Acceptance as a Coping Reaction: Adaptive or not?
Abstract
Acceptance as a coping reaction to unchangeable negative events has been discussed controversially. While some studies suggest it is adaptive, others report negative effects on mental health. We propose a distinction between two forms of acceptance reactions: active acceptance, which is associated with positive psychological outcomes, and resigning acceptance, which is associated with negative psychological outcomes. In this study, 534 individuals were surveyed with respect to several hypothetical situations. We tested the proposed acceptance model by confirmatory factor analysis, and examined the convergent and discriminant validity using personality and coping measures (Trier Personality Questionnaire, Bernese Bitterness Questionnaire, COPE). The results support the distinction between the two forms of acceptance reactions, and, in particular, that active acceptance is an adaptive reaction to unchangeable situations.
References
Aldwin, C. M. (1994). Stress, coping, and development. New York: GuilfordArbuckle, J. L (2003). Amos 5.0 update to the Amos user’s guide. Chicago, IL: SPSSArbuckle, J. L. , Wothke, W. (1999). Amos 4.0 user’s guide. Chicago, IL: SPSSBecker, P. (1989). Der Trierer Persönlichkeitsfragebogen [The Trier Personality Questionnaire]. Göttingen, Germany: HogrefeBecker, P. (1992). Seelische Gesundheit als protektive Persönlichkeitseigenschaft [Mental health as a protective personality trait]. Zeitschrift für Klinische Psychologie, 21, 64– 75Becker, P. (1999). Beyond the Big Five. Personality and Individual Differences, 26, 511– 530Brandtstädter, J. , Wentura, D. , Rothermund, K. (1999). Intentional self-development through adulthood and later life: Tenacious pursuit and flexible adjustment of goals. In J. Brandtstädter & R. M. Lerner (Eds.), Action and self-development: Theory and research through the life span (pp. 373- 400). Thousand Oaks, CA: SageByrne, B. M. (2001). Structural equation modeling with AMOS: Basic concepts, applications, and programming. Mahwah, NJ: ErlbaumCarver, C. S. (1993). How coping mediates the effect of optimism on distress: A study of women with early stage breast cancer. Journal of Personality and Social Psychology, 65, 375– 390Carver, C. S. , Scheier, M. F. , Weintraub, J. K. (1989). Assessing coping strategies: A theoretically based approach. Journal of Personality and Social Psychology, 56, 267– 283Chen, F. , Bollen, K. A. , Paxton, P. , Curran, P. J. , Kirby, J. B. (2001). Improper solutions in structural equation models: Causes, consequences, and strategies. Sociological Methods and Research, 29, 468– 508David, J. P. , Suls, J. (1999). Coping efforts in daily life: Role of Big Five traits and problem appraisals. Journal of Personality, 67, 265– 294Feldner, M. T. , Zvolensky, M. J. , Eifert, G. H. , Spira, A. P. (2003). Emotional avoidance: An experimental test of individual differences and response suppression using biological challenge. Behavior Research and Therapy, 41, 403– 411Fiske, S. T. , Taylor, S. E. (1991). Social Cognition. New York: McGraw-HillFlammer, A. (1990). Erfahrung der eigenen Wirksamkeit [Experience of one’s own efficacy]. Bern, Switzerland: HuberFolkman, S. , Lazarus, R. S. (1980). An analysis of coping in a middle-aged community sample. Journal of Health and Social Behavior, 21, 219– 239Frankl, V. E. (1963). Man’s search for meaning: An introduction to logotherapy. Oxford: Washington SquareGriffin, K. W. , Rabkin, J. G. (1998). Perceived control over illness, realistic acceptance, and psychological adjustment in people with AIDS. Journal of Social and Clinical Psychology, 17, 407– 424Hayes, S. C. (1999). The impact of acceptance versus control rationales on pain tolerance. Psychological Record, 49, 33– 37Hayes, S. C. , Strosahl, K. D. , Wilson, K. G. (1999). Acceptance and commitment therapy: An experiential approach to behavior chance. New York: GuilfordHu, L. , Bentler, P. M (1998). Fit indices in covariance structure modeling: Sensitivity to underparameterized model misspecification. Psychological Methods, 3, 424– 453Hu, L. , Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6, 1– 55Kabat-Zinn, J. (2003). Mindfulness-based interventions in context: Past, present, and future. Clinical Psychology: Science and Practice, 10, 144– 156Kälin, W. (1995). Drei Coping-Fragebögen im Vergleich [Comparison of three coping questionnaires]. Unpublished master’s thesis, University of Berne, SwitzerlandLazarus, R. S. , Folkman, S. (1984). Stress, Appraisal, and Coping. New York: SpringerLittle, T. D. , Cunningham, W. A. , Shahar, G. , Widaman, K. F. (2002). To