Kenneth B. Matheny

Stress Coping A Qualitative and Quantitative Synthesis with Implications for Treatment

This article presents a two-pronged attempt to synthesize the research on stress coping: (1) a review of models and taxonomies of behaviors and resources related to stress coping and (2) a meta-analysis of recent experimental and quasi- experimental studies of stress coping. The review led to the construction of a taxonomy and, in conjunction with the meta-analysis, to a comprehensive model of stress coping in two parts (stress and coping). In the meta-analysis an unbiased effect size of .57 was obtained by comparing groups administered treatments to reduce stress with comparison groups. Social skills training, problem solving, cognitive restructuring, and relaxation training appeared to be among the more effective treatments. In comparing the frequency of treatments identified in the meta-analysis with those in the taxonomy, some treatment domains (such as problem solving) were well represented in the taxonomy but appeared infrequently in the meta-analysis. Implications for stress-coping treatment and research are offered.

Influence of mood and adjustment to cancer on compliance with chemotherapy among breast cancer patients

Approximately 75% of the 181,000 breast cancer patients newly diagnosed in 1992 will survive for at least 5 yr, but survival often depends on receiving adjuvant chemotherapy. We determined that mood variables and attitude toward cancer could predict compliance with IV-administered chemotherapy. The participants were seventy-four women diagnosed with primary breast cancer receiving treatment at a state-supported medical center in one of three southeastern metropolitan areas in the U.S. Most patients were members of minority and lower socioeconomic groups. The design was prospective in the sense that mood and attitude variables were assessed before determination of compliance. Two psychological instruments were used in this study, the Mental Adjustment to Cancer (MAC) Scale and the Affects Balance Scale (ABS). Patients who kept fewer than 85% of their appointments were classified as noncompliant; those keeping 85% or more were classified as compliant. Sixty-three percent of the patients for whom the compliance information was complete were classified as compliant; 37% were noncompliant; and four patients were not included in the analysis because their records were incomplete. The discriminant function was able to correctly classify 86% of the patients according to chemotherapy compliance, a 36% improvement over the chance level. High scores on MAC Fighting Spirit and ABS Anxiety, Depression, and Vigor scales were associated with greater adherence to a chemotherapy regimen. High scores on ABS Guilt and Hostility scales predicted lower levels of compliance.

Perceived Stress and Coping Resource Availability as Predictors of Life Satisfaction in Young, Middle-Aged, and Older Adults

Global satisfaction with life across three age groups (18 to 40 years, 41 to 65 years, and 66 years and above) was investigated. Multiple regressions were computed to examine the separate and joint effects of per ceived stress and coping resource availability upon life satisfaction across the three age groups (N = 189). Age differences in perceived stress, coping resource availability, and life satisfaction, were also investigated. Results of this cross-sectional investigation indicated that self-appraisal measures of perceived stress and coping resource effectiveness served as moderate predictors of global life satisfaction, and that for the total sample the combined effects of perceived stress and coping resource effectiveness were better predictors of life satisfaction than either variable considered separately. Perceived stress was found to be a better predictor of life satisfaction for younger adults, and coping resource effectiveness was a better predictor of satisfaction with life for middle aged and older adults. Significant age differences in life satisfaction, perceived stress, and coping resources were also found. The assessment of perceived stress and coping has important implications for life satisfaction among all age groups, and has particular significance to older adults. By identifying age differences in variables associated with satisfaction with life, more effective efforts can be made to promote physical and psychological well-being in late adulthood.Global satisfaction with life across three age groups (18 to 40 years, 41 to 65 years, and 66 years and above) was investigated. Multiple regressions were computed to examine the separate and joint effects of perceived stress and coping resource availability upon life satisfaction across the three age groups (N = 189). Age differences in perceived stress, coping resource availability, and life satisfaction, were also investigated. Results of this cross-sectional investigation indicated that self-appraisal measures of perceived stress and coping resource effectiveness served as moderate predictors of global life satisfaction, and that for the total sample the combined effects of perceived stress and coping resource effectiveness were better predictors of life satisfaction than either variable considered separately. Perceived stress was found to be a better predictor of life satisfaction for younger adults, and coping resource effectiveness was a better predictor of satisfaction with life for middle-aged and older adults. Significant age differences in life satisfaction, perceived stress, and coping resources were also found. The assessment of perceived stress and coping has important implications for life satisfaction among all age groups, and has particular significance to older adults. By identifying age differences in variables associated with satisfaction with life, more effective efforts can be made to promote physical and psychological well-being in late adulthood.

Predictors of smoking cessation and maintenance

A follow-up study of 263 volunteers who had completed a national smoking cessation program was conducted to measure the relative contribution of stress coping resources, smoking history, loci, for health control, and certain demographic factors to the maintenance of smoking cessation. Stress coping resources and smoking history variables proved to be more predictive of the maintenance of abstinence than either perceived locus of control or demographic variables. Coping resources in the forms of perceived confidence, physical health, physical fitness, problem solving, self-directedness, and tension control were useful in predicting abstinence maintenance. Contrary to some earlier studies, no gender differences in relapse rates were found, and smoking a greater number of cigarettes daily and smoking cigarettes with a higher tar content were related to greater success in maintaining smoking abstinence. As was found in previous studies, the presence of other smokers in the household contributed to relapse.

