Age of onset of epilepsy: its effects on coping strategies

Research into the use of coping strategies to reduce emotional distress from negative life events has identified specific subscales within the more general concepts of problem-focused and emotionfocused coping. This study presents a preliminary assessment of the ultilization of coping strategies during stressful incidents among people with epilepsy, and the differences which may arise as a result of the age of onset of the disorder. Twenty early-onset and 20 late-onset patients were asked to complete a questionnaire using subscales from the «Ways of Coping» scale (Aldwin and Revenson 1987) and from the «COPE» scale (Carver et al 1989). Data were also obtained from two groups of 20 subjects without epilepsy, matched for age and sex with the patient groups (a total of 80 subjects included in the study). Results indicated that subjects with epilepsy attempted to minimize problems more than non-epileptic subjects. Adult onset of the disorder appeared to increase the use of negotiation, acceptance and self-blame. Thus, there appear to be some significant differences in the types of coping strategy employed in stressful situations, with the late-onset group tending to utilize strategies that may be considered maladaptive, perhaps in an initial adjustment to the disorder.     

Power motivation,illness, coping strategies and psychological stress in police trainees

Abstract

Research suggests that there are substantial differences in the ways in which people cope with strcss, and that certain coping strategies buffer the degree of psychological and physical illness resulting from stress. Furthermore, personality, the situational context and subjective appraisal of the situation are believed to mediate coping behaviour and its effectiveness. The present investigation reports the results of two studies of the relationship between coping behaviour and the personality disposition need for power, taking into account the environment and the subject's appraisal of the situation. Highly power-motivated individuals were hypothesized to utilize emotion-focused coping strategies more than problem-focused coping strategies, to find the training environment stressful and anxietyprovoking, and to report more illness, than low power-motivated individuals. A 19-wcck policc academy training programme was used to measure these relationships in 34 police trainees. Thc results did not support all hypotheses. Findings are discussed with reference to sample characteristics, training intensity, and the empirical work in this area.     

Job stress,burnout and substance use among urban transit operators: The potential mediating role of coping behaviour

Abstract

Urban transit operators, compared to other occupational groups, have higher rates of mortality and morbidity. A major risk factor is the highly stressful objective environment. This study used structural equation modelling to test a model hypothesizing that transit operators’ coping behaviours in responding to daily job hassles mediate the associations of work stress with burnout and substance use. The study sample consisted of 1231 transit operators who participated in the San Francisco MUNI Health and Safety Study. The results showed a direct and strong association between transit operators’ daily job stress and symptoms of occupational burnout even when a series of controls and coping behaviours were considered. In addition, use of “disengage-deny” and escapist strategies to cope with job stress was positively associated with burnout; the job stress–burnout association was partially mediated through such coping practices. Daily job stress was related to substance use only indirectly and mediated through burnout and use of “disengage-deny” and escapist coping strategies. “Disengage-deny” coping strategies might help reduce substance use whereas escapist coping strategies might increase such use. Overall, our findings suggest that coping behaviour may be an important correlate of transit operators’ ill health. Interventions enabling healthy coping behaviours may help reduce health risks for this occupational group.     

Book reviews and books received

Abstract

In the field of stress research it is often assumed that social support as well as coping behaviour contributes to feelings of health and well-being. However, until now it has not been altogether clear whether a main-effect model or a buffer model was the more appropriate for explaining the role of these factors in response to stressful situations. In this paper, a research project is described in which both the direct and indirect effects of social support and coping were studied in the work situation of nurses. The results offer more support for a main-effect model than for a buffer or moderating-effect model, especially with regard to the coping strategies ‘active problem-solving’ and ‘palliative behaviour’. However, some moderating effects on nurses‘ reactions to their work situation were found for social support and for ‘comforting cognitions’ as a coping strategy.     

Job stressors,coping, and psychological distress among Japanese employees: Interplay between active and non-active coping

In this study the sole and the combined effects of active and non-active forms of coping on psychological distress across various kinds of job stressors were examined. Data on job stressors, coping and psychological distress were obtained from 4487 male employees of a research institute in the automobile industry in Japan (mean age=36.27 years, SD = 7.43). A hierarchical moderated multiple regression analysis was conducted to estimate and test the significance of the main effects and their interactions. The results show that although active coping was effective in decreasing psychological distress regardless of the type of job stressor, the effectiveness was weaker in situations that require effortful coping, such as role ambiguity and insufficient authority. Furthermore, the effectiveness of active coping was influenced by the other strategies, especially in effortful coping situations. While distancing or seeking social support improved the effectiveness, restraint coping reduced it. These results suggest that the type of non-active coping that individuals combine with active coping can be critical in determining health outcomes in more complex and effortful coping situations. Consideration of the coping combinations, not merely the situational context, is important in explaining how the work environment influences employees' psychological distress.     

