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PubMedDate not supplied

The role of coping in maintaining the psychological well-being of mothers of adults with intellectual disability and mental illness.

BACKGROUND: Mothers who have a child with intellectual disability (ID) or mental illness face a lifetime of caregiving responsibilities and challenges. The present study investigated changes over time in how mothers cope with the challenges of caring for an adult child with disabilities and the effects of changes in coping on maternal well-being. METHODS: A sample of 246 ageing mothers of adults with ID and 74 mothers of adults with mental illness was drawn from two parallel longitudinal studies of later-life caregiving. RESULTS: There was considerable variability at the individual level in the degree to which mothers changed over time in their use of problem-focused and emotion-focused coping strategies. For both groups, an increase in their use of emotion-focused coping led to declining levels of well-being. For the parents of adults with ID, an increase in their use of problem-focused coping resulted in a reduction in distress and an improvement in the quality of the relationship with their adult child. For the parents of adults with mental illness, an increase in the use of problem-focused coping had no effect on levels of distress, but led to an improved relationship with their adult child. CONCLUSIONS: The present study underscores the importance of coping in the lives of older mothers of adults with disabilities.

Adaptation, Psychological↗

PubMed2003

Knowledge level and coping strategies according to coagulation levels in older persons with atrial fibrillation.

The present study examined the knowledge level and the coping strategies of older persons with atrial fibrillation, who were on oral anticoagulant therapy. The relationship among knowledge level, problem and affective-oriented coping strategies, and the level of anticoagulant effectiveness were examined. We also compared differences between subjects who were within a therapeutic range for International Normalized Ratio levels with those who were not. The research design was descriptive and correlational. One hundred older persons completed the Jaloweic Coping Scale (a knowledge questionnaire) and socio-demographic, contextual and clinical characteristic questions. The findings suggested that the knowledge levels were low (53%), and problem-oriented coping strategies were most often used (32.62%) compared to affective-oriented coping strategies (18.96%). Other than praying and putting one's trust in God (P = 0.05), it appeared that no other significant coping strategies differentiated the subjects regarding their level of anticoagulant effectiveness. It is recommended that further examination of the reasons for older persons' low knowledge level, in regard to their oral anticoagulant therapy, occurs and that use of problem-oriented coping strategies, to improve self-care measures, be encouraged.

Adaptation, Psychological↗

PubMed2001

The relationship between coping strategies and family burden among relatives of admitted psychiatric patients.

Coping strategies as assessed by a projective coping instrument, showed only a weak relationship to perceived family burden and participation in care among 78 close relatives of voluntarily and compulsorily admitted psychiatric patients in this study conducted in two psychiatric services in Sweden in 1997. The results rather indicate that problem solving coping strategies are used when the relatives are in situations amenable to change and that emotion-focused coping strategies are used in situations that are chronic and unchangeable. Furthermore, no differences in coping strategies were found between the relatives and a Swedish normative sample. No relationships were found between coping strategies and when the relative thought that the patient's mental health had led to mental problems in the relative or if the relative experienced that the relationship with the patient had been negatively affected by the mental illness. The usefulness of coping instruments based on personality components in research on family burden is called into question, and a reconsideration of qualitative research methods is recommended.

Adaptation, Psychological↗

PubMed1999

Social support provided by public health nurses and the coping of first-time mothers with child care.

The purpose of this study was to look at the factors related to the first-time mother's coping with child care when her child is 3 months old. This study is part of an extensive longitudinal project in which the development of mothering skills of first-time mothers was followed up for 8 months postpartum. The data were collected with a questionnaire between March and September 1995, in a sample of 271 first-time mothers. The mothers filled in the questionnaire when their babies were 3 months old. Coping with child care was assessed using Spearman correlation coefficient and stepwise regression analysis. Positive correlation was found between the mother's competence, attachment to the child, health, depression, relationship with the spouse, sense of isolation and role restriction, and the mother's coping with child care. The strongest correlation existed between the mother's competence and her coping. Positive correlation was also found between the child's mood, demandingness and acceptability, and the mother's coping with child care, with the child's demandingness having the strongest correlation. Positive correlation was again found between social support--the average functional support the mother received from her own social network, plus affect, affirmation, and aid from the public health nurses--and the mother's coping with child care. The predictors included in the multivariate method were the mother's competence, health, depression, and attachment to her child; the child's mood and ease or difficulty of care; and the affect and affirmation from the public health nurse. The results show that the first-time mother's coping with child care, when the child is 3 months old, is affected by the characteristics of both mother and child, as well as by the social support received from their social network and from the public health nurses at the child welfare clinic.

Adaptation, Psychological↗

PubMed2000

Children's coping with surgery: a process-oriented perspective.

