<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.1d1 20130915//EN" "http://jats.nlm.nih.gov/publishing/1.1d1/JATS-journalpublishing1.dtd">
<article xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:mml="http://www.w3.org/1998/Math/MathML" article-type="research-article" xml:lang="en">
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">SAJIP</journal-id>
<journal-title-group>
<journal-title>SA Journal of Industrial Psychology</journal-title>
</journal-title-group>
<issn pub-type="ppub">0258-5200</issn>
<issn pub-type="epub">2071-0763</issn>
<publisher>
<publisher-name>AOSIS</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">SAJIP-45-1653</article-id>
<article-id pub-id-type="doi">10.4102/sajip.v45i0.1653</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Original Research</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Developing a measurement instrument for coping with occupational stress in academia</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-4766-291X</contrib-id>
<name>
<surname>du Plessis</surname>
<given-names>Melissa</given-names>
</name>
<xref ref-type="aff" rid="AF0001">1</xref>
</contrib>
<contrib contrib-type="author">
<contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6103-0217</contrib-id>
<name>
<surname>Martins</surname>
<given-names>Nico</given-names>
</name>
<xref ref-type="aff" rid="AF0002">2</xref>
</contrib>
<aff id="AF0001"><label>1</label>Department of Human Resource Management, University of South Africa, Pretoria, South Africa</aff>
<aff id="AF0002"><label>2</label>Department of Industrial and Organisational Psychology, University of South Africa, Pretoria, South Africa</aff>
</contrib-group>
<author-notes>
<corresp id="cor1"><bold>Corresponding author:</bold> Melissa du Plessis, <email xlink:href="vannim@unisa.ac.za">vannim@unisa.ac.za</email></corresp>
</author-notes>
<pub-date pub-type="epub"><day>28</day><month>08</month><year>2019</year></pub-date>
<pub-date pub-type="collection"><year>2019</year></pub-date>
<volume>45</volume>
<elocation-id>1653</elocation-id>
<history>
<date date-type="received"><day>13</day><month>03</month><year>2019</year></date>
<date date-type="accepted"><day>19</day><month>04</month><year>2019</year></date>
</history>
<permissions>
<copyright-statement>&#x00A9; 2019. The Authors</copyright-statement>
<copyright-year>2019</copyright-year>
<license license-type="open-access" xlink:href="https://creativecommons.org/licenses/by/4.0/">
<license-p>Licensee: AOSIS. This work is licensed under the Creative Commons Attribution License.</license-p>
</license>
</permissions>
<abstract>
<sec id="st1">
<title>Orientation</title>
<p>Occupational stress leads to devastating consequences for academia, which include teaching below standard, conflict with students and seeking employment elsewhere. The stressors that academics experience will continue to increase unless they adopt strategies to cope with these demands.</p>
</sec>
<sec id="st2">
<title>Research purpose</title>
<p>The objective of this research was to construct a valid and reliable measurement instrument which could be used to explore how academics cope with occupational stress.</p>
</sec>
<sec id="st3">
<title>Motivation for the study</title>
<p>There is no clear consensus about the conceptualisation of the coping construct and the categorisation and measurement of numerous coping strategies. Also, as working in academia is highly stressful, there is a need for developing a measuring instrument that holistically measures coping with occupational stress in South African higher education institutions.</p>
</sec>
<sec id="st4">
<title>Research approach/design and method</title>
<p>A three-phase instrument development process was followed. A quantitative, cross-sectional online survey was administered to a convenience sample of 305 employees employed in a higher education institution in the Gauteng province of South Africa.</p>
</sec>
<sec id="st5">
<title>Main findings</title>
<p>A nine-dimensional, 33-item measuring instrument was developed for exploring how academics cope with occupational stressors.</p>
</sec>
<sec id="st6">
<title>Practical/managerial implications</title>
<p>If industrial and organisational psychologists could appreciate the consequences of occupational stress and comprehend the complexities of the coping process, then they would be able to design and implement wellness practices that should not only promote the health and well-being of academics but also the institution.</p>
</sec>
<sec id="st7">
<title>Contribution/value-add</title>
<p>A psychometrically sound measuring instrument, The Comprehensive Coping Strategies Questionnaire, was developed within the South African higher education context that would allow industrial and organisational psychologists to determine which coping strategies academics adopt in response to occupational stressors.</p>
</sec>
</abstract>
<kwd-group>
<kwd>Occupational stress</kwd>
<kwd>coping</kwd>
<kwd>academia</kwd>
<kwd>higher education institutions</kwd>
<kwd>scale development</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec id="s0001">
<title>Introduction</title>
<sec id="s20002">
<title>Background of and rationale for the study</title>
<p>Despite incredible advancements in science and technology, employees across the world still seem to experience high degrees of psychological stress in the workplace (Kinnunen-Amoroso &#x0026; Liira, <xref ref-type="bibr" rid="CIT0039">2016</xref>). Academics are no exception, with research confirming that they experience high to very high levels of occupational stress (Darabi, Macaskill, &#x0026; Reidy, <xref ref-type="bibr" rid="CIT0014">2017</xref>; Malik, Bj&#x00F6;rkqvist, &#x0026; &#x00D6;sterman, <xref ref-type="bibr" rid="CIT0043">2017</xref>). The rising levels of occupational stress could be ascribed to the substantial growth in student numbers and higher education institutions, increased emphasis on research, adapting to ever-changing curricula and quality assurance measures, and keeping abreast with rapid technological advances (Catano et al., <xref ref-type="bibr" rid="CIT0011">2010</xref>; Martins &#x0026; Ungerer, <xref ref-type="bibr" rid="CIT0044">2014</xref>; Sli&#x0161;kovi&#x0107; &#x0026; Maslic Ser&#x0161;i&#x010D;, <xref ref-type="bibr" rid="CIT0060">2011</xref>). The consequences of occupational stress among academics include teaching below standard, conflict with students and seeking employment elsewhere (Barkhuizen &#x0026; Rothmann, <xref ref-type="bibr" rid="CIT0004">2008</xref>; Stevenson &#x0026; Harper, <xref ref-type="bibr" rid="CIT0063">2006</xref>). Darabi et al. (<xref ref-type="bibr" rid="CIT0014">2017</xref>) warn that the stressors that academics experience will continue to increase unless they adopt strategies and mechanisms to cope with these demands.</p>
<p>Coping is a continuous, goal-directed process in which individuals consciously and unconsciously engage to adjust their cognitive and behavioural efforts to maintain personal control during specific stressful situations. The coping effort is thus central to the psychological discipline in that it allows individuals to: (1) regulate distressing emotions (Pascual, Conejero &#x0026; Etxebarria, <xref ref-type="bibr" rid="CIT0050">2016</xref>), (2) do something about situations that are causing psychological distress (Folkman &#x0026; Lazarus, <xref ref-type="bibr" rid="CIT0022">1985</xref>) and (3) maintain their physiological and psychological health and well-being (Aldao, Nolen-Hoeksema &#x0026; Schweizer, <xref ref-type="bibr" rid="CIT0001">2010</xref>). Researchers have therefore proposed several coping strategies for individuals to adopt in response to environmental demands. However, in an analysis of research on coping, Skinner, Edge, Altman and Sherwood (<xref ref-type="bibr" rid="CIT0058">2003</xref>) identified more than 400 types of coping strategies, which indicate that there is no consensus among researchers on the best way to conceptualise the coping effort and categorise coping strategies. In addition, there is no clear consensus on how the coping effort should be measured, as existing coping questionnaires do not measure all the domains that are relevant to the coping process (Dewe, O&#x2019;Driscoll, &#x0026; Cooper, <xref ref-type="bibr" rid="CIT0017">2010</xref>). The existing literature further outlines various conceptual and methodological concerns regarding the measurement of coping (Folkman, <xref ref-type="bibr" rid="CIT0021">2010</xref>; Stemmet, <xref ref-type="bibr" rid="CIT0062">2013</xref>). Lastly, because academia is a highly stressful occupation, there is a need for academics to identify occupational stressors in their institutions and develop solutions to eliminate them. There is thus a need to develop a measuring instrument that could holistically measure coping with occupational stress in South African higher education institutions. This study aimed at developing a measuring instrument that could: (1) acknowledge the entire coping process, from when an occupational stressor is perceived until a coping response is adopted (2) consolidate the major types of coping strategies into one measuring instrument and (3) holistically measure coping with occupational stress in South African higher education institutions.</p>
</sec>
<sec id="s20003">
<title>Research purpose</title>
<p>The purpose of this research was to construct a valid and reliable measurement instrument for measuring coping with occupational stress in academia.</p>
</sec>
<sec id="s20004">
<title>Potential value added by the study</title>
<p>It was anticipated that the results of this study would not only lead to the development of a more holistic or consolidated coping measurement instrument, but also provide insights into the coping strategies that academics adopt in response to occupational stressors. The results obtained would further allow industrial and organisational psychologists in higher education institutions to design and implement wellness interventions that should not only promote the health and well-being of academics but also that of the institution.</p>
</sec>
</sec>
<sec id="s0005">
<title>Literature review</title>
<sec id="s20006">
<title>Conceptualisation</title>
<p>The concept of stress has been a source of immense interest over the past few decades and has gradually evolved to the seminal work of Lazarus and Folkman (<xref ref-type="bibr" rid="CIT0041">1984</xref>) in the 20th century. These researchers noted that stress is process oriented and transactional, encompassing appraisals, coping and emotions. From this perspective, stress is defined as the relationship between the person and the environment that is appraised as taxing or exceeding their coping resources (Lazarus &#x0026; Folkman, <xref ref-type="bibr" rid="CIT0041">1984</xref>, p. 19). Occupational stress results from individuals&#x2019; inability to cope with pressures of the job because of a poor fit between their abilities and work requirements (Beheshtifar &#x0026; Nazarian, <xref ref-type="bibr" rid="CIT0007">2013</xref>). The perception of stress increases until the individual has made a conscious decision to cope with the stressor. Consequently, coping is defined as conscious efforts that individuals adopt to manage specific internal and/or external demands that are appraised as taxing or exceeding their coping resources (Lazarus &#x0026; Folkman, <xref ref-type="bibr" rid="CIT0041">1984</xref>). Similarly, Skinner and Wellborn (<xref ref-type="bibr" rid="CIT0059">1994</xref>, p. 112) and Compas et al. (<xref ref-type="bibr" rid="CIT0013">2014</xref>, p. 72) conceptualise coping as &#x2018;regulation under stress&#x2019; and defined it as <italic>how</italic> individuals regulate their behaviour, cognition, emotion and physiology under conditions of psychological stress. Coping efforts therefore fall under the broad definition of self-regulation, as individuals are continuously adjusting their thoughts and behaviours, and regulating their emotions to change their perceptions of the stressor.</p>
</sec>
<sec id="s20007">
<title>Coping dimensions and questionnaires</title>
<p>Coping is an important regulatory process, but the literature reveals that there is no clear consensus about the conceptualisation of the coping construct and the categorisation of the numerous coping strategies (Allen &#x0026; Leary, <xref ref-type="bibr" rid="CIT0002">2010</xref>; Folkman, <xref ref-type="bibr" rid="CIT0021">2010</xref>). The coping concept is also not adequately represented by a single measure, and numerous inventories have been proposed to assess coping (Knight &#x0026; Sayegh, <xref ref-type="bibr" rid="CIT0040">2010</xref>). Consequently, for the purposes of this study, a number of coping questionnaires were reviewed (see <xref ref-type="table" rid="T0001">Table 1</xref>). The researcher&#x2019;s intention was not only to outline each questionnaire&#x2019;s basic composition, but also to analyse its psychometric properties and the critique it received from other researchers.</p>
<table-wrap id="T0001">
<label>TABLE 1</label>
<caption><p>Coping questionnaires: Summary and findings.</p></caption>
<table frame="hsides" rules="groups">
<thead valign="top">
<tr>
<th valign="top" align="left">Instrument</th>
<th valign="top" align="left">Purpose</th>
<th valign="top" align="left">Dimensions</th>
<th valign="top" align="left">Conceptual and methodological issues</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="left"><bold>Ways of Coping Questionnaire (WCQs)</bold> &#x2013; Lazarus and Folkman (<xref ref-type="bibr" rid="CIT0041">1984</xref>)</td>
<td align="left">The WCQ investigated which coping strategies are used in a specific stressful situation.</td>
<td align="left">Eight dimensions: confrontive coping, distancing, self-control, seeking social support, accepting responsibility, escape/avoidance, planful problem-solving and positive reappraisal</td>
<td align="left"><list list-type="bullet">
<list-item><p>Poor reliability and validity estimates.</p></list-item>
<list-item><p>The format of the response items and the factor structure were criticised by various researchers (Stemmet, <xref ref-type="bibr" rid="CIT0062">2013</xref>).</p></list-item>
<list-item><p>Confirmatory factor analysis was not used to confirm the factor structure.</p></list-item>
<list-item><p>Some coping dimensions from the theory are not evident in the questionnaire.</p></list-item></list></td>
</tr>
<tr>
<td align="left"><bold>The Coping Orientations to the Problem Experienced (COPE) Inventory</bold> &#x2013; Carver, Scheier and Weintraub (<xref ref-type="bibr" rid="CIT0010">1989</xref>)</td>
<td align="left">The COPE investigated which coping strategies are used when stressful events are experienced.</td>
<td align="left">Eleven dimensions:<break/>active coping and planning, suppression of competing activities, restraint coping, seeking social support for instrumental reasons and seeking social support for emotional reasons, positive reinterpretation and growth, acceptance, turning to religion and humour, focus on and venting of emotions, denial, behavioural and mental disengagement and alcohol-drug disengagement</td>
<td align="left"><list list-type="bullet">
<list-item><p>The Cronbach&#x2019;s alpha for the inventory ranged between 0.45 and 0.92.</p></list-item>
<list-item><p>The structure of the scale has been questioned. Stemmet (<xref ref-type="bibr" rid="CIT0062">2013</xref>) points out that the developers used the Kaiser&#x2013;Guttman rule for factor extraction, which leads to an overextraction of factors comprising too few items.</p></list-item>
<list-item><p>The COPE does not include all the possible coping strategies (Zuckerman &#x0026; Gagn&#x00E9;, <xref ref-type="bibr" rid="CIT0068">2003</xref>).</p></list-item></list></td>
</tr>
<tr>
<td align="left"><bold>Coping Strategy Indicator (CSI)</bold> &#x2013; Amirkhan (<xref ref-type="bibr" rid="CIT0003">1990</xref>)</td>
<td align="left">The Coping Strategy Indicator assesses specific responses to real-world stressors.</td>
<td align="left">Three dimensions:<break/>problem solving, social support seeking, and avoidance</td>
<td align="left"><list list-type="bullet">
<list-item><p>The Coping Strategy Indicator measures event-specific coping strategies and therefore only measures a selected number of possible coping strategies.</p></list-item>
<list-item><p>Results from the confirmatory factor analysis indicated inadequate goodness-of-fit indices.</p></list-item>
<list-item><p>Schwarzer and Schwarzer (<xref ref-type="bibr" rid="CIT0057">1996</xref>) found that the <italic>problem-solving</italic> dimension was closely associated with the WCQ&#x2019;s <italic>seeking social support</italic> dimension.</p></list-item></list></td>
</tr>
<tr>
<td align="left"><bold>Coping Strategy Inventory (CSI)</bold> &#x2013; Tobin, Holroyd, Reynolds and Wigal (<xref ref-type="bibr" rid="CIT0065">1989</xref>)</td>
<td align="left">The Coping Strategy Inventory was designed to assess coping thoughts and behaviours in response to a specific stressor.</td>
<td align="left">Seven dimensions: problem solving, wishful thinking, problem avoidance, social support, cognitive restructuring, self-criticism and expressing emotions</td>
<td align="left"><list list-type="bullet">
<list-item><p>The Coping Strategy Inventory was administered to psychology students, which brings its generalisation into question.</p></list-item></list></td>
</tr>
<tr>
<td align="left"><bold>The Multidimensional Coping Inventory (MCI)</bold> &#x2013; Endler and Parker (<xref ref-type="bibr" rid="CIT0018">1990</xref>)</td>
