Psychological distress and coping strategies in patients with psoriasis: the PSYCHAE Study

The global COVID-19 pandemic crisis has caused an unprecedented impact on most areas of people’s lives. Thus, framed within the scope of Existential Positive Psychology (PP2.0), this study aimed at assessing the psychological distress of adults living in Portugal during the first national lockdown, how they are coping with stress, as well to contribute to a deeper understanding about the role that positivity, experiential avoidance, and coping strategies have in psychological distress and well-being. For this purpose, 586 Portuguese adults (73% females) ranging between 18 and 78 years old (M = 38.96, SD = 12.20) completed an online survey during the initial phase of the pandemic crisis in Portugal. Findings suggest that experiential avoidance was the strongest predictor of a negative response (depression, anxiety, stress, loneliness, and negative emotions), whereas positivity was a better predictor of psychological well-being and lower levels of depression. Additionally, self-blame, behavioral disengagement, and emotional venting were strong risk factors for psychological distress, whereas positive reframing, planning, and acceptance were associated with more positive outcomes. These findings highlight the critical role of experiential avoidance on individuals’ psychological distress and the essential contribution of positive life orientation in promoting flourishing. By offering a better understanding of the complex navigation through the dialectics between positive and negative life features, this study provides important and useful cues for psychological interventions directed at promoting a more positive and adaptive human functioning even through such potential adverse and painful life events.

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Psychological distress and coping strategies in intensive care unit nurses and consultants

European Journal of Anaesthesiology ◽

10.1097/eja.0000000000001545 ◽

2022 ◽

Vol 39 (1) ◽

pp. 82-84

Author(s):

Jennifer A. Foley ◽

Panayiota Petrochilos ◽

Andrew Paget ◽

Lisa Cipolotti

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Psychological Distress ◽

Coping Strategies ◽

And Coping ◽

Intensive Care Unit Nurses

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Toxic leadership: emotional distress and coping strategy

International Journal of Organization Theory and Behavior ◽

10.1108/ijotb-03-2018-0027 ◽

2019 ◽

Vol 22 (1) ◽

pp. 65-78 ◽

Cited By ~ 11

Author(s):

Asha Bhandarker ◽

Snigdha Rai

Keyword(s):

Psychological Distress ◽

Coping Strategies ◽

Coping Strategy ◽

Adaptive Coping ◽

Toxic Leadership ◽

Avoidance Coping ◽

Content Type ◽

Loss Of Self ◽

Self Worth ◽

And Coping

Purpose The purpose of this paper is to elucidate the distressing impact of toxic leadership on the mental state of the subordinates and examine the unique coping mechanisms used by them to deal with such leaders. The paper also examined the relationship between psychological distress and coping strategy used by subordinates to deal with the toxic leader. Design/methodology/approach This study presents a validity testing of two scales. The first scale was designed to measure experienced psychological distress emanating from exposure to toxic leaders, and the second scale aims to assess the coping strategies utilized by subordinates to deal with the toxic leaders. Data were collected from 570 employees working in public as well as private organizations in India. Findings The results of this paper supported the theorized two three-dimensional tools to measure: psychological distress (loss of self-worth, withdrawal and agitated) and coping strategies to deal with toxic leaders (assertive coping, avoidance coping and adaptive coping). Reliability estimates and construct validity of both the tools were established. The results also suggest that the loss of self-worth was negatively related with assertive coping, avoidance coping and adaptive coping. However, withdrawal was positively related with assertive coping and avoidance coping. Finally, agitation was positively related with avoidance and adaptive coping. Originality/value To the authors’ knowledge, this is one of the rare studies to examine together the phenomenon of both psychological distress experienced by subordinates and the coping strategies utilized by them to deal with toxic leaders.

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The association between physical functioning, symptom burden, and coping strategies with quality of life (QOL) in patients with chronic graft-versus-host disease (cGVHD).

Journal of Clinical Oncology ◽

10.1200/jco.2018.36.34_suppl.178 ◽

2018 ◽

Vol 36 (34_suppl) ◽

pp. 178-178

Author(s):

Robert Sommer ◽

Jamie M. Jacobs ◽

Lauren Waldman ◽

Lara Traeger ◽

Joseph Greer ◽

...

