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PubMed2000

Coping-related expectancies and dispositions as prospective predictors of coping responses and symptoms.

We used Rotter's (1954, 1982) social learning theory and Kirsch's (1985, 1999) response expectancy extension thereof to clarify distinctions between coping-related expectancies (beliefs about the outcomes of coping efforts) and coping dispositions (tendencies to use particular coping responses), specifically focusing on the role of generalized expectancies for negative mood regulation (NMR) as a predictor of individual differences in coping and well-being. Two studies using structural equation modeling provided support for direct and indirect associations between NMR expectancies and symptoms of depression. In Study 1 NMR expectancies predicted situational avoidance coping responses and symptoms of depression and anxiety, independent of dispositional avoidance coping tendencies. In Study 2, NMR expectancies were associated with depressive symptoms, concurrently and prospectively, independent of dispositional optimism and pessimism. Both studies indicated that NMR expectancies are more strongly associated with depressive symptoms than with symptoms of anxiety and physical illness. Results underscore the importance of distinguishing between expectancies and other personality variables related to coping.

Adaptation, Psychological↗

PubMed1997

Coping style and situational appraisals as predictors of coping strategies following stressful events in sport as a function of gender and skill level.

The purpose of this study was to examine links between coping style, situational appraisals and the subsequent use of coping strategies in response to acute stress among competitive Australian basketball players (N = 190, 93 men and 97 women, ranging in age from 18 to 44 years). Regression analyses indicated that participants' approach and avoidance coping responses varied across four sport-related stressful situations. In addition, both personal and situational factors accounted for significant variation in players' approach coping responses, with situational factors better predictors of approach coping than personal dispositions. For avoidance coping, situational appraisals (i.e. perceived stress and controllability) were again better predictors than personal dispositions. The results lend credence to the interactional (contextual) model of coping in which participants' use of coping strategies is at least a partial function of situational demands.

Adaptation, Psychological↗

PubMed1999

Cross-validation of the Temptation Coping Questionnaire: adolescent coping with temptations to use alcohol and illicit drugs.

OBJECTIVE: The present study had two primary objectives: (1) to examine differences in adolescent coping with temptations to use alcohol versus temptations for marijuana and/or other drug use and (2) to replicate and extend previous findings regarding the factor structure and psychometric validity of the Temptation Coping Questionnaire (TCQ). METHOD: This was a cross-sectional study of 1,273 high school students, 52% female and, on average, 16.6 years old. The TCQ was completed as part of a school-wide survey of cigarette, alcohol and other drug involvement. Responses to the TCQ were elicited in response to two hypothetical temptation situations, one involving offers of alcohol only and the other involving offers of marijuana and/or other drugs. RESULTS: The factor structure of the TCQ coping scale was confirmed for the original 11 items, both within and across situations representing temptations to use alcohol or marijuana and/or other drugs. In addition, the mean levels of perceived importance of abstaining and extent of coping efforts endorsed were higher for a marijuana and other drug than for an alcohol temptation situation. Finally, construct and criterion validity of the TCQ was replicated in the present sample. CONCLUSIONS: Present results suggest that similar coping strategies are employed regardless of the particular substance encountered in a temptation situation. However, situation appraisal and extent of coping efforts appeared to differ for distinct substance types. These findings corroborate previous evidence for the utility of the TCQ as a brief, reliable measure of adolescent temptation coping and provide convergent support for the temptation-coping construct.

Adaptation, Psychological↗

PubMedDate not supplied

[Coping in the aged--results and problems of psychological studies of coping behavior in the elderly].

Recent research in the psychology of aging places increasing emphasis on the coping concept as a means of explaining the psychological consequences of stresses and demands at old age. Nevertheless, only a few empirical studies on the coping behavior of aging people have been made. These studies show the following: (a) coping varies with age, as well as with sex differences, (b) coping strategies differ according to the actual characteristics of daily hassles, critical life events, and persistent life-strains, (c) coping strategies differ also according to the subjective appraisal of these events, (d) there is no evidence for the protective function of coping behavior in general, but only for specific coping strategies. Although there is some speculation about the "growth" and "regression" hypotheses, there are, as yet, no studies on this question. The author concludes by considering some theoretical and methodical problems of coping research in gerontology.

Adaptation, Psychological↗

PubMed1998

Coping in real time: using Ecological Momentary Assessment techniques to assess coping with the urge to smoke.

Coping is important for success at smoking cessation, yet little is known about the natural history of coping with urges to smoke during a cessation attempt. In this study, Ecological Momentary Assessment (EMA) methods were used to gather real-time quantitative and qualitative data. For 3 consecutive days during their first 10 days of smoking cessation, 36 participants used tape recorders and palm-top computers to record details of 389 coping episodes, during which they employed 1,047 coping responses. An average of 3.6 coping episodes per day and an average of 2.7 coping responses per episode were reported. Sixty-seven percent of the responses were behavioral and 33% were cognitive. Gender, location of the episode, nicotine dependence, and quitting history were associated with the use of specific strategies. Results indicate that EMA methods and instruments are feasible for measuring coping responses.

