Smile: First Observational Prospective Cohort Study of Migraine in Primary Care in France. Description of Methods and Study Population

The SMILE study was conducted among migraine patients consulting in primary care in France. The first phase aimed to describe the study sample of patients at entry to the study, especially emotional dimension (Hospital Anxiety and Depression scale), functional impact (abridged Migraine Specific Questionnaire), stress (Perceived Stress Scale) and coping behaviours (brief COPE inventory avoidance subscale, Coping Strategies Questionnaire catastrophizing subscale), as well as treatments used and their effectiveness and treatments prescribed at end of consultation. Results indicate that consulting migraine patients suffer frequent migraine attacks, exhibit substantial levels of anxiety, functional impact and stress, and often use maladaptive coping strategies. Abortive treatments appear ineffective in most patients (74%). Patients with more affected psychometric variables and treatment ineffectiveness are more likely to be deemed eligible for prophylactic treatment. These data highlight the seriousness of migraine and maladjustment of patients consulting in primary care.

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Job satisfaction, burnout and coping strategies: Comparison between medical and surgical specialties

European Psychiatry ◽

10.1016/j.eurpsy.2017.01.1175 ◽

2017 ◽

Vol 41 (S1) ◽

pp. S679-S679

Author(s):

C. Derbel ◽

A. Braham ◽

A. Souilem ◽

A. Ben Romdhane ◽

R. Gallala ◽

...

Keyword(s):

Job Satisfaction ◽

Coping Strategies ◽

Depression Scale ◽

Maslach Burnout Inventory ◽

University Hospital ◽

Anxiety And Depression ◽

Average Score ◽

Brief Cope ◽

And Coping

IntroductionDoctors have many constraints in their professional practice, which influence negatively the quality of their performance. This causes a psychological distress.AimTo compare job satisfaction (JS), burnout (BT), anxiety, depression and coping strategies among doctors of medical (DMS) and surgical specialities (DSS).MethodComparative and cross-sectional study conducted among 33 DMS and 63 DSS with different grades, in the university hospital Farhat Hached Sousse, Tunisia. We used job satisfaction scale (JSS) to determine the degree of JS, hospital anxiety and depression scale (HADS) to evaluate anxiety and depression, the Maslach burnout inventory to assess the BT and the brief cope to determine coping strategies.ResultsDMS were older than the DSS (P = 0.005). The MSC had more unsettled family life (P = 0.04) and more monthly guard (5.87 vs. 4.96, P = 0.03). DMS had more days of outpatient (P = 0.00), were more satisfied with the work schedule (P = 0.00), conditions of the guards (P = 0.02). Relationships with colleagues were more satisfactory among DMS (P = 0.001). DMS were less confronted to violent events (P = 0.03). The average score of JSS was higher among DMS (P = 0.014). The BT was more reported in the DSS (P = 0.049). An average sub-score HADS-D (depression) was higher in the DSS (P = 0.00). An avoidance-focused coping was more adopted by the DSS (P = 0.02).ConclusionDSS were generally less satisfied in their work than DMS with obvious psychological repercussions. This incites to intervene in factors that interfere with job satisfaction to improve the quality of physicians’ performance.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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Unrevealed Depression Involves Dysfunctional Coping Strategies in Crohn’s Disease Patients in Clinical Remission

Gastroenterology Research and Practice ◽

10.1155/2016/7803262 ◽

2016 ◽

Vol 2016 ◽

pp. 1-7 ◽

Cited By ~ 5

Author(s):

Caterina Viganò ◽

Roberta Calzolari ◽

Paola Marianna Marinaccio ◽

Cristina Bezzio ◽

Federica Furfaro ◽

...

