scholarly journals STRATEGIJE PREVLADAVANJA STRESA KAO PREDIKTORI INTERNET ZAVISNOSTI

2021 ◽  
Vol 18 (1) ◽  
pp. 59-73
Author(s):  
Teodora Pavićević
Keyword(s):  
Coping Strategies ◽  
Internet Addiction ◽  
Emotional Support ◽  
Time Management ◽  
Internet Use ◽  
Short Form ◽  
Active Coping ◽  
Loss Of Control ◽  
Self Blame ◽  
Behavioral Disengagement

The aim of this study was to determinate the role of coping strategies in predicting internet addiction dimensions. The sample is conveniente and it consists of 597 subjects (63% women). The age of the subject ranges from 18 to 70 years, with an average age of 35.58 (SD=11.29). To measure a severity of compulsive internet use Young Internet Addiction Test-Short Form; YIAT-SF was used, and Brief Coping Orientation to Problems Experienced; Brief COPE was used to measure how people cope with problems and stressful life events. Two separate hierarchical regression analyses were conducted. In both analyses, in first step the predictors were sociodemographic variables, and in second were ten types of coping strategies (Self-distraction, Active coping, Denial, Use of emotional support, Use of instrumental support, Behavioral disengagement, Venting, Positive reframing, Acceptance and Self-blame), while the criteria variables were different dimensions of internet addiction (Loss of control/Time management and Craving/Social problems). The results showed that both models are statistically significant. Significant predictor of dimension Loss of control/Time management in the first step is age (β = -.13, p = .001), and in second step are Self-distraction (β = .09, p = .018); Active coping (β = -.15, p = .001); Behavioral disengagement (β = .24, p < .001) and Self-blame (β = .13, p = .002). When it comes to Craving/Social problems, significant predictor of this variable in first step is age (β = -.11, p = .006), and in second are gender (β = .07, p = .041); Active coping (β = -.09, p = .044); Denial (β = .14, p = .001); Use of emotional support (β = -.16, p = .002) and Behavioral disengagement (β = .25, p < .001). So, based on the results, we can conclude that based on Self-distraction, Active coping, Behavioral disengagement, and Self-blame we can predict the difficulties in everyday functioning caused by internet use, but we can also predict an effect that excessive internet use could have on social relations and craving for the Internet based on Denial, Use of emotional support and Behavioral disengagement. The application of Confirmatory Factor Analysis suggested good construct validity of Young Internet Addiction Test-Short Form. Keywords: coping strategies, internet addiction, internet use

scholarly journals Effect of coping strategies on acute stress during the COVID–19 pandemic in Greece

2021 ◽  
Vol 7 (3) ◽  
pp. 98
Author(s):  
Nefeli Paraskevi Strongylaki ◽  
Georgios Pilafas ◽  
Anastasia Dermati ◽  
Despina Menti ◽  
Georgios Lyrakos
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Coping Strategies ◽  
Stress Reduction ◽  
Emotional Support ◽  
Acute Stress ◽  
Active Coping ◽  
Self Blame ◽  
Brief Cope ◽  
Positive Reframing

Background: The psychological impact of quarantine, due to the SARS COVID-19 outbreak, was examined with a specific focus on the relationship between 7 coping strategies: (i) active coping, (ii) positive reframing, (iii) acceptance, (iv) use of emotional support, (v) religion, (vi) substance use and (vii) self-blame and acute stress. This study aimed to identify specifically which of those coping strategies could increase or decrease acute stress levels.Method and Material: The data collection took place during the lockdown and was performed using online surveys. The finale sample size reached up to 1154 Greek adults (age M= 40.51). Two adapted and translated scales were used to measure the variables of interest, including: Brief-COPE questionnaire as well as Acute Stress Disorder Scale (ASDS).Results: “Active coping”, “acceptance”, “positive reframing” and “emotional support”, four of the coping strategies examined, that were found to be significantly associated with stress reduction. Meanwhile, “religion”, “self-blame” and “substance use” were not associated with stress reduction. Conclusions: This study initially provides an insight of acute stress and effective coping strategies associated with the quarantine period during the COVID – 19 pandemic in Greece. The outcome of this study equip support for the expected inflation of the mental health issues stemmed from the unusual stressors, and urge clinicians, mental health providers, and public agencies to assemble, in an attempt to make possible the widespread implementation of more effective and beneficial coping strategies.

