Abstract
The study investigated whether gender differences in the stressor, coping strategies, and how they associate stress and copings among 875 elderly patients undergoing hemodialysis in Taiwan. Chi-square tests, MANOVA and Structural Equation Modeling were used to attain the research purposes. The results found that the women had reported higher stress in response to physical and vessel problems and higher scores in using emotion-oriented and support-seeking coping strategies, while the men reported higher stress in reproductive system functioning and higher score in using avoidance as a coping strategy. Furthermore, the results from SEM demonstrated that after controlling for patient characteristics, no statistical difference was found between the two groups with regard to their linking of stress and coping strategies.
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Almeida, D. M., Wethington, E., & Kessler, R. C. (2002). The daily inventory of stressful events: an interview-based approach for measuring daily stressors. Assessment, 9, 41–55.
Arslan, D., Aslan, G., Sifil, A., Çavdar, C., Çelebi, I., Gamsari, T., et al. (2002). Sexual dysfunction in male patients on hemodialysis: assessment with the International Index of Erectile Function. International Journal of Impotence Research, 14, 539–542.
Baldree, K. S., Murphy, S. P., & Powers, M. J. (1982). Stress identification and coping patterns in patients on hemodialysis. Nursing Research, 31, 107–112.
Baldwin, D. S. (2001). Depression and sexual dysfunction. British Medical Bulletin, 57, 81–99.
Belle, D. (1987). Gender differences in social moderators of stress. In R. C. Barnett, L. Biener, & G. K. Baruch (Eds.), Gender and stress (pp. 257–277). New York: Free.
Bolger, N. (1990). Coping as a personality process: a prospective study. Journal of Personality and Social Psychology, 59, 525–537.
Bolger, N., & Eckenrole, J. (1991). Social relationships, personality, and anxiety during a major stressful event. Journal of Personality and Social Psychology, 61, 440–449.
Byrne, B. M. (1994). Testing for the factorial validity, replication, and invariance of a measurement instrument: a paradigmatic application based on the Maslach Burnout Inventory. Multivariate Behavioral Research, 29, 289–311.
Byrne, B. M. (2001). Structural equation modeling with AMOS. Rahwah, NJ: Erlbaum.
Cheung, G. W., & Rensvold, R. B. (1999). Testing factorial invariance across groups: a reconceptualization and proposed new method. Journal of Management, 25, 1–27.
Cohen, S. D., Sharma, T., Acquaviva, K., Peterson, R. A., Patel, S. S., & Kimmel, P. L. (2007). Social support and chronic kidney disease: an update. Advances in Chronic Kidney Disease, 14, 335–344.
Colby, B. N. (1987). Well-being: a theoretical program. American Anthropologist, 89, 879–895.
Craven, J. L., Rodin, G. M., Johnson, L., & Kennedy, S. H. (1987). The diagnosis of major depression in renal dialysis patients. Psychosomatic Medicine, 49, 482–492.
Crawford, J., Kippax, S., Onyx, J., Gault, U., & Benton, P. (1992). Emotion and gender: constructing meaning from memory. London: Sage.
Cronqvist, A., Klang, B., & Bjorvell, H. (1997). The use and efficacy of coping strategies and coping styles in a Swedish sample. Quality of Life Research, 6, 87–96.
Erosy-Kart, M., & Guldu, O. (2005). Vulnerability to stress, perceived social support, and coping styles among chronic hemodialysis patients. Dialysis and Transplantation, 34, 662–667.
Folkman, S., Lazarus, R. S., Gruen, R. J., & DeLongis, A. (1986). Appraisal, coping, health status, and psychological symptoms. Journal of Personality and Social Psychology, 50, 571–579.
Frey, J. (2000). Gender differences in coping styles and coping effectiveness in chronic obstructive pulmonary disease groups. Heart and Lung: The Journal of Acute and Critical Care, 29, 367–377.
Friedman, L. C., Nelson, D. V., Baer, P. E., Lane, M., Smith, F. E., & Dworthkin, R. J. (1992). The relationship of dispositional optimism, daily life stress, and domestic environment to coping methods used by cancer patients. Journal of Behavioral Medicine, 15, 127–141.
Geller, P. A., & Hobfoll, S. E. (1994). Gender differences in job stress, tedium and social support in the workplace. Journal of Social and Personal Relationships, 11, 555–572.
Gillespie, B. L., & Eisler, R. M. (1992). Development of the feminine gender role stress scale: a cognitive-behavior measure of stress, appraisal, and coping for women. Behavior Modification, 16, 426–438.
Gurklis, J. A., & Menke, E. M. (1988). Identification of stressors and use of coping methods in chronic hemodialysis patients. Nursing Research, 37, 236–239.
Harrell, S., & Huang, C. C. (Eds.). (1994). Cultural change in postwar Taiwan. Boulder, CO: Westview.