<td align="left">The MCI assesses specific responses to a difficult, stressful or upsetting situation.</td>
<td align="left">Three dimensions:<break/>task-oriented, emotion-oriented and avoidance-oriented</td>
<td align="left"><list list-type="bullet">
<list-item><p>The MCI was administered to undergraduate psychology students, which brings its generalisation into question.</p></list-item>
<list-item><p>According to Stemmet (<xref ref-type="bibr" rid="CIT0062">2013</xref>), there is no report of a more robust confirmatory factor analysis to validate the structure obtained by means of principal component analysis.</p></list-item>
<list-item><p>There appears to be an overlap between the factors that impact negatively on the ability to distinguish between different factors of the MCI.</p></list-item></list></td>
</tr>
<tr>
<td align="left"><bold>The Coping Inventory for Stressful Situations (CISS)</bold> &#x2013; Endler and Parker (<xref ref-type="bibr" rid="CIT0018">1990</xref>, <xref ref-type="bibr" rid="CIT0019">1999</xref>)</td>
<td align="left">The CISS measures both general trait coping styles and situation-specific coping responses.</td>
<td align="left">Three dimensions:<break/>task-oriented coping, emotion-oriented coping and avoidance-oriented coping</td>
<td align="left"><list list-type="bullet">
<list-item><p>According to Stemmet (<xref ref-type="bibr" rid="CIT0062">2013</xref>), the CISS cannot be generalised to other populations. The instrument is mainly used to measure general traits, coping styles and situation-specific coping responses.</p></list-item>
<list-item><p>Some of the avoidance scale items may also represent ordinary behaviours, rather than coping strategies.</p></list-item>
<list-item><p>According to Zeidner and Endler (<xref ref-type="bibr" rid="CIT0067">1996</xref>), the CISS is based on the dispositional approach, which only focuses on one aspect of coping.</p></list-item>
<list-item><p>The avoidance scale seems to measure general behaviours, rather than coping strategies.</p></list-item></list></td>
</tr>
<tr>
<td align="left"><bold>Coping Styles Questionnaire (CSQ)</bold> &#x2013; Roger, Jarvis and Najarian (<xref ref-type="bibr" rid="CIT0055">1993</xref>)</td>
<td align="left">The CSQ assesses how one reacts to stress.</td>
<td align="left">Four dimensions: rational coping, emotional coping, avoidance coping and detached coping</td>
<td align="left"><list list-type="bullet">
<list-item><p>The CSQ measures the same dimensions as the WCQ, which has been extensively criticised in previous coping literature (Stemmet, <xref ref-type="bibr" rid="CIT0062">2013</xref>).</p></list-item>
<list-item><p>The CSQ was administered to undergraduate students, which brings its generalisation into question.</p></list-item></list></td>
</tr>
<tr>
<td align="left"><bold>Proactive Coping Inventory (PCI)</bold> &#x2013; Greenglass, Schwarzer Jakubiec, Fiksenbaum and Taubert (<xref ref-type="bibr" rid="CIT0028">1999</xref>)</td>
<td align="left">The PCI assesses different dimensions of a proactive approach to coping.</td>
<td align="left">Seven dimensions:<break/>proactive coping, preventive coping, reflective coping, strategic planning, instrumental support seeking, emotional support seeking and avoidance coping</td>
<td align="left"><list list-type="bullet">
<list-item><p>The PCI measures coping skills and not coping responses.</p></list-item>
<list-item><p>The PCI was administered to undergraduate students, which brings its generalisation into question.</p></list-item></list></td>
</tr>
<tr>
<td align="left"><bold>Emotional Approach Coping Scale (EACS)</bold> &#x2013; Stanton, Kirk, Cameron and Danoff-Burg (<xref ref-type="bibr" rid="CIT0061">2000</xref>)</td>
<td align="left">The EACS asks participants to indicate what they generally do, feel and think when they experience stressful situations.</td>
<td align="left">Two dimensions: emotional processing and emotional expression</td>
<td align="left"><list list-type="bullet">
<list-item><p>It only measures one dimension of coping, namely, emotional coping.</p></list-item></list></td>
</tr>
<tr>
<td align="left"><bold>Acceptance and Action Questionnaire (AAQ)</bold> &#x2013; Hayes et al. (<xref ref-type="bibr" rid="CIT0031">2004</xref>)</td>
<td align="left">The AAQ measures individuals&#x2019; willingness to accept their emotions and thoughts, and ability to behave in a desired way even when they experience intense emotions.</td>
<td align="left">One dimension : experiential avoidance</td>
<td align="left"><list list-type="bullet">
<list-item><p>It is unclear whether the AAQ is a comprehensive measure because it was designed to measure only two aspects of experiential avoidance.</p></list-item>
<list-item><p>Internal coefficients for the AAQ are 0.70 and lower, suggesting that it is somewhat heterogeneous.</p></list-item>
<list-item><p>The AAQ displays evidence of poor discriminant validity.</p></list-item></list></td>
</tr>
<tr>
<td align="left"><bold>Multidimensional Experiential Avoidance Questionnaire (MEAQ)</bold> &#x2013; G&#x00E1;mez, Chmielewski, Kotov, Ruggero and Watson (<xref ref-type="bibr" rid="CIT0026">2011</xref>)</td>
<td align="left">The MEAQ assesses a broad range of experiential avoidance (EA) contents.</td>
<td align="left">Six dimensions: behavioural avoidance, distress aversion, procrastination, distraction/suppression, repression/denial and distress endurance</td>
<td align="left"><list list-type="bullet">
<list-item><p>Exploratory factor analysis was repeated until the preferred solution was obtained.</p></list-item>
<list-item><p>Confirmatory factor analysis was not used to confirm the factor structure.</p></list-item>
<list-item><p>The criterion for selecting the factors was not reported.</p></list-item>
<list-item><p>The test&#x2013;retest statistics were not reported.</p></list-item>
<list-item><p>The samples were gender-biased and drawn primarily from undergraduate students.</p></list-item></list></td>
</tr>
<tr>
<td align="left"><bold>General and Specific Avoidance Questionnaire (GSAQ)</bold> &#x2013; Stemmet (<xref ref-type="bibr" rid="CIT0062">2013</xref>)</td>
<td align="left">The GSAQ measures the dimensions of avoidance coping.</td>
<td align="left">Three dimensions: general avoidance, emotional avoidance and conflict avoidance</td>
<td align="left"><list list-type="bullet">
<list-item><p>Exploratory factor analysis and confirmatory factor analysis techniques do not apply to dichotomous data.</p></list-item>
<list-item><p>Items were taken from the CSQ, which has been critiqued for measuring the same dimensions as the WCQ.</p></list-item>
<list-item><p>The questionnaire only measures avoidance coping.</p></list-item></list></td>
</tr>
<tr>
<td align="left"><bold>Maladaptive and Adaptive Coping Styles (MAX) Questionnaire</bold> &#x2013; Moritz et al. (<xref ref-type="bibr" rid="CIT0046">2016</xref>)</td>
<td align="left">The MAX measures adaptive and maladaptive coping styles.</td>
<td align="left">Three dimensions: adaptive coping, maladaptive coping and avoidance</td>
<td align="left"><list list-type="bullet">
<list-item><p>Confirmatory factor analysis was not used to confirm the factor structure.</p></list-item>
<list-item><p>The questionnaire contains some double-barrelled items (e.g. I actively address a problem and try to resolve it).</p></list-item>
<list-item><p>The internal consistency of the avoidance scale was not high. One might thus question the factor structure of the questionnaire, as avoidance was originally labelled a maladaptive coping strategy (Aldao et al., <xref ref-type="bibr" rid="CIT0001">2010</xref>).</p></list-item></list></td>
</tr>
<tr>
<td align="left"><bold>Positive Coping Behaviour Inventory (PCBI)</bold> &#x2013; Marx (<xref ref-type="bibr" rid="CIT0045">2017</xref>)</td>
<td align="left">The PCBI measures individuals&#x2019; positive coping behaviour by focusing on a broad spectrum of positive psychological constructs.</td>
<td align="left">Four dimensions: cognitive coping behaviour, affective coping behaviour, conative motivational coping behaviour and interpersonal social coping behaviour.</td>
<td align="left"><list list-type="bullet">
<list-item><p>Certain categories (4, 5 and 6) of the six-point frequency-based scale were underutilised, indicating disagreement with the statements.</p></list-item></list></td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn><p>Note: Please see the full reference list of the article, Du Plessis, M., &#x0026; Martins, N. (2019). Developing a measurement instrument for coping with occupational stress in academia. <italic>SA Journal of Industrial Psychology/SA Tydskrif vir Bedryfsielkunde, 45</italic>(0), a1653. <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.4102/sajip.v45i0.1653">https://doi.org/10.4102/sajip.v45i0.1653</ext-link>, for more information.</p></fn>
</table-wrap-foot>
</table-wrap>
<p>Most coping instruments ask participants to recall how they have reacted or responded to a stressful situation. These instruments therefore focus on past events or situations. The Proactive Coping Inventory (PCI) is the only future-oriented coping instrument (Greenglass et al., <xref ref-type="bibr" rid="CIT0028">1999</xref>). Coping instruments further measure coping styles, resources, responses and behaviours.</p>
<p>The most widely used dimensions of coping are problem- versus emotion-focused coping (Lazarus &#x0026; Folkman, <xref ref-type="bibr" rid="CIT0041">1984</xref>). Alternative categorisations include engagement versus disengagement coping (Carver &#x0026; Connor-Smith, <xref ref-type="bibr" rid="CIT0009">2010</xref>), adaptive versus maladaptive coping (Aldao et al., <xref ref-type="bibr" rid="CIT0001">2010</xref>) and avoidance coping (Carver et al., <xref ref-type="bibr" rid="CIT0010">1989</xref>). The identified strategies range from 2 (e.g. emotional processing and emotional expression in the Emotional Approach Coping Scale [EACS]) to 20 in the Adult Coping Scale (Frydenberg &#x0026; Lewis, <xref ref-type="bibr" rid="CIT0024">2011</xref>). Coping strategies generally include four basic types: problem-solving or active planning, emotion-oriented coping, social support coping and avoidance coping.</p>
<p>Most coping instruments were deductively developed and administered to undergraduate students. A number of conceptual and methodological concerns were identified (Folkman, <xref ref-type="bibr" rid="CIT0021">2010</xref>; Stemmet, <xref ref-type="bibr" rid="CIT0062">2013</xref>). These included:</p>
<list list-type="bullet">
<list-item><p>developing measurement instruments with no clear purpose in mind</p></list-item>
<list-item><p>utilising only literature and feedback from expert reviews to generate items</p></list-item>
<list-item><p>generating items that are vague and undefined</p></list-item>
<list-item><p>including items that are too situation specific or inappropriate for the population under investigation</p></list-item>
<list-item><p>using ambiguous response formats</p></list-item>
<list-item><p>poor reliability and validity estimates</p></list-item>
<list-item><p>extracting too many factors, which results in undesirable error variance</p></list-item>
<list-item><p>failing to conduct or report on the results of the confirmatory factor analysis (CFA) and empirical validation of the instrument.</p></list-item>
</list>
<p>From the discussion above, it is evident that the continued refinement of existing coping instruments is required.</p>
</sec>
<sec id="s20008">
<title>Proposed theoretical framework for measuring coping with occupational stress in academia</title>
<p>A thorough literature review was conducted, in which: (1) the constructs under investigation were conceptualised, (2) the dimensions and subdimensions of coping were reviewed, (3) existing measuring instruments were analysed (see <xref ref-type="table" rid="T0001">Table 1</xref>) and (4) literature trends in occupational stress and coping among academics were considered for developing a conceptual framework for coping with occupational stress among academics. This framework allowed the researcher to generate questions and items for the intended measuring instrument. The conceptual framework is briefly discussed in the remainder of this section.</p>
<sec id="s30009">
<title>Occupational stressors</title>
<p>Higher education institutions are perceived by academics as a source of stress (Darabi et al., <xref ref-type="bibr" rid="CIT0014">2017</xref>). Academics experience occupational stress once a workplace stressor is appraised as a threat, challenge and/or harmful to their health and well-being. There is thus a perceived discrepancy between the demands in the workplace and the academics&#x2019; ability to cope with these demands.</p>
</sec>
<sec id="s30010">
<title>Emotional response</title>
<p>Once a workplace stressor is appraised (through primary appraisal) as taxing and/or exceeding the academics&#x2019; coping resources, an emotion is elicited. Primary appraisal is an individual&#x2019;s evaluation of an event as potentially hazardous to his or her well-being (Lazarus &#x0026; Folkman, <xref ref-type="bibr" rid="CIT0041">1984</xref>) and is essential for eliciting an emotional response. Once an emotion arises, it has to be regulated to modify the magnitude and type of emotional experience. Coping or regulatory strategies are adopted to respond to the felt emotion and modulate the academic&#x2019;s perception of the stressor.</p>
</sec>
<sec id="s30011">
<title>Coping strategies</title>
<p>A coping strategy is an adaptive or maladaptive response to a workplace stressor which causes the individual to experience reduced or heightened emotions. Six theoretically derived coping strategies are proposed for this study:</p>
<list list-type="bullet">
<list-item><p><italic>Cognitive coping:</italic> The cognitive processes of acquiring knowledge and understanding through thought and experiences to manage the intake of emotion-arousing stimuli. Five subdimensions were identified: cognitive restructuring, acceptance, problem-solving coping, planning and critical thinking.</p></list-item>
<list-item><p><italic>Emotional coping:</italic> The subjective, psychological and physiological expressions and reactions to stressful encounters that are appraised as taxing or exceeding the academic&#x2019;s coping resources. Emotional expression and emotional processing were identified as subdimensions (Stanton et al., <xref ref-type="bibr" rid="CIT0061">2000</xref>).</p></list-item>
<list-item><p><italic>Social support coping:</italic> The perceived support that individuals receive from their social support network to regulate heightened emotions in response to environmental demands. Four subdimensions were identified: emotional support, network support, information support and tangible support.</p></list-item>
<list-item><p><italic>Leisure coping:</italic> The physical activities that academics engage in to regulate heightened emotions to respond to environmental demands. Four subdimensions were identified: passive leisure, active leisure, social leisure and vacation time.</p></list-item>
<list-item><p><italic>Religious coping:</italic> The &#x2018;ways of understanding and dealing with negative life events that are related to the sacred&#x2019; (Pargament &#x0026; Raiya, <xref ref-type="bibr" rid="CIT0049">2007</xref>, p. 743). Organisational religious activities (ORA) and non-organisational religious activities (NORA) were recognised as proposed subdimensions.</p></list-item>
<list-item><p><italic>Experiential avoidance</italic> (EA): A maladaptive coping strategy that academics adopt to alter the form and frequency of aversive experiences and distress. Four subdimensions were identified: expressive suppression, thought suppression, avoidant coping and rumination.</p></list-item>
</list>
<p>The first five strategies were categorised as adaptive coping strategies, which are positively associated with affect modulation, physiological and psychological health and well-being, and organisational success (Aldao et al., <xref ref-type="bibr" rid="CIT0001">2010</xref>). Experiential avoidance was categorised as a maladaptive strategy, in that it is associated with increased psychological distress, occupational stress and disorders such as anxiety and depression (Karekla &#x0026; Panayiotou, <xref ref-type="bibr" rid="CIT0037">2011</xref>). Academics who adopt EA are likely to continue to experience heightened emotions and distress until they are able to adopt adaptive coping strategies.</p>
</sec>
</sec>
</sec>
<sec id="s0012">
<title>Research design</title>
<sec id="s20013">
<title>Research approach</title>
<p>In this study, an instrument for measuring how academics cope with occupational stress was developed by following a combination of steps (see <xref ref-type="fig" rid="F0001">Figure 1</xref>) proposed by various scale development authors (Barry, Chaney, Stellefson &#x0026; Chaney, <xref ref-type="bibr" rid="CIT0005">2011</xref>; DeVellis, <xref ref-type="bibr" rid="CIT0016">2017</xref>; Netemeyer Bearden, &#x0026; Sharma, <xref ref-type="bibr" rid="CIT0047">2003</xref>; Schmiedel, Vom Brocke, &#x0026; Recker, <xref ref-type="bibr" rid="CIT0056">2014</xref>; Worthington &#x0026; Whittaker, <xref ref-type="bibr" rid="CIT0066">2006</xref>). To achieve this objective, a non-experimental, cross-sectional, quantitative survey design was used.</p>
<fig id="F0001">
<label>FIGURE 1</label>
