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Association of Social Psychology and the Japanese Group Dynamics Association 2004
April 2004715566Original ArticleFlexible coping responsesYiqun Gan
et al.
Introduction
Severe acute respiratory syndrome (SARS) was the first severe and readily transmissible new
disease to emerge in the 21st century (World Health Organization, 2003). China was one of
the most severely affected areas. The first cases of SARS were known to emerge in mid-
November 2002 in Guangdong Province, China. The cumulative number of cases surpassed
5000 on 28 April, 6000 on 2 May, and 7000 on 8 May. Most cases and deaths were reported
from China. Unlike traumatic events that happen at an individual level, the SARS outbreak
constituted a crisis for nearly every member in the society. Because SARS is a novel, unknown
disease, were people’s coping abilities to SARS-related stressful events different from their
usual coping responses to daily stressful events? In what ways did the epidemic disaster
influence people’s appraisal and behaviors? This unexplained question is addressed in the
theoretical context of Cheng’s (2001) theory of coping flexibility in the present study.
Correspondence: Yiqun Gan, Department of Psychology, Peking University, Beijing 100871, China.
Email: ygan@pku.edu.cn
© Blackwell Publishing Ltd with the Asian Association of Social Psychology
and the Japanese Group Dynamics Association 2004
56 Yiqun Gan et al.
Coping flexibility
Coping is the ongoing cognitive or behavioral efforts to control internal or external demand
that exceed one’s own resources (Lazarus, 1993). As coping is proposed as the mediator
between stress and psychological outcomes, it has been well researched in past decades. In
the history of coping research, the transactional theory of coping proposed by Lazarus and
Folkman (Folkman & Lazarus, 1985; Folkman et al., 1986) is the most influential. According
to this theory, coping is made up of two processes: cognitive appraisal and coping behavior.
Coping can be further divided into problem-focused coping and emotion-focused coping in
view of its function. The effectiveness of coping is proposed to rely on both coping efforts
and the context of the coping (Forsythe & Compas, 1987; Park et al., 2001). Previous research
has found that problem-focused coping is more useful in more controllable situations and
emotion-focused coping is more useful in less controllable situations. In this process, the
adaptive value of coping flexibility is implied.
Coping flexibility has aroused interest among researchers in the past two decades.
(Vitaliano et al., 1990; Cheng, 2001). A new approach to coping flexibility was proposed by
Cheng (2001). In her model, coping flexibility is composed of cognitive flexibility, coping
pattern, and coping outcome. Cognitive flexibility refers to an individual’s variability in the
pattern of perceived controllability across situations. Studies (Roussi et al., 2000; Cheng
et al., 2001; Cheng, 2003) indicated that individuals with high levels of cognitive flexibility
are able to discriminate situations with high controllability and low controllability. Individuals
with low levels of cognitive flexibility will indiscriminately assess all events as either
controllable or uncontrollable only.
Individual differences in coping flexibility are represented by different coping patterns.
Five coping patterns have been identified in Cheng’s (2001) study. Individuals who use more
problem-focused coping in stressful events perceived as controllable and who use more
emotion-focused coping in stressful events perceived as uncontrollable belong to the flexible
type. Individuals who consistently perceive stressful events as controllable and who use
more problem-focused coping belong to the active-inflexible type. By contrast, those who
consistently perceive stressful events as uncontrollable and use more emotion-focused coping
are classified as the passive-inflexible type. The fourth type includes those who recognize
some stressful events as controllable and others as uncontrollable but prefer to use problem-
focused strategies. These individuals belong to the active-inconsistent type. Those who
generally perceive the environment as uncontrollable and use randomly deployed coping
strategies are categorized as the passive-inconsistent type.
Apart from coping pattern, the adaptive aspect of coping flexibility should also be noted.
