Co-morbid depression and chronic illness related to coping and physical and mental health status

A partial latent structural regression analysis was used to evaluate the role of coping resources, depression, diet and exercise on mental and physical health status. The sample consisted of 113 participants (59 females and 54 males) with a mean age of 59.38 years (SD = 10.52). Coping resources, depression and exercise explained 52 and 26% of the variance in mental and physical health status, respectively. Fewer coping resources predicted higher levels of depression and both predicted worse mental health. Only higher levels of depression predicted worse physical health status. There were also significant indirect effects of coping on mental and physical health status through depression. The development of cognitive, social and emotional coping strategies is important for managing depression and supporting positive mental health. These results highlight the important role of health psychologists in the care of individuals with chronic illness. Additionally, the management of depression is important in maintaining positive physical health.

Impact of individual coping strategies and organisational work–life balance programmes on Australian employee well-being

This paper examines several individual coping strategies and employees' perception of organisational provision of work–life balance (WLB) programmes with a sample of 700 Australian employees. The combined effects of individual coping strategies and organisational provision of WLB programmes on employee affective well-being are examined, using structural equation modelling. Results indicate that individuals with positive attitudes and life coping strategies were more capable of achieving overall well-being. Both monetary- and non-monetary-based organisational WLB provision had no direct association with employee well-being, but had indirect effects via individual coping strategies to help employees achieve better well-being. Employee well-being was found to have a stronger association with individual effort than organisational deliberation in providing WLB programmes. Theoretical and practical implications of these study outcomes are discussed.

Symptoms of fatigue and coping strategies in maritime pilotage

Background:
Little is known regarding the symptoms of fatigue that maritime pilots experience during shift work. Moreover, the strategies these individuals use to cope with the onset of fatigue are also unknown. The current study explored the symptoms of fatigue and coping strategies experienced by maritime pilots when on-shift.

Material and methods:
Fifty maritime pilots were recruited via an advertisement in the national association’s quarterly newsletter (Mage = 51.42; SD = 9.81). Participants responded to a modified version of the questionnaire used with aviation pilots that assessed overall fatigue, and the symptoms pilots associated with fatigue on duty. Methods pilots used to cope with fatigue before shift and when on the bridge were also assessed.

Results:
There were significant effects for pilot vitality on 4 categories of fatigue: cognitive dysfunction; emotional disturbance; mean physical effects; and sleepiness. There were no significant effects for vitality on any of the self-reported coping strategy factors.

Conclusions:
The findings indicated that maritime pilots experience a variety of physical, behavioural, and cognitive fatigue symptoms when on shift. Some of these symptoms are similar to those reported by aviation pilots. However, unlike aviation pilots, maritime pilots reported utilising self-sufficient coping strategies to deal with the experience of fatigue.

A pilot, multisite, randomized controlled trial of a self-directed coping skills training intervention for couples facing prostate cancer : accrual, retention, and data collection issues

PURPOSE: To examine the acceptability of the methods used to evaluate Coping-Together, one of the first self-directed coping skill intervention for couples facing cancer, and to collect preliminary efficacy data. METHODS: Forty-two couples, randomized to a minimal ethical care (MEC) condition or to Coping-Together, completed a survey at baseline and 2 months after, a cost diary, and a process evaluation phone interview. RESULTS: One hundred seventy patients were referred to the study. However, 57 couples did not meet all eligibility criteria, and 51 refused study participation. On average, two to three couples were randomized per month, and on average it took 26 days to enrol a couple in the study. Two couples withdrew from MEC, none from Coping-Together. Only 44 % of the cost diaries were completed, and 55 % of patients and 60 % of partners found the surveys too long, and this despite the follow-up survey being five pages shorter than the baseline one. Trends in favor of Coping-Together were noted for both patients and their partners. CONCLUSIONS: This study identified the challenges of conducting dyadic research, and a number of suggestions were put forward for future studies, including to question whether distress screening was necessary and what kind of control group might be more appropriate in future studies.

Attachment, developmental tasks and coping in the transition to university

 Students commencing university were surveyed three times to identify what individual variables facilitated positive adjustment experiences. Student’s attachment orientations were found to be strongly associated with their university adjustment, and this was mediated by students’ use of different coping strategies and their negotiation of the developmental tasks of young adulthood.

A longitudinal study of older couples coping with chronic conditions

 This study involved a longitudinal investigation of how older couples cope with chronic illness. The study found that one person’s chronic illness affects the wellbeing of both members of the couple. Ensuring that both members of the couple are supported when a chronic illness is experienced is important to optimise the psychological health of this vulnerable cohort of Australians.

Coping with chronic pain: the impact of depression and life events

The book focuses on stress in the context of education and health. The first part is concerned with stress in educational settings including stress, anxiety, and coping of preschoolers, primary school children, college students adolescents and teachers. The second part deals with stress and its effects on health, e.g. while coping with a distaster, with chronic pain or myocardial infarction.

