Traumatic Experiences and Collectivist Coping Styles of University Students in Turkey

Abstract

Several taxonomies have been suggested to classsify coping styles, yet collectivist and individualist are the two fundamental types currently being adopted in research on coping styles. In this respect, the main purpose of this study was to examine the collectivist coping styles of university students who have traumatic life experiences. The sample of the study consisted of 508 Female=333, Male=161, Unspecified=14 undergraduate students in Turkey. The findings of the study revealed that the most frequently experienced traumatic life events were “death/illness of a loved one”, “breakup with significant others”, “unwanted sexual activity/coercion/sexual assault” and “academic pressure/suspension of school”, respectively. One striking finding of the study was that 65.6% of the participants experienced only one traumatic event, 16.1% had two incidents, 10.6% had three and 7.7% had four or more traumatic events. Another noteworthy finding of the the study revealed that “Family Support” and “Religion and Spirituality” styles were referred with the lowest frequency in traumatic events of sexual content; however, these two styles were highly preferred and effective in traumatic events such as natural disaster, death of a loved one, and personal illness. It was further found that women experienced significantly more traumatic events involving sexual and physical violence, whereas men experienced major accident, natural disaster, or witness to an injury of another person or physical violence. It was found that women who had traumatic experience used “Religion and Spirituality” dimension significantly more than men. The results revealed that collectivist coping styles are widely used among Turkish university students and that the preferred coping style differs depending on gender and the traumatic situation.

Keywords

• Collectivist Coping,Traumatic Experience,University Students

References

1. Aksu, H., & Sevil, Ü. (2010). Göç ve kadın sağlığı [Migration and women's health]. Maltepe Üniversitesi Hemşirelik Bilim ve Sanatı Dergisi, 2(3), 133-138.
2. APA (American Pyschiatric Association) (2014). Ruhsal bozuklukların tanısal ve sayımsal el kitabı 5 [Diagnostic and statistical manual of mental disorder 5] (E. Köroğlu, Trans.) Ankara: Hekimler Birliği Yayın Birliği.
3. Atwoli, L., Stein, D. J., Williams, D. R., Mclaughlin, K. A., Petukhova, M., Kessler, R. C., & Koenen, K. C. (2013). Trauma and posttraumatic stress disorder in South Africa: analysis from the South African Stress and Health Study. BMC Psychiatry, 13(1), 182-194, doi: 10.1186/1471-244X-13-182
4. Bagheri, S. H. S., Iranmanesh, S., Rayyani, M., Dehghan, M., Tirgari, B., & Hosseini, S. H. (2018). Post-traumatic stress and growth among CPR survivors in the southeast of Iran. International Journal of Adolescent Medicine and Health (published online ahead of print), 20170138, doi: 10.1515/ijamh-2017-0138
5. Bal, S., Crombez, G., Van Oost, P., & Debourdeaudhuij, I. (2003). The role of social support in well-being and coping with self-reported stressful events in adolescents. Child Abuse & Neglect, 27(12), 1377-1395, doi: 10.1016/j.chiabu.2003.06.002
6. Baybuğa, M. S., Irmak, Z., Talas, S., & Savran, B. M. (2012). Adli tıp şube müdürlüğüne başvuran fiziksel ve cinsel şiddet mağduru kadın olgularının değerlendirilmesi [Evaluation of cases involving female victims of physical and sexual assault reporting to the forensic medicine department] Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 15(3), 173-180, doi: 10.17049/ahsbd.72800
7. Benjet, C., Bromet, E., Karam, E. G., Kessler, R. C., McLaughlin, K. A., Ruscio, A. M., et al. (2016). The epidemiology of traumatic event exposure worldwide: results from the World Mental Health Survey Consortium. Psychological Medicine, 46(02), 327-343, doi: 10.1017/S0033291715001981
8. Bjorck, J. P., Cuthbertson, W., Thurman, J. W., & Lee, Y. S. (2001). Ethnicity, coping, and distress among Korean Americans, Filipino Americans, and Caucasian Americans. The Journal of Social Psychology, 141(4), 421- 442, doi: 10.1080/00224540109600563

9. Bradley, R., Schwartz, A. C., & Kaslow, N. J. (2005). Posttraumatic stress disorder symptoms among low- income, African American women with a history of intimate partner violence and suicidal behaviors: Self-esteem, social support, and religious coping. Journal of Traumatic Stress: Official Publication of The International Society for Traumatic Stress Studies, 18(6), 685-696, doi: 10.1002/jts.20077
10. Bryant-Davis, T., Ullman, S. E., Tsong, Y., & Gobin, R. (2011). Surviving the storm: The role of social support and religious coping in sexual assault recovery of African American women. Violence Against Women, 17(12), 1601-1618, doi: 10.1177/1077801211436138
11. Cross, S. E. (1995). Self-construals, coping, and stress in cross-cultural adaptation. Journal of Cross-Cultural Psychology, 26(6), 673-697, doi: 10.1177/002202219502600610
12. Cusack, S. E., Hicks, T. A., Bourdon, J., Sheerin, C. M., Overstreet, C. M., Kendler, K. S., ... & Amstadter, A. B. (2018). Prevalence and predictors of PTSD among a college sample. Journal of American College Health, 66, 1-24, doi: 10.1080/07448481.2018.1462824
13. Dai, W., Chen, L., Tan, H., Wang, J., Lai, Z., Kaminga, A. C., ... & Liu, A. (2016). Association between social support and recovery from post-traumatic stress disorder after flood: a 13–14 year follow-up study in Hunan, China. BMC public health, 16(1), 194-203, doi: 10.1186/s12889-016-2871-x
14. Demirli, A. (2011). Terörizm, psikososyal etkileri ve müdahale modelleri [Terrorism, psychosocial effects and intervention models]. Türk Psikolojik Danışma ve Rehberlik Dergisi, 4(35), 66-76.
