Coping and rumination as mediators in the development of reactive embitterment in the general population.

Abstract

Objective: Embitterment encapsulates reactive emotions such as worthlessness or helplessness after negative life events that contravene one’s basic beliefs. However, no psychological model of the development of persistent embitterment has yet been investigated. We examined mediating factors for reactive embitterment, focusing on cognitive processes, including coping and rumination, among young South Korean adults. Method: A total of 1,000 young adults aged 18–35 answered an online survey questionnaire measuring distress caused by negative life events, coping strategies, rumination, and embitterment. To examine the mediating associations of coping and rumination with embitterment, we tested path analysis models separately. Results: Distress was both directly and indirectly related to embitterment (mediated by maladaptive strategies of dysfunctional coping and intrusive rumination; total association β = .54, p < .001). The estimated indirect association of distress via maladaptive strategy with embitterment was 0.45, accounting for 82.4% of the total association of distress on embitterment. The ratio of indirect association via maladaptive strategy to direct association was 4.64. The results of this study have implications for better clinical understanding and treatment of embitterment. Conclusions: The association between dysfunctional strategies and embitterment severity suggests that clinicians should attenuate potential aggravating factors, including dysfunctional coping and intrusive rumination. Given that a combination of dysfunctional coping approaches increased the risk of reactive embitterment fourfold, these variables can be regarded as important for the development of preventive service programs for people at risk of embitterment.

A prospective cohort study of the psychological consequences of the COVID-19 pandemic on frontline healthcare workers in New York City

“…Finally, while optimism appeared to be protective, maladaptive forms of coping, such as substance use and behavioral disengagement, were associated with an increased likelihood of having persistent distress, which is consistent with prior literature (Feder et al 2016 ; Feingold et al 2021 ; Løvstad et al 2020 ; Mazure et al 2000 ; Yoo et al 2020 ). Resilience-building interventions are one strategy that may help bolster optimism and promote adaptive coping during a crisis.…”

Factors associated with posttraumatic growth among spouses of women diagnosed with gynaecological cancer: A cross‐sectional study

“…The most interesting finding of this study is that dysfunctional coping was positively associated with PTG, which was inconsistent with several previous studies. For example, Yoo et al (2021) found that maladaptive responses or avoidance coping (e.g. denial, behavioural disengagement, substance use) may increase the risk of reactive embitterment when people experience negative events.…”

“…A four-score Likert scale method was used in the scoring. In accordance with previous studies (Lloyd et al, 2019;Yoo et al, 2021), three Brief COPE subscales were created: problemfocused coping (i.e. active coping, instrumental support and planning), emotion-focused coping (i.e.…”