Transactional Model of Stress and Coping The Transactional Model of Stress and Coping is a framework for evaluating the processes of coping with stressful events.

Concept Definition

Primary Appraisal Evaluation of the significance of a stressor or threatening event.

Secondary Appraisal Evaluation of the controllability of the stressor and a person’s coping resources.

Coping efforts Actual strategies used to mediate primary and secondary appraisals.

Problem management Strategies directed at changing a stressful situation.

Emotional regulation Strategies aimed at changing the way one thinks or feels about a stressful situation.

Meaning-based coping

Coping processes that induce positive emotion, which in turn sustains the coping process by allowing reenactment of problem- or emotion focused coping.

Outcomes of coping Emotional well-being, functional status, health behaviors.

Dispositional coping styles

Generalized ways of behaving that can affect a person’s emotional or functional reaction to a stressor; relatively stable across time and situations.

Optimism Tendency to have generalized positive expectancies for outcomes.

Information Seeking Attentional styles that are vigilant (monitoring) versus those that involve avoidance (blunting)

Table from Glanz et al, 2002, p. 214.

Glanz, K., Rimer, B.K. & Lewis, F.M. (2002). Health Behavior and Health Education. Theory, Research and Practice. San Francisco: Wiley & Sons

K r a n k h e i t P s y c h o s o z i a l e

B e l a s t u n g

A l l t a g s b e w ä l t i - g u n g ( s o z i a l ) K r a n k e n h a u s - a u f e n t h a l t e K ö r p e r l . U n - v e r s e h r t h e i t I d e n t ä t u . Z u - k u n f t S e l b s t w e r t E x i s t e n t i e l l e B e d r o h u n g

E n t w i c k l u n g s s t a n d K r a n k h e i t s v o r s t . S e l b s t k o n z e p t L o c u s o f c o n t r o l

• S c h ä d i - g u n g / V e r l u s t • B e d r o h - u n g • H e r a u s - f o r d e r u n g

e r s t e B e - w e r t .

z w e i t e B e w e r - t u n g

B e w ä l t i g . V e r s u c h e

N e u b e w e r t u n g

D e r e i g e n e n K o m p e t e n z e n u n d d e r U n t e r s t ü t z u n g

• p r o b l e m -

o r i e n t i e r t

• e m o t i o n s -

r e g u l i e r e n d

Lazarus Model where the Stress is a disease, such as asthma