Coping with Stress and the Sense of Coherence in Women with Bulimia Nervosa – Preliminary Research

Anna Wiatrowska

Abstract


The research aimed at searching for the relationship between the ways of coping with stress and the sense of coherence in women suffering from bulimia nervosa. The study comprised 36 women with bulimia nervosa according to the ICD-10 criteria, as well as 46 healthy women, constituting the control group. The members of both groups were not substantially different considering their age, their marital status, and their education. In the study, the Coping Inventory for Stressful Situations (CISS) by Endler and Parker was used alongside the Life Orientation Questionnaire (SOC-29) by Antonovsky. When coping with stress, women with bulimia nervosa use the emotional style and the avoiding style in the form of undertaking substitutive activities significantly more frequently than healthy women, and they use the task-oriented style significantly less frequently.

Women suffering from bulimia are characterized with a substantially weaker sense of coherence, both in the total result and in particular dimensions. The research confirmed the partially accepted hypotheses concerning the interrelation between the ways of coping with stress and the sense of coherence of the participants. In the group of women with bulimia, the task-oriented style correlates positively with the feeling of comprehensibility, whereas the emotional style correlates negatively with the general sense of coherence as well as its particular dimensions. The avoiding style of coping with stress in the form of undertaking substitutive actions correlates negatively with the sense of comprehensibility and the sense of meaningfulness, as well as with the total SOC in women suffering from bulimia nervosa. The received results can constitute the basis for further analyses aiming at searching for interrelations between different dimensions of the psychosocial functioning of people with eating disorders.


Keywords


coping with stress; the sense of coherence; bulimia nervosa

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References


Antonovsky A. (2005), Rozwikłanie tajemnicy zdrowia. Jak radzić sobie ze stresem i nie zachorować, Warszawa: Wydawnictwo IPN.

Brytek-Matera A. (2008), Stres w bulimii psychicznej: konfrontacja czy unikanie problemu?, [w:] A. Gawor, A. Głębocka (red.), Jakość życia współczesnego człowieka. Wybrane problemy, Kraków: Oficyna Wydawnicza Impuls.

Brytek-Matera A. (2009), Konfrontacja ze stresem u kobiet z nieprawidłowymi nawykami żywieniowymi, „Endokrynologia. Otyłość i Zaburzenia Przemiany Materii”, nr 4.

Carter J.C., Bewell C., Blackmore E., Woodiside D.B. (2006), The impact of childhood sexual abuse in anorexia nervosa, “Child Abuse and Neglect”, Vol. 30(3), DOI: https://doi.org/10.1016/j.chiabu.2005.09.004.

Endler N.S., Macrodimitris S.D., Kocovski N.L. (2000), Controllability in cognitive and interpersonal tasks: Is control good for you?, “Personality and Individual Differences”, Vol. 29(5), DOI: https://doi.org/10.1016/S0191-8869(99)00246-9.

Endler N.S., Parker J.D. (1990), Coping Inventory for Stressful Situations (CISS): Manual, Toronto.

García-Grau E., Fuste A., Miró A. (2002), Coping style and disturbed eating attitudes in adolescent girls, “International Journal of Eating Disorders”, Vol. 32(1), DOI: https://doi.org/10.1002/eat.10060.

Hagger M.S., Orbell S. (2003), A meta-analytic review of the common-sense model of illness representations, “Psychology and Health”, Vol. 18(2), DOI: https://doi.org/10.1080/088704403100081321.

Heszen I., Sęk H. (2007), Psychologia zdrowia, Warszawa: Wydawnictwo Naukowe PWN.

Heszen-Niejodek I. (1996), Stres i radzenie sobie – główne kontrowersje, [w:] I. Heszen-Niejodek, Z. Ratajczak (red.), Człowiek w sytuacji stresu. Problemy teoretyczne i metodologiczne, Katowice: Wydawnictwo Uniwersytetu Śląskiego.

Janzen B.L., Kelly I.W., Saklofske D.H. (1992), Bulimic symptomatology and coping in a non-clinical sample, “Perceptual and Motor Skills”, No. 75.

Koniarek J., Dudek B., Makowska Z. (1993), Kwestionariusz Orientacji Życiowej. Adaptacja The Sense of Coherence Questionnaire (SOC) A. Antonovsky’ego, „Przegląd Psychologiczny”, nr 36.

Kryteria diagnostyczne z DSM-5. Desk reference (2015), Wrocław: Wydawnictwo Edra Urban & Partner.

Kucharska K., Wilkos E. (2016), Zaburzenia odżywiania, [w:] M. Jarema (red.), Psychiatria. Podręcznik dla studentów medycyny, Warszawa: Wydawnictwo PZWL.

Morrison J. (2016), DM-5 bez tajemnic. Praktyczny przewodnik dla klinicystów, Kraków: Wydawnictwo Uniwersytetu Jagiellońskiego.

Pawłowska B. (2011), Współzależność między sposobami radzenia sobie ze stresem a zaburzonymi postawami wobec odżywiania u kobiet z anoreksją typu przeczyszczającego i z bulimią, “Family Medicine and Primary Care Review”, No. 13(2).

Rorty M., Yager J. (1996), Histories of childhood trauma and complex-posttraumatic sequelae in women with eating disorders, “Psychiatric Clinics of North America”, No. 19.

Sęk H., Pasikowski T. (2001), Zdrowie – stres – zasoby. O znaczeniu poczucia koherencji dla zdrowia, Warszawa: Wydawnictwo UKSW.

Sheridan C.L., Radmacher S.A. (1998), Psychologia zdrowia. Wyzwanie dla biomedycznego modelu zdrowia, Warszawa: Wydawnictwo Instytutu Psychologii Zdowia PTP.

Spoor S.T., Bekker M.H., Strien T. Van, Heck G.L. Van (2007), Relations between negative affect, coping and emotional eating, “Appetite”, Vol. 48(3), DOI: https://doi.org/10.1016/j.appet.2006.10.005.

Strelau J., Joworowska A., Wrześniewski K., Szczepaniak P. (2007), Kwestionariusz radzenia sobie w sytuacjach stresowych – CISS, Warszawa: Pracownia Testów Psychologicznych.

Weich S.L., Doll H.A., Fairburn C.G. (1997), Life events and the onset of bulimia nervosa: A controlled study, “Psychological Medicine”, Vol. 27(3).

Wiatrowska A. (2013), Poczucie koherencji dziewcząt z anoreksją i bulimią psychiczną, „Lubelski Rocznik Pedagogiczny”, t. 32.

Wiatrowska A. (2017), Radzenie sobie ze stresem u osób z zaburzeniami odżywiania, „Annales UMCS. Sectio J”, nr 1, DOI: http://dx.doi.org/10.17951/j.2017.30.1.161.

Yager J., Rorty M., Rossotto E. (1995), Coping styles differ between recovered and non-recovered women with bulimia nervosa, but not between recovered women and non eating-disordered control subjects, “Journal of Nervous and Mental Disease”, Vol. 183(2), DOI: https://doi.org/10.1097/00005053-199502000-00004.




DOI: http://dx.doi.org/10.17951/j.2017.30.3.137
Date of publication: 2018-01-17 10:12:14
Date of submission: 2017-08-04 23:28:41


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