Positivity and coping in patients with adjustment disorder

Authors

  • Beatriz Vallejo-Sánchez Unidad de Salud Mental del Hospital Santa Bárbara, Puertollano, Ciudad Real
  • Ana M. Pérez-García Universidad Nacional de Educación a Distancia (UNED) http://orcid.org/0000-0002-2666-4062
DOI: https://doi.org/10.6018/analesps.31.2.176631
Keywords: Positivity, coping, stress, adjustment disorder

Abstract

Positivity construct refers to the propensity to think positively about oneself, life and the future, being closely related to wellbeing and health. Moreover, coping strategies used to manage stress have an important role in the development of mental health problems, one of which is adjustment disorder (AD).

The aim of this study was: Firstly, to analyze the differences in positivity, coping, and some relevant socio-demographic variables between the clinical (formed by patients with AD; N=57) and the control (N=66) groups; and secondly, to analyze whether these variables could predict, using binary logistic regression, the participants’ membership to the clinical or the control group.

The clinical group showed less positivity and a greater use of disengagement strategies compared to the control group. Furthermore, the variables assessed were able to predict the clinical or control group membership with a 91% of success rate. The main risk factors to belong to the clinical group were the use of social support coping and disengagement strategies; whereas active employment status, the use of humor, positivity and younger age decreased this risk.

Downloads

Download data is not yet available.

Author Biographies

Beatriz Vallejo-Sánchez, Unidad de Salud Mental del Hospital Santa Bárbara, Puertollano, Ciudad Real

Facultativo Especialista de Área de Psicología Clínica

Ana M. Pérez-García, Universidad Nacional de Educación a Distancia (UNED)

Catedrática de Psicología de la Personalidad.

Dpto. de Personalidad, Evaluación y Tratamiento Psicológicos

References

Akechi, T., Okuyama, T., Imoto, S., Yamawaki, S. y Uchitomi, Y. (2001). Biomedical and psychosocial determinants of psychiatric morbidity among postoperative ambulatory breast cancer patients. Breast Cancer Research and Treatment, 65, 195–202. doi: 10.1023/A:1010661530585

Alessandri, G., Caprara, G.V. y Tisak, J. (2012). The unique contribution of positive orientation to optimal functioning: Further explorations. European Psychologist, 17, 44-54. doi: 10.1027/1016-9040/a000070

Alessandri, G., Vecchione, M., Tisak, J., Deiana, G., Caria, S. y Caprara, G.V. (2012). The utility of Positive Orientation in predicting job performance and organizational citizenship behaviors. Applied Psychology, 61, 669–698. doi: 10.1111/j.1464-0597.2012.00511.x

American Psychiatric Association (APA) (2000). Diagnostic and Statistical Manual of Mental Disorders, 4th Ed, Text Revised (DSM-IV-TR). Washington, D.C.: APA.

Artazcoz, L., Escribà-Agüir, V. y Cortès, I. (2004). Género, trabajos y salud en España. Gaceta Sanitaria, 18, 24-35. http://www.elsevier.es/es/revistas/gaceta-sanitaria-138

Aspinwall, L.G. y Taylor, S.E. (1992). Modeling cognitive adaptation: A longitudinal investigation of the impact of individual differences and coping on college adjustment and performance. Journal of Personality and Social Psychology, 63, 989-1003. doi: 10.1037/0022-3514.63.6.989

Bandura, A. (1997). Self-efficacy: The exercise of control. New York: W.H. Freeman.

Beck, A.T., Brown, G.K., Steer, R.A., Kuyken, W. y Grisham, J. (2001). Psychometric properties of the Beck Self-Esteem Scales. Behavior Research and Therapy, 39, 115–124. doi: 10.1016/S0005-7967(00)00028-0

Boehm, J. K., Peterson, C., Kivimaki, M. y Kubzansky, L. D. (2011). Heart health when life is satisfying: Evidence from the Whitehall II cohort study. European Heart Journal, 32, 2672-2677. doi: 10.1093/eurheartj/ehr203