parcel or not to parcel: Exploring the question, weighing the merits. Structural Equation Modeling, 9, 151– 173Ma, S. H. , Teasdale, J. D. (2004). Mindfulness-based cognitive therapy for depression: Replication and exploration of differential relapse prevention effects. Journal of Consulting and Clinical Psychology, 72, 31– 40MacCallum, R. C. , Austin, J. T. (2000). Applications of structural equation modeling in psychological research. Annual Review of Psychology, 51, 201– 226Mattlin, J. , Wethington, E. , Kessler, R. C. (1990). Situational determinants of coping and coping effectiveness. Journal of Health and Social Behavior, 31, 103– 122McCracken, L. M. (1998). Learning to live with the pain: Acceptance of pain predicts adjustment in persons with chronic pain. Pain, 74, 21– 27McCracken, L. M. , Eccleston, C. (2003). Coping or acceptance: What to do about chronic pain?. Pain, 105, 197– 204McCracken, L. M. , Spertus, I. L. , Janeck, A. S. , Sinclair, D. , Wetzel, F. T. (1999). Behavioral dimensions of adjustment in persons with chronic pain: Pain-related anxiety and acceptance. Pain, 80, 283– 289Mendola, R. , Tennen, H. , Affleck, G. , McCann, L. , Fitzgerald, T. (1990). Appraisal and adaptation among women with impaired fertility. Cognitive Therapy and Research, 14, 79– 93Reed, G. M. , Kemeny, M. E. , Taylor, S. E. , Visscher, B. R. (1999). Negative HIV-specific expectancies and AIDS-related bereavement as predictors of symptom onset in asymptomatic HIV-positive gay men. Health Psychology, 18, 354– 363Reed, G. M. , Kemeny, M. E. , Taylor, S. E. , Wang, H. J. , Visscher, B. R. (1994). Realistic acceptance as a predictor of decreased survival time in gay men with AIDS. Health Psychology, 13, 299– 307Roemer, L. , Orsillo, S. M. (2002). Expanding our conceptualization of and treatment for generalized anxiety disorder: Integrating mindfulness/acceptance-based approaches with existing cognitive-behavioral models. Clinical Psychology: Science and Practice, 9, 54– 68Roemer, L. , Orsillo, S. M. (2003). Mindfulness: A promising intervention strategy in need of further study. Clinical Psychology: Science and Practice, 10, 172– 178Rothbaum, F. , Weisz, J. R. , Snyder, S. S. (1982). Changing the world and changing the self: A two-process model of perceived control. Journal of Personality and Social Psychology, 42, 5– 37Skinner, E. A. (1995). Perceived Control, Motivation, and Coping. Thousand Oaks, CA: SageTaylor, S. E. (1983). Adjustment to threatening events: A theory of cognitive adaptation. American Psychologist, 38, 1161– 1173Taylor, S. E. , Brown, J. D. (1988). Illusion and well-being: A social psychological perspective on mental health. Psychological Bulletin, 103, 193– 210Taylor, S. E. , Kemeny, M. E. , Reed, G. M. , Bower, J. E. , Gruenewald, T. L. (2000). Psychological resources, positive illusions, and health. American Psychologist, 55, 99– 109Teasdale, J. D. , Segal, Z. V. , Williams, J. M. G. , Ridgeway, V. A. , Soulsby, J. M. , Lau, M. A. (2000). Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. Journal of Consulting and Clinical Psychology, 68, 615– 623Tennen, H. , Affleck, G. (1990). Blaming others for threatening events. Psychological Bulletin, 108, 209– 232Thompson, S. C. , Collins, M. A. , Newcomb, M. D. , Hunt, W. (1996). On fighting versus accepting stressful circumstances: Primary and secondary control among HIV-positive men in prison. Journal of Personality and Social Psychology, 70, 1307– 1317Weiss, J. , Schneewind, K. A. , Olson, D. H. (1995). Die Bedeutung von Stressoren und Ressourcen für die psychische und physische Gesundheit: Ein multisystemischer Ansatz [The significance of stressors and resources for psychological and physical health: A multisystem approach]. Zeitschrift für Gesundheitspsychologie, 3, 165– 182Wortman, C. B. , Brehm, J. W. (1975). Responses to uncontrollable outcomes: An integration of reactance theory and the learned helplessness model. In L. Berkowitz (Ed.), Advances in experimental social psychology, Vol. 8 (pp. 277-336). New York: AcademicWothke, W. (2000). Longitudinal and multigroup modeling with missing data. In T. D. Little & K. U. Schnabel, & J. Baumert (Eds.), Modeling longitudinal and multilevel data: Practical issues, applied approaches, and specific examples (pp. 219-240). Mahwah, NJ: ErlbaumWright, S. J. , Kirby, A (1999). Deconstructing conceptualizations of “adjustment” to chronic illness: A proposed integrative framework. Journal of Health Psychology, 4, 259– 272Znoj, H. (2002). Berner Verbitterungsfragebogen [Bernese Bitterness Questionnaire]. Unpublished manuscript, University of Berne, Switzerland
