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Published in: Health and Quality of Life Outcomes 1/2014

Open Access 01-12-2014 | Research

Health-related quality of life and cognitive emotion regulation strategies in the unemployed: a cross-sectional survey

Authors: Natalio Extremera, Lourdes Rey

Published in: Health and Quality of Life Outcomes | Issue 1/2014

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Abstract

Background

The loss of one’s job has been conceptualized as a major stressful life event in an adult’s life and has consistently been associated with lower health-related quality of life (HRQoL). The role of cognitive emotion regulation strategies after the experience of stressful events has emerged as an important predictor of adverse psychological and health outcomes. However, the effect of these coping strategies on the HRQoL of unemployed people has not been examined until now. We aimed to study the associations of these cognitive emotion regulation strategies on HRQoL of unemployed people.

Methods

Using cross-sectional data, 1,125 unemployed adults were assessed using a Cognitive Emotion Regulation Questionnaire for cognitive coping and SF-12 to assess HRQoL. We studied the effect of cognitive emotion regulation strategies on mental and physical health composite separately, adjusting for gender, age, educational level and length of unemployment, using hierarchical regression analyses.

Results

Results showed unemployed men tended to express greater use of self-blame, other-blame, and catastrophizing, and lower use of perspective taking strategies when confronted with unemployment. Moreover, self-blame (for mental health composite only), blaming others, rumination, and catastrophizing negatively correlated, while positive reappraisal, putting into perspective, planning, and positive refocusing positively correlated with both mental and physical health composite in unemployed people. Further hierarchical regression analyses indicate that five strategies (a lower reported use of self-blame, rumination, and catastrophizing, as well as higher scores of positive reappraisal and positive refocusing) and three strategies (lower scores of catastrophizing and rumination and high scores in planning) have significant and independent contributions, beyond gender, age, educational level and length of unemployment, to the prediction of mental health and physical health composite, respectively.

