Religious coping,general coping strategies,perceived social support,PTSD symptoms,resilience, and posttraumatic growth among survivors of the 2010 earthquake in Haiti

This study examines the relationships between coping strategies, perceived social support, resilience, PTSD symptoms, and posttraumatic growth (PTG) in a sample of 256 survivors of the 2010 Haiti earthquake. The results of the bivariate analysis suggested a significant positive correlation between PTG and resilience, PTSD symptoms, perceived social support, positive religious coping, and active coping. There was a significant positive relationship between perceived social support and resilience and between resilience and active coping. PTSD symptoms were positively correlated with both positive and negative religious coping. Results of the multiple regression analysis indicated that positive religious coping, active coping, perceived social support, resilience, and PTSD symptoms accounted for 34% of the variance in the participants’ PTG. The strongest predictor of PTG was positive religious coping, followed by active coping, perceived social support, resilience, PTSD symptoms, and negative religious coping. Implications and recommendations for future research were discussed.     

物质主义者自我概念的特点和相关理论

物质主义的经典研究分别从人格、价值观、目标和需要的角度界定和理解物质主义的相关现象。自我概念一直是贯穿物质主义研究的线索, 但直到最近研究者才试图以它为理论基点统摄与整合已有研究。相关研究表明, 物质主义者对自我的评价较低, 表现为低自尊、权变性自尊; 对自我的认识具有不一致性, 表现为自我概念不清晰、外显-内隐自尊分离、以及自我差距(理想自我与现实自我的差距)。最近出现的两个综合理论——物质主义的自我逃离理论与物质主义的认同目标追求理论提出, 物质主义是个体将物质拥有作为逃避自我的方式或满足自我认同动机的手段。这两个理论弥补了现有物质主义研究缺乏整合性理论的不足。未来研究可以通过借鉴有关自我概念的理论, 超越单纯的物质主义者自我匮乏的思路, 从而做出更大的理论贡献。     

Personality in multiple sclerosis (MS): impact on health,psychological well-being,coping, and overall quality of life

Personality has long been considered a factor that can account for differences in health, well-being, and overall quality of life (QOL). A ‘Distressed or Type D Personality’ has been studied in medical populations as a predictor of several outcomes. The purpose of the present investigation was to determine the presence of Type D Personality in multiple sclerosis (MS) and its role on disease symptoms, disease management, health-related behaviors, coping, psychological well-being, and overall QOL and functioning. Two hundred and thirty (230) individuals with MS completed a survey assessing personality, disease symptoms, disease management, coping, self-efficacy, locus of control (LOC), psychological well-being, and QOL. Thirty-seven (16%) individuals were found to be ‘Type D+.’ Such individuals reported greater fatigue, pain, depression, and anxiety and worse disease management and adherence. They also reported engaging in maladaptive means of coping. Compared to ‘Type D?’ they reported lower self-efficacy, LOC, QOL and greater perceived stress. Finally, ‘Type D+’ individuals were more likely to be considering leaving the workforce. Findings suggest that ‘Type D’ Personality is associated with various negative outcomes in MS. Consideration of the routine assessment of personality in MS seems warranted and may better inform interventions and ward off poor outcomes.     

Phenotypes of sleeplessness: stressing the need for psychodiagnostics in the assessment of insomnia

Insomnia is a too general term for various subtypes that might have different etiologies and therefore require different types of treatment. In this explorative study we used cluster analysis to distinguish different phenotypes in 218 patients with insomnia, taking into account several factors including sleep variables and characteristics related to personality and psychiatric comorbidity. Three clusters emerged from the analysis. The ‘moderate insomnia with low psychopathology’-cluster was characterized by relatively normal personality traits, as well as normal levels of anxiety and depressive symptoms in the presence of moderate insomnia severity. The ‘severe insomnia with moderate psychopathology’-cluster showed relatively high scores on the Insomnia Severity Index and scores on the sleep log that were indicative for severe insomnia. Anxiety and depressive symptoms were slightly above the cut-off and they were characterized by below average self-sufficiency and less goal-directed behavior. The ‘early onset insomnia with high psychopathology’-cluster showed a much younger age and earlier insomnia onset than the other two groups. Anxiety and depressive symptoms were well above the cut-off score and the group consisted of a higher percentage of subjects with comorbid psychiatric disorders. This cluster showed a ‘typical psychiatric’ personality profile. Our findings stress the need for psychodiagnostic procedures next to a sleep-related diagnostic approach, especially in the younger insomnia patients. Specific treatment suggestions are given based on the three phenotypes.     

How do I cope with pain? Let me count the ways: awareness of pain coping behaviors and relationships with depression and anxiety

Patients with chronic pain are often undertreated with medications alone and need alternative ways of coping. Identifying pain coping skills patients use may be beneficial; however, no research has investigated whether patients are aware of their coping skills. The purpose of this study was to determine whether patients are aware of their pain coping skills, whether certain patient characteristics were related to using coping strategies, and whether coping strategies were related to psychiatric symptoms. Chart reviews were conducted on seventy-eight chronic pain patients who completed a semi-structured psychological interview. Patients endorsed using more coping strategies on the measure compared to the verbal self-report. Identifying with certain patient demographics was related to higher use of some coping strategies. Symptoms of anxiety and depression were also related to the use of some coping strategies. Anxiety was negatively related to ignoring the pain and using self-talk coping statements and positively related to catastrophizing. Depression was negatively related to the use of distraction, ignoring the pain, and using self-talk coping statements. Depression and pain severity were both positively related to catastrophizing and prayer. Results suggest that clinicians may need to help patients become aware of adaptive coping strategies they already use and that the use of certain coping strategies is related to lower levels of depression and anxiety.     