Keyword(s):

Social Support ◽

Depressive Symptoms ◽

Coping Strategies ◽

Clinical Remission ◽

Depressive Disorders ◽

Depression Scale ◽

Anxiety And Depression ◽

Brief Cope ◽

Instrumental Social Support ◽

Emotional Social Support

Background and Aims. This study investigated the proportion of CD patients in clinical remission with clinical depression, and coping strategies in those with severe depressive disorders.Materials and Methods. One hundred consecutive CD patients in clinical remission were screened for anxiety and depression by using Hospital Anxiety and Depression Scale and patients with depressive symptoms were further investigated by means of Cognitive Behavioural Assessment 2.0 and Beck Depression Inventory (BDI). Afterwards the coping strategies were assessed through the Brief-COPE questionnaire.Results. Twenty-one patients had anxious symptoms and 16 had depressive symptoms with or without anxiety. Seven of these patients (43.8%) showed significant depressive symptoms. Compared to patients without psychiatric disorders, these patients showed significant lower score in “positive reframing” (p: 0.017) and in “planning” (p: 0.046) and higher score in “use of instrumental social support” (p<0.001), in “denial” scale (p: 0.001), and in “use of emotional social support” (p: 0.003).Conclusions. Depressed CD patients in clinical remission may have dysfunctional coping strategies, meaning that they may not be able to implement functional strategies to manage at best stress related with their disease.

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The Relationship between Psychological Distress and Coping Strategies in Patients with Advanced or Terminal Stage Hepatocellular Carcinoma: A Cross-Sectional Descriptive Study

Songklanagarind Medical Journal ◽

10.31584/smj.2017.35.4.747 ◽

2017 ◽

Vol 35 (4) ◽

pp. 313

Author(s):

Suthisa Temtap ◽

Kittikorn Nilmanat

Keyword(s):

Hepatocellular Carcinoma ◽

Psychological Distress ◽

Coping Strategies ◽

Depression Scale ◽

Anxiety And Depression ◽

Hospital Anxiety ◽

Cross Sectional ◽

Terminal Stage ◽

And Coping ◽

The Relationship

Objectives: This study was aim to describe the relationship between psychological distress and coping strategies among patients with advanced or terminal stage hepatocellular carcinoma.Material and Method: This is a cross-sectional descriptive study. Data were collect from hospitalized sample at medical units in a tertiary care hospital in southern Thailand during April 2015 - December 2016. Ninety-six sample of advanced or terminal stage hepatocellular carcinoma. Research instruments consisted of 4 parts: (1) a demographic data form, (2) The Karnofsky Performance Status Scale, (3) psychological distress questionnaires using Hospital Anxiety and Depression Scale, and (4) coping strategies questionnaire developed by researchers based on Lazarus and Folkman’s stress and coping theory and literature reviews. Cronbach’s alphas for Hospital Anxiety and Depression Scale and coping strategies questionnaire were 0.89 and 0.84. Data were analyzed using descriptive statistics and Pearson’s product moment correlation coefficient was used.Results: A relationship analysis found that there was a moderate, negative correlation between psychological distress and coping strategies (r=-0.66, p-value<0.001)Conclusion: The results of this study reveal that increases in psychological distress were correlated with decreases in coping strategies among patients with advanced or terminal stage hepatocellular carcinoma. A screening assessment for psychological distress is needed. The results of this study can be used for developing nursing program to promote effective coping strategies among patients with advanced or terminal stage hepatocellular carcinoma to help them live well at the end of life.

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‘Intern life’: a longitudinal study of burnout, empathy, and coping strategies used by French GPs in training

BJGP Open ◽

10.3399/bjgpopen17x100773 ◽

2017 ◽

Vol 1 (2) ◽

pp. bjgpopen17X100773 ◽

Cited By ~ 6

Author(s):

Eric Galam ◽

Camille Vauloup Soupault ◽

Lucie Bunge ◽

Céline Buffel du Vaure ◽

Emilie Boujut ◽

...

Keyword(s):

