3. Electronic Theses and Dissertations (ETDs) - All submissions
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Item The association of adolescent smoking with stress and coping in Pretoria high schools: a qualitative study(2009-03-23T11:59:42Z) O'Hara, Oscar RenoAdolescent substance use is associated with a number of pressing problems on the public health agenda, including an increased risk of contracting sexually transmitted diseases, teenage pregnancy, violence-related injuries, depression, homicide, sexual assault, and accidental death. Teenage substance use remains high in South Africa, with a prevalence of smoking and alcohol binge-drinking estimated at 18.5% and 23% respectively. A previous quantitative cross-sectional analysis of data from a study cohort from which this study’s sample was drawn, demonstrated an association between adolescents’ sense of coherence (SOC) – a measure of coping ability – and smoking. The current study, using a qualitative approach, thus sought to gain more insight into adolescent substance use, particularly smoking, and to better understand how it may relate to coping. A mixed method sampling strategy was used in selecting 22 research participants between the ages of 16 and 19 in two high schools in Pretoria. They were then interviewed individually by an interviewer blinded to their SOC level and substance use status as documented in the quantitative survey in which this study builds on. The interviews were transcribed in full and a content analysis strategy was used in the analysis of the data. The results obtained were then merged with participants’ substance use status and SOC levels. Of the 22 participants, 6 had strong SOC and had never used substances; 8 had weak SOC and were current substance users. The other 8 also had weak SOC but were not current substance users. Further analysis of the results showed that adolescents’ substance use is associated with stress and coping as they (substance users) reported using substances in attempting to manage stressful life events. Of the 8 current substance users, 7 reported avoidance-oriented (disengagement) coping styles. Five of the 7 reported load imbalance such as academic and social pressures and distress (e.g. schoolwork overload, peer demands, and family problems) as a reason for using substances. The non-substance using adolescents with weak SOC reported strong social support, especially family and peer support in coping with life stressors. Hence, substances were more likely to make up for compromised coping where contextuallevel risk factors (demands/stressors) exceeded coping resources such as social support. Also, of the 8 substance users- in addition to stress related reasons for using substances- 4 reported sensation seeking, whilst 2 reported curiosity/experimentation- which are all non-stress related. Furthermore, although family and peer support were observed to be complementary in most cases, the reliance on peers for support was stronger amongst those whom family support was considered weak, which presented the context for social/peer pressure and vulnerability to substance use. The study findings suggest family support as a moderator of the influence of the adolescents’ inability to cope with stress (or have low SOC) on smoking behaviour. On the other hand, a close relationship was observed between strong SOC and using engagement coping responses and reporting family and school support as sources of support. Notably, all the participants with strong SOC reported that they had never used substances despite being equally affected by life stressors. The implications of the findings are also discussed, especially as related to enhancing SOC. More practically, in addition to providing life skills training to educate adolescents about substance use, school-based programmes could incorporate the notion of stress and coping in helping adolescents to develop desirable and effective coping strategies to deal with social demands as well as adopting advantageous lifestyles to meet their needs for stimulation and adventure (sensation seeking and experimentation). On the whole, the enhancement of social support and adolescents’ connectedness to various social systems may be the key to substance use prevention among South African adolescents.Item A Validation study of the sense of coherence scale using two South African samples(2007-03-01T11:05:14Z) Randall, Susan JaneThis study undertook to investigate the validity of the Sense of Coherence Scale (SOC Scale) for use in South Africa. The scale was developed by Antonovsky (1987) and is widely used in stress and health research. It measures three components: meaningfulness, comprehensibility, and manageability, which Antonovsky posited as being central to a person’s sense of coherence (SOC), which in turn facilitates coping and personal resilience. The current research utilised two samples, namely a group of disabled individuals and a group of undergraduate psychology students. It found that while the SOC Scale is indeed a useful psychometric instrument within a South African context, it would be advisable to develop a