Stress, Coping, and Comorbidity among Hemodialysis Patients

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
S.-C.J. Yeh

Purposes:The primary purposes of this study were 1) to examine relationships among stress, coping and comorbidity and 2) to test the interaction effect of comorbidity.Background:Hemodialysis imposes a variety of physical and psychosocial stressors that challenge patients. Comorbidity is a risk factor for many health outcomes. Research on how comorbidity influences the relationship between coping and stress is limited.Method:In this cross-sectional study using face to face interviews, we interviewed 2642 hemodialysis patients fifteen years or older on dialysis for at least 3 months from October 2002 to January 2003. The Hemodialysis Stressor Scale measured stressors and the Jalowiec Coping Scale were used to measure coping strategies. A hierarchical regression was used to analyze the data.Results:Hemodialysis patients with comorbidities were found to have higher levels of stress. Comorbidity had a moderating effect between choice of problem-oriented responses and isolated thoughts as coping strategies. These findings show that hemodialysis patients with comorbidities often choose positive coping strategies.Conclusion:HD patients with comorbidity have a higher stress scores than those without comorbidities. Comorbidity not only has a direct impact on stress but also has a moderating effect on the relationship between coping and stress. Therefore, taking into account the comorbidity factor became very crucial when assessing the HD patients’ level of stress.

Crisis ◽  
2011 ◽  
Vol 32 (5) ◽  
pp. 272-279 ◽  
Author(s):  
Allison S. Christian ◽  
Kristen M. McCabe

Background: Deliberate self-harm (DSH) occurs with high frequency among clinical and nonclinical youth populations. Although depression has been consistently linked with the behavior, not all depressed individuals engage in DSH. Aims: The current study examined maladaptive coping strategies (i.e., self-blame, distancing, and self-isolation) as mediators between depression and DSH among undergraduate students. Methods: 202 students from undergraduate psychology courses at a private university in Southern California (77.7% women) completed anonymous self-report measures. Results: A hierarchical regression model found no differences in DSH history across demographic variables. Among coping variables, self-isolation alone was significantly related to DSH. A full meditational model was supported: Depressive symptoms were significantly related to DSH, but adding self-isolation to the model rendered the relationship nonsignificant. Limitations: The cross-sectional study design prevents determination of whether a casual relation exists between self-isolation and DSH, and obscures the direction of that relationship. Conclusions: Results suggest targeting self-isolation as a means of DSH prevention and intervention among nonclinical, youth populations.


BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S238-S239
Author(s):  
Mohammed Binnwejim ◽  
Atheer Alhumade

AimsThe present study aims at investigating the level of stress among Saudi healthcare workers during COVID-19 pandemic. In addition, the present study sought to identify the coping strategies adopted by Saudi healthcare workers to alleviate the stress related to COVID-19 pandemic.MethodA descriptive cross-sectional study was performed in the period between September and November/2020. A sample of 381 healthcare workers (Physicians, nurses, and technicians) were recruited from King Saud Medical City (KSMC). Both Perceived Stress Scale-4 (PSS-4) and BRIEF-COPE scale were used to assess the levels of stress and the stress coping strategies, respectively. Descriptive statistics were used to analyze the healthcare workers’ responses about the COVID-19 related stress and their adopted coping strategiesResultThe results of the study showed that there was a moderate to high level of COVID-19 related stress (11.64 ± 0.73) among the Saudi healthcare workers. In addition, it was found that planning (3.89 ± 0.61), positive reframing (3.69 ± 0.77), venting (3.39 ± 1.01), and emotional support (3.27 ± 0.63) were the most adopted coping strategies by the healthcare workers to overcome and reduce the stress levelsConclusionThe study concluded that both problem-focused and emotion-focused stress coping strategies were the most commonly adopted coping strategies among Saudi healthcare workers in KSMC. The study recommends increasing the number of the healthcare workers in the KSMC, in addition to increasing the healthcare workers’ knowledge, awareness and practice of the stress coping strategies, especially in crisis events, such as COVID-19 pandemic.