Conclusions

Cognitive emotion regulation strategies appeared to be significantly correlated with HRQoL in unemployed people. Our findings suggest the potential value of including assistance programs focused on cognitive emotion regulation strategies to complement current psychosocial and health approaches aimed at preserving or improving unemployed people’s HRQoL.
Literature
2.
go back to reference McKee-Ryan F, Song Z, Wanberg CR, Kinicki AJ: Psychological and physical well-being during unemployment: a meta-analytic study. J Appl Psychol 2005, 90: 53–76. 10.1037/0021-9010.90.1.53CrossRefPubMed McKee-Ryan F, Song Z, Wanberg CR, Kinicki AJ: Psychological and physical well-being during unemployment: a meta-analytic study. J Appl Psychol 2005, 90: 53–76. 10.1037/0021-9010.90.1.53CrossRefPubMed
3.
go back to reference Murphy GC, Athanasou JA: The effects of unemployment on mental health. J Occup Organ Psych 1999, 72: 83–99. 10.1348/096317999166518CrossRef Murphy GC, Athanasou JA: The effects of unemployment on mental health. J Occup Organ Psych 1999, 72: 83–99. 10.1348/096317999166518CrossRef
4.
go back to reference Stankunas M, Kalediene R, Starkuviene S, Kapustinskiene V: Duration of unemployment and depression: a cross-sectional survey in Lithuania. BMC Public Health 2006, 6: 174. 10.1186/1471-2458-6-174PubMedCentralCrossRefPubMed Stankunas M, Kalediene R, Starkuviene S, Kapustinskiene V: Duration of unemployment and depression: a cross-sectional survey in Lithuania. BMC Public Health 2006, 6: 174. 10.1186/1471-2458-6-174PubMedCentralCrossRefPubMed
5.
go back to reference Tiggemann M, Winefield AH: The effects of unemployment on the mood, self-esteem, locus of control, and depressive affect of school-leavers. J Occup Psych 1984, 57: 33–42. 10.1111/j.2044-8325.1984.tb00145.xCrossRef Tiggemann M, Winefield AH: The effects of unemployment on the mood, self-esteem, locus of control, and depressive affect of school-leavers. J Occup Psych 1984, 57: 33–42. 10.1111/j.2044-8325.1984.tb00145.xCrossRef
6.
go back to reference Preti A: Unemployment and suicide. J Epidemiol Commun H 2003, 57: 557–558. 10.1136/jech.57.8.557CrossRef Preti A: Unemployment and suicide. J Epidemiol Commun H 2003, 57: 557–558. 10.1136/jech.57.8.557CrossRef
7.
go back to reference Lundin A, Hemmingsson T: Unemployment and suicide. Lancet 2009, 374: 270–271. 10.1016/S0140-6736(09)61202-2CrossRefPubMed Lundin A, Hemmingsson T: Unemployment and suicide. Lancet 2009, 374: 270–271. 10.1016/S0140-6736(09)61202-2CrossRefPubMed
8.
go back to reference Wanberg CR: The individual experience of unemployment. Annu Rev Psychol 2012, 2012(63):369–396. 10.1146/annurev-psych-120710-100500CrossRef Wanberg CR: The individual experience of unemployment. Annu Rev Psychol 2012, 2012(63):369–396. 10.1146/annurev-psych-120710-100500CrossRef
9.
go back to reference Paul KI, Moser K: Unemployment impairs mental health: meta-analyses. J Vocat Behav 2009, 74: 264–282. 10.1016/j.jvb.2009.01.001CrossRef Paul KI, Moser K: Unemployment impairs mental health: meta-analyses. J Vocat Behav 2009, 74: 264–282. 10.1016/j.jvb.2009.01.001CrossRef
10.
go back to reference Langens TA, Mose E: Coping with unemployment: relationships between duration of unemployment, coping styles, and subjective well-being. J Appl Biobehav Res 2006, 2006(11):189–208. 10.1111/j.1751-9861.2007.00005.xCrossRef Langens TA, Mose E: Coping with unemployment: relationships between duration of unemployment, coping styles, and subjective well-being. J Appl Biobehav Res 2006, 2006(11):189–208. 10.1111/j.1751-9861.2007.00005.xCrossRef
11.
go back to reference Grossi G: Coping and emotional distress in a sample of Swedish unemployed. Scand J Psychol 1999, 40: 157–165. 10.1111/1467-9450.00113CrossRefPubMed Grossi G: Coping and emotional distress in a sample of Swedish unemployed. Scand J Psychol 1999, 40: 157–165. 10.1111/1467-9450.00113CrossRefPubMed
