Use Of Avoidant Coping Strategies Research Articles

Socioemotional and Behavioral Adjustment Among School-Age Children With Learning Disabilities

The study examined the role of maternal personal resources (mother's attachment style, coping strategies, and affect) in moderating the effects of learning disabilities (LD) on children's socioemotional and behavioral adjustment (self-rated sense of coherence, loneliness, and hope; and mother-rated child behavior checklist measures), as well as on their secure attachment among school-age children with LD. The sample consisted of 110 mother—child dyads: 59 mothers and their children with LD (29 boys, 30 girls) and 51 mothers and their typically developing children (21 boys, 30 girls) from the same schools. Preliminary analyses indicated significant group differences on all children's measures and in several of the maternal personal resources. Mothers' low use of avoidant coping strategies and less avoidance in close relationships with significant others were found to moderate the effect of children's disabilities on children's level of loneliness, feelings of hope, and secure attachment. Results are discussed in terms of understanding these maternal personal resources' influences on socioemotional well-being among school-age children with LD.

Psychological adjustment and marital satisfaction following head injury. Which critical personal characteristics should both partners develop?

Primary objective and research design: Using a correlational design, this study verifies the relationships between personal characteristics of individuals with TBI and their spouses and their level of psychological and marital adjustment.Methods and procedure: Seventy individuals with TBI and their spouses in the post-acute rehabilitation phase completed self-report questionnaires assessing the predictive variables (coping and social problem-solving strategies; perceived communication skills) and the criteria variables of psychological and marital adjustment.Main outcomes and results: In the target group, the characteristics most strongly related to adjustment variables were an effective attitude towards problems, infrequent use of avoidance coping strategies, and a positive perception of one's spouse's communication skills. Individuals with TBI and their spouses report significantly lower scores on some of these personal characteristics, compared to those of a matched control group of 70 couples from the general population.Conclusions: Specific personal characteristics are critical for psychological and marital adjustment following TBI. This knowledge may be of relevance for detecting couples at risk for developing difficulties in the post-acute rehabilitation phase. Rehabilitation interventions targeting the personal characteristics identified as critical for the adjustment process could help to prevent these difficulties.

The Role of Coping and Problem Drinking in Men’s Abuse of Female Partners: Test of a Path Model

This article examines the relationship of coping and problem drinking to men's abusive behavior towards female partners. While previous research has demonstrated a consistent association between problem drinking and male abuse of intimate partners, virtually no studies have assessed the role of coping in relation to men's violence. Furthermore, multivariate studies have not examined how these factors operate together to increase risk for abusive behavior. An ethnically diverse sample of 147 men in a court-mandated program for domestic violence offenders completed questionnaires at the first session. Path modeling was conducted to test the extent to which coping and problem drinking predicted both physical and psychological abuse. In addition, the relationships of problem drinking and physical abuse to injury of the men's female partners were examined. Results indicated that both the use of avoidance and problem-solving coping to deal with relationship problems were related indirectly to abusive behavior through problem drinking. Greater use of avoidance coping strategies was more likely among problem drinkers. By contrast, men who used higher levels of problem-solving coping were less likely to be problem drinkers. Avoidance, but not problem-solving coping also was directly and positively related to physical and psychological abuse. Men identified as problem drinkers were more likely to use both physical and psychological abuse. Finally, greater use of physical violence was strongly related to higher levels of injury among female partners, and served to mediate the relationship between problem drinking and injury. Results are discussed in terms of their contribution to the identification of risk and protective factors for men's violent behavior toward intimate female partners and implications for developing intervention strategies.

Occupational stress and psychological functioning in law enforcement officers

Law enforcement officers experience a variety of stressors because of their police work responsibilities. The use of avoidance coping in order to cope with emotions, thoughts, and memories of traumatic or stressful events may explain increases in occupational stress and poorer psychological functioning. In this study, avoidance coping, occupational stress, and psychological distress were assessed in law enforcement officers. The sample was majority Caucasian, male, and married with a mean of 12.4 years of law enforcement experience. Results indicated that participants reported high levels of psychological distress as compared to an adult male non-patient sample. The use of avoidant coping was associated with higher levels of organizational stress. Additionally, a predictor of psychological distress was the use of avoidant coping strategies and high levels of occupational stress, respectively. Implications of these findings concerning the role of workplace acceptance in a law enforcement setting are discussed.

