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Copyright © 2015 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill
Education.
Coping, Resilience, and Social Support
Copyright © 2015 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill
Education.
•Coping with stress and resilience
•Coping and external resources
•Coping outcomes
•Coping interventions
•Social support
2
Copyright © 2015 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill
Education.
•Stress moderators: Modify how stress is
experienced and the effects it has
•Coping: Managing the internal and external
demands of stressful situations using thoughts
and behaviors
•Characteristics
•Determines outcome
•Variety in Coping is related to good outcome
3
Copyright © 2015 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill
Education.
Stressful
event, its
stage, and
anticipated
future
course
Appraisal and
interpretation
of the stressor
Coping
responses
and
strategies
Coping
tasks
Coping
outcomes
External resources or impediments
• Tangible resources
• Social support
• Major life events and daily
hassles
Internal resources or impediments
• Usual coping style(s)
• Other personality factors that
influence selection of coping
responses and strategies
4
Copyright © 2015 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill
Education.
Negative affectivity
• Marked by anxiety, depression,
and hostility
• Related to:
• Poor health
• All-cause mortality
• Higher levels of stress
indicators
• Associated with poor health
habits
• Do not respond well to
treatments
Positivity and illness
• Promotes better mental and
physical health
• Linked with lower levels of
stress indicators
• Triggers better immune
responses
• Improves coping
5
Copyright © 2015 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill
Education.
•Optimism - Promotes active and persistent
coping efforts
•Psychological control: Belief that one can
exert control over stressful events
•Control-enhancing interventions: Use
information, relaxation, and cognitive-
behavioral techniques to reduce anxiety,
improve coping, and promote recovery
6
Copyright © 2015 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill
Education.
•Self-esteem - Associated with lower levels of
stress indicators
•Conscientiousness
•Self-confidence
•Being smart
•Emotional stability
•Q: Which is linked to longevity?
7
Copyright © 2015 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill
Education.
•Helps individuals bounce back and adapt
flexibly to stressful situations
•Internal resources : Characterized by…
•Sense of coherence and purpose about life
•Sense of humor and trust in others
•Sense that life is worth living
•Religious beliefs
8
Copyright © 2015 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill
Education.
•Tendency to deal with stressful events in a
particular way
•Avoidant coping style: not dealing with the
stressor
•Approach coping style: Coping by gathering
information or directly taking action
9
Copyright © 2015 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill
Education.
•Types of Approach Coping:
•Problem-focused coping: Attempting to do
something constructive about the stressful
conditions
•Examples?
•Emotion-focused coping: Regulates
emotions experienced due to the stressful
event
•Examples?
10
Copyright © 2015 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill
Education.
•Emotional-approach coping: Clarifying,
focusing on, and working through the emotions
in response to a stressor
•Aids in adjusting to chronic conditions and medical
conditions
•Helps manage stress better
•Proactive coping - Anticipating potential
stressors and acting in advance (e.g.,
preparing for birth of baby, doing premarital
counseling)
11
Copyright © 2015 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill
Education.
Time Education Decent job
Friends Family
Standard of
living
Presence of
positive life
events
Absence of
other life
stressors
Socioeconomic
status (SES)
12
Copyright © 2015 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill
Education.
Reducing or eliminating stressors
Tolerating or adjusting to negative events or realities
Maintaining a positive self-image
Maintaining emotional equilibrium
Continuing satisfying relationships with others
Enhancing recovery when ill
Keeping low physiological, neuroendocrine, and immune
reactivity
13
Copyright © 2015 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill
Education.
•Teaches individuals to:
•Have a higher awareness of the present
•Focus on the present and accept it
•Mindfulness-based stress reduction (MBSR) -
Helps people to manage their reactions to
stress and the resulting negative emotions
14
Copyright © 2015 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill
Education.
•Acceptance and commitment therapy (ACT) -
Teaches individuals to:
•Accept the problem
•Be aware of its occurrence and conditions that
cause it
•Change behaviors
15
Copyright © 2015 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill
Education.
•Lowers psychological and physiological
indicators of stress
•Aids in effective coping
•Helps organize thoughts and find meaning
•Helps to focus attention on positive aspects
•Provides an opportunity to clarify emotions
•Affirms one’s personal values
16
Copyright © 2015 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill
Education.
•Helps individuals feel better about
themselves
•Lowers physiological activity and distress
•Undermines defensive reactions to health
threats
17
Copyright © 2015 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill
Education.
•Affects the physiological experience of stress
by reducing arousal
•Deep breathing
•Progressive muscle relaxation training
•Guided imagery
•Transcendental meditation and yoga
•Self hypnosis
18
Copyright © 2015 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill
Education.