12.
go back to reference Waters LE: Coping with unemployment: a literature review and presentation of a new model. Int J Manag Rev 2000, 2: 169–182. 10.1111/1468-2370.00036CrossRef Waters LE: Coping with unemployment: a literature review and presentation of a new model. Int J Manag Rev 2000, 2: 169–182. 10.1111/1468-2370.00036CrossRef
13.
go back to reference Higgins JE, Endler NS: Coping, life stress, and psychological and somatic distress. Eur J Pers 1995, 9: 253–270. 10.1002/per.2410090403CrossRef Higgins JE, Endler NS: Coping, life stress, and psychological and somatic distress. Eur J Pers 1995, 9: 253–270. 10.1002/per.2410090403CrossRef
14.
go back to reference Warr PB: Work, unemployment and mental health. Oxford University Press, Oxford, United Kingdom; 1997. Warr PB: Work, unemployment and mental health. Oxford University Press, Oxford, United Kingdom; 1997.
15.
go back to reference Leana CR, Feldman DC: Coping with job loss: How individuals, organizations, and communities respond to layoffs. Lexington Books, New York; 1992. Leana CR, Feldman DC: Coping with job loss: How individuals, organizations, and communities respond to layoffs. Lexington Books, New York; 1992.
16.
go back to reference Latack JC, Havlovic SJ: Coping with job stress: a conceptual evaluation framework for coping measures. J Organ Behav 1992, 13: 497–508. 10.1002/job.4030130505CrossRef Latack JC, Havlovic SJ: Coping with job stress: a conceptual evaluation framework for coping measures. J Organ Behav 1992, 13: 497–508. 10.1002/job.4030130505CrossRef
17.
go back to reference Lazarus RS: Stress and emotion: a new synthesis. Springer, New York; 1999. Lazarus RS: Stress and emotion: a new synthesis. Springer, New York; 1999.
18.
go back to reference Lazarus RS, Folkman S: Stress, appraisal, and coping. Springer, New York; 1984. Lazarus RS, Folkman S: Stress, appraisal, and coping. Springer, New York; 1984.
19.
go back to reference Compas BE, Connor-Smith JK, Saltzman H, Harding-Thomsen A, Wadsworth ME: Coping with stress during childhood and adolescence: problems, progress, and potential in theory and research. Psychol Bull 2001, 17: 87–127. 10.1037/0033-2909.127.1.87CrossRef Compas BE, Connor-Smith JK, Saltzman H, Harding-Thomsen A, Wadsworth ME: Coping with stress during childhood and adolescence: problems, progress, and potential in theory and research. Psychol Bull 2001, 17: 87–127. 10.1037/0033-2909.127.1.87CrossRef
20.
go back to reference Garnefski N, Kraaij V, Spinhoven P: Negative life events, cognitive emotion regulation and depression. Pers Indiv Differ 2001, 30: 1311–1327. 10.1016/S0191-8869(00)00113-6CrossRef Garnefski N, Kraaij V, Spinhoven P: Negative life events, cognitive emotion regulation and depression. Pers Indiv Differ 2001, 30: 1311–1327. 10.1016/S0191-8869(00)00113-6CrossRef
21.
go back to reference Garnefski N, Kraaij V, Spinhoven P: Manual for the use of the cognitive emotion regulation questionnaire. DATEC, Leiderdorp, The Netherlands; 2002. Garnefski N, Kraaij V, Spinhoven P: Manual for the use of the cognitive emotion regulation questionnaire. DATEC, Leiderdorp, The Netherlands; 2002.
22.
go back to reference Thompson RA: Emotional regulation and emotional development. Educ Psychol Rev 1991, 3: 269–307. 10.1007/BF01319934CrossRef Thompson RA: Emotional regulation and emotional development. Educ Psychol Rev 1991, 3: 269–307. 10.1007/BF01319934CrossRef
23.