Power motivation, illness, coping strategies and psychological stress in police trainees

Research suggests that there are substantial differences in the ways in which people cope with strcss, and that certain coping strategies buffer the degree of psychological and physical illness resulting from stress. Furthermore, personality, the situational context and subjective appraisal of the situation are believed to mediate coping behaviour and its effectiveness. The present investigation reports the results of two studies of the relationship between coping behaviour and the personality disposition need for power, taking into account the environment and the subject's appraisal of the situation. Highly power-motivated individuals were hypothesized to utilize emotion-focused coping strategies more than problem-focused coping strategies, to find the training environment stressful and anxietyprovoking, and to report more illness, than low power-motivated individuals. A 19-wcck policc academy training programme was used to measure these relationships in 34 police trainees. Thc results did not support all hypotheses. Findings are discussed with reference to sample characteristics, training intensity, and the empirical work in this area.     

Stress,coping and problem solving

Abstract

This paper outlines the developing consensus on the nature of stress. It offers a definition of stress as a psychological state derived from the person's appraisal of their ability to cope with the demands which are made of them. The paper then examines the concept of coping and explores its role in stress theory. It contrasts two different approaches to the study of coping: the classification of coping strategies, and the investigation of the process of coping—coping as ‘problem solving’. The paper focuses on the latter and in doing so it describes the nature of rational models of problem solving, considering their utility and application to stress management.     

Trauma,coping resources,and family functioning in emergency services personnel: A comparative study

In this study a sample of male, shift-working, operational ambulance officers were compared with a group of male shift-workers from a range of occupations in which exposure to traumatic events was not inherent in the role ( N = 71). Three dimensions of family functioning were examined: intimacy, conflict, and parenting styles, with respect to occupational type (i.e. work-related exposure to trauma) and accounting for personal resources (coping). Personal resources were found to have a significant impact on the dimensions of family functioning. Furthermore, differences emerged in the pattern of coping between the two groups. Ambulance officers demonstrated a more varied repertoire of personal resources than the control group. Social support was found to be the sole predictor of intimacy and conflict levels in the control sample. However, in the ambulance group social support was predictive of intimacy levels, rational-cognitive strategies were predictive of conflict levels, and self-care, social support, and rational-cognitive strategies were all significantly correlated with the three dimensions of family functioning.     

Coping resources,coping strategies and adjustment to organizational change: Direct or buffering effects?

Abstract

This study examined the effects of personal and social resources, coping strategies and appraised stress on employees' levels of anxiety and depression. In relation to the effects of resources and coping strategies, two different models were tested. The main effects model proposes that, irrespective of the level of stress, coping resources and coping strategies have direct effects on well-being. In contrast, the buffering model predicts that the buffering effects of coping resources ad strategies are only evident at high levels of stress. One hundred lawyers completed a structured self-administered questionnaire that measured their personal and social resources, use of problem-focused and emotion-focused coping strategies, and appraisals of the stressfulness of the situation. Results revealed generally strong support for the main effects model in the prediction of employee levels of anxiety and depression. Lower levels of anxiety were linked to judgements of lower levels of organizational change, greater self-confidence, greater internality of control beliefs and less use of emotion-focused coping strategies. Lower levels of depression in employees were also linked to judgements of lower levels of organizational change, greater use of resources and less appraised stress. There was only limited support for the buffering effects model. Due to the small size of the sample, the findings need to be explored further in other contexts.     