scholarly journals ПОЛНИ АСПЕКТ СТРАТЕГИЈА СУОЧАВАЊА СА СТРЕСОМ И ЊИХОВЕ ПОВЕЗАНОСТИ СА ПОТЕНЦИЈАЛОМ ЗА РАЗВОД

TEME ◽  
2018 ◽  
pp. 965
Author(s):  
Ивана Стризовић ◽  
Јелена Шакотић-Курбалија ◽  
Биљана Трифуновић
Keyword(s):  
Coping Strategies ◽  
Emotional Support ◽  
Short Form ◽  
The Other ◽  
Coping With Stress ◽  
Self Blame ◽  
Brief Cope ◽  
Other Hand ◽  
Theoretical Assumptions ◽  
The Relationship

The study was conducted in order to determine the relationship between the coping strategies and divorce potential in couples. Based on the Levinger’s Model of cohesiveness and Bodennman’s stress-model, the existence of gender differences in coping with stress was expected, and that the non-adaptive coping skills were to be positive about the potential for divorce, while the adaptive strategies of coping with stress should be linked with a lower potential for divorce. 378 couples have participated in this study. The instruments used were the Brief COPE Scale (Carver, 1997) and a short form of the Martial Instability Index (Booth, Johnson & Edwards, 1983; retrieved from Tadinac et al., 2005). The results showed that the woman in dealing with stressful situations use self-destruction, denial of problems and venting, and also search for emotional and instrumental support. On the other hand, in dealing with stressful situations, males abuse substances. Using logistic regression it was showed that within both males and females there are significant differences between the coping strategies and divorce potential. Looking at the results more precisely, the males who deny the problem, use emotional support, rarely use venting, accept problems and rarely self-blame themselves have greater divorce potential. On the other hand, women who more frequently use emotional support and venting have greater divorce potential. The results are in line with the basic theoretical assumptions of this study.

scholarly journals Distress, Appraisal, and Coping Among the Frontline Healthcare Provider Redeployed to the Epicenter in China During COVID-19 Pandemic

2021 ◽  
Vol 12 ◽  
Author(s):  
Zhongliang Ji ◽  
Wei Han ◽  
Zhe Deng ◽  
Kailin Lu
Keyword(s):  
Emotional Support ◽  
Healthcare Providers ◽  
Active Coping ◽  
Event Scale ◽  
Self Blame ◽  
Brief Cope ◽  
Distress Symptoms ◽  
Distress Level ◽  
Behavioral Disengagement ◽  
And Coping

Objective: The central issue of this research is to evaluate the extent of cognitive appraisal and coping processes within the pandemic encounter and determines their influence on frontline healthcare providers who had been dispatched to the coronavirus disease 2019 (COVID-19) epicenter (HPDE) distress symptoms.Materials and methods: An electronic survey of the HPDE and frontline healthcare providers who worked in their original medical facility (HPOF) was conducted from March 1 to 15, 2020. Two variables, appraisal (measured with an 18-item questionnaire) and coping (measured The Brief Cope questionnaire), were used in the analysis to explain distress symptoms (Impact of Event Scale-Revised).Results: A total of 723 eligible respondents completed the survey with a response rate of 57.3% (351 HPDE and 372 HPOF). The mean IES-R scores of HPDE respondents were 26.47 ± 11.7. Of HPDE respondents, 246 (70.09%) reported distress symptoms (score 9–88). The scores of intrusion, avoidance, and hyperarousal for HPDE were 10.28 ± 4.7, 8.97 ± 4.3, and 7.20 ± 3.2, respectively. The respondents had higher scores in overall distress and three subscales than HPOF. Appraisal and coping variables explained 77% of the distress variance. Five appraisal variables (health of self, health of family/others, virus spread, vulnerability or loss of control, and general health) were positively associated with distress symptoms. Four coping variables (active coping, positive reframing, self-distraction, and behavioral disengagement) were negatively associated with distress level, whereas self-blame was positively associated with distress symptoms. Regarding the appraisal, the scores of HPDE were significantly higher than HPOF (all p-values &lt; 0.05), whereas being isolated was not significantly different between HDPE nurses and HPOF nurses. HPDE was significantly more likely to use humor, emotional support, instrumental support, self-distractions, venting, substance use, denial, behavioral disengagement, and self-blame (P &lt; 0.05), whereas HPOF was significantly more likely to use active coping and acceptance (P &lt; 0.05). HPDE doctors were significantly more likely than nurses to use active coping and acceptance (P &lt; 0.05), whereas HPDE nurses were significantly more likely to use emotional support and use self-blame (P &lt; 0.05).Conclusion: Frontline healthcare providers who had been dispatched to the COVID-19 epicenter respondents had a higher distress level. Therefore, we should provide proactive psychological support based on specific appraisal and coping variables.