go back to reference Garnefski N, Kraaij V: The cognitive emotion regulation questionnaire: psychometric features and prospective relationships with depression and anxiety in adults. Eur J Psychol Assess 2007, 23: 141–149. 10.1027/1015-5759.23.3.141CrossRef Garnefski N, Kraaij V: The cognitive emotion regulation questionnaire: psychometric features and prospective relationships with depression and anxiety in adults. Eur J Psychol Assess 2007, 23: 141–149. 10.1027/1015-5759.23.3.141CrossRef
24.
go back to reference Martin RC, Dahlen ER: Cognitive emotion regulation and the prediction of depression, anxiety, stress, and anger. Pers Indiv Differ 2005, 39: 1249–1260. 10.1016/j.paid.2005.06.004CrossRef Martin RC, Dahlen ER: Cognitive emotion regulation and the prediction of depression, anxiety, stress, and anger. Pers Indiv Differ 2005, 39: 1249–1260. 10.1016/j.paid.2005.06.004CrossRef
25.
go back to reference Schroevers MJ, Kraaij V, Garnefski N: Goal disturbance, cognitive coping strtegies, and psychological adjustment to different types of stressful life event. Pers Indiv Differ 2007, 43: 413–423. 10.1016/j.paid.2006.12.009CrossRef Schroevers MJ, Kraaij V, Garnefski N: Goal disturbance, cognitive coping strtegies, and psychological adjustment to different types of stressful life event. Pers Indiv Differ 2007, 43: 413–423. 10.1016/j.paid.2006.12.009CrossRef
26.
go back to reference Garnefski N, Legerstee J, Kraaij V, Van den Kommer T, Teerds J: Cognitive coping strategies and symptoms of depression and anxiety: a comparison between adolescents and adults. J Adolescence 2002, 2002(25):603–611. 10.1006/jado.2002.0507CrossRef Garnefski N, Legerstee J, Kraaij V, Van den Kommer T, Teerds J: Cognitive coping strategies and symptoms of depression and anxiety: a comparison between adolescents and adults. J Adolescence 2002, 2002(25):603–611. 10.1006/jado.2002.0507CrossRef
27.
go back to reference Garnefski N, Kraaij V: Relationships between cognitive emotion regulation strategies and depressive symptoms: a comparative study of five specific samples. Pers Indiv Differ 2006, 40: 1659–1669. 10.1016/j.paid.2005.12.009CrossRef Garnefski N, Kraaij V: Relationships between cognitive emotion regulation strategies and depressive symptoms: a comparative study of five specific samples. Pers Indiv Differ 2006, 40: 1659–1669. 10.1016/j.paid.2005.12.009CrossRef
28.
go back to reference Kraaij V, Pruymboom E, Garnefski N: Cognitive coping and depressive symptoms in the elderly: a longitudinal study. Aging Ment Health 2002, 6(3):275–281. 10.1080/13607860220142387CrossRefPubMed Kraaij V, Pruymboom E, Garnefski N: Cognitive coping and depressive symptoms in the elderly: a longitudinal study. Aging Ment Health 2002, 6(3):275–281. 10.1080/13607860220142387CrossRefPubMed
29.
go back to reference Wang Y, Yi J, He J, Chen G, Li L, Yang Y, Zhu X: Cognitive emotion regulation strategies as predictors of depressive symptoms in women newly diagnosed with breast cancer. Psycho-Oncol 2014, 23(1):93–99. 10.1002/pon.3376CrossRef Wang Y, Yi J, He J, Chen G, Li L, Yang Y, Zhu X: Cognitive emotion regulation strategies as predictors of depressive symptoms in women newly diagnosed with breast cancer. Psycho-Oncol 2014, 23(1):93–99. 10.1002/pon.3376CrossRef
30.
go back to reference Endler NS, Parker JDA: Assessment of multidimensional coping. Psychol Assess 1994, 6: 50–60. 10.1037/1040-3590.6.1.50CrossRef Endler NS, Parker JDA: Assessment of multidimensional coping. Psychol Assess 1994, 6: 50–60. 10.1037/1040-3590.6.1.50CrossRef
31.
go back to reference EuroStat: EuroStat Database. European Commission, Brussels; 2011. EuroStat: EuroStat Database. European Commission, Brussels; 2011.
32.
go back to reference WHO-Europe: Health in Times of Global Economic Crisis: Implications for the WHO European Region. World Health Organization, Copenhagen; 2009. WHO-Europe: Health in Times of Global Economic Crisis: Implications for the WHO European Region. World Health Organization, Copenhagen; 2009.
33.
