constructed either as fixed, limited and externally controlled, or as flexible and controllable.ConclusionsThese alternate constructions allowed athletes to remove agency for poor educational outcomes, or conversely, enabled them to present themselves as successfully able to integrate sport and education. Thus, differing constructions of time were used to achieve different rhetorical ends. Implications and interventions for supporting student athletes successfully to combine sport and education are discussed.     

Can you pull it off? Appearance modifying behaviours adopted by wig users with alopecia in social interactions

In the academic and medical literature on alopecia, wigs (hair prostheses) are typically recommended as a coping strategy: a device to camouflage, conceal, or cover hair loss, and cope with the psychological impact of a dramatic change in body image. This paper used Goffman's (1959) theory of impression management to demonstrate (a) the social significance of self-presentation, and (b) how adults with alopecia managed their wig use in their daily lives. Data from 14 interviews, two focus groups and six video diaries with 22 Caucasian adults (19 females, 3 males; 29–74 years, SD = 13.75) with alopecia in Scotland were analysed using discursive psychology. The analysis detailed how participants managed their wig use and behaviours in relation to social interaction with different categories of people. The paper raises concerns about health and medical discourse about wigs as a coping mechanism, and provides practical suggestions for wig users in social settings.     

Perceived functions of playfulness in adults: Does it mobilize you at work,rest, and when being with others?

IntroductionLittle is known about what adults perceive as core functions of playfulness in their daily life.ObjectiveTo compile a list of perceived functions of playfulness from nominations of laypeople and to test the association of the productions with individual levels of playfulness as a personality trait.MethodThree hundred and twenty-four adults aged 18 to 62 (M = 31.6, SD = 11.5) listed perceived functions of playfulness in five areas (leisure and work and when being with work colleagues, friends, and their partner) and completed a questionnaire for playfulness.ResultsThe entries were grouped into seven broader categories; namely, (1) well-being; (2) humor and laughter; (3) mastery orientation; (4) creativity; (5) relationships; (6) coping strategies; and (7) coping with situations. Women noted more functions than men (t(297) = 2.99, p < .01, d = 0.35) but there were no gender differences in the playfulness scale. Individual levels of playfulness correlated only for men with a greater number of functions, while it was uncorrelated in the sample of women.ConclusionPeople see a broad range of functions for playfulness in their daily lives. This warrants further investigation on potential benefits of adult playfulness.     

Évolution du contrôle religieux la première année suivant l’annonce d’un cancer du sein : quels liens avec les stratégies de coping,l’anxiété, la dépression et la qualité de vie ?

The aim of this study was to examine the evolution of perception of religious control during the first year after breast cancer diagnosis and to establish how this evolution could have an effect on coping strategies, psychological distress and quality of life. One hundred and seventeen patients completed four self-reports questionnaires at surgery time and 1, 4, 7, 10, 13 months after the first assessment. Findings showed that religious control declined during the first 4 months treatment, although it is stable after. Furthermore, maintenance of religious control was associated with lower helplessness-hopelessness, denial, anxious preoccupations and avoidance and with better emotional and physical quality of life at all times of the study. We found no association with anxiety or depression.