<caption><p>The instrument development process.</p></caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="SAJIP-45-1653-g001.tif"/>
</fig>
</sec>
<sec id="s20014">
<title>Phase 1: Theoretical investigation</title>
<sec id="s30015">
<title>Step 1: Conceptualisation and item generation</title>
<p>A deductive approach was used to develop the instrument. As previously mentioned, a thorough literature review was conducted to gain an understanding of the constructs under investigation. The literature review allowed the researcher to develop four questions that measure occupational stress among academics, and generate 82 items that measure the proposed coping strategies. To achieve the objective of this study, the theoretically derived coping items were further assessed and purified.</p>
</sec>
<sec id="s30016">
<title>Step 2: Content adequacy assessment and item selection</title>
<p>The item pool representing the coping items was subjected to an expert review. A panel of nine subject matter experts participated in the review. The experts were instructed to validate the items in terms of item content, content style and comprehensiveness. The information obtained was then used to calculate the content validity index (CVI) at both item level (I-CVI) and scale level (S-CVI). The I-CVI was calculated as the number of reviewers providing a score of 3 or 4 divided by the total number of reviewers. With more than five reviewers, the I-CVI should not be lower than 0.78 (Polit &#x0026; Beck, <xref ref-type="bibr" rid="CIT0053">2006</xref>). To calculate the S-CVI, two different indices were calculated: (1) scale-level content validity index, universal agreement (S-CVI/UA), which is the proportion of the items on one scale that the reviewers scored essential, and (2) S-CVI/AVE, which is the average proportion of the items on one scale rated 3 or 4. The results of the CVI revealed that 31 items had an I-CVI score of between 0.33 and 0.67. The acceptable standard for I-CVI is 0.80 (Polit &#x0026; Beck, <xref ref-type="bibr" rid="CIT0053">2006</xref>). The content validity of the instrument (S-CVI) yielded a score of 0.75, which was below the recommended criterion of 0.80 (Polit, Beck, &#x0026; Owen, <xref ref-type="bibr" rid="CIT0054">2007</xref>). The content validity of the instrument was thus not adequate, suggesting that items had to be revised or removed. Unclear or vague items were further highlighted by the reviewers and suggestions for improvement were made. Consequently, of the 82 items that had been subjected to an expert review, 51 were retained, 13 were revised and 18 were removed, while 4 new items were included.</p>
<p>Sixty-eight coping items were subjected to a cognitive interview, which allowed for direct input from a sample of 11 academics on the item content, format of the statements and understandability of the statements (Irwin, Varni, Yeatts, &#x0026; DeWalt, <xref ref-type="bibr" rid="CIT0035">2009</xref>). Informed consent was obtained and the purpose of the cognitive interview was explained to the participants. They were instructed to complete the questionnaire according to the instructions provided. Respondent debriefing was used to obtain specific information about unclear and/or difficult items. The participants were further asked to provide open-ended feedback on the clarity and comprehensibility of the instructions, the meaning of individual items, the response format and the relevance of each item. Throughout the interview, the researcher used cognitive probing to gain a better understanding of the participants&#x2019; interpretation of the items. The findings of the interview were positive, revealing that the instructions were clear and the questionnaire was easy to complete. However, suggestions for improvement were made. Consequently, eight items were revised and one new item was included. Sixty-nine coping items were included in the final instrument. <xref ref-type="fig" rid="F0002">Figure 2</xref> presents the item development and selection process.</p>
<fig id="F0002">
<label>FIGURE 2</label>
<caption><p>Item generation and selection process.</p></caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="SAJIP-45-1653-g002.tif"/>
</fig>
</sec>
</sec>
<sec id="s20017">
<title>Phase 2: Instrument purification</title>
<sec id="s30018">
<title>Step 1: Pilot study</title>
<p>A pilot study was initiated. The paper-and-pencil questionnaire was administered to a sample of academics (<italic>n</italic> = 30) that were representative of the actual population. A sample of 30 participants was deemed appropriate to: (1) provide insights into unclear or misleading questions or items, (2) determine which questions or items should be retained or deleted and (3) test for evidence of reliability (Hill, <xref ref-type="bibr" rid="CIT0032">1998</xref>; Isaac &#x0026; Michael, <xref ref-type="bibr" rid="CIT0036">1995</xref>). Several respondents expressed concern about the meaning of the &#x2018;social support network&#x2019; concept. Respondents indicated that their social support network at home differs from their network in the workplace. However, the item was retained because according to H&#x00E4;mmig (<xref ref-type="bibr" rid="CIT0030">2017</xref>), social support comes from a variety of sources, such as family, friends, partners and co-workers or colleagues. If the items had been revised to include only co-workers or colleagues, they would have become restrictive. A comprehensive definition of the concept was included in the questionnaire.</p>
</sec>
<sec id="s30019">
<title>Step 2: Internal consistency and item reliability</title>
<p>The Cronbach&#x2019;s alpha values of the pilot study were considered adequate for the purposes of the study, with alpha values higher than 0.70 (DeVellis, <xref ref-type="bibr" rid="CIT0016">2017</xref>). The inter-item correlation mean scores for the <italic>cognitive</italic> (0.23), <italic>leisure</italic> (0.22), <italic>religion</italic> (0.38) and <italic>EA</italic> (0.34) coping dimensions fell within the suggested threshold of 0.20 and 0.40 (Piedmont, <xref ref-type="bibr" rid="CIT0051">2014</xref>). However, the <italic>emotional</italic> (0.44) and <italic>social support</italic> (0.63) coping dimensions fell above the suggested threshold of 0.40, suggesting that the items might have only captured a small bandwidth of the construct (Cohen &#x0026; Swerdlik, <xref ref-type="bibr" rid="CIT0012">2005</xref>). The psychometric properties of the coping items were deemed acceptable.</p>
</sec>
</sec>
<sec id="s20020">
<title>Research participants</title>
<p>Data were obtained from a non-probability convenience sample of permanently employed academics in a higher education institution in the Gauteng province of South Africa (<italic>N</italic> = 4016). The sample of participants (<italic>n</italic> = 305) consisted of female (64.3&#x0025;) and male (35.7&#x0025;) employees who were predominantly between the ages of 40 and 55 years (44.3&#x0025;). The majority of the sample (81.6&#x0025;) had a postgraduate qualification, with 34.4&#x0025; having a doctoral degree, 35.7&#x0025; a master&#x2019;s degree, 11.5&#x0025; an honours degree and 6.6&#x0025; a bachelor&#x2019;s degree. Only a small proportion (11.8&#x0025;) of participants had a diploma, higher certificate or matric certificate. The distribution of the sample further showed that 34.1&#x0025; of the sample were employed as academic support staff and 65.9&#x0025; as academics. The academic component comprised 16 (5.2&#x0025;) junior lecturers, 74 (24.3&#x0025;) lecturers, 65 (21.3&#x0025;) senior lecturers, 21 (6.9&#x0025;) associate professors and 25 (8.2&#x0025;) professors. Lastly, the sample consisted of participants who had predominantly been employed for 10 years or more (62.0&#x0025;).</p>
</sec>
<sec id="s20021">
<title>Research procedure</title>
<p>Data were collected by means of a self-administered online questionnaire, which was uploaded onto an online survey application. The URL link to the questionnaire and instructions were provided to the participants through an electronic mail. The link redirected the respondents to the online platform, where their responses were captured. Informed consent was obtained and participation in the survey was voluntary.</p>
</sec>
<sec id="s20022">
<title>Statistical analysis</title>
<p>IBM SPSS Statistics version 24 software was utilised to perform the statistical analysis.</p>
<sec id="s30023">
<title>Data screening and descriptive analysis</title>
<p>The first phase in the data analysis process involved cleaning and organising the data. The data were scrutinised for unresponsive and unengaged responses. As there were no cases that showed no variation across the items, the data were deemed sufficient for further analysis. Next, the frequency statistics for each item were calculated and scrutinised in terms of minimum and maximum values, as well as means and standard deviations. These calculations were conducted to determine if there were any outliers. No outliers were detected.</p>
<p>Lastly, assumptions about the normality of the data were assessed. The ratios of kurtoses were reviewed against the standard errors of the kurtoses, and all ratios larger than three were identified and the distribution of responses was inspected. Overall, the data were deemed within acceptable limits of deviation, except for two items that showed excessive ratios of 68.01 (item 55) and 21.89 (item 64). These items were further assessed in terms of their face and/or construct validity and appropriateness. Although a decision was made to retain the items for further analysis, it was anticipated that these items would be removed from the questionnaire. In addition, given the large sample size (<italic>n</italic> &#x003E; 100), the underlying sampling distribution was deemed to be normally distributed, in line with the central limit theorem (Field, <xref ref-type="bibr" rid="CIT0020">2013</xref>).</p>
</sec>
<sec id="s30024">
<title>Inferential analysis</title>
<p>To validate the underlying structure of the coping items, a combination of exploratory factor analysis (EFA) and CFA was performed.</p>
<p><bold>Exploratory factor analysis:</bold> For the purposes of identifying the underlying structure of the coping items, an EFA was performed on the sample comprising 305 academics. According to the requirements set by Worthington and Whittaker (<xref ref-type="bibr" rid="CIT0066">2006</xref>), the sample size (&#x2265;300) was sufficient for conducting a factor analysis. Before commencing with the EFA, the strengths of the intercorrelations between the items were determined. The visual inspection of the correlation matrix revealed evidence of coefficients equal to or greater than 0.30 (Hair, Black, Babin, &#x0026; Anderson, <xref ref-type="bibr" rid="CIT0029">2010</xref>). Secondly, the factorability of the correlation matrix was determined by applying Bartlett&#x2019;s test for sphericity and the Kaiser&#x2013;Meyer&#x2013;Olkin (KMO) measure of sampling adequacy.</p>
<p>In the EFA, maximum-likelihood extraction and principal axis factoring (PAF) with oblique rotation (promax) were used to correlate and rotate the factor structure. An oblique rotation was used because: (1) factor intercorrelations are the norm in social sciences, (2) both approaches yield the same result if the factors happen to be uncorrelated and (3) it is recommended by instrument development researchers (Furr, <xref ref-type="bibr" rid="CIT0025">2011</xref>). Kaiser&#x2019;s criterion (eigenvalues for each factor), a screen test and percentage of variance explained were used to determine the number of factors that would be considered suitable for further retention. In order to create a parsimonious and simple structure, only items that clearly loaded on a single appropriate factor were retained. All items with factor loadings less than 0.35 or cross-loadings less than 0.20 difference from the item&#x2019;s highest factor were thus removed (Hair et al., <xref ref-type="bibr" rid="CIT0029">2010</xref>). The percentage of total item variance was also considered. A percentage of 60 was considered acceptable.</p>
<p>In this study, EFA was used to reduce the number of coping items into smaller, more parsimonious factors and to determine the construct validity of the instrument.</p>
<p><bold>Confirmatory factor analysis:</bold> Confirmatory factor analysis was used to validate the underlying structure and assess the internal consistency of the instrument. Aside from the chi-square goodness-of-fit test, a number of goodness-of-fit indices (GFIs) were used to determine the degree to which the theoretical model was consistent with the empirical data.</p>
</sec>
</sec>
<sec id="s20025">
<title>Reliability and validity assessment</title>
<p>The reliability of the instrument was assessed by calculating the Cronbach&#x2019;s alpha coefficient. DeVellis (<xref ref-type="bibr" rid="CIT0016">2017</xref>) suggests that a Cronbach&#x2019;s alpha coefficient of 0.70 should serve as an absolute minimum for a newly designed instrument. Dimensionality and reliability are important aspects of an instrument&#x2019;s psychometric properties and quality, but without validation any inferences made from the instrument are meaningless, inappropriate and of limited usefulness (Furr, <xref ref-type="bibr" rid="CIT0025">2011</xref>). In this study, the content validity and construct validity of the coping items were assessed.</p>
<p><italic>Content validity:</italic> The content validity was assessed in the first phase (step 2) of the instrument development process by means of an expert review and cognitive interviews (<xref ref-type="fig" rid="F0001">Figure 1</xref>).</p>
<p><italic>Construct validity:</italic> Evidence of construct validity was provided by conducting EFA and CFA, and assessing the convergent and discriminant validity of the instrument. An instrument demonstrates <italic>convergent and discriminant validity</italic> when it correlates highly with other variables with which it should theoretically correlate, and correlates minimally with variables from which it should differ (Foxcroft &#x0026; Roodt, <xref ref-type="bibr" rid="CIT0023">2013</xref>). For the purpose of this study, the correlation coefficient was used to estimate the degree to which any two measures were related to each other. Hair et al. (<xref ref-type="bibr" rid="CIT0029">2010</xref>) further advocate the use of composite reliability (CR) (&#x003E;0.70), average variance extracted (AVE) (&#x003E;0.50), maximum shared squared variance (MSV) (&#x003C;AVE) and average shared squared variance (ASV) (&#x003C;AVE) to measure convergent and discriminant validity.</p>
</sec>
</sec>
<sec id="s0026">
<title>Ethical consideration</title>
<p>Ethical clearance (2014/CEMS/IOP/025) and permission (2017_RPSC_011) to conduct the research were obtained from the University of South Africa&#x2019;s Research and Ethics Committee.</p>
</sec>
<sec id="s0027">
<title>Results</title>
<p>The statistical processes used to evaluate the performance of the individual items and to further refine the instrument are discussed in this section.</p>
<sec id="s20028">
<title>Exploratory factor analysis</title>
<sec id="s30029">
<title>Exploratory factor analysis of the 69 coping items</title>
<p>Initially, the factorability of the 69 items was examined. Firstly, the sample size of 305 was in accordance with the guidelines established by Worthington and Whittaker (<xref ref-type="bibr" rid="CIT0066">2006</xref>), in that a sample size of at least 300 is sufficient for factor analysis. Secondly, the strengths of the intercorrelations between the items were determined by assessing the factorability of the correlation matrix. The visual inspection of the correlation matrix revealed evidence of coefficients equal to or greater than 0.30 (Hair et al., <xref ref-type="bibr" rid="CIT0029">2010</xref>). Lastly, the KMO measure of sampling adequacy was 0.845, which was well above the commonly recommended value of 0.60 (Tabachnick &#x0026; Fidell, <xref ref-type="bibr" rid="CIT0064">2013</xref>), and Bartlett&#x2019;s test of sphericity was significant (<italic>p</italic> &#x2264; 0.05). Given these indicators, factor analysis was deemed to be suitable.</p>
<p>The responses of the 69 items were correlated and rotated using maximum-likelihood extraction with oblique rotation (promax). Initial eigenvalues indicated that the first 15 factors explained 67.54&#x0025; of the total variance. When compared to the dimensions proposed in the literature review, the results of the initial EFA clearly overestimated the number of factors for the data set. Several items in the rotated-factor matrix cross-loaded on more than one factor. These were removed, starting with the highest loadings. In addition, items with low factor loadings (&#x2264;0.35) and high cross-loadings (less than 0.20 difference) in each factor were also removed (Hair et al., <xref ref-type="bibr" rid="CIT0029">2010</xref>). Only 42 items were retained, which were subjected to a second round of EFA.</p>
</sec>
<sec id="s30030">
<title>Exploratory factor analysis of the 42 items</title>