Assessing the manner in which children cope with surgery, by using a process-oriented perspective, requires attention to each child's viewpoint of the surgical event. Assessing coping as a process places great emphasis on the way a child appraises the event, which in turn determines the coping modes adopted. Illustrations are given from research with pediatric surgical patients that show how a coping interview based on a process-approach can be conducted clinically with children to gather data about their views of surgery and the ways they cope with it. Knowledge of how to assess coping that changes with appraisals provides nurses with the insight to clarify children's understanding of the event and to apply interventions to bolster children's coping and reduce the stress of both children and parents. Interventions for children and parents are suggested.

Adaptation, Psychological↗

PubMed2001

School-aged homeless sheltered children's stressors and coping behaviors.

The purpose of this study was to examine the stressors and coping behaviors of school-aged homeless children staying in shelters. A secondary analysis of interview data from 30 children, between the ages of 8 to 12 years, was used to delineate the stressors and coping behaviors. Homeless, family, self, peer, school, and violent behavior were the stressor categories derived from content analysis. The children expressed more stresses in the homeless, family, and self categories than in the other 3 categories. The coping behaviors from the content analysis were categorized by using Ryan-Wenger's (1992) coping taxonomy. The majority of the children's coping responses were in the social support, cognitive avoidance, and behavioral distraction categories. Nurses should assess each child's stressors and coping behaviors when providing care to homeless children, and assist the child in alleviating some stressors by strengthening one's coping behaviors.

Adaptation, Psychological↗

PubMed2004

[Changes of coping strategies in patients with therapy refractory epilepsy in the course of a ward based treatment with a holistic therapeutic approach].

In this study we examined whether individual coping strategies improve in the course of a ward based treatment with a holistic therapeutic approach. An increase in problem-focussed coping and a decrease in emotion-focussed coping or avoidance-oriented coping were considered as improvement. As a part of a comprehensive therapy monitoring 65 patients with therapy refractory epilepsy were studied with the Freiburg Questionnaire of coping with Illness (FKV) on the day after admittance to a specialized epilepsy ward. A second investigation with the FKV was performed on the day before discharge. A decrease in depressive coping and cognitive avoidance and an increase in problem focussed coping could be documented. These changes could not be interpreted as an effect of better seizure control or antidepressive drugs. This may be a hint for the efficacy of a holistic treatment approach to increase the patient's resources for a successful psychosocial adjustment to therapy refractory epilepsy.

Adaptation, Psychological↗

PubMed1985

[Coping with stress as a paradigm of the psychopathology in childhood and adolescence].

Stress coping can be valid for a paradigm of psychopathology of children and adolescents. This concept is supported by an extensive literature which shows the way of coping from a "footnote to stress theory" (Lazarus) to its central concept. Neither the "objective" stress (stimulus side) nor the specificity of stress reaction (adaptation syndrome) are the important factors, but rather the mediation between stress coping and the individual, the transaction in the sense of an exchange process. Above all, permanent personality attributes have been examined here, most intensively extraversion/introversion and neuroticism, and recently, more and more often coping processes. The research situation also confirms in its approach the concept of Lazarus (1981) in the field of child and adolescent psychiatry. According to Lazarus, stressors are less meaningful as a cause of psychiatric disturbances than cognitive-emotional reaction mediating coping processes. They should be examined preferably under natural conditions; a combination of standard research strategies with individual case analyses is recommended. Therapeutically, it is essential to help children and adolescents to achieve an adequate correlation between their own capabilities and limitations on the one hand, and of conflicts and stress situations on the other hand, whereby the adolescent (young) patient is interested in a quick solution to personal and interpersonal crises. He is not at all interested in its extension in the sense of a 'Sturm-und-Drang'-idea of adolescent age. Hence coping cannot be confined only to coping with a functional crisis; it must rather aspire to achieve a schematisation of the situation in accordance with the truth.

Adaptation, Psychological↗

PubMed2000

Coping style following acute stress in competitive sport.

The purpose of this study was to ascertain coping styles among competitive athletes in response to various acute stressors. Specifically, the authors used a 134-item survey to measure approach and avoidance coping styles, with task-focused and emotion-focused coping tendencies nested hierarchically as subdimensions under each. Australian and U.S. college-aged participants indicated the extent to which they used approach, avoidance, task-focused, and emotion-focused coping strategies (a 4-factor model) in response to selected acute stressors experienced during sport competition. The authors computed confirmatory factor analysis to test the theoretically driven model. The criterion loading of .30 and above for each of the factors reduced the survey to 65 items. Findings indicated stronger links between the 2 approach constructs of task- and emotion-focused coping than between the 2 avoidance constructs of those subdimensions. The goodness-of-fit indices for the 4-factor model were 0.58 and 0.57 for Australian and U.S. samples, respectively, and .71 overall. Concomitant low correlations between the 2 approach (0.18) and the 2 avoidance dimensions (0.43) reflected relatively high residuals between stressors. In general, psychometric analyses suggest that coping style may be more prevalent in some situations than others, lending partial support for the transactional model of coping.