Longitudinal Study ◽

Coping Strategies ◽

Depression Scale ◽

Personal Accomplishment ◽

Professional Support ◽

Three Dimensions ◽

Anxiety And Depression ◽

Prospective Longitudinal Study ◽

And Coping ◽

Prospective Longitudinal

BackgroundMore than half of French medical GP trainees (GPTs) suffer from burnout.AimTo define and follow the evolution of risk factors, such as empathy and coping strategies, associated with burnout in this population.Design & settingProspective longitudinal study involving volunteers of 577 Parisian university GPTs in 2012.MethodSelf-reported anonymous online questionnaires were sent three times every 6 months to all participants. Stress was measured using the Intern-Life scale and burnout using the Maslach Inventory, and anxiety and depression measured using the Hospital Anxiety and Depression Scale (HADS). Sociodemographic, professional, and personal data, including coping strategies and measures of empathy were also collected.ResultsIn total 343 questionnaires were fully completed at baseline (T0): 304 were usable at baseline, 169 were usable at 6 months (T1) and 174 at 1 year (T2). Stress rates decreased sharply between T1 (scores 42.96) and T2 (17.08), while scores for burnout remained relatively stable: more than 13% of GPTs had high scores in all three dimensions of burnout. Depersonalisation increased from 61% (T1) to 66% (T2). One hundred and four paired samples were analysed between T0 and T1, and between T1 and T2. Emotion-centred coping was associated with emotional exhaustion (P<0.05), while professional support reduced it. Experiences of aggression increased depersonalisation (P<0.05). Social support, problem-centred coping, perspective-taking empathy, and professional support improved the sense of personal accomplishment (P<0.05).ConclusionTools to help GPTs are available but are underused. More training in doctor–patient relationships and understanding of medical hidden curricula are necessary to decrease burnout among GPTs and improve their wellbeing and patient care.

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STRESS, STRESSORS, AND COPING STRATEGIES BETWEEN PRE-CLINICAL AND CLINICAL MEDICAL STUDENTS AT UNIVERSITI TUNKU ABDUL RAHMAN

Malaysian Journal of Public Health Medicine ◽

10.37268/mjphm/vol.20/no.1/art.503 ◽

2020 ◽

Vol 20 (1) ◽

pp. 175-183

Author(s):

Retneswari Masilamani ◽

Mohammed Abdulrazzaq Jabbar ◽

Chang Swee Liang ◽

Hilary Lim Song You ◽

Lai Jian Kai Jonathan ◽

...

Keyword(s):

Medical Students ◽

Coping Strategies ◽

General Health Questionnaire ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Brief Cope ◽

Study Population ◽

And Coping ◽

Self Administered Questionnaire

Stress in medical education has been inevitable among medical students. However, the prevalence of stress among pre-clinical and clinical medical students differed by year of study. There were several stressors reported to affect medical students. Therefore, effective coping strategies were applied to manage the stress faced by medical students. The aim of this study was to determine the prevalence of stress, stressors and coping strategies comparing pre-clinical and clinical Universiti Tunku Abdul Rahman (UTAR) medical students, and the associated stressors and stress among them. This was a cross-sectional study with a study population of 223 medical students. Universal sampling was used. A self-administered questionnaire which included socio-demographic characteristics, the General Health Questionnaire (GHQ-12), the Medical Students Stressor Questionnaire (MSSQ) and the Brief COPE Inventory were used in this study. The overall prevalence of stress among medical students was 48.15%. Clinical students had a higher prevalence of stress (53.73%) compared to pre-clinical students (39.02%). Year 3 students had the highest prevalence of stress (64.58%) compared to other years of study. Nearly 1 out of 2 medical students were stressed (48.15%). Academic Related Stressor ranked the highest and Acceptance was the most practiced coping strategy. The only associated stressor with stress was Academic Related Stressor.

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Prevalence of anxiety and depression in medical students of a public sector medical college in Islamabad and coping mechanisms adopted

Journal of the Pakistan Medical Association ◽

10.47391/jpma.2107 ◽

2021 ◽

Author(s):

Rizwan Zafar ◽

Muhammad Raheel ◽

Muhammad Ahmed Mujtaba ◽

Rabia Mahmood ◽

Muhammad Umair Nawaz ◽

...

