M.A. / Irritable bowel syndrome has the dubious honour of being one of the most widely researched, yet poorly understood gastrointestinal disorders. Vast amounts of research have been conducted into every facet of this disorder, yet the investigations yield results that are often contradictory and more conducive to complication than clarification. In light of the quote above, it becomes apparent that research into IBS has fulfilled the requirements for 'serious research', leaving medical practitioners and researchers with more questions than answers. Irritable bowel syndrome is a bowel disorder characterised by abdominal pain and either diarrhoea or constipation (Bennett, 1989). It is estimated to affect 8 to 15% of the population, and accounts for between 50% and 70% of referrals to gastroenterology clinics (Whitehead & Schuster, 1985). Such a common disorder should be well understood but it is not. In fact, there is little consensus amongst clinicians and researchers concerning the underlying cause of this syndrome. Organic causes which have been suggested include abnormal motor activity of the intestinal tract (Snape et al., 1976), abnormal gut hormone secretion and sensitivity (Ritchie, 1973, in Lynn & Friedman, 1993) and diet (Jones et al., 1982, in Corney et al., 1991). Many studies have also indicated that psychological factors are important and that patients with this syndrome are more neurotic, depressed or anxious than others (Hislop, 1971; Young et al., 1976). Research findings have tended to be contradictory, yet one common thread throughout the literature has been the role that stress seems to play in both the onset and maintenance of IBS. A number of studies have been conducted in this area, yet once again the findings have been contradictory and little clarity has been achieved. It is against this background that the aims of the present study can be described. The aims of the present study are twofold. The first, and most specific aim is to clarify the relationship between psychological stress and IBS. In particular, the present investigation will explore the differences in daily and occupational stress between healthy individuals and those suffering from IBS. The second aim of this research more general, and concerns theory building. This is particularly important in a field where there has been so much ambiguity and confusion.

M.Sc. / The current study sought to investigate the relationship between stress and illness, while examining the effects of daily stressors, depression, hardiness, social support and coping skills on this relationship. The information gathered was then used to design a time and cost effective questionnaire to predict people prone to stress-related illness. This questionnaire has been called the Stress Fitness Scale. The subjects (n = 44) were split into three groups (healthy, ill, and neither ill nor healthy) according to their scores on Gurin's Psychosomatic Symptom List for non-parametric statistical analysis. Scores on the Hardiness Scale, Perceived Social Support Friends and Family, Beck Depression Inventory, COPE, Hassles and Uplifts Scale and Life Experiences were analysed and significant differences were found between the ill and healthy groups in all five areas using a Mann-Whitney U test. An intercorrelation matrix was performed and significant correlation was found between Stress Fitness and the other scales, although not for all the sub-scales. Many of these correlations corresponded with the differences found between the two groups using the Mann-Whitney U test. Item analysis was performed on the Stress Fitness Scale. Significant inter correlation was found for all the items of the Prone sub-scale, and all but three items of the Protect sub-scale. Although further research is necessary, from this limited study the Stress Fitness Scale appears to provide a time and cost effective way of predicting people prone to stress-related illness.

Type I diabetes has the ability to promote change in the family. In truth, although the child with diabetes is the diagnosed patient, the whole family has diabetes. While the challenges that families have to face are many, families seem to have the ability to “bounce back” (i.e., they have resilience). Research on the construct of resilience, and more specifically, family resilience has surged in recent times. However, South African research on family resilience is limited. This study aimed to explore and describe the factors that facilitate adjustment and adaptation in families that include a child living with Type I diabetes. The Resiliency Model of Stress, Adjustment and Adaptation, developed by McCubbin and McCubbin (2001) served as a framework to conceptualise the families’ adjustment and adaptation process. Non-probability purposive and snowball sampling techniques were employed. Sixteen families participated in this study, providing a total of 31 participants. Participants consisted of the caregivers of a family living with a child between the ages of four and 12 with Type I diabetes. The study was triangular in nature, with an exploratory, descriptive approach. A biographical questionnaire with an open-ended question was used in conjunction with seven other questionnaires to gather data. These questionnaires were: The Family Hardiness Index (FHI), the Family Time and Routine Index (FTRI), the Social Support Index (SSI), the Family Problem-Solving Communication (FPSC) Index, the Family Crises-Oriented Personal Evaluation Scales (F-COPES), the Relative and Friend Support Index, and the Family Attachment and Changeability Index 8 (FACI8). Descriptive statistics were used to describe the biographical information. Quantitative data were analysed by means of correlation and regression analysis, and a content analysis was conducted to analyse the qualitative data. The results of the quantitative analysis indicated three significant positive correlations with the FACI8. These variables were family hardiness (measured by the FHI), family problem-solving communication (measured by the FPSC), and family time and routines (measured by the FTRI). The results of the qualitative analysis revealed that social support, the caregivers’ acceptance of the condition, and spirituality and religion were the most important strength factors that contributed to the families’ adjustment and adaptation. Although the study had a small sample and many limitations, the study could be used as a stepping-stone for future research on resilience in families living with chronic medical conditions and will contribute to family resilience research in the South African context.

