Meta-Analysis of Pragmatic and Theoretical Research: A Critique

Meta-analysis refers to a set of statistical procedures used to summarize and integrate many empirical studies that focus on one issue. This numerical method of integrating research findings is said to be superior to the narrative type of reviews because it is more objective, reliable, and rigorous. Moreover, the meta-analytic approach is supposedly capable of resolving research controversies, strengthening empirical hypotheses, and discovering new relationships among variables. In this study, these claims are examined and found to be wanting. Some objections to the use of meta-analysis as a means of substantiating theoretical assertions are raised with reference to the rationale of experimentation and to how knowledge evolves. It is concluded that it is inappropriate to apply meta-analysis to integrate theoretical research.     

Ruminative subtypes and coping responses: Active and passive pathways to depressive symptoms

Individuals draw on a variety of cognitive strategies—some active, some passive—as a way of coping with stress and dysphoria. Previous research suggests that the impact of rumination—one such strategy—on depression depends on whether rumination takes the passive form of brooding versus the more active form of reflection. This study tests whether brooding and reflection explain the effects of passive versus active coping responses, respectively, on depressive symptoms. In an undergraduate sample (n=284), brooding partially mediated the relationship between passive coping and depressive symptoms, whereas reflection did not. Reflection moderated the relationship between active coping and symptoms, such that low active copers who were high in reflection endorsed more symptoms than those low in reflection. Brooding and reflection may operate within cognitive–behavioural response pathways characterised by an active/passive distinction. Whether reflection is maladaptive likely depends on the active nature of the surrounding coping response.     

Retelling everyday emotional events: Condensation,distancing, and closure

Narratives of emotional experiences are widely assumed to reflect how well the speaker has coped with them. Some cross-sectional studies have suggested that well-being and absence of psychopathology correlate with more elaborate and coherent narratives of negative events. Other studies, on the other hand, suggest that retelling and coping render narratives shorter, more cognitive, and explicitly evaluative. To test this latter hypothesis, 30 young women narrated five events eliciting anger, sadness, anxiety, pride and happiness from the past week, and retold the same events three months later. After three months, narratives contained fewer attempts to solve the complication, and evaluations became more global and impersonal. Negative narratives were framed better and re-evaluated positively. Unexpectedly, narrative clauses did not decrease, nor did evaluations shift from past to present. Ways to better differentiate effects of memory and retelling from mere effects of coping are suggested.     

Humour as emotion regulation: The differential consequences of negative versus positive humour

Humour is often seen as an adaptive coping strategy; however, the empirical literature is inconclusive. One possible explanation is that different types of humour have different adaptive consequences. In the present research, we predicted that positive (good-natured) humour would be more effective at regulating negative emotions than negative (mean-spirited) humour. In Study 1, participants were shown negative pictures two times. First, they simply viewed the pictures and rated their levels of positive and negative emotions. Second, they were instructed to: (a) view; (b) use positive humour; or (c) use negative humour, and then rate their reactions. Compared to negative humour, positive humour was more successful at down-regulating negative and up-regulating positive emotion. In Study 2, we replicated these findings and showed that these effects cannot be explained by differences in difficulty between the two humour conditions, participants’ expectations, or social desirability. Taken together, these findings suggest that positive (but not negative) humour may be an effective form of emotion regulation.     

The roles of hopeful thinking in preventing problems and enhancing strengths

From its most famous tale, that of Pandora, hope was meant to prevent the emergence and reemergence of life difficulties. A new model defining hope as a combination of agentic pathways and goal-directed thinking is reviewed. Comparisons of the similarities of this theory to other existing theories are made. The beneficial roles of hope in primary (before the appearance of a problem) and secondary (after a problem has appeared) prevention are explored. Primary enhancement is introduced as involving those thoughts and actions that establish optimal functioning and satisfaction. Secondary enhancement is posited to describe those thoughts and actions that are undertaken over time so as to further functioning and satisfaction in order to reach peak levels. Using hope theory as a lens, these primary and secondary enhancement processes are described. The natural synergy between prevention and enhancement activities is discussed, along with the future priorities for using hope in prevention and enhancement efforts.     