Brenner, K., St-Hilaire, A., Liu, A., Laplante, D.P. y King, S. (2011). Cortisol response and coping style predict quality of life in schizophrenia. Schizophrenia Research, 128, 23–29. doi: 10.1016/j.schres.2011.01.016

Cano, A. (2005). Control emocional, estilo represivo de afrontamiento y cáncer: ansiedad y cáncer. Psicooncología, 2, 71-80. http://revistas.ucm.es/index.php/PSIC/article/view/PSIC0505120071A/16099

Caprara, G. V. (2011). Orientación Positiva y sus implicaciones para la salud y el éxito académico y laboral. Conferencia impartida en la Facultad de Psicología de la UNED, Madrid, 22 de Mayo.

Caprara, G.V., Alessandri, G., y Barbaranelli, C. (2010). Optimal functioning: contribution of self-efficacy beliefs to positive orientation. Psychotherapy and Psychosomatics, 79, 328-330. doi: 10.1159/000319532

Caprara, G.V., Alessandri, G., Eisenberg, N., Kupfer, A., Steca, P., Caprara, M.G., Yamaguchi, S., Fukuzawa, A. y Abela, J. (2012). The Positivity Scale. Psychological Assessment, 24, 701-712. doi: 10.1037/a0026681

Caprara, G. V., Fagnani, C., Alessandri, G., Steca, P., Gigantesco, A., Cavalli Sforza, L. L. y Stazi, M. A. (2009). Human optimal functioning: The genetics of Positive Orientation towards self, life, and the future. Behaviour Genetics, 39, 277-284. doi: 10.1007/s10519-009-9267-y

Caprara, G.V. y Steca, P. (2005). Affective and social self-regulatory efficacy beliefs as determinants of positive thinking and happiness. European Psychologist, 4, 275-286. doi: 10.1027/1016-9040.10.4.275

Caprara, G. V., Steca, P., Alessandri, G., Abela, J. R. Z. y McWhinnie, C. M. (2010). Positive Orientation: Explorations of what is common to Life Satisfaction, Self-Esteem, and Optimism. Epidemiology and Psychiatric Sciences, 19, 63-71. http://journals.cambridge.org/data/journal/CJO%20masthead_updated3.jpg

Carver, C. S. (1997). You want to measure coping but your protocol’s too long: Consider the Brief COPE. International Journal of Behavioral Medicine, 4, 92-100. doi: 10.1207/s15327558ijbm0401_6

Carver, C. S. y Connor-Smith, J. (2010). Personality and coping. Annual Review of Psychology, 61, 679-704. doi: 10.1146/annurev.psych.093008.100352

Carver, C. S., Scheier, M. F. y Weintraub, J. K. (1989). Assessing coping strategies: A theoretically based approach. Journal of Personality and Social Psychology, 56, 267-283. doi: 10.1037//0022-3514.56.2.267

Casey, P., Dowrick, C. y Wilkinson, G. (2001). Adjustment disorders: Fault line in the psychiatric glossary. British Journal of Psychiatry, 179, 479-481. doi: 10.1192/bjp.179.6.479

Cava, M.J. y Musitu, G. (2001). Autoestima y percepción del clima escolar en niños con problemas de integración social en el aula. Revista de Psicología General y Aplicada, 54, 297-311. http://www.uv.es/lisis/mjesus/7cava.pdf

Cava, M.J., Musitu, G. y Vera, A. (2000). Efectos directos e indirectos de la autoestima en el ánimo depresivo. Revista Mexicana de Psicología, 17, 151-161. http://www.uv.es/~lisis/mjesus/5cava.pdf

Cheng, C. (2003). Cognitive and Motivational Processes Underlying Coping Flexibility: A Dual-Process Model. Journal of Personality and Social Psychology, 84, 425-438. doi: 10.1037//0022-3514.84.2.425

Cheng, C., Hui, W. y Lam, S. (1999). Coping style of individuals with functional dyspepsia. Psychosomatic Medicine, 61, 789-795. http://www.psychosomaticmedicine.org/content/61/6/789.full.pdf+html

Chico, E. (2002). Optimismo disposicional como predictor de estrategias de afrontamiento. Psicothema, 14, 544-550. http://www.psicothema.com/psicothema.asp?id=763