modified version of the scale for local use. Factor analysis suggested that a three-factor solution is more appropriate than a one-factor solution, a finding which is congruent with Antonovsky’s theory. Suggestions are made for modifications to some of the original 29 items, as well as the subscales, of the SOC Scale.Item Religious Orientation and Pressure in Undergraduate Engineering Students(2007-02-26T10:02:12Z) Almeida, Claudia Da SilvaIn recent years, there has been increased interest among multidisciplinary researchers in looking at the relationship between religion and health, with the bulk of the literature indicating that religion has largely positive effects on mental health (Masters, Hill, Kircher, Benson & Fallon, 2004; Pieper, 2004; Smith, McCullough & Poll, 2003). Hence this study has chosen to focus on the relationship between undergraduate students’ perceptions of religious orientation, as defined by Allport and Ross (1967), and their perceptions of pressure – a form of stress identified by Weiten (1988). Questionnaires comprising of the Religious Orientation Scale, the Pressure Inventory and demographic information in terms of age, gender and religious affiliation were administered to undergraduate engineering students at the University of the Witwatersrand to explore religious orientation and pressure respectively. The sample consisted of 76 undergraduate engineering students at the University of the Witwatersrand. The results revealed that in this sample religious orientation had no influence on perceptions of pressure. In terms of the demographic variables, neither age nor gender was found to influence students’ perceptions of religious orientation or pressure, respectively. However a significant difference was found between religious affiliation and both religious orientation and pressure. More specifically religious affiliation showed a significant difference in terms of intrinsic religious orientation, selfimposed pressure, pressure in intimate relations and total pressure.Item The role of assault severity, rape myth beliefs, personality factors, attribution style and psychological impact in predicting coping with rape victimization(2007-02-21T12:40:45Z) Mgoqi, Nolwandle CodeliaThis study is aimed at understanding the role of assault severity, personality traits and rape myths in predicting rape victims’ psychological responses and coping styles. Specifically, the study assessed the mediating role of victims’ attribution in predicting psychological impacts of rape victimization and the coping styles. On the basis of theory, it was postulated that the severity of assault (as determined by either the use of physical force and/or the presence of weapons); intrapersonal resources of hardiness; and the acceptance of rape myths would have a direct influence on survivors’ psychological impact and on coping. The thesis provides comprehensive coverage of the prevalence of rape victimization; the trauma and psychological impacts of rape victimization; coping with rape victimization; and the theory on the role of social cognition (appraisal and attribution) in explaining victims’ responses to rape. The theoretical conceptualisation underpinning the study offers a unique integration of this body of knowledge within the South African context. In investigating the research question, two hundred and fifty adult black (African) South African women who had experienced rape in the previous month were interviewed about the event and their subsequent responses. The interviewees were drawn from Xhosa, SePedi and Zulu speaking communities. The study was located within the quantitative research tradition. A structured interview questionnaire was developed. Descriptive statistics were calculated and the emphasis of the analysis was in the area of the Structural Equation Model. The model was successful in terms of explained variance in accounting for the two types of coping; approach and avoidance coping dimensions followed by the psychological impact and attribution. The results showed psychological impact as explained through the symptoms of Hyperarousal, Intrusion and Avoidance had the greatest influence on coping of rape survivors. As hypothesized, the results confirmed that an increase in rape assaults severity resulted into increased levels of psychological distress. The findings indicated that internal styles of self-blame attribution (behavioural and characterological attribution) were prevalent among victims of rape in the present study. Although hardiness (commitment and control) dimensions were not found to significantly influence coping, an orientation of control and commitment amongst survivors was found to significantly influence the attribution styles. Furthermore, the control dimension was found to have a significant influence on victims’ psychological distress. Interestingly, the results revealed that acceptance of rape myths among survivors resulted in a decrease in psychological distress. The findings demonstrate the strength of the current study in the development and testing of theoretically based models of processing rape victimization recovery among rape survivors. The implications of the data are explored.Item Using the Adolescent Stress Identification Inventory (ASII) to Identify Stress in Grade 10 and Grade 11 Girls, at a Private Highschool in Johannesburg.