Meaning in life and violations of beliefs and goals: reciprocal relations among individuals with congestive heart failure

Background and objectives: In the context of highly stressful experiences, violations of beliefs and goals and meaning in life may have a reciprocal relationship over time. More violations may lead to lowered meaning, whereas higher meaning may lead to lowered violations. The present study examines this relationship among congestive heart failure (CHF) patients.

Design: A cross-lagged panel design was used.

Methods: CHF patients (N?=?142) reported twice, six months apart, on their meaning in life and the extent to which CHF violates their beliefs and goals.

Results: Overall, results were consistent with a reciprocal relationship, showing that greater goal violations led to negative subsequent changes in meaning, whereas greater meaning led to favorable subsequent changes in violations of beliefs and goals.

Conclusions: Meaning in life and violations may contribute to one another, and therefore, in understanding the adjustment process, it is important to consider their interrelationship. The results are also broadly informative regarding the experience of meaning, showing that disruption of beliefs and goals may undermine meaning.     

Social support coping style predicts women’s cortisol in the laboratory and daily life: the moderating role of social attentional biases

Background and Objectives: Social stress and associated coping responses can profoundly influence women’s stress physiology and health. Implicit social attentional biases can also influence psychological and physiological stress responses. The purpose of this study was to explore whether a coping style characterized by greater use of social support predicts indices of cortisol activity in laboratory and daily life contexts among female university students. We hypothesized that the relation of this coping style to cortisol activity would be moderated by women’s attentional biases.

Methods: Seventy-four women (M_age?=?19.44, range: 17.8–27.8, 64% White) completed an interpersonal stress task and an attentional bias task in the lab, along with a self-report coping inventory. Participants provided five saliva samples during the lab protocol, followed by three saliva samples per day for three consecutive weekdays. Outcome measures included cortisol response to lab tasks (AUCg), diurnal cortisol slope, diurnal AUCg, and cortisol awakening response (CARi).

Results: A coping style characterized by greater use of social support predicted lower lab AUCg and lower, flatter average diurnal cortisol slope for women with attentional avoidance compared to women with attentional vigilance (ps?<?.05).

Conclusions: Responding to stress by using social support is linked to lower cortisol responses to social stress and diurnal cortisol activity for women with implicit avoidance of social threat cues.     

Solitude among contemplative cloistered nuns and monks: conceptualisation,coping and benefits of spiritually motivated solitude

There are rising perceptions and concerns about social isolation and the prevalence of loneliness in Western societies and their negative impact on people’s psychological well-being. We report on an ethnographic study conducted in two Catholic contemplative monasteries in Spain, focusing on the nuns’ and monks' voluntary search for solitude. Through in-depth interviews we aimed to explore their conceptualisation and experiences of solitude, the motivations behind their spiritual quest for it, and the benefits and challenges that this choice entailed. An extraordinary human template of searching for solitude emerged: although they lived communally (they were not alone), they actively avoided intimacy and closeness with other members of the community (they strove to feel alone out of their own volition). Human solitude was seen as the necessary condition for achieving perfect closeness with God and was interpreted not as leading to isolation but as a channel to communicate more intimately with God.     

Coping self-efficacy and psychosocial well-being of marginalised South African youth

The aim of this study was to investigate coping self-efficacy and aspects of psychosocial well-being amongst youth from marginalised backgrounds. A total of 794 black South African marginalised youth (males = 54%, females = 46%, age range between 18 and 30 years) voluntarily participated in this cross-sectional study. The participants completed surveys of coping self-efficacy, mental health, and mood disorder. Structural equation modelling was applied to construct an explanatory model for coping self-efficacy and psychosocial well-being among the marginalised youth. The resulting structural model showed that coping self-efficacy significantly and positively predicted the emotional and psychological dimensions of psychosocial well-being among the youth. Psychosocial well-being was associated with of a lower risk for symptoms of depression, anxiety, and stress in these marginalised young people.     

The psychological coping,learning potential and career preferences profiles of operational force military candidates

The aim of this study was to profile the psychological coping, learning potential and career-related interests of 251 candidates for operational force military selection for the South African National Defence Force (SANDF) – 26 of whom were successful in the selection. Data on their sense of meaning, learning potential and career-related interest were gathered using standardised measures supplemented with open-ended responses. The data were analysed to compare the profiles of the successful candidates against those not selected. The selected group showed significantly higher mean scores on meaningfulness and learning potential, and lower scores for career-related interest in law and medicine. Findings suggest that psychological coping, learning potential and career-related preference information can be used to refine the selection of operational force military candidates.