Psychological Distress in Men With Breast Cancer

This article reports the first United Kingdom study to examine the prevalence of psychological distress in men with breast cancer and the factors associated with increased distress. One hundred and sixty-one men with breast cancer completed a cross-sectional questionnaire that included measures of anxiety and depressive symptoms, cancer-specific distress, body image, coping, information and support needs, and clinical and demographic variables. Clinical levels of anxiety and depressive symptoms were reported by 6% and 1% of men, respectively, while 23% reported high levels of cancer-specific distress. Anxiety was most strongly associated with avoidance coping and fear and uncertainty about the future (42% of the variance in anxiety scores, P < .001). Depressive symptoms were associated with altered body image (35% of the variance, P < .001). Body image, avoidance coping, referral to the study by a clinician, fear and uncertainty, and wanting to receive more gender-specific information together explained 51% of the variance in cancer-related distress (P < .001). Clinical and demographic factors did not account for a significant proportion of the variance in any of the distress measures. Although the prevalence of clinical anxiety and depressive symptoms were low in this sample, almost a quarter of men experienced traumatic stress symptoms specific to breast cancer. Potential risk factors for distress include the use of avoidant coping strategies, negative body image, feelings of fear and uncertainty in relation to breast cancer, and unmet information needs. Suggestions are made for improving the information and support available to men with breast cancer.

Factors favoring psychological resilience among fostered young people

Few studies have examined factors in an out-of-home care sample and explicitly tested these in a predictive model. The purpose of our study was to build an exploratory predictive model of psychological adjustment, defined in terms of anxiety and physical aggression. Participants comprised 220 young people, aged 14 to 17, residing in Ontario, Canada. Selected predictors consisted of the factors most commonly thought to favor positive psychological adjustment among young people. A series of hierarchical multiple regressions were conducted to test predictive models of psychological adjustment. The findings revealed a significant association between lower levels of anxiety and higher-quality relationships with the female caregiver, a greater number of close friendships, and higher self-esteem. Less frequent physically aggressive behaviors were associated with a smaller number of primary caregivers, higher-quality relationships with the female caregiver, a greater number of close friendships, higher self-esteem, greater use of approach coping strategies, and less frequent use of avoidant coping strategies. The theoretical and practical implications of these findings are discussed.

Impact of childhood traumatic events, trauma-related guilt, and avoidant coping strategies on PTSD symptoms in female survivors of domestic violence

This investigation utilized path analyses to examine the direct and indirect effects of experiences of potentially traumatic events in childhood, trauma-related guilt, and the use of avoidant coping strategies on level of PTSD symptomatology among a sample of female survivors of domestic violence. The results of this investigation indicated that individuals with more extensive histories of potentially traumatic events in childhood were more likely to report the experience of trauma-related guilt after exposure to domestic violence victimization in adulthood. Further, the path model indicated that experiencing trauma-related guilt was associated with greater use of avoidant coping strategies. Trauma-related guilt was related to increased PTSD symptomatology both directly and indirectly through the use of avoidant coping strategies. These findings highlight the importance of attending to guilt-based affective and cognitive reactions, maladaptive coping strategies, and the association between these constructs when treating survivors of relationship violence with multiple exposures to potentially traumatic events.

Risk taking and coping strategies among Israeli adolescents

The research sample consisted of 140 Israeli 10th- and 11th-graders who completed questionnaires about risk-taking behaviours and coping strategies. The study assessed the associations between risk behaviours and perceptions of benefit and risk in these behaviours as measured by a questionnaire based on the Risk Involvement and Perception Scale (Siegel, A. W., Cousins, J. H., Rubovits, P., Parsons, J. T., Lavery, B., Crowley, C. L. (1994). Journal of Emotional and Behavioral Disorders, 2, 89–98); and the associations between risk measures and problem-focused, support and avoidance coping strategies as assessed by the COPE scale (Carver, C. S., Scheier, M., Weintraub, J. K. (1989). Journal of Personality and Social Psychology, 56, 267–283). The data were analysed using correlations and multiple regressions. The main results showed that high involvement in risk behaviour was positively related to the perception of benefit in risk behaviour, but perception of risk was not related to involvement in risk behaviour. Most significantly, the use of avoidance coping strategies was related to high involvement in risk behaviours. The results suggest that perception of benefit and the use of avoidance coping strategies may constitute significant factors in the decision to take risks, with implications for intervention programs aimed at adolescents.

