Saturday, September 28, 2019

Effectiveness in coping with stress and its impact on health


Introduction
The simplest definition of stress is that it comprises of factors capable of negatively affecting the well being of a person. While stress may be healthy in motivating people: it can also be quite unhealthy and even lead to poor performance (Holahan and Moos, 1985). Stress can range from minor inconveniences to traumatic experiences whose impact on the mental health of the person may be major. Stress is unavoidable and individuals are bound to be faced with it on a regular basis. This is why it is important to focus on ways in which one can ensure that the adverse impact of stress is not prolonged by employing various coping strategies. Coping with stress enables the individual maintain their health in the face of the disconcerting factors.
The main coping approaches can be categorised as emotion-based and problem-based (Prati, Pietratoni and Cicognami, 2011). The strategies used depend on factors such as the nature of the stress factors and the personality of the persons affected. In most cases, people apply a combination of coping strategies depending on the circumstances. Prolonged stress has a negative impact on health. This means that effectiveness of coping strategies assures the health of the persons facing stress. The link between coping and health are discussed in detail in the paragraphs below.

Coping strategies’ effectiveness
Stress needs to be dealt with effectively with the effectiveness of coping approaches being dependent on both the person and the nature of the stress factors. Riolli and Savicki (2010) enumerate different coping strategies that can be applied by individuals. In their findings, they established that people tend to have a range of preferred coping strategies including denial, acceptance, active coping, suppression of competing activities and venting emotions among others. Planning and active coping are among the preferred approaches to coping with stress. Planning helps one identify sources of stress and come up with strategies for coping in advance while active coping is about proactively taking measures to remove the factors causing the stress. Unhealthy forms of coping can include denial (Prati, Pietratoni and Cicognami, 2011). Acceptance and mental disengagement are approaches that can be employed where one is faced with situations that are inevitable. These coping approaches enable the persons to remain relatively comfortable in spite of the presence of the stress causing factors.
Riolli and Savicki (2010) sought to prove that coping strategies are dependent on the nature of the person as by conducting a survey featuring both soldiers and normal citizens. The distinct differences in preferred coping strategies are as shown in the figure below.

Source: Riolli and Savicki, 2010
Some of the coping strategies have been found to be quite popular. Seeking emotional support from the society is one of the main approaches used to cope with stress as proven by El-Ghoroury et al (2012) in their study on the psychology of graduate students. Benyamini (2009) also found similar results in a study on women with health issues where seeking for emotional support from the society was cited as among the most popular ways of dealing with stress. Irrespective of the popularity of the different coping strategies, the fact remains that their effectiveness is relative.
Effectiveness of a coping strategy can be described as the ease with which it is able to facilitate the comfort of the individual by either getting rid of the stress factors or enabling them tolerate them with ease. A combination of coping strategies appears to be the best approach to coping with stress. This is because different coping strategies deal with different elements of stress and depending on the individual, effectiveness is realised by combining the approaches that are most acceptable to them (Kim, Knight and Longmire, 2007). The ultimate aim is to secure the health of the individuals by ensuring that stress is coped with as effectively as possible.