<p>A statistically significant Bartlett&#x2019;s test of sphericity (<italic>p</italic> &#x2264; 0.05) and a KMO measure of sample adequacy of 0.859 confirmed that the overall significance of the correlations within the correlation matrix was suitable for factor analysis. Principal axis factoring with oblique rotation (promax) was conducted on the 42 items. The scree plot (see <xref ref-type="fig" rid="F0003">Figure 3</xref>) and parallel analysis indicated that nine significant factors could be identified from the originally defined six coping dimensions. The nine significant factors explained 70.38&#x0025; of the total variance, which is in accordance with the guidelines established by Hair et al. (<xref ref-type="bibr" rid="CIT0029">2010</xref>), namely that a solution that accounts for 60&#x0025; of the total variance is satisfactory. The nine-factor solution was accepted because: (1) it is theoretically supported by the existing literature, (2) the minimum cumulative percentage of variance explained, was higher than 60&#x0025; (Plonsky &#x0026; Gonulal, <xref ref-type="bibr" rid="CIT0052">2015</xref>), (3) the nine factors&#x2019; eigenvalues were greater than 1.0, (4) the scree plot started decreasing and straightened after the ninth factor and (5) all the items had factor loadings of 0.40 and higher, indicating the significance of these items for interpretative purposes. The rotated pattern matrix for the 42-item instrument is summarised in <xref ref-type="table" rid="T0002">Table 2</xref>.</p>
<fig id="F0003">
<label>FIGURE 3</label>
<caption><p>Scree plot for the 42 items.</p></caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="SAJIP-45-1653-g003.tif"/>
</fig>
<table-wrap id="T0002">
<label>TABLE 2</label>
<caption><p>Rotated pattern matrix for the nine-factor model.</p></caption>
<table frame="hsides" rules="groups">
<thead valign="top">
<tr>
<th valign="top" align="left" rowspan="2">Variable</th>
<th valign="top" align="center" colspan="9">Factor<hr/></th>
</tr>
<tr>
<th valign="top" align="center">1</th>
<th valign="top" align="center">2</th>
<th valign="top" align="center">3</th>
<th valign="top" align="center">4</th>
<th valign="top" align="center">5</th>
<th valign="top" align="center">6</th>
<th valign="top" align="center">7</th>
<th valign="top" align="center">8</th>
<th valign="top" align="center">9</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="left">v17</td>
<td align="center">0.933</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
</tr>
<tr>
<td align="left">v28</td>
<td align="center">0.889</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
</tr>
<tr>
<td align="left">v59</td>
<td align="center">0.830</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
</tr>
<tr>
<td align="left">v9</td>
<td align="center">0.818</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
</tr>
<tr>
<td align="left">v2</td>
<td align="center">0.703</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
</tr>
<tr>
<td align="left">v36</td>
<td align="center">0.699</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
</tr>
<tr>
<td align="left">v47</td>
<td align="center">0.636</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
</tr>
<tr>
<td align="left">v3</td>
<td align="center">0.526</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
</tr>
<tr>
<td align="left">v21</td>
<td align="center">-</td>
<td align="center">0.857</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
</tr>
<tr>
<td align="left">v30</td>
<td align="center">-</td>
<td align="center">0.837</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
</tr>
<tr>
<td align="left">v53</td>
<td align="center">-</td>
<td align="center">0.834</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
</tr>
<tr>
<td align="left">v48</td>
<td align="center">-</td>
<td align="center">0.817</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
</tr>
<tr>
<td align="left">v41</td>
<td align="center">-</td>
<td align="center">0.802</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
</tr>
<tr>
<td align="left">v11</td>
<td align="center">-</td>
<td align="center">0.778</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
</tr>
<tr>
<td align="left">v40</td>
<td align="center">-</td>
<td align="center">0.757</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
</tr>
<tr>
<td align="left">v57</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">0.816</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
</tr>
<tr>
<td align="left">v62</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">0.810</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
</tr>
<tr>
<td align="left">v65</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">0.746</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
</tr>
<tr>
<td align="left">v54</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">0.683</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
</tr>
<tr>
<td align="left">v34</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">0.674</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
</tr>
<tr>
<td align="left">v46</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">0.626</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
</tr>
<tr>
<td align="left">v61</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">0.557</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
</tr>
<tr>
<td align="left">v26</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">0.549</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
</tr>
<tr>
<td align="left">v29</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">0.866</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
</tr>
<tr>
<td align="left">v19</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">0.858</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
</tr>
<tr>
<td align="left">v37</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">0.856</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
</tr>
<tr>
<td align="left">v18</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">0.652</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
</tr>
<tr>
<td align="left">v42</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">0.768</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
</tr>
<tr>
<td align="left">v22</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">0.746</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
</tr>
<tr>
<td align="left">v12</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">0.705</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
</tr>
<tr>
<td align="left">v44</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">0.566</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
</tr>
<tr>
<td align="left">v32</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">0.833</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
</tr>
<tr>
<td align="left">v63</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">0.748</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
</tr>
<tr>
<td align="left">v23</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">0.742</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
</tr>
<tr>
<td align="left">v39</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">0.857</td>
<td align="center">-</td>
<td align="center">-</td>
</tr>
<tr>
<td align="left">v20</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">0.797</td>
<td align="center">-</td>
<td align="center">-</td>
</tr>
<tr>
<td align="left">v51</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">0.772</td>
<td align="center">-</td>
<td align="center">-</td>
</tr>
<tr>
<td align="left">v45</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">0.770</td>
<td align="center">-</td>
</tr>
<tr>
<td align="left">v60</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">0.670</td>
<td align="center">-</td>
</tr>
<tr>
<td align="left">v33</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">0.632</td>
<td align="center">-</td>
</tr>
<tr>
<td align="left">v8</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">0.762</td>
</tr>
<tr>
<td align="left">v16</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">0.592</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn><p>Note: This is a summary of the statistical output from SPSS.</p></fn>
</table-wrap-foot>
</table-wrap>
<p>The nine factors were labelled <italic>social support coping</italic> (SOC [eight items]), <italic>religious coping</italic> (REL [seven items]), <italic>cognitive coping</italic> (COG [eight items]), <italic>active leisure coping</italic> (ACT LEI [four items]), <italic>avoidant coping</italic> (AVOID, four items), <italic>social disengagement</italic> (SOC DIS [three items]), <italic>vacation time</italic> (VAC TIME [three items]), <italic>rumination</italic> (RUM [three items]) and <italic>emotional coping</italic> (EMO [two items]).</p>
<p>The factor correlation matrix summarised in <xref ref-type="table" rid="T0003">Table 3</xref> shows low or weak correlations between the factors, indicating that the factors are not interrelated (Hair et al., <xref ref-type="bibr" rid="CIT0029">2010</xref>). However, factors 5 (<italic>avoidant coping; R</italic> = 0.451) and 6 (<italic>social disengagement</italic>; <italic>R</italic> = 0.458) moderately correlated with factor 8 (<italic>rumination)</italic>, indicating that these constructs are interrelated. Similarly, factor 4 (<italic>active leisure; R</italic> = 0.419) moderately correlated with factor 7 (<italic>vacation time</italic>).</p>
<table-wrap id="T0003">
<label>TABLE 3</label>
<caption><p>Factor correlation matrix for the nine-factor model.</p></caption>
<table frame="hsides" rules="groups">
<thead valign="top">
<tr>
<th valign="top" align="left">Factor</th>
<th valign="top" align="center">Factor 1</th>
<th valign="top" align="center">Factor 2</th>
<th valign="top" align="center">Factor 3</th>
<th valign="top" align="center">Factor 4</th>
<th valign="top" align="center">Factor 5</th>
<th valign="top" align="center">Factor 6</th>
<th valign="top" align="center">Factor 7</th>
<th valign="top" align="center">Factor 8</th>
<th valign="top" align="center">Factor 9</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="left">Factor 1</td>
<td align="center">1</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
</tr>
<tr>
<td align="left">Factor 2</td>
<td align="center">0.385<xref ref-type="table-fn" rid="TFN0001">&#x2020;</xref></td>
<td align="center">1</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
</tr>
<tr>
<td align="left">Factor 3</td>
<td align="center">0.201</td>
<td align="center">0.074</td>
<td align="center">1</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
</tr>
<tr>
<td align="left">Factor 4</td>
<td align="center">0.348<xref ref-type="table-fn" rid="TFN0001">&#x2020;</xref></td>
<td align="center">0.398<xref ref-type="table-fn" rid="TFN0001">&#x2020;</xref></td>
<td align="center">0.124</td>
<td align="center">1</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
</tr>
<tr>
<td align="left">Factor 5</td>
<td align="center">&#x2212;0.020</td>
<td align="center">0.129</td>
<td align="center">&#x2212;0.432</td>
<td align="center">&#x2212;0.032</td>
<td align="center">1</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
</tr>
<tr>
<td align="left">Factor 6</td>
<td align="center">&#x2212;0.179</td>
<td align="center">&#x2212;0.042</td>
<td align="center">&#x2212;0.211</td>
<td align="center">&#x2212;0.106</td>
<td align="center">0.370<xref ref-type="table-fn" rid="TFN0001">&#x2020;</xref></td>
<td align="center">1</td>
<td align="center">-</td>
<td align="center">-</td>
<td align="center">-</td>
</tr>
<tr>
<td align="left">Factor 7</td>
<td align="center">0.253</td>
<td align="center">0.302<xref ref-type="table-fn" rid="TFN0001">&#x2020;</xref></td>
<td align="center">0.049</td>
<td align="center">0.419<xref ref-type="table-fn" rid="TFN0001">&#x2020;</xref></td>
<td align="center">0.173</td>
<td align="center">&#x2212;0.007</td>
<td align="center">1</td>
<td align="center">-</td>
<td align="center">-</td>
</tr>
<tr>
<td align="left">Factor 8</td>
<td align="center">0.055</td>
<td align="center">&#x2212;0.105</td>
<td align="center">&#x2212;0.210</td>
<td align="center">&#x2212;0.123</td>
<td align="center">0.451<xref ref-type="table-fn" rid="TFN0001">&#x2020;</xref></td>
<td align="center">0.458<xref ref-type="table-fn" rid="TFN0001">&#x2020;</xref></td>
<td align="center">0.037</td>
<td align="center">1</td>
<td align="center">-</td>
</tr>
<tr>
<td align="left">Factor 9</td>
<td align="center">0.387<xref ref-type="table-fn" rid="TFN0001">&#x2020;</xref></td>
<td align="center">0.143</td>
<td align="center">0.415<xref ref-type="table-fn" rid="TFN0001">&#x2020;</xref></td>
<td align="center">0.169</td>
<td align="center">&#x2212;0.226</td>
<td align="center">&#x2212;0.216</td>
<td align="center">0.036</td>
<td align="center">&#x2212;0.249</td>
<td align="center">1</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn><p>Note: Extraction method: Principal axis factoring.</p></fn>
<fn id="TFN0001"><label>&#x2020;</label><p>, significant correlations between factors.</p></fn>
</table-wrap-foot>
</table-wrap>
</sec>
</sec>
<sec id="s20031">
<title>Confirmatory factor analysis</title>
<p>The original model revealed a mediocre to poor fit, indicating that there was a significant discrepancy between the correlations proposed and the correlations observed. The goodness-of-fit (GFI) obtained was 0.78 (prescribed threshold &#x003E; 0.90) and the adjusted goodness-of-fit (AGFI) was 0.75 (prescribed threshold &#x003E; 0.90). The normed fit index (NFI), relative fit index (RFI), comparative fit index (CFI) and Tucker Lewis index (TLI) were 0.79, 0.77, 0.87 and 0.85, respectively, compared to the recommended level of above 0.90 (Baumgartner &#x0026; Homburg, <xref ref-type="bibr" rid="CIT0006">1996</xref>). The root mean square error of approximation (RMSEA) was 0.07, which was above the recommended limit of 0.06 (Hu &#x0026; Bentler, <xref ref-type="bibr" rid="CIT0034">1999</xref>), and the root mean square residual (RMR) was above the recommended threshold of 0.02 at 0.16 (Hu &#x0026; Bentler, <xref ref-type="bibr" rid="CIT0034">1999</xref>). The theorised model therefore did not fit well with the observed data.</p>
<p>The modification indices and standardised residual covariance were assessed to remedy the discrepancies between the proposed and estimated models. Residuals greater than 2.5 suggested an unacceptable degree of error and resulted in the deletion of items (Field, <xref ref-type="bibr" rid="CIT0020">2013</xref>). Nine additional items with residuals equal to or greater than 2.5 were removed to account for the correlations between variables in the data set.</p>
<p>The Santorra&#x2013;Bentler chi-square statistic of 820.75, based on 459 degrees of freedom (<italic>p</italic> = 0.00), was significant and revealed an acceptable model fit. The CMIN/DF ratio was 1.79 (CMIN/DF &#x2264; 5.0), which indicates a good model fit (Garson, <xref ref-type="bibr" rid="CIT0027">2002</xref>). According to these guidelines, the revised model appeared to fit the data well. Bentler (<xref ref-type="bibr" rid="CIT0008">2007</xref>), however, advises that the CMIN value should be used with caution and other fit indices, such as the CFI, RMSEA and standardised root mean square residual (SRMR), should be used to assess the model&#x2019;s fit.</p>
<p>The GFI obtained was 0.87, and the AGFI was 0.84. The NFI, RFI, CFI and TLI were 0.87, 0.85, 0.94 and 0.93, respectively, compared to the recommended level of above 0.90. Both the RMSEA and SRMR values were 0.05, which were in accordance with the guidelines established by Hair et al. (<xref ref-type="bibr" rid="CIT0029">2010</xref>), in that RMSEA values between 0.05 and 0.08 and SRMR values of less than 0.50 are indicative of an acceptable model fit. The CMIN/DF value, CFI, RMSEA and SRMR values, therefore, met the minimum requirements for model fit. The revised model for the nine dimensions is shown in <xref ref-type="fig" rid="F0004">Figure 4</xref>.</p>
<fig id="F0004">
<label>FIGURE 4</label>
<caption><p>Revised model.</p></caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="SAJIP-45-1653-g004.tif"/>
</fig>
</sec>
<sec id="s20032">
<title>Reliability and validity assessment</title>
<p>The dimensions were retained because the reliability (CR) for all the dimensions was above the recommended threshold of 0.70 (RUM &#x03B1; = 0.79; SOC &#x03B1; = 0.91; REL &#x03B1; = 0.92; COG &#x03B1; = 0.87; ACT LEI &#x03B1; = 0.88; VAC TIME &#x03B1; = 0.86; AVOID &#x03B1; = 0.78; SOC DIS &#x03B1; = 0.85; EMO &#x03B1; = 0.72) (Hair et al., <xref ref-type="bibr" rid="CIT0029">2010</xref>). The convergent reliability (AVE) for the dimensions was above the recommended threshold of 0.50 prescribed by Hair et al. (<xref ref-type="bibr" rid="CIT0029">2010</xref>) and was thus retained. The discriminant validity (MSV and ASV) for all the dimensions fell within the recommended threshold, where MSV &#x003C; AVE and ASV &#x003C; AVE (Hair et al., <xref ref-type="bibr" rid="CIT0029">2010</xref>). Considering the goodness-of-fit results and reliability and validity results, the revised model (<xref ref-type="fig" rid="F0004">Figure 4</xref>) was accepted. <xref ref-type="table" rid="T0004">Table 4</xref> outlines the standard regression weights between the nine coping strategies and individual items, as well as the correlations between the coping strategies.</p>
<table-wrap id="T0004">
<label>TABLE 4</label>
<caption><p>Standardised regression weights and correlations for the revised model (33 items).</p></caption>
<table frame="hsides" rules="groups">
<thead valign="top">
<tr>
<th valign="top" align="left" colspan="4">Standardised regression weights<hr/></th>
<th valign="top" align="center" colspan="4">Correlations<hr/></th>
</tr>
<tr>
<th valign="top" align="center">Variable</th>
<th valign="top" align="center">Regression</th>
<th valign="top" align="left">Factor</th>
<th valign="top" align="center">Estimate</th>
<th valign="top" align="center">Factor</th>
