Does social support matter? The mediating links with coping strategy and anxiety among Chinese college students in a cross-sectional study of COVID-19 pandemic

Abstract Background The provision of public adaptive coping strategies to reduce psychological tension during the ongoing COVID-19 pandemic is critical. We sought to provide evidence-based guidance for psychological intervention, exploring the potential mediating roles of three sources of social support (i.e., subjective support, family support and counselor support) between coping strategies (i.e., cognitive coping, emotional coping and behavioral coping), and anxiety among college students at the height of the pandemic in China. Methods Using the Coping Strategy Questionnaire, Social Support Questionnaire, and Self-Rating Anxiety Scale, this large-scale online study analyzed the levels of social support, coping, and anxiety among 2640 college students in China from February 21st to 24th, 2020, when the students had been isolated at home for 1 month since the lockdown of Wuhan city. Results Students reported high levels of cognitive coping, behavioral coping, and social support. They also experienced low levels of anxiety and emotional coping. Anxiety was significantly and negatively related to coping and social support. The mediating roles of three sources of social support were found between cognitive coping, behavioral coping, and anxiety, respectively. However, the effect of emotional coping on anxiety was not found to be mediated by social support. Conclusions Adopting positive coping strategies may enhance social support that in turn relieves anxiety. The effect of social support, especially family and counselor support, should arouse greater awareness in coping with the pandemic cognitively and behaviorally.

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LOCKDOWN FATIGUE AMONG COLLEGE STUDENTS DURING THE COVID-19 PANDEMIC: PREDICTIVE ROLE OF PERSONAL RESILIENCE, COPING BEHAVIOURS, AND HEALTH

10.1101/2020.10.18.20213942 ◽

2020 ◽

Author(s):

Leodoro J. Labrague ◽

Cherry Ann Ballad

Keyword(s):

Social Support ◽

College Students ◽

Control Measure ◽

Well Being ◽

Cross Sectional Study ◽

Cross Sectional ◽

Personal Resilience ◽

And Coping ◽

Coping Behaviours

AbstractBackgroundThe lockdown measures imposed by many countries since the onset of the COVID-19 pandemic have been useful in slowing the transmission of the disease; however, there is growing concern regarding their adverse consequences on overall health and well-being, particularly among young people. To date, most studies have focused on the mental health consequences of the lockdown measures, while studies assessing how this disease control measure influences the occurrence of fatigue are largely absent.AimThe aims of this study are two-fold: (a) to examine the levels of lockdown fatigue, and (2) to determine the role of coping behaviours, personal resilience, psychological well-being and perceived health in fatigue associated to the lockdown measure.MethodsThis is an online cross-sectional study involving 243 college students in the Central Philippines during the sixth month of the lockdown measure implemented due to the COVID-19 pandemic. Five standardised scales were used to collect the data.ResultsOverall, college students reported moderate levels of lockdown fatigue, with a mean score of 31.54 (out of 50). Physical exhaustion or tiredness, headaches and body pain, decreased motivation and increased worry were the most pronounced manifestations of fatigue reported. Gender and college year were identified as important predictors of fatigue. Increased personal resilience and coping skills were associated with lower levels of lockdown fatigue.ConclusionCollege students experience moderate levels of fatigue during the mandatory lockdown or home confinement period. Resilient students and those who perceive higher social support experience lower levels of fatigue during the lockdown period compared to students with low resilience and social support. Lockdown fatigue may be addressed by formulating and implementing interventions to enhance personal resilience and social support among college students.

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Strategi Koping Lansia dengan Tempat Tinggal di Ulee Kareeng Banda Aceh

Serambi Saintia : Jurnal Sains dan Aplikasi ◽

10.32672/jss.v7i2.1405 ◽

2019 ◽

Vol 7 (2) ◽

pp. 74

Author(s):

Susi Andriani ◽

Arti Lukitasari ◽

Kartini Hasbalah

Keyword(s):

