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Coping Styles (coping + style)
Selected AbstractsCoping style of substance-abuse patients: Effects of anxiety and mood disorders on coping changeJOURNAL OF CLINICAL PSYCHOLOGY, Issue 3 2001Ingmar H.A. Franken The authors studied the coping style of substance-abuse patients during clinical cognitive-behavioral group therapy, and the effects of mood and anxiety disorders on changes in coping style. Change in coping style was studied prospectively in a cohort of 132 residential-drug-abuse patients. In addition to pretreatment assessments, which included diagnosis of mood and anxiety disorders and addiction severity, repeated measurements of coping style were performed at predetoxification, pretreatment, and after three and six months of treatment. Considerable change in coping style between predetoxification and pretreatment was found, suggesting that coping assessment in a predetoxification phase is confounded by state factors surrounding treatment entry. Coping style of detoxified substance abusers is related to the presence of mood and anxiety disorders. Coping style was not found to be related to the severity of drug abuse. Furthermore, maladaptive coping styles decreased after three months of inpatient-substance-abuse treatment, and more-adaptive coping styles remained stable for another three months of inpatient treatment. Patients with an anxiety disorder improved less on coping style when compared to non-anxiety patients. Presence of a mood disorder had no impact on coping-style improvement. The results indicate that more attention should be focused on anxiety disorders during substance-abuse treatment in order to improve coping style. Furthermore, more studies are needed on the relation between substance abuse, coping style, and psychopathology. © 2001 John Wiley & Sons, Inc. J Clin Psychol 57: 299,306, 2001. [source] A STRUCTURAL EQUATION MODELING OF ALCOHOL USE AMONG YOUNG ADULTS IN THE U.S. MILITARY: COMPLEXITIES AMONG STRESS, DRINKING MOTIVES, IMPULSIVITIY, ALCOHOL USE AND JOB PERFORMANCEALCOHOLISM, Issue 2008Sunju Sohn Aims:, Young male adults in the U. S. military drink at much higher rates than civilians and females of the same age. Drinking has been shown to be associated with stress and individuals' ability to effectively cope with stressors. Despite numerous studies conducted on young adults' drinking behaviors such as college drinking, current literature is limited in fully understanding alcohol use patterns of the young military population. The aim of the present study was to develop and test the hypothesized Structural Equation Model (SEM) of alcohol use to determine if stress coping styles moderate the relationship between stress, drinking motives, impulsivity, alcohol consumption and job performance. Methods:, Structural equation models for multiple group comparisons were estimated based on a sample of 1,715 young (aged 18 to 25) male military personnel using the 2005 Department of Defense Survey of Health Related Behaviors among Military Personnel. Coping style was used as the grouping factor in the multi-group analysis and this variable was developed through numerous steps to reflect positive and negative behaviors of coping. The equivalences of the structural relations between the study variables were then compared across two groups at a time, controlling for installation region, race/ethnicity, marital status, education, and pay grade, resulting in two model comparisons with four coping groups. If the structural weight showed differences across groups, each parameter was constrained and tested one at a time to see where the models are different. Results:, The results showed that the hypothesized model applies across all groups. The structural weights revealed that a moderation effect exists between a group whose tendency is to mostly use positive coping strategies and a group whose tendency is to mostly use negative coping strategies (,,2(39)= 65.116, p<.05). More specifically, the models were different (with and without Bonferroni Type I error correction) in the paths between "motive and alcohol use" and "alcohol use and alcohol-related consequences (job performance)." Conclusions:, It seems plausible that coping style significantly factors into moderating alcohol use among young male military personnel who reportedly drink more excessively than civilians of the same age. The results indicate that it may be particularly important for the military to assess different stress coping styles ofyoung male military personnel so as to limit excessive drinking as well as to promote individual wellness and improve job performance. [source] Coping styles, psychological functioning and quality of life in children with asthmaCHILD: CARE, HEALTH AND DEVELOPMENT, Issue 4 2007M. L. Marsac Abstract Background Previous research suggests that children dealing with the asthma are at a greater risk for experiencing psychological maladjustment than children without asthma. Research also suggests that coping is a factor in psychological adaptation to chronic stressors such as physical illnesses. The question as to how coping relates to psychological functioning and quality of life in the paediatric asthma population has not yet been answered. The objective of the current study was to examine the relationships among coping, psychological functioning and quality of life in children diagnosed with asthma and to investigate the relationship that mothers' quality of life has with these variables. Methods Forty-seven youths (aged 8,15 years) diagnosed with asthma completed measures of coping with asthma and quality of life. Each youth's mother completed measures of her child's coping, psychological functioning and her own quality of life. Results Mothers and children with asthma both reported that children used significantly more approach coping than avoidant coping when dealing with asthma. Three regression analyses indicated that avoidant coping negatively predicted psychological functioning, child's quality of life and mother's quality of life. Bivariate analyses also indicated a positive relationship between child's quality of life and mother's quality of life. Conclusions Results indicate that, in children with asthma, coping style plays an important role in the child's psychological functioning and quality of life and mother's quality