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Gender, coping and psychosomatic symptoms

Published online by Cambridge University Press:  09 July 2009

Ad J. J. M. Vingerhoets  and
Guus L. Van Heck
Ad J. J. M. Vingerhoets*
Affiliation:
Department of Medical Psychology, Institute for Research in Extramural Medicine, Free University of Amsterdam and Department of Psychology, Tilbury University, The Netherlands
Guus L. Van Heck
Affiliation:
Department of Medical Psychology, Institute for Research in Extramural Medicine, Free University of Amsterdam and Department of Psychology, Tilbury University, The Netherlands
*
1Address for correspondence: Dr A. J. J. M. Vingerhoets, Department of Medical Psychology, Faculty of Medicine, Free University of Amsterdam, PO Box 7161, 1007 MC Amsterdam, The Netherlands.
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Synopsis

In this study gender differences in coping were explored, using the Ways of Coping Checklist (WCC; Folkman & Lazarus, 1980). In addition, the focus was on sex differences in the predictive value of coping strategies in relation to psychosomatic symptoms. Males preferred problem-focused coping strategies, planned and rational actions, positive thinking, personal growth and humour, day-dreaming and fantasies. Women preferred emotion-focused coping solutions, self-blame, expression of emotions/seeking of social support, and wishful thinking/emotionality. In spite of the gender differences the results of multiple regression analyses indicated congruous relationships between coping and complaints for both sexes. Stressors and coping factors contributed in much the same way to the explained variance of symptoms and the results were generally similar for males and females. The present data also emphasize the bidirectionality of the coping–symptoms link. This holds especially for self-blame, day-dreaming and fantasizing, and wishful thinking/emotionality. In contrast, distancing was found to be associated with self-reported psychosocial load. Future prospective studies should explicitly pay attention to this bidirectional relationship.

Type
Original Articles
Information
Psychological Medicine , Volume 20 , Issue 1 , February 1990 , pp. 125 - 135
Copyright
Copyright © Cambridge University Press 1990