Sad music as a means for acceptance-based coping

Self-identified sad music (SISM) is often listened to when experiencing sad life situations. Research indicatesthat the most common reason people give for listening to SISM is “to be in touch with or express feelings ofsadness”. But why might this be the case? We suggest that one reason people choose to listen to sad musicwhen feeling sad is to accept aversive situations. We tested if SISM is associated with acceptance copingand consolation. We hypothesized that SISM relates to acceptance-based coping via the recognitionand identification of emotional states, and that people will report more acceptance from SISM than selfidentifiedhappy music when seeking consolation. In Study 1, participants recalled how happy or sadthe music sounds that they normally listen to for consolation, and if they listen to this music to gainacceptance of negative moods and situations. In Study 2, participants reported their goals when listeningto sad music during a recalled time in which they experienced an adverse life situation and whether thislead to acceptance. Study 1: People reported that they were more likely to listen to sad music than happymusic when seeking consolation, though they preferred happy music in general. Listening to SISM (butnot self-identified happy music) when seeking consolation was associated with acceptance of both anegative situation and the associated negative emotions. Additionally, seeking to deal with emotions wasassociated with both SISM listening (for consolation) and acceptance. Study 2: Listening to SISM to get intouch with and express affect was the most important self-regulatory strategy (of six examined) throughwhich acceptance was recalled to be achieved. Experiencing adverse situations or seeking consolation,people report that listening to SISM is associated with acceptance coping (through the re-experiencing ofaffect). Implications for music therapy and theories of emotional coping are discussed.

Self-handicapping tendencies, coping, and anxiety responses among athletes

Objectives: Four studies examined relationships between self-handicapping tendencies and reactions to two different yet potentially stressful sport situations (i.e., dealing with a performance slump and emotional reaction prior to competition). Design: Retrospective and prospective cross-sectional survey. Methods: For studies 1 and 2, participants were 65 male athletes (mean age=20.45) and 141 male and female athletes (mean age=21.5), respectively. Participants in study 1 completed the Self-handicapping Scale (SHS) and slump-related coping was assessed using the Coping Inventory for Stressful Situations (CISS). Participants in study 2 completed the SHS and slump-related coping was assessed using the modified Ways of Coping in Sport Scale (WCSS). For studies 3 and 4, participants were 220 male athletes (mean age=22.60) and 120 male and female athletes (mean age=34.75), respectively. Participants from both studies completed the SHS and emotions prior to competition were assessed using the Competitive State Anxiety Inventory (CSAI-2). Results: Data from study 1 showed that self-handicapping tendencies were related to emotive-oriented coping. CISS emotion scale scores accounted for 25% of the variance in SHS scores. Data from study 2 showed that self-handicapping tendencies were related to denial/avoidance and wishful thinking subscale scores of the WCSS. Together these two variables accounted for 11% of the variance in SHS scores. Data from studies 3 and 4 showed positive relations between self-handicapping tendencies and cognitive state-anxiety. Cognitive state-anxiety accounted for 8% of the variance in SHS scores in study 3 and 12% of the variance in SHS scores in study 4. Conclusions: Results from studies 1 and 2 demonstrate that self-handicapping tendencies are related to general and specific emotion coping strategies when dealing with a slump. Results from studies 3 and 4 show that self-handicapping tendencies are related to precompetitive cognitive state-anxiety.

Illness cognitions and coping self-efficacy in depression among persons with low vision

PURPOSE: To investigate the mediating role of coping self-efficacy (CSE) between two types of illness cognitions (i.e., acceptance and helplessness) and depressive symptoms in persons with low vision.

METHODS: This was a single-group, cross-sectional study. Patients with visual acuity < 6/12 in the better eye and at least minimal depressive symptoms (≥5 on the Patient Health Questionnaire-9 [PHQ-9]) were recruited from vision rehabilitation services and participated in telephone-administered structured interviews at one time point. Measures were the PHQ-9, CSE Scale, and Illness Cognition Questionnaire. Structural equation modeling (SEM) devised the causal flow of illness cognitions and their observed indirect effects on depressive symptoms via the CSE mediators: problem focused, emotion focused, and social support.

RESULTS: The study comprised 163 patients (mean age 62 years; 61% female), most with age-related macular degeneration (26%) and moderate vision impairment (44%, <6/18-6/60). Structural equation modeling indices indicated a perfect fit (χ2 < 0.001, P = 1.00), accounting for 55% of the variance in depressive symptoms. Lower levels of acceptance and higher levels of helplessness illness cognitions were associated with lower self-efficacy in problem-focused coping (β = 0.38, P < 0.001, β = -0.28, P < 0.01, respectively), which in turn was associated with greater depressive symptom severity (β = -0.54, P < 0.001).

CONCLUSIONS: Lack of acceptance and greater helplessness relating to low vision led to a lack of perceived capability to engage in problem-focused coping, which in turn promoted depressive symptoms. Third-wave cognitive-behavioral treatments that focus on acceptance may be efficacious in this population.

