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[Relationships between defense mechanisms and coping strategies, facing exam anxiety performance].

BACKGROUND: Defence mechanisms and coping strategies rely on different theoretical backgrounds and describe distinct psychological processes. Cramer has based a distinction on the following dimensions: conscious processes vs. not; intentionality vs. not; hierarchical conception vs. not. On the contrary to these distinctions, the two notions of defense mechanisms and coping strategies are defined as similar in the Diagnostical and Statistical Manual (DSM IV). This assimilation between coping and defenses in the DSM IV is not confirmed by some researches, namely the one by Callahan and Chabrol. It indeed proves a relationship between adaptive coping and mature defenses, as well as between maladaptive coping and immature defenses. Similarly, Plutchik offered theoretical correspondences between eight defense mechanisms and eight coping strategies: (a) Defenses: repression, isolation, introjection and Coping escape; (b) Defense denial and Coping minimalization; (c) Defense undoing and coping substitution; (d) Defenses: regression, acting out and coping social support; (e) Defenses: compensation, identification, fantasy and coping replacement; (f) Defenses: intellectualization, sublimation, annulation, rationalisation and coping: planification; (g) Defense projection and coping blame; (h) Defense: reactional formation and coping inversion. METHODS GOAL: this research aims at testing the relations observed by Callahan and Chabrol and some theoretical correspondences proposed by Plutchik between defences and coping strategies in a population of students similar to the one used by Callahan and Chabrol. It also aims at studying the relationships between coping strategies and conscious derives of defense mechanisms, such as defined by Bond (1995). Defenses were evaluated the first day of the examination week. POPULATION: the population includes 184 women students in human sciences (sociology and psychology). INSTRUMENTS: defenses were evaluated with the Defense Style Questionnaire by Bond (DSQ 40). Its French version is made of 40 items and validated by Guelfi et al. It explores 20 defense mechanisms, as well as 3 defense styles: (1) a "mature style", composed by 4 defenses: sublimation, humor, anticipation, repression; (2) a "neurotic style", composed by 4 defenses: annulation, reactional formation, altruism and idealization; (3) an "immature style", composed by 12 defenses. Coping strategies were measured by the French version of the Way of Coping Check-List-Revised, (WCC-R) by Lazarus and Folkman, validated by Graziani et al. It evaluates 10 factors: 1) Problem solving; 2) Evasion; 3) Social support; 4) Self-control; 5) Escape; 6) Responsabilization-Replanification; 7) Resignation; 8)Diplomacy; 9) Confrontation; 10) Personal evolution. RESULTS: Our results confirm partially Callahan and Chabrol's conclusions in favour of existing relationships between adaptive coping strategies and mature defenses, as well as between maladaptive coping strategies and immature defenses. They demonstrate three positive relationships: 1) a relation between Problem solving resolution coping and two mature defenses (Sublimation, Anticipation); 2) a relation between Evasion coping and nevrotic and immature defenses; 3) a relation between Escaping coping and immature defenses. The correspondences between defense mechanisms and coping strategies, such as proposed by Plutchik psycho-evolutionist emotional model are partly validated. Some links were indeed validated in this research, between: a) Defense Undoing and Escaping or Evasion coping; b) Defense Fantasy and Responzabilization coping, c) Defense Sublimation and Problem solving resolution coping; d) Defense Sublimation and Responsabilization coping or Problem solving resolution coping; e) Défense Annulation and Responzabilisation coping.

Adaptation, Psychological↗
PubMed2002

Coping in normal pregnancy.

