The Effect of Intracouple Coping Concordance on Psychological and Marital Distress in Infertility Patients

The effect of intracouple coping concordance on psychological and marital distress was examined in a sample of 46 couples undergoing different stages of infertility treatment. Results indicate that the effect of coping similarity within couples is dependent on both the type of coping examined and the stage of the stressor. Specifically, for women the use of high levels of task-oriented coping by their partners and themselves is associated with the highest level of marital satisfaction. The findings also indicate that the use of high emotion-oriented coping by both partners is associated with the most psychological distress for men. Finally, the results show that marital satisfaction among women undergoing late stage treatment is highest in couples where the males are using low levels of emotion-oriented coping. Interestingly, the least satisfaction for women is evident when the woman is using less emotion-oriented coping while her partner is using more, rather than when both partners are using more emotion-oriented coping strategies. Clinical implications of the findings are discussed.     

城市老年人社会支持利用度研究

老年人社会支持利用度反映其应对负性生活事件的自我保护意识的一方面．诸多因素制约着老年人运用社会所提供的客观支持的自觉程度。本文采用《社会支持利用度问卷》对上海市社区老人进行了调查研究,结果表明：（1）文化程度、年龄、健康状况是影响城市老年人社会支持利用度的重要因素．文化程度较高、相对低年龄以及健康状况较好的老人其自觉运用社会支持的程度较高。（2）主动寻求社会支持反映一种积极应对方式。     

Immunity and health after bereavement in relation to coping

Coping was examined as an intervening variable between the stressor of bereavement and its effects on subjective health and immunity in thirty-nine recently bereaved Norwegian women. Coping was defined as: "positive response outcome expectancies". Data were collected approximately one month after the death of the husband, and twelve months thereafter. Data collected were: expected coping success (self-scoring), subjective health (UHI), anxiety and depression (GWB), and immunoglobulins (IgA, IgM, IgG) with components (C3, C4). Statistics were: frequencies, paired t -test, ANOVA, and MANOVA. Permissions and confidentiality were in accordance with the Helsinki-declaration. Coping was found to be related strongly to health and to health changes. Few relations were found between immunity and health. Coping, health, and anxiety and depression formed a triangle of interrelations. It was concluded that coping defined as "positive response outcome expectancies" may be a predictor of the adaptational outcome after a crisis.     

The role of the clinical psychologist on a burn unit in a general teaching hospital

This paper reviews the core skills that a clinical psychologist brings to a burn unit and suggests a model for optimal psychological management of burn patients, families, and staff. Recovery from a burn injury involves three stages that comprise (a) acute treatment of severe medical complications, (b) adjustment to hospitalization, and (c) long-term rehabilitation. Each stage contains numerous issues that the clinical psychologist should monitor and manage. Assessment of patients at risk, early intervention, and specialist management are highlighted as critical components of effective psychological management of burn injury in a multidisciplinary team context.     

Stress,coping, HIV status,psychosocial resources,and depressive mood in African American gay,bisexual, and heterosexual men

The associations between stress, physical health, psychosocial resources, coping, and depressive mood were examined in a community sample of African American gay, bisexual, and heterosexual men (N=139). Data were collected from physical exams and in-person interviews. In our theoretical framework, depressive mood scores were regressed first on stressors, next on psychosocial resources, and finally on coping strategy variables. Results revealed that psychosocial resources mediate the effects of stressors, including health symptoms, hassles, and life events, on depressive mood. There were no significant differences in depressive mood associated with HIV status or sexual orientation. Results are discussed in terms of community interventions needed to provide social support as a buffer between stress and psychological distress in African American men. The research was completed at the Center for AIDS Prevention Studies, University of California at San Francisco and was supported in part by National Institute of Mental Health Grants MH44045 and MH42459. The authors express their appreciation to the participants in this study.     

Gender differences in coping and daily stress in conduct-disordered and non-conduct-disordered adolescents

Research shows that conduct disorder (CD) manifests differently in boys and girls, yet little is known about specific characteristics of girls with CD. This study examined gender differences in stress and coping in both CD (n = 69) and non-conduct-disordered (NCD) adolescents (n = 64). Results indicated similar patterns of gender differences in stress and coping, although CD adolescents reported a higher frequency of stress and maladaptive coping strategies than NCDs. Girls reported more daily stress and greater use of coping associated with both social relationships and emotional venting. A significant interaction effect distinguished girls with CD from other groups by their higher level of daily stress, more frequent use of self-injurious behavior and emotion-focused coping, and deficits in active coping.     

Measuring post-traumatic stress: A psychometric evaluation of symptom- and coping questionnaires based on a Norwegian sample

The purpose of this study was to evaluate the psychometric characteristics of the Norweigian versions of the Impact of Event Scale, the Post Traumatic Stress Scale-10 item version and General Coping Questionnaire-30 item version. A group of 40 male and 56 female medical students was tested one week and four months after having started dissection of cadavers for the first time. The results showed that all scales had good internal consistency and test-retest reliability. The student sample scored lower on the IES and PTSS-10 than comparable groups of traumatized subjects. A gender difference emerged, with female subjects scoring higher than male subjects. The factor analysis of the instruments indicated good construct validity for the symptom scales. The analysis of content validity related to DSM IV criteria indicated that the IES and PTSS-10 may have some limitations in their predictive validity of PTSD. Taken together, the three scales have shown good psychometric properties and could be used in future research and clinical work.     

Coping with a Paraphrenic World in Late Life

This study deals with late paraphrenia from a psychological coping perspective. Analyses of coping behavior in relation to paraphrenic delusions and hallucinations revealed rational choices of coping efforts and generally consistent emotional reactions to the subjectively perceived problem. The majority of the patients did not display evidence of premorbid abnormal personalities or life courses. The creation and sustainment of psychotic thoughts are discussed in relation to lack of correcting social feedback due to social isolation and weakened cognitive source monitoring. The implications of a psychological coping perspective for intervention are indicated.     

Leisure and Its Role as a Strategy for Coping with Work Stress

The purpose of this study was to determine the dimensions of leisure that were important to people coping with work-related stress. Data were provided by 695 principals and deputy principals from secondary schools throughout New Zealand who were experiencing major legislative and organizational change in the education sector. The results produced a robust, replicable, and reliable two-factor structure using FACTOREP, a factor replication procedure. It appears that leisure is best measured in terms of active-challenge and passive-recuperative dimensions when considered in relation to coping with work-related stress. The results show that for the present occupational group, the passive nature of leisure is more important for coping with work stress. These results have implications for those involved in workplace health promotion where the emphasis thus far has been on physical activity and fitness. The results also confirm the importance of determining the most appropriate number of factors to rotate.     

中学生应对方式的初步研究

用经过信效度检验的自编中学生应对方式量表对１２５４名中学生的测量结果表明,我国中学生对挫折和烦恼的应对方式主要是问题解决、求助、退避、发泄、幻想和忍耐;女生比男生更多采用发泄和忍耐应对,男生比女生更多采用幻想应对;重点中学学生比普通中学学生更多采用问题解决应对,而较少采用幻想和退避应对;随着年龄的发展中学生应对方式的变化趋势不明显。