Diener, E., Emmons, R., Larsen, R. J. y Griffin, S. (1985). The Satisfaction with Life Scale. Journal of Personality Assessment, 49, 71-75. doi: 10.1207/s15327752jpa4901_13

Diener, E. y Seligman, M. E. P. (2002). Very happy people. Psychological Science, 13, 80-83. doi: 10.1111/1467-9280.00415

Escrig, J., Miralles, J.M., Martínez. D. y Rivadulla, I. (2007). Intervalos de confianza: por qué usarlos. Cirugía Española, 81, 121-125. http://www.sciencedirect.com/science/article/pii/S0009739X07712812

Figueroa, M. I., Contini, N., Lacunza, A. B., Levín, M. y Estévez, A. E. (2005). Las estrategias de afrontamiento y su relación con el nivel de bienestar psicológico. Un estudio con adolescentes de nivel socioeconómico bajo de Tucumán (Argentina). Anales de Psicología, 21, 66-72. http://revistas.um.es/analesps/article/view/27171/26351

Folkman, S., Lazarus, R.S., Gruen, R. y DeLongis, A. (1986). Appraisal, coping, health status and psychological symptoms. Journal of Personality and Social Psychology, 50, 571-79. doi: 10.1037/0022-3514.50.3.571

Gärling, T., y Gamble, A. (2012). Influences on current mood of eliciting life-satisfaction judgments. The Journal of Positive Psychology: Dedicated to furthering research and promoting good practice, 7, 219-229. doi: 10.1080/17439760.2012.674547

González, S., Fernández, C., Pérez J. y Amigo, I. (2007). Variables predictoras de los resultados de un programa de prevención secundaria de la depresión. International Journal of Psychology and Psychological Therapy, 7, 13-26. http://www.ijpsy.com/volumen7/num1/155.html

Guo, X. F., Xue, Z. M., Zhao, J. P. y Liu, Z. N. (2005). Coping style, social support and personality in patients with comorbid major depression and anxiety. Chinese Journal of Clinical Psychology, 13, 221-222. http://caod.oriprobe.com/articles/630088/Coping_Style__Social_Support_and_Personality_in_Patients_with_Comorbid.htm

Harter, S. (1993). Causes and consequences of low self-esteem in children and adolescents. En R. F. Baumeister (Ed.), Self-esteem: The puzzle of low self-regard (pp. 87-116). New York: Plenum. doi: 10.1007/978-1-4684-8956-9_5

Jiménez-Torres, M.G., Martínez, M.P., Miró, E. y Sánchez, A.I. (2012). Relación entre estrés percibido y estado de ánimo negativo: diferencias según el estilo de afrontamiento. Anales de psicología, 28, 28-36. http://revistas.um.es/analesps/article/view/140492/126582

Judge, T. A. y Bono, J. E. (2001). Relationship of core self-evaluations traits— self-esteem, generalised self-efficacy, locus of control, and emotional stability— with job satisfaction and job performance: A meta-analysis. Journal of Applied Psychology, 86, 80-92. doi: 10.1037/0021-9010.86.1.80

Kim, K. I., Won, H., Liu, X., Liu, P. y Kitanishi, K. (1997). Students’ stress in China, Japan and Korea: A transcultural study. International Journal of Social Psychiatry, 43, 87–94. doi: 10.1177/002076409704300202

Kohlmann, C.W. (1993). Development of the repression-sensitization construct: With special reference to the discrepancy between subjetive and physiological stress reactions. En H. Hentschel, G. Smith, W. Ehlers y J.G. Draguns (Eds.), The concept of defense mechanisms in contemporary psychology (pp. 184-204). New York: Springer Verlag. doi: 10.1007/978-1-4613-8303-1_12

Lara, S. y Kirchner, T. (2012). Estrés y afrontamiento en pacientes afectados de esclerosis múltiple. Estudio comparativo con población comunitaria. Anales de Psicología, 28, 358-365. http://revistas.um.es/analesps/article/view/analesps.28.2.148811/132641

Lazarus, R. S., y Folkman, S. (1984). Stress, appraisal, and coping. New York, NY: Springer.