Heim, E., Augustiny, K., Schaffner, L., & Valach, L. (1993). Coping with breast cancer over time and situation. Journal of Psychosomatic Research, 37, 523–542.
Holahan, C. J., & Moos, R. H. (1987). Risk, resistance, and psychological distress: a longitudinal analysis with adults and children. Journal of Abnormal Psychology, 96, 3–13.
House, J. S., Landis, K. R., & Umberston, D. (1988). Social relationships and health. Science, 24, 540–544.
Ikeda, A., Iso, H., Toyoshima, H., Fujino, Y., Mizoue, T., Yoshimura, T., et al. (2007). Marital status and mortality among Japanese men and women: the Japan collaborative cohort study. BMC Public Health, 7, 73.
Jalowiec, A., & Powers, M. (1981). Stress and coping in hypertensive and emergency room patients. Nursing Research, 30, 10–15.
Jick, T. D., & Mitz, L. F. (1985). Sex differences in work stress. Academy of Management Review, 10, 408–420.
Kimmel, P. L. (2000). Psychosocial factors in adult end-stage renal disease patients treated with hemodialysis: correlates and outcomes. American Journal of Kidney Diseases, 35(4, Suppl 1), S132–S140.
Kimmel, P. L., Peterson, R. A., Weihs, K. L., Simmens, S. J., Boyle, D. H., Cruz, I., et al. (1995). Aspects of quality of life in hemodialysis patients. Journal of the American Society of Nephrology, 6, 1418–1426.
Kohler, J. M., Munz, D. C., & Grawitch, M. J. (2006). Test of a dynamic stress model for organizational change: do males and females require different models? Applied Psychology, 55, 168–191.
Krantz, G., Berntsson, L., & Lundberg, U. (2005). Total workload, work stress and perceived symptoms in Swedish male and female white-collar employees. European Journal of Public Health, 15, 209–214.
Kutner, N. G., Fair, P. L., & Kutner, M. H. (1985). Assessing depression and anxiety in chronic dialysis patients. Journal of Psychosomatic Research, 29, 23–31.
Lazarus, R. S. (1991). Emotion and adaptation. London: Oxford University Press.
Lazarus, R. S. (1993). Coping theory and research: past, present, and future. Psychosomatic Medicine, 55, 234–247.
Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal and coping. New York: Springer.
Ledda, A. (2000). Diabetes, hypertension and erectile dysfunction. Current Medical Research and Opinion, 16, 17–20.
Lindqvist, R., Carlsson, M., & Sjoden, P. O. (1998). Coping strategies and quality of life among patients on hemodialysis and continuous ambulatory peritoneal dialysis. Scandinavian Journal of Caring Sciences, 12, 223–230.
Liu, M., Burleson, B. R., Liu, Y., & Mortenson, S. (2008). Assessing gender differences in Chinese evaluations of emotional support values, goals, coping behaviors, and messages. Paper presented at the International Communication Association, New York, NY.
Luckow, A., Reifman, A., & McIntosh, D. N. (1998). Gender differences in coping: a meta-analysis. Annual meetings of the American Psychological Association, San Francisco, CA.
Matud, P. M. (2004). Gender differences in stress and coping styles. Personality and Individual Differences, 37, 1401–1415.
Meredith, W. (1993). Measurement equivalence, factor analysis and factorial equivalence. Psychometrika, 58, 525–543.
Mok, E., & Tam, B. (2001). Stressors and coping methods among chronic hemodialysis patients in Hong Kong. Journal of Clinical Nursing, 10, 503–511.
Morgan, M., Patrick, D. L., & Charlton, J. R. (1984). Social networks and psychosocial support among disabled people. Social Science and Medicine, 19, 489–497.
Musil, C. M. (1998). Gender differences in health and health actions among community-dwelling elders. Journal of Gerontological Nursing, 24, 30–38.
Naughton, F. O. (1997). Stress and coping. Retrieved December 26, 2007, from http://www.csun.edu/~vcpsy00h/students/coping.htm.
Palmer, B. F. (1999). Sexual dysfunction in Uremia. Journal of the American Society of Nephrology, 10, 1381–1388.
Peng, Y. S., Chiang, C. K., Hung, K. Y., Chiang, S. S., Lu, C. S., Yang, C. S., et al. (2007). The association of higher depressive symptoms and sexual dysfunction in male hemodialysis patients. Nephrology, Dialysis, Transplantation, 22, 857–861.
Peng, Y. S., Chiang, C. K., Kao, T. W., Hung, K. Y., Lu, C. S., Chiang, S. S., et al. (2005). Sexual dysfunction in female hemodialysis patients: a multicenter study. Kidney International, 68, 760–765.
Pereira, A., Weiner, D., Scott, T., & Sarnak, M. (2005). Cognitive function in dialysis patients. American Journal of Kidney Diseases, 45, 448–462.