BACKGROUND: In high-risk populations (e.g., adolescents, substance abusers), coping strategies in pregnancy have been studied. Avoidance of the stressful situation and aggressive coping are frequently used and related to postnatal depression and other negative outcomes. Little is known about coping strategies in nulliparous normal-risk pregnancy. OBJECTIVE: To examine the factor structure of the 19-item Utrecht Coping List (UCL-19) in a sample of nulliparous normal-risk pregnant women and to explore the stability, change, and correlates of coping strategies throughout pregnancy. The associations between a particular coping strategy and the reported pregnancy complaints and experienced distress were examined. METHODS: The UCL-19 was filled out and self-report data were collected about neuroticism, locus of control, depression, general anxiety, perceived stress, and physical pregnancy complaints in nulliparous women in early, mid-, and late pregnancy. RESULTS: Confirmatory factor analysis on the UCL-19 revealed 2 coping strategies: emotion-focused coping and problem-focused coping. The factor structure of the UCL-19 had a good stability throughout pregnancy. Some changes in emotion-focused coping and problem-focused coping scores were found, although the absolute differences were rather small. High educational level and low internal locus of control predicted a high score on emotion-focused coping in the early period of pregnancy, F(2, 228) = 11.49, p < .005, R2 = .22. High educational level also predicted a high score on problem-focused coping in early pregnancy, F(1, 229) = 4.80, p < .05, R2 = .06. Emotion-focused coping was negatively and problem-focused coping was positively related to pregnancy complaints (r = -.23, p < .05 and r = .25, p < .005, respectively). Emotion-focused coping in early pregnancy and problem-focused coping in mid-pregnancy were negatively related to experienced distress in early and mid pregnancy, respectively (r = -.27, p < .0005 and r = -.18, p < .01). CONCLUSION: Two coping strategies were consistently found throughout pregnancy: emotion-focused coping and problem-focused coping. Coping in nulliparous normal-risk pregnancy is a process with small temporal variations. Emotion-focused coping was negatively related to the number of reported pregnancy complaints and to experienced distress.

Adaptation, Psychological↗
PubMed2003

Effects of effort and distress coping processes on psychophysiological and psychological stress responses.

The purpose of this study was to investigate the effects of coping processes on psychophysiological and psychological responses in stressful settings. In particular, we focused on the effects of a combination of active and avoidant coping processes. Subjects were 40 healthy undergraduate male students (mean=19.80, S.D.=0.97) who were randomly divided into four groups: (a) an effort coping group in which a subject faced a controllable stressor mobilizing an effortful and active coping behavior for a reward; (b) a distress coping group in which a subject faced a distressful stressor mobilizing an avoidant coping behavior for threat of punishment; (c) an effort-distress coping group in which a subject faced an ambivalent stressor mobilizing active coping behavior for a reward and avoidant coping behavior for threat of punishment; and (d) a control group. Initially, the effects of effort coping, distress coping, and effort-distress coping on psychophysiological and psychological responses were investigated. It was found that effort coping and effort-distress coping intensified cardiovascular responses, particularly blood pressure, and that distress coping and effort-distress coping intensified skin conductance level (SCL). Secondarily, the relationships between effort coping process, distress coping process, psychophysiological responses, and psychological responses were investigated. As a result of cluster analysis, the changes of heart rate and blood pressure were correlated to the change of the effort score, and the changes of SCL and psychological responses were correlated to the change of the distress score. These findings suggest that active coping processes and avoidant coping processes independently affect different response systems.

Adaptation, Psychological↗
PubMed2001

Personality and coping traits: A joint factor analysis.

OBJECTIVES: The main objective of this paper is to explore the structural similarities between Eysenck's model of personality and the dimensions of the dispositional COPE. Costa et al. {Costa P., Somerfield, M., & McCrae, R. (1996). Personality and coping: A reconceptualisation. In (pp. 44-61) Handbook of coping: Theory, research and applications. New York: Wiley} suggest that personality and coping behaviour are part of a continuum based on adaptation. If this is the case, there should be structural similarities between measures of personality and coping behaviour. This is tested using a joint factor analysis of personality and coping measures. DESIGN: Cross-sectional survey. METHODS: The EPQ-R and the dispositional COPE were administered to 154 participants, and the data were analysed using joint factor analysis and bivariate associations. RESULTS: The joint factor analysis indicated that these data were best explained by a four-factor model. One factor was primarily unrelated to personality. There was a COPE-neurotic-introvert factor (NI-COPE) containing coping behaviours such as denial, a COPE-extroversion (E-COPE) factor containing behaviours such as seeking social support and a COPE-psychoticism factor (P-COPE) containing behaviours such as alcohol use. This factor pattern, especially for NI- and E-COPE, was interpreted in terms of Gray's model of personality {Gray, J. A. (1987) The psychology of fear and stress. Cambridge: Cambridge University Press}. NI-, E-, and P-COPE were shown to be related, in a theoretically consistent manner, to perceived coping success and perceived coping functions. CONCLUSIONS: The results indicate that there are indeed conceptual links between models of personality and coping. It is argued that future research should focus on identifying coping 'trait complexes'. Implications for practice are discussed.

Journal Article↗
PubMedDate not supplied

A 1-year follow-up study of coping in patients with panic disorder.