scholarly journals Coping strategies predicting quality of life in diabetic and obese NAFLD patients

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
J Funuyet-Salas ◽  
A Martín-Rodríguez ◽  
M A Pérez-San-Gregorio ◽  
M Romero-Gómez
Keyword(s):  
Quality Of Life ◽  
Liver Disease ◽  
Coping Strategies ◽  
Physical Component Summary ◽  
Fatty Liver Disease ◽  
Mental Component Summary ◽  
Active Coping ◽  
Self Blame ◽  
Positive Reframing

Abstract Background To date, coping strategies have not been studied in patients with nonalcoholic fatty liver disease (NAFLD), despite evidence of their relevance in chronic liver pathology, Type 2 diabetes mellitus (T2DM) and obesity (OB). We therefore analyzed which coping strategies predicted quality of life in diabetic and obese NAFLD patients. Methods Four hundred and ninety-two biopsy-proven NAFLD patients (290 men and 202 women, mean age 54.90±11.74) were evaluated using The Brief COPE, 12-Item Short-Form Health Survey (SF-12) and Chronic Liver Disease Questionnaire-Non-Alcoholic Fatty Liver Disease (CLDQ-NAFLD). A stepwise multiple linear regression analysis was performed on four groups (G1, n = 335, absence of T2DM; G2, n = 157, presence of T2DM; G3, n = 249, absence of OB; and G4, n = 243, presence of OB) to analyze which coping strategies predicted patient quality of life (physical component summary SF-12, mental component summary SF-12, and total CLDQ-NAFLD). Results In both diabetic and obese patients, active coping (T2DM, p = 0.003, β = 0.26; OB, p = 0.000, β = 0.33) and denial (T2DM, p = 0.027, β=-0.19; OB, p = 0.004, β=-0.18) predicted the physical component summary. Denial (T2DM, p = 0.000, β=-0.30; OB, p = 0.001, β=-0.19), positive reframing (T2DM, p = 0.000, β = 0.28; OB, p = 0.000, β = 0.29), self-blame (T2DM, p = 0.000, β=-0.24; OB, p = 0.000, β=-0.26) and self-distraction (T2DM, p = 0.033, β=-0.13; OB, p = 0.023, β=-0.11) predicted the mental component summary. Denial (T2DM, p = 0.000, β=-0.34; OB, p = 0.000, β=-0.31), positive reframing (T2DM, p = 0.000, β = 0.30; OB, p = 0.005, β = 0.15) and self-blame (T2DM, p = 0.000, β=-0.26; OB, p = 0.000, β=-0.28) also predicted the total CLDQ-NAFLD in both groups. Conclusions Active coping and positive reframing predicted better quality of life, while denial, self-blame and self-distraction predicted worse quality of life in diabetic and obese NAFLD patients, suggesting the inclusion of coping strategies in future multidisciplinary NAFLD treatments. Key messages Importance of coping strategies for NAFLD patients: active coping and positive reframing predicted better quality of life, while denial, self-blame and self-distraction predicted worse quality. This study shows the need to design multidisciplinary strategies for managing NAFLD and improving patient quality of life, in which intervention in coping strategies should be a major element.

