Coping styles in adults with cystic fibrosis: implications for emotional and social quality of life

As life expectancy increases, interest has grown surrounding the factors that may influence quality of life (QOL) for people with cystic fibrosis (CF). The aim of the current study was to examine which specific coping styles were positively or negatively associated with social and emotional QOL in a CF sample. One hundred and twenty-two respondents aged 18 and over were recruited through an online support group. Respondents completed the ‘CF Questionnaire-Revised (CFQ-R)’ and the ‘Brief COPE’. The CFQ-R is a disease-specific instrument designed to measure the impact of CF on nine QOL domains and the Brief COPE is a 28 item questionnaire which assesses 14 coping scales. A multivariate regression model revealed that higher substance abuse and disengagement was associated with lower emotional QOL whereas greater use of religion, instrumental coping and acceptance was positively associated with emotional QOL. Active coping was linked to better social QOL and a negative association was reported between distraction coping with both emotional and social domains. Given the burden of CF, ascertaining which factors enhance or diminish emotion and social well-being is now an integral component of QOL research. The current findings may therefore have value in informing clinical interventions which aim to cater for the psychological needs of individuals with CF.     

Resilience and Coping Intervention with Children and Adolescents in At-Risk Neighborhoods

This study evaluated the Resilience and Coping Intervention for Children (RCI), a group intervention to increase coping skills and resilience in children and adolescents. RCI was delivered to children and adolescents residing in five at-risk neighborhoods in a southern U.S. city. Children’s and adolescents’ self-report of coping strategies, strengths and difficulties with behaviors and emotions, and hope indicated decreased difficulties with behavior and emotions and increased feelings of hope postintervention. Parent report of difficulties with behavior and emotions revealed a significant decrease in children but not in adolescents. Mean scores for four coping dimensions increased, but the increase was not statistically significant.     

Hospital Restructuring and Nursing Staff Well-Being: The Role of Coping

A research model incorporating hospital restructuring stressors, job satisfaction, psychosomatic symptoms and active and escapist coping was tested in a large sample of nursing staff. Almost 1,400 staff nurses participated by completing anonymous questionnaires. Concepts in the model were assessed using multiple-item scales having satisfactory psychometric properties. A LISREL analysis was undertaken in which relationships among all variables in the model were considered simultaneously. Use of active coping was negatively related to the use of escapist coping; use of escapist coping was positively related to future threats to security and psychosomatic symptoms and negatively related to self-reported job satisfaction; use of active coping was related to perceptions of less extensive hospital restructuring, greater job satisfaction, and fewer psychosomatic symptoms.     

Ethnicity-Related Sources of Stress and Their Effects on Well-Being

Early research on ethnicity focused on the stereotyped thinking, prejudiced attitudes, and discriminatory actions of Euro-Americans. Minority-group members were viewed largely as passive targets of these negative reactions, with low self-esteem studied as the main psychological outcome. By contrast, recent research has increasingly made explicit use of stress theory in emphasizing the perspectives and experiences of minority-group members. Several ethnicity-related stressors have been identified, and it has been found that individuals cope with these threats in an active, purposeful manner. In this article, we focus on ethnicity-related stress stemming from discrimination, from stereotypes, and from conformity pressure arising from one's own ethnic group. We discuss theory and review research in which examination of ethnicity-related outcomes has extended beyond self-esteem to include psychological and physical well-being.     

Religiosity and Spirituality: Influence on Quality of Life and Perceived Patient Self-Efficacy among Cardiac Patients and Their Spouses

The purpose of this study was to determine the influence of spirituality, religiosity, and religious coping on quality of life and self-efficacy among couples following a first time cardiac event. There was no significant association between measures for spirituality and religiosity and couples’ ratings for quality of life and self-efficacy. Negative forms of religious coping were associated with lower levels of quality of life and decreased confidence in the patient’s ability to perform physical tasks. Spouses’ measures for quality of life, self-efficacy, spirituality, religiosity, and religious coping were associated with patients’ measures for the same study variables. Joan F. Miller, RN, Ph.D., is Assistant Professor of Nursing, Bloomsburg University, Bloomsburg, Pennsylvania 17815 and Director of the Bloomsburg University Nursing Wellness Center. The author gives special thanks to Timothy R. McConnell, Ph.D., and Troy A. Klinger, M.S., for their research support and helpful feedback.     