The relationship of gender, gender identity, and coping strategies in late adolescents

The relationships among gender, gender identity, and coping in late adolescents were examined. One hundred sixty-nine late adolescents completed measures assessing their masculinity and femininity, as well as their use of coping strategies. Females endorsed greater use of emotion-focused coping strategies than males. Late adolescents who were high in masculinity endorsed higher levels of problem-focused coping strategies than those who were low in masculinity. In contrast, late adolescents who were high in femininity endorsed higher levels of emotion-focused coping strategies than those who were low in femininity. Neither the gender nor the masculinity and femininity of late adolescents were predictive of the use of avoidant coping strategies. Overall, gender identity made an important and independent contribution to the endorsement of coping strategy use. These results emphasize the importance of assessing both gender and gender identity with regard to coping in late adolescents.

An exploration of the pretreatment coping strategies of patients with carcinoma of the head and neck.

Patients with head and neck carcinoma (HNC) often face exhaustive and debilitating treatment as well as physical and functional residual effects, such as disfigurement, compromised speech, dry mouth, and difficulties swallowing. Understanding how patients cope with these challenges is important in comprehensive care of patients with HNC. Seventy-nine patients with HNC were assessed for quality of life (QOL) and coping strategy. Measures included the Functional Assessment of Cancer Therapy-Head and Neck, the Performance Status Scale for Head and Neck Cancer Patients, and the Ways of Coping-Cancer Version. Coping strategies were summarized and related to patient demographics and QOL. The results suggested that patients with HNC used a wide range of coping strategies, with social support seeking behaviors representing the greatest proportion of total coping effort (25%). The use of avoidant coping strategies (both cognitive and behavioral escape) was associated with poorer overall QOL. Although further examination of these issues in larger groups of patients with HNC is warranted, the current findings suggest the adaptability of this group of patients and the potential benefit of social support-based assistance or intervention.

Adolescents and adjustment to abortion: are minors at greater risk?

The authors tested the Supreme Court's assumption that minors are particularly susceptible to psychological distress following abortion. The responses of 38 minors (age < 18 years) were compared with those of 402 adults, 1 month and 2 years after an elective, 1st-trimester abortion. Minors were relatively less satisfied with their abortion decision and felt less benefit from the abortion than did adults 1 month postabortion, but they did not differ from adults in adjustment 2 years postabortion. Minors were not more depressed than adults at either time period, and their decision satisfaction and perceived benefit at both time periods did not suggest a population at risk. Age group differences in adjustment 1 month postabortion were explained by minors' reduced self-efficacy appraisals for coping, greater use of avoidant coping strategies, and greater perceived parental conflict. These findings challenge the Court's assumption that minors are particularly vulnerable to psychological harm following abortion.

A Closer Look at the Drug Abuse—Maternal Aggression Link

This study examines the relationship between drug abuse and maternal aggression (MA) among low-income women, controlling for a number of factors that often obscure the nature of the links between these two behaviors. Drug abusers (n = 87) and nonsubstance abusing normals (n = 75) were recruited from public hospital treatment programs and received extensive clinical evaluations for salient factors including psychiatric disorder, trauma history, domestic violence, coping, and MA. Findings indicated that drug abuse was consistently associated with more severe disciplinary practices and a higher potential for punitiveness than nonsubstance abuse. Further examination revealed the following two factors that predicted MA more powerfully than drug abuse: (a) being in a violent couple and (b) the use of avoidant coping strategies. Discussion includes recommendations for use of parenting interventions with drug-using women that address not only abstinence from drug abuse but also anger management and coping strategies.

