UMD Theses and Dissertations
Permanent URI for this collectionhttp://hdl.handle.net/1903/3
New submissions to the thesis/dissertation collections are added automatically as they are received from the Graduate School. Currently, the Graduate School deposits all theses and dissertations from a given semester after the official graduation date. This means that there may be up to a 4 month delay in the appearance of a given thesis/dissertation in DRUM.
More information is available at Theses and Dissertations at University of Maryland Libraries.
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Item Attachment and Pain Catastrophizing From a Communal Coping Perspective in Women With Chronic Pain(2021) Reeves, Elizabeth; Hoffman, Mary Ann; Counseling and Personnel Services; Digital Repository at the University of Maryland; University of Maryland (College Park, Md.)Chronic pain is a devastating public health problem particularly in women, who are at increased risk for chronic conditions and report more depression and disability secondary to pain relative to men. The impact of relationships, which are critical to the experience and management of pain as well as central to the female gender role, may help to explain gender disparities. The present study uses the Communal Coping Model of Pain Catastrophizing (CCM) and the Attachment-Diathesis Model of Chronic Pain (ADMoCP) to investigate how relationship patterns influence coping responses in women with chronic pain. It seeks to clarify the mechanisms by which unmet attachment needs contribute to pain catastrophizing and influence perceptions of others’ responses to pain and pain-related behaviors. Furthermore, it seeks to examine how insecure attachment might contribute to lower levels of adaptive, intrapersonal responses to pain such as self-compassion, and whether addressing these deficits might represent a viable target for intervention. A total of 355 women with generalized chronic pain conditions (Fibromyalgia, Rheumatoid Arthritis, and/or Myofascial Pain Syndrome) completed an online survey. Exploratory analyses examine relationships between attachment, pain appraisals, pain catastrophizing, self-compassion, depression, and disability. Additional analyses test the CCM and the ADMoCP by investigating: (1) two possible mechanisms by which attachment needs might influence pain catastrophizing, depression, and disability; and (2) the role of attachment and pain catastrophizing in shaping perceptions of others’ responses to pain and pain-related behaviors. Findings have implications for conceptualization and treatment from an attachment perspective.Item A Feminist Perspective on Coping with Interpersonal Stress in Chronic Disease(2016) Reeves, Elizabeth; Hoffman, Mary Ann; Counseling and Personnel Services; Digital Repository at the University of Maryland; University of Maryland (College Park, Md.)The present study used a feminist framework to better understand how women with chronic disease cope with interpersonal, disease-related stressors. Specifically, it examined how gender-related stress, including traits (e.g., unmitigated communion) and relationship schemas (e.g., self-silencing) impact adjustment among women with Celiac Disease, and whether gendered coping processes, such as emotional approach coping, play a mediating or moderating role. Data was collected from 344 women with Celiac Disease through an online survey. Results demonstrate the importance of gender-related stress for psychological adjustment to CD among women. Findings suggest that although emotional approach coping may be a beneficial strategy when managing disease-related interpersonal stress, other forms of coping requiring interpersonal agency may be more important. Future research should investigate relationships between gender-related stress and problem-focused coping while considering the influence of disease-related factors such as time since diagnosis, symptom severity and symptom frequency.