Infertility, the inability to conceive a child or carry a pregnancy to birth, is an age-old concern, the anguish and disappointment of which is universal regardless of the etiology. Although technological advancement in the field of reproductive medicine has led to the possibilities of near miraculous procedures, infertility treatment offers the hope of conception without guaranteeing it and places the couple under tremendous emotional and financial strain. A moderate amount of research has explored the coping of individuals and the couple experiencing infertility, but has been primarily orientated to a clinical and medical focus as well as an exploration of the pathological symptoms that individuals may experience. This study has adopted a psychofortigenic focus and explored and described the coping (i.e., the coping resources and sense of coherence) and subjective well-being (i.e., satisfaction with life and happiness) of women undergoing infertility treatment. An exploratory descriptive research design was used and the participants were selected by means of non-probability purposive sampling. The sample consisted of 61women who were aged 30 years and older and required that they had received infertility treatment at a privately managed health care unit. Contextual and biographical data were gathered by means of a biographical questionnaire. Hammer and Marting’s (1988) Coping Resources Inventory was used to assess the participant’s coping resources. Antonovsky’s (1987) Orientation to Life Scale was used to measure the construct of Sense of Coherence. The Satisfaction with Life Scale by Diener, Emmons, Larsen and Griffin (1985) was used to assess respondents’ overall satisfaction with life while Kamman and Flett’s (1983) Affectometer-2 (AFM-2) was used to measure participants’ subjective happiness. The data were analysed using descriptive statistics and cluster analysis. The results of the CRI indicated a total coping resources score slightly below the mean of 50 as established by Hammer and Marting (1988). Results revealed that the highest mean score was obtained on the spiritual/philosophical subscale. Results from the SOC-29 indicated that the women sampled had an average Sense of Coherence. In terms of the construct of satisfaction with life as measured by the Satisfaction with Life Scale, the results indicated that the participants were slightly satisfied with their lives. Results from the AFM-2 revealed that the majority of participants experienced a below average feeling of happiness. Cluster analysis revealed three distinct clusters that differed significantly across the four measures.

There are various ways in which work can be harmful to our health. Accidents and violence on the job and exposure to noxious chemicals in factories and sealed office buildings account for substantial numbers of injuries and deaths every year. Another danger, stress affects millions of employees and costs companies millions of cash every year, but it operates in more silent and subtle way. Stress is a psychological agent that affects the health of workers, productivity, and morale worldwide. Some of the causes of stress in the workplace include work over and underload, personal and family problems, organizational design and relationships in the organization. Stress-related diseases are widespread among employees throughout the world. A national survey was conducted in the United states by a life insurance company found that nearly half of all employed adults considered their jobs to be extremely stressful. Furthermore, a major share of physical complaints may be psychosomatic, that is, actual physical disorders caused by or related to emotional factors such as stress on the job. Physical problems associated with stress include high blood pressure, ulcers, heart disease, lower back pain and cancer. Stress in the workplace is very costly to employers in terms of lower productivity, reduced motivation, and increased errors and accidents. Moderate stress is encouraged as it can help employees in achieving the goals by being productive but too much or high stress level is related to increases in turnover and counterproductive behavior, such as theft and drug and alcohol abuse.