Acute Disease↗

PubMed1977

Structural ambiguity and limits to coping.

How well a person can cope with any situation is determined, among other factors, by his ability to resolve the ambiguity of that situation, which in turn depends on its structural complexity. We attempted to analyze a whole range of situations in terms of three dimesions: differentiations, the number of alternatives perceived; articulation, the differentiation and rankability of these alternatives; and loading, the emotional loading (positive or negative) associated with the situation. The efficiency of mapping with these dimensions was investigated by analyzing the effects of 75 situations on coping, as reported in the literature. These were divided into three groups, 25 situations in each, associated with good coping, reduced coping, and failure to come (in terms of performance relative to a baseline or to the population's norm). The interaction between the demands imposed by the complexity of the situation and the success of coping was analyzed by the Multidimensional Scalogram Analysis (MSA). Results show effectiveness of coping to be inversely related to the structural complexity of a situation, mapped in terms of articulation, loading and differentiation. The relative importance of these dimensions is as ordered above; this offers a possible way to construct an "ambiguity score" which may be the primary factor determining the coping limit set by any situation.

Adaptation, Psychological↗

PubMedDate not supplied

Perceived stress and coping resource availability as predictors of life satisfaction in young, middle-aged, and older adults.

Global satisfaction with life across three age groups (18 to 40 years, 41 to 65 years, and 66 years and above) was investigated. Multiple regressions were computed to examine the separate and joint effects of perceived stress and coping resource availability upon life satisfaction across the three age groups (N = 189). Age differences in perceived stress, coping resource availability, and life satisfaction, were also investigated. Results of this cross-sectional investigation indicated that self-appraisal measures of perceived stress and coping resource effectiveness served as moderate predictors of global life satisfaction, and that for the total sample the combined effects of perceived stress and coping resource effectiveness were better predictors of life satisfaction than either variable considered separately. Perceived stress was found to be a better predictor of life satisfaction for younger adults, and coping resource effectiveness was a better predictor of satisfaction with life for middle-aged and older adults. Significant age differences in life satisfaction, perceived stress, and coping resources were also found. The assessment of perceived stress and coping has important implications for life satisfaction among all age groups, and has particular significance to older adults. By identifying age differences in variables associated with satisfaction with life, more effective efforts can be made to promote physical and psychological well-being in late adulthood.

Adaptation, Psychological↗

PubMed2005

Psychological and religious coping strategies of mothers bereaved by the sudden death of a child.

The authors examined the associations of 3 types of psychological coping (task-based, emotion-based, avoidance), 2 types of religious coping (positive, negative), and their interactions with grief of 57 mothers bereaved by the sudden death of a child. Results indicated that mothers who use emotion-based coping report significantly higher levels of grief, whereas mothers who use avoidance coping report lower levels of grief. The interaction of task coping and positive religious coping was also associated with lower self-reported grief. The findings support the differential utility of various coping styles on mothers' grief reactions to the sudden death of a child.

Adaptation, Psychological↗

PubMed2006

Longitudinal effects of coping on outcome in a randomized controlled trial of a group intervention for HIV-positive adults with AIDS-related bereavement.

This study examined the longitudinal effects of coping on outcome one year following completion of a randomized, controlled trial of a group coping intervention for AIDS-related bereavement. Bereaved HIV-positive participants (N = 267) were administered measures of grief, psychiatric distress, quality of life, and coping at baseline, post-intervention, and at 4-, 8-, and 12-month follow-ups. Coping strategies directly impacted all outcome variables for both study conditions. Additionally, the coping intervention moderated the relationship between avoidant coping and the longitudinal course of grief and psychiatric distress, resulting in greater reductions in grief and distress for intervention participants after accounting for avoidant coping strategies.

Acquired Immunodeficiency Syndrome↗

PubMed1997

Physician-patient interaction and coping with cancer: the doctor as informer or supporter?

BACKGROUND: The physician-patient relationship may be important in helping cancer patients to cope with their disease, but little research has focused on the role of the physician in the process of coping with cancer. The objective of this study was to investigate the patients' experience of the informational and emotional aspects of physician-patient interactions, and the relevance of these two aspects of such interactions for the coping process. METHODS: In three focus group sessions, patients were interviewed about their relationships with their physicians. Statements about physician-patient interactions were subjected to quantitative and qualitative analysis. RESULTS: How physicians helped the patients to cope with their illness was seldom spontaneously mentioned in any of the three focus group sessions. The patients frequently described specific encounters with doctors, often with an emotional content. When asked, they indicated that these encounters had been important in their adaptation to their illness. CONCLUSIONS: The findings indicate that coping strategies tend to remain an implicit topic in physician-patient interactions. Some patients consider emotional components of physician behavior to be significant for their coping. Physicians should consider more explicitly therapeutic strategies to enhance patient coping behaviors.