of life. Therefore, it is recommended that type of coping be assessed when developing comprehensive treatment plans for children with asthma. Further research is needed to determine the efficacy of focused coping interventions in improving quality of life and psychological functioning in children with asthma. [source] Patients' health beliefs and coping prior to autologous peripheral stem cell transplantationEUROPEAN JOURNAL OF CANCER CARE, Issue 2 2007E. FRICK md The aim of this study was to determine the associations between health locus of control (LoC), causal attributions and coping in tumour patients prior to autologous peripheral blood stem cell transplantation. Patients completed the Questionnaire of Health Related Control Expectancies, the Questionnaire of Personal Illness Causes (QPIC), and the Freiburg Questionnaire of Coping with Illness. A total of 126 patients (45% women; 54% suffering from a multiple myeloma, 29% from non-Hodgkin lymphomas, and 17% from other malignancies) participated in the study. Cluster analysis yielded four LoC clusters: ,fatalistic external', ,powerful others', ,yeah-sayer' and ,double external'. Self-blaming QPIC items were positively correlated with depressive coping, and ,fate or destiny' attributions with religious coping (P < 0.001). The highest scores were found for ,active coping' in the LoC clusters ,powerful others' and ,yeah-sayer'. External LoC and an active coping style prevail before undergoing autologous peripheral blood stem cell transplantation, whereas the depressive coping is less frequent, associated with self-blaming causal attributions. Health beliefs include causal and control attributions, which can improve or impair the patient's adjustment. A mixture between internal and external attributions seems to be most adaptive. [source] Correlation between coping style and quality of life among hemodialysis patients from a low-income area in BrazilHEMODIALYSIS INTERNATIONAL, Issue 3 2010Paulo Roberto SANTOS Abstract Quality of life (QOL) is an important outcome among end-stage renal disease patients and can be associated with modifiable behaviors. We analyzed the correlation between coping style and QOL among hemodialysis patients. We studied 166 end-stage renal disease patients undergoing hemodialysis. They were older than 18 years, under hemodialysis for at least 3 months, and had never received a transplant. Quality of life was assessed by SF-36 and coping style was scored by the Jalowiec Coping Scale. Emotion-oriented coping and problem-oriented coping scores were compared according to sex, comorbidity, and socioeconomic status by the Mann-Whitney test. Correlations between QOL and 2 coping styles (emotion-oriented coping and problem-oriented coping) were adjusted for age, time on dialysis, hemoglobin, creatinine, albumin, calcium,phosphorus product, and Kt/V by backward stepwise linear regression. There was no difference between coping scores according to sex, comorbidity, and socioeconomic status. Emotion-oriented coping was independently and negatively associated with 4 QOL dimensions: physical functioning, role-physical, role-emotional, and mental health. Our results indicate that patients with high emotion-oriented coping scores should be seen at risk for poor QOL. Patient education in coping skills may be used to change the risk of poor QOL. [source] Self-report treatment techniques used by dentists to treat dentally anxious children: a preliminary investigationINTERNATIONAL JOURNAL OF PAEDIATRIC DENTISTRY, Issue 1 2003H. Buchanan Summary. Objective. To investigate the extent to which dentists report their encouragement to dentally anxious children to blunt (distract from the procedure) or monitor (give information about the procedure) during treatment. Setting. British Society of Paediatric Dentistry conference. Subjects and methods. One hundred and two of 155 delegates (66% response rate) completed a Monitor Blunter Treatment Checklist (MBTC), which was included in their conference pack. Participants were asked to tick all of the 10 statements (five monitoring and five blunting) that reflected how, in general, they would treat a dentally anxious child. Results. Dentists chose significantly more monitoring than blunting statements. Treatment strategies relating to explaining procedures were endorsed by the majority of dentists, while distraction was chosen by less than a third. Conclusion. Dentists tend to use monitoring strategies that adhere generally to the principles of the Tell-Show-Do technique. This may have implications if the anxious child has a ,blunting' coping style. [source] I think therefore i om: cognitive distortions and coping style as mediators for the effects of mindfulness meditation on anxiety, positive and negative affect, and hopeJOURNAL OF CLINICAL PSYCHOLOGY, Issue 6 2009Sharon Sears Abstract This study examined cognitive distortions and coping styles as potential mediators for the effects of mindfulness meditation on anxiety, negative affect, positive affect, and hope in college students. Our pre- and postintervention design had four conditions: control, brief meditation focused on attention, brief meditation focused on loving kindness, and longer meditation combining both attentional and loving kindness aspects of mindfulness. Each group met weekly over the course of a semester. Longer combined meditation significantly reduced anxiety and negative affect and increased hope. Changes in cognitive distortions mediated intervention effects for anxiety, negative affect, and hope. Further research is needed to determine differential effects of types of meditation. © 2009 Wiley Periodicals, Inc. J Clin Psychol 65: 1,13, 2009. [source] Coping style of substance-abuse patients: Effects of anxiety and mood disorders on coping changeJOURNAL OF CLINICAL PSYCHOLOGY, Issue 3 2001Ingmar H.A. Franken The authors studied the coping style of substance-abuse patients during clinical cognitive-behavioral group therapy, and the effects of mood and anxiety disorders on changes in coping style. Change in coping style was studied prospectively in a cohort of 132 residential-drug-abuse patients. In addition to pretreatment assessments, which included diagnosis of mood and anxiety disorders and addiction severity, repeated measurements of coping style were performed at predetoxification, pretreatment, and after three and