<th valign="top" align="center">Correlation</th>
<th valign="top" align="left">Factor</th>
<th valign="top" align="center">Estimate</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="left">v17</td>
<td align="center">&#x2190;</td>
<td align="left">SOC</td>
<td align="center">0.913</td>
<td align="left">SOC</td>
<td align="center">&#x2194;</td>
<td align="left">AVOID</td>
<td align="center">&#x2212;0.063</td>
</tr>
<tr>
<td align="left">v28</td>
<td align="center">&#x2190;</td>
<td align="left">SOC</td>
<td align="center">0.848</td>
<td align="left">SOC</td>
<td align="center">&#x2194;</td>
<td align="left">VAC TIME</td>
<td align="center">0.223</td>
</tr>
<tr>
<td align="left">v9</td>
<td align="center">&#x2190;</td>
<td align="left">SOC</td>
<td align="center">0.824</td>
<td align="left">SOC</td>
<td align="center">&#x2194;</td>
<td align="left">COG</td>
<td align="center">0.084</td>
</tr>
<tr>
<td align="left">v59</td>
<td align="center">&#x2190;</td>
<td align="left">SOC</td>
<td align="center">0.807</td>
<td align="left">SOC</td>
<td align="center">&#x2194;</td>
<td align="left">ACT LEI</td>
<td align="center">0.253</td>
</tr>
<tr>
<td align="left">v2</td>
<td align="center">&#x2190;</td>
<td align="left">SOC</td>
<td align="center">0.664</td>
<td align="left">SOC</td>
<td align="center">&#x2194;</td>
<td align="left">REL</td>
<td align="center">0.341</td>
</tr>
<tr>
<td align="left">v53</td>
<td align="center">&#x2190;</td>
<td align="left">REL</td>
<td align="center">0.866</td>
<td align="left">SOC</td>
<td align="center">&#x2194;</td>
<td align="left">SOC DIS</td>
<td align="center">&#x2212;0.175</td>
</tr>
<tr>
<td align="left">v40</td>
<td align="center">&#x2190;</td>
<td align="left">REL</td>
<td align="center">0.841</td>
<td align="left">SOC</td>
<td align="center">&#x2194;</td>
<td align="left">RUM</td>
<td align="center">0.060</td>
</tr>
<tr>
<td align="left">v21</td>
<td align="center">&#x2190;</td>
<td align="left">REL</td>
<td align="center">0.837</td>
<td align="left">SOC</td>
<td align="center">&#x2194;</td>
<td align="left">EMO</td>
<td align="center">0.490</td>
</tr>
<tr>
<td align="left">v30</td>
<td align="center">&#x2190;</td>
<td align="left">REL</td>
<td align="center">0.837</td>
<td align="left">REL</td>
<td align="center">&#x2194;</td>
<td align="left">COG</td>
<td align="center">0.030</td>
</tr>
<tr>
<td align="left">v41</td>
<td align="center">&#x2190;</td>
<td align="left">REL</td>
<td align="center">0.798</td>
<td align="left">REL</td>
<td align="center">&#x2194;</td>
<td align="left">ACT LEI</td>
<td align="center">0.404</td>
</tr>
<tr>
<td align="left">v48</td>
<td align="center">&#x2190;</td>
<td align="left">REL</td>
<td align="center">0.727</td>
<td align="left">REL</td>
<td align="center">&#x2194;</td>
<td align="left">VAC TIME</td>
<td align="center">0.345</td>
</tr>
<tr>
<td align="left">v62</td>
<td align="center">&#x2190;</td>
<td align="left">COG</td>
<td align="center">0.865</td>
<td align="left">REL</td>
<td align="center">&#x2194;</td>
<td align="left">AVOID</td>
<td align="center">0.070</td>
</tr>
<tr>
<td align="left">v57</td>
<td align="center">&#x2190;</td>
<td align="left">COG</td>
<td align="center">0.787</td>
<td align="left">REL</td>
<td align="center">&#x2194;</td>
<td align="left">SOC DIS</td>
<td align="center">&#x2212;0.057</td>
</tr>
<tr>
<td align="left">v46</td>
<td align="center">&#x2190;</td>
<td align="left">COG</td>
<td align="center">0.709</td>
<td align="left">REL</td>
<td align="center">&#x2194;</td>
<td align="left">RUM</td>
<td align="center">&#x2212;0.055</td>
</tr>
<tr>
<td align="left">v26</td>
<td align="center">&#x2190;</td>
<td align="left">COG</td>
<td align="center">0.703</td>
<td align="left">REL</td>
<td align="center">&#x2194;</td>
<td align="left">EMO</td>
<td align="center">0.182</td>
</tr>
<tr>
<td align="left">v34</td>
<td align="center">&#x2190;</td>
<td align="left">COG</td>
<td align="center">0.623</td>
<td align="left">COG</td>
<td align="center">&#x2194;</td>
<td align="left">ACT LEI</td>
<td align="center">0.069</td>
</tr>
<tr>
<td align="left">v65</td>
<td align="center">&#x2190;</td>
<td align="left">COG</td>
<td align="center">0.61</td>
<td align="left">COG</td>
<td align="center">&#x2194;</td>
<td align="left">VAC TIME</td>
<td align="center">&#x2212;0.004</td>
</tr>
<tr>
<td align="left">v37</td>
<td align="center">&#x2190;</td>
<td align="left">ACT LEI</td>
<td align="center">0.878</td>
<td align="left">COG</td>
<td align="center">&#x2194;</td>
<td align="left">AVOID</td>
<td align="center">&#x2212;0.545</td>
</tr>
<tr>
<td align="left">v29</td>
<td align="center">&#x2190;</td>
<td align="left">ACT LEI</td>
<td align="center">0.866</td>
<td align="left">COG</td>
<td align="center">&#x2194;</td>
<td align="left">SOC DIS</td>
<td align="center">&#x2212;0.269</td>
</tr>
<tr>
<td align="left">v19</td>
<td align="center">&#x2190;</td>
<td align="left">ACT LEI</td>
<td align="center">0.791</td>
<td align="left">COG</td>
<td align="center">&#x2194;</td>
<td align="left">RUM</td>
<td align="center">&#x2212;0.400</td>
</tr>
<tr>
<td align="left">v39</td>
<td align="center">&#x2190;</td>
<td align="left">VAC TIME</td>
<td align="center">0.877</td>
<td align="left">COG</td>
<td align="center">&#x2194;</td>
<td align="left">EMO</td>
<td align="center">0.481</td>
</tr>
<tr>
<td align="left">v20</td>
<td align="center">&#x2190;</td>
<td align="left">VAC TIME</td>
<td align="center">0.802</td>
<td align="left">ACT LEI</td>
<td align="center">&#x2194;</td>
<td align="left">VAC TIME</td>
<td align="center">0.424</td>
</tr>
<tr>
<td align="left">v51</td>
<td align="center">&#x2190;</td>
<td align="left">VAC TIME</td>
<td align="center">0.772</td>
<td align="left">ACT LEI</td>
<td align="center">&#x2194;</td>
<td align="left">AVOID</td>
<td align="center">&#x2212;0.119</td>
</tr>
<tr>
<td align="left">v44</td>
<td align="center">&#x2190;</td>
<td align="left">AVOID</td>
<td align="center">0.863</td>
<td align="left">ACT LEI</td>
<td align="center">&#x2194;</td>
<td align="left">SOC DIS</td>
<td align="center">&#x2212;0.100</td>
</tr>
<tr>
<td align="left">v12</td>
<td align="center">&#x2190;</td>
<td align="left">AVOID</td>
<td align="center">0.728</td>
<td align="left">ACT LEI</td>
<td align="center">&#x2194;</td>
<td align="left">RUM</td>
<td align="center">&#x2212;0.101</td>
</tr>
<tr>
<td align="left">v42</td>
<td align="center">&#x2190;</td>
<td align="left">AVOID</td>
<td align="center">0.611</td>
<td align="left">ACT LEI</td>
<td align="center">&#x2194;</td>
<td align="left">EMO</td>
<td align="center">0.206</td>
</tr>
<tr>
<td align="left">v32</td>
<td align="center">&#x2190;</td>
<td align="left">SOC DIS</td>
<td align="center">0.824</td>
<td align="left">VAC TIME</td>
<td align="center">&#x2194;</td>
<td align="left">AVOID</td>
<td align="center">0.071</td>
</tr>
<tr>
<td align="left">v23</td>
<td align="center">&#x2190;</td>
<td align="left">SOC DIS</td>
<td align="center">0.822</td>
<td align="left">VAC TIME</td>
<td align="center">&#x2194;</td>
<td align="left">SOC DIS</td>
<td align="center">0.013</td>
</tr>
<tr>
<td align="left">v63</td>
<td align="center">&#x2190;</td>
<td align="left">SOC DIS</td>
<td align="center">0.775</td>
<td align="left">VAC TIME</td>
<td align="center">&#x2194;</td>
<td align="left">RUM</td>
<td align="center">0.010</td>
</tr>
<tr>
<td align="left">v60</td>
<td align="center">&#x2190;</td>
<td align="left">RUM</td>
<td align="center">0.909</td>
<td align="left">VAC TIME</td>
<td align="center">&#x2194;</td>
<td align="left">EMO</td>
<td align="center">0.119</td>
</tr>
<tr>
<td align="left">v45</td>
<td align="center">&#x2190;</td>
<td align="left">RUM</td>
<td align="center">0.695</td>
<td align="left">AVOID</td>
<td align="center">&#x2194;</td>
<td align="left">SOC DIS</td>
<td align="center">0.535</td>
</tr>
<tr>
<td align="left">v8</td>
<td align="center">&#x2190;</td>
<td align="left">EMO</td>
<td align="center">0.752</td>
<td align="left">AVOID</td>
<td align="center">&#x2194;</td>
<td align="left">RUM</td>
<td align="center">0.703</td>
</tr>
<tr>
<td align="left">v16</td>
<td align="center">&#x2190;</td>
<td align="left">EMO</td>
<td align="center">0.741</td>
<td align="left">AVOID</td>
<td align="center">&#x2194;</td>
<td align="left">EMO</td>
<td align="center">&#x2212;0.320</td>
</tr>
<tr>
<td align="left">-</td>
<td align="center">-</td>
<td align="left">-</td>
<td align="center">-</td>
<td align="left">SOC DIS</td>
<td align="center">&#x2194;</td>
<td align="left">RUM</td>
<td align="center">0.531</td>
</tr>
<tr>
<td align="left">-</td>
<td align="center">-</td>
<td align="left">-</td>
<td align="center">-</td>
<td align="left">SOC DIS</td>
<td align="center">&#x2194;</td>
<td align="left">EMO</td>
<td align="center">&#x2212;0.281</td>
</tr>
<tr>
<td align="left">-</td>
<td align="center">-</td>
<td align="left">-</td>
<td align="center">-</td>
<td align="left">RUM</td>
<td align="center">&#x2194;</td>
<td align="left">EMO</td>
<td align="center">&#x2212;0.164</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn><p>v, variable; SOC, social support coping; REL, religious coping; COG, cognitive coping; ACT LEI, active leisure coping; VAC TIME, vacation time; AVOID, avoidant coping; SOC DIS, social disengagement; RUM, rumination; EMO, emotional coping.</p></fn>
</table-wrap-foot>
</table-wrap>
</sec>
</sec>
<sec id="s0033">
<title>Discussion</title>
<p>The purpose of this study was to construct a measuring instrument that holistically measures coping with occupational stress in academia by consolidating the major types of coping strategies identified in the literature into one measuring instrument, namely The Comprehensive Coping Strategies Questionnaire (CCSQ). Although the theoretical dimensions proposed comprised six coping strategies: (1) cognitive, (2) emotional, (3) social support, (4) leisure, (5) religious and (6) EA &#x2013; the results of the development process confirmed nine empirically validated coping strategies: (1) social support coping, (2) religious coping, (3) cognitive coping, (4) active leisure coping, (5) avoidant coping, (6) social disengagement, (7) vacation time, (8) rumination and (9) emotional coping. Although the theoretically derived <italic>leisure coping</italic> and EA items loaded on a new latent structure, the results of the factor correlation matrix indicated that <italic>active leisure coping</italic> (<italic>R</italic> = 0.419) moderately correlated with <italic>vacation time</italic>, indicating that these constructs were interrelated. Kim and McKenzie (<xref ref-type="bibr" rid="CIT0038">2014</xref>) identified four leisure categories, namely, passive leisure, active leisure, social leisure and vacation time. Although these four categories were considered in formulating the <italic>leisure coping strategy</italic>, the empirical results confirmed Kim and McKenzie&#x2019;s (<xref ref-type="bibr" rid="CIT0038">2014</xref>) categorisation, indicating that these four strategies should not be categorised under one dimension. <italic>Passive leisure</italic> and <italic>social leisure</italic> were, however, not regarded as coping strategies that academics adopt in response to an occupational stressor. It is therefore recommended that the <italic>active leisure</italic> and <italic>vacation time</italic> items should be reviewed to form one dimension.</p>
<p>Regarding the <italic>EA coping strategy</italic>, only two of the theoretically proposed subdimensions (<italic>avoidant coping</italic> and <italic>rumination</italic>) survived the stages of scale development. Although the literature considered both avoidant coping and rumination as EA strategies (Karekla &#x0026; Panayiotou, <xref ref-type="bibr" rid="CIT0037">2011</xref>), the results of the empirical study confirmed two separate factors. The findings were thus inconsistent with the literature. Secondly, a subdimension of the proposed <italic>avoidant coping</italic> strategy also loaded on a new factor, namely, <italic>social disengagement.</italic> This finding was also inconsistent with the literature, which stated that social disengagement is a form of avoidant coping (Karekla &#x0026; Panayiotou, <xref ref-type="bibr" rid="CIT0037">2011</xref>). The results of the factor correlation matrix, however, revealed that <italic>avoidant coping</italic> (<italic>R</italic> = 0.451) and <italic>social disengagement</italic> (<italic>R</italic> = 0.458) are moderately correlated with <italic>rumination</italic>. Lastly, the six items that constituted the <italic>self-destructive behaviour</italic> subdimension did not load on a factor. According to Nolen-Hoeksema, Wisco and Lyubomirsky (<xref ref-type="bibr" rid="CIT0048">2008</xref>), self-destructive behaviour is a maladaptive coping strategy that individuals adopt to redirect their attention away from a stressor and includes behaviours such as reckless driving, excessive drinking, drug abuse or aggressive behaviour. It was concluded that the respondents either did not adopt self-destructive behaviour as a mechanism of coping, or the items were of such a sensitive nature that the respondents answered the question dishonestly even though anonymity and confidentially were assured. According to De Schrijver (<xref ref-type="bibr" rid="CIT0015">2012</xref>), socially undesirable behaviour is often under-reported and includes behaviour such as substance use and alcohol consumption. The <italic>self-destructive behaviour</italic> subdimension should thus be reviewed.</p>
<p>Strong support exists for the psychometric properties of the instrument. Firstly, the questionnaire was deductively developed after conducting a thorough literature review. Secondly, empirical support was shown for construct and content validity (determined through an expert review, cognitive interviews and a pilot study), internal consistency reliability (&#x03B1; = 0.87) and CR (between 0.72 and 0.92). The instrument further demonstrated convergent (&#x2265;0.50) and discriminant validity (MSV &#x003C; AVE and ASV &#x003C; AVE). Lastly, the factor structure of the instrument was confirmed using CFA.</p>
<sec id="s20034">
<title>Practical implications</title>
<p>This study could prove useful for industrial and organisational psychologists because a valid and reliable measuring instrument was developed for determining which coping strategies academics adopt to regulate heightened emotions in response to an occupational stressor. The instrument could thus be used as a diagnostic tool for determining <italic>how</italic> academics respond to occupational stressors. The results obtained from administering the instrument should further allow industrial and organisational psychologists to gain an in-depth understanding of: (1) the occupational stressors that academics perceive as taxing and/or exceeding their coping resources, (2) the emotions elicited when a workplace stressor is perceived as stressful and (3) the coping strategies academics adopt to modulate the felt emotion. If industrial and organisational psychologists are able to appreciate the consequences of occupational stress and comprehend the complexities of the coping process, then they will be able to design and implement wellness practices that should not only promote the health and well-being of the academics, but also that of the institution.</p>
</sec>
<sec id="s20035">
<title>Limitations of the study and recommendations</title>
<p>No study of this nature is without limitations, especially because the coping process is a complex phenomenon. The following limitations were encountered in this study: firstly, the sources consulted were mostly of international origin, and there is little agreement among researchers about the best way to conceptualise these concepts. Secondly, the literature on the categorisation and measurement of coping strategies is limited, obsolete and incongruent. Thirdly, although the sample size was adequate to conduct the statistical analysis, further research needs to be conducted among a broader spectrum of participants. Lastly, a non-probability convenience sample was selected.</p>
<p>Despite having acceptable psychometric properties, continued refinement of the instrument is suggested. Modifications to the questionnaire could include the following: firstly, although a deductive approach was followed to generate items, the researcher recommends that both deductive and inductive approaches should be considered to increase the instrument&#x2019;s content validity further (Hinkin, <xref ref-type="bibr" rid="CIT0033">1995</xref>). Secondly, while granting that the final instrument obtained provides adequate support for reliability and validity, the dimensions with three or fewer items should be revised and new items should be considered for inclusion. Thirdly, the <italic>emotional coping</italic> items should be reviewed because only one subdimension with two items (<italic>emotional expression</italic>) survived the stages of scale development. Lastly, future researchers should consider the inclusion of <italic>distraction</italic> as a subdimension of coping with occupational stress among academics. Distraction, which could be categorised as an adaptive coping strategy, is often used as a technique to divert oneself from an emotion-eliciting stimulus (Lehto, Park, Fu, &#x0026; Lee, <xref ref-type="bibr" rid="CIT0042">2014</xref>).</p>
</sec>
</sec>
<sec id="s0036">
<title>Conclusion</title>