This construct contains two components. The first component is strategy-situation fit, which
is also referred to as ‘goodness of fit’ (Folkman & Lazarus, 1985). If a person experiences a
controllable situation and he or she uses a problem-focused strategy, a good strategy-situation
‘fit’ is attained. Similarly, if a person experiences an uncontrollable situation and he or she
uses an emotion-focused strategy, there is a good strategy-situation ‘fit’. On the contrary, if
the person encounters an uncontrollable situation but he or she uses a problem-focused
strategy, he or she may experience higher anxiety levels (Cheng et al., 1999, 2000) due to a
poor strategy-situation fit. Similarly, if the person meets a controllable situation but he or she
uses an emotion-focused strategy, there is also a lack of strategy-situation fit and the person
is more susceptible to depression (Cheng, 2001). The second component is goal attainment,
which refers to the person’s evaluation of the effectiveness of the coping behavior. Compared
Methods
Participants
Ninety-three university students from Peking University participated in this study. Among
them, 39 were males (41.9%), 54 were females (58.1%). Their average age was 22.14 years
(SD = 2.66). Participants were from 13 departments, such as psychology, physics, and
telecommunication. Most participants were from undergraduate Year 1 and Year 4 as well as
graduate Year 1 and Year 2.
Measures
Coping flexibility. The Coping Flexibility Questionnaire (CFQ) was constructed by Cheng
(2001). For each stressful event, participants were first asked to report the frequency of the
event, and then use a six-point scale to assess to what extent the participant perceived the
event as: (i) desirable; (ii) having a large impact; and (iii) controllable with regard to event
outcome. The scale ranged from 1 to 6, with a higher score indicating a greater extent of a
particular perceived dimension. Then, the participants were required to describe their actual
coping responses in that situation in a sentence, and the participants were asked their primary
goal in using the strategy - whether it was for directly handling the demands/problems
associated with the event in order to improve its effects (problem-focused coping), or for
reducing or managing the distress or uncomfortable feelings associated with the event
(emotion-focused coping). Finally, participants were required to subjectively assess the
effectiveness of their coping behaviors with a six-point scale, which ranged from 1 (extremely
ineffective) to 6 (extremely effective).
The CFQ was translated into Chinese by a bilingual undergraduate student. Back-
translation was done by two independent graduate students.
Daily life stressful events. The original items were derived from the University Life Event
Scale (Wang & Gan, 1994), Inventory of College Students Recent Life Experiences (Kohn
et al., 1990), and Social Readjustment Rating Scale (Reale, 1987). Items that did not apply
to university students’ life were omitted. Eventually, 68 items were generated for the initial
test.
Seven university students were selected according to the principle of convenient sampling.
The participants were required to report: (i) the frequency of the events happening to them
during the past 2 months (April and May, 2003) (0 represented never happened; 1 represented
happened once; 2 represented happened occasionally; 3 represented often happened); and
(ii) the impact of the events to them (six-point scale from - 2 to + 2, positive/negative sign
indicating the impact being positive or negative). After the initial test, 18 items remained.
The selection criterion were: (i) three or more participants reported it had happened (14
items); or (ii) two participants reported it had happened and its impact was ± 2 (four items).
These participants did not overlap with those in the main study.
In the 18 items, those that were easily confounded with a crisis event (e.g. illness or
injury of a family member) were deleted. The final version contained 10 daily events (see
Appendix 1).
SARS-related stressful event scale. We interviewed three university students, asking them to
describe fragments of situations related to the SARS outbreak that they felt were threatening.
To all the events and situations they described, three graduate students rated their impact and
controllability. Ten events that were consistently rated by the three raters as having a high
impact and having relatively large variability in controllability were selected to compose the
final version of the SARS-related Stressful Event Scale. Again, these participants did not
overlap with those in the main study.
Procedure. All the participants simultaneously completed the CFQ that contained 20 stressful
situations (10 SARS-related encounters and 10 daily stressful encounters), and the Attribution
Complexity Scale (the results of the later scale were analyzed and reported in another paper).
The participants needed 20 to 40 minutes to complete all the questionnaires. Each participant
received a souvenir of about 6 yuan (0.6 dollars) as a reward.