six months of treatment. Considerable change in coping style between predetoxification and pretreatment was found, suggesting that coping assessment in a predetoxification phase is confounded by state factors surrounding treatment entry. Coping style of detoxified substance abusers is related to the presence of mood and anxiety disorders. Coping style was not found to be related to the severity of drug abuse. Furthermore, maladaptive coping styles decreased after three months of inpatient-substance-abuse treatment, and more-adaptive coping styles remained stable for another three months of inpatient treatment. Patients with an anxiety disorder improved less on coping style when compared to non-anxiety patients. Presence of a mood disorder had no impact on coping-style improvement. The results indicate that more attention should be focused on anxiety disorders during substance-abuse treatment in order to improve coping style. Furthermore, more studies are needed on the relation between substance abuse, coping style, and psychopathology. © 2001 John Wiley & Sons, Inc. J Clin Psychol 57: 299,306, 2001. [source] Predictors of academic attainments of young people with Down's syndromeJOURNAL OF INTELLECTUAL DISABILITY RESEARCH, Issue 5 2008S. Turner Abstract Background Earlier studies of young people with Down's syndrome have investigated a relatively limited range of variables which may influence their academic attainment. The relative strength of such influences and how they may vary during the school career, has also been under-researched. Aims The aim of the paper is to identify the contemporary and antecedent predictors of the level of academic attainment achieved by a representative sample of young people with Down's syndrome. Sample The paper reports data from three studies of 71 young people with Down's syndrome and their families. Mean IQ at the time of the first study (t1) was 40.4. Mean chronological age was 9 years at t1, 14 at t2, and 21 at t3, when all the young people had left school. Methods The outcome measure was the 58-item Academic Attainments Index (AAI), comprising three sub-scales covering reading, writing and numeracy. Predictors of the outcome were derived from questionnaires and interviews from tutors, mothers and fathers. A path analysis approach was used to investigate the pattern of predictors of the outcome over the three studies. Results Factors predicting greater progress in this measure between t2 and t3 were lower chronological age and attendance at mainstream school. Progress from t1 to t2 was also associated with attendance at mainstream school, as well as with higher t1 mental age, mother's practical coping style and higher child attentiveness. Background factors predicting higher t1 AAI scores were higher mental age, attendance at mainstream school and father's internal locus of control. The path analysis model predicted 48% of the variance in t3 outcome scores. Severity of intellectual impairment was by far the most significant predictor. Conclusion Limitations to the study include evidence of attrition bias towards more able children, and the need to obtain the t3 outcome measure from tutors for some young people and parents for others. Parents may have over-estimated abilities. Results are broadly in agreement with other studies, and confirm the pattern reported earlier with this group. Mainstream school attendance had a modest beneficial effect on AAI scores throughout the school career of the children, independently of level of intellectual disability. Identification of predictors of attainment levels and of improvement over time may help parents, teachers and other professionals involved with families of children and young people with Down's syndrome optimise the attainment of such skills. [source] Temporomandibular disorder subtypes according to self-reported physical and psychosocial variables in female patients: a re-evaluationJOURNAL OF ORAL REHABILITATION, Issue 3 2005T. I. SUVINEN summary, Several studies support the relevance of psychological and psychosocial factors in the assessment and management of chronic musculoskeletal pain disorders, including temporomandibular pain disorders (TMDs). The aim of this study was to re-evaluate subtyping approach used in an earlier study (TI Suvinen, KR Hanes, JA Gerschman, PC Reade. J Orofac Pain 1997;11:200) and to compare perceived physical symptoms, psychological, coping and psychosocial variables between subtypes of patients who seek treatment for their temporomandibular pain and dysfunction. A total of 41 consecutive female patients were assessed multiaxially for physical symptoms, coping style and effectiveness and illness behaviour by a previously validated Temporomandibular Pain Dysfunction Questionnaire (TI Suvinen, KR Hanes, JA Gerschman, PC Reade. J Orofac Pain 1997;11:200). Additional measures of psychosocial variables included the global scores of the Beck Depression and Anxiety Inventory and Part I of the Multidimensional Pain Inventory. Subtypes were generated using an iterative partitioning method, k-means cluster analysis. Three clusters were identified and termed as Simple (22%), Intermediate (41%) and Complex (37%) temporomandibular disorders subtypes. Significant differences (P < 0·05) were found between clusters in psychological (coping style and effectiveness, disease conviction and affective disturbance) and in psychosocial variables (daily interference and social, work and family satisfaction), but not between physical variables. The results support previous studies that have shown differences in psychosocial variables in the presentation and subtyping of TMDs and the biopsychosocial orientation in assessment. The findings need to be reverified in a larger sample along specific physical diagnoses, but it is tentatively proposed how the three subtypes could be used in the classification of temporomandibular pain patients to guide management, based on the constellation of predominant psychological and psychosocial illness impact variables. [source] Could repressive coping be a mediating factor in the symptom profile of individuals diagnosed with schizophrenia?JOURNAL OF PSYCHIATRIC & MENTAL HEALTH NURSING, Issue 5 2010B. SCHOLES rmn bn spq (mental health) msc pgctlhe Accessible summary ,,This paper considers the potential impact of identifying individual coping style on the concept