Coping Strategies ◽

Coping Strategy ◽

Cross Sectional Study ◽

Included Study ◽

Sectional Study ◽

Chi Square ◽

Cross Sectional ◽

Study Approach ◽

Elderly Living ◽

At Home

Strategi koping merupakan cara yang dilakukan lansia dalam menyelesaikan masalah, menyesuiakan diri dengan perubahan, serta respon terhadap situasi yang mengancam. Tujuan penelitian ini untuk mengetahui perbedaan strategi koping pada lansia yang tinggal di rumah dengan di Panti. Jenis penelitian adalah kuantitatif menggunakan desain deskriptif komparatif dengan pendekatan Cross Sectional Study. Pengambilan sampel dengan cara total sampling pada lansia di UPTD Rumoh Seujahtra Geunaseh Sayang dan propotional Sampling di rumah, sampel berjumlah 106 lansia. Analisis hasil penelitian meliputi analisa univariat dan bivariat yang menggunakan uji Chi Square. Hasil penelitian menunjukkan ada hubungan strategi problem focused copin dan emotional focused coping (p=0.001), dan tidak ada hubungan strategi religious coping dengan lansia yang tinggal di rumah dan panti (p>0.05). Disarankan perlu dilakukan berbagai intervensi penyuluhan mekanisme koping dan pada lansia di panti untuk meningkatkan strategi koping dan kualitas hidup yang baik pada lansia yang tinggal di panti dan di rumah.Kata Kunci: Strategi Koping, lansia, tempat tinggal. AbstractElderly use coping strategy to solve problems, to adapt whit changes, and to respond a threatening situation. The purpose of this study was to find out the differences of coping strategies between elderly living at home and at Panti. The research employed quantitative menthode by using comparative descriptive design with cross sectional study approach. Sample was selected by using total sampling for elderly who lived in Panti and proportional sampling for elderly who lived at home. The number of sample was 106 alderly. The result analysis included study univariate and bivariat analysis by chi-square test. The results showed that threre were the differences in coping strategies of elderly who lived at home and at regional technical implementation in panti (p=0.001). It is suggested that it is necessary to undertake intervention in older to improve coping strategies and quality of life in elderly who live people living in nursing home.Keywords: Coping strategy, elderly, living.

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Coping strategies and characteristics of the nursing staff of a private hospital

Rev Rene ◽

10.15253/2175-6783.2015000100002 ◽

2016 ◽

Vol 16 (1) ◽

Author(s):

Eliane Raquel Rieth Benetti ◽

Eniva Miladi Fernandes Stumm ◽

Teresinha Heck Weiller ◽

Karla De Melo Batista ◽

Luis Felipe Dias Lopes ◽

...

Keyword(s):

Social Support ◽

Coping Strategies ◽

Nursing Staff ◽

Private Hospital ◽

Functional Characterization ◽

Cross Sectional Study ◽

Self Control ◽

Cross Sectional ◽

Number Of Children ◽

Significant Difference

Objective: to analyze the relationships between sociodemographic/functional characteristics and the coping strategiesused by the nursing staff of a private hospital. Methods: it is a quantitative, analytical and cross-sectional study developedwith 209 nursing workers. Data were collected sociodemographic/functional characterization and form inventory of thecoping strategies. Results: positive reassessment, social support and problem solving were the most used coping factors.There was statistically significant difference between self-control and sex; social support and salary range; acceptance ofresponsibility and the variables age, number of children, training and salary. The staff use strategies focused on emotionsand problems to cope with or to minimize stressors at work. Conclusion: educational activities need to be encouragedaiming to instrumentalize them to do the evaluation of stressors and to use resolutive coping strategies.

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Relationship Between Social Support and Coping Strategies and Disease Among the Cancer Patients of the City of Kerman

Journal of Research and Health ◽

10.32598/jrh.10.6.1401.1 ◽

2020 ◽

Vol 10 (6) ◽

pp. 375-382

Author(s):

Soodeh Maghsoodi ◽

◽

Zahra Salehinejad ◽

Keyword(s):

Social Support ◽

Coping Strategies ◽

Cancer Patients ◽

Social Protection ◽

Care Program ◽

Cross Sectional Study ◽

Systematic Sampling ◽

Cross Sectional ◽

Systematic Sampling Method ◽

And Coping

Background: Cancer pain affects coping strategies in patients. Besides, social protection is a tool that helps to alter the patient’s encounter with cancer. This study aimed to investigate the relationship between social support, coping, and disease strategies. Methods: This was an analytical cross-sectional study with a quantitative approach, and conducted using a self-made social support questionnaire and the Billings and Mouse coping strategies questionnaire. The study population consisted of all the cancer patients in Kerman City, from September 2016 to March 2017; it was estimated to include 1400 people. Based on the Cochran formula, the study sample size was calculated as 300 cancer patients, which were collected using a systematic sampling method. Also, data analysis was carried out using the Pearson tests and regression in SPSS V. 21. Results: The results showed a statistically significant association of social support and coping with the disease strategies (P<0.01). Moreover, problem-focused coping has the most positive and direct relationship with social support. Regression analysis also showed that emotional aspects (kindness and shared positive actions), service-practical support, and financial support can predict the coping strategies with disease. Conclusion: According to the results, it is recommended to formulate a comprehensive care program and increase social support to enhance the problem-focused coping strategies among cancer patients.