15. Falsetti, S. A., Resick, P. A., & Davis, J. L. (2003). Changes in religious beliefs following trauma. Journal of Traumatic Stress: Official Publication of The International Society for Traumatic Stress Studies, 16(4), 391-398, doi: 10.1023/A:1024422220163
16. Freh, F. M. (2016). Why are some individuals more resilient than others: the dynamic role of social support and religious coping in predicting PTSD and psychiatric distress as a result of mass trauma? Al-Adab Journal, 116, 45-66.
17. Frounfelker, R., Gilman, S. E., Betancourt, T. S., Aguilar-Gaxiola, S., Alonso, J., Bromet, E. J., ... & Karam, E. G. (2018). Civilians in World War II and DSM-IV mental disorders: Results from the World Mental Health Survey Initiative. Social Psychiatry and Psychiatric Epidemiology, 53(2), 207-219, doi:10.1007/s00127-017- 1452-3
18. Fullerton, C. S., Ursano, R. J., & Wang, L. (2004). Acute stress disorder, posttraumatic stress disorder, and depression in disaster or rescue workers. American Journal of Psychiatry, 161(8), 1370-1376, doi: 10.1176/appi.ajp.161.8.1370
19. Gershuny, B. S. (1999). Structural models of psychological trauma, dissociative phenomena, and distress in a mixed- trauma sample of females: Relations to fear about death and control. Unpublished doctoral dissertation, University of Missouri, Columbia, MO.
20. Gil, S. (2005). Coping style in predicting posttraumatic stress disorder among Israeli students. Anxiety, Stress, and Coping, 18(4), 351-359, doi: 10.1080/10615800500392732
21. Goldstein, R. B., Smith, S. M., Chou, S. P., Saha, T. D., Jung, J., Zhang, H., ... & Grant, B. F. (2016). The epidemiology of DSM-5 posttraumatic stress disorder in the United States: results from the National Epidemiologic Survey on Alcohol and Related Conditions-III. Social Psychiatry and Psychiatric Epidemiology, 51(8), 1137-1148, doi: 10.1007/s00127-016-1208-5
22. Gölge, Z. B., & Yavuz, M. F. (2007). Cinsel saldırı olgularının suç motivasyonuna göre sınıflandırılması [Classifying rape cases according the crime motivation]. Adli Tıp Dergisi, 21(2), 11-19.
23. Gul, E., & Karanci, A. N. (2017). What determines posttraumatic stress and growth following various traumatic events? A study in a Turkish community sample. Journal of Traumatic Stress, 30(1), 54-62, doi: 10.1002/jts.22161
24. Haden, S. C., Scarpa, A., Jones, R. T., & Ollendick, T. H. (2007). Posttraumatic stress disorder symptoms and injury: The moderating role of perceived social support and coping for young adults. Personality and Individual Differences, 42(7), 1187-1198, doi: 10.1016/j.paid.2006.09.030
25. Harris, J. I., Erbes, C. R., Engdahl, B. E., Olson, R. H., Winskowski, A. M., & McMahill, J. (2008). Christian religious functioning and trauma outcomes. Journal of Clinical Psychology, 64(1), 17-29, doi: 10.1002/jclp.20427
26. Heppner, P. P., Heppner, M. J., Lee, D. G., Wang, Y. W., Park, H. J., & Wang, L. F. (2006). Development and validation of a collectivist coping styles inventory. Journal of Counseling Psychology, 53(1), 107-125, doi: 10.1037/0022-0167.53.1.107
27. Heron, R. L., Jacobs, D. P., Twomey, H. B., & Kaslow, N. J. (1997). Culturally competent interventions for abused and suicidal African American women. Psychotherapy, 34, 410-424, doi: 10.1037/h0087639
28. Hofstede, G., Hofstede, G. J., & Minkov, M. (2010). Cultures and organizations: Software of the mind (3rd ed). New York: Mcgraw-hill.