of schizophrenia within the framework of the stress vulnerability model. There is discussion of the role of psychological theories in our understanding of schizophrenia and the experience of those who live with this condition. ,,The concept of individual coping style, with particular attention to repressive coping style, is considered and the research on the impact of coping style on the person's mental and physical well-being is discussed. Whether this way of thinking about and understanding repression is helpful in how we understand schizophrenia is then considered. ,,Possible implications of identifying repression in people with schizophrenia by using the idea of coping style as a measure of this concept are considered, gaining and understanding of what role this identification may have on our understanding of how people experience this condition and express this experience to those who work with them. ,,The potential for study in this area may allow a greater understanding of the way in which our protective psychological functions interact with experience of the distressing and challenging symptoms, often associated with schizophrenia, and influence future understanding of the process and progress of this condition. Abstract Despite a relatively high prevalence, and the enduring patronage of the disorder by psychiatry and the pharmaceutical industry, innovative conceptualization of schizophrenia in a client-empowering and quality of life-enhancing way appears to represent a vacuum within the clinical agenda, certainly taking second place to ,patient management'. However, against this bland background of medicalization of what is clearly a poorly understood and complex multifactorial syndrome, innovative treatment approaches aimed at symptom control, in particular, the stress vulnerability model (SVM), have been developed. However, the SVM is an incomplete model of patient experience and says little of aetiological note. One area of psychological function that may give further insight into the symptom experience associated with schizophrenia within the context of stress vulnerability concerns the mechanisms of repression. Ironically, the notion of repression will for many represent the epitome of non-evidence-based psychiatric theory and related psychodynamic therapy practice. However, more contemporary work within the psychological literature has aimed to make the concept both measurable and observable. No longer occluded by the context of psychoanalysis, cognitive science accounts of repression may be of value in facilitating understanding of the variability and predictability of symptoms of schizophrenia and may provide a dimension of therapeutic engagement allied to the SVM. [source] A STRUCTURAL EQUATION MODELING OF ALCOHOL USE AMONG YOUNG ADULTS IN THE U.S. MILITARY: COMPLEXITIES AMONG STRESS, DRINKING MOTIVES, IMPULSIVITIY, ALCOHOL USE AND JOB PERFORMANCEALCOHOLISM, Issue 2008Sunju Sohn Aims:, Young male adults in the U. S. military drink at much higher rates than civilians and females of the same age. Drinking has been shown to be associated with stress and individuals' ability to effectively cope with stressors. Despite numerous studies conducted on young adults' drinking behaviors such as college drinking, current literature is limited in fully understanding alcohol use patterns of the young military population. The aim of the present study was to develop and test the hypothesized Structural Equation Model (SEM) of alcohol use to determine if stress coping styles moderate the relationship between stress, drinking motives, impulsivity, alcohol consumption and job performance. Methods:, Structural equation models for multiple group comparisons were estimated based on a sample of 1,715 young (aged 18 to 25) male military personnel using the 2005 Department of Defense Survey of Health Related Behaviors among Military Personnel. Coping style was used as the grouping factor in the multi-group analysis and this variable was developed through numerous steps to reflect positive and negative behaviors of coping. The equivalences of the structural relations between the study variables were then compared across two groups at a time, controlling for installation region, race/ethnicity, marital status, education, and pay grade, resulting in two model comparisons with four coping groups. If the structural weight showed differences across groups, each parameter was constrained and tested one at a time to see where the models are different. Results:, The results showed that the hypothesized model applies across all groups. The structural weights revealed that a moderation effect exists between a group whose tendency is to mostly use positive coping strategies and a group whose tendency is to mostly use negative coping strategies (,,2(39)= 65.116, p<.05). More specifically, the models were different (with and without Bonferroni Type I error correction) in the paths between "motive and alcohol use" and "alcohol use and alcohol-related consequences (job performance)." Conclusions:, It seems plausible that coping style significantly factors into moderating alcohol use among young male military personnel who reportedly drink more excessively than civilians of the same age. The results indicate that it may be particularly important for the military to assess different stress coping styles ofyoung male military personnel so as to limit excessive drinking as well as to promote individual wellness and improve job performance. [source] Coping Trajectories from Adolescence to Young Adulthood: Links to Attachment State of MindJOURNAL OF RESEARCH ON ADOLESCENCE, Issue 4 2005Inge Seiffge-Krenke The objective of this study was to examine the links between coping and attachment. In a longitudinal study of 112 participants, coping behavior was assessed at five points in time during adolescence (starting at the age of 14 years) and early adulthood. In addition, at the age of 21 years, state of mind regarding current and earlier attachment experiences was assessed by employing the Adult Attachment Interview (AAI). In both adolescence and early adulthood, differences in coping styles were found to be related to differences in attachment. Individuals classified as secure dealt with their problems more actively by using their social network during adolescence and at the age of 21 years. Both secure and dismissing