Plantinga, L., Fink, N., Levin, N., Jaar, B., Coresh, J., Levey, A., et al. (2007). Early, intermediate, and long-term risk factors for mortality in incident dialysis patients: the Choices for Healthy Outcomes in Caring for ESRD (CHOICE) Study. American Journal of Kidney Diseases, 49, 831–840.
Porter, L. S., & Stone, A. A. (1995). Are there really gender differences in coping? A reconsideration of previous data and results from a daily study? Journal of Social and Clinical Psychology, 14, 184–202.
Procci, W. R., Goldstein, D. A., Adelstein, J., & Massry, S. G. (1981). Sexual dysfunction in the male patient with uremia: a reappraisal. Kidney International, 19, 317–323.
Ptacek, J. T., Smith, R. E., & Dodge, K. L. (1994). Gender differences in coping with stress: when stressor and appraisals do not differ. Personality and Social Psychology Bulletin, 20, 421–430.
Ptacek, J. T., Smith, R. E., & Zanas, J. (1992). Gender, appraisal, and coping: a longitudinal analysis. Journal of Personality, 60, 747–770.
Rosas, S. E., Joffe, M., Franklin, E., Strom, B. L., Kotzker, W., Brensinger, C., et al. (2001). Prevalence and determinants of erectile dysfunction in hemodialysis patients. Kidney International, 59, 2259–2266.
Saarni, C. (1988). Emotional competence: how emotions and relationships become integrated. Nebraska Symposium on Motivation Papers, 36, 82–115.
Singh, J. (1995). Measurement issues in cross-national research. Journal of International Business Studies, 26, 597–619.
Takaki, J., Nishi, T., Shimoyama, H., Inada, T., Matsuyama, N., Kumano, H., et al. (2005). Possible interactive effects of demographic factors and stress coping mechanisms on depression and anxiety in maintenance hemodialysis patients. Journal of Psychosomatic Research, 58, 217–223.
Tamres, L. K., Janicki, D., & Helgeson, V. S. (2002). Sex differences in coping behavior: a meta-analytic review and an examination of relative coping. Personality and Social Psychology Review, 6, 2–30.
Tang, C. S., & Lau, B. H. (1995). The assessment of gender role stress for Chinese. Sex Roles, 33, 587–595.
Taylor, S. E. (2006). Tend and befriend: biobehavioral bases of affiliation under stress. Current Directions in Psychological Science, 15, 273–277.
Theorell, T., Konarski-Svensson, J. K., Ahlmen, J., & Perski, A. (1991). The role of paid work in Swedish chronic dialysis patients—a nation-wide survey: paid work and dialysis. Journal of Internal Medicine, 230, 501–509.
Toorians, A. W., Janssen, E., Laan, E., Gooren, L. J., Giltay, E. J., Oe, P. L., et al. (1997). Chronic renal failure and sexual functioning: clinical status versus objectively assessed sexual response. Nephrology, Dialysis, Transplantation, 12, 2654–2663.
Trocki, K. F., & Orioli, E. M. (1994). Gender differences in stress symptoms, stress-producing contexts, and coping strategies. In G. P. Keita, & J. J. J. Hurrell (Eds.), Job Stress in a changing workforce: investigating gender, diversity, and family issues (pp. 7–12). Washington, DC: American Psychological Association.
Vingerhoets, A. D., & Scheirs, J. (2000). Sex differences in crying: empirical findings and possible explanation. In A. H. Fischer (Ed.), Gender and emotion: social psychological perspective (pp. 143–165). Cambridge, UK: Cambridge University Press.
Vingerhoets, A. J., & Van Heck, G. L. (1990). Gender, coping and psychosomatic symptoms. Psychological Medicine, 20, 125–135.
White, Y., & Fitzpatrick, G. (2006). Dialysis: Prolonging life or prolonging dying? Ethical, legal and professional considerations for end of life decision making. EDTNA/ERCA Journal (English Ed.), 32, 99–103.
Wyke, S., & Ford, G. (1992). Competing explanations for associations between marital status and health. Social Science and Medicine, 34, 523–532.
Yeh, S. C., & Chow, H. C. (2007). Coping strategies and stressors in hemodialysis patients. Psychosomatic Medicine, 69, 182–190.
Zammuner, V. L. (2000). Men’s and women’s lay theories of emotion. In A. H. Fischer (Ed.),Gender and emotion: social psychological perspective (pp. 48–60). Cambridge, UK: Cambridge University Press.
Acknowledgements
We thank Drs. Esther Mok and Bonnie Tam for the permission to use the Chinese version of the Haemodialysis Stressor Scale (HSS) and Jalowiec Coping Scale (JCS). This study was funded by the National Science of Council, Taiwan.
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Yeh, SC.J., Huang, CH., Chou, HC. et al. Gender Differences in Stress and Coping among Elderly Patients on Hemodialysis. Sex Roles 60, 44–56 (2009). https://doi.org/10.1007/s11199-008-9515-2
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DOI: https://doi.org/10.1007/s11199-008-9515-2