Adaptation, Psychological↗

PubMed2004

Coping styles among families of children with HIV infection.

The primary aim of this study was to examine coping strategies among families of HIV-infected children and how they relate to medical, central nervous system (CNS) and family environment factors. Caregivers of HIV-positive children (N=52) completed a family coping measure (F-COPES) and provided information regarding family environment. Data regarding medical and CNS status were obtained from patient records. Results indicated that families' passive coping and spiritual support were among the coping techniques used most often, and social support was used least often. Medical variables were unrelated to any coping styles. Families of children with CNS impairment endorsed more passive coping techniques than families of children with no apparent deficits. A trend was found for non-biological caregivers to seek out more community resources and support than biological caregivers. Findings suggest the need to target families least likely to utilize resources, and to teach them to effectively seek out and benefit from social and community supports.

Adaptation, Psychological↗

PubMed1999

Stress, coping, and adjustment in children with a chronic disease: a review of the literature.

PURPOSE: To review the literature on the consequences of having a chronic disease on the child's functioning in daily life. METHOD: A wide search of the literature resulted in the location of around 200 empirical studies with a focus on chronically ill children. This body of literature is discussed in three parts: (1) the academic and psychosocial adjustment of chronically ill children, (2) the ways chronically ill children cope with disease-related stress and other stressors, and (3) the effectiveness of coping strategies. RESULTS: Children with a chronic disease do not show lower school performance despite higher absence rates (an exception is epilepsy). Their self-concept is similar to that of healthy children. However, they show more behaviour problems, especially internalizing problems such as depression and social withdrawal. The authors could not find evidence for the claim that children with a chronic disease are more frequently confronted with stress than their healthy peers. Children with a chronic disease use a variety of coping strategies to deal with various disease-related and common stressors. The coping strategies they use in relation to common stressors appear to be similar to those of healthy children. CONCLUSION: Incidences of maladjustment vary across studies and different chronic diseases. Most studies on coping lack situational sensitivity, which makes it impossible to compare results. Findings on the effectiveness of these children's coping strategies are still scarce and inconclusive. Recommendations for future research on coping with chronic disease in childhood are given.

Adaptation, Psychological↗

PubMed2003

Humor coping, health status, and life satisfaction among older adults residing in assisted living facilities.

The present study examined the relationships between humor coping, health status, and life satisfaction among older residents of assisted living facilities. A structural equation model with latent variables was specified for the three variables. Health status was expected to directly affect humor coping and life satisfaction. Humor coping was hypothesized to have a direct association with life satisfaction and indirectly affect the relationship between health status and life satisfaction. Participants completed the Multidimensional Functional Assessment Questionnaire, Coping Humor Scale, and Life Satisfaction Index A. The relationships between health status and humor coping and health status and life satisfaction were statistically significant. Both the direct association of humor coping on life satisfaction and the intervening role between health status and life satisfaction were not supported. Humor as a coping strategy seems to be available to older adults who are in better health.

Adaptation, Psychological↗

PubMed2005

Relations between coping strategies and health-related quality of life in patients with spinal cord lesion.

OBJECTIVE: Although the use of appropriate coping strategies has been suggested to be a key factor in determining successful adjustment to severe physical illness/disability, little systematic support for this link has been found. We investigated relationships between spinal cord lesion-related coping strategies and health-related quality of life when studying for sociodemographic, disability-related and social support variables. DESIGN AND SUBJECTS: We studied 256 persons with traumatically acquired spinal cord lesion (=1 year) from a typical rural/urban Swedish area in a cross-sectional design. METHODS: Coping measure was the Spinal Cord Lesion-related Coping Strategies Questionnaire. Outcome measures were the Spinal Cord Injury Quality of Life Questionnaire, the Short-Form 36 Health Survey version 2.0, and a standardized global question of overall quality of life. Multiple regressions were performed. RESULTS: Coping strategies were clear correlates of health-related quality of life when sociodemographic, disability-related and social support variables were studied. The relationship between coping strategies and quality of life was: the more revaluation of life values (Acceptance) and the fewer tendencies towards dependent behaviour (Social reliance) the better the health-related quality of life. CONCLUSION: Our results suggest that greater focus needs to be directed to coping strategies and to ways of facilitating adaptive outcomes in rehabilitation.

Adaptation, Psychological↗