Abstract
Maladaptive social problem-solving (SPS) plays a significant mediating role in the negative impact of stressful life events on wellbeing. With a basis in D’Zurilla and Nezu’s (Problem-solving therapies, 2nd ed., The Guilford Press, New York, pp. 211–245, 2001) relational/problem-solving model of stress and wellbeing, we examined interrelations amongst stress, SPS, and gastrointestinal (GI) symptoms and tested several mediational models: maladaptive forms of SPS as mediators of the relationship between stress and GI symptoms, and stress as a mediator of maladaptive forms of SPS and GI symptoms. Undergraduates (N = 345) completed the Perceived Stress Scale, the Social Problem-Solving Inventory-Revised, and the Birmingham IBS Symptom Questionnaire. Pearson correlation coefficients revealed that all measures were significantly related in the expected directions. Stress was a significant mediator in the models with maladaptive SPS dimensions as independent variables, but SPS did not mediate the stress/GI symptom relationship. Results demonstrate links amongst stress, SPS, and GI symptoms, and suggest that poorer SPS leads to higher levels of stress, which, in turn, increases GI symptom severity.
Similar content being viewed by others
References
Anderson, R. J., Goddard, L., & Powell, J. H. (2009). Social problem-solving processes and mood in college students: An examination of self-report and performance-based approaches. Cognitive Therapy and Research, 33, 175–186.
Anderson, R. J., Goddard, L., & Powell, J. H. (2011). Social problem-solving and depressive symptom vulnerability: The importance of real-life problem-solving performance. Cognitive Therapy and Research, 35, 48–56.
Baker, S. R. (2003). A prospective longitudinal investigation of social problem-solving appraisals on adjustment to university, stress, health, and academic motivation and performance. Personality and Individual Differences, 35, 569–591.
Baron, R. M., & Kenny, D. A. (1986). The moderator–mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 1173.
Becker-Weidman, E. G., Jacobs, R. H., Reinecke, M. A., Silva, S. G., & March, J. S. (2010). Social problem-solving among adolescents treated for depression. Behaviour Research and Therapy, 48, 11–18.
Bell, A. C., & D’Zurilla, T. J. (2009). The influence of social problem-solving ability on the relationship between daily stress and adjustment. Cognitive Therapy and Research, 33, 439–448.
Blanchard, E. B., Lackner, J. M., Jaccard, J., Rowell, D., Carosella, A. M., Powell, C., et al. (2008). The role of stress in symptom exacerbation among IBS patients. Journal of Psychosomatic Research, 64, 119–128.
Boeckxstaens, G., Camilleri, M., Sifrim, D., Houghton, L. A., Elsenbruch, S., Lindberg, G., et al. (2016). Fundamentals of neurogastroenterology: Physiology/motility–sensation. Gastroenterology, 150, 1292–1304.
Brems, C., & Johnson, M. E. (1989). Problem-solving appraisal and coping style: The influence of sex-role orientation and gender. The Journal of Psychology, 123, 187–194.
Chang, L., & Videlock, E. J. (2017). Stress, distress and functional gastrointestinal disorders. In S. R. Knowles, J. Stern, & G. Hebbard (Eds.), Functional Gastrointestinal Disorders (pp. 12–21). Abingdon: Routledge.
Chey, W. D., Kurlander, J., & Eswaran, S. (2015). Irritable bowel syndrome: A clinical review. Journal of the American Medical Association, 313, 949–958.
Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24, 385–396.
Davila, J., Hammen, C., Burge, D., Paley, B., & Daley, S. E. (1995). Poor interpersonal problem solving as a mechanism of stress generation in depression among adolescent women. Journal of Abnormal Psychology, 104, 592.
D’Zurilla, T. J., & Nezu, A. M. (1999). Problem-solving therapy. A social competence approach to clinical intervention. New York: Springer.
D’Zurilla, T. J., & Nezu, A. M. (2001). Problem-solving therapies. In K. S. Dobson (Ed.), The handbook of cognitive-behavioral therapies (2nd ed., pp. 211–245). New York: The Guilford Press.
D’Zurilla, T. J., & Nezu, A. M. (2010). Problem-solving therapy. Handbook of Cognitive Behavioral Therapies, 3, 197–225.
D’Zurilla, T. J., Nezu, A. M., & Maydeu-Olivares, A. (2002). Manual for the social problem-solving inventory-revised. North Tonawanda, NY: Multi-Health Systems.
D’Zurilla, T. J., Chang, E. C., Nottingham, E. J., IV, & Faccini, L. (1998a). Social problem-solving deficits and hopelessness, depression, and suicidal risk in college students and psychiatric inpatients. Journal of Clinical Psychology, 54, 1091–1107.