•Teaches people how to:
•Assess stressful events
•Disaggregate the stressors into specific tasks
•Encourages people to maintain their social
support
19
Copyright © 2015 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill
Education.
Phases of stress management
•Identify and Monitor Stressors (e.g, Family
triggers
•Identifying stress antecedents
•Avoiding negative self-talk
•Acquiring and practicing skills for coping with
stress
•Practice
20
Copyright © 2015 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill
Education.
•Information from others that one is:
•Loved and cared for
•Esteemed and valued
•Part of a network of communication and
mutual obligations
•Helps reduce stress, cope better, and live
positively
21
Copyright © 2015 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill
Education.
• Provision of material support
• Services, financial assistance, or goods
Tangible assistance
• Providing support through information
Informational support
• Reassuring someone that they are important and cared for
Emotional support
• Helping someone without him or her being aware of it
Invisible support
22
Copyright © 2015 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill
Education.
•Lowers the likelihood of illness
•Speeds up recovery
•Reduces the risk of mortality
•Encourages individuals to use health services
and stick to their medical regimens
•Negative: Can lead to bad health habits,
Underfunction and increase dependency
23
Copyright © 2015 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill
Education.
•Social support has positive effects on the
cardiovascular, endocrine, and immune
systems
•Decreases cortisol responses to stress
•Better immune functioning
•Modifies brain’s responses to stress
24
Copyright © 2015 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill
Education.
•Direct effects hypothesis: Findings indicate
that social support is generally beneficial
during non-stressful as well as stressful times
•Buffering hypothesis: Findings also indicate
that physical and mental health benefits of
social support are chiefly evident during
periods of high stress
•Therefore, both applies. Social support is
healthy generally AND helps us when we are
most stressed!
25
Copyright © 2015 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill
Education.
•Effectiveness of social support depends on
the individual
•Social skills influence the ability to develop
social support
26
Copyright © 2015 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill
Education.
•Good marriage
•Familial support
•Support from the community
•Matching support to the stressor
•Matching hypothesis: Support that meets the
needs of a stressful event is the most
effective support
27
Copyright © 2015 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill
Education.
•Social support is ineffective if the type of
support provided is not useful
•Emotional support is best provided by
someone close to the individual
•Social support is effective when the person
from whom one is seeking support is
perceived to be responsive to one’s needs
(trust)
28
Copyright © 2015 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill
Education.
•Stressful events
•Intrusive social contact
•Controlling or directive support
29
Copyright © 2015 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill
Education.
•Has beneficial effects on mental and physical
health
•Enhancing social support
•Prevents a lot of ailments and problems
•Forms of beneficial social support systems
•Networking/Internet-based systems
•Family-based systems
•Community-based systems
30

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Coping, Resilience and Social Support.ppt

  • 1. Copyright © 2015 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education. Coping, Resilience, and Social Support
  • 2. Copyright © 2015 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education. •Coping with stress and resilience •Coping and external resources •Coping outcomes •Coping interventions •Social support 2
  • 3. Copyright © 2015 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education. •Stress moderators: Modify how stress is experienced and the effects it has •Coping: Managing the internal and external demands of stressful situations using thoughts and behaviors •Characteristics •Determines outcome •Variety in Coping is related to good outcome 3
  • 4. Copyright © 2015 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education. Stressful event, its stage, and anticipated future course Appraisal and interpretation of the stressor Coping responses and strategies Coping tasks Coping outcomes External resources or impediments • Tangible resources • Social support • Major life events and daily hassles Internal resources or impediments • Usual coping style(s) • Other personality factors that influence selection of coping responses and strategies 4
  • 5. Copyright © 2015 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education. Negative affectivity • Marked by anxiety, depression, and hostility • Related to: • Poor health • All-cause mortality • Higher levels of stress indicators • Associated with poor health habits • Do not respond well to treatments Positivity and illness • Promotes better mental and physical health • Linked with lower levels of stress indicators • Triggers better immune responses • Improves coping 5
  • 6. Copyright © 2015 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education. •Optimism - Promotes active and persistent coping efforts •Psychological control: Belief that one can exert control over stressful events •Control-enhancing interventions: Use information, relaxation, and cognitive- behavioral techniques to reduce anxiety, improve coping, and promote recovery 6
  • 7. Copyright © 2015 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education. •Self-esteem - Associated with lower levels of stress indicators •Conscientiousness •Self-confidence •Being smart •Emotional stability •Q: Which is linked to longevity? 7
  • 8. Copyright © 2015 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education. •Helps individuals bounce back and adapt flexibly to stressful situations •Internal resources : Characterized by… •Sense of coherence and purpose about life •Sense of humor and trust in others •Sense that life is worth living •Religious beliefs 8
  • 9. Copyright © 2015 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education. •Tendency to deal with stressful events in a particular way •Avoidant coping style: not dealing with the stressor •Approach coping style: Coping by gathering information or directly taking action 9