We conducted a longitudinal study of methods used by patients with panic disorder to cope with stress, in order to investigate the characteristics of coping among these patients and to determine whether coping changes as therapy progresses and whether coping affects outcome. The Lazarus Type Stress Coping Inventory was performed on 43 patients with panic disorder and 315 normal subjects. The Stress Coping Inventory was repeated after 1 year therapy in the patients with panic disorder. Compared with normal subjects, panic disorder patients obtained significantly higher scores for emotional coping strategies (P =.04), and for seeking social support (P =.02) and escape-avoidance (i.e., wishful thinking) (P =.0008) as coping styles. On repeat assessment, these patients obtained significantly higher scores for cognitive coping strategies (P =.002), emotional coping strategies (P <.0001), planful problem solving (P =.02), confrontive coping (P =.002), seeking social support (P =.02), escape-avoidance (P <.0001), distancing (P =.002), and positive reappraisal (P =.001) than the normal subjects. A group x time interaction was significant for a self-controlling coping style (P =.01). On repeat assessment, the patients with a good outcome (Global Assessment of Functioning [GAF] score > 60) obtained a significantly higher score for self-controlling coping style, and the intractable patients (GAF score < or = 60) obtained a significantly lower score than on initial assessment. The results suggest that coping styles such as emotional coping strategies, seeking social support, and escape-avoidance are trait-dependent characteristics of patients with panic disorder. As therapy progressed, state-dependent changes, such as an increase in adaptive coping, were seen as well, and changes in coping also differed significantly based on outcome. These findings suggest that changing coping strategies in patients with panic disorder could be used as a goal of therapy.

Adaptation, Psychological↗
PubMed2003

Use of zinc phosphate cement as a luting agent for Denzir trade mark copings: an in vitro study.

BACKGROUND: The clinical success rate with zinc phosphate cemented Procera crowns is high. The objective with this study was to determine whether CADCAM processed and zinc phosphate cemented Denzir copings would perform as well as zinc phosphate cemented Procera copings when tested in vitro in tension. METHODS: Twelve Procera copings and twenty-four Denzir copings were made. After the copings had been made, twelve of the Denzir copings were sandblasted on their internal surfaces. All copings were then cemented with zinc phosphate cement to carbon steel dies and transferred to water or artificial saliva. Two weeks after cementation, half of the samples were tested. The remaining samples were tested after one year in the storage medium. All tests were done in tension and evaluated with an ANOVA. RESULTS: Sandblasted and un-sandblasted Denzir copings performed as well as Procera copings. Storage in water or artificial saliva up to one year did not decrease the force needed to dislodge any of the coping groups. Three copings fractured during testing and one coping developed a crack during testing. The three complete fractures occurred in Procera copings, while the partly cracked coping was a Denzir coping. CONCLUSION: No significant differences existed between the different material groups, and the retentive force increased rather than decreased with time. Fewer fractures occurred in Denzir copings, explained by the higher fracture toughness of the Denzir material. Based on good clinical results with zinc phosphate cemented Procera crowns, we foresee that zinc phosphate cement luted Denzir copings are likely to perform well clinically.

Journal Article↗
PubMed2003

Patterns of coping among persons with HIV infection: configurations, correlates, and change.

This study examines coping in response to HIV infection, using longitudinal data from a nationally representative sample (n = 2,864) of HIV-infected persons. We investigated configurations of coping responses, the correlates of configuration membership, the stability of coping configurations, and the relationship of coping to emotional well-being. Four coping configurations emerged from cluster analyses: relatively frequent use of blame-withdrawal coping, frequent use of distancing, frequent active-approach coping, and infrequent use of all three coping strategies ("passive" copers). Passive copers had few symptoms, high levels of physical functioning, and high emotional well-being; blame-withdrawal copers had the opposite pattern. Of those completing a second interview 1 year after baseline, 46% had the same coping configuration. Increases in the number of HIV-related symptoms raised the probability of blame-withdrawal coping at follow-up, whereas decreases raised the probability of passive coping. Infrequent use of coping responses at baseline was related to greater emotional well-being 1 year later. This result, in conjunction with the high levels of emotional well-being in the passive cluster, suggests that high levels of distress can induce blame-withdrawal coping whereas coping efforts are minimal when social support and emotional well-being are high. Results highlight issues in ascertaining the causal direction between coping and psychological outcomes, as well as in specifying the nature of stressful situations with which people are coping.

Adaptation, Psychological↗