Repression and Coping Styles in Asthmatic Patients |
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Authors: | Beatriz González-Freire Isabel Vázquez-Rodríguez Pedro Marcos-Velázquez Carlos González de la Cuesta |
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Institution: | 1.Facultad de Psicología,Universidad de Santiago de Compostela,Santiago de Compostela,Spain;2.Departamento de Psicología Clínica y Psicobiología, Facultad de Psicología,Universidad de Santiago de Compostela,Santiago de Compostela,Spain;3.Servicio de Neumología,Complexo Hospitalario de Ourense,Ourense,Spain;4.Sección de Alergología,Complexo Hospitalario de Ourense,Ourense,Spain |
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Abstract: | The objectives of this study were to (a) determine prevalence of the dispositional repressive coping style as well as other
situational coping styles in a sample of asthmatic patients and (b) to analyze the capacity of these styles to predict subsequent
morbidity (emergency room visits or hospitalizations due to asthma) during a 12-month follow-up. A sample of 75 adult asthmatic
patients was selected and information about sociodemographics, asthma severity, and patient’s perception of illness severity
was collected. Repressive coping style was defined by a combination of scores obtained on the Trait Anxiety Inventory and
the Marlowe-Crowne Social Desirability Scale. Coping styles were assessed with the dispositional version of the Coping Orientation
to Problems Experienced Inventory. Eighteen patients (24%) were classified as repressors. Repressor asthmatics obtained scores
significantly lower on Emotion-Focused Coping compared to non-repressors (F
(1,72) = 5.15, p = .026). Patients who perceived their asthma as severe reported to use Emotion-Focused Coping more than those who judged
it as mild or moderate (F
(2,71) = 4.83, p = .011). A higher use of Denial (an Emotion-Focused strategy of coping) explained 8% of variance of the frequency of emergency
room visits during the 12-month follow-up. The prevalence of repressive coping style in the asthmatic population is similar
to that registered in other populations of chronic patients, and it is also associated with the tendency to report a lower
use of strategies traditionally considered as maladaptive. The use of Emotion-Focused Coping strategies seems to be related
to a worse perception of the physical status, and among this group of strategies, Denial also could favor a poor clinical
course in bronchial asthma. |
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