Stress,psychiatric co-morbidity and coping in patients with chronic idiopathic urticaria

This study examined life event stress, perceived stress and psychiatric co-morbidity among patients with Chronic Idiopathic Urticaria (CIU). It also investigated the relationship between coping, stress, the severity of CIU and psychiatric co-morbidity. Total of 100 CIU patients and 60 allergy patients participated in the study. They completed the General Health Questionnaire, the Social Readjustment Rating Scale, the Perceived Stress Scale, and the Ways of Coping Checklist. Compared with allergy patients, CIU patients had worse co-morbidity and higher levels of life event stress and perceived stress. Emotion-focussed coping was associated with the severity of CIU; perceived stress was associated with co-morbidity.     

Transitioning from a hospital rehabilitation programme to home: Exploring the experiences of people with complex regional pain syndrome

Complex regional pain syndrome (CRPS) is difficult to diagnose and is characterised by burning pain in one or more limbs. Treatment is palliative not curative and focuses on improving function. This requires patients to make long-term changes to their behaviour. As with all such regimens, adherence is often poor. This study explored the lived experience of 10 patients who had returned home after completing a two-week in-patient treatment programme. The interviews focused on how they coped with the transition from hospital to home, and on the things that they considered had facilitated or hindered this transition. Battling for Control was an overarching theme that connected the four superordinate themes: ‘Gaining Momentum’ that facilitated the implementation of treatment advice, ‘Distance from the pool of expertise’ that detailed the barriers to adherence experienced; ‘It helped me realise it was not all in my head’ that detailed a facilitative process, and the ‘nag list’ that was a technique patients’ used to garner support. This article offers insights into the transition experience. A key outcome is the recognition of the need to better prepare patients for their transition back home.     

Coping with HIV as a chronic illness: A longitudinal analysis of illness appraisals

Illness appraisals are central to understanding how individuals cope with chronic illness. An interpretive phenomenological approach to the analysis of two years of bimonthly stressful event narratives in a sample of 57 HIV?+?gay men revealed five groups that differed on how they appraised HIV and one group of individuals who changed from one type of appraisal to another over the course of the 2-year study. The ways of appraising HIV revealed in this analysis have implications for interventions and for the study of coping with HIV as a chronic illness. The repeated assessment of specific HIV-associated stressful events and a qualitative analytic approach allowed for a more in-depth understanding of the meaning of HIV for the participants. This study suggests that coping interventions may be more powerful if they are tailored to individual appraisals of HIV because different forms of coping are likely to be differentially effective depending on the meaning of HIV in the individual's life.     

Pathways for psychological adjustment in breast cancer: A longitudinal study on coping strategies and posttraumatic growth

This longitudinal study examined the role of coping strategies and posttraumatic growth (PTG) on the psychological adjustment to breast cancer trajectory. The participants were 50 women assessed at the time of surgery (T1), during adjuvant treatment (T2) and six months after the end of treatment (T3). Women completed questionnaires assessing coping strategies, PTG and psychological adjustment (psychological quality of life, anxiety and depression). Results showed that the greatest impact of breast cancer on women's adjustment occurred at T1, when patients were significantly more anxious than in the other phases of the disease. The type of surgery and adjuvant treatment did not account for the course of PTG and adjustment. Coping through seeking social support and using cognitive strategies at T1 were linked to psychological quality of life and depression at T3 via PTG dimension of personal resources and skills at T2. Findings emphasise the value of promoting adaptive coping strategies and PTG in order to improve psychological adjustment in breast cancer patients.     

Religious Coping,Body Dissatisfaction,and Bulimic Symptomatology

The authors explored the association among body dissatisfaction, religious coping, and bulimic symptomatology. The results suggest that spiritual discontent religious coping was detrimental for the college female participants (N= 398) when considered in relationship to bulimic symptomatology. Implications of the findings for theory refinement, future research, and clinical practice are discussed.     