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Coping Strategies for Adverse Effects of Antiretroviral Therapy among Adult HIV Patients Attending University of Gondar Referral Hospital, Gondar, Northwest Ethiopia: A Cross-Sectional Study

AIDS Research and Treatment ◽

10.1155/2018/1879198 ◽

2018 ◽

Vol 2018 ◽

pp. 1-10

Author(s):

Yitayih Kefale Gelaw ◽

Boressa Adugna ◽

Adino Tesfahun Tsegaye ◽

Tadesse Melaku ◽

Belayneh Kefale

Keyword(s):

Adverse Effects ◽

Coping Strategies ◽

Coping Strategy ◽

Positive Emotion ◽

Cross Sectional Study ◽

Sectional Study ◽

Hiv Patients ◽

Cross Sectional ◽

Emotion Coping ◽

Study Participants

Background. Adverse effects from antiretroviral therapy (ART) have an impact on quality of life and medication adherence. There is no clear understanding of how people manage the adverse effects of ART. The individual taking medications which cause serious adverse effects may choose to stop or reduce the medications to relieve the adverse effects. Hence, this study was aimed at assessing coping strategies for adverse effects of ART among adult human immunodeficiency virus (HIV) patients. Methods. A cross-sectional study was conducted at HIV clinic of University of Gondar Referral Hospital (UoGRH). A total of 394 study participants were recruited by systematic random sampling. Data were collected through interviewing patients. Data were entered to Epi-Info 3.5.4 and analyzed using SPSS-20.0. Descriptive statistics were used to summarize patient’s sociodemographic data and the adverse effects of their ART regimen. Binary and multivariate logistic regressions were used to investigate the potential predictors of nonadherence coping strategies. Results. The majorities of study participants were females (66%) and aged between 35 and 44 years (38.1%). The major adverse effects reported by the participants were headache (48.2%) followed by fatigability (18%) and loss of appetite (17.5%). Coping strategies used by HIV patients for adverse effect of ART were positive emotion coping strategy (91.1%), social support seeking (76.6%), taking other medications (76.6%), information seeking (48.7%), and nonadherence (35.5%). Younger age (AOR = 29.54, 95% CI = 2.49–35.25, p = 0.007), low level of education (AOR = 5.70, 95% CI = 2.16-15.05, p < 0.001), and living far from the health institution (AOR = 2.68, 95% CI = 1.29–5.57, p = 0.008) were associated with nonadherence coping strategy to relieve the adverse effects of ART. Conclusion. The present study revealed that positive emotion coping was the most commonly used strategy. Age, level of education, and distance from health institution were the predictors of nonadherence coping strategy.

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A cross-sectional study for the impact of coping strategies on mental health disorders among psychiatric nurses

Health Psychology Research ◽

10.4081/hpr.2018.7466 ◽

2018 ◽

Vol 6 (1) ◽

Cited By ~ 3

Author(s):

Konstantinos Tsaras ◽

Aristides Daglas ◽

Dimitroula Mitsi ◽

Ioanna V. Papathanasiou ◽

Foteini Tzavella ◽

...

Keyword(s):

Mental Health ◽

Social Support ◽

Problem Solving ◽

Coping Strategies ◽

Cross Sectional Study ◽

Psychiatric Nurses ◽

Depression And Anxiety ◽

Sectional Study ◽

Cross Sectional ◽

Mental Health Nurses

Several studies report that psychiatric nursing is a highly stressful occupation. The ways that nurses use in order to deal with stressful situations have a serious effect on their psychological mood and their health status. The purpose of this study was to investigate the coping strategies in predicting of depression and anxiety among mental health nurses working in public psychiatric hospitals. A descriptive, cross-sectional study was conducted in Athens, Greece from April to May 2017. A questionnaire consisting of the socio-demographic and work-related characteristics, the Patient Health Questionnaire-2, the Generalized Anxiety Disorder-2, and the 38-items Ways of Coping Questionnaire - Greek version, was completed by a total of 110 mental health nurses. Univariate and multivariate analyses were performed using the logistic regression model. Coping strategies focused on the problem (positive re-evaluation, positive approach, problem solving, and seeking social support) were the most commonly used by the mental health nurses. Strategies focused on emotion (prayer/daydream, prayer, avoidance/escape, resignation, and denial) were positively associated with depression and anxiety outcomes. Also, the coping skills of problem solving (Adjusted Odds Ratio, AOR=0.402), and seeking social support (AOR=3.719) were significant predictors only for elevated anxiety symptoms. The results from the study demonstrated the importance of coping behaviours in mental health problems of psychiatric nurses.