Lifestyle habits,substance use and predictors of job burnout in professional working women

Abstract

This study explores differences in self-reported lifestyle habits, substance use (alcohol, drugs and smoking) and predictors of job burnout in a sample of 879 professional working women employed in dental health ofices in a cross-sectional design. Job burnout was measured using the Maslach Burnout Inventory (MBI) and self-reported substance use and lifestyle habits were assessed using the Stress Assessment Profile. Self-reported drinking, smolung and drug use were only modestly correlated with each other in this sample. Employed women with higher levels of drinking reported significantly lower quality overall lifestyle practices, eating/nunition habits, and more frequent use of avoidant coping strategies in the face of work and life hassles compared to non-drinkers. Women who smoked also reported significantly lower overall lifestyle practices and eating/nutrition habits. Those who reported using drugs for recreational purposes reported significantly greater hassles, poorer lifestyle habits, a less hardy outlook on life, and more frequent use of dysfunctional coping strategies. Although women who reported using drugs experienced significantly higher interpersonal burnout (depersonalization) compared to non-drug users, in general, self-reported substance use was not significantly related to job burnout. After controlling for age and psychological distress, perceived stress, type A behaviour, cognitive hardiness and lifestyle habits significantly contributed to predictions of job burnout in multiple regression analyses. Despite methodological limitations, the prevalence of substance use found in this study supports previous research findings. Professional working women who practise poor lifestyle and health habits appear to be at risk of experiencing job burnout.     

A psychometric evaluation of a Dutch version of the Job Content Questionnaire and of a short direct questioning procedure

Using the demand-control-support perspective on job stress, a Dutch translation of an adapted version of the Job Content Questionnaire (AJCQ) was administered to a large population ( N = 3638) of Flemish workers in a variety of jobs, together with the General Health Questionnaire, and a negative affectivity scale. Overall, the AJCQ was shown to be a solid measurement instrument as indicated by several estimated reliability indices and validity of the subscales. A factor analysis largely reproduced the a priori structure of the AJCQ. A short 10-item direct questioning procedure was constructed to measure the 10 subscales of the AJCQ and the results of this procedure were compared with the AJCQ in a subsample ( N = 660). The correlations with six criterion variables showed that single questions were equally predictive than the much longer version of the AJCQ.     

Gender differences in the effects of coping assistance on the reduction of burnout in academic staff

This study examined gender differences in the effectiveness of five sources of coping assistance to reduce dissatisfaction and emotional exhaustion among 403 female and 664 male academic staff of a Dutch university. It was hypothesized that support at work ((1) socio-emotional aid from the supervisor and colleagues, (2) a supportive climate in the department, and (3) practical assistance in the department) and support at home ((4) socio-emotional aid from the spouse, and (5) practical assistance from the spouse) would reduce dissatisfaction and burnout, and that women especially would benefit from these coping assistance measures. Using moderated regression analyses, the results showed that coping assistance from a supervisor and colleagues is an important measure to reduce both dissatisfaction and emotional exhaustion. Further, a supportive departmental climate and practical assistance in the department reduced emotional exhaustion and especially female academic staff benefited from these types of coping assistance at the aggregate level. However, contrary to expectations, such beneficial effects were not found for both socio-emotional aid and practical assistance from the spouse.     

Anxiety,burnout and coping styles in general hospital staff exposed to workplace aggression: A cyclical model of burnout and vulnerability to aggression

Although an increasing problem, the aggression ( physical assault, threatening behaviour and verbal aggression) directed toward general hospital staff rather than staff in psychiatric institutions has not been widely investigated. The present study first compared anxiety, coping styles and burnout according to the frequency of aggressive experiences. Second, a sub-sample was examined to determine any immediate after-effects from aggressive encounters. Healthcare staff ( n = 375) across professions completed the State-Trait Anxiety Inventory, the Maslach Burnout Inventory and the Coping Responses Inventory, which were analysed according to the type and frequency of aggression experienced within the preceding year. There were no significant differences in levels of anxiety or in coping styles. However, significant differences were determined in levels of burnout. Emotional exhaustion and depersonalization were significantly higher in those staff more frequently victimized suggesting that aggressive encounters might lead to an increase in burnout. Equally, the converse might be true. Therefore, a cyclical model is put forward in which we propose that elevated levels of burnout from all sources might increase vulnerability to victimization. Increases in emotional exhaustion lead directly to an increase in depersonalization as a coping mechanism, which subsequently manifests as a negative behavioural change toward patients, thus rendering staff more vulnerable to further aggression.     