<p>A nine-dimensional, 33-item coping instrument, The Comprehensive Coping Strategies Questionnaire (CCSQ), was developed for South African higher education institutions. Although the findings were encouraging, it should be borne in mind that the validation of an instrument is an ongoing process. Continued refinement of the instrument is thus recommended for other industries in South Africa.</p>
</sec>
</body>
<back>
<ack>
<title>Acknowledgements</title>
<p>The authors acknowledge the participating institution and Dr Dion van Zyl for his guidance with the statistical analysis.</p>
<sec id="s20037" sec-type="COI-statement">
<title>Competing interests</title>
<p>The authors declare that they have no financial or personal relationships which may have inappropriately influenced them in writing this article.</p>
</sec>
<sec id="s20038">
<title>Author&#x2019;s contributions</title>
<p>M.d.P. was a PhD student of N.M. Both authors contributed to the writing and finalisation of the article for submission.</p>
</sec>
<sec id="s20039">
<title>Funding</title>
<p>This research received no specific grant from any funding agency in the public, commercial or not-for-profit sectors.</p>
</sec>
<sec id="s20040">
<title>Data availability statement</title>
<p>Data sharing is not applicable to this article as no new data were created or analysed in this study.</p>
</sec>
<sec id="s20041">
<title>Disclaimer</title>
<p>The views and opinions expressed in this article are those of the authors and do not necessarily reflect the official policy or position of any affiliated agency of the authors.</p>
</sec>
</ack>
<ref-list id="references">
<title>References</title>
<ref id="CIT0001"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Aldao</surname>, <given-names>A</given-names></string-name>., <string-name><surname>Nolen-Hoeksema</surname>, <given-names>S</given-names></string-name>., &#x0026; <string-name><surname>Schweizer</surname>, <given-names>S</given-names></string-name></person-group>. (<year>2010</year>). <article-title>Emotion-regulation strategies across psychopathology: A meta-analytic review</article-title>. <source><italic>Clinical Psychology Review</italic></source>, <volume>30</volume>(<issue>2</issue>), <fpage>217</fpage>&#x2013;<lpage>237</lpage>. <comment><ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1016/j.cpr.2009.11.004">https://doi.org/10.1016/j.cpr.2009.11.004</ext-link></comment></mixed-citation></ref>
<ref id="CIT0002"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Allen</surname>, <given-names>A. B</given-names></string-name>., &#x0026; <string-name><surname>Leary</surname>, <given-names>M. R</given-names></string-name></person-group>. (<year>2010</year>). <article-title>Self-compassion, stress and coping</article-title>. <source><italic>Social and Personality Psychology Compass</italic></source>, <volume>4</volume>(<issue>2</issue>), <fpage>107</fpage>&#x2013;<lpage>118</lpage>. <comment><ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1111/j.1751-9004.2009.00246.x">https://doi.org/10.1111/j.1751-9004.2009.00246.x</ext-link></comment></mixed-citation></ref>
<ref id="CIT0003"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Amirkhan</surname>, <given-names>J. H</given-names></string-name></person-group>. (<year>1990</year>). <article-title>A factor analytically derived measure of coping: The coping strategy indicator</article-title>. <source><italic>Journal of Personality and Social Psychology</italic></source>, <volume>59</volume>(<issue>5</issue>), <fpage>1066</fpage>&#x2013;<lpage>1074</lpage>. <comment><ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1037/0022-3514.59.5.1066">https://doi.org/10.1037/0022-3514.59.5.1066</ext-link></comment></mixed-citation></ref>
<ref id="CIT0004"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Barkhuizen</surname>, <given-names>N</given-names></string-name>., &#x0026; <string-name><surname>Rothmann</surname>, <given-names>S</given-names></string-name></person-group>. (<year>2008</year>). <article-title>Occupational stress of academic staff in South African higher education institutions</article-title>. <source><italic>South African Journal of Psychology</italic></source>, <volume>38</volume>(<issue>2</issue>), <fpage>321</fpage>&#x2013;<lpage>336</lpage>. <comment><ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1177/008124630803800205">https://doi.org/10.1177/008124630803800205</ext-link></comment></mixed-citation></ref>
<ref id="CIT0005"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Barry</surname>, <given-names>A. E</given-names></string-name>., <string-name><surname>Chaney</surname>, <given-names>E. H</given-names></string-name>., <string-name><surname>Stellefson</surname>, <given-names>M. L</given-names></string-name>., &#x0026; <string-name><surname>Chaney</surname>, <given-names>J. D</given-names></string-name></person-group>. (<year>2011</year>). <article-title>So you want to develop a survey: Practical recommendations for scale development</article-title>. <source><italic>American Journal of Health Studies</italic></source>, <volume>26</volume>(<issue>2</issue>), <fpage>97</fpage>&#x2013;<lpage>105</lpage>.</mixed-citation></ref>
<ref id="CIT0006"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Baumgartner</surname>, <given-names>H</given-names></string-name>., &#x0026; <string-name><surname>Homburg</surname>, <given-names>C</given-names></string-name></person-group>. (<year>1996</year>). <article-title>Applications of structural equation modelling in marketing and consumer research: A review</article-title>. <source><italic>International Journal of Research in Marketing</italic></source>, <volume>13</volume>(<issue>2</issue>), <fpage>139</fpage>&#x2013;<lpage>161</lpage>. <comment><ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1016/0167-8116(95)00038-0">https://doi.org/10.1016/0167-8116(95)00038-0</ext-link></comment></mixed-citation></ref>
<ref id="CIT0007"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Beheshtifar</surname>, <given-names>M</given-names></string-name>., &#x0026; <string-name><surname>Nazarian</surname>, <given-names>R</given-names></string-name></person-group>. (<year>2013</year>). <article-title>Role of occupational stress in organisations</article-title>. <source><italic>Interdisciplinary Journal of Contemporary Research in Business</italic></source>, <volume>4</volume>(<issue>9</issue>), <fpage>648</fpage>&#x2013;<lpage>657</lpage>.</mixed-citation></ref>
<ref id="CIT0008"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Bentler</surname>, <given-names>P. M</given-names></string-name></person-group>. (<year>2007</year>). <article-title>On tests and indices for evaluating structural models</article-title>. <source><italic>Personality and Individual Differences</italic></source>, <volume>42</volume>(<issue>5</issue>), <fpage>825</fpage>&#x2013;<lpage>829</lpage>. <comment><ext-link ext-link-type="uri" xlink:href="http://psycnet.apa.org/doi/10.1016/j.paid.2006.09.024">http://psycnet.apa.org/doi/10.1016/j.paid.2006.09.024</ext-link></comment></mixed-citation></ref>
<ref id="CIT0009"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Carver</surname>, <given-names>C. S</given-names></string-name>., &#x0026; <string-name><surname>Connor-Smith</surname>, <given-names>J</given-names></string-name></person-group>. (<year>2010</year>). <article-title>Personality and coping</article-title>. <source><italic>Annual Review of Psychology</italic></source>, <volume>61</volume>, <fpage>679</fpage>&#x2013;<lpage>704</lpage>. <comment><ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1146/annurev.psych.093008.100352">https://doi.org/10.1146/annurev.psych.093008.100352</ext-link></comment></mixed-citation></ref>
<ref id="CIT0010"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Carver</surname>, <given-names>C. S</given-names></string-name>., <string-name><surname>Scheier</surname>, <given-names>M. F</given-names></string-name>., &#x0026; <string-name><surname>Weintraub</surname>, <given-names>J. K</given-names></string-name></person-group>. (<year>1989</year>). <article-title>Assessing coping strategies: A theoretically based approach</article-title>. <source><italic>Journal of Personality and Social Psychology</italic></source>, <volume>56</volume>(<issue>2</issue>), <fpage>267</fpage>&#x2013;<lpage>283</lpage>. <comment><ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1037//0022-3514.56.2.267">https://doi.org/10.1037//0022-3514.56.2.267</ext-link></comment></mixed-citation></ref>
<ref id="CIT0011"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Catano</surname>, <given-names>V</given-names></string-name>., <string-name><surname>Francis</surname>, <given-names>L</given-names></string-name>., <string-name><surname>Haines</surname>, <given-names>T</given-names></string-name>., <string-name><surname>Kripalani</surname>, <given-names>H</given-names></string-name>., <string-name><surname>Shannon</surname>, <given-names>H</given-names></string-name>., <string-name><surname>Stinger</surname>, <given-names>B</given-names></string-name>., &#x0026; <string-name><surname>Lozanzki</surname>, <given-names>L</given-names></string-name></person-group>. (<year>2010</year>). <article-title>Occupational stress in Canadian universities: A national survey</article-title>. <source><italic>International Journal of Stress Management</italic></source>, <volume>17</volume>(<issue>3</issue>), <fpage>232</fpage>&#x2013;<lpage>258</lpage>. <comment><ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1037/a0018582">https://doi.org/10.1037/a0018582</ext-link></comment></mixed-citation></ref>
<ref id="CIT0012"><mixed-citation publication-type="book"><person-group person-group-type="author"><string-name><surname>Cohen</surname>, <given-names>R. J</given-names></string-name>., &#x0026; <string-name><surname>Swerdlik</surname>, <given-names>M. E</given-names></string-name></person-group>. (<year>2005</year>). <source><italic>Psychological testing and assessment: An introduction to tests and measurement</italic></source> (<edition>6th</edition> edn.). <publisher-loc>New York</publisher-loc>: <publisher-name>McGraw-Hill</publisher-name>.</mixed-citation></ref>
<ref id="CIT0013"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Compas</surname>, <given-names>B. E</given-names></string-name>., <string-name><surname>Jaser</surname>, <given-names>S. S</given-names></string-name>., <string-name><surname>Dunbar</surname>, <given-names>J. P</given-names></string-name>., <string-name><surname>Watson</surname>, <given-names>K. H</given-names></string-name>., <string-name><surname>Bettis</surname>, <given-names>A. H</given-names></string-name>., <string-name><surname>Gruhn</surname>, <given-names>M. A</given-names></string-name>., &#x0026; <string-name><surname>Williams</surname>, <given-names>E. K</given-names></string-name></person-group>. (<year>2014</year>). <article-title>Coping and emotion regulation from childhood to early adulthood: Points of convergence and divergence</article-title>. <source><italic>Australian Journal of Psychology</italic></source>, <volume>66</volume>(<issue>2</issue>), <fpage>71</fpage>&#x2013;<lpage>81</lpage>. <comment><ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1111/ajpy.12043">https://doi.org/10.1111/ajpy.12043</ext-link></comment></mixed-citation></ref>
<ref id="CIT0014"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Darabi</surname>, <given-names>M</given-names></string-name>., <string-name><surname>Macaskill</surname>, <given-names>A</given-names></string-name>., &#x0026; <string-name><surname>Reidy</surname>, <given-names>L</given-names></string-name></person-group>. (<year>2017</year>). <article-title>A qualitative study of the UK academic role: Positive features, negative aspects and associated stressors in a mainly teaching-focused university</article-title>. <source><italic>Journal of Further and Higher Education</italic></source>, <volume>41</volume>(<issue>4</issue>), <fpage>566</fpage>&#x2013;<lpage>580</lpage>. <comment><ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1080/0309877X.2016.1159287">https://doi.org/10.1080/0309877X.2016.1159287</ext-link></comment></mixed-citation></ref>
<ref id="CIT0015"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>De Schrijver</surname>, <given-names>A</given-names></string-name></person-group>. (<year>2012</year>). <article-title>Sample survey on sensitive topics: Investigating respondents&#x2019; understanding and trust in alternative versions of the randomised response technique</article-title>. <source><italic>Journal of Research Practice</italic></source>, <volume>8</volume>(<issue>1</issue>), <comment>Article M1</comment>, <fpage>1</fpage>&#x2013;<lpage>17</lpage>. <comment>Retrieved from <ext-link ext-link-type="uri" xlink:href="http://jrp.icaap.org/index.php/jrp/article/view/277/250">http://jrp.icaap.org/index.php/jrp/article/view/277/250</ext-link></comment></mixed-citation></ref>
<ref id="CIT0016"><mixed-citation publication-type="book"><person-group person-group-type="author"><string-name><surname>DeVellis</surname>, <given-names>R. F</given-names></string-name></person-group>. (<year>2017</year>). <source><italic>Scale development: Theory and applications</italic></source> (<edition>4th</edition> edn.). <publisher-loc>Thousand Oaks, CA</publisher-loc>: <publisher-name>Sage</publisher-name>.</mixed-citation></ref>
<ref id="CIT0017"><mixed-citation publication-type="book"><person-group person-group-type="author"><string-name><surname>Dewe</surname>, <given-names>P</given-names></string-name>., <string-name><surname>O&#x2019;Driscoll</surname>, <given-names>M. P</given-names></string-name>., &#x0026; <string-name><surname>Cooper</surname>, <given-names>C. L</given-names></string-name></person-group>. (<year>2010</year>). <source><italic>Coping with work stress: A review and critique</italic></source>. <publisher-loc>Malden, MA</publisher-loc>: <publisher-name>Wiley-Blackwell</publisher-name>.</mixed-citation></ref>
<ref id="CIT0018"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Endler</surname>, <given-names>N. S</given-names></string-name>., &#x0026; <string-name><surname>Parker</surname>, <given-names>J. D. A</given-names></string-name></person-group>. (<year>1990</year>). <article-title>Multidimensional assessment of coping: A critical evaluation</article-title>. <source><italic>Journal of Personality and Social Psychology</italic></source>, <volume>58</volume>(<issue>5</issue>), <fpage>844</fpage>&#x2013;<lpage>854</lpage>. <comment><ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1037/0022-3514.58.5.844">https://doi.org/10.1037/0022-3514.58.5.844</ext-link></comment></mixed-citation></ref>
<ref id="CIT0019"><mixed-citation publication-type="book"><person-group person-group-type="author"><string-name><surname>Endler</surname>, <given-names>N. S</given-names></string-name>., &#x0026; <string-name><surname>Parker</surname>, <given-names>J. D. A</given-names></string-name></person-group>. (<year>1999</year>). <source><italic>Coping inventory for stressful situations: Manual</italic></source> (<edition>2nd</edition> edn.). <publisher-loc>Toronto</publisher-loc>: <publisher-name>Multi-Health Systems</publisher-name>.</mixed-citation></ref>
<ref id="CIT0020"><mixed-citation publication-type="book"><person-group person-group-type="author"><string-name><surname>Field</surname>, <given-names>A. P</given-names></string-name></person-group>. (<year>2013</year>). <source><italic>Discovering statistics using IBM SPSS statistics</italic></source> (<edition>4th</edition> edn.). <publisher-loc>London</publisher-loc>: <publisher-name>Sage</publisher-name>.</mixed-citation></ref>
<ref id="CIT0021"><mixed-citation publication-type="book"><person-group person-group-type="author"><string-name><surname>Folkman</surname>, <given-names>S</given-names></string-name></person-group>. (<year>2010</year>). <source><italic>Handbook of stress, health and coping</italic></source>. <publisher-loc>New York</publisher-loc>: <publisher-name>Oxford University Press</publisher-name>. <comment><ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1093/oxfordhb/9780195375343.001.0001">https://doi.org/10.1093/oxfordhb/9780195375343.001.0001</ext-link></comment></mixed-citation></ref>
<ref id="CIT0022"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Folkman</surname>, <given-names>S</given-names></string-name>., &#x0026; <string-name><surname>Lazarus</surname>, <given-names>R. S</given-names></string-name></person-group>. (<year>1985</year>). <article-title>If it changes it must be a process: Study of emotion and coping during three stages of a college examination</article-title>. <source><italic>Journal of Personality and Social Psychology</italic></source>, <volume>48</volume>(<issue>1</issue>), <fpage>150</fpage>&#x2013;<lpage>170</lpage>. <comment><ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1037/0022-3514.48.1.150">https://doi.org/10.1037/0022-3514.48.1.150</ext-link></comment></mixed-citation></ref>
<ref id="CIT0023"><mixed-citation publication-type="book"><person-group person-group-type="author"><string-name><surname>Foxcroft</surname>, <given-names>C</given-names></string-name>., &#x0026; <string-name><surname>Roodt</surname>, <given-names>G</given-names></string-name></person-group>. (<year>2013</year>). <source><italic>Introduction to psychological assessment in the South African context</italic></source> (<edition>4th</edition> edn.). <publisher-loc>Cape Town</publisher-loc>: <publisher-name>Oxford University Press</publisher-name>.</mixed-citation></ref>