Dimensions of religious/spiritual well-being in relation to personality and stress coping: initial results from Bosnian young adults

The aim of this study was to examine possible relationships between religious/spiritual well-being (RSWB), the Big Five personality factors, and stress coping strategies among Bosnian young adults. Therefore, a first Bosnian translation of the Multidimensional Inventory of Religious/Spiritual Well-being was applied on a sample of 290 (181 females) Bosnian undergraduate students. RSWB dimensions such as hope, forgiveness, or general religiosity were found to be substantially related with more favorable personality dimensions as well as with more adequate stress coping. As a conclusion RSWB dimensions were confirmed as being an important resource for mental health for this sample of Bosnian adolescents.

The applicability of self-regulation theories in sport: Goal adjustment capacities, stress appraisals, coping, and well-being among athletes

We examined a model, informed by self-regulation theories from the health psychology literature, which included goal adjustment capacities, appraisals of challenge and threat, coping, and well-being. Two-hundred and twelve athletes from the United Kingdom (n 147)= or Australia (n = 65), who played team (n = 135) or individual sports (n = 77), and competed at international (n = 7), national (n = 11), county (n = 67), club (n = 84), or beginner (n = 43) levels participated in this study. Participants completed measures of goal adjustment capacities and stress appraisals two days before competing. Athletes also completed coping and well-being questionnaires within three hours of their competition ending.The way an athlete responded to an unattainable goal was associated with his or her well-being in the period leading up to and including the competition. Goal reengagement positively predicted well-being, whereas goal disengagement negatively predicted well-being. Further, goal reengagement was positively associated with challenge appraisals, which in turn was linked to task-oriented coping, and task-oriented coping positively associated with well-being.When highly-valued goals become unattainable, consultants and coaches could encourage athletes to generate alternative approaches to achieve the same goal or help them develop a completely new goal in order to promote well-being among athletes.

Stressors and coping resources of Australian kidney transplant recipients related to medication taking: a qualitative study

AIM: To understand the stressors related to life post-kidney transplantation, with a focus on medication adherence, and the coping resources people use to deal with these stressors. BACKGROUND: Although kidney transplantation offers enhanced quality and years of life for patients, the management of a kidney transplant post-surgery is a complex process. DESIGN: A descriptive exploratory study. METHOD: Participants were recruited from five kidney transplant units in Victoria, Australia. From March to May 2014, patients who had either maintained their kidney transplant for ≥ 8 months or had experienced a kidney graft loss due to medication non-adherence were interviewed. All audio-recordings of interviews were transcribed verbatim and underwent Ritchie and Spencer's framework analysis. RESULTS: Participants consisted of fifteen men and ten women aged 26 - 72 years old. All identified themes were categorised into: 1) Causes of distress and 2) Coping resources. Post-kidney transplantation, causes of distress included the regimented routine necessary for graft maintenance, and the everlasting fear of potential graft rejection, contracting infections and developing cancer. Coping resources utilised to manage the stressors were firstly, a shift in perspective about how easy it was to manage a kidney transplant than to be dialysis-dependent and secondly, receiving external help from fellow patients, family members and healthcare professionals in addition to utilising electronic reminders. CONCLUSION: An individual well-equipped with coping resources is able to deal with stressors better. It is recommended that changes, such as providing regular reminders about the lifestyle benefits of kidney transplantation, creating opportunities for patients to share their experiences and promoting the utilisation of a reminder alarm to take medications, will reduce the stress of managing a kidney transplant.

The role of religion and spirituality in coping with kidney disease and haemodialysis in Thailand

BACKGROUND: People with chronic kidney disease (CKD) face various problems including psychological, socioeconomic and physical effects associated with CKD and its treatment. They need to develop strategies to help them cope with CKD and life challenges. Religion and spirituality are important coping strategies, but their role in helping people cope with CKD and haemodialysis (HD) in Thailand is relatively unknown.

AIMS: To investigate the role of religion and spirituality in coping with CKD and its treatment in Thailand.

DESIGN: An exploratory, qualitative approach was undertaken using semistructured individual interviews.
METHOD: Purposive sampling was used to recruit participants. Face-to-face, in-depth individual interviews using open questions were conducted during January and February 2012. Interviews were audio-recorded and transcribed verbatim. Data were analysed using the framework method of qualitative data analysis.

FINDINGS: Twenty people receiving HD participated: age range 23-77 years, mean 53.7 (±16.38 SD). Ten were women. Participants reported use of religious and spiritual practices to cope with CKD and its treatment, including religious and spiritual explanations for developing CKD, karmic disease, making merit, reading Dharma books, praying and chanting to save life and making a vow to Pran-Boon.

CONCLUSION: Religion and spirituality provide powerful coping strategies that can help Thai people with CKD overcome the associated distress and difficulties. Religion and spirituality cannot be separated in Thai culture because Thai people are both religious and spiritual.