Religiosity,coping, and suicidality within the religious Zionist community of Israela thematic qualitative analysis

The relationship between religion and mental health has been the subject of extensive research, particularly in recent years. The issues of coping and suicidality have also been widely studied. Significantly, however, how religious people cope with harsh life situations is an area which has been overlooked. The present study based on 18 semi-structured interviews, analyses have members of the Religious Zionist community in Israel cope with harsh life situations. Although the study confirms the conclusions of previous research – in general religion creates a buffer to suicide – the results showed a relatively low impact of religiosity on coping: in general these religious interviewees found it difficult to access their religiosity during harsh life situations. The paper suggests a range of explanations, for example the complexity of personal and collective identities which characterise this group, or – more significantly – the possibilty that religious coping is not actually absent but is only available in a second, later stage of coping.     

Content Analysis of Sexual Fantasies of Males and Females

Content analysis of the sexual fantasies of 87 community college and university students revealed no significant sex differences in the content of sexual fantasies. Both men and women preferred traditional and facilitative fantasies. Because this study was explorative, however, further research is required to validate the suggested scale and replicate these results.     

A Preventive Coping Perspective of Individual Response to Terrorism in Canada

A plethora of studies on terrorism underscores the challenges of managing the psychological and behavioural impacts of terrorist events. This literature also emphasizes the idea that the global pending threat of terrorism, prior to the occurrence of any event, may also give rise to significant reactions among members of the public. Drawing from the literature on proactive coping, the current study presents the results of factor analyses performed on sections of a national survey that assessed appraisals of as well as actual responses to the threat of terrorism in Canada (N = 1,502). Findings revealed that items assessing individual response to terrorism were represented by three factors in this context: Individual Preparedness, Information Seeking, and Avoidance Behaviour. Further analyses demonstrated a tendency for actual preparedness behaviours to be associated with decreased psychological stress, and actual avoidance behaviours to be associated with heightened psychological stress. Furthermore, the divergent patterns of relationships of terrorism response appraisals and corresponding actual responses with psychological stress emphasized the need to distinguish different stages in the process of preventive coping with terrorism. Theoretical and practical implications of findings for individual preparedness in Canada are discussed.

Parental Attachment and Adjustment to College: The Mediating Role of Avoidant Coping

Many studies have documented an association between parental attachment and college student adjustment. Few studies have explored the mechanisms underlying this association. The authors asked college students nearing the end of their first academic year to complete instruments measuring parental attachment, coping, and adjustment to college. Structural equation modeling was used to model mediation separately for attachment to mother and father. Avoidant coping mechanisms (operationalized as denial, mental disengagement, behavioral disengagement, and substance use) significantly mediated the parental attachment and adjustment to college relationship. Self-sufficient coping mechanisms (operationalized as planning, positive reinterpretation, acceptance, active coping, and suppression) did not mediate the parental attachment and adjustment to college relationship.     

无聊倾向对青少年网络成瘾的影响：一个有调节的中介模型

为探究无聊倾向对青少年网络成瘾的预测作用和影响机制,选取云南省和山东省5所普通中学的1553名青少年进行调查。结果发现：（1）青少年无聊倾向显著正向预测网络成瘾;（2）学习倦怠在青少年无聊倾向与网络成瘾之间起中介作用;（3）积极应对方式在无聊倾向与学习倦怠之间起调节作用。本研究结果揭示了青少年网络成瘾形成的内部机制,并基于I-PACE模型构建了青少年网络成瘾的形成过程模型,为青少年网络成瘾的干预提供决策依据。