individuals used more internal coping than those with a preoccupied state of mind. Latent growth curve modeling revealed that differences in active and internal coping between secure and insecure individuals applied to the rate of change in these coping styles between 14 and 21 years, with participants in the secure group showing much steeper growth in both coping styles. Only minor differences were found with respect to withdrawal as a coping style. The results represent first evidence that coping trajectories during adolescence and young adulthood are linked with attachment state of mind. [source] Coping with domestic violence: Control attributions, dysphoria, and hopelessnessJOURNAL OF TRAUMATIC STRESS, Issue 2 2000Caroline M. Clements Abstract We investigated the influence of control judgments and coping style on emotional reactions to domestic violence utilizing the framework of hopelessness theory. We assessed abuse severity, control attributions, coping, dysphoric symptoms, and hopelessness in 70 battered women recruited from 12 domestic violence agencies. Respondents reported dysphoria but not hopelessness. Increased reports of dysphoria were associated with higher levels of self-blame and avoidance coping and lower levels of problem-focused coping. Increased problem-focused coping was associated with decreased hopelessness. Perceived control over current abuse was not related to dysphoria. High expectations for control over future events were associated with decreased dysphoria. We discuss our results in terms of their application to attributional accounts of emotional reactions to battering. [source] Caring for a person with dementia: Exploring relationships between perceived burden, depression, coping and well-beingNURSING & HEALTH SCIENCES, Issue 2 2005Ronelle McConaghy Abstract This study was concerned with identifying the impact of variables such as gender, length of time caring, coping style, depression and perception of caregiving burden on the physical and psychological well-being of carers of persons with dementia. Forty-two carers aged between 21 and 88 years from Blue Care's Homecare Dementia Service and Cairns Aged Care Health Service participated in the study. A cross-sectional survey research design was used, with participants providing information on the Satisfaction with Life Scale, the Center for Epidemiologic Studies Depression Scale, the COPE, Short Form (SF)-12 and the Zarit Caregiver Burden Scale. Perceived burden accounted for 41.7% of the variance in satisfaction with life as a subjective measure of well-being. There were no significant differences between male and female carers. Satisfaction with life was not found to decrease with length of time caring for the dementia sufferer. There were no significant findings in regard to coping style or physical health of carers. The well-being of carers can be enhanced through strategies which lead to a reduced perception of burden, with respite services providing tangible relief from burden. [source] Social support and end-of-life issues for small town Japanese elderlyNURSING & HEALTH SCIENCES, Issue 3 2000Akira Tagaya PhD Abstract Social support for Japanese elderly people living in small towns is the focus of this paper. Specifically, it explores the relationship between selected aspects of self-reported social support, religion, end-of-life issues, and death anxiety. A total of the 1956 men and women responded to a questionnaire including a scale of social support they received in their home. The major findings showed that an increased level of perceived social support is not a predictor of decreased death anxiety but correlated with image of death and coping style of death anxiety, for which those who reported greater support tend to use more human relationships and fewer religious beliefs. Early in the next century 25% of Japan's population will be 65 years of age or older. Elderly Japanese have benefited from the traditional values of family care giving which historically provided great social support. How do these elderly respond to questions about the end of their lives when their reported social support varies? [source] Millon Behavioral Health Inventory Scores of Patients With Chronic Pain Associated with Myofascial Pain SyndromePAIN MEDICINE, Issue 4 2001David A. Fishbain MSc, FAPA Objectives., Normative data for the coping styles and psychogenic attitudes of the Millon Behavioral Health Inventory (MBHI) for male and female chronic pain patients (CPPs) with mixed pain diagnoses have previously been reported and compared with normative MBHI manual data. However, results from other studies have suggested that CPPs with myofascial pain syndrome (MPS) may need to be considered as a distinct group in psychiatric/psychological studies. The purpose of the present study was then to provide normative data for each MBHI scale for male and female CPPs with MPS and to compare these data with MBHI manual norms for similarities and differences. Setting.,Multidisciplinary pain facility. Patients.,CPPs with an associated diagnosis of MPS. Outcome Measure.,MBHI base rate scores. Methods. CPPs with an associated diagnosis of MPS were first broken down into two groups: males and females. Analyses were then performed using the MBHI base rate scores of these two groups. For each group, the percentages of CPPs who had a base rate of 75 or above were calculated for each individual coping style and psychogenic attitude. These percentages were then compared by chi square with percentages of patients with base rate scores of 75 or above for each coping style and psychogenic attitude to the MBHI Manual normative sample. Results., Female CPPs with MPS differed from MBHI Manual normative counterparts on two of the six psychogenic attitude scales (future despair and somatic anxiety); no differences were found in any of the eight coping style scales. Male CPPs with MPS differed from MBHI Manual normative counterparts on one coping style scale (sociable) and three psychogenic attitude scales (premorbid pessimism, future despair, and somatic anxiety). Conclusions., The pattern of the results indicated that CPPs with MPS, especially males, differ from the MBHI Manual normative data counterparts. These differences appear to be greater than those for CPPs with mixed pain diagnoses. Differences in MBHI scale scores between CPPs with MPS and