Randomized Effectiveness Trial of an Internet,Pure Self-Help,Cognitive Behavioral Intervention for Depressive Symptoms in Young Adults

This study evaluated an Internet-delivered, cognitive behavioral skills training program versus a treatment-as-usual (TAU) control condition targeting depression symptoms in young adults aged 18 to 24 years. Potential participants were mailed a recruitment brochure; if interested, they accessed the study website to complete an online consent and baseline assessment. Intervention participants could access the website at their own pace and at any time. Reminder postcards were mailed periodically to encourage return use of the intervention. The pure self-help intervention was delivered without contact with a live therapist. The primary depression outcome measure was the Patient Health Questionnaire, administered at 0, 5, 10, 16, and 32 weeks after enrollment. A small but significant between-group effect was found from Week 0 to Week 32 for the entire sample (N = 160, d = .20, 95% confidence interval [CI] 0.00–0.50), with a moderate effect among women (n = 128, d .42, 95%C1 = 0.09–0.77). Greater depression reduction was associated with two measures of lower website usage, total minutes, and total number of page hits. Although intervention effects were modest, they were observed against a background of substantial TAU depression pharmacotherapy and psychosocial services. Highly disseminable, low-cost, and self-help interventions such as this have the potential to deliver a significant public health benefit.     

Internet-Based Cognitive Behaviour Therapy for Tinnitus Patients Delivered in a Regular Clinical Setting: Outcome and Analysis of Treatment Dropout

Cognitive behaviour therapy (CBT) can reduce tinnitus distress but is not available for most patients. Therapist guided, internet-based CBT (ICBT) increase availability and has been shown to be effective. However, the initial positive results need to be replicated in larger samples, and treatment dropout has not been thoroughly studied. Moreover, it has not been evaluated if a low-intensity version of ICBT without therapist contact could be an alternative for patients who do not need or are able to manage the full ICBT-program. This study evaluated two parallel interventions delivered in regular care: ICBT for tinnitus distress (n = 293) and a low-intensity version of ICBT (n = 81) for patients with lower levels of tinnitus distress. We also explored predictors of dropout from ICBT and if dropout influences outcome. Tinnitus Reaction Questionnaire (Wilson, Henry, Bowen, & Haralambous, 1991) was used as the primary outcome. Secondary outcomes were measures of depression, anxiety, sleep, and sound sensitivity. Significant reductions following ICBT were found on all measures after treatment and also at a three-month follow-up. Patients receiving low-intensity ICBT showed a significant reduction in distress, even when they had low levels of distress initially. Treatment dropout was preceded by an increase in days spent at each treatment step but not by an increased distress. Early dropout was related to worse outcome. ICBT can be used in a regular clinical setting to reduce tinnitus distress. Early dropouts may need additional management. For help-seeking patients with lower distress, a low-intensity version of ICBT can be used.     

Theoretical note: When is a coping strategy not a coping strategy?

Abstract

This paper discusses the issue of differentiating between cognitive coping behaviors and appraisal processes. Although these can be separated in theory, and experimental procedures can manipulate appraisals independantly of coping, it is difficult to separate these constructs in naturalistic studies on appraisal and coping responses to real life stressors. The ability to separate these constructs requires knowledge of an individual's precise motivation, an age-old stumbling block in psychological research. It is proposed that, at least in naturalistic studies on stress, appraisal and coping, perhaps the best that can be achieved is to record a particular behavior and report it as such, without attempting to guess at the motivation underlying it.     

Hospital downsizing,individual resources,and occupational stressors in nurses

Abstract

Restructuring and downsizing are occurring increasingly throughout the workplace. As a result, many individuals are losing their jobs. Many others experience job insecurity as a result of the threat of downsizing. As with most other work spheres, several hospitals are closing, resulting in thousands of layoffs. Since nurses constitute one of the main groups employed in hospitals, they are faced with increasing job shortages. This study examines psychological reactions of nurses in response to stressors resulting from hospital downsizing. Individual resources, particularly coping strategies and self-efficacy, can affect the extent to which individuals experience distress as a result of downsizing. A self-report, anonymous questionnaire was filled out and returned by 1363 nurses employed in hospitals in Canada. Results of this study show that amount of work was a consistent and significant stressor in nurses. The greater the nurse's workload, the greater her emotional exhaustion, cynicism, depression and anxiety. Further results reported here indicated that control coping and self-efficacy lessened distress on the job and increased job satisfaction, while escape coping was associated with greater psychological distress and less job security.     

Measuring Coping in Low-Income European American,African American,and Mexican American Adolescents: An Examination of Measurement Equivalence

We examined the cross-ethnic and cross-language equivalence of the Children's Coping Strategies Checklist (Ayers, T.S., Sandler, I.N., West, S.G. and Roosa, M.W. (1996). A dispositional and situational assessment of children's coping: Testing alternative models of coping. Journal of Personality , 64 (4), 923-958) by assessing item, functional, and scalar equivalence in a sample of 319 European American, African American, and Mexican American adolescents from low-income inner-city families. Depression, as measured by Children's Depression Inventory, was the criterion in the analyses of scalar equivalence. The results suggest considerable cross-ethnic and cross-language measurement equivalence of the Children's Coping Strategies Checklist. The findings also suggest some caution in using the Children's Depression Inventory in comparative studies of African American and Mexican American adolescents or in studies that treat these groups as homogeneous samples.