The Influence of Coping and Depression on Abstinence from Illicit Drug Use in Methadone-Maintained Patients

Use of illicit drugs by opioid-dependent patients maintained on methadone undermines the benefits of methadone maintenance treatment. Because supplemental pharmacologic approaches have met with limited success, it is important to identify psychological mechanisms associated with drug use that potentially could contribute to the development of more effective treatments. To investigate this issue, the current study assessed coping and depression in 307 methadone-maintained patients and found a reliance on avoidant coping strategies, most notably by depressed patients. Patients who achieved abstinence following a 12-week coping skills training intervention decreased the use of avoidant coping strategies. Drug use at the 6-month follow-up was related to gains made during treatment, specifically reduced cognitive avoidance, reduced depression, and number of drug-free weeks during treatment.

Emotional Distress Among Mothers Whose Children Have Been Sexually Abused: The Role of a History of Child Sexual Abuse, Social Support, and Coping

Objective: The purpose of the present study was to investigate various psychosocial factors related to mothers’ distress following their children’s disclosures of sexual abuse. Specifically, the relationships between mothers’ emotional distress and a maternal history of sexual abuse in childhood, a maternal history of sexual abuse in adolescence, social support and coping strategies were examined. Methodology: One hundred and two women whose children disclosed sexual abuse completed a sexual abuse history questionnaire, the Provision of Social Relations Scale, the Coping Responses Inventory, the Brief Symptom Inventory, and a questionnaire requesting descriptive data. Results: As predicted, results indicated that emotional distress was related to a maternal history of childhood sexual abuse, a maternal history of adolescent sexual abuse, a lack of support from friends and family, and greater use of avoidance coping strategies. As well, reliance on avoidance coping strategies was found to predict distress after controlling for both maternal child sexual abuse history and social support. Conclusion: The findings indicate that the distress experienced by mothers following a disclosure of sexual abuse is related to mothers’ personal histories of child sexual abuse, the social support they receive, and the coping strategies they employ to deal with their children’s disclosures. This study suggests that greater attention be given to psychosocial variables which can assist practitioners in explaining the variability in distress experienced by mothers and which might suggest potential interventions.

Employee adjustment to large-scale organisational change

The present study was designed to test the utility of a stress-coping model of employee adjustment to organisational change. Specifically, it was proposed that employee adjustment to this type of work stress would be influenced by the characteristics of the change situation, employees' appraisals of the situation, their coping strategies, and the extent of their personal resources. Data were collected from 140 middle managers and supervisors involved in a large-scale public sector integration. The results of the research provided some support for the proposed model: high levels of psychological distress were related to a reliance on informal sources of information, high appraised stress, low appraised certainty, and the use of avoidant rather than problem-focused strategies, whereas poor social functioning was associated with low self-esteem, high levels of disruption across the period of change, a reliance on informal sources of information, and the use of avoidant coping strategies. There was no evidence that coping strategies mediated the effects of the event characteristics, situational appraisals, and personal resources on adjustment; however, there was some evidence linking these variables to coping strategies, in particular, problem-focused coping. There was also some evidence to indicate that the experience of organisational change was different for managers and supervisors: levels of threat were higher for the managers than the supervisors, but there was no difference between the groups of employees in terms of adjustment.

Poststroke anxiety and its relationship to coping and stage of recovery.

Anxiety disorders are reported to be common but poorly understood poststroke phenomena. The relationships between symptoms of anxiety, coping activity, and stage of recovery were investigated in 44 subjects who had suffered strokes (mean age 68.6 years). Consistent with general models of anxiety disorders, anxiety was associated with more frequent use of avoidant coping strategies. No significant relationship was found between time poststroke and self-reported distress.

Predicting stress in first year medical students: a longitudinal study.