Results
Overview
First, we will identify the coping patterns in daily life stressful situations and SARS-related
stressful situations for examining individual differences in patterns of coping flexibility. Then,
the other two aspects of coping flexibility (i.e. cognitive flexibility, strategy-situation fit and
goal attainment) will be compared between SARS-related situations and daily life stress.
© Blackwell Publishing Ltd with the Asian Association of Social Psychology
and the Japanese Group Dynamics Association 2004
Flexible coping responses 59
Class
1 2 3 4 5
The results found that participants in the first cluster (12 cases, 12.9%) used emotion-
focused coping when they perceived situations to be uncontrollable, and used problem-
focused coping when they perceived situations to be controllable. They belonged to the
flexible type. Participants in the second cluster (26 cases, 28.0%) generally perceived
situations as controllable and used problem-focused coping. They belonged to the active-
inflexible type. Participants in the third cluster (16 cases, 17.2%) perceived some situations
as uncontrollable but some as controllable, and they used problem-focused coping. They
could be classified as the active-inconsistent type. Participants in the fourth cluster (14 cases,
15.1%) perceived situations as controllable and used mostly emotion-focused coping. They
belonged to the passive-inflexible type. Participants in the fifth cluster (19 cases, 20%) evenly
used the four categories of coping strategies and they belonged to the mixed type.
controllability, the passive-inflexible group and the active-inflexible group were at the highest
level, ps < 0.01, followed by the mixed group, ps < 0.01. With respect to the variability in
perceived controllability, the flexible group was higher than the mixed group, p < 0.01; and
was marginally higher than the active-inflexible group, p = 0.097. With respect to the
goodness of fit, the flexible group was the highest, ps < 0.01, followed by the active-inflexible
group, ps < 0.01.
Class
1 2 3
stressful events was 0.78, with a standard deviation of 0.62. In contrast, the mean variability
in the 10 daily life stressful events was 1.03, with a standard deviation of 0.61. Paired-sample
t-test indicated significant differences in variability indices between the two types of stressful
situations. When people evaluated SARS-related stress, the variability in perceived
controllability was significantly lower than when they evaluated daily stress, t = 2.32,
p = 0.023.
The differences in perceived controllability between SARS-related stress and daily life
stress should also be noted. The mean rating of the 10 SARS-related stressful events was 1.83
(SD = 0.94). The mean rating of the 10 daily life stressful events was 3.83 (SD = 0.71). Paired
sample t-test also indicated significant difference between the two types of stressful situations,
t = 12.04, p < 0.0001.
Discussion
of coping flexibility that emerged in the SARS-related events. People of the passive-
inconsistent type perceived situations to be uncontrollable and randomly endorsed problem-
focused and emotion-focused coping strategies. People of the active-unmatched type
perceived situations to be controllable and used emotion-focused coping strategies. People of
the passive-inflexible type perceived situations to be uncontrollable and used emotion-focused
coping strategies.
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Appendix
Daily Life Event Scale
1 Conflicts with other people over hassles
2 Reputation was marred
3 Difficulties encountered in study
4 Looked down upon or laughed at by other people
5 Insomnia
6 Decisions about immediate future
7 Being misunderstood
8 Quarrel or breakup with girlfriend/boyfriend
9 Tense relationship or conflicts with fellow students
10 Dissatisfaction with present state of learning
SARS-related Stressful Event Scale
1 During SARS crisis, you or your family coughed or got a fever
4 To prevent SARS spread, being required to stay inside the campus
5 During SARS crisis, most restaurants and entertainment places were shut down
6 About 100 new SARS cases reported per day in Beijing (21 April-8 May)
7 To prevent SARS spread, all courses temporarily suspended
8 On campus, over 50% students wearing gauze masks
9 During SARS crisis, in your dorm or neighboring dorms were found students with high fever
10 SARS cases or suspects reported on your campus or among acquaintances