  • 10. Copyright © 2015 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education. •Types of Approach Coping: •Problem-focused coping: Attempting to do something constructive about the stressful conditions •Examples? •Emotion-focused coping: Regulates emotions experienced due to the stressful event •Examples? 10
  • 11. Copyright © 2015 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education. •Emotional-approach coping: Clarifying, focusing on, and working through the emotions in response to a stressor •Aids in adjusting to chronic conditions and medical conditions •Helps manage stress better •Proactive coping - Anticipating potential stressors and acting in advance (e.g., preparing for birth of baby, doing premarital counseling) 11
  • 12. Copyright © 2015 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education. Time Education Decent job Friends Family Standard of living Presence of positive life events Absence of other life stressors Socioeconomic status (SES) 12
  • 13. Copyright © 2015 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education. Reducing or eliminating stressors Tolerating or adjusting to negative events or realities Maintaining a positive self-image Maintaining emotional equilibrium Continuing satisfying relationships with others Enhancing recovery when ill Keeping low physiological, neuroendocrine, and immune reactivity 13
  • 14. Copyright © 2015 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education. •Teaches individuals to: •Have a higher awareness of the present •Focus on the present and accept it •Mindfulness-based stress reduction (MBSR) - Helps people to manage their reactions to stress and the resulting negative emotions 14
  • 15. Copyright © 2015 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education. •Acceptance and commitment therapy (ACT) - Teaches individuals to: •Accept the problem •Be aware of its occurrence and conditions that cause it •Change behaviors 15
  • 16. Copyright © 2015 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education. •Lowers psychological and physiological indicators of stress •Aids in effective coping •Helps organize thoughts and find meaning •Helps to focus attention on positive aspects •Provides an opportunity to clarify emotions •Affirms one’s personal values 16
  • 17. Copyright © 2015 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education. •Helps individuals feel better about themselves •Lowers physiological activity and distress •Undermines defensive reactions to health threats 17
  • 18. Copyright © 2015 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education. •Affects the physiological experience of stress by reducing arousal •Deep breathing •Progressive muscle relaxation training •Guided imagery •Transcendental meditation and yoga •Self hypnosis 18
  • 19. Copyright © 2015 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education. •Teaches people how to: •Assess stressful events •Disaggregate the stressors into specific tasks •Encourages people to maintain their social support 19
  • 20. Copyright © 2015 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education. Phases of stress management •Identify and Monitor Stressors (e.g, Family triggers •Identifying stress antecedents •Avoiding negative self-talk •Acquiring and practicing skills for coping with stress •Practice 20
  • 21. Copyright © 2015 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education. •Information from others that one is: •Loved and cared for •Esteemed and valued •Part of a network of communication and mutual obligations •Helps reduce stress, cope better, and live positively 21
  • 22. Copyright © 2015 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education. • Provision of material support • Services, financial assistance, or goods Tangible assistance • Providing support through information Informational support • Reassuring someone that they are important and cared for Emotional support • Helping someone without him or her being aware of it Invisible support 22
  • 23. Copyright © 2015 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education. •Lowers the likelihood of illness •Speeds up recovery •Reduces the risk of mortality •Encourages individuals to use health services and stick to their medical regimens •Negative: Can lead to bad health habits, Underfunction and increase dependency 23
  • 24. Copyright © 2015 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education. •Social support has positive effects on the cardiovascular, endocrine, and immune systems •Decreases cortisol responses to stress •Better immune functioning •Modifies brain’s responses to stress 24
  • 25. Copyright © 2015 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education. •Direct effects hypothesis: Findings indicate that social support is generally beneficial during non-stressful as well as stressful times •Buffering hypothesis: Findings also indicate that physical and mental health benefits of social support are chiefly evident during periods of high stress •Therefore, both applies. Social support is healthy generally AND helps us when we are most stressed! 25
  • 26. Copyright © 2015 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education. •Effectiveness of social support depends on the individual •Social skills influence the ability to develop social support 26
  • 27. Copyright © 2015 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education. •Good marriage •Familial support •Support from the community •Matching support to the stressor •Matching hypothesis: Support that meets the needs of a stressful event is the most effective support 27
  • 28. Copyright © 2015 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education. •Social support is ineffective if the type of support provided is not useful •Emotional support is best provided by someone close to the individual •Social support is effective when the person from whom one is seeking support is perceived to be responsive to one’s needs (trust) 28
  • 29. Copyright © 2015 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education. •Stressful events •Intrusive social contact •Controlling or directive support 29
  • 30. Copyright © 2015 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education. •Has beneficial effects on mental and physical health •Enhancing social support •Prevents a lot of ailments and problems •Forms of beneficial social support systems •Networking/Internet-based systems •Family-based systems •Community-based systems 30