Personality and coping as moderators of work stress processes: Models,methods and measures

Abstract

This article reviews the role of individual differences in work stress processes, with particular reference to personality and coping as moderator variables. Vulnerability/resilience and person-environment fit (congruence) models of moderator effects are contrasted and relevant issues of methodology and analysis are outlined. Personality traits (locus of control, hardiness, Type A, optimism, and neuroticism) that act as moderators of stress/strain relations are reviewed; the characteristics and limitations of available measures are described. Associations between personality and coping, inventories for the assessment of coping, and the dimensions of coping behaviour, are then considered. The implications of structural and transactional models of stress for coping assessment are discussed with reference to dispositional versus situational approaches and other psychometric issues. The need for research into coping flexibility and consistency is emphasized. No attempt is made to provide a comprehensive account of empirical research into individual difference moderator effects, but relevant review articles are cited, together with some recent studies. Finally, several areas which would merit further attention (including specificity of moderator effects, conjunctive and disjunctive patterns, and moderation of relations between objective and perceived stressors) are identified.     

The nature of faculty work: A Canadian and US comparison

Abstract

Results based on 187 responses to an electronic survey from Canadian and US faculty in human resource development and adult education identified career paths of faculty, the nature of the job (i.e. how faculty divide their time between teaching, research and service), the nature of their programmes, and the key changes, issues and trends in their respective fields. There were few differences between the two countries. Where possible, findings also are compared to two previous studies. Identifying what drew faculty to academia and how they spend their time may enhance understanding of how they derive meaning and satisfaction from work. This understanding could help identify ways to mitigate faculty turnover.     

Coping with daily work problems. Contributions of problem content,appraisals, and person factors

Abstract

This paper presents the result of an analysis of coping with daily work-related problems reported by a community sample of working adults. The methodology used differs from that employed elsewhere not only in its intensive longitudinal approach but also in its technique for measing coping Coping with work and non-work problems was compared. It is argued that the results provide strong support for the transactional model of stress, appraisal and coping, but also point up the importance of nonspecific (and unmeasured) person factors in predicting coping.     

Return to work among employees with mental health problems: Development and validation of a self-efficacy questionnaire

Abstract

Because of the costs to both the organization and the individual, it is important that employees who are sick-listed with mental health problems are facilitated in their return to work (RTW). In order to provide adequate interventions, it is necessary to obtain a better understanding of the RTW process of people with mental health problems. Work-related self-efficacy (SE) might play a key role within this process. This paper describes the development and validation of the return-to-work self-efficacy’ scale (RTW-SE) for employees with mental health problems. Three Dutch samples of sick-listed employees were used to validate the 11-item instrument (N=2214). Based on the factor structure and reliability results, RTW-SE was conceptualized as a unitary construct. The associations with general SE, locus of control, coping, physical workload and mental health problems support the construct validity of this scale. Most importantly, RTW-SE proved to be a robust predictor of actual return to work within three months. The encouraging preliminary psychometric properties of the scale make it a potentially valuable tool in research and in clinical practice and occupational health care settings, both before and after employees have returned to work.     

Discrepancies between chronological age and personal age as a reflection of unrelieved worker stress

Abstract

The general proposition that stress-related variables will be associated with discrepancies between chronological age and perceived personal age of working adults was examined. Responses from a field survey of day, afternoon, and night fixed-shift workers in a large manufacturing organization (n = 1674) were used to explore the relationships between a variety of reported stress-related variables and personal age constructs. Discrepancies between perceived personal age and chronological age were reported by a large proportion of the workers surveyed. Three categories of stress-related variables each accounted for a significant proportion of the variance in discrepancies. As hypothesized, the reported presence of stressors and the frequency/extent of strains (stress-related outcomes) were positively correlated with feeling older than one's chronological age. In addition, the reported presence of support mechanisms for coping with stressors was negatively correlated with feeling older than one's chronological age. The manner in which work and non-work stress may impinge upon personal age perceptions is discussed, and appropriate avenues for future research in this domain are considered.     

A re-analysis of the occupational stress indicator

Abstract

This paper investigates the reliability of the Occupational Stress Indicator (OSI). Data from a sample of university staff, drawn from all areas of an urban university, are used to reassess the apparently low reliabilities of many of the OSI subscales reported by Cooper et al. (1988). In addition, factor analysis results are reported for the first time for the sources of pressure data. The reliability data reported here, while higher reliabilities than originally obtained, remain unacceptably low. A lack of stability in the device as it is currently formulated seems apparent. The paper also presents for the first time a detailed analysis of the sources of pressure scale, indicating a solution different from that proposed by Cooper et al. (1988). Certain areas of the OSI clearly need refinement; the inclusion of locus of control and type A behaviour as personality variables in particular is called into question. Observations regarding the particular strengths and weaknesses of this device, and suggestions for future refinements, are offered.