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Risk of Depression Among MMT Patients: Does Coping Strategies and Perceived Social Support Play a Role?

Substance Abuse Research and Treatment ◽

10.1177/11782218211049407 ◽

2021 ◽

Vol 15 ◽

pp. 117822182110494

Author(s):

Suzaily Wahab ◽

Tee Chun Keat ◽

Amirul Danial Azmi ◽

Raynuha Mahadevan ◽

Eni Rahaiza Muhamed Ramli ◽

...

Keyword(s):

Social Support ◽

Coping Strategies ◽

Mental Health Problems ◽

Methadone Maintenance ◽

Perceived Social Support ◽

Cross Sectional Study ◽

Coping Mechanism ◽

Cross Sectional ◽

Self Blame ◽

Brief Cope

Introduction: Patients receiving methadone maintenance therapy (MMT) experience higher level of stress and are at greater risk of developing mental health problems such as depression which could potentially affect both quality of life and treatment outcomes. This cross-sectional study is aimed at understanding the relationship between psychosocial factors such as social support, coping, and depression among patients receiving MMT in a Malaysian Hospital. Methods: One hundred and ninety-six patients attending MMT program were recruited. The Patient Health Questionnaire-9 (PHQ-9) was used to screen for depression, Multidimensional Scale of Perceived Social Support (MSPSS) was used to assess participants’ perceived social support, and the Brief COPE questionnaire was used to assess coping strategies. The diagnosis of depression was made using Mini-International Neuropsychiatric Interview (MINI). Results: About 13.8% of our sample were diagnosed with depression. From our analysis, it was found that having higher levels of perceived social support (OR = 0.462, 95% CI 0.238-0.899, P < .05), the use of active and emotion focused coping mechanism (OR = 0.231, 95% CI 0.095-0.565, P < .005), and support seeking and self-distraction coping mechanism (OR = 0.196, 95% CI 0.074-0.521, P < .001) was associated with lower likelihood of depression. On the contrary, the use of dysfunctional coping strategies such as denial, behavioral disengagement, and self-blame was associated with increased likelihood of depression (OR = 9.384, 95% CI 3.081-28.581, P < .001). Conclusion: Active and emotion focused along with support and self-distraction coping strategies, and higher levels of perceived social support may serve as a buffer against depression in patients receiving MMT.

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Religious affiliation and suicidality among college students in China: A cross-sectional study across six provinces

PLoS ONE ◽

10.1371/journal.pone.0251698 ◽

2021 ◽

Vol 16 (5) ◽

pp. e0251698

Author(s):

Bob Lew ◽

Kairi Kõlves ◽

Jie Zhang ◽

Wang Zhizhong ◽

Harold G. Koenig ◽

...

Keyword(s):

Social Support ◽

College Students ◽

Religious Affiliation ◽

Self Esteem ◽

Cross Sectional Study ◽

Self Report ◽

Christian College ◽

Religious Discrimination ◽

Sectional Study ◽

Cross Sectional

Background Several past studies indicated that religious beliefs, orientation, and practice are protective of suicide. Findings from recent studies in China suggest that religiosity may contribute to increased suicidality. However, few studies have examined the associations between religious affiliation across different faiths and suicidality in China. Objective The current study examines the association between religious affiliation and suicidality among college students in six provinces in China. Methods We conducted a cross-sectional study involving 11,407 college students from six universities in Ningxia, Shandong, Shanghai, Jilin, Qinghai, and Shaanxi. We collected the data between October 2017 and March 2018 using self-report questionnaires. They included self-report measures of depression, psychache, hopelessness, self-esteem, social support, and life purpose. Results Participants with a Christian affiliation had 1.5 times (95% CI: 1.14, 1.99, p = 0.004) higher odds of indicating an elevated suicide risk, 3.1 times (95% CI: 1.90, 5.04, p<0.001) higher odds of indicating a previous suicide attempt, and increased overall suicidality (B = 0.105, p < 0.001) after accounting for demographic and risk/protective factors. Christians also scored the highest in depression, psychache, hopelessness, and the lowest social support, self-esteem, and purpose in life. Muslims reported decreased suicidality (B = -0.034, p = 0.031). Buddhism/Daoism yielded non-significant results in the multivariate analyses. Conclusions Christian college students reported increased suicidality levels, perhaps due to public policies on religion. The decreased suicidality levels among Muslims may be attributed to higher perceived social support. The associations between religious affiliation and suicidality, depression, and hopelessness contrast sharply with US samples. This finding may be influenced by interactions between the religious denomination, individual, and social/political factors. This conclusion includes the possibility of anti-religious discrimination, which this paper did not investigate as a possible mediator and therefore remains a conjecture worthy of future investigation.