Career development and personal functioning differences between work-bound and non-work bound students

We surveyed 506 Australian high school students on career development (exploration, planning, job-knowledge, decision-making, indecision), personal functioning (well-being, self-esteem, life satisfaction, school satisfaction) and control variables (parent education, school achievement), and tested differences among work-bound, college-bound and university-bound students. The work-bound students had the poorest career development and personal functioning, the university-bound students the highest, with the college-bound students falling in-between the other two groups. Work-bound students did poorest, even after controlling for parent education and school achievement. The results suggest a relationship between career development and personal functioning in high school students.     

Vocational self-concept crystallization as a mediator of the relationship between career self-management and job decision effectiveness

This article examines the influence of career self-management and vocational self-concept crystallization on job decision effectiveness and how vocational self-concept crystallization mediates the relationship between career self-management and job decision effectiveness. Six hundred and eleven Chinese employees participated in the research. Using hierarchical regression and structural equation modeling, the results showed that: (1) career self-management has a positive direct effect on vocational self-concept crystallization; (2) career self-management has a positive direct effect on job decision effectiveness; (3) vocational self-concept crystallization has a positive direct effect on job decision effectiveness; and (4) vocational self-concept crystallization partly mediates the relationship between career self-management and job decision effectiveness.     

Image theory and career aspirations: Indirect and interactive effects of status-related variables

The present study applied Image Theory (Beach, 1990) to test how different components of a person's value image (i.e., perceived social status identity and conformity to masculine and feminine gender role norms) interact to influence trajectories toward high career aspirations (i.e., high value for status in one's work and aspirations for advancement and achievement in one's career). Results from 224 undergraduate students demonstrated that value for status in work mediated the relationship between perceived social status and career aspirations. Conformity to feminine, but not masculine, gender role norms moderated the relationship between perceived status and value for status in work. Conformity to feminine norms also moderated the indirect relationship between perceived status and aspirations via value for status in work, yielding a pattern of moderated mediation.     

Work stressors, Chinese coping strategies, and job performance in Greater China

The aim of this research was to jointly test effects of work stressors and coping strategies on job performance among employees in the Greater China region. A self-administered survey was conducted to collect data from three major cities in the region, namely Beijing, Hong Kong, and Taipei (N = 380). Four important work stressors were assessed: heavy workload, organizational constraints, lack of work autonomy, and interpersonal conflict. We used a four-factor model of Chinese coping strategies composed of hobbies/relaxation, active action, seeking social support, and passive adaptation. Job performance was indicated by both task performance (quantity of work, quality of work, job knowledge) and contextual performance (attendance, getting along with others). We found that: (1) work stressors were related to job performance. Specifically, workload had a positive relation with quantity of work, whereas organizational constraints had negative relations with quantity of work and attendance. In addition, interpersonal conflict had a negative relation with getting along with others. (2) Chinese positive coping strategies were positively related to job performance. Specifically, seeking social support had positive relations with quantity of work and getting along with others, whereas active action had positive relations with attendance and job knowledge. (3) Chinese passive adaptation coping behaviors were negatively related to job performance. Specifically, passive adaptation had negative relations with quantity of work, quality of work, and getting along with others. The present study thus found joint effects of work stressors and coping behaviors among Chinese employees in the Greater China region, encompassing three sub-societies of mainland China, Hong Kong, and Taiwan. Differential effects of Chinese positive and passive coping strategies were also noted. Most importantly, all these effects were demonstrated on multiple indicators of job performance, a rarely studied but important strain variable from the organizational point of view.     

Developmental time course of the acquisition of sequential egocentric and allocentric navigation strategies

Navigation in a complex environment can rely on the use of different spatial strategies. We have focused on the employment of “allocentric” (i.e., encoding interrelationships among environmental cues, movements, and the location of the goal) and “sequential egocentric” (i.e., sequences of body turns associated with specific choice points) strategies during navigation. To investigate the developmental pattern of these two strategies in school-aged children, we used a virtual reality paradigm in which the spontaneous or imposed use of both strategies could be assessed. Our results showed an increase in spontaneous use of the allocentric strategy and also an increase in reliance on environmental landmarks with age. Although a majority of the children spontaneously used the sequential egocentric strategy, all age groups performed above chance when the allocentric strategy was imposed. Altogether, our findings suggest that young children are able to employ an allocentric strategy but that the nature of this allocentric strategy changes progressively in a complex cognitive representation between 5 and 10 years of age.