Exploring the Relationship Among Free-Time Management, Leisure Boredom, and Internet Addiction in Undergraduates in Taiwan

2018 ◽  
Vol 122 (5) ◽  
pp. 1651-1665 ◽  
Author(s):  
Wei-Ching Wang
Keyword(s):  
Undergraduate Students ◽  
Internet Addiction ◽  
Time Management ◽  
Internet Use ◽  
Leisure Time ◽  
Structural Model ◽  
Measurement Model ◽  
Free Time ◽  
Future Research ◽  
Leisure Boredom

Internet addiction has become a significant concern with a variety of negative outcomes among the younger generation in today's modern society and has been investigated and discussed in many studies. Of all the influencing factors, boredom has been proven to be a common trigger for intensive internet use and can result in particularly problematic internet use behavior. A number of studies have indicated the importance of time use as a treatment. Thus, using free time well might serve as a solution to reduce leisure boredom and internet addiction. The current study aims to test a structural model with a sample of university students to investigate the relationships among free-time management, leisure boredom, and internet addiction. The sample consisted of 475 undergraduate students. Data were collected through questionnaires distributed between March 1 and April 30, 2016. Totally, 446 valid questionnaires were received. The structural model was examined after the competent measurement model was processed. Results from the structural model supported that free-time management decreases boredom during leisure time, and boredom during leisure time enhances internet addiction. Furthermore, leisure boredom was revealed to play a role as a distinct mediator between free-time management and internet addiction. Finally, managerial applications and recommendations for future research are suggested based on the research results.

scholarly journals P–489 Stress scale and coping strategies adopted by Brazilian ART patients during COVID–19 outbreak: attention need for young, women, first IVF attempt and compromised income patients

2021 ◽  
Vol 36 (Supplement_1) ◽  
Author(s):  
M Chehin ◽  
A R Lorenzon ◽  
H M L Montagnini ◽  
C C Avelar ◽  
J P J Caetano ◽  
...  
Keyword(s):  
Linear Regression ◽  
Coping Strategies ◽  
Emotional Support ◽  
Online Survey ◽  
Active Coping ◽  
Work Activity ◽  
Younger Patients ◽  
Stress Scale ◽  
Positive Reframing ◽  
And Coping

Abstract Study question What are the stress scale and coping strategies of patients who were unable to start/continue an IVF cycle due to COVID–19 interruption on ART treatments? Summary answer Stress scale was associated to specific coping strategies and was higher for women, patients in first IVF treatment, had compromised income and younger than 38yo. What is known already In March 2020, due to the COVID–19 outbreak caused by the SARS-CoV–2 virus, human reproduction societies, have recommended discontinuation of reproductive care, except for the most urgent cases. After few months, the treatments were resumed following proper safety guidelines. Infertility diagnostic and treatments are severe stressors, causing anxiety, depression and general emotional distress. The disruption of treatments and the pandemic uncertain scenario in all life aspects, certainly have a great impact on mental health of ART patients. There is an urge need to assess the level of stress and coping strategies in this population to offer suitable support and care. Study design, size, duration Prospective, Brazilian multicentric study (6 clinics of ART located in São Paulo, Campinas, Belo Horizonte and Brasilia), with the application of an anonymous online survey of stress scale and 14 coping strategies to 1500 patients (male and female) that had their treatments interrupted or unable to start during the months of March, April and May 2020. The online survey was sent during the months of August/September and responses were collected until early October/2020. Participants/materials, setting, methods The stress scale level was assessed using the Perceived Stress Scale protocol (PSS), and coping strategies using the Brief COPE scale protocol. Social-demographic variables (gender, age, city of residence, marital status, time of infertility, previous IVF treatments and financial impact) were included in the survey. Marginal statistical analyses were performed accordingly (t test, Mann-Whitney, Kruskal-Wallis, chi-square test) and a linear regression model was carried out to calculate the effect of COPE strategies on stress scale. Main results and the role of chance Survey’s response rate was 44.4% (n = 666). The majority were women (83.3%), married (93.2%, mean of 9,41±4,76 years), deal with infertility for 2–5 years (51.5%), had done a previous IVF treatment (61.4%, mean of 2,33 treatments) and had a work activity (83.9%). Almost 40% had their income compromised by the pandemic. Mean age was 38.47±4.99 years (≥38 yo = 59%). Stress scale was higher for women (p &lt; 0.0001), patients that were in their first IVF treatment (p = 0.011), had their income compromised (p = 0.001) and were younger than 38yo (p &lt; 0.0001). The most frequent coping strategies (score 5–8) were planning (87.7%), active coping (83%), positive reframing (72.1%) and religion (71.7%). Women used more emotional support, religion, venting (all p &lt; 0.0001) and self-distraction (p = 0.002) as coping strategies than men. Younger patients (&lt;38yo) reported more use of substances (p = 0.002) and self-distraction (p = 0.001) than older patients. Lower income was associated with denial (p = 0.002) and less use of religion (p &lt; 0.0001) and patients that were about to start their 1st treatment used more venting (p &lt; 0.0001) and denial (p = 0.003) than recurrent patients. The linear regression analysis showed that higher stress was associated to planning, religion, self-blame, venting, self-distraction and behavioral disengagement and lower stress scale to active coping, emotional support, positive reframing and acceptance. Limitations, reasons for caution This study was performed in Brazil, one of the most affected countries by the COVID–19 outbreak, which may limit the generalizability of the findings. Another limitation was the impossibility to compare the stress scale and coping strategies findings in this population prior to the pandemic. Wider implications of the findings: Being a woman and have a compromised income were expected stressor factors. Surprisingly, first IVF attempt and younger patients showed higher stress scale and the use of psychological defense mechanisms, such as the use of substances, denial and self-distraction. Continuous emotional support should be offer for all ART patients. Trial registration number Not applicable