MBHI Manual normative data counterparts may be related to a number of issues, such as whether differences in state factors reflecting depression and anxiety might affect trait factors purportedly measured by the MBHI. [source] Association of coping style, pain, age and depression with fatigue in women with primary breast cancerPSYCHO-ONCOLOGY, Issue 9 2006Katrin Reuter Abstract The purpose of this study was to explore the relative contributions of coping, depression, pain and age, in the experience of cancer related fatigue. A total of 353 women treated for primary breast cancer were assessed within one year of diagnosis using the Profile of Mood States, the Hospital Anxiety and Depression Scale and the mini-Mental Adjustment to Cancer Scale. Fatigue was positively associated with depression and pain, but inversely related to age. In contrast to our expectations, fighting spirit was not associated with less fatigue. A relationship between coping style and cancer-related fatigue was found exclusively for ,positive reappraisal', a combination of fighting spirit and fatalism. Detectable only in multivariate analysis together with depression, the results suggest a weak association between coping and fatigue. The relationship between cancer related fatigue, age and coping styles requires further exploration within longitudinal studies. Copyright © 2005 John Wiley & Sons, Ltd. [source] Pessimism as a predictor of emotional morbidity one year following breast cancer surgeryPSYCHO-ONCOLOGY, Issue 5 2004I. Schou The prevalence of and predictive factors for emotional morbidity (measured by the Hospital Anxiety and Depression Scale (HAD)) one year following surgery, with special focus on dispositional optimism/pessimism (measured by the Life Orientation Test (LOT-R), was examined in 165 women, newly diagnosed with breast cancer. Patients characteristics, appraisal of cancer diagnosis, beliefs about treatment efficacy, treatment decision-making participation, coping and emotional morbidity was assessed by self-rating questionnaires. Prevalence of anxiety and depression cases at time of diagnosis was 34 and 12%, respectively, and 26 and 9% after one year. Prevalence of emotional morbidity was significantly enlarged among pessimists at all assessments. Pessimism was the strongest predictor for anxiety (OR: 0.86 C.I. 95% 0.77 , 0.95) and depression (OR: 0.83, C.I. 95% 0.73 , 0.95) one year following breast cancer surgery. Optimists and pessimists differed not only in regard to coping styles, but also in regards to predictors of emotional morbidity. Optimists experiencing anxiety at time of breast cancer diagnosis had about six times higher risk of experiencing anxiety after one year, compared to optimists without preoperative anxiety. For pessimists, the more pessimistic one was about one's overall future the higher risk for developing anxiety following one year of breast cancer surgery. Pessimists, who endorse helpless/hopeless coping style when receiving a diagnosis of breast cancer, had three times greater risk for experiencing depression one year after breast cancer surgery, than pessimists who did not. Health care professionals should therefore provide intervention for pessimists, as well as for patients with high anxiety scores at time of diagnosis. Copyright © 2003 John Wiley & Sons, Ltd. [source] Autobiographical integration of trauma memories and repressive coping predict post-traumatic stress symptoms in undergraduate studentsCLINICAL PSYCHOLOGY AND PSYCHOTHERAPY (AN INTERNATIONAL JOURNAL OF THEORY & PRACTICE), Issue 3 2010Tom Smeets Abstract What differentiates those who are able to adapt well to adverse life events (i.e., persons who are resilient) from those who are not (e.g., persons who develop post-traumatic stress symptoms)? Previous work suggests that enhanced autobiographical integration of trauma memories is associated with more severe post-traumatic stress symptoms. Extending this line of work, the present study looked at whether the integration of trauma memories, repressive coping and cognitive reactivity are related to post-traumatic stress symptomatology following negative life events among otherwise healthy young adults (N = 213). Results show that while enhanced integration of trauma memories and high levels of dissociation are related to elevated levels of post-traumatic stress, people who generally engage in repressive coping report fewer post-traumatic stress symptoms.,Copyright © 2009 John Wiley & Sons, Ltd. Key Practitioner Message: , Enhanced integration of trauma memories is linked to increased post-traumatic stress. , High levels of trait dissociation are related to elevated levels of post-traumatic stress symptomatology. , A repressive coping style is associated with fewer post-traumatic stress symptoms. [source] Psychometric validation of a monitoring-blunting measure for social anxiety disorder: the coping styles questionnaire for social situations (CSQSS)DEPRESSION AND ANXIETY, Issue 1 2005Peter G. Mezo Ph.D. Abstract The purpose of this investigation was to conduct a psychometric validation of the Coping Styles Questionnaire for Social Situations (CSQSS). The CSQSS was developed to measure monitoring and blunting coping styles in social situations based on Miller's conceptualization of how individuals cope with threat-related information. Study 1 evaluated the content validity of the CSQSS monitoring and blunting items. Study 2 examined factor structure, reliability, and construct validity of the CSQSS in a sample of 443 college students. Evidence supported the content and face validity of the CSQSS. In addition, an exploratory factor analysis revealed a two-factor solution consistent with the monitoring and blunting constructs. Both monitoring and blunting scores were positively correlated with measures of social anxiety, with blunting having a stronger relationship. Moreover, individuals with high social anxiety engaged in a significantly higher degree of monitoring and blunting than did individuals with low social anxiety. Taken together, these results provide support for the reliability and validity of the CSQSS. The CSQSS may serve as a useful measure for further examination of monitoring and blunting coping styles in a social anxiety disorder sample. Depression and Anxiety 22:20,27, 2005. © 2005 Wiley-Liss, Inc. [source] Psychosocial Adjustment of People