Lazarus, R.S., y Folkman, S. (1987). Transactional theory and research on emotions and coping. European Journal of Personality, 1, 141-169. doi: 10.1002/per.2410010304

Li, R., Cooper, C., Bradley, J., Shulman, A. y Livingston, G. (2012). Coping strategies and psychological morbidity in family careers of people with dementia: A systematic review and meta-analysis. Journal of Affective Disorders, 139, 1-11. doi: 10.1016/j.jad.2011.05.055

Lyubomirsky, S., King, L. A. y Diener, E. (2005). The benefits of frequent positive affect: Does happiness lead to success? Psychological Bulletin, 131, 803–851. doi: 10.1037/0033-2909.131.6.803

Mann, M., Hosman, C.M.H., Schaalma, H P. y De Vries, N.K. (2004). Self-esteem in a broad-spectrum approach for mental health promotion. Health Education Research, 19, 357-372. doi: 10.1093/her/cyg041

Marín, C.A., Palacio, Y.J., Orrego, Y. y Aguirre, D.C. (2008). Descripción del estado de salud mental y estrategias de afrontamiento en víctimas de asalto a mano armada en la ciudad de Medellín (Colombia). International Journal of Psychological Research, 1, 31-40. http://mvint.usbmed.edu.co:8002/ojs/index.php/web/article/view/421/412

Martínez-Correa, A., Reyes del Paso, G., García-León, A. y González-Jareño, M.I. (2006). Optimismo/pesimismo disposicional y estrategias de afrontamiento del estrés. Psicothema, 18, 66-72. http://www.psicothema.com/psicothema.asp?id=3177

Matud, M.P. (2005). Diferencias de género en los síntomas más comunes de salud mental en una muestra de residentes en Canarias, España. Revista Mexicana de Psicología, 22, 395-403. http://www.redalyc.org/pdf/2430/243020634004.pdf

Mazokopakis, E.E., Vlachonikolis, I.G., Sgantzos, M.N., Polychronidis, I.E., Mavreas, V.G. y Lionis, C.D. (2002). Mental distress and sociodemographic variables: A study of Greek warship personnel. Military Medicine, 167, 883-888.

Miller, S. (1987). Monitoring and blunting: Validation of a questionnaire to assess styles of information-seeking under threat. Journal of Personality and Social Psychology, 52, 345-353. doi: 10.1037/0022-3514.52.2.345

Miracco, M.C., Rutsztein, G., Lievendag, L., Arana, F.G., Scappatura, M.L., Elizathe, L. y Keegan, E. (2010). Estrategias de afrontamiento en mujeres maltratadas: la percepción del proceso por parte de las mujeres. Anuario de Investigaciones, 17, 59-67. http://www.scielo.org.ar/pdf/anuinv/v17/v17a06.pdf

Moos, R.H. (1988). Life stressors and coping resources influence health and well being, Evaluación Psicológica, 4, 133-158.

Morán, C., Landero, R. y González, M.T. (2010). COPE-28: un análisis psicométrico de la versión en español del Brief COPE. Universitas Psychologica, 9, 543-552. http://revistas.javeriana.edu.co/sitio/psychologica/sccs/articulo.php?id=285

Organización Mundial de la Salud (OMS) (2004). Prevención de los Trastornos Mentales. Intervenciones efectivas y opciones de políticas. Informe compendiado. Ginebra:OMS.http://www.who.int/mental_health/evidence/Prevention_of_mental_disorders_spanish_version.pdf

Pérez-García, A.M. (2008). Versión española de la escala Brief-COPE de Carver (1997). Documento del Departamento de Personalidad, Evaluación y Tratamiento Psicológicos. Madrid: UNED.

