Coping strategies in relatives of people with schizophrenia before and after psychiatric admission

1999 ◽  
Vol 174 (2) ◽  
pp. 154-158 ◽  
Author(s):  
Marcia Scazufca ◽  
Elizabeth Kuipers

BackgroundMost research on expressed emotion (EE) has used an empirical approach to describe relatives' ways of coping with people with schizophrenia.AimsTo use the stress and coping model proposed by Lazarus and Folkman to examine how relatives coped with patients.MethodPatients with DSM–III–R schizophrenia and their relatives were assessed just after hospitalisation of the patients and nine months after discharge. Both assessments included the symptoms of the patients and the coping strategies, burden, distress and levels of EE of the relatives.ResultsFifty patients and 50 relatives were assessed at inclusion, and 31 patients and 36 relatives at follow-up. Coping strategies were used more frequently at inclusion than at follow-up. Problem-focused coping was the strategy used more often at both assessments. Avoidance coping was strongly associated with burden, distress and high EE at both assessments.ConclusionsWays of coping are influenced by relatives' perceptions of the situation with patients. Avoidance strategies seem to be less effective in regulating the distress of care-givers than problem-focused strategies.

2013 ◽  
Vol 27 (2) ◽  
pp. 143-155 ◽  
Author(s):  
Meghan H. McDonough ◽  
Valerie Hadd ◽  
Peter R.E. Crocker ◽  
Nicholas L. Holt ◽  
Katherine A. Tamminen ◽  
...  

This study qualitatively examined the congruence between anticipated and experienced stressors and coping, and approaches to coping by elite adolescent swimmers across a competitive season. Eight swimmers were interviewed before and after 4 swim meets in a season. Data collection and analysis were guided by theories of stress and coping. Accuracy of anticipating stressors was low, and the stressors and coping strategies were variable across the season. Idiographic profiles were created for each athlete and grouped according to similar characteristics. Three groups included athletes who (a) generally perceived stressors as something to be avoided, (b) generally perceived stressors as problems to be solved, or (c) generally perceived swimming as fun and minimally stressful. These patterns appeared to be associated with anticipating stressors, highlighting the complex and dynamic nature of stress and coping among adolescent athletes.


Author(s):  
Edward C. Chang

This chapter explores cultural differences in coping, and focuses on the coping strategies and styles of Asian Americans by applying various models of coping (including Lazarus and Folkman’s stress and coping model, Epstein’s constructive thinking model, and D’Zurilla’s rational coping model)


2021 ◽  
Vol 10 (17) ◽  
pp. 3916
Author(s):  
Roman Kotas ◽  
Marta Nowakowska-Kotas ◽  
Sławomir Budrewicz ◽  
Anna Pokryszko-Dragan

Objectives: Stress is supposed to be linked with a background of multiple sclerosis (MS) and the disease course. Design: The study aimed to assess the level of stress and coping strategies in MS patients within a year of follow-up and to investigate the relationships between these aspects and factors related—or not—to MS. Methods: In 65 patients with MS, the Perceived Stress Scale (PSS-10), Type D Scale (DS14) and Coping Orientations to Problems Experienced (COPE) were performed at baseline and after a year. Baseline PSS-10, DS-14 and COPE scores were analyzed with regard to demographics, MS duration, treatment, indices of disability and self-reported stressful events (SEs). Final PSS-10 and COPE results were analyzed with reference to MS activity and SE within a year of follow-up. Results: Initially, 67% of patients reported a moderate or high level of stress and 31% met Type-D personality criteria. Diverse coping strategies were preferred, most of which were problem-focused. The negative affectivity DS-14 subscore (NEG) was correlated with disability level. Non-health-related SEs were associated with higher PSS-10 and NEG scores. After a year, the mean PSS-10 score decreased, while COPE results did not change significantly. Non-health-related SEs were associated with a higher PSS-10 score and less frequent use of acceptance and humor strategies. Those with an active vs. stable MS course during the follow-up did not differ in terms of PSS-10 and COPE results. Conclusions: MS patients experienced an increased level of stress. No significant relationships were found between stress or coping and MS course within a year. Non-health-related factors affected measures of stress more than MS-related factors.


1987 ◽  
Vol 11 (3) ◽  
pp. 359-366 ◽  
Author(s):  
Dona Alpert ◽  
Amy Culbertson

Comparisons were made of dual-earner and nondual-earner women's stress and coping strategies. A questionnaire was developed from the Hassles Scale (Kanner, Coyne, Schaefer, & Lazarus, 1981) and the Ways of Coping Checklist (Folkman & Lazarus, 1980). Dual-earner women reported significantly more hassles than nondual-earner women. However, there were no significant differences on intensity level of these hassles. Several between- and within-group differences on coping strategies were found. Both groups tended to use more problem-focused coping strategies than emotion-focused coping strategies and, contrary to expectations, both groups expressed overall satisfaction with their coping strategies.


1990 ◽  
Vol 157 (2) ◽  
pp. 221-227 ◽  
Author(s):  
K. D. Bledin ◽  
B. Maccarthy ◽  
L. Kuipers ◽  
R. T. Woods

Twenty-five women who were the primary carers for a parent with dementia were rated for expressed emotion (EE) and then divided into two groups: 11 with low-EE ratings and 14 with high-EE ratings. Although there were no differences between these groups in the levels of their parents' cognitive impairment, when such impairment was taken into account, high-EE subjects were found to report higher levels of strain and distress. More efficient coping strategies were reported by subjects who made fewer critical comments and more positive remarks. High-EE subjects more frequently had no living siblings, and were more likely to have had a respite break from caring. EE status was not associated with continuing care in the community at a nine-month follow-up.


2011 ◽  
Author(s):  
Shih-Wei Chan ◽  
Feng-Chun Tasi ◽  
Shu-Pin Tseng ◽  
Frank Jing-Horng Lu

Sign in / Sign up

Export Citation Format

Share Document