scholarly journals Exploring the Awareness, Motivations, and Coping Strategies of Problematic Internet Users

2021 ◽  
pp. 19-31
Author(s):  
Hasah Alheneidi ◽  
Andrew P. Smith
Keyword(s):  
Systematic Review ◽  
Coping Strategies ◽  
Internet Addiction ◽  
Internet Use ◽  
Information Overload ◽  
Structured Interview ◽  
Internet Users ◽  
Addiction Studies ◽  
And Coping ◽  
Drive Model

This paper presents a systematic review that covers internet addiction and wellbeing studies on adults; followed by a semi-structured interview of a group of 6 problematic internet adult users, analysed through thematic analysis. The interview questions explore motives, awareness level and coping strategies of problematic internet users. The systematic review results are categorised based on DRIVE model and indicate gaps in the literature on internet addiction studies and suggests a holistic direction of studying wellbeing. The interviews resulted in 6 themes that reflected the user’s awareness of the consequences of problematic internet use, coping strategies when there is a high information overload, controlling internet attachment, causes of excessive internet use, preferred using time and psychological effect after spending long hours online.

scholarly journals Cognitive Patterns and Coping Mechanisms in the Context of Internet Use

2021 ◽  
Vol 11 (3) ◽  
pp. 1302
Author(s):  
Cristina Costescu ◽  
Iulia Chelba ◽  
Adrian Roșan ◽  
Attila Kovari ◽  
Jozsef Katona
Keyword(s):  
Coping Strategies ◽  
Emotional Distress ◽  
Internet Addiction ◽  
Internet Use ◽  
Negative Emotions ◽  
Coping Mechanisms ◽  
Self Report ◽  
Emotional Loneliness ◽  
Cognitive Patterns ◽  
And Coping

Recent research indicates there are different cognitive patterns and coping mechanisms related to increased levels of Internet use and emotional distress in adolescents. This study aims to investigate the relationship between coping mechanisms, dysfunctional negative emotions, and Internet use. A total of 54 participants aged between 14 and 19 years old completed a questionnaire containing several measures and demographics information. We measured participants’ coping strategies, emotional distress, social and emotional loneliness, and their online behavior and Internet addiction using self-report questionnaires. In order to identify the relation between the investigated variables, we used correlation analysis and regression, and we tested one mediation model. The results showed that maladaptive coping strategies and Internet use were significant predictors of dysfunctional negative emotions. Moreover, passive wishful thinking, as a pattern of thinking, was associated with anxious and depressed feelings. The relation between Internet use and dysfunctional negative emotions was mediated by participants’ coping mechanisms. Therefore, we can conclude that the level of negative feelings is associated with the coping strategies used while showing an increased level of Internet addiction. Future studies should also consider different and multiple types of measurement other than self-reports, especially related to Internet addiction.