go back to reference Dooley D, Fielding J, Levi L: Health and unemployment. Annu Rev Publ Health 1996, 17: 449–465. 10.1146/annurev.pu.17.050196.002313CrossRef Dooley D, Fielding J, Levi L: Health and unemployment. Annu Rev Publ Health 1996, 17: 449–465. 10.1146/annurev.pu.17.050196.002313CrossRef
34.
go back to reference Ware JE, Kosinski M, Keller SD: A 12-item short-form health survey: construction of scales and preliminary tests of reliability and validity. Med Care 1996, 34: 220–233. 10.1097/00005650-199603000-00003CrossRefPubMed Ware JE, Kosinski M, Keller SD: A 12-item short-form health survey: construction of scales and preliminary tests of reliability and validity. Med Care 1996, 34: 220–233. 10.1097/00005650-199603000-00003CrossRefPubMed
35.
go back to reference Vilagut G, Valderas JM, Ferrer M, Garin O, López-García E, Alonso J: Interpretación de los cuestionarios de salud SF-36 y SF-12 en España: componentes físico y mental. Med Clin-Barcelona 2008, 130(19):726–735. 10.1157/13121076CrossRef Vilagut G, Valderas JM, Ferrer M, Garin O, López-García E, Alonso J: Interpretación de los cuestionarios de salud SF-36 y SF-12 en España: componentes físico y mental. Med Clin-Barcelona 2008, 130(19):726–735. 10.1157/13121076CrossRef
36.
go back to reference Hendricks VM, Blanken P: Snowball sampling: theoretical and practical considerations. In Snowball sampling: a pilot study on cocaine use. Edited by: Hendricks VM, Blanken P, Adriaans N. IVO, Rotterdam; 1992. Hendricks VM, Blanken P: Snowball sampling: theoretical and practical considerations. In Snowball sampling: a pilot study on cocaine use. Edited by: Hendricks VM, Blanken P, Adriaans N. IVO, Rotterdam; 1992.
37.
go back to reference Domínguez-Sánchez FJ, Lasa-Aristu A, Amor PJ, Holgado-Tello FP: Psychometric properties of the Spanish version of the cognitive emotion regulation questionnaire. Assessment 2013, 20: 253–261. 10.1177/1073191110397274CrossRefPubMed Domínguez-Sánchez FJ, Lasa-Aristu A, Amor PJ, Holgado-Tello FP: Psychometric properties of the Spanish version of the cognitive emotion regulation questionnaire. Assessment 2013, 20: 253–261. 10.1177/1073191110397274CrossRefPubMed
38.
go back to reference Garnefski N, Teerds J, Kraaij V, Legerstee J, Van den Kommer T: Cognitive emotion regulation strategies and depressive symptoms: differences between males and females. Pers Indiv Differ 2004, 36: 267–276. 10.1016/S0191-8869(03)00083-7CrossRef Garnefski N, Teerds J, Kraaij V, Legerstee J, Van den Kommer T: Cognitive emotion regulation strategies and depressive symptoms: differences between males and females. Pers Indiv Differ 2004, 36: 267–276. 10.1016/S0191-8869(03)00083-7CrossRef
39.
go back to reference Cohen J: Statistical power analysis for the behavioral sciences. 2nd edition. Lawrence Erlbaum, Hillsdale, NJ; 1988. Cohen J: Statistical power analysis for the behavioral sciences. 2nd edition. Lawrence Erlbaum, Hillsdale, NJ; 1988.
40.
go back to reference O’Brien RM: A caution regarding rule of thumb for variance inflation factors. Qual Quant 2007, 41: 673–690. 10.1007/s11135-006-9018-6CrossRef O’Brien RM: A caution regarding rule of thumb for variance inflation factors. Qual Quant 2007, 41: 673–690. 10.1007/s11135-006-9018-6CrossRef
41.
go back to reference Lee C, Owens RG: Men, work, and gender. Aust Psychologist 2002, 2002(37):13–19. 10.1080/00050060210001706626CrossRef Lee C, Owens RG: Men, work, and gender. Aust Psychologist 2002, 2002(37):13–19. 10.1080/00050060210001706626CrossRef
42.
go back to reference Phillips SD, Imhoff AR: Women and career development: a decade of research. Annu Rev Psychol 1997, 1997(48):31–61. 10.1146/annurev.psych.48.1.31CrossRef Phillips SD, Imhoff AR: Women and career development: a decade of research. Annu Rev Psychol 1997, 1997(48):31–61. 10.1146/annurev.psych.48.1.31CrossRef