<ref id="CIT0024"><mixed-citation publication-type="book"><person-group person-group-type="author"><string-name><surname>Frydenberg</surname>, <given-names>E</given-names></string-name>., &#x0026; <string-name><surname>Lewis</surname>, <given-names>R</given-names></string-name></person-group>. (<year>2011</year>). <source><italic>The adolescent coping scale</italic></source> (<edition>2nd</edition> edn.). (ACS&#x2013;2). <publisher-loc>Melbourne</publisher-loc>: <publisher-name>Australian Council for Educational Research</publisher-name>. <comment>Retrieved from <ext-link ext-link-type="uri" xlink:href="https://catalogue.jvrpsychometrics.co.za">https://catalogue.jvrpsychometrics.co.za</ext-link></comment></mixed-citation></ref>
<ref id="CIT0025"><mixed-citation publication-type="book"><person-group person-group-type="author"><string-name><surname>Furr</surname>, <given-names>R. M</given-names></string-name></person-group>. (<year>2011</year>). <chapter-title>Evaluating psychometric properties: Dimensionality and reliability</chapter-title>. In <person-group person-group-type="editor"><string-name><given-names>R.</given-names> <surname>Furr</surname></string-name> (Ed.)</person-group>. <source><italic>Sage library of methods in social and personality psychology: Scale construction and psychometrics for social and personality psychology</italic></source> (pp. <fpage>25</fpage>&#x2013;<lpage>52</lpage>). <publisher-loc>London</publisher-loc>: <publisher-name>Sage</publisher-name>. <comment>Retrieved from <ext-link ext-link-type="uri" xlink:href="https://0-doi.org.oasis.unisa.ac.za/10.4135/9781446287866.n4">https://0-doi.org.oasis.unisa.ac.za/10.4135/9781446287866.n4</ext-link></comment></mixed-citation></ref>
<ref id="CIT0026"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>G&#x00E1;mez</surname>, <given-names>W</given-names></string-name>., <string-name><surname>Chmielewski</surname>, <given-names>M</given-names></string-name>., <string-name><surname>Kotov</surname>, <given-names>R</given-names></string-name>., <string-name><surname>Ruggero</surname>, <given-names>C</given-names></string-name>., &#x0026; <string-name><surname>Watson</surname>, <given-names>D</given-names></string-name></person-group>. (<year>2011</year>). <article-title>Development of a measure of experiential avoidance: The multidimensional experiential avoidance questionnaire</article-title>. <source><italic>Psychological Assessment</italic></source>, <volume>23</volume>(<issue>3</issue>), <fpage>692</fpage>&#x2013;<lpage>713</lpage>. <comment><ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1037/a0023242">https://doi.org/10.1037/a0023242</ext-link></comment></mixed-citation></ref>
<ref id="CIT0027"><mixed-citation publication-type="web"><person-group person-group-type="author"><string-name><surname>Garson</surname>, <given-names>G. D</given-names></string-name></person-group>. (<year>2002</year>). <source><italic>PA765 Statnotes: An online textbook</italic></source>. <comment>Retrieved from <ext-link ext-link-type="uri" xlink:href="https://www.researchgate.net/publication/247093481_PA_765_Statnotes_An_online_textbook">https://www.researchgate.net/publication/247093481_PA_765_Statnotes_An_online_textbook</ext-link>.</comment></mixed-citation></ref>
<ref id="CIT0028"><mixed-citation publication-type="conference"><person-group person-group-type="author"><string-name><surname>Greenglass</surname>, <given-names>E. R</given-names></string-name>., <string-name><surname>Schwarzer</surname>, <given-names>R</given-names></string-name>. <string-name><surname>Jakubiec</surname>, <given-names>D</given-names></string-name>., <string-name><surname>Fiksenbaum</surname>, <given-names>L</given-names></string-name>., &#x0026; <string-name><surname>Taubert</surname>, <given-names>S</given-names></string-name></person-group>. (<year>1999</year>). <source><italic>The proactive coping inventory (PCI): A multidimensional research instrument</italic></source>, <conf-name>paper presented at the 20th International Conference of the Stress and Anxiety Research Society (STAR)</conf-name>, <conf-loc>Cracow, Poland [Online publication]</conf-loc>. <comment>Retrieved from <ext-link ext-link-type="uri" xlink:href="http://estherg.info.yorku.ca/greenglass-pci/">http://estherg.info.yorku.ca/greenglass-pci/</ext-link>.</comment></mixed-citation></ref>
<ref id="CIT0029"><mixed-citation publication-type="book"><person-group person-group-type="author"><string-name><surname>Hair</surname>, <given-names>J. F</given-names></string-name>., <string-name><surname>Black</surname>, <given-names>W. C</given-names></string-name>., <string-name><surname>Babin</surname>, <given-names>B. J</given-names></string-name>., &#x0026; <string-name><surname>Anderson</surname>, <given-names>R. E</given-names></string-name></person-group>. (<year>2010</year>). <source><italic>Multivariate data analysis</italic></source> (<edition>7th</edition> edn.). <publisher-loc>Upper Saddle River, NJ</publisher-loc>: <publisher-name>Pearson Prentice Hall</publisher-name>.</mixed-citation></ref>
<ref id="CIT0030"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>H&#x00E4;mmig</surname>, <given-names>O</given-names></string-name></person-group>. (<year>2017</year>). <article-title>Health and well-being at work: The key role of supervisor support</article-title>. <source><italic>SSM &#x2013; Population Health</italic></source>, <volume>3</volume>, <fpage>393</fpage>&#x2013;<lpage>402</lpage>. <comment><ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1016/j.ssmph.2017.04.002">https://doi.org/10.1016/j.ssmph.2017.04.002</ext-link></comment></mixed-citation></ref>
<ref id="CIT0031"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Hayes</surname>, <given-names>S. C</given-names></string-name>., <string-name><surname>Strosahl</surname>, <given-names>K</given-names></string-name>., <string-name><surname>Wilson</surname>, <given-names>K. G</given-names></string-name>., <string-name><surname>Bissett</surname>, <given-names>R. T</given-names></string-name>., <string-name><surname>Pistorello</surname>, <given-names>J</given-names></string-name>., <string-name><surname>Toarmino</surname>, <given-names>D</given-names></string-name>., &#x2026; <string-name><surname>McCurry</surname>, <given-names>S. M</given-names></string-name></person-group>. (<year>2004</year>). <article-title>Measuring experiential avoidance: A preliminary test of a working model</article-title>. <source><italic>The Psychological Record</italic></source>, <volume>54</volume>(<issue>4</issue>), <fpage>553</fpage>&#x2013;<lpage>578</lpage>. <comment><ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1007/BF03395492">https://doi.org/10.1007/BF03395492</ext-link></comment></mixed-citation></ref>
<ref id="CIT0032"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Hill</surname>, <given-names>R</given-names></string-name></person-group>. (<year>1998</year>). <article-title>What sample size is &#x2018;enough&#x2019; in internet survey research</article-title>? <source><italic>Interpersonal Computing and Technology: An Electronic Journal for the 21st Century</italic></source>, <volume>6</volume>(<issue>3&#x2013;4</issue>), <fpage>1</fpage>&#x2013;<lpage>12</lpage>.</mixed-citation></ref>
<ref id="CIT0033"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Hinkin</surname>, <given-names>T. R</given-names></string-name></person-group>. (<year>1995</year>). <article-title>A review of instrument development practices in the study of organisations</article-title>. <source><italic>Journal of Management</italic></source>, <volume>21</volume>(<issue>5</issue>), <fpage>967</fpage>&#x2013;<lpage>988</lpage>. <comment><ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1177/014920639502100509">https://doi.org/10.1177/014920639502100509</ext-link></comment></mixed-citation></ref>
<ref id="CIT0034"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Hu</surname>, <given-names>L</given-names></string-name>., &#x0026; <string-name><surname>Bentler</surname>, <given-names>P. M</given-names></string-name></person-group>. (<year>1999</year>). <article-title>Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives</article-title>. <source><italic>Structural Equation Modelling: A Multidisciplinary Journal</italic></source>, <volume>6</volume>(<issue>1</issue>), <fpage>1</fpage>&#x2013;<lpage>55</lpage>. <comment><ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1080/10705519909540118">https://doi.org/10.1080/10705519909540118</ext-link></comment></mixed-citation></ref>
<ref id="CIT0035"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Irwin</surname>, <given-names>D. E</given-names></string-name>., <string-name><surname>Varni</surname>, <given-names>J. W</given-names></string-name>., <string-name><surname>Yeatts</surname>, <given-names>K</given-names></string-name>., &#x0026; <string-name><surname>DeWalt</surname>, <given-names>D. A</given-names></string-name></person-group>. (<year>2009</year>). <article-title>Cognitive interviewing methodology in the development of a paediatric item bank: A patient reported outcomes measurement information system (PROMIS) study</article-title>. <source><italic>Health and Quality of Life Outcomes</italic></source>, <volume>7</volume>(<issue>3</issue>), <fpage>1</fpage>&#x2013;<lpage>10</lpage>. <comment><ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1186/1477-7525-7-3">https://doi.org/10.1186/1477-7525-7-3</ext-link></comment></mixed-citation></ref>
<ref id="CIT0036"><mixed-citation publication-type="book"><person-group person-group-type="author"><string-name><surname>Isaac</surname>, <given-names>S</given-names></string-name>., &#x0026; <string-name><surname>Michael</surname>, <given-names>W. B</given-names></string-name></person-group>. (<year>1995</year>). <source><italic>Handbook in research and evaluation</italic></source>. <publisher-loc>San Diego, CA</publisher-loc>: <publisher-name>Educational and Industrial Testing Services</publisher-name>.</mixed-citation></ref>
<ref id="CIT0037"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Karekla</surname>, <given-names>M</given-names></string-name>., &#x0026; <string-name><surname>Panayiotou</surname>, <given-names>G</given-names></string-name></person-group>. (<year>2011</year>). <article-title>Coping and experiential avoidance: Unique or overlapping constructs?</article-title> <source><italic>Journal of Behavior Therapy and Experimental Psychiatry</italic></source>, <volume>42</volume>(<issue>2</issue>), <fpage>163</fpage>&#x2013;<lpage>170</lpage>. <comment><ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1016/j.jbtep.2010.10.002">https://doi.org/10.1016/j.jbtep.2010.10.002</ext-link></comment></mixed-citation></ref>
<ref id="CIT0038"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Kim</surname>, <given-names>J.-H</given-names></string-name>., &#x0026; <string-name><surname>McKenzie</surname>, <given-names>L. A</given-names></string-name></person-group>. (<year>2014</year>). <article-title>The impacts of physical exercise on stress coping and well-being in university students in the context of leisure</article-title>. <source><italic>Health</italic></source>, <volume>6</volume>(<issue>19</issue>), <fpage>2570</fpage>&#x2013;<lpage>2580</lpage>. <comment><ext-link ext-link-type="uri" xlink:href="https://doi.org/10.4236/health.2014.619296">https://doi.org/10.4236/health.2014.619296</ext-link></comment></mixed-citation></ref>
<ref id="CIT0039"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Kinnunen-Amoroso</surname>, <given-names>M</given-names></string-name>., &#x0026; <string-name><surname>Liira</surname>, <given-names>J</given-names></string-name></person-group>. (<year>2016</year>). <article-title>Work-related stress management between workplace and occupational health care</article-title>. <source><italic>Work</italic></source>, <volume>54</volume>(<issue>3</issue>), <fpage>507</fpage>&#x2013;<lpage>515</lpage>. <comment><ext-link ext-link-type="uri" xlink:href="https://doi.org/10.3233/WOR-162317">https://doi.org/10.3233/WOR-162317</ext-link></comment></mixed-citation></ref>
<ref id="CIT0040"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Knight</surname>, <given-names>B. G</given-names></string-name>., &#x0026; <string-name><surname>Sayegh</surname>, <given-names>P</given-names></string-name></person-group>. (<year>2010</year>). <article-title>Cultural values and caregiving: The updated sociocultural stress and coping model</article-title>. <source><italic>Journal of Gerontology</italic></source>, <volume>66</volume>(<issue>1</issue>), <fpage>3</fpage>&#x2013;<lpage>14</lpage>. <comment><ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1093/geronb/gbp096">https://doi.org/10.1093/geronb/gbp096</ext-link></comment></mixed-citation></ref>
<ref id="CIT0041"><mixed-citation publication-type="book"><person-group person-group-type="author"><string-name><surname>Lazarus</surname>, <given-names>R. S</given-names></string-name>., &#x0026; <string-name><surname>Folkman</surname>, <given-names>S</given-names></string-name></person-group>. (<year>1984</year>). <source><italic>Stress appraisal and coping</italic></source>. <publisher-loc>New York</publisher-loc>: <publisher-name>Springer</publisher-name>.</mixed-citation></ref>
<ref id="CIT0042"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Lehto</surname>, <given-names>X. Y</given-names></string-name>., <string-name><surname>Park</surname>, <given-names>O</given-names></string-name>., <string-name><surname>Fu</surname>, <given-names>X</given-names></string-name>., &#x0026; <string-name><surname>Lee</surname>, <given-names>G</given-names></string-name></person-group>. (<year>2014</year>). <article-title>Student life stress and leisure participation</article-title>. <source><italic>Annals of Leisure Research</italic></source>, <volume>17</volume>(<issue>2</issue>), <fpage>200</fpage>&#x2013;<lpage>217</lpage>. <comment><ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1080/11745398.2014.902293">https://doi.org/10.1080/11745398.2014.902293</ext-link></comment></mixed-citation></ref>
<ref id="CIT0043"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Malik</surname>, <given-names>N. A</given-names></string-name>., <string-name><surname>Bj&#x00F6;rkqvist</surname>, <given-names>K</given-names></string-name>., &#x0026; <string-name><surname>&#x00D6;sterman</surname>, <given-names>K</given-names></string-name></person-group>. (<year>2017</year>). <article-title>Factors associated with occupational stress among university teachers in Pakistan and Finland</article-title>. <source><italic>Journal of Educational, Health and Community Psychology</italic></source>, <volume>6</volume>(<issue>2</issue>), <fpage>1</fpage>&#x2013;<lpage>14</lpage>. <comment><ext-link ext-link-type="uri" xlink:href="https://doi.org/10.12928/jehcp.v6i2.7047">https://doi.org/10.12928/jehcp.v6i2.7047</ext-link></comment></mixed-citation></ref>
<ref id="CIT0044"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Martins</surname>, <given-names>N</given-names></string-name>., &#x0026; <string-name><surname>Ungerer</surname>, <given-names>L. M</given-names></string-name></person-group>. (<year>2014</year>). <article-title>Virtual teaching dispositions at a South African open distance-learning university</article-title>. <source><italic>Procedia: Social and Behavioural Sciences</italic></source>, <volume>171</volume>, <fpage>929</fpage>&#x2013;<lpage>936</lpage>. <comment><ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1016/j.sbspro.2015.01.211">https://doi.org/10.1016/j.sbspro.2015.01.211</ext-link></comment></mixed-citation></ref>
<ref id="CIT0045"><mixed-citation publication-type="thesis"><person-group person-group-type="author"><string-name><surname>Marx</surname>, <given-names>A. A</given-names></string-name></person-group>. (<year>2017</year>). <source><italic>Development of the positive coping behavioural inventory: A positive psychological approach</italic></source>. <comment>Unpublished doctoral thesis</comment>, <publisher-name>University of South Africa</publisher-name>, <publisher-loc>Pretoria, South Africa</publisher-loc>. <comment>Retrieved from <ext-link ext-link-type="uri" xlink:href="http://uir.unisa.ac.za/handle/10500/22247">http://uir.unisa.ac.za/handle/10500/22247</ext-link>.</comment></mixed-citation></ref>
<ref id="CIT0046"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Moritz</surname>, <given-names>S</given-names></string-name>., <string-name><surname>Jahns</surname>, <given-names>A. K</given-names></string-name>., <string-name><surname>Schr&#x00F6;der</surname>, <given-names>J</given-names></string-name>., <string-name><surname>Berger</surname>, <given-names>T</given-names></string-name>., <string-name><surname>Lincoln</surname>, <given-names>T. M</given-names></string-name>., <string-name><surname>Klein</surname>, <given-names>J. P</given-names></string-name>., &#x0026; <string-name><surname>G&#x00F6;ritz</surname>, <given-names>A. S</given-names></string-name></person-group>. (<year>2016</year>). <article-title>More adaptive versus less adaptive coping: What is more predictive of symptom severity? Development of a new scale to investigate coping profiles across different psychopathological syndromes</article-title>. <source><italic>Journal of Affective Disorders</italic></source>, <volume>191</volume>, <fpage>300</fpage>&#x2013;<lpage>307</lpage>. <comment><ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1016/j.jad.2015.11.027">https://doi.org/10.1016/j.jad.2015.11.027</ext-link></comment></mixed-citation></ref>