Keyword(s):

Psychological Distress ◽

Coping Strategies ◽

Physical Functioning ◽

Depression Scale ◽

Symptom Burden ◽

Cell Transplant ◽

Symptom Scale ◽

Patient Reported ◽

And Coping ◽

Over Time

178 Background: Allogeneic stem cell transplant survivors with cGVHD experience substantial psychological distress and impairments in QOL. However, the relationship between patients’ physical functioning, symptom burden, coping strategies, and QOL over time is unknown. Methods: We conducted a longitudinal study of patients with moderate-severe cGVHD. We assessed patient-reported psychological distress (Hospital Anxiety and Depression Scale), QOL (Functional Assessment of Cancer Therapy-General), physical functioning (Human Activity Profile), cGVHD symptom burden (Lee Symptom Scale), and coping (Coping Inventory for Stressful Situations) at baseline, 3 months, and 6 months. Using mixed linear effects models, we examined the longitudinal relationship between QOL and physical functioning, cGVHD symptoms, and coping strategies. Results: We enrolled 53 patients with moderate (71.7%, 38/53) or severe (28.3%, 15/53) cGVHD. The rate of clinically significant depression and anxiety symptoms at baseline was 32.1% (17/53) and 30.2% (16/33), respectively, and did not change over time. Patients reported low QOL at baseline [M = 70.33, SD = 18.96], which did not change significantly over time [β = -0.66, SE = 1.11, P = 0.550]. Over time, higher physical functioning was associated with better QOL [β = 0.17, SE = 0.05, P = 0.001], while greater symptom burden was associated with worse QOL [β = -0.38, SE = 0.06, P < 0.001]. While the use of emotion-oriented coping was associated with lower QOL over time [β = -0.70, SE = 0.14, P < 0.001], the use of avoidance-oriented coping was associated with higher QOL over time [β = 0.38, SE = 0.10, P < 0.001]. Task-oriented coping was not associated with psychological distress or QOL. Conclusions: Patients with moderate-severe cGVHD report substantial psychological distress and persistently impaired QOL over time. Higher physical function and lower symptom burden are associated with improved QOL. The use of certain coping strategies was associated with changes in QOL. These data underscore the need for supportive care interventions to promote effective coping and enhance physical functioning in patients with cGVHD.

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Psychological distress and coping strategies in patients attending a dermatology outpatient clinic

Journal of the European Academy of Dermatology and Venereology ◽

10.1111/j.1468-3083.2011.04159.x ◽

2011 ◽

Vol 26 (6) ◽

pp. 746-754 ◽

Cited By ~ 7

Author(s):

E. Mazzotti ◽

S. Mastroeni ◽

J. Lindau ◽

G. Lombardo ◽

B. Farina ◽

...

Keyword(s):

Psychological Distress ◽

Coping Strategies ◽

Outpatient Clinic ◽

And Coping

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Factors associated with psychological distress, fear and coping strategies during the COVID-19 pandemic in Australia

10.21203/rs.3.rs-57952/v2 ◽

2020 ◽

Author(s):

Muhammad Aziz Rahman ◽

Nazmul Hoque ◽

Sheikh M Alif ◽

Masudus Salehin ◽

Sheikh Mohammed Shariful Islam ◽

...

Keyword(s):

Psychological Distress ◽

Coping Strategies ◽

Alcohol Drinking ◽

Social Life ◽

Online Survey ◽

Service Use ◽

Mental Wellbeing ◽

Factors Associated ◽

And Coping ◽

Distress Scale

Abstract Background: The COVID-19 pandemic disrupted the personal, professional and social life of Australians with some people more impacted than others. Objectives: This study aimed to identify factors associated with psychological distress, fear and coping strategies during the COVID-19 pandemic in Australia. Methods: A cross-sectional online survey was conducted among residents in Australia, including patients, frontline health and other essential service workers, and community members during June 2020. Psychological distress was assessed using the Kessler Psychological Distress Scale (K10); level of fear was assessed using the Fear of COVID-19 Scale (FCV-19S); and coping strategies were assessed using the Brief Resilient Coping Scale (BRCS). Logistic regression was used to identify factors associated with the extent of psychological distress, level of fear and coping strategies while adjusting for potential confounders. Results: Among 587 participants, the majority (391, 73.2%) were 30-59 years old and female (363, 61.8%). More than half (349, 59.5%) were born outside Australia and two-third (418, 71.5%) completed at least a Bachelor’s degree. The majority (401, 71.5%) had a source of income, 243 (42.3%) self-identified as a frontline worker, and 335 (58.9%) reported financial impact due to COVID-19. Comorbidities such as pre-existing mental health conditions (AOR 3.13, 95% CIs 1.12-8.75), increased smoking (8.66, 1.08-69.1) and alcohol drinking (2.39, 1.05-5.47) over the last four weeks, high levels of fear (2.93, 1.83-4.67) and being female (1.74, 1.15-2.65) were associated with higher levels of psychological distress. Perceived distress due to change of employment status (4.14, 1.39-12.4), alcohol drinking (3.64, 1.54-8.58), providing care to known or suspected cases (3.64, 1.54-8.58), being female (1.56, 1.00-2.45), being 30-59 years old (2.29, 1.21-4.35) and having medium to high levels of psychological distress (2.90, 1.82-5.62) were associated with a higher level of fear; while healthcare service use in the last four weeks was associated with medium to high resilience. Conclusions: This study identified individuals who were at higher risk of distress and fear during the COVID-19 pandemic specifically in the State of Victoria, Australia. Specific interventions to support the mental wellbeing of these individuals should be considered in addition to the existing resources within primary healthcare settings.