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Vaccine Acceptance and Its Influencing Factors: An Online Cross-Sectional Study among International College Students Studying in China

Vaccines ◽

10.3390/vaccines9060585 ◽

2021 ◽

Vol 9 (6) ◽

pp. 585

Author(s):

Anita Nyarkoa Walker ◽

Ting Zhang ◽

Xue-Qing Peng ◽

Jin-Jin Ge ◽

Hai Gu ◽

...

Keyword(s):

College Students ◽

International Students ◽

Influencing Factors ◽

Large Scale ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Vaccine Acceptance ◽

International College ◽

Cues To Action

Background: With the continuous large-scale development of the COVID-19 vaccine, the acceptance of vaccination and its influencing factors at the individual level have become crucial to stemming the pandemic. This study aims to explore the factors that influence the acceptance of the COVID-19 vaccine among international college students. Methods: The target population constituted international students pursuing various degrees in Jiangsu Province through an online cross-sectional study. A cluster random sampling was performed using a self-administered questionnaire. The Health Belief Model and Knowledge, Attitude/Beliefs, and Practice Theory served as the underlying theories to understanding the factors that influence vaccine acceptance. Results: We received 330 responses. About 36.4% intended to accept the vaccine. The acceptance varied across respondents’ place of residence, program of study, continent of origin, knowledge, susceptibility, severity, benefits, and cues to action (p < 0.05). A multivariable logistics regression revealed cues to action (p < 0.001), the perception of COVID-19 vaccination benefits (p = 0.002), and the perception of barriers (p < 0.001) that were associated with vaccine acceptance. Conclusions: The acceptance of the COVID-19 vaccine was low among international students. The correct and comprehensive beliefs of the target groups regarding the benefits and barriers of the vaccination must be raised. Various effective social strategies must be adopted to trigger the intention of COVID-19 vaccination. The study findings will inform the decisions of public health campaigners, aimed at reducing vaccine hesitation when the COVID-19 vaccine is widely available.

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Coping strategies among Ethiopian migrant returnees who were in quarantine in the time of COVID-19: a center-based cross-sectional study

BMC Psychology ◽

10.1186/s40359-021-00699-z ◽

2021 ◽

Vol 9 (1) ◽

Author(s):

Yekoyealem Desie ◽

Kassahun Habtamu ◽

Mulat Asnake ◽

Endirias Gina ◽

Temesgen Mequanint

Keyword(s):

Coping Strategies ◽

Religious Coping ◽

Coping Strategy ◽

Migrant Workers ◽

Addis Ababa ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Brief Cope ◽

History Of

Abstract Background Following the coronavirus disease 2019 (COVID-19) outbreak, many numbers of Ethiopian migrant workers from the Middle East repatriated to their home country. Returnees who came back to Ethiopia during the early stages of COVID-19 went through difficult experiences of unplanned return and unfamiliar quarantine. Despite burgeoning studies on the coping strategies of the general population on stresses associated with the pandemic, there is lack of research on how returnees cope with challenges related to migration and quarantine experiences. The aim of this study was to examine the coping strategies used by returnees who were in mandatory quarantine in Addis Ababa, Ethiopia in the context of the COVID-19 pandemic. Methods A center-based cross-sectional study was conducted with 405 migrant returnees who were in mandatory quarantine in Addis Ababa, Ethiopia. We developed a structured questionnaire to collect data about the socio-demographic, migration related, quarantine related and COVID-19 related characteristics of participants. We used the Brief COPE (Coping Orientation to Problems Experienced) scale to measure returnees coping strategies. Descriptive statistics and multiple regression analyses were used to determine extent of use of coping strategies and identify factors associated with them. Results Emotion-focused coping mainly religious coping was the most frequently used coping strategy in the study group. Dysfunctional coping, however, was the least frequently employed coping strategy. Higher scores on emotion-focused and problem-focused coping strategies were associated with absence of perceived support from family and relatives after the quarantine and with no history of contact with COVID-19 suspected or infected person. Conclusions The study shows that emotion-focused coping, particularly religious coping, was the most commonly used coping strategy among returnees who were in quarantine centers in the context of COVID-19. Returnees who perceived that they will not have support from family and relatives and those who were not exposed to the virus were more likely to use either emotion- or problem-focused coping strategies. Psychosocial reintegration efforts need to focus on enhancing returnees’ capacity to use adaptive coping strategies. We suggest in-depth qualitative studies for better understanding of returnees’ coping strategies and to facilitate reintegration activities.

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