with Epilepsy in Hong KongEPILEPSIA, Issue 9 2001Vanessa W. Y. Lau Summary: ,Purpose: In light of the issues associated with the psychosocial adjustment of people with epilepsy that have been widely reported, this study examined these issues within a Chinese cultural context. Methods: Fifty patients with epilepsy completed The Washington Psychosocial Inventory, the Coping Inventory for Stressful Situations, and a questionnaire that assessed their psychosocial difficulties and coping styles. Multiple regression procedure was used to examine the strength of various medical and social factors in predicting the psychosocial adjustment problems of these participants. Results: Social factors, such as self-perception and coping strategies, were more powerful predictors of psychosocial adjustment in people with epilepsy than the medical factors associated with epilepsy. Conclusions: These findings showed that psychosocial maladjustment is a significant issue for people with epilepsy in Hong Kong. The emerging importance of social factors as predictors of psychosocial adjustment in epilepsy, as compared with medical factors, highlights the need for developing tailored counseling therapy and social support groups for people with epilepsy. [source] Results of a multi-componential psychosocial intervention programme for women with early-stage breast cancer in Spain: quality of life and mental adjustmentEUROPEAN JOURNAL OF CANCER CARE, Issue 3 2009D. MANOS phd, psychologist-psychotherapist The effectiveness of a structured psychosocial intervention for women with breast cancer was studied in relation to a control group. The study was conducted in a hospital setting in Spain, and the aim of the intervention programme was to foster a higher quality of life and a more positive mental adjustment to the cancer. Three measures were used: baseline, post-treatment and 6-month follow-up for both groups. The dependent variables examined were quality of life and mental adjustment. The independent variable was the psychosocial intervention programme. Subjects were 188 women who had been operated for breast cancer and who satisfied a series of medical criteria, had no history of psychological problems and were between 25 and 65 years old. The results have shown that the psychosocial intervention programme was highly effective in improving the patients' quality of life, as compared with baseline measures, as well as compared with the control group. Additionally, the intervention increased the patients' fighting spirit and hopefulness/optimism, and reduced their anxious preoccupation as coping styles. These changes persevered at the 6-month follow-up. [source] Combining social axioms with values in predicting social behavioursEUROPEAN JOURNAL OF PERSONALITY, Issue 3 2004Michael Harris Bond Recently, Leung et al. (2002) have identified a pan-cultural set of five dimensions tapping beliefs about the world in which each individual functions. These general axioms may be conceptualized as individual assessments of the social context constraining one's behavioural choices. As such, we hypothesize that these beliefs about the world may be combined with measures of motivation to predict an individual's actions. To test this model, the present research examined the usefulness of these social axioms as predictors of behavioural tendencies in conjunction with four comprehensive dimensions of values (Schwartz, 1992). Hierarchical regression analyses showed that social axioms added moderate predictive power over and above that provided by values to vocational choices, methods of conflict resolution, and coping styles. Specifically, reward for application was related to preference for conventional jobs and accommodation in conflict resolution; religiosity was related to accommodation and to competition in conflict resolution; social cynicism was related negatively to collaboration and to compromise in conflict resolution, and positively to wishful thinking in coping; fate control was related positively to wishful thinking and distancing in coping; and social complexity was related to compromise and to collaboration in conflict resolution, and to problem-solving as a coping strategy. It thus seems as if measures of respondents' beliefs about the external, social world supplement measures of their internal motivations to achieve various goals. Copyright © 2004 John Wiley & Sons, Ltd. [source] Psychological aspects and coping styles of parents with Haemophilic child undergoing a programme of counselling and psychological supportHAEMOPHILIA, Issue 3 2007A. M. BOTTOS Summary., Parents of children affected by haemophilia must face, often without prior knowledge, the difficult challenge imposed by such a pathology. To satisfy the need of information, guideline and psychological support for a better quality of life, 30 parents with haemophiliac children have participated in a programme of counselling and psychological support. Such a programme has the aim of guiding the group trough a process of discovery, comparison and personal growth and stimulating adaptive processes of problem,solving and decision,making. The aim of this paper was to verify how the programme influenced coping strategies and other psychological constructs such as depression and anxiety. Subjects of this study were administered the following psychological tests: COPE (coping, orientation to problems experienced), BDI (beck depression inventory), STAI-Y form (state,trait anxiety inventory) at the beginning and at the end of the programme. The results show that by the end of the programme subjects are characterized by a greater use of problem,focused coping strategies, typical of individuals who think that the situation is susceptible to change, and a minor use of emotion,focused coping strategies, related to individuals who regard the situation as immutable. The use of avoidance ,focused coping strategies seems to remain at the same level even if it was low. Also the other psychological aspects investigated, namely depression and anxiety, did receive a positive influence. The results show how significant such programme has been for parents. [source] Correlation between coping style and quality of life among hemodialysis patients from a low-income area in BrazilHEMODIALYSIS INTERNATIONAL, Issue 3 2010Paulo Roberto SANTOS Abstract Quality of life (QOL) is an important