Best friends and better coping: Facilitating psychological resilience through boys’ and girls’ closest friendships

This is a novel investigation of whether, and how, a single close supportive friendship may facilitate psychological resilience in socio‐economically vulnerable British adolescents. A total of 409 adolescents (160 boys, 245 girls, four unknown), aged between 11 and 19 years, completed self‐report measures of close friendship quality, psychological resilience, social support, and other resources. Findings revealed a significant positive association between perceived friendship quality and resilience. This relationship was facilitated through inter‐related mechanisms of developing a constructive coping style (comprised of support‐seeking and active coping), effort, a supportive friendship network, and reduced disengaged and externalising coping. While protective processes were encouragingly significantly present across genders, boys were more vulnerable to the deleterious effects of disengaged and externalizing coping than girls. We suggest that individual close friendships are an important potential protective mechanism accessible to most adolescents. We discuss implications of the resulting Adolescent Friendship and Resilience Model for resilience theories and integration into practice.     

Characteristics of perceived electromagnetic hypersensitivity in the general population

Health problems evoked in the presence of electrical equipment is a concern, calling for better understanding for characteristics of electromagnetic hypersensitivity (EHS ) in the general population. The present study investigated demographics, lifestyle factors, frequency and duration, coping strategies, proportion meeting clinical criteria for intolerance attributed to electromagnetic fields (EMF ) and comorbidity. Using data from a large‐scale population‐based questionnaire study, we investigated persons with self‐reported (n = 91) EHS in comparison to referents (n = 3,250). Middle age, female sex and poor perceived health was found to be associated with EHS . More than 50% in the EHS group reported having EMF ‐related symptoms more often than once a week, and the mean number of years experiencing EHS was 10.5. More than half of the EHS group reported that their symptoms started after a high‐dose or long‐term EMF exposure, that they actively tried to avoid EMF sources and that they mostly could affect the EMF environment. A minority of the EHS group had sought medical attention, been diagnosed by a physician or received treatment. Exhaustion syndrome, anxiety disorder, back/joint/muscle disorder, depression, functional somatic syndrome and migraine were comorbid with EHS . The results provide ground for future study of these characteristic features being risk factors for development of EHS and or consequences of EHS .     

病耻感对于精神病患者的影响以及文化对策

本文分析三种类型歧视所造成的患者及其家属的痛耻感,论述我们应当如何利用适当的文化应对策略来消除歧视、减少病耻感,从而有效地克服病耻感对于患者及其家属的负面影响。文化差异与病耻感的形成直接相关,文化作为一个重要变量,影响着精神卫生问题以及相应的服务政策,深入研究和认识儒家文化的核心价值有助于减少对于精神病患者的歧视,帮助他们克服病耻感。中国道家文化推崇道法自然,无为而治,可以发展出有效的心理疗法,对于精神疾病是一剂对症的良药。     

Preference for local or general anesthesia,coping dispositions,learned resourcefulness and coping with surgery

Abstract

People were found to differ in their coping dispositions (as measured with the MBSS, Miller, 1987): those who habitually attend to threatening cues (“monitors”) and those who distract themselves from these cues (“blunters”). However, some people are equally high on both coping dispositions and they were considered to be in a “dispositional conflict”. Furthermore, under certain circumstances people may prefer to act in a way that is inconsistent with their coping disposition; monitors who prefer blunting strategies and blunters who prefer monitoring strategies (labeled here as “disposition-behavior conflict”). Both conflicts were hypothesized to be associated with higher levels of trait anxiety and poorer coping. 59 men scheduled for surgery were assessed as to their coping disposition (monitors or blunters) and their preference for local or general anesthesia, and their learned resourcefulness (selfantrol skills). Monitors who chose general anesthesia (and thus were unable to monitor their own surgery) and blunters who chose local anesthesia (and thus were unable to blunt) were defined as being in a disposition-behavior conflict. Re- and post-surgery measures of anxiety and dysphoria and post-surgery nurses' ratings were used for assessing coping with surgery. Patients who were either high on dispositional conflict or showed a disposition-behavior conflict were higher on trait anxiety and showed poorer post-surgery coping in comparison to patients without such conflicts. Learned resourcefulness was not related to better coping nor to the two conflicts with the exception that patients with a disposition-behavior conflict reported less confidence in their self-control abilities. Overall, preference for local anesthesia predicted better post-surgery coping.     

Reflections On The Intensive Measurement Of Stress,Coping, And Mood,With An Emphasis On Daily Measures

Abstract

This paper discusses reasons for the shift from longer-term measurement of stress, coping, and mood to more intensive measurement strategies. Daily assessments are common in intensive studies of these constructs. We review measures available to the researcher, focusing on various aspects of the constructs. While daily assessments are an improvement over less intensive methods, we also discuss shortcomings of these measures. Furthermore, current assessments may not capture many important dimensions of stressful occurrences, and we suggest that such occurrences be thought of in terms of episodes. Modifications of current assessments are discussed, as are even more intensive assessments of stress, coping, and mood.     

Responding to negative health events: A test of the Bad News Response Model

People can respond to bad news in a variety of ways. The Bad News Response Model suggests that three aspects of bad news (the controllability, likelihood, and severity of negative consequences) predict which response (Watchful Waiting, Active Change, or Acceptance) people are likely to choose. This article presents an initial test of the predictions of the Bad News Response Model. College students (N = 234) and older adults (N = 116) read a scenario about a person with a suspicious mole that varied in the controllability, likelihood, and severity of the outcomes. Consistent with our predictions, people prefer Watchful Waiting when controllability, likelihood, and severity are low, Active Change when controllability and likelihood are high, and Acceptance when controllability is low. These findings provide support for the Bad News Response Model and suggest that responses to bad news may be foreseeable based on the type of news people receive.     

Relationships between psychological stress,coping and disordered eating: A review

Abstract

Objective: Psychological stress and inadequate coping skills have been hypothesized to play important roles in the etiology of disordered eating. This paper reviews the empirical evidence which has emerged regarding the proposed relationships among stress. coping skills and various forms of disordered eating. Method: A search of psychological and medical databases was conducted to identify studies examining life events, and other types of psychological stress and coping strategies, in relation to the onset of disordered eating. Results: Despite methodological limitations such as the use of non-representative samples and retrospective methodologies, evidence of relationships between stress. coping and disordered eating was obtained in the majority of studies reviewed. Discussion: The implications of these findings am discussed and suggestions for future research, including the utilization of longitudinal. prospective studies, am presented.