D’Zurilla, T. J., Maydeu-Olivares, A., & Kant, G. L. (1998b). Age and gender differences in social problem-solving ability. Personality and Individual Differences, 25, 241–252.
Eskin, M., Akyol, A., Çelik, E. Y., & Gültekin, B. K. (2013). Social problem-solving, perceived stress, depression and life-satisfaction in patients suffering from tension type and migraine headaches. Scandinavian Journal of Psychology, 54, 337–343.
Field, A. (2014). Discovering statistics using IBM SPSS statistics (4th ed.). London: Sage.
Frye, A. A., & Goodman, S. H. (2000). Which social problem-solving components buffer depression in adolescent girls? Cognitive Therapy and Research, 24, 637–650.
Hayes, A. F. (2013). Methodology in the social sciences Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. New York, NY: Guilford Press.
Jasper, F., Egloff, B., Roalfe, A., & Witthöft, M. (2015). Latent structure of irritable bowel syndrome symptom severity. World Journal of Gastroenterology, 21, 292.
Kant, G. L., D’Zurilla, T. J., & Maydeu-Olivares, A. (1997). Social problem solving as a mediator of stress-related depression and anxiety in middle-aged and elderly community residents. Cognitive Therapy and Research, 21, 73–96.
Kennedy, P. J., Clarke, G., Quigley, E. M., Groeger, J. A., Dinan, T. G., & Cryan, J. F. (2012). Gut memories: Towards a cognitive neurobiology of irritable bowel syndrome. Neuroscience and Biobehavioral Reviews, 36, 310–340.
Levy, R. L., Olden, K. W., Naliboff, B. D., Bradley, L. A., Francisconi, C., Drossman, D. A., et al. (2006). Psychosocial aspects of the functional gastrointestinal disorders. Gastroenterology, 130, 1447–1458.
Nezu, A. M. (1987). A problem-solving formulation of depression: A literature review and proposal of a pluralistic model. Clinical Psychology Review, 7, 121–144.
Nezu, A. M. (2004). Problem solving and behavior therapy revisited. Behavior Therapy, 35, 1–33.
Nezu, A. M., Nezu, C. M., & Jain, D. (2008). Social problem solving as a mediator of the stress-pain relationship among individuals with noncardiac chest pain. Health Psychology, 27, 829.
Örücü, M. Ç., & Demir, A. (2009). Psychometric evaluation of perceived stress scale for Turkish university students. Stress and Health, 25, 103–109.
Pletikosić, S., & Tkalčić, M. (2016). The role of stress in IBS symptom severity. Psychological Topics, 25, 29.
Reinecke, M. A., DuBois, D. L., & Schultz, T. M. (2001). Social problem solving, mood, and suicidality among inpatient adolescents. Cognitive Therapy and Research, 25, 743–756.
Roalfe, A. K., Roberts, L. M., & Wilson, S. (2008). Evaluation of the Birmingham IBS symptom questionnaire. BMC Gastroenterology, 8, 30.
Sexton, K. A., Walker, J. R., Graff, L. A., Bernstein, M. T., Beatie, B., Miller, N., et al. (2017). Evidence of bidirectional associations between perceived stress and symptom activity: A prospective longitudinal investigation in inflammatory bowel disease. Inflammatory Bowel Diseases, 23, 473–483.
Siu, A. M., & Shek, D. T. (2010). Social problem solving as a predictor of well-being in adolescents and young adults. Social Indicators Research, 95, 393–406.
Targownik, L. E., Sexton, K. A., Bernstein, M. T., Beatie, B., Sargent, M., Walker, J. R., et al. (2015). The relationship among perceived stress, symptoms, and inflammation in persons with inflammatory bowel disease. The American Journal of Gastroenterology, 110, 1001–1012.
Van Oudenhove, L., Levy, R. L., Crowell, M. D., Drossman, D. A., Halpert, A. D., Keefer, L., et al. (2016). Biopsychosocial aspects of functional gastrointestinal disorders: How central and environmental processes contribute to the development and expression of functional gastrointestinal disorders. Gastroenterology, 150, 1355–1367.
Acknowledgements
This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors declare that they have no conflict of interest.
Ethical Approval
Approval to conduct the present study was obtained from the university’s Institutional Review Board for the Protection of Human Subjects.
Informed Consent
Informed consent was obtained by all participants prior to their participation.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Roy, N.M., Schwartz-Mette, R. & Nangle, D.W. Interconnections Among Perceived Stress, Social Problem Solving, and Gastrointestinal Symptom Severity. J Rat-Emo Cognitive-Behav Ther 38, 330–344 (2020). https://doi.org/10.1007/s10942-019-00331-5
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10942-019-00331-5