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References

Aldwin, C., Folkman, S., Schaefer, C., Coyne, J. C. & Lazarus, R. S. (1980). Ways of coping: a process measure.Paper presented at the Meeting of the Latin American Psychological Asociation,Los Angeles, CA.Google Scholar
Andrews, G., Tennant, C., Hewson, D. M. & Vaillant, G. E. (1978). Life events stress, social support, coping style, and risk of Psychological impairment. Journal of Nervous and Mental Disease 166, 307–316.CrossRefGoogle ScholarPubMed
Astor-Dubin, L. & Hammen, C. (1984). Cognitive versus behavioral coping responses of men and women: a brief report. Cognitive Therapy and Research 8, 85–90.CrossRefGoogle Scholar
Baron, R. M. & Kenny, D. A. (1986). The moderator–mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology 51, 1173–1182.CrossRefGoogle ScholarPubMed
Billings, A. G. & Moos, R. H. (1981). The role of coping responses and social resources in attenuating the stress of life events. Journal of Behavioural Medicine 4, 139–157.CrossRefGoogle ScholarPubMed
Bush, T. L. & Barrett-Connor, E. (1985). Non-contraceptive estrogen used and cardiovascular-disease. Epidemiological Review 7, 80–104.CrossRefGoogle Scholar
Cantor, N. & Kihlstrom, J. F. (1987). Personality and Social Intelligence. Prentice Hall: Englewood Cliffs, NJ.Google Scholar
Cohen, F. (1984). Coping. In Behavioral Health: A Handbook of Health Enhancement and Disease Prevention (ed. Matarazzo, J. D., Weiss, Sh. M., Herd, J. A., Miller, N. E. and Weiss, St. M.), pp. 261–274. Wiley: New York.Google Scholar
Cooper, C. L. & Baglioni, A. J. Jr. (1988). A structural model approach toward the development of a theory of the link between stress and mental health. British Journal of Medical Psychology 61, 87–102.CrossRefGoogle ScholarPubMed
Derogatis, L. R., Lipman, R. S., Rickets, K., Uhlenhuth, E. H. & Covi, L. (1974). The Hopkins Symptom Checklist (HSCL): a self-report symptom inventory, Behavioral Sciences 19, 1–15.CrossRefGoogle ScholarPubMed
Detre, K. M., Feinleib, M., Matthews, K. A. & Kerr, B. W. (1987). The federal women's study. In Coronary Heart Disease in Women (ed. Eaker, E. D., Packard, B., Wenger, N. K., Clarkson, T. B. and Tyroler, H. A.), pp. 78–82. Haymarket Doyma: New York.Google Scholar
Dohrenwend, B. P. & Shrout, P. E. (1985). Hassles in the conceptualization and measurement of life stress variables. American Psychologist 40, 780–785.CrossRefGoogle Scholar
Dohrewend, B. S., Dohrenwend, B. P., Dodson, M. & Shrout, P. E. (1984). Symptoms, hassles, social supports and life events: the problem of confounded measures. Journal of Abnormal Psychology 93, 222–230.CrossRefGoogle Scholar
Edwards, J. R. & Cooper, C. L. (1988). Research in stress, coping and health: theoretical and methodological issues. Psychological Medicine 18, 15–20.CrossRefGoogle ScholarPubMed
Endler, N. S. & Parker, D. A. (1988). The assessment of coping: the multidimensional Coping Inventory. Internal publication, York University: Toronto.Google Scholar
Folkman, S. & Lazarus, R. S. (1980). An analysis of coping in a middle-aged community sample. Journal of Health and Social Behavior 21, 219–239.CrossRefGoogle Scholar
Folkman, S. & Lazarus, R. S. (1988). Coping as a mediator of emotion. Journal of Personality and Social Psychology 54, 466–475.CrossRefGoogle ScholarPubMed
Frankenhaeuser, M. (1983). The sympathetic-adrenal and pituitary-adrenal response to challenge: comparison between the sexes. In Biobehavioural Basis of Cardiovascular Disease (ed. Dembroski, T. M., Schmidt, T. H. and Blumchen, G.), pp. 95–105. Karger: Basel.Google Scholar
Frese, M. (1986). Coping as a moderator and mediator between stress at work and psychosomatic complaints. In Dynamics of Stress: Physiological Psychological, and Sociological Perspectives (eds. Appley, M. H. and Trumbull, R.), pp. 183–206. Plenum: New York.CrossRefGoogle Scholar
Hamilton, S. & Fagot, B. I. (1988). Chronic stress and coping styles: a comparison of male and female undergraduates. Journal of Personality and Social Psychology 55, 819–823.CrossRefGoogle Scholar
Holmes, T. H. & Masuda, M. (1984). Life changes and illness susceptibility. In Stressful Life Events: Their Nature and Effects (ed. Dohrenwend, B. S. and Dohrenwend, B. P.), pp. 45–72. Wiley: New York.Google Scholar
Hoyenga, K. I. & Hoyenga, K. T. (1979). The Question of Sex Differences. Stanford University Press: Stanford, CA.Google Scholar
Jöreskog, K. G. & Sörbom, D. (1984). LISREL VI: Analysis of Linear Structural Relationships by Maximum Likelihood, Instrumental Variables, and Least Squares Methods. Scientific Software: Mooresville, IN.Google Scholar
Kessler, R. C., McLeod, J. D. & Wethington, E. (1985). The costs of caring: a perspective on the relationship between sex and psychological distress. In Social Support: Theory, Research, and Applications (ed. Sarason, I. G. & Sarason, B. R.), pp. 491–506. Nijhoff: The Hague.CrossRefGoogle Scholar
Lazarus, R. S. & Folkman, S. (1987). Transactional theory and research on emotions and coping. European Journal of Personality 1, 141–169.CrossRefGoogle Scholar
Leventhal, H. & Tomarken, A. (1987). Stress and illness: perspectives from health psychology. In Stress and Health: Issues in Research Methodology (ed. Kasl, S. V. and Cooper, C. L.), ppp. 27–55. Wiley: Chichester.Google Scholar
Luteijn, F., Hamel, L. F., Bouwman, T. K. & Kok, A. R. (1984). HSCL Hopkins Symptom Checklist (Manual). Swets & Zeitlinger: Lisse.Google Scholar
McCrae, R. R. & Costa, P. T. Jr. (1986). Personality, coping and coping effectiveness in an adult sample. Journal of Personality 54, 385–405.CrossRefGoogle Scholar