2017 ◽  
Vol 41 (S1) ◽  
pp. s239-s239
Author(s):  
M. Holubova ◽  
J. Prasko

BackgroundThe quality of life is a multidimensional phenomenon which represents all aspects of patient's well-being and various areas of the patient's life. Specific coping strategies may be connected with the quality of life and also with the severity of the disorder. The objective of this study was to explore the relationship between the coping strategies and quality of life in outpatients with depressive disorder.MethodsEighty-two outpatients, who met ICD-10 criteria for depressive disorders, were enrolled in the cross-sectional study. Data on sociodemographic and clinical variables were recorded. Individuals with depression filled out the standardized measures: The Stress Coping Style Questionnaire (SVF-78), The Quality of Life Satisfaction and Enjoyment Questionnaire (Q-LES-Q), and The Clinical Global Impression (CGI).ResultsThe patients overuse negative coping strategies, especially, escape tendency and resignation. Using of positive coping is in average level (the strategy Positive self-instruction is little used). Coping strategies are significantly associated with quality of life. Higher using of positive coping has a positive association with QoL. The main factors related to QoL are the subjective severity of the disorder, employment and positive coping strategies according to regression analysis.ConclusionsThis study revealed the connection between coping strategies and quality of life in patients with depressive disorders. Strengthening the use of positive coping strategies may have a positive effect on the quality of life, mental conditions and treatment of patients with depression.Disclosure of interestThe authors have not supplied their declaration of competing interest.


2017 ◽  
Vol 41 (S1) ◽  
pp. S530-S530
Author(s):  
M. Holubova ◽  
J. Prasko

BackgroundSelf-stigma is a maladaptive psychosocial phenomenon that may disturb many areas of patient's life. In connection with maladaptive coping strategies should make mental health recovery more difficult. Specific coping strategies may be connected with the self-stigma and also with the severity of the disorder. The objective of the study was to explore the relationship between coping strategies, the severity of the disorder and self-stigma in outpatients with depressive disorder.MethodEighty-one outpatients, who met ICD-10 criteria for depressive disorders, were enrolled in the cross-sectional study. Data on sociodemographic and clinical variables were recorded. All probands completed standardized measurements: The Stress Coping Style Questionnaire (SVF-78), the Internalized Stigma of Mental Illness Scale (ISMI), and the Clinical Global Impression (CGI).ResultsThe patients with depression overuse negative coping strategies, especially escape tendency and resignation. Using of positive coping is in average level. Coping strategies are significantly associated with the self-stigma. Negative coping (especially resignation and self-accusation) increase the self-stigma, using of positive coping (primarily underestimation, reaction control, and positive self-instruction) have a positive impact to decreased self-stigma. The level of self-stigma correlated positively with total symptom severity score.ConclusionsThe present study revealed the important association between coping strategies and self-stigma in outpatients with depressive disorders. Decreasing the use of negative strategies, and strengthening the use of positive coping may have a positive impact to self-stigma reduction.Disclosure of interestThe authors have not supplied their declaration of competing interest.


2016 ◽  
Vol 64 (2) ◽  
pp. 181
Author(s):  
Arsenio Hidalgo Troya ◽  
Amanda Pantoja Córdoba ◽  
Pamela Sañudo Vélez ◽  
Anderson Rocha-Buelvas

<p>Introduction. Coping, regarded as the set of responses to stressful situations, executed to handle and neutralize them, is part of the psychological resources of human beings and it is a personal trait evidenced as intervening in terms of perceived quality of life. Objective. To determine the relationship between coping strategies and quality of life in cancer patients at different stages of their cancer condition at an oncology unit in the province of Nariño, Colombia. Materials and Methods. Cross-sectional study in a sample of 120 cancer patients attending in COEMSSANAR IPS, located in Pasto, Nariño. Results. It was observed that the most adopted type of coping was “positive attitude”, followed by “positive guidance”, while the least adopted ones were “anxious care” and “hopeless”. As for quality of life, it is evidenced that is favorable for this population. The relationship between coping and quality of life is different for each stage of cancer. Patients with better coping are those with higher quality of life. Conclusion. A greater effort of the State and the institutions providing health services for the adoption of coping strategies in patients affected by cancer at all stages would significantly improve the quality of life of these people.</p>