29. Holbrook, T. L., Hoyt, D. B., Stein, M. B., & Sieber, W. J. (2002). Gender differences in long-term posttraumatic stress disorder outcomes after major trauma: Women are at higher risk of adverse outcomes than men. Journal of Trauma and Acute Care Surgery, 53(5), 882-888.
30. İkkaracan, P. (Ed.) (2018). Müslüman toplumlarda kadın ve cinsellik [Women and sexuality in Muslim societies]. (6th ed.). İstanbul: Sena Ofset.
31. Jóhannesdóttir, H. (2017). The role of sexual abuse, social support and positive perspective towards school on adolescents’ psychological well-being. Unpublished doctoral dissertation. Reykjavik University, Reykjavik, Iceland.
32. Jin, Y., Xu, J., Liu, H., & Liu, D. (2014). Posttraumatic stress disorder and posttraumatic growth among adult survivors of Wenchuan Earthquake after 1 year: Prevalence and correlates. Archives of Psychiatric Nursing, 28(1), 67-73, doi: 10.1016/j.apnu.2013.10.010
33. Kağıtçıbaşı, Ç. (2007). Kültürel psikoloji: Kültür bağlamında insan ve aile [Cultural psychology: Human and family in the context of culture]. (3rd. ed), İstanbul: Evrim Yayınları.
34. Kane, D., Cheston, S. E., & Greer, J. (1993). Perceptions of God by survivors of childhood sexual abuse: An exploratory study in an underresearched area. Journal of Psychology and Theology, 21(3), 228-237, doi: 10.1177/009164719302100306
35. Karabulutlu, E. Y., Yaralı, S., & Karaman, S. (2017). Evaluation of distress and religious Coping among cancer patients in Turkey. Journal of Religion and Health, 1-10, doi: 10.1007/s10943-017-0453-6
36. Kesimci, A., Göral, F. S., & Gençöz, T. (2005). Determinants of stress-related growth: Gender, stressfulness of the event, and coping strategies. Current Psychology, 24(1), 68-75, doi: 10.1007/s12144-005-1005-x
37. Khamis, V. (2015). Coping with war trauma and psychological distress among school-age Palestinian children. American Journal of Orthopsychiatry, 85(1), 72-79, doi: 10.1037/ort0000039
38. Khan, A. A., Haider, G., Sheikh, M. R., Ali, A. F., Khalid, Z., Tahir, M. M., ... & Khan, M. B. (2016). Prevalence of post-traumatic stress disorder due to community violence among university students in the world’s most dangerous megacity: A cross-sectional study from Pakistan. Journal of Interpersonal Violence, 31(13), 2302-2315, doi: 10.1177/0886260515575605
39. Kilpatrick, D. G., Resnick, H. S., Milanak, M. E., Miller, M. W., & Keyes, K. M. (2013). National estimates of exposure to traumatic events and PTSD prevalence using DSM-IV and DSM-5 criteria. Journal of Traumatic Stress, 26, 537-547, doi: 10.1002/jts.21848
40. Kira, I. A., Fawzi, M. H., & Fawzi, M. M. (2013). The dynamics of cumulative trauma and trauma types in adults patients with psychiatric disorders: Two cross-cultural studies. Traumatology, 19(3), 179-195, doi: 10.1177/1534765612459892
41. Kremer, H., & Ironson, G. (2014). Longitudinal spiritual coping with trauma in people with HIV: implications for health care. AIDS Patient Care STDS, 28(3), 144-154, doi: 10.1089/apc.2013.0280
42. Kula, N. (2002). Deprem ve dini başa çıkma [Earthquake and religious coping]. Gazi Üniversitesi Çorum İlahiyat Fakültesi Dergisi,1(1), 234-255.