43.
go back to reference Creed PA, Machin MA, Hicks RE: Improving mental health status and coping abilities for long-term unemployed youth using cognitive-behaviour therapy based training interventions. J Organ Psych 1999, 20: 963–978. Creed PA, Machin MA, Hicks RE: Improving mental health status and coping abilities for long-term unemployed youth using cognitive-behaviour therapy based training interventions. J Organ Psych 1999, 20: 963–978.
44.
go back to reference Vuori J, Silvonen J: The benefits of a preventive job search program on re-employment and mental health at 2-year follow-up. J Occup Organ Psych 2005, 78(1):43–52. 10.1348/096317904X23790CrossRef Vuori J, Silvonen J: The benefits of a preventive job search program on re-employment and mental health at 2-year follow-up. J Occup Organ Psych 2005, 78(1):43–52. 10.1348/096317904X23790CrossRef
45.
go back to reference Beck AT: Cognitive therapy and the emotional disorders. International Universities Press, Inc, Madison, CT; 1975. Beck AT: Cognitive therapy and the emotional disorders. International Universities Press, Inc, Madison, CT; 1975.
46.
go back to reference Aldwin CM, Park CL: Coping and physical health: an overview. Psychol Health 2004, 19: 277–282. 10.1080/0887044042000193514CrossRef Aldwin CM, Park CL: Coping and physical health: an overview. Psychol Health 2004, 19: 277–282. 10.1080/0887044042000193514CrossRef
47.
go back to reference Penley JA, Tomaka J, Wiebe JS: The association of coping with physical and mental health outcome: a meta-analytic review. J Behav Med 2002, 25: 551–603. 10.1023/A:1020641400589CrossRefPubMed Penley JA, Tomaka J, Wiebe JS: The association of coping with physical and mental health outcome: a meta-analytic review. J Behav Med 2002, 25: 551–603. 10.1023/A:1020641400589CrossRefPubMed
48.
go back to reference Garnefski N, Kraaij V, Wijers E, Hamming J: Effects of a cognitive-behavioral self-help program on depressed mood for people with peripheral arterial disease. J Clin Psychol Med S 2013, 20(2):186–191. 10.1007/s10880-012-9336-xCrossRef Garnefski N, Kraaij V, Wijers E, Hamming J: Effects of a cognitive-behavioral self-help program on depressed mood for people with peripheral arterial disease. J Clin Psychol Med S 2013, 20(2):186–191. 10.1007/s10880-012-9336-xCrossRef
49.
go back to reference Garnefski N, Kraaij V: Effects of a cognitive behavioral self-help program on emotional problems for people with acquired hearing loss: a randomized controlled trial. J Deaf Stud Deaf Educ 2012, 17: 75–84. 10.1093/deafed/enr020CrossRefPubMed Garnefski N, Kraaij V: Effects of a cognitive behavioral self-help program on emotional problems for people with acquired hearing loss: a randomized controlled trial. J Deaf Stud Deaf Educ 2012, 17: 75–84. 10.1093/deafed/enr020CrossRefPubMed
50.
go back to reference Garnefski N, Kraaij V, De Graaf M, Karels L: Psychological intervention targets for people with visual impairments: the importance of cognitive coping and goal adjustment. Disabil Rehabil 2010, 32(2):142–147. 10.3109/09638280903071859CrossRefPubMed Garnefski N, Kraaij V, De Graaf M, Karels L: Psychological intervention targets for people with visual impairments: the importance of cognitive coping and goal adjustment. Disabil Rehabil 2010, 32(2):142–147. 10.3109/09638280903071859CrossRefPubMed
Metadata
Title
Health-related quality of life and cognitive emotion regulation strategies in the unemployed: a cross-sectional survey
Authors
Natalio Extremera
Lourdes Rey
Publication date
01-12-2014
Publisher
BioMed Central
Published in
Health and Quality of Life Outcomes / Issue 1/2014
Electronic ISSN: 1477-7525
DOI
https://doi.org/10.1186/s12955-014-0172-6

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