Preliminary analysis of characteristics of coping in a sample of outpatient with anxiety disorders

2011 ◽  
Vol 26 (S2) ◽  
pp. 156-156 ◽  
Author(s):  
P. Grandinetti ◽  
A. Frustaci ◽  
G. Guerriero ◽  
S. Solaroli ◽  
L. Janiri ◽  
...  
Keyword(s):  
Anxiety Disorders ◽  
Coping Strategies ◽  
Emotional Support ◽  
Coping Styles ◽  
Clinical Syndrome ◽  
Self Blame ◽  
Brief Cope ◽  
Cross Correlation Analysis ◽  
Positive Correlations ◽  
Functional Investigation

IntroductionThe ways of coping with problems and emotions are particularly important in anxiety disorders. It is also likely that subjective functional styles help identify the mode of presentation of these disorders, regardless of diagnosis psychopathology.ObjectivesClinical and functional investigation of outpatients attending a third-level Anxiety Disorders Unit.AimsTo identify the most employed coping strategies and investigate whether different coping styles are linked to specific expressions of psychopathology by means of a cross-correlation analysis between dimensional measures of coping and characteristics of psychopathology.MethodsWe administered a set of instruments including SCL-90-R and Brief-COPE to 172 patients; categorical diagnoses according to DSM-IV-TR were as follows: GAD 80 (46.5%), 33 PD (19.2%), other miscellaneous 59 (34.3%). The statistical analyses of correlation between COPE and SCL scores were performed by means of Spearman's Rho.ResultsThe most represented (mean score >5) coping strategies include: active coping, planning, self-blame, instrumental support, emotional support, self-distraction, acceptance, venting. Venting, denial, behavioural disengagement, and use of emotional support, show positive correlations (p ≤ 0.04) with anxiety, phobic anxiety and GSI; self-blame with anxiety and GSI. Conversely, humour correlates (p ≤ 0.04) negatively with anxiety and GSI.ConclusionsCorrelations between high scores of GSI and specific coping strategies suggest possible mechanisms of interaction between functioning styles and expressions of psychopathology. The interpretation of these findings requires further investigation of interactive mechanisms, taking into account phases of activity or remission of the clinical syndrome.

scholarly journals POS0577 EVALUATION OF COPING STRATEGIES IN RHEUMATOID ARTHRITIS PATIENTS

2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 522.2-522
Author(s):  
B. A. Hiba ◽  
S. Meriem ◽  
S. Miladi ◽  
F. Alia ◽  
S. Leila ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Coping Strategies ◽  
Short Form ◽  
Well Being ◽  
Active Coping ◽  
Avoidant Coping ◽  
Cross Sectional ◽  
Brief Cope ◽  
Approach Coping ◽  
Disease Specific

Background:Studies have shown that the association of pain, stiffness, disability, and social restrictions in rheumatoid arthritis (RA) patients induce a significantly increased level of depressed mood and stress. The use of favorable coping strategies could lead to improve physical and psychological well-being.Objectives:To evaluate coping strategies of RA patients and their associations with health-related quality of life (HRQoL) outcomes.Methods:A cross-sectional sample of patients with established RA was evaluated using measures of coping: the Brief-COPE (scores presented for the two overarching coping styles: Approach coping including active coping, emotional support, use of informational support, positive reframing, planning and acceptance, and Avoidant coping including self-distraction, denial, substance use, behavioral disengagement, venting and self-blame), the HRQoL (Mental and Physical Components [MCS/PCS] of the Short Form 12), and the Rheumatoid Arthritis Impact of Disease score (RAID]. Multiple linear regression analyses were performed to evaluate the associations between coping strategies and HRQoL outcomes.Results:The study sample comprised 45 patients with a female predominance (91.9 %), and a mean age of 55.7± 9.9 years [38-77]. The median disease duration was 10 years [38-77]. The majority of patients (82.8 %) were positive for either rheumatoid factor or anti-CCP. Half of the patients were on biological disease-modifying antirheumatic drugs. Two active coping strategies were identified: Approach coping (E = 4.29) and Avoidant Coping (E=3.86), which explained 40% of the total variance. Mean RAID was 4.8± 1.6, while the mean PCS and MCS were 31.9 ± 9.4 and 39.7 ± 9.4, respectively. Approach coping and avoidant coping were associated with PCS (r= 0.4, p = 0.03), (r=0.3, p=0.008) respectively. However, no association was found between coping strategies and MCS or RAID (p>0.05). In the multivariate model, approach coping and avoidant coping were significant to explain lower disease-specific HRQoL (PCS) (Beta= 0.4, p= 0.008), (Beta=0.3, p=0.02) respectively.Conclusion:Approach and avoidance are associated with lower disease-specific HRQoL (PCS) but not with lower disease-specific HRQoL (MCS). Doctors should not forget to help their patients developing adaptive coping strategies.Disclosure of Interests:None declared

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