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.     

Resilience and suicide ideation: Coping mediator-moderator effects among adolescent learners

The current study aimed to investigate the influence of coping on the relationship between resilience and adolescent suicide ideation among secondary learners in the Free State Province, South Africa (n = 495; female = 61.6%; black = 55%, white = 27%, other = 18%; mean age = 13.99 years; SD = 0.83 years). The learners completed the Suicide Ideation Questionnaire (SIQ), the Revised Coping Schema Inventory (RCSI), and the Resiliency Scale for Children and Adolescents (RSCA). Hierarchical multiple regression analyses were conducted to predict resilience-mediated suicide ideation from coping. Results suggested higher resilience scores on sense of mastery (SoM) and sense of relatedness (SoR) to predict lower suicide ideation risk among the teenagers. By contrast, higher scores on emotional reactivity (ER) predicted higher risk for suicide ideation. Religious coping (RC) moderated the relationship between resilience (sense of relatedness) and suicide ideation so that RC scores with SoM were associated with lower suicide ideation scores. Personal dispositions seem to explain risk for suicide ideation among adolescents.     

Predictors of superstitious beliefs

This study investigated whether relationships exist among personal control, coping mechanism, primary control, secondary control and superstitious beliefs. The participants were 375 Ghanaian student athletes (females = 44%). They completed measures of self-reported superstitious beliefs, personal control, coping mechanisms, primary and secondary control strategies. The data were analysed to evaluate the correlates of both positive and negative superstitious beliefs and how constructs of personal control, coping mechanisms and control strategies, predict positive and negative superstitious beliefs. The results indicated that personal control, coping mechanisms and control strategies were predictors of negative and positive superstitious beliefs. In the final model exaggerated internal control, God-mediated control, emotional support, and substance use were predictors of negative superstitions. Exaggerated internal control, substance use, emotional support and acceptance were predictors of positive superstitions. Athletes may activate different types of superstitious beliefs to cope and gain control in situations of uncertainty.     

Meaning in life and adjustment to daily stressors

People perceive their life as meaningful when they find coherence in the environment. Given that meaning of life is tied to making sense of life events, people who lack meaning would be more threatened by stressful life events than those with a strong sense of meaning in life. Four studies demonstrated links between perceptions of life’s meaningfulness and perceived levels of stress. In Study 1, participants with lower levels of meaning in life reported greater stress than those who reported higher meaning in life. In Study 2 and Study 3, participants whose meaning in life had been threatened experienced greater stress than those whose meaning in life had been left intact. In Study 4, anticipation of future stress caused participants to rate themselves higher on the quest for meaning in life. These findings suggest that perceiving life as meaningful functions as a buffer against stressors.