McLaughlin, M., Cormier, L. S. & Cormier, W. H. (1988). Relation between coping strategies and distress, stress, and marital adjustment of multiple-role women. Journal of Counseling Psychology 35, 187–193.CrossRefGoogle Scholar
Maccoby, E. & Jacklin, C. (1974). The Psychology of Sex Differences. Little Brown: Boston, MA.Google Scholar
Markush, R. E. & Favero, R. (1974). Epidemiologic assessment of stressful life events, depressed modd, and psychophysiological symptoms. In Stressful Life Events: Their Nature and Effects (ed. Dohrenwend, B. S. and Dohrenwend, B. P.), pp. 171–190. Wiley: New York.Google Scholar
Menaghan, E. G. (1983). Individual coping efforts: moderators of the relationship between life stress and mental health outcomes. In Psychosocial Stress: Trends in Theory and Research (ed. Kaplan, H. B.), pp. 157–191. Academic Press: New York.CrossRefGoogle Scholar
Miller, S. M., Brody, D. S. & Summerton, J. (1988). Styles of coping with threat: implications for health. Journal of Personality and Social Psychology 54, 142–148.CrossRefGoogle ScholarPubMed
Paykel, E. S., Brinoff, A. & Uhlenhuth, U. H. (1971). Scaling of life events. Archives of General Psychiatry 25, 340–347.CrossRefGoogle ScholarPubMed
Pearlin, L. I. & Schooler, C. (1978). The structure of coping. Journal of Health and Social Behavior. 19 2–21.CrossRefGoogle ScholarPubMed
Rahe, R. H. (1975). Epidemiological studies of life changes and illness. International Journal of Psychiatry in Medicine 6, 133–146.CrossRefGoogle ScholarPubMed
Rahe, R. H. (1987). Recent life changes, emotions, and behaviors in coronary heart disease. In Handbook of Psychology and Health. vol. v. stress (ed. Baum, A. and Singer, J.E.), pp. 229–254. Erlbaum: Hillsdale, NJ.Google Scholar
Rice, D.p., Hing, E., Kovar, M.G. & Prager, K. (1984). Sex differeces in disease risk. In The Changing Risk of Disease in Women (ed. Gold, E.B.), pp. 1–24. Collamore: Lexington, MA.Google Scholar
Rim, Y. (1986). Ways of coping, personality, age, sex, and family structural variables. Personality and Individual Differences 7, 113–116.CrossRefGoogle Scholar
Rim, Y. (1987). A comparative study of two taxonomies of coping styles, personality and sex. Personality and Individual Differences 8 521–526.CrossRefGoogle Scholar
Roding, J. & Salovey, P. (1989). Health psychology. In Annual Review of Psychology (ed. Rosenzweig, M.R. and Porter, L. W.), Vol. 40, pp. 533–579. Annual Reviews: Palo Alto, CA.Google Scholar
Russo, N.F. (ed.) (1985). A Women's Mental Health Guide. American Psychological Association: Wastington, DC.CrossRefGoogle Scholar
Sarason, I.G., Johnson, J.H. & Siegel, J.M. (1978). Assessing the impact of life changes: development of Life Experience Survey. Journal of Clinical and Consulting Psychology 46, 932–946.CrossRefGoogle Scholar
Schilling, R.F., Schinke, S.P. & Kirkham, M.A. (1985). Coping with a handicapped child: differences between mothers and fathers. Social Science and Medicine 21, 857–863.CrossRefGoogle ScholarPubMed
Sterling, P. & Eyer, J. (1981). Biological basis of stress related mortality. Social Science and Medicine 15E, 3–42.CrossRefGoogle Scholar
Stone, A.A. & Neale, J.M. (1984). New measure of daily coping: development and preliminary results. Journal of personality and Social Psychology 46, 892–906.CrossRefGoogle Scholar
Stoney, C.M., Davies, M.C. & Matthews, K.A. (1987). Sex differences in physiological esponses to stress and in coronary heart disease: a causal ling? Psychophysiology 24, 127–131.CrossRefGoogle Scholar
Strickland, B.R. (1988). Sex-related differeces in health and illness, Psychology of Women Quarterly 12, 381–399.CrossRefGoogle Scholar
Suls, J. & Fletcher, B. (1985). The relative efficacy of avoidant and nonavoidant coping strategies: a meta-analysis. Health Psychology 4, 249–288.CrossRefGoogle ScholarPubMed
Van de Willige, G., Schreurs, P., Tellegen, B. & Zwart, F. (1985). Het meten van ‘life events’: de Vragenlijst Recent Meegemaakte Gebeurtenissen (VRMG) [The measurement of ‘life events’: the Recently Experienced Events Questionnaire (REEQ)]. Nederlands Tijdschrift voor de Psychologie 40, 1–19.Google Scholar
Van Heck, G.L. & Vingerhoets, A. J. J. M. (1989). Copingstijlen en persoonlijkheidskenmerken [Coping styles and personality Characteristics]. Nederlands Tijdschrift voor de Psychologie 44, 73–87.Google Scholar
Verbrugge, L. (1985). Gender and health: an update on hypotheses and evidence. Journal of Health and Social Behavior 26, 156–182.CrossRefGoogle ScholarPubMed
Vingerhoets, A. J. J. M. & Flohr, P. J. M. (1984). Type A behavior and self-reports of coping preferences. British Journal of Medical Psychology 57, 15–21.CrossRefGoogle ScholarPubMed
Vingerhoets, A. J. J. M. & Menges, L. J. (1988). Het meten van chronische en alledaagse stressoren: een literatuuroverzincht I [The measurement of chronic and daily stressor: a review of the literture I]. Gedrwag en Gezondheid 16, 124–130.Google Scholar
Vingerhoets, A. J. J. M. & Menges, L. J. (1989). Psychyosocial load and symptoms: an inquiry into their relationship with coping styles. Stress Medicine 5, 189–194.CrossRefGoogle Scholar
Vingerhoets, A. J. J. M., Jeninga, A.J. & Menges, L. J. (1987). Chronic pain and everyday problems. International Journal of Psychosomatics 34, 9–11.Google ScholarPubMed
Vingrhoets, A. J. J. M., Jeninga, A. J. & Menges, L. J. (1989). Het meten van chronische en alledaagse stressoren: Eerste onderzoek-servaringen met de Alledaagse Problemen Lijst (APL) II [Thye measurement of chronic and daily stressor: Preliminary results with the Everyday Problem Ckhecklist (EPCL) II]. Gedrag en Gezondheid 17, 10–17.Google Scholar
Wingard, D. L. (1984). The sex differential in morbidity, mortality, and lifestyle. Annual Review of Public Health 5, 433–458CrossRefGoogle ScholarPubMed