Keyword(s):

Medical Students ◽

Sample Size ◽

Depression Scale ◽

Coping Mechanisms ◽

Anxiety And Depression ◽

Cross Sectional ◽

Medical College ◽

Positive Coping ◽

Brief Cope ◽

And Coping

The objectives of this study were to find out the frequency of anxiety and depression in medical students and various coping mechanisms adopted by them to identify the coping trends and to stress the need of equipping these students with positive coping tools to deal with anxiety and depression. A cross-sectional, questionnaire-based observational study was conducted on a population of 500 medical students of Federal Medical and Dental College, Islamabad. The duration of the study was three months. By using the WHO sample size calculator, taking the confidence level 95%, anticipated population proportion 70% and absolute precision required 7%, the sample size was calculated at 165. The samples were collected by non-probability consecutive sampling via a questionnaire. In the study, two instruments were used: 1) Aga Khan University Anxiety and Depression Scale (AKUADS), and 2) Brief Cope Inventory. ---Continue

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Prepared and highly committed despite the risk of COVID-19 infection: a cross-sectional survey of primary care physicians’ concerns and coping strategies in Singapore

BMC Family Practice ◽

10.1186/s12875-021-01370-7 ◽

2021 ◽

Vol 22 (1) ◽

Author(s):

Jerrald Lau ◽

David Hsien-Yung Tan ◽

Gretel Jianlin Wong ◽

Yii-Jen Lew ◽

Ying-Xian Chua ◽

...

Keyword(s):

Primary Care ◽

Coping Strategies ◽

Stress Management ◽

Primary Care Physicians ◽

Well Being ◽

Pandemic Preparedness ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Accessible Information ◽

And Coping

Abstract Background Primary care physicians (PCPs) are first points-of-contact between suspected cases and the healthcare system in the current COVID-19 pandemic. This study examines PCPs’ concerns, impact on personal lives and work, and level of pandemic preparedness in the context of COVID-19 in Singapore. We also examine factors and coping strategies that PCPs have used to manage stress during the outbreak. Methods Two hundred and sixteen PCPs actively practicing in either a public or private clinic were cluster sampled via email invitation from three primary care organizations in Singapore from 6th to 29th March 2020. Participants completed a cross-sectional online questionnaire consisting of items on work- and non-work-related concerns, impact on personal and work life, perceived pandemic preparedness, stress-reduction factors, and personal coping strategies related to COVID-19. Results A total of 158 questionnaires were usable for analyses. PCPs perceived themselves to be at high risk of COVID-19 infection (89.9%), and a source of risk (74.7%) and concern (71.5%) to loved ones. PCPs reported acceptance of these risks (91.1%) and the need to care for COVID-19 patients (85.4%). Overall perceived pandemic preparedness was extremely high (75.9 to 89.9%). PCPs prioritized availability of personal protective equipment, strict infection prevention guidelines, accessible information about COVID-19, and well-being of their colleagues and family as the most effective stress management factors. Conclusions PCPs continue to serve willingly on the frontlines of this pandemic despite the high perception of risk to themselves and loved ones. Healthcare organizations should continue to support PCPs by managing both their psychosocial (e.g. stress management) and professional (e.g. pandemic preparedness) needs.

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Evaluation of the relationship between perceived social support, coping strategies, anxiety, and depression symptoms among hospitalized COVID-19 patients

The International Journal of Psychiatry in Medicine ◽

10.1177/0091217420982085 ◽

2020 ◽

pp. 009121742098208

Author(s):

Ali Kandeğer ◽

Memduha Aydın ◽

Kürşat Altınbaş ◽

Alparslan Cansız ◽

Özge Tan ◽

...

Keyword(s):

Social Support ◽

Coping Strategies ◽

Perceived Social Support ◽

Depression Scale ◽

Negative Association ◽

Anxiety And Depression ◽

Control Group ◽

Depression Symptoms ◽

Adaptive Coping ◽

The Relationship

Objective We aimed to evaluate the relationship between perceived social support, coping strategies, anxiety, and depression symptoms among hospitalized COVID-19 patients by comparing them with a matched control group in terms of age, gender, and education level. Method The patient group (n = 84) and the healthy controls (HCs, n = 92) filled in the questionnaire including the socio-demographic form, Hospital Anxiety Depression Scale, Multidimensional Perceived Social Support Scale, and Brief Coping Orientation to Problems Experienced through the online survey link. Results The COVID-19 patients had higher perceived social support and coping strategies scores than the HCs. However, anxiety and depression scores did not differ significantly between the two groups. In logistic regression analysis performed in COVID-19 patients, the presence of chest CT finding (OR = 4.31; 95% CI = 1.04–17.95) was a risk factor for anxiety and the use of adaptive coping strategies (OR = 0.86; 95% CI = 0.73–0.99) had a negative association with anxiety. In addition, the use of adaptive coping strategies (OR = 0.89; 95% CI = 0.79–0.98) and high perceived social support (OR = 0.97; 95% CI = 0.93– 0,99) had a negative association with depression symptoms. Conclusions Longitudinal studies involving the return to normality phase of the COVID-19 pandemic are needed to investigate the effects of factors such as coping strategies and perceived social support that could increase the psychological adjustment and resilience of individuals on anxiety and depression.