Adaptation, Psychological↗

PubMed1991

Coping, ineffectiveness of coping and the psychoendocrinological stress responses during in-vitro fertilization.

The psychoendocrinological stress responses during in-vitro fertilization (IVF) and embryo transfer (ET) were investigated in 40 women as a function of a 'coping-ineffectiveness of coping' construct. The results demonstrate an important dissociation between emotional and endocrine stress responses and the existence of relatively independent dimensions of arousal (emotional, prolactin, cortisol). The emotional stress response, i.e. state anxiety levels, are for 34-59% predicted by chronic ineffectiveness of coping, and this both before (anticipation) and after (recovery) the stress of oocyte retrieval (OR) and embryo transfer. The effect of anticipatory stress, i.e. in the follicular phase and before oocyte retrieval or embryo transfer, on prolactin and cortisol release is more important in women with a high chronic ineffectiveness of coping while the effect of oocyte retrieval itself is more important in women who are effective copers. Other prolactin concentrations, i.e. after OR or ET, are for 14-26% predicted by low palliative coping and high avoiding. Other cortisol concentrations, i.e. after OR or ET, are for 13-19% predicted by comforting ideas. The advantages of this 'coping-ineffectiveness of coping' construct are weighed against the 'effectiveness of defenses' construct described by Wolff et al. Psychosom Med 1964; 26: 406-413. It is suggested that these personality dependent stress responses are important for conception rates in spontaneous cycles as well as in stimulated cycles.

Adaptation, Psychological↗

PubMed1983

Effects of coping behavior on gastric lesions in rats as a function of the complexity of coping tasks.

In fixed ratio (FR) 2 coping task condition, experimental rats which could avoid and/or escape shock by emitting a disk-pulling operant response developed less stomach ulceration than did yoked "helpless" rats which had exactly the same shock but which had no control over shock. In variable ratio (VR) 5 coping task condition, however, the experimental rats developed more lesions than did the matched yoked rats. Neither the VR 2- nor the FR 5-experimental group was significantly different from its yoked group. Ulceration of non-shock control group was negligible compared to experimental and yoked rats in each of the four coping task conditions. The level of a complexity or difficulty of coping response tasks required has a detrimental effect on ulcerogenesis for "coping" experimental rats. The effectiveness of a coping behavior covaries with the nature or ease of the coping tasks in a stressful situation.

Adaptation, Psychological↗

PubMed1990

Dimensions of pain-related cognitive coping: cross-validation of the factor structure of the Coping Strategy Questionnaire.

Previous research has demonstrated a relationship between cognitive pain coping activity and adjustment in pain patients. The empirically derived dimensions of coping activity, as measured by scales from the Coping Strategy Questionnaire (CSQ), however, have varied across investigations. The purpose of this investigation was to determine both the content and number of dimensions of the CSQ and to explore the potential moderating influence that sociodemographic and patient history variables may have on the latent structure of the CSQ. A total of 620 patients from 5 different chronic pain patient samples were used to assess the generalizability of the dimensions across samples. Confirmatory factor analytic procedures identified a 3-factor solution in most of the samples that was robust across various demographic characteristics. Two factors appeared particularly robust: one reflected conscious use of cognitive coping strategies (with high loadings on ignoring pain and coping self-statements) and another reflected self-efficacy beliefs concerning pain (with high loadings on ability to control and decrease pain). A third factor, which was somewhat less stable, appeared to reflect avoidance of pain by attention to non-pain-related mental activity (with high loadings on diverting attention and praying and hoping). Scales reflecting catastrophizing cognitions and behavioral coping strategies did not consistently load on the above dimensions. Issues concerning the conceptualization and measurement of pain-related cognitive coping dimensions are discussed.

Adaptation, Psychological↗

PubMed2006

A comparison of conventional pain coping skills training and pain coping skills training with a maintenance training component: a daily diary analysis of short- and long-term treatment effects.

UNLABELLED: Pain coping skills training (PCST) has been shown to produce immediate improvements in pain and disability in rheumatoid arthritis (RA). However, some patients have difficulty maintaining these gains. This study compared a conventional PCST protocol with a PCST protocol that included maintenance training (PCST/MT). Patients with RA (n = 167) were randomly assigned to either conventional PCST, PCST/MT, arthritis education control, or standard care control. Daily data were collected on joint pain, coping, coping efficacy, and mood. Multilevel analyses showed that at posttreatment, conventional PCST was superior to all other conditions in joint pain, coping efficacy, and negative mood, whereas PCST/MT was superior to all other conditions in emotion-focused coping and positive mood. At 18 months follow-up, both PCST conditions were superior to standard care in joint pain and coping efficacy. Interpretation of follow-up outcomes was limited by higher dropout rates in the 2 PCST groups. For RA, a maintenance training component does not appear to produce significant improvements over conventional PCST. PERSPECTIVE: This article reports a trial evaluating a conventional pain coping skills training protocol and a similar protocol that included a maintenance training component. Overall, results indicate similar results for both the conventional and the modified protocols.