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204 - Psychological distress and support needs of community residing older adults in urban India – An exploratory study

International Psychogeriatrics ◽

10.1017/s1041610221001381 ◽

2021 ◽

Vol 33 (S1) ◽

pp. 8-9

Author(s):

Jayashree Dasgupta ◽

Meenakshi Chopra

Keyword(s):

Mental Health ◽

Older Adults ◽

Psychological Distress ◽

Coping Strategies ◽

Help Seeking ◽

Public Awareness ◽

Well Being ◽

Support Needs ◽

Urban India ◽

And Coping

Background:COVID pandemic in India, lockdowns and an unprepared health system has affected wellbeing of older adults. Low public awareness about mental health issues and stigma also contribute to low help seeking. Exploring impact of COVID on mental health of older adults and understanding support needs is essential.Research Objective:To examine mental wellbeing and coping strategies used by urban community residing older adults during the pandemic in India.Method:As part of an ongoing community engagement initiative with older adults and their families, an online survey was conducted during the first wave of the pandemic in April/May 2020. Sociodemographic details and information on coping strategies were gathered. The five-item General Health Questionnaire (GHQ) was used to screen for psychological distress and data were analyzed using descriptive statistics. Respondents were contacted again in May 2021 during the second COVID wave for a telephonic interview to understand current levels of distress and coping strategies. Consent was taken for audio recording and interviews were conducted using a semi-structured interview guide. Interviews were transcribed and analyzed using thematic analysis.Preliminary results of the ongoing study:Respondents (N=54) aged between 40-86 years (Mn = 60; SD = 18.9). Majority were male (61%), retired or homemakers (57%) and widowed/unmarried (52%). Of the sample 70% had one or more pre-existing medical conditions. A score of ≥ 2 on GHQ in 66% respondents indicates psychological distress. Stressors included health and well-being of family (62%), difficulty managing household work (42%) and increase in family conflicts (17%). Although 72% discussed their worries with family/friends, only 25% considered speaking with a mental health professional indicating low help seeking. Of respondents contacted again, 40% citied ill health or being busy as reasons for refusal to participate. Of those who agreed, 33% reported psychological distress. In-depth interviews, showed use of online mental wellness sessions and yoga/meditation to be beneficial coping strategies. Need for more online support groups was also highlighted.Conclusion:Psychological distress is present amongst community residing older adults in urban India. A change in attitude towards tele mental health must be leveraged to provide support for adults experiencing psychological distress.

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Psychological distress, burnout, and coping strategies among Nigerian primary school teachers: a school-based cross-sectional study

BMC Public Health ◽

10.1186/s12889-021-12397-x ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Eyuche Lawretta Ozoemena ◽

Olaoluwa Samson Agbaje ◽

Levi Ogundu ◽

Amaka Harry Ononuju ◽

Prince Christian Iheanachor Umoke ◽

...

Keyword(s):

Psychological Distress ◽

Primary School ◽

Coping Strategies ◽

Emotional Exhaustion ◽

Associated Factors ◽

Personal Accomplishment ◽

School Teachers ◽

Primary School Teachers ◽

High Level ◽

And Coping

Abstract Background The teaching profession is highly stressed job. A high level of stress is associated with poor health outcomes, such as burnout and psychological distress. Therefore, teachers’ use of coping styles becomes imperative. However, relatively little is known about primary school teachers’ psychological distress, burnout, coping strategies, and associated factors in Nigeria. The study investigated psychological distress, burnout, coping strategies among primary schools, and associated factors in Nigeria. Methods A total of 264 teachers aged 20–59 years participated in the study between May 2019 to October 2019. Questionnaires on psychological distress, burnout, coping strategies, and demographic profile form were used for data collection. Factors associated with psychological distress, burnout, and coping strategies were identified using t-test, univariate ANOVA, Pearson’s correlation, Chi-square test, and hierarchical linear regression analysis. Results Of 264 participants enrolled for the study, 253 responded, giving a response rate of 95.8%. The prevalence of psychological distress and burnout was 69.9% (176/253) and 36.0% (91/253), respectively. Sex (β = 0.158), a high level of emotional exhaustion (β = 0.193) and reduced personal accomplishment (β = 0.358), adoption of problem-focused strategies (β = 0.904), and dysfunctional strategies (β = 0.340) were positively associated with psychological distress. Age (β = − 0.338), academic qualification (β = − 0.210), and income level (β = − 0.146) were inversely associated with psychological distress, which together explained 51.5% of the total variance. Psychological distress (β = 0.275 vs. β = 0.404) was significantly associated with emotional exhaustion (EE) and reduced personal accomplishment (PA) and explained 11.4 and 24.2% of the variance in EE and reduced PA, respectively. Conclusions The high prevalence of psychological distress and burnout among teachers should receive urgent attention. Teachers’ training curricula should include developing interpersonal skills, stress management abilities, and resilience to equip them for the job. Also, teacher training curricula should integrate mental health promotion interventions.

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