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Coping Strategies, Anxiety and Depression in OCD and Schizophrenia: Changes during COVID-19

Brain Sciences ◽

10.3390/brainsci11070926 ◽

2021 ◽

Vol 11 (7) ◽

pp. 926

Author(s):

Ángel Rosa-Alcázar ◽

José Luis Parada-Navas ◽

María Dolores García-Hernández ◽

Sergio Martínez-Murillo ◽

Pablo J. Olivares-Olivares ◽

...

Keyword(s):

Coping Strategies ◽

Experiential Avoidance ◽

Online Survey ◽

Anxiety And Depression ◽

Control Group ◽

Healthy Controls ◽

Obsessive Compulsive ◽

Compulsive Disorder ◽

Survey Results ◽

And Coping

Background: The main aim was to examine changes in coping strategies, anxiety and depression in obsessive–compulsive and schizophrenia patients during COVID-19, in addition to controlling the influence of intolerance to uncertainty and experiential avoidance. Method: The first time, the study comprised (15–30 April 2020) 293 patients, 113 of whom were diagnosed with obsessive–compulsive disorder, 61 with schizophrenia and 119 healthy controls, aged 13–77 years (M = 37.89, SD = 12.65). The second time (15–30 November), the study comprised 195 participants (85 obsessive–compulsive patients, 42 schizophrenic patiens and 77 healthy controls participants). The evaluation was carried out through an online survey. Results: The clinical groups worsened over time in cognitive coping, anxiety and depression, while the control group only worsened in depression. Intergroup differences in anxiety, depression and coping strategies were maintained, highlighting the use of some maladaptive strategies (avoidance, spiritual) in clinical groups. Experiential avoidance and tolerance for uncertainty mainly affected coping. Conclusions: The duration of COVID-19 not only produced changes in anxiety and depression in clinical groups but also in coping strategies to face this pandemic and its consequences.

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Psychological Coping with Job Loss. Empirical Study to Contribute to the Development of Unemployed People

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph15081787 ◽

2018 ◽

Vol 15 (8) ◽

pp. 1787 ◽

Cited By ~ 8

Author(s):

Yolanda Navarro-Abal ◽

José Climent-Rodríguez ◽

María López-López ◽

Juan Gómez-Salgado

Keyword(s):

Coping Strategies ◽

Cross Sectional Study ◽

Anxiety And Depression ◽

Psychological Consequences ◽

Cross Sectional ◽

Unemployed People ◽

Service Centre ◽

Public Employment Service ◽

Career Service ◽

And Coping

Having a job is an essential part of people’s development. Unemployment, on the contrary, is one of the most frustrating experiences of life with greater psychological consequences for people’s lives. In this sense, psychology has contributed to an increase in knowledge about the personal and social experience of unemployment. This article discusses indicators of anxiety and depression in unemployed people, modulating socio-demographic variables, and coping strategies involved in the higher and lower levels of anxiety and depression. For this, a sample of 244 unemployed people who are users of the Career Service Centre of the Andalusian Public Employment Service of the city of Huelva is used for a descriptive and analytical cross-sectional study. The results show that only 5.7% of the participants do not have depressive symptoms. With regards to anxiety levels, 41.3% of participants have no anxiety. Unemployed people with high anxiety and depression scores have developed maladaptive coping strategies such as substance use, self-blaming, or denial. It is necessary to assess the importance of the unemployment process and the incorporation of appropriate coping strategies that facilitate new integration in the labour market, such as planification, emotional or social support and self-distraction between others.

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