Individual differences of cognitive organization and content were investigated as they relate to adaptation to remote, recent, and immediate life stress. Outside the field of stress, prior researchers have implicated cognitive organization with adjustment and cognitive content with specific psychopathology. As for behavioral adaptation to life stress, cognitive organization was viewed as a major factor in emotional vulnerability and adjustment, and cognitive content as a major factor in the mood disturbance of depression. Behavioral adaptation was defined in terms of current emotional vulnerability, adjustment and negative changes in the immediate (last six months), recent (over six months), and remote (over one year) past.

[no abstract included] / Arts, Faculty of / Social Work, School of / Graduate

[no abstract included] / Arts, Faculty of / Social Work, School of / Graduate

Three issues were examined in this study: (1) the extent to which psychological challenge or stress elicits changes in the breathing patterns of normal subjects; (2) whether breathing pattern changes covary with cardiovascular arousal; and (3) whether individuals identified as being potentially at-risk for developing hypertension respond to mental challenge tasks with breathing pattern and cardiovascular changes that are reliably different from those of lower risk individuals. Subjects were 100 healthy young men divided into reactor quintiles on the basis of their heart rate (HR) changes to a 1-minute cold pressor test. Those in the upper quintile were designated as being at-risk for developing hypertension. Their cardiovascular and respiratory changes to two counterbalanced versions of a 5-minute mental arithmetic test (Easy & Hard) were compared with those of the third and fifth quintile subjects. Marked individual differences were evident in the direction and extent of breathing changes. Overall, the rate, amplitude, variability, and predominant mode of breathing increased substantially over resting levels in response to the math tasks. Only breathing rate and variability reliably covaried with task difficulty. Little correspondence was found between breathing changes and cardiovascular arousal. The data did indicate a trend for breathing to shift towards greater ribcage dominance as task difficulty increased. This was especially true for the at-risk group and least true for the low reactor quintile. The expected group differences in cardiovascular reactivity were not found however, implying that the HR reactivity to cold stimulation is not a good predictor of reactivity to acute mental challenge or stress. Overall, the results suggest that breathing patterns change in response to psychological stress but are not clearly associated with cardiovascular arousal. The attempt to identify subgroups of aberrant breathers on the basis of HR reactivity also yielded equivocal results. / Arts, Faculty of / Psychology, Department of / Graduate

The focus of this study was an examination of the anxiety level and coping processes of female counselling students when confronted with a client who has either been sexually abused, physically abused, or who is experiencing role conflict. It was hypothesized that students who were exposed to a sexually abused client would demonstrate a significant increase in anxiety and poorer coping processes than the comparison groups. Coping processes were construed as coping thoughts (the relationship between negative and positive self-statements), and operationalized as the proportion of negative self-statements to total self-statements. It was further expected that there would be a moderate, positive correlation between anxiety and relative negative self-statement scores after viewing the client videos. Sixty female volunteer counselling psychology students (M age 35.8) at the University of British Columbia were randomly assigned to one of three experimental groups: exposure to a video presentation of a client who had either been sexually abused, physically abused, or was experiencing role conflict. Each student completed the State Form of the State-Trait Anxiety Inventory and the thought-listing procedure before and after viewing the client. Data were analyzed by two repeated measures, 2-way (group x time) ANOVAs, with anxiety and relative negative self-statement scores as the dependent variables. A Pearson product-moment correlation was also conducted between these two variables at post-test. The ANOVAs revealed no significant differences between the three groups from pre- to post-video, and, unexpectedly, the relative negative self-statement scores decreased for all groups. A positive correlation but of low magnitude was found between anxiety and relative negative self-statement scores (r=.21, p<.05). Because of the unexpected results, and based on findings from the literature, post-hoc analysis was carried out A repeated measures ANOVA with positive self-statements as the dependent variable revealed a group x time interaction that approached significance, F(2,60)=2.20, p.<.12. Post-hoc Scheffe's tests (p<.05) indicated that the sexual abuse group increased these positive self-statements more than the comparison groups. Data were also examined from the perspective of Schwartz and Garamoni's (1986) States of Mind model. These findings coupled with data from the ancillary questionnaires suggested that students were functioning from a position of grandiosity with respect to their counselling ability with adult survivors of sexual abuse. There was also some indication that at least some students who had been sexually abused themselves were in a state of denial in relation to the effects of their own abuse. / Education, Faculty of / Educational and Counselling Psychology, and Special Education (ECPS), Department of / Graduate