The Factor Structure of the COPE Questionnaire in a Sample of Clinically Depressed and Anxious Adults

Interpersonal differences in stress, coping, and satisfaction with life in the context of individual profiles of satisfaction and frustration of basic psychological needs

BACKGROUND

Basic psychological need theory has identified three basic needs: autonomy, competence, and relatedness. Need satisfaction is necessary for development and well-being, while need frustration can lead to maladaptive functioning. The study investigated the significance of individual profiles of basic psychological need satisfaction and frustration in experiencing stress, coping, and satisfaction with life.

PARTICIPANTS AND PROCEDURE

Participants (N = 622, Mage = 22.22 ± 4.30) completed the Basic Psychological Need Satisfaction and Frustration Scale, Perceived Stress Scale, Stress Appraisal Questionnaire, COPE Inventory, and Satisfaction with Life Scale. We performed exploratory factor analysis to identify coping styles, latent profile analysis to distinguish groups with specific need profiles, and MANOVA to demonstrate differences between these groups.

RESULTS

Five coping styles were identified: (1) problem-focused, (2) emotion-focused, (3) meaning-focused, (4) escape-avoidance, and (5) religious. The following groups of individuals characterized by specific profiles of basic psychological need satisfaction and frustration were distinguished: (1) mainly low satisfaction and high frustration of relatedness; (2) high satisfaction and low frustration of all basic needs; (3) low satisfaction and high frustration of all basic needs; (4) average satisfaction and frustration of all basic needs; (5) mainly low satisfaction and high frustration of competence. These groups significantly differ in perceived stress, coping styles, and life satisfaction.

CONCLUSIONS

Individuals with profile 3 were the most stressed and tend to use escape-avoidance coping style. Participants with profile 2 coped using a problem-focused style and had higher life satisfaction. These findings indicate that a person-centered approach leads to a better understanding of experiencing stress and coping.

A Critical Appraisal of the Evidence Supporting the Factor Structure of Extant Coping Instruments

This paper evaluated the evidence supporting the factor structure of extant coping instruments based on modern psychometric standards. Our literature search identified nine coping instruments that are routinely used to measure coping strategies in adult populations. While nearly 10 thousand papers have been published using these instruments, only 39 studies have investigated their psychometric validity. Our findings revealed that the majority of these studies did not follow current psychometric recommendations for establishing internal validity in part because they did not account for the ordinal nature of the data. Further, studies employing exploratory factor analysis used methods for identifying the number of factors to retain that have been found to have a low accuracy in a simulation study while those employing confirmatory factor analysis reported model fit statistics that did not meet widely accepted benchmarks. Hence, conflicting results were found within and across the nine coping instruments. Recommendations are made for improving future validation studies.

Are depressed patients' coping strategies associated with psychotherapy treatment outcomes?

BACKGROUND

In theory, depression is thought to be associated with deficits in adaptive and excesses in maladaptive coping strategies. This study aimed to investigate associations between coping strategies and depression treatment outcomes.

METHOD

Participants (N = 126) completed measures of adaptive and maladaptive coping strategies before and after accessing evidence-based psychotherapies for depression. The primary outcome was self-reported depression severity measured with the Patient Health Questionnaire (PHQ-9). Hierarchical regression was used to investigate associations between coping strategies and post-treatment depression symptoms, controlling for therapeutic alliance and relevant demographics.

RESULTS

Lower pre-treatment engagement coping and higher rumination predicted higher post-treatment depression, but both of these effects became non-significant after controlling for baseline depression severity. Similarly, correlations between change in rumination and change in depression were no longer significant after controlling for baseline severity.

CONCLUSIONS

Deficits in adaptive (engagement) and excesses in maladaptive (rumination) coping strategies may simply be proxy indicators (epiphenomena) of depression severity.

PRACTITIONER POINTS

Lower pre-treatment engagement coping predicted higher post-treatment depression Higher pre-treatment rumination predicted higher post-treatment depression Change in rumination during treatment correlated with change in depression symptoms However, none of the above associations remained statistically significant after controlling for baseline depression severity.

From bad to worse: Avoidance coping with stress increases conspiracy beliefs

The present research empirically examines how different types of coping strategies are associated with belief in conspiracy theories. Conspiracy beliefs have been linked to the frustration of basic needs and seem to increase during major world events that evoke stress. Thus, we hypothesized that they may serve as a psychological response to maladaptive coping strategies. This hypothesis was tested among British participants and conceptually replicated across three studies. Cross-sectionally, we examined coping strategies (i.e., self-sufficient, social-support, avoidance, and religious) and belief in a specific conspiracy theory (Study 1, n = 199) and belief in general notions of conspiracy (Study 2, n = 411). In Study 3 (n = 398), we experimentally primed different coping styles via a mnemonic recollection procedure and measured belief in notions of conspiracy. Avoidance coping (recognized as being maladaptive and leading to at least temporary disengagement and abandonment of goal-related behaviours) positively predicted belief in conspiracy theories (Studies 1 and 2). In Study 3, priming avoidance coping (vs. self-sufficient coping or no coping strategy) significantly increased belief in conspiracy theories. These findings suggest that using maladaptive coping strategies (either dispositional or situationally induced) may foster conspiracy beliefs.

Adolescent coping profiles differentiate reports of depression and anxiety symptoms

The purpose of the study was to identify groups of adolescents based on their reported use of different coping strategies and compare levels of depression and anxiety symptoms across the groups. Tenth and eleventh grade public school students (N=982; 51% girls; 66% Caucasian; M age=16.04, SD=0.73) completed a battery of self-report measures that assessed their use of different coping strategies, depressive symptoms, and anxiety symptoms. Latent profile analysis (LPA) classified the participants into four distinct groups based on their responses on subscales of the COPE inventory (Carver et al., 1989). Groups differed in amount of coping with participants in each group showing relative preference for engaging in certain strategies over others. Disengaged copers reported the lowest amounts of coping with a preference for avoidance strategies. Independent copers reported moderate levels of coping with relatively less use of support-seeking. Social support-seeking copers and active copers reported the highest levels of coping with a particular preference for support-seeking strategies. The independent copers reported the lowest levels of depressive symptoms compared to the three other groups. The Social Support Seeking and Active Coping Groups reported the highest levels of anxiety. Although distinct coping profiles were observed, findings showed that adolescents between the ages of 14 and 16 engage in multiple coping strategies and are more likely to vary in their amount of coping than in their use of specific strategies.

Denial Predicts Outcome in Anxiety Following Group Cognitive Behavioral Therapy

This study aimed to explore whether participants’ pretherapy coping strategies predicted the outcome of group cognitive behavioral therapy (CBT) for anxiety and depression. It was hypothesized that adaptive coping strategies such as the use of active planning and acceptance would be associated with higher reductions, whereas maladaptive coping strategies such as denial and disengagement would be associated with lower reductions in anxious and depressed symptoms following psychotherapy. There were 144 participants who completed group CBT for anxiety and depression. Measures of coping strategies were administered prior to therapy, whereas measures of depression and anxiety were completed both prior to and following therapy. The results showed that higher levels of denial were associated with a poorer outcome, in terms of change in anxiety but not depression, following therapy. These findings suggest the usefulness of using the Denial subscale from the revised Coping Orientation to Problems Experienced (COPE) as a predictor of outcome in group CBT for anxiety.