<ref id="CIT0047"><mixed-citation publication-type="book"><person-group person-group-type="author"><string-name><surname>Netemeyer</surname>, <given-names>R. G</given-names></string-name>., <string-name><surname>Bearden</surname>, <given-names>W. O</given-names></string-name>., &#x0026; <string-name><surname>Sharma</surname>, <given-names>S</given-names></string-name></person-group>. (<year>2003</year>). <chapter-title>Validity</chapter-title>. In <person-group person-group-type="editor"><string-name><given-names>R. G.</given-names> <surname>Netemeyer</surname></string-name>, <string-name><given-names>W. O.</given-names> <surname>Bearden</surname></string-name>, &#x0026; <string-name><given-names>S.</given-names> <surname>Sharma</surname></string-name> (Eds.)</person-group>, <source><italic>Scaling procedures</italic></source> (pp. <fpage>72</fpage>&#x2013;<lpage>88</lpage>). <publisher-loc>Thousand Oaks, CA</publisher-loc>: <publisher-name>Sage</publisher-name>. <comment>Retrieved from <ext-link ext-link-type="uri" xlink:href="https://dx.doi.org/10.4135/9781412985772">https://dx.doi.org/10.4135/9781412985772</ext-link></comment></mixed-citation></ref>
<ref id="CIT0048"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Nolen-Hoeksema</surname>, <given-names>S</given-names></string-name>., <string-name><surname>Wisco</surname>, <given-names>B. E</given-names></string-name>., &#x0026; <string-name><surname>Lyubomirsky</surname>, <given-names>S</given-names></string-name></person-group>. (<year>2008</year>). <article-title>Rethinking rumination</article-title>. <source><italic>Perspectives on Psychological Science</italic></source>, <volume>3</volume>(<issue>5</issue>), <fpage>400</fpage>&#x2013;<lpage>424</lpage>. <comment><ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1111/j.1745-6924.2008.00088.x">https://doi.org/10.1111/j.1745-6924.2008.00088.x</ext-link></comment></mixed-citation></ref>
<ref id="CIT0049"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Pargament</surname>, <given-names>K. I</given-names></string-name>., &#x0026; <string-name><surname>Raiya</surname>, <given-names>H. A</given-names></string-name></person-group>. (<year>2007</year>). <article-title>A decade of research on the psychology of religion and coping</article-title>. <source><italic>Psyke &#x0026; Logos</italic></source>, <volume>28</volume>(<issue>2</issue>), <fpage>742</fpage>&#x2013;<lpage>766</lpage>. <comment>Retrieved from <ext-link ext-link-type="uri" xlink:href="http://ojs.statsbiblioteket.dk/index.php/psyke/article/viewFile/8398/6958">http://ojs.statsbiblioteket.dk/index.php/psyke/article/viewFile/8398/6958</ext-link></comment></mixed-citation></ref>
<ref id="CIT0050"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Pascual</surname>, <given-names>A</given-names></string-name>., <string-name><surname>Conejero</surname>, <given-names>S</given-names></string-name>., &#x0026; <string-name><surname>Etxebarria</surname>, <given-names>I</given-names></string-name></person-group>. (<year>2016</year>). <article-title>Coping strategies and emotion regulation in adolescents: Adequacy and gender differences</article-title>. <source><italic>Ansiedad y Estr&#x00E9;s</italic></source>, <volume>22</volume>(<issue>1</issue>), <fpage>1</fpage>&#x2013;<lpage>4</lpage>. <comment><ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1016/j.anyes.2016.04.002">https://doi.org/10.1016/j.anyes.2016.04.002</ext-link></comment></mixed-citation></ref>
<ref id="CIT0051"><mixed-citation publication-type="book"><person-group person-group-type="author"><string-name><surname>Piedmont</surname>, <given-names>P. L</given-names></string-name></person-group>. (<year>2014</year>). <chapter-title>Inter-item correlations</chapter-title>. In <person-group person-group-type="editor"><string-name><given-names>A. C.</given-names> <surname>Michalos</surname></string-name> (Ed.)</person-group>, <source><italic>Encyclopedia of quality of life and well-being research</italic></source> (pp. <fpage>3303</fpage>&#x2013;<lpage>3304</lpage>). <publisher-loc>Dordrecht</publisher-loc>: <publisher-name>Springer</publisher-name>.</mixed-citation></ref>
<ref id="CIT0052"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Plonsky</surname>, <given-names>L</given-names></string-name>., &#x0026; <string-name><surname>Gonulal</surname>, <given-names>T</given-names></string-name></person-group>. (<year>2015</year>). <article-title>Methodological synthesis in quantitative L2 research: A review of reviews and a case study of exploratory factor analysis</article-title>. <source><italic>Language Learning</italic></source>, <volume>65</volume>(<issue>1</issue>), <fpage>9</fpage>&#x2013;<lpage>36</lpage>. <comment><ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1111/lang.12111">https://doi.org/10.1111/lang.12111</ext-link></comment></mixed-citation></ref>
<ref id="CIT0053"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Polit</surname>, <given-names>D. F</given-names></string-name>., &#x0026; <string-name><surname>Beck</surname>, <given-names>C. T</given-names></string-name></person-group>. (<year>2006</year>). <article-title>The content validity index: Are you sure you know what&#x2019;s being reported? Critique and recommendations</article-title>. <source><italic>Research in Nursing and Health</italic></source>, <volume>29</volume>(<issue>5</issue>), <fpage>489</fpage>&#x2013;<lpage>497</lpage>. <comment><ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1002/nur.20147">https://doi.org/10.1002/nur.20147</ext-link></comment></mixed-citation></ref>
<ref id="CIT0054"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Polit</surname>, <given-names>D. F</given-names></string-name>., <string-name><surname>Beck</surname>, <given-names>C. T</given-names></string-name>., &#x0026; <string-name><surname>Owen</surname>, <given-names>S. V</given-names></string-name></person-group>. (<year>2007</year>). <article-title>Is the CVI an acceptable indicator of content validity? Appraisal and recommendations</article-title>. <source><italic>Research in Nursing and Health</italic></source>, <volume>30</volume>(<issue>4</issue>), <fpage>459</fpage>&#x2013;<lpage>467</lpage>. <comment><ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1002/nur.20199">https://doi.org/10.1002/nur.20199</ext-link></comment></mixed-citation></ref>
<ref id="CIT0055"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Roger</surname>, <given-names>D</given-names></string-name>., <string-name><surname>Jarvis</surname>, <given-names>G</given-names></string-name>., &#x0026; <string-name><surname>Najarian</surname>, <given-names>B</given-names></string-name></person-group>. (<year>1993</year>). <article-title>Detachment and coping: The construction and validation of a new scale for measuring coping strategies</article-title>. <source><italic>Personality and Individual Differences</italic></source>, <volume>15</volume>(<issue>6</issue>), <fpage>619</fpage>&#x2013;<lpage>626</lpage>. <comment><ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1016/0191-8869(93)90003-L">https://doi.org/10.1016/0191-8869(93)90003-L</ext-link></comment></mixed-citation></ref>
<ref id="CIT0056"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Schmiedel</surname>, <given-names>R</given-names></string-name>., <string-name><surname>Vom Brocke</surname>, <given-names>J</given-names></string-name>., &#x0026; <string-name><surname>Recker</surname>, <given-names>J</given-names></string-name></person-group>. (<year>2014</year>). <article-title>Development and validation of an instrument to measure organisational cultures&#x2019; support of business process management</article-title>. <source><italic>Information and Management</italic></source>, <volume>51</volume>(<issue>1</issue>), <fpage>43</fpage>&#x2013;<lpage>56</lpage>. <comment><ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1016/j.im.2013.08.005">https://doi.org/10.1016/j.im.2013.08.005</ext-link></comment></mixed-citation></ref>
<ref id="CIT0057"><mixed-citation publication-type="book"><person-group person-group-type="author"><string-name><surname>Schwarzer</surname>, <given-names>R</given-names></string-name>., &#x0026; <string-name><surname>Schwarzer</surname>, <given-names>C</given-names></string-name></person-group>. (<year>1996</year>). <chapter-title>A critical survey of coping instruments</chapter-title>. In <person-group person-group-type="editor"><string-name><given-names>M.</given-names> <surname>Zeidner</surname></string-name>, &#x0026; <string-name><given-names>N. S.</given-names> <surname>Endler</surname></string-name> (Eds.)</person-group>, <source><italic>Handbook of coping: Theory, research, applications</italic></source> (pp. <fpage>107</fpage>&#x2013;<lpage>132</lpage>). <publisher-loc>Oxford</publisher-loc>: <publisher-name>Wiley</publisher-name>. <comment>Retrieved from <ext-link ext-link-type="uri" xlink:href="https://psycnet.apa.org/record/1996-97004-006">https://psycnet.apa.org/record/1996-97004-006</ext-link></comment></mixed-citation></ref>
<ref id="CIT0058"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Skinner</surname>, <given-names>E. A</given-names></string-name>., <string-name><surname>Edge</surname>, <given-names>K</given-names></string-name>., <string-name><surname>Altman</surname>, <given-names>J</given-names></string-name>., &#x0026; <string-name><surname>Sherwood</surname>, <given-names>H</given-names></string-name></person-group>. (<year>2003</year>). <article-title>Searching for the structure of coping: A review and critique of category systems for classifying ways of coping</article-title>. <source><italic>Psychological Bulletin</italic></source>, <volume>129</volume>(<issue>2</issue>), <fpage>216</fpage>&#x2013;<lpage>269</lpage>. <comment><ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1037/0033-2909.129.2.216">https://doi.org/10.1037/0033-2909.129.2.216</ext-link></comment></mixed-citation></ref>
<ref id="CIT0059"><mixed-citation publication-type="book"><person-group person-group-type="author"><string-name><surname>Skinner</surname>, <given-names>E. A</given-names></string-name>., &#x0026; <string-name><surname>Wellborn</surname>, <given-names>J. G</given-names></string-name></person-group>. (<year>1994</year>). <chapter-title>Coping during childhood and adolescence: A motivational perspective</chapter-title>. In <person-group person-group-type="editor"><string-name><given-names>D.</given-names> <surname>Featherman</surname></string-name>, <string-name><given-names>R.</given-names> <surname>Lerner</surname></string-name>, &#x0026; <string-name><given-names>M.</given-names> <surname>Perlmutter</surname></string-name> (Eds.)</person-group>, <source><italic>Life-span development and behaviour</italic></source> (pp. <fpage>91</fpage>&#x2013;<lpage>133</lpage>). <publisher-loc>Hillsdale, NJ</publisher-loc>: <publisher-name>Erlbaum</publisher-name>.</mixed-citation></ref>
<ref id="CIT0060"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Sli&#x0161;kovi&#x0107;</surname>, <given-names>A</given-names></string-name>., &#x0026; <string-name><surname>Maslic Ser&#x0161;i&#x010D;</surname>, <given-names>D</given-names></string-name></person-group>. (<year>2011</year>). <article-title>Work stress among university teachers: Gender and position differences</article-title>. <source><italic>Archives of Industrial Hygiene and Toxicology</italic></source>, <volume>62</volume>(<issue>4</issue>), <fpage>299</fpage>&#x2013;<lpage>307</lpage>. <comment><ext-link ext-link-type="uri" xlink:href="https://doi.org/10.2478/10004-1254-62-2011-2135">https://doi.org/10.2478/10004-1254-62-2011-2135</ext-link></comment></mixed-citation></ref>
<ref id="CIT0061"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Stanton</surname>, <given-names>A. L</given-names></string-name>., <string-name><surname>Kirk</surname>, <given-names>S. B</given-names></string-name>., <string-name><surname>Cameron</surname>, <given-names>C. L</given-names></string-name>., &#x0026; <string-name><surname>Danoff-Burg</surname>, <given-names>S</given-names></string-name></person-group>. (<year>2000</year>). <article-title>Coping through emotional approach: Scale construction and validation</article-title>. <source><italic>Journal of Personality and Social Psychology</italic></source>, <volume>78</volume>(<issue>6</issue>), <fpage>1150</fpage>&#x2013;<lpage>1169</lpage>. <comment><ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1037/0022-3514.78.6.1150">https://doi.org/10.1037/0022-3514.78.6.1150</ext-link></comment></mixed-citation></ref>
<ref id="CIT0062"><mixed-citation publication-type="thesis"><person-group person-group-type="author"><string-name><surname>Stemmet</surname>, <given-names>L. J</given-names></string-name></person-group>. (<year>2013</year>). <source><italic>General and specific avoidance coping: The development and validation of a new scale</italic></source>. <comment>Unpublished doctoral thesis</comment>, <publisher-name>University of Canterbury</publisher-name>, <publisher-loc>Christchurch, New Zealand</publisher-loc>. <comment>Retrieved from <ext-link ext-link-type="uri" xlink:href="http://ir.canterbury.ac.nz/handle/10092/7798">http://ir.canterbury.ac.nz/handle/10092/7798</ext-link></comment></mixed-citation></ref>
<ref id="CIT0063"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Stevenson</surname>, <given-names>A</given-names></string-name>., &#x0026; <string-name><surname>Harper</surname>, <given-names>S</given-names></string-name></person-group>. (<year>2006</year>). <article-title>Workplace stress and the student learning experience</article-title>. <source><italic>Workplace Stress</italic></source>, <volume>14</volume>(<issue>2</issue>), <fpage>167</fpage>&#x2013;<lpage>178</lpage>. <comment><ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1108/09684880610662042">https://doi.org/10.1108/09684880610662042</ext-link></comment></mixed-citation></ref>
<ref id="CIT0064"><mixed-citation publication-type="book"><person-group person-group-type="author"><string-name><surname>Tabachnick</surname>, <given-names>B. G</given-names></string-name>., &#x0026; <string-name><surname>Fidell</surname>, <given-names>L. S</given-names></string-name></person-group>. (<year>2013</year>). <source><italic>Using multivariate statistics</italic></source> (<edition>6th</edition> edn.). <publisher-loc>Harlow</publisher-loc>: <publisher-name>Pearson Education</publisher-name>.</mixed-citation></ref>
<ref id="CIT0065"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Tobin</surname>, <given-names>D. L</given-names></string-name>., <string-name><surname>Holroyd</surname>, <given-names>R. V</given-names></string-name>., <string-name><surname>Reynolds</surname>, <given-names>R. V</given-names></string-name>., &#x0026; <string-name><surname>Wigal</surname>, <given-names>J. K</given-names></string-name></person-group>. (<year>1989</year>). <article-title>The hierarchical factor structure of the coping strategies inventory</article-title>. <source><italic>Cognitive Therapy and Research</italic></source>, <volume>13</volume>(<issue>4</issue>), <fpage>343</fpage>&#x2013;<lpage>361</lpage>. <comment><ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1007/BF01173478">https://doi.org/10.1007/BF01173478</ext-link></comment></mixed-citation></ref>
<ref id="CIT0066"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Worthington</surname>, <given-names>R. L</given-names></string-name>., &#x0026; <string-name><surname>Whittaker</surname>, <given-names>T. A</given-names></string-name></person-group>. (<year>2006</year>). <article-title>Scale development research: A content analysis and recommendations for best practices</article-title>. <source><italic>The Counselling Psychologist</italic></source>, <volume>34</volume>(<issue>6</issue>), <fpage>806</fpage>&#x2013;<lpage>838</lpage>. <comment><ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1177/0011000006288127">https://doi.org/10.1177/0011000006288127</ext-link></comment></mixed-citation></ref>
<ref id="CIT0067"><mixed-citation publication-type="book"><person-group person-group-type="author"><string-name><surname>Zeidner</surname>, <given-names>M</given-names></string-name>., &#x0026; <string-name><surname>Endler</surname>, <given-names>N. S</given-names></string-name></person-group>. (<year>1996</year>). <source><italic>Handbook of coping: Theory, research, applications</italic></source>. <publisher-loc>Toronto</publisher-loc>: <publisher-name>Wiley</publisher-name>.</mixed-citation></ref>
<ref id="CIT0068"><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Zuckerman</surname>, <given-names>M</given-names></string-name>., &#x0026; <string-name><surname>Gagn&#x00E9;</surname>, <given-names>M</given-names></string-name></person-group>. (<year>2003</year>). <article-title>The COPE revised: Proposing a 5-factor model of coping strategies</article-title>. <source><italic>Journal of Research in Personality</italic></source>, <volume>37</volume>(<issue>3</issue>), <fpage>169</fpage>&#x2013;<lpage>204</lpage>. <comment><ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1016/S0092-6566(02)00563-9">https://doi.org/10.1016/S0092-6566(02)00563-9</ext-link></comment></mixed-citation></ref>
</ref-list>
<fn-group>
<fn><p><bold>How to cite this article:</bold> Du Plessis, M., &#x0026; Martins, N. (2019). Developing a measurement instrument for coping with occupational stress in academia. <italic>SA Journal of Industrial Psychology/SA Tydskrif vir Bedryfsielkunde, 45</italic>(0), a1653. <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.4102/sajip.v45i0.1653">https://doi.org/10.4102/sajip.v45i0.1653</ext-link></p></fn>
</fn-group>
</back>
</article>