Coping Resources, Perceived Stress, and Life Satisfaction Among Turkish and American University Students

This study investigated coping resources (Coping Resources Inventory for Stress), perceived stress (Perceived Stress Scale), and life satisfaction (Satisfaction with Life Scale) among American and Turkish university students. Results support the use of transactional stress constructs in studying life satisfaction with students in both countries. American and Turkish students did not differ significantly in regard to perceived stress, life satisfaction, or an overall measure of coping resources; however, they did differ significantly regarding specific coping resources. Variables entering regression models for predicting life satisfaction differed for students in the two countries and for the sexes within countries, and these models accounted for between 30% and 62% of variance. Social support and a sense of financial freedom were particularly useful in predicting life satisfaction. Coping resources accounted for 54% of variance in perceived stress. There were significant sex differences for both countries, generally favoring males, in regard to specific coping resources.

Stress in school-aged children and youth

This article reviews the literature on stress in students of grades 1–12. A model to understand stress as the inequality between perceived demands and perceived resources is presented. Student stressors are identified in the family and school environments. Coping with these stressors is conceptualized as problem-focused, emotion-focused, or appraisal-focused strategies that make use of personal, social, and cognitive resources. Physical, emotional, and behavioral symptoms of ineffectual coping efforts are then identified. After gender differences in stressors and coping are noted, instruments measuring stressors, coping strategies, and coping resources in children and youth are reviewed. Finally, representative intervention programs developed for school-aged youth are described and evidence of their efficacy is presented. The article concludes that there is a paucity of research on stress in children as compared to research on stress in adults.

Control, Desirability, and Anticipation as Moderating Variables Between Life Change and Illness

A growing body of literature supports a relationship between life change events and illness. The present study is an investigation of cognitive processes which moderate the life change-illness relationship. The moderator variables chosen for this study were perceived control, desirability, and anticipation of life change events. One hundred and twenty-six subjects (65 males, 61 females) reported illness using the Seriousness of Illness Rating Scale, and life change events using the Schedule of Recent Experiences, adapted to collect data on the moderator variables. Correlation coefficients were computed for all conditions reflecting the presence of positive and negative moderator variables. Each of the negative moderator variables was related to significant changes (p less than .05 and p less than .01) in the strength of the life change-illness relationship, with perceived control emerging as a variable with the greatest impact in all cases. Two unexpected findings emerged: (1) The relationship between life change and illness was much stronger for females than for males in all comparisons, and (2) for females only, desirable events were positively related to illness. The evidence of this study supports the contention that stress management strategies should include considerations of cognitive variables which moderate the life change-illness relationship.

Academic improvement through an experimental classroom management system

Abstract An experimental classroom management system involving contingency management, individualized instruction, peer assistance, and teacher adoption of the role of a manager of learning activities was employed in 25 Appalachian classrooms. The system appeared to be responsible for raising the number of students who made one months achievement in reading for one month in the classroom from 27.5% to 57% over a seven-month period. Student success was related to the degree to which teachers implemented the various aspects of the management system. The system was ineffective in influencing student attendance. Students profiting most from the system tended to increase their sense of control over events happening to them. The study raises hope that improvements in instruction will be accompanied by improvements in the academic achievement of students.

The effects of self-induced mood states on behavior and physiological arousal.

The effects of reading emotionally loaded statements on behavioral tasks and physiological measures were investigated. Statements were constructed to arouse elation, depression, or neutrality. Ss were both pre- and posttested on Writing Speed, Reaction Time, Decision Time, and Spontaneous Verbalizations. Base rates were obtained for heart rate and galvanic skin response. Elation Ss significantly outperformed both Neutral and Depression Ss on the Reaction Time task. Scores for Neutral Ss fell between those of Elation and Depression Ss on three of the four behavioral measures. No significant differneces were found on the physiological measures.

A model linking diverse women's child sexual abuse history with sexual risk taking

The purpose of our study was to examine the role that child sexual abuse may play in body surveillance and sexual risk behaviors among undergraduate women. First, a measured variable path analysis was conducted, which assessed the relations among a history of child sexual abuse, body surveillance, and sexual risk behaviors. Furthermore, body shame, sexual self-efficacy, and alexithymia were examined as intervening variables. Second, a multigroup path analysis was conducted comparing the hypothesized models applied to data from 556 ethnically diverse women. Within the overall model, results revealed that a history of child sexual abuse and body surveillance were not related to one another, but both variables were directly related to sexual risk behaviors. Moreover, body shame mediated the relationship between body surveillance and alexithymia, and alexithymia mediated the relationship between body shame and sexual self-efficacy. Child sexual abuse history was related directly with body shame and alexithymia. Results from the multigroup path analysis revealed that the model was invariant between African American and White women, although one difference emerged: body surveillance significantly predicted alexithymia in White, but not African American, women. Furthermore, White, Asian/Pacific Islander, and Hispanic/Latina women demonstrated more body shame than African American women, and White women endorsed higher levels of sexual self-efficacy than African American and Asian/Pacific Islander women. Counseling interventions that seek to decrease alexithymic symptoms, body surveillance, and body shame, while also increasing sexual self-efficacy, seem especially warranted.