Perona, S. y Galán, A. (2001). Estrategias de afrontamiento en psicóticos: Conceptualización y resultados de la investigación. Clínica y Salud, 12, 145-178. http://www.copmadrid.org/webcopm/resource.do?recurso=4000/&numero=2001122

Quintanilla, R., Valadez, I., Valencia, S. y González, J.M. (2005). Estrategias de afrontamiento en pacientes con tentativa suicida. Investigación en Salud, 7, 112-116. http://www.medigraphic.com/pdfs/invsal/isg-2005/isg053g.pdf

Ramírez, C., Esteve, R. y López, A.E. (2001). Neuroticismo, afrontamiento y dolor crónico. Anales de Psicología, 17, 129-137. http://revistas.um.es/analesps/article/view/29131/28191

Randolph, J.J y Arnett, P.A.(2005). Depression and fatigue in relapsing-remitting MS: the role of symptomatic variability. Multiple Sclerosis, 11, 186-190. doi: 10.1191/1352458505ms1133oa

Rodríguez-Fernández, A. y Goñi-Grandmontagne, A. (2011). La estructura tridimensional del bienestar subjetivo. Anales de Psicología, 27, 327-332. http://revistas.um.es/analesps/article/view/122931/115561

Ruiz, M.A., Sanjuán, P., Pérez-García, A.M. y Rueda, B. (2011). Relations between life satisfaction, adjustment to illness, and emotional distress in a sample of men with ischemic cardiopathy. The Spanish Journal of Psychology, 14, 356-365. doi: 10.5209/rev_SJOP.2011.v14.n1.32

Ruthig, J.C., Perry, R.P., Hall, N.C. y Hladkyj, S. (2004). Optimism and attributional retraining: Longitudinal effects on academic achievement, test anxiety, and voluntary course withdrawal in college students. Journal of Applied Social Psychology, 34, 709-730. doi: 10.1111/j.1559-1816.2004.tb02566.x

Sandín, B. (1995). El estrés. En A. Belloch, B. Sandín y F. Ramos (Comps.), Manual de Psicopatología (cap. 11, pp. 1-52). Madrid: McGraw-Hill.

Scheier, M.F. y Carver, C.S. (1987). Dispositional optimism and physical well-being: the influence of generalized outcome expectancies on health. Journal of Personality, 55, 169-210. doi: 10.1111/j.1467-6494.1987.tb00434.x

Scheier, M.F. y Carver, C.S. (1992) Effects of optimism on psychological and physical well-being: Theoretical overview and empirical update. Cognitive Therapy and Research, 16, 201-228. doi: 10.1007/BF01173489

Seiffge-Krenke, L. y Klessinger, N. (2000). Long-term effects of avoidant coping on adolescents' depressive symptoms. Journal of Youth and Adolescence, 29, 617-630.

Seligman, M. (2003). La auténtica felicidad. Barcelona: Vergara.

Seligman, M. y Csikszentmihalyi, M. (2000). Positive Psychology: An introduction. American Psychologist, 55, 5-14. doi: 10.1037//0003-066X.55.1.5

Terry, D.J. (1991). Stress, coping, and adaptation to new parenthood. Journal of Personal and Social Relationships, 8, 527-547. doi: 10.1177/026540759184005

Veenhoven, R. (1994). El estudio de la satisfacción con la vida. Intervención Psicosocial, 3, 87-116. http://www.copmadrid.org/webcopm/resource.do?recurso=5000

World Health Organization (WHO) (1992). International classification of diseases and related health problems, 10th revision. Ginebra: WHO.

Published
25-04-2015
How to Cite
Vallejo-Sánchez, B., & Pérez-García, A. M. (2015). Positivity and coping in patients with adjustment disorder. Anales de Psicología / Annals of Psychology, 31(2), 462–471. https://doi.org/10.6018/analesps.31.2.176631
Issue
Section
Clinical and Health Psychology

Most read articles by the same author(s)

Publication Facts

Metric
This article
Other articles
Peer reviewers 
2
2.4

Reviewer profiles  N/A

Author statements

Author statements
This article
Other articles
Data availability 
N/A
16%
External funding 
N/A
32%
Competing interests 
N/A
11%
Metric
This journal
Other journals
Articles accepted 
52%
33%
Days to publication 
683
145

Indexed in

Editor & editorial board
profiles
Academic society 
N/A
Publisher 
Editum - Servicio de Publicaciones de la Universidad de Murcia (España)