Link between coping effectiveness and health
Stress can lead to psychological distress, anxiety, depression and even to the development of suicidal behaviour. Stress is obviously a threat to the wellbeing of the individual. El-Ghoroury et al (2012) describe professional stress as potentially damaging and likely to result in burnout and impairment. This places good health at the centre of coping strategies: coping strategies must be made effective in order to assure the mental well being of the individuals. Tendencies such as suicidal tendencies are evidence of poor mental health. In an investigation on college students, research finding was that students that tended to bear suicidal thoughts tended to be those with underlying stress factors that had remained unresolved for long (El-Ghoroury et al¸2012). The same emphasis is evident in the efforts made to ensure that soldiers cope with stress especially after undergoing traumatic events with the failure of such approaches often leading to mental disorder.
Traumatic stress has an obvious impact on mental health. The near-death experiences often leave the affected persons vulnerable and in many cases unable to maintain their mental health (Benyamini, 2009). This is where emotional support and counselling becomes important as the traumatic experiences may be too disturbing for the affected persons to cope with on their own. Students are always provided with counselling services in different institutions as is the case with the rest of the society who is in a position to seek counsel from specialists (El-Ghoroury et al¸2012). The rationale for this is that for health to be maintained, stress must be coped with very effectively.
The interpretation of the effectiveness of the coping mechanisms depends on the nature of the stress factors as well as the coping goals of the individuals. Active coping mechanisms are deemed to be effective where they succeed in removing the stress factors completely (Prati, Pietratoni and Cicognami, 2011). The planning strategy on the other hand is successful where the individual is able to manage his activities in a manner that reduces conflict and stress. Seeking emotional support becomes effective where the persons whose support is sought are able to provide the desired comfort to the affected persons. Effectiveness is only attained if the aim of the coping strategy is achieved. While the removal of the stress factors may always be the best option available, the reality is that there are bound to be sources of stress and many of them are such that they cannot be eliminated (Riolli and Savicki, 2010).
Strategies for coping with stress must be pragmatic and there is need to ensure that coping measures picked are those that can lead to the desired solutions.         For instance, some stress factors could be beyond the capacity of the individual to remove or manage through planning. This is where the individuals are advised to adopt coping mechanisms such as acceptance. Acceptance is where the individual acknowledges certain occurrences as undeniable realities that they must learn to accommodate (Holahan and Moos, 1985). Failure to do that could lead to prolonged stress which would in turn potentially lead to mental and physical health problems.
Health is the general wellbeing of the individual. This wellness can be mental, physical, and social. In most cases, stress tends to be linked to mental health where the link is more direct between stress and psychological wellbeing. When mental health deteriorates, cases of depression and suicidal tendencies tend to be on the rise (Prati, Pietratoni and Cicognami, 2011). This can in one way or another lead to physical harm. Besides, physical health is also affected due to prolonged stress. Depression could lead to acute loss of appetite and sleep and this obviously results in poor mental health. Besides, the level of physical activity tends to be much lower where there is stress and this negatively affects physical wellbeing (Benyamini, 2009). This has been established in various literatures which have related the level of physical activity to the levels of stress that individuals are involved in. Stress also affects social health. Social wellbeing refers to the effectiveness with which individuals relate with one another: family, friends, acquaintances and others. The ability of the individual to socialise and maintain healthy relationships with others is adversely affected where the individual is exposed to unhealthy levels of stress.
Given that there is an inverse relationship between stress levels and health, it follows that effective coping strategies should be having a positive relationship with health levels. The more effective the coping strategies are, the more likely it is that they will the individuals will be healthy.

Conclusion
Stress can both be helpful and harmful. Good stress levels motivate performance and achievement while negative levels of stress suppress performance and possibly lead to poor mental, physical and social health. The latter level makes it necessary for those affected to seek ways to cope and either eliminate the sources of stress or reduce their negative impacts. Coping strategies are varied and their effectiveness depends on the nature of application as well as the type of problem. There is no fixed approach to stress mitigation. However, individuals can generate coping strategies that work best for them. In this paper, it has been established that toxic stress is bad for health. Coping strategies on the other hand reduce these stress levels thereby promoting health. It can therefore be concluded that while toxic stress inhibits good health, effective coping strategies promote health by enabling the individuals to either eliminate the stress or enable the individuals to live with it.



References
Benyamini, Y (2009), Stress and coping with women’s health issues: a review from a self-regulation perspective, European Psychologist, 14(1): 63-71
El-Ghoroury, N.H., Galper, D.I., Sawaqdeh, A. & Bufka, L.F (2012), Stress, coping and barriers to wellness among psychology graduate students, Training and Education in Professional Psychology, 6(2): 122-134
Holahan, C.J & Moos, R.H (1985), Life, stress and health: personality, coping, and family support in stress resistance, Journal of Personality and Social Psychology, 49(3): 739-747
Kim, J., Knight, B.G & Longmire, C.V.F (2007), The role of familism in stress and coping processes among African American and White dementia caregivers: effects on the mental and physical health, Health Psychology, 26(5): 564-576
Prati, G., Pietratoni, L & Cicognami, E (2011), Coping strategies and collective efficacy as mediators between stress appraisal and quality of life among rescue workers, Sport, Exercise and Performance Psychology, 1(S): 84-93
Riolli, L & Savicki, V (2010), Coping effectiveness and coping diversity under traumatic stress, International Journal of Stress Management, 17(2): 97-113

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