While there is ample documentation that medical training is stressful, less is known about predictive variables that might identify students who have the most difficulty in managing stress during medical training. Depression and anxiety in first year medical students were investigated in a longitudinal design. One-hundred and twenty-one medical students (81% of the class) were surveyed. The first survey took place immediately prior to the beginning of medical training (wave 1); the second survey was approximately 8 months after the beginning of classes (wave 2). Medical students who began their first year with relatively low 'A' level grades, high ratings of state anxiety and depression, high trait anxiety and low dispositional optimism, and reliance on avoidant coping strategies were found to be at higher risk for developing depression and anxiety symptoms at wave 2. Students reported increased concern about curriculum and environment, personal competence and endurance, and time to have a life outside medical school at wave 2, compared to their reports at wave 1. Increase in concerns correlated with an increase in depression and anxiety. At both surveys, use of avoidant coping strategies resulted in increased depression and anxiety; at wave 2, active coping and positive reinterpretation resulted in decreased depression and anxiety. These findings suggest characteristics of vulnerable students who might be identified early in their first year and provided with additional support. Educating students to expect an increase in concerns about environment and personal ability to manage the academic load might make these concerns less overwhelming. In addition, information about effective coping strategies (i.e. active coping efforts) and ineffective means of dealing with stress (avoidant coping efforts) might be helpful in preventing distress.

School age children's coping with sexual abuse: Abuse stresses and symptoms associated with four coping strategies

Strategies used by 84 sexually abused children, ages 7 to 12, to cope with their abuse were evaluated, along with child reported abuse-related symptoms, parent-reported behavioral symptoms, and teacher-reported behavioral symptoms. Principal components analysis of coping yielded four strategies that were labeled avoidant coping, internalized coping, angry coping, and active/social coping. Each coping strategy was found to be associated with a unique set of abuse characteristics, abuse-related social environment, and symptoms. In contrast to findings with adult survivors and adolescents, use of avoidant coping strategies among school-age children was found to be related to fewer behavioral problems, although it was also associated with greater sexual anxieties. Internalized coping was found to be associated with increased guilt and PTSD hyperarousal symptoms. Active/social coping was the only strategy found to be unrelated to symptoms, but neither was it associated with measured benefits. In contrast to some clinical opinion that externalizing blame and venting anger is a helpful strategy, angry coping was found to be associated with a wide range of behavioral and emotional problems as rated by the child's home-room school teacher. Results are discussed in terms of a proposed mediational model.

Prevalence and predictors of depression and anxiety-related disorders during the year after heart transplantation

This study longitudinally evaluates prevalence, clinical characteristics, and risk factors for DSM-III-R Major Depression, Generalized Anxiety Disorder (GAD), associated Adjustment Disorders, and Post-Traumatic Stress Disorder related to the transplant (PTSD-T) in a large, representative sample of heart recipients followed during the first year after transplantation. Lifetime pretransplant prevalence as well as 1-year posttransplant rates were determined for the 154 recipients via standardized clinical interview schedules. Major Depression was the most prevalent disorder posttransplant (1-year rate of 17.3%), followed by PTSD-T (13.7%), and Adjustment Disorders (10.0%). There were no cases of GAD. Specific pretransplant and perioperative factors increased recipients' risk for any psychiatric disorder (vs none) posttransplant, including pretransplant psychiatric history; poor social supports from primary family caregiver, other relatives, and friends; the use of avoidance coping strategies for managing health problems; and low self-esteem early posttransplant. Within diagnostic groups, additional risk factors distinguished recipients with anxiety-related vs depressive disorders post-transplant: those at highest relative risk for anxiety had waited more briefly for a donor heart, were more likely to have a family psychiatric history, had the poorest family and friend support of all recipients, utilized the poorest coping skills, and had a poor sense of mastery. The findings have implications for the development of primary and secondary prevention strategies for psychiatric disorder in heart recipient populations.

Stress in clinical psychologists.

This paper summarises the findings of a series of studies of British clinical psychologists and discusses them in relation to the (mainly US) literature. Four main questions are addressed: (1) How stressed are clinical psychologists? (2) Which psychologists are most stressed? (3) What are the main sources of stress for clinical psychologists? and (4) What coping strategies are used by clinical psychologists? A figure summarises the main risk factors emerging from the literature which appear to be important mediators between the stressor and the psychological outcome variables. These are: (1) low job satisfaction; (2) low range of active coping strategies; (3) high use of avoidance coping strategies involving denial; (4) stressor not externalised and objectified; (5) stressor threatens other roles/relationships; (6) low experience in job; (7) no quality relationship with confidant(e)/poor quality relationship with partner; and (8) female.