43. Lassemo, E., Sandanger, I., Nygård, J. F., & Sİrgaard, K. W. (2017). The epidemiology of post-traumatic stress disorder in Norway: trauma characteristics and pre-existing psychiatric disorders. Social Psychiatry and Psychiatric Epidemiology, 52, 11-19, doi: 10.1007/s00127-016-1295-3
44. Lawson, R., Drebing, C., Berg, G., Vincellette, A., & Penk, W. (1998). The long-term impact of child abuse on religious behavior and spirituality in men. Child Abuse & Neglect, 22(5), 369-380, doi: 10.1016/S0145- 2134(98)00003-9
45. Laufer, A., & Solomon, Z. (2006). Posttraumatic symptoms and posttraumatic growth among Israeli youth exposed to terror incidents. Journal of Social and Clinical Psychology, 25(4), 429-447, doi: 10.1521/jscp.2006.25.4.429
46. Lazarus, R. S. (2000). Toward better research on stress and coping. The American Psychologist, 55, 665-673, doi: 10.1037//0003-066X.55.6.665
47. Levine, P. A., & Frederick, A. (2013). Kaplanı uyandırmak: Travmayı iyileştirmek, (Çev: Z. Yalçınkaya). İstanbul: Butik Yayıncılık.
48. Liu, H., Petukhova, M. V., Sampson, N. A., Aguilar-Gaxiola, S., Alonso, J., Andrade, L. H., ... & Kawakami, N. (2017). Association of DSM-IV posttraumatic stress disorder with traumatic experience type and history in the World Health Organization World Mental Health Surveys. JAMA Psychiatry, 74(3), 270-281, doi: 10.1001/jamapsychiatry.2016.3783
49. Maercker, A., Hecker, T., Augsburger, M., & Kliem, S. (2018). ICD-11 prevalence rates of posttraumatic stress disorder and complex posttraumatic stress disorder in a German nationwide sample. The Journal of nervous and mental disease, 206(4), 270-276, doi: 10.1097/NMD.0000000000000790
50. Markus, H. R., & Kitayama, S. (1991). Culture and the self: Implications for cognition, emotion, and motivation. Psychological Review, 98(2), 224-253, doi: 10.1037/0033-295X.98.2.224
51. Mattson, E., James, L., & Engdahl, B. (2018). Personality factors and their impact on PTSD and post-traumatic growth is mediated by coping style among OIF/OEF veterans. Military Medicine, 183(9-10), e475-e480, doi: 10.1093/milmed/usx201
52. McCann, L., & Pearlman, L. A. (2015). Psychological trauma and adult survivor theory: Therapy and transformation. New York: Routledge.
53. McCarty, C. A., Weisz, J. R., Wanitromanee, K., Eastman, K. L., Suwanlert, S., Chaiyasit, W., & Band, E. B. (1999). Culture, coping, and context: Primary and secondary control among Thai and American youth. The Journal of Child Psychology and Psychiatry and Allied Disciplines, 40(5), 809-818, doi: 10.1111/1469- 7610.00496
54. Morling, B., & Fiske, S. T. (1999). Defining and measuring harmony control. Journal of Research in Personality, 33(4), 379-414, doi: 10.1006/jrpe.1999.2254
55. Morrison, J. (2014). DSM-5 made easy–the clinician’s guide to diagnosis. New York: Guilford Press.
56. Mölsä, M., Kuittinen, S., Tiilikainen, M., Honkasalo, M. L., & Punamäki, R. L. (2017). Mental health among older refugees: The role of trauma, discrimination, and religiousness. Aging & Mental Health, 21(8), 829- 837, doi: 10.1080/13607863.2016.1165183
57. Murat, A., & Kızılgeçit, M. (2017). Dini başa çıkma ve psikopataloji ilişkisi (Rize örneği) [Relationship between religious coping and psychopathology (Rize case)].Journal of Divinity Faculty of Recep Tayyip Erdogan University, 6(11), 111-151.
58. Olaya, B., Alonso, J., Atwoli, L., Kessler, R. C., Vilagut, G., & Haro, J. M. (2015). Association between traumatic events and post-traumatic stress disorder: results from the ESEMED-Spain study. Epidemiology and Psychiatric Sciences, 24(02), 172-183, doi: 10.1017/S2045796014000092
59. Overstreet, C., Berenz, E. C., Sheerin, C., Amstadter, A. B., Canino, G., & Silberg, J. (2016). Potentially traumatic events, posttraumatic stress disorder and depression among adults in Puerto Rico. Frontiers in Psychology, 7, 469-476, doi: 10.3389/fpsyg.2016.00469
60. Özdemir, M., & Yazıcı, H. (2018). The relationships between help seeking, social support, coping, and traumatic events among university students. Journal of Higher Education, 8(2), 158-171, doi: 10.2399/yod.18.009
61. Pargament, K. I. (1997). The psychology of religion and coping: Theory, research, practice. New York: Guilford Press.
