title: Coping, productive time use, and negative mood among adults with severe mental illness: a daily diary study.
abstract: Most studies on coping among persons with severe mental illness have relied on retrospective self-report methods; a limitation of this methodology is susceptibility to recall bias. The purpose of the present investigation was to expand the current understanding of the impact of coping among persons with severe mental illness by examining coping strategies, mood, and social functioning (operationalized as productive time use) using a daily process design. Twenty-seven adults diagnosed with severe mental illness completed baseline clinical interviews and up to 20 days of nightly telephone interviews addressing coping and daily life. A total of 198 coping efforts were reported for 387 days. Mixed-effects regression analyses examined the association between type of daily coping strategy (problem-centered, neutral, or avoidant) and both daily proportion of time participants spent in productive activity and daily negative mood, controlling for demographic and clinical variables. The results indicated that productive time use was significantly lower on days when avoidant strategies were used, in contrast with days when problem-centered strategies and neutral strategies were used. There was no significant main effect of coping on negative mood, although there was a trend in the expected direction. Findings support the hypothesis that the types of coping strategies adults with severe mental illness use are related to better social functioning on a daily level.
authors.affiliation: Psychology Department, John Jay College of Criminal Justice, City University of New York, United States. pyanos@jjay.cuny.edu
authors.forename: Philip T
authors.initials: PT
authors.lastname: Yanos
authors.forename: Michelle L
authors.initials: ML
authors.lastname: West
authors.forename: Stephen M
authors.initials: SM
authors.lastname: Smith
mesh_terms: D000203:Activities of Daily Living / Q000523:psychology*; D000223:Adaptation, Psychological; D000328:Adult; D000339:Affect; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007406:Interview, Psychological; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis / Q000523:psychology*; D008875:Middle Aged; D012720:Severity of Illness Index; D012917:Social Adjustment; D011795:Surveys and Questionnaires; D013997:Time Factors
references.citation: Clin Psychol Rev. 2007 Jan;27(1):58-77
references.pmid: 16480804
references.citation: Am J Occup Ther. 2003 Sep-Oct;57(5):558-65
references.pmid: 14527118
references.citation: Acta Psychiatr Scand. 2007 Jul;116(1):71-5
references.pmid: 17559603
references.citation: Schizophr Bull. 2009 Mar;35(2):347-61
references.pmid: 19176470
references.citation: Am Psychol. 2000 Jun;55(6):626-36
references.pmid: 10892205
references.citation: J Consult Clin Psychol. 1999 Oct;67(5):746-54
references.pmid: 10535241
references.citation: J Behav Health Serv Res. 2007 Apr;34(2):151-67
references.pmid: 17357851
references.citation: Schizophr Bull. 1987;13(2):261-76
references.pmid: 3616518
references.citation: Health Soc Work. 1999 Nov;24(4):279-90
references.pmid: 10605633
references.citation: J Pers Soc Psychol. 1998 Jun;74(6):1670-80
references.pmid: 9654765
references.citation: Schizophr Bull. 1997;23(2):329-39
references.pmid: 9165641
references.citation: Psychiatr Serv. 2002 Oct;53(10):1272-84
references.pmid: 12364675
references.citation: Psychosom Med. 2006 Nov-Dec;68(6):870-8
references.pmid: 17079709
references.citation: Anxiety Stress Coping. 2009 Jul;22(4):371-410
references.pmid: 19333796
references.citation: Psychiatry Res. 1994 Jun;52(3):295-303
references.pmid: 7991723
references.citation: Isr J Psychiatry Relat Sci. 2010;47(3):222-31
references.pmid: 21149987
references.citation: Psychiatr Rehabil J. 2003 Fall;27(2):168-76
references.pmid: 14653550