2015 ◽  
Vol 22 (09) ◽  
pp. 1150-1158
Author(s):  
Atiq ur Rehman ◽  
Syeda Farhana Kazmi

Objectives: The main purpose of this research was to compare the level ofpsychological distress between HBV and HCV patients and to determine the effect of genderand age on psychological distress. Determine the relationship between coping strategies andpsychological distress. Method: For the present study 100 HBV patients (50 male and 50 female)and 100 HCV patients (50 male and 50 female) were selected. The sample was selected fromLiver Centre, district headquarter hospital Faisalabad. This was a cross sectional study. MHI-38was used to measure the psychological distress and CRI was used to measure the copyingstyles among HBV and HCV patients. Result: HCV patients have higher levels of psychologicaldistress t (198) = 6.54, p< .05 compared to HBV patients. Female hepatitis patients weresuffering from high levels of psychological distress t (198) = 3.90, p < .05 as compared to malehepatitis patients, with male, age is positively correlated with psychological distress, r = .32,p < .01 but with female age is negatively correlated with psychological distress r = -.49, p <.01. Approach coping is negatively correlated with psychological distress in male and femalehepatitis patients, respectively, r = -.45, p < .01 and, r = -.29, p <.01. Conclusion: HCV andfemale patients have higher levels of psychological distress comparatively of HBV and malepatients. Age is correlated with psychological distress. The approach coping styles play animportant role in controlling the psychiatric comorbidity in HBV and HCV patients.


2020 ◽  
Author(s):  
Chiara Penengo ◽  
Chiara Colli ◽  
Marco Garzitto ◽  
Lorenza Driul ◽  
Maddalena Cesco ◽  
...  

Abstract Background: Pregnancy is a period of happiness but also of physical and psychological changes that can lead to distress. Functional coping strategies can reduce the pregnancy specific-stress. This study aimed to assess the psychometric properties of the Revised Prenatal Coping Inventory (NuPCI) in an Italian sample and to investigate how coping strategies were associated with pregnancy-specific stress.Methods: In this cross-sectional study, low-risk pregnant women (N=211) were assessed with NuPCI, NuPDQ (Revised-Prenatal Distress Questionnaire), Brief-COPE (Coping Orientation to the Problems Experienced), and STAI (State-Trait Anxiety Inventory). The reliability of NuPCI was evaluated by assessing its internal consistency and factor structure. The concurrent validity between NuPCI and Brief-COPE and NuPDQ and STAI was investigated. Lastly, the relationship between NuPCI and NuPDQ was analyzed, as well as the ability of these scales to predict Apgar score at birth.Results: Internal consistency of NuPCI scales was good for Planning-Preparation (ɑC=0.84) and Spiritual-Positive Coping (ɑC=0.81), acceptable for Avoidance (ɑC=0.76). The original three-factor structure was confirmed, using a promax solution. NuPCI and NuPDQ showed good concurrent validity. The NuPCI scales predicted NuPDQ score (Avoidance and Planning-Preparation positively, Spiritual-Positive Coping negatively). Also, Avoidance and Spiritual-Positive Coping scales were associated respectively to decreasing and to increasing Apgar score, with the moderation of NuPDQ.Conclusions: Italian NuPCI has sound psychometric properties and it is a useful coping measure. NuPDQ showed also a good validity. Our results may suggest a significant role for coping strategies, particularly in modulating the condition of the newborn at birth.


Sign in / Sign up

Export Citation Format

Share Document