(2006-11-14T13:22:30Z) Rose, Lauren AnnThe Adolescent Stress Identification Inventory (ASII) was developed specifically to identify stress in South African adolescents. It consists of structured questions in response to which the subject is required to rate a statement according to a given scale. The purpose of this research was to assess the usefulness of the ASII as a structured inventory for identifying stress in adolescent girls who attend a private high school in Johannesburg. The sample of adolescents used in this research comprised only of English speaking girls but with the added dimension of the different race groupings namely White, Black, Chinese, Indian and Coloured. This allowed the researcher to compare the stressors identified by Kruger (1992) with the comparative female age cohort selected in this sample and identify and compare the stressors amongst the different racial groups. Understanding what types of things adolescents find stressful in relation to their stage of development is important in helping the adolescent cope with their “daily hassles” and assists teachers, parents and psychologists in treating and preventing the symptoms of stress. Erikson’s psychosocial theory of development is used as a basis for understanding the complex interaction and integration of physical, psychological and social factors that characterize adolescence as a period of development. The findings from this research suggest that the stressors identified by grade 10 and grade 11 girls, can be viewed in terms of the factors associated with the ASII, namely societal demands, self-concept, future expectations, relations and positive experience. The ASII was able to identify stressors and detect the similarities and differences of the types of concerns that the adolescents from the different race groups perceived as stressful. It is recommended that the ASII is used in conjunction with a qualitative means of acquiring more information about the respondents stress experience.Item The Relationship between Three Religious Coping Styles and Suicidal Ideation and Positive Ideation in Young Adults(2006-11-01T08:58:26Z) Smith, Danielle Ann EliseInternationally, suicide is highly prevalent among adolescents and young adults, and South African data suggest that suicide is a serious problem that is increasingly affecting the Black population and young men in particular. This study aimed firstly to investigate the prevalence of suicidal behaviour among young adults, and, in a sample of 85 young people (aged 19-30), one in seven had previously attempted suicide, and almost one in three had recently thought about killing themselves. Sociological research has shown that religion has a predominantly protective effect with regard to suicide, however psychological research, while providing evidence for a similar relationship, has also shown that religious strain may contribute to suicidality. This study sought to establish whether a relationship exists between suicidal ideation (and positive ideation), and various indicators of religiosity. Unexpectedly, given the research trends, suicidal ideation was significantly positively associated with self-reported religious salience (r = .297, p = .006), and with the collaborative/deferring religious coping style (r = .301, p = .005), characterized by higher levels of religiosity. Suicidal ideation was significantly negatively associated with the self-directing style (r = -.331, p = .002), favoured by less religious participants. Positive ideation was unrelated to religious salience, participation, and both religious coping approaches. Various explanations were proposed for these results. Cognition is a central pathway for suicidality, and insecure religious attachment, when triggered by stressors, may set in motion a cognitive process involving negative religious attributions and harmful religious coping strategies – typical symptoms of religious strain which has been associated with suicidal behaviour. Maladaptive religious beliefs and behaviours may also have a negative impact on depression, hopelessness and helplessness, all vulnerability factors for suicidal behaviour in young people. It is also possible that, when faced by life challenges that exceed coping capacity, individuals may be more likely to turn to God, while simultaneously experiencing hopelessness, depression and suicidal ideation. Finally, the gender skew in the sample may have resulted in the high levels of suicidal behaviour and religiosity, and the positive relationship between them. Vulnerability to suicidal behaviour in young adults is a multifaceted problem, and religion, itself a multidimensional concept, is one of many factors that may provide protection against or contribute to suicidal behaviour. In order to understand the complex problem of vulnerability to suicidal behaviour in young adults, there is a need for further multivariate research.