62. Pargament, K. I., & Raiya, H. A. (2007). A decade of research on the psychology of religion and coping: Things we assumed and lessons we learned. Psyke & Logos, 28(2), 742-766.
63. Rask, K., Kaunonen, M., & Paunonen-Ilmonen, M. (2002). Adolescent coping with grief after the death of a loved one. International Journal of Nursing Practice, 8(3), 137-142, doi: 10.1046/j.1440-172X.2002.00354.x
64. Sattler, D. N., Boyd, B., & Kirsch, J. (2014). Trauma-exposed firefighters: Relationships among posttraumatic growth, posttraumatic stress, resource availability, coping and critical incident stress debriefing experience. Stress and Health, 30(5), 356-365, doi: 10.1002/smi.2608
65. Swartzman, S., Booth, J. N., Munro, A., & Sani, F. (2017). Posttraumatic stress disorder after cancer diagnosis in adults: A meta-analysis. Depression and Anxiety, 34(4), 327-339, doi: 10.1002/da.22542
66. Tarakeshwar, N., Vanderwerker, L. C., Paulk, E., Pearce, M. J., Kasl, S. V., & Prigerson, H. G. (2006). Religious coping is associated with the quality of life of patients with advanced cancer. Journal of Palliative Medicine, 9(3), 646-657, doi: 10.1089/jpm.2006.9.646
67. Taylor, R. J., Chatters, L. M., Jayakody, R., & Levin, J. S. (1996). Black and white differences in religious participation: A multisample comparison. Journal for the Scientific Study of Religion, 35(4), 403-410, doi: 10.2307/1386415
68. Triandis, H. C. (2001). Individualism-collectivism and personality. Journal of Personality, 69(6), 907-924, doi: 10.1111/1467-6494.696169
69. Tweed, R. G., & Conway, L. G. (2006). Coping strategies and culturally influenced beliefs about the world. In Handbook of multicultural perspectives on stress and coping (pp. 133-153). Springer, Boston, MA.
70. Weinberg, M. & Gil, S. (2016). Trauma as an objective or subjective experience: The association between types of traumatic events, personality traits, subjective experience of the event, and posttraumatic symptoms. Journal of Loss and Trauma, 21(2), 137-146, doi: 10.1080/15325024.2015.1011986
71. Weiss, N. H., Bold, K. W., Contractor, A. A., Sullivan, T. P., Armeli, S., & Tennen, H. (2018). Trauma exposure and heavy drinking and drug use among college students: Identifying the roles of negative and positive affect lability in a daily diary study. Addictive Behaviors, 79, 131-137, doi: 10.1016/j.addbeh.2017.12.015
72. Wong, P. T. P. (1993). Effective management of life stress: The resource-congruence model. Stress Medicine, 9, 51-60, doi: 10.1002/smi.2460090110
73. Yazıcı, H., Altun, F., Şahin, M., Tosun, C., Pekdemir, Ü., & Bulut-Yazıcı, E. (2017). Turkish adaptation of Collectivist 10.5455/jmood.20170304070533 Styles
74. Inventory. Journal of Mood Disorder, 7(2), 73-103, doi
75. Yeh, C. J., Arora, A. K., & Wu, K. A. (2006). A New theoretical model of collectivistic coping. In Handbook of multicultural perspectives on stress and coping. (Wong PTP, Wong LJC. Ed.). New York: Springer.
76. Yeh, C. J., Inman, A. G., Kim, A. B., & Okubo, Y. (2006). Asian American families' collectivistic coping strategies in response to 9/11. Cultural Diversity and Ethnic Minority Psychology, 12(1), 134-148, doi: 10.1037/1099- 9809.12.1.134
77. Zamanian, H., Eftekhar-Ardebili, H., Eftekhar-Ardebili, M., Shojaeizadeh, D., Nedjat, S., Taheri-Kharameh, Z., & Daryaafzoon, M. (2015). Religious coping and quality of life in women with breast cancer. Asian Pacific Journal of Cancer Prevention, 16(17), 7721-7725, doi: http://eprints.iums.ac.ir/id/eprint/5529
78. Zhang, D., & Long, B. C. (2006). A multicultural perspective on work-related stress: Development of a collective coping scale. In Handbook of multicultural perspectives on stress and coping (pp. 555-576). Springer, Boston, MA.