Adaptation, Psychological↗

PubMed2002

Coping with prostate cancer: a quantitative analysis using a new instrument, the centre for clinical excellence in urological research coping with cancer instrument.

OBJECTIVES: To assess the reliability (internal and interrater) and validity (concurrent) of a new interview measure for assessing patients' ability to cope with cancer, the Centre for Clinical Excellence in Urological Research Coping with Cancer Instrument (CCCI), and to determine whether there is an underlying structure to the various coping strategies used by patients with prostate cancer. METHODS: Eighty patients with prostate cancer were interviewed using the CCCI. The participants also completed measures of quality of life and anxiety and depression. RESULTS: The psychometric properties of the CCCI were acceptable. Factor analysis revealed that coping with prostate cancer can be described along five dimensions: positive problem solving (fighting against the illness, seeking information); self-reliance (developing a lay explanation, distrusting doctors); emotional availability (not withdrawing from others); distress (brooding, self-pity); and solace (taking alcohol or drugs to improve mood). These coping styles were correlated with age, quality of life, self-reported prostate-specific antigen level, and measures of anxiety and depression. CONCLUSIONS: The results of the present study have led to a greater understanding of the underlying coping styles used by patients with prostate cancer. Although some of these are similar to those found in other cancer populations, others, such as self-reliance and solace, represent unique and potentially clinically significant responses to prostate cancer diagnosis and treatment. A larger scale longitudinal study is needed to determine the wider clinical implications associated with each coping style.

Adaptation, Psychological↗

PubMed1997

The use and efficacy of coping strategies and coping styles in a Swedish sample.

This paper presents Swedish reference values for the Jalowiec Coping Scale (JCS-60), a questionnaire measuring the use and efficacy of coping strategies. The strategies are grouped in eight coping styles. The sample used was randomly selected from a Swedish urban population. The sample consisted of 268 individuals (135 men and 133 women), divided into three age-groups, 26-40, 41-55 and 56-70 years. There were no significant differences between the three age-groups or between men and women when comparing the total scores for use and efficacy on the JCS-60. No significant differences were found between the genders within each age-group. The most commonly used coping styles were the confrontational, the optimistic and the self-reliant. The least used style was the fatalistic. Men, as compared with women, used the confrontational and self-reliant coping styles more while women used the supportive coping style more than men. The youngest age-group used the emotive coping style more, compared with the other age groups. Cronbach's alpha for the total scores indicates acceptable reliability. The results of this study may be useful as Swedish reference values for comparison with the research results of studies on patients.

Adaptation, Psychological↗

PubMed1999

Coping with daily events and short-term mood changes: an unexpected failure to observe effects of coping.

This study examined the relationship between coping efforts and stress-related mood changes. Men and women with high levels of work or marital stress reported stress and coping efforts approximately once an hour for 2 days using an electronic diary. Stress episodes were identified as a stress-free time followed by a stressor at the next time point. Analyses examined how appraisals and coping influenced pre- to poststress mood change and how problem appraisals were related to coping efforts. Greater mood changes were associated with appraisals of high stress and high disruptiveness. Appraisals of high control and high desirability were associated with more planning, direct action, and fewer acceptance coping efforts. Coping failed to predict any pre- to poststressor mood changes. Possible explanations for the overall failure of coping to predict momentary mood changes are discussed.

Adaptation, Psychological↗

PubMed1996

Effects of cognitive coping skills training on coping strategies and experimental pain sensitivity in African American adults with sickle cell disease.

The present study examined whether training in cognitive coping skills would enhance pain coping strategies and alter pain perception in adults with sickle cell disease (SCD). Sixty-four African Americans with SCD were randomly assigned to either a cognitive coping skills condition (three 45-min sessions in which patients were trained to use 6 cognitive coping strategies) or a disease-education control condition (three 45-min didactic-discussion sessions about SCD). Pain sensitivity to calibrated noxious stimulation was measured at pre- and posttesting, as were cognitive coping strategies, clinical pain, and health behaviors. Results indicated that, compared with the randomly assigned control condition, brief training in cognitive coping skills resulted in increased coping attempts, decreased negative thinking, and lower tendency to report pain during laboratory-induced noxious stimulation.

Adaptation, Psychological↗

PubMed1997

Do resources bolster coping and does coping buffer stress? An organizational study with longitudinal aspect and control for negative affectivity.