outcome among end-stage renal disease patients and can be associated with modifiable behaviors. We analyzed the correlation between coping style and QOL among hemodialysis patients. We studied 166 end-stage renal disease patients undergoing hemodialysis. They were older than 18 years, under hemodialysis for at least 3 months, and had never received a transplant. Quality of life was assessed by SF-36 and coping style was scored by the Jalowiec Coping Scale. Emotion-oriented coping and problem-oriented coping scores were compared according to sex, comorbidity, and socioeconomic status by the Mann-Whitney test. Correlations between QOL and 2 coping styles (emotion-oriented coping and problem-oriented coping) were adjusted for age, time on dialysis, hemoglobin, creatinine, albumin, calcium,phosphorus product, and Kt/V by backward stepwise linear regression. There was no difference between coping scores according to sex, comorbidity, and socioeconomic status. Emotion-oriented coping was independently and negatively associated with 4 QOL dimensions: physical functioning, role-physical, role-emotional, and mental health. Our results indicate that patients with high emotion-oriented coping scores should be seen at risk for poor QOL. Patient education in coping skills may be used to change the risk of poor QOL. [source] A prevalence study of suicide ideation among older adults in Hong Kong SARINTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY, Issue 11 2003Paul S. F. Yip Abstract Objective The objective of this paper is to ascertain estimates of the prevalence, and associated risk factors for, suicidal ideation among community-dwelling older adults in Hong Kong. Method The study was conducted as part of the General Household Survey (GHS), using face to face interviews of ethnic Chinese people aged 60 or above living in the community. Elders living in institutions or elderly homes were excluded from the study. Results Six percent of the sample was found to have ever had suicide ideation. The results showed that poor physical health, including poor vision, hearing problems, and a greater number of diseases; and poor mental health, especially in the form of depression, are predictors of suicidal ideation in the elderly population. Also, statistical analysis by linking individual factors to depression showed that financial and relationship problems are significant risk factors as well. Older adults who engaged in active coping, that is, those who actively seek to manage or control the negative events in their lives, fare better with lower levels of suicidal ideation than those who use passive coping styles. Conclusions The prevalence of suicidal ideation is similar among elders in Hong Kong and western countries. Factors that contribute to risk for suicidal ideation span physical and mental health, social, and psychological domains. Although the association of suicidal ideation to self-destructive acts remains to be determined, these findings indicate a variety of potential foci for late life suicide prevention efforts. Copyright © 2003 John Wiley & Sons, Ltd. [source] Stability and individual change in depressive symptoms among mothers raising young children with ASD: maternal and child correlates,JOURNAL OF CLINICAL PSYCHOLOGY, Issue 12 2009Alice S. Carter Abstract Mothers raising children with Autism Spectrum Disorders (ASD) evidence elevated depressive symptoms, but symptom stability has not been examined. Mothers (N=143) of toddlers with ASD (77% boys) were enrolled and assessed when their children were 18 to 33 months old and followed annually for 2 years. Multilevel modeling revealed no significant change in group depressive symptom level, which was in the moderately elevated range (Intercept=13.67; SE=.96). In contrast, there was significant individual variation in change over time. Child problem behaviors and delayed competence, maternal anxiety symptoms and angry/hostile mood, low parenting efficacy and social supports, and coping styles were associated with depression severity. Only maternal anxiety and parenting efficacy predicted individual change. Many mothers do not appear to adapt, supporting the need for early intervention for maternal well-being. © 2009 Wiley Periodicals, Inc. J Clin Psychol 65: 1,11, 2009. [source] I think therefore i om: cognitive distortions and coping style as mediators for the effects of mindfulness meditation on anxiety, positive and negative affect, and hopeJOURNAL OF CLINICAL PSYCHOLOGY, Issue 6 2009Sharon Sears Abstract This study examined cognitive distortions and coping styles as potential mediators for the effects of mindfulness meditation on anxiety, negative affect, positive affect, and hope in college students. Our pre- and postintervention design had four conditions: control, brief meditation focused on attention, brief meditation focused on loving kindness, and longer meditation combining both attentional and loving kindness aspects of mindfulness. Each group met weekly over the course of a semester. Longer combined meditation significantly reduced anxiety and negative affect and increased hope. Changes in cognitive distortions mediated intervention effects for anxiety, negative affect, and hope. Further research is needed to determine differential effects of types of meditation. © 2009 Wiley Periodicals, Inc. J Clin Psychol 65: 1,13, 2009. [source] Mind's response to the body's betrayal: Gestalt/existential therapy for clients with chronic or life-threatening illnessesJOURNAL OF CLINICAL PSYCHOLOGY, Issue 11 2002Suzanne A. Imes In the literature on chronic or life-threatening illness, there is an overriding emphasis on clients' psychological coping styles and how they relate to psychological functioning. By contrast, in our approach, we look at the subjective mind/body experiences that clients have of their illness and how their lives are impacted by their illness. As psychotherapists, we address their existential distress, pain, body experience, thoughts, and feelings, as well as their efforts to cope or find meaning in their illness. We summarize Gestalt/Existential therapy for chronic illness, illustrate the approach with three case-vignettes, and stress the importance of attending to each client's unique responses to illness. © 2002 Wiley Periodicals, Inc. J Clin Psychol/In Session 58: 1361,1373, 2002. [source] | ||||||||||||||||||||||||||||