Psychiatric workers facing redeployment completed questionnaire measures of stressors, resources (locus of control and perceived social support), coping, well-being, and negative affectivity, at baseline (N = 109) and 1 year later (loss of 7 participants). Regression analyses of the baseline data suggested that as stressors increased, so did avoidance coping, but less so for those high in internality or perceived social support. Problem-focused coping was bolstered by internality and emotion-focused coping by perceived social support. Other regression analyses, with a longitudinal aspect, suggested that stressors had a deleterious effect on well-being. Problem- and emotion-focused coping had beneficial effects, whereas avoidance coping had a (delayed) deleterious effect. These effects of coping were predominantly main and not buffering effects.

Adaptation, Psychological↗

PubMed2001

Explication of the coping goal construct: implications for coping and reemployment.

This longitudinal study developed a reemployment coping goal construct and examined its role in a job-loss context. Several predictors of displaced workers' reemployment coping goal intensity were examined: human capital, employment commitment, internal coping resources, and anticipation of job loss. Results show that human capital, employment commitment, internal coping resources, and anticipation of job loss positively predicted a reemployment coping goal. Human capital also directly predicted reemployment. Finally, unemployed individuals' reemployment coping goal intensity positively predicted job-search effort, which positively predicted reemployment. Implications for the process of coping with job loss and future research are discussed.

Adaptation, Psychological↗

PubMed1999

Dual diagnosis patients in substance abuse treatment: relationship of general coping and substance-specific coping to 1-year outcomes.

AIMS: This study examined general and substance-specific coping skills and their relationship to treatment climate, continuing care and 1-year post-treatment functioning among dual diagnosis patients (i.e. co-occurrence of substance use and psychiatric disorders). DESIGN: In a prospective multi-site study, dual diagnosis patients participating in substance abuse treatment were assessed at intake, discharge and at a 1-year follow-up. SETTING: Patients were recruited from 15 substance abuse treatment programs, which were selected from a larger pool of 174 inpatient treatment programs in the Department of Veterans Affairs Health Care System. PARTICIPANTS: A total of 981 male dual diagnosis patients participated in the study. MEASUREMENTS: Assessments included general and substance-specific coping skills, treatment climate, continuing outpatient care, abstinence and clinically significant psychiatric symptoms. FINDINGS: Dual diagnosis patients modestly improved on general and substance-specific coping skills over the 1-year follow-up period. Patients who were in programs with a 'dual diagnosis treatment climate' and who participated in more 12-Step self-help groups showed slightly more gains in adaptive coping. Both general and substance-specific coping were associated with abstinence, but only general coping was associated with freedom from significant psychiatric symptoms. CONCLUSIONS: Enhancing general and substance-specific coping skills in substance abuse treatment may reduce dual diagnosis patients' post-treatment substance use and improve their psychological functioning.

Adaptation, Psychological↗

PubMed2001

Coping with the onset of cancer: coping strategies and resources of young people with cancer.

A chronic illness, such as cancer, causes permanent changes in a person's way of life and their way of adapting to changes. The purpose of this study was to describe the coping strategies and resources of adolescents and young adults with cancer. The data were collected by interviewing adolescents and young adults aged 16-22 (n = 14) who had had cancer for more than 2 months and who came to a university hospital for treatment or control check ups. The interview material was analysed by content analysis. Emotion-focused, appraisal-focused and problem-focused coping strategies were used. The major coping strategies were social support, belief in recovery and getting back to normal life as soon as possible. The subjects discussed with health care providers their disease, its treatment and how they could cope with everyday life as well as their energy and will-power to cope. The family was the most important source of emotional support. Also, gaining knowledge about cancer and its treatment was a good coping strategy. Moreover, a positive life attitude, belief in one's own resources, belief in God, earlier life experiences and willingness to fight against the disease were resources for coping with cancer.

Adaptation, Psychological↗

PubMed1999

Coping with epilepsy: the effect of coping styles on self-perceived seizure severity and psychological complaints.

Having a chronic condition like epilepsy imposes a serious burden for the sufferer. This is reflected in a higher level of psychological complaints. The way in which one copes with epilepsy is an important determinant in this level of complaints and in the self-perceived severity of the seizures. In this paper the relation between coping styles and self-perceived seizure severity as well as psychological complaints, is studied. A group of epilepsy patients was asked to fill out a number of questionnaires on coping styles, self-perceived seizure severity and psychological complaints. The patients with epilepsy were seen to have coping styles different from the general population: in general they tended to use less active strategies in coping with their problems. A less active coping style was found to be related to a higher self-perceived seizure severity. Other epilepsy-related variables, like seizure frequency, showed no relation with self-perceived seizure severity. This could mean that stimulating patients to use active coping styles results in a decrease in self-perceived seizure severity.

Adaptation, Psychological↗