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

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.

2021 ◽  
Vol 9 (04) ◽  
pp. 166-173
Author(s):  
S. Benzahra ◽  
◽  
S. Belbachir ◽  
A. Ouanass ◽  
◽  
...  

Background: The coronavirus infection is pandemic emerging infectious disease caused by the coronavirus SARS-CoV-2. This pandemic has had serious social and economic consequences due to the confinment and curfew applied in various countries around the world. The psychosocial responses to this pandemic are variable and depend on the coping strategies of each individual which can mitigate and moderate the impact of these psychosocial responses. Objective: To identify the different coping strategies implemented by the Moroccan population. Methods: We conducted an online survey from April 23 to May 23, 2020, through a questionnaire published on social networks using Google Forms. The assessment of coping strategies was carried out through the Brief Cope scale. Results: 404 individuals participated in the study. The mean age was 36.86 years, 65.6% were female, 14.1% had a psychiatric history, 28% had a medical-surgical history and 30.2% had a substance use disorder. Study participants showed a maximum level acceptance as a strategy of adaptation (6.22 ± 1.69) followed by positive reframing (5.72 ± 1.71) then religion (5.45 ± 1.8). The least used strategies were substance use (2.29 ± 0.91) and denial (3.05 ± 1.42). Problem-focused coping was more used in our sample (4.34 +/- 1.22) compared to emotion-focused coping (4.21 +/- 0.64). Conclusions: The pandemic of Covid-19 had a significant negative impact on the mental health of populations including the Moroccan. The most frequently adopted coping strategies are acceptance, positive reframing, and religion. Psychological support remains necessary in order to safeguard mental health in the face of stressful situations.


Author(s):  
Margarida Jarego ◽  
Filipa Pimenta ◽  
José Pais-Ribeiro ◽  
Rui M. Costa ◽  
Ivone Patrão ◽  
...  

Background. This study aimed at assessing the mental health status of adults living in Portugal during the national lockdown of March 2020 to May 2020, how study participants coped with stress during the national lockdown, as well as the association between coping responses and mental health status. Methods. 430 adults from the general population living in Portugal completed measures of mental health status and coping. Results. Participants reported a mental health status in the normal range. Most commonly used coping responses were acceptance, planning and active coping. The use of instrumental and emotional support, self-blame, venting, denial, behavioural disengagement, and substance use were associated with poorer mental health. Active coping, positive reframing, acceptance, and humour were associated with better mental health. However, only positive reframing and humour significantly predicted better mental health, while only substance use predicted poorer mental health. Conclusions. Findings suggest that there was not a significant negative impact of the Portuguese national lockdown in the adults living in Portugal. Findings supported positive reframing and humour as being adaptive coping responses in this context. These responses should be encouraged by healthcare professionals and targeted in the context of psychosocial intervention programs directed to most vulnerable populations.


2015 ◽  
Vol 22 (07) ◽  
pp. 876-880
Author(s):  
Mamoona Mushtaq ◽  
Najma Najam

The literature review portrays a reasonable picture of the role of certain copingstrategies in developing hypertension. Objectives: Present research based on self-regulationtheory explored correlation of coping strategies of stress with hypertension. Design: Crosssectional research design. Setting: Shaikh Zayed Hospital, Services Hospital, Ganga RamHospital, Lahore. Period: June 2010 to June 2011. Method & material: Sample (N = 400)outdoor hypertensive males (N = 100) and hypertensive females (N = 100) between ages30-60, and their age matched healthy controls (N= 200, 100 males, 100 females) were takenfrom 3 hospitals. Measures: Brief COPE scale was used to measure coping strategies.Analysis: Chi-square and logistic regression analysis were carried out. Results: Significantpositive correlation of hypertension with active coping, substance use, instrumental support,positive reframing, acceptance, and self-blame was found and active coping, acceptance,instrumental social support and self-blame coping strategies appeared as significant predictorsof hypertension.


2021 ◽  
Vol 30 (1) ◽  
Author(s):  
Daniela Fonseca de Freitas ◽  
◽  
Cláudia Silva ◽  
Susana Coimbra ◽  
◽  
...  

Previous studies reveal that the negative effect of discrimination on mental health is particularly pernicious among stigmatised minorities. However, research also points out the importance of protection mechanisms that may buffer its effect. This study aimed to explore the relationships between mental health, perceived discrimination, and coping strategies of positive reframing and self-blame in LGB and heterosexual youth. Data were collected through a paper and pencil and an online survey administered to 195 Portuguese adolescents and young adults. The survey covered mental health (Mental Health Inventory-5), discrimination (Everyday Discrimination Scale), and coping strategies (Brief COPE). Of the sample, 73.3% were women and 51.8% self-identified as lesbian, gay or bisexual (LGB). Analyses of variance show that LGB participants have experienced more discrimination than their heterosexual counterparts. There was no difference in the levels of mental health and the use of self-blame or positive reframing coping strategies. Regression analyses reveal that perceived discrimination and self-blame contribute to the worsening of the mental health of LGB and heterosexual youth. Positive reframing coping was a predictor of mental health only in LGB participants, a strategy that contributed to their resilience in the face of discrimination. Additionally, only LGB participants displayed an indirect effect of discrimination on mental health, partially mediated by self-blame coping. Results corroborate previous findings that suggest that perceived discrimination has a more deleterious effect for members of a minority group and support the psychological mediation framework regarding the effect of discrimination on mental health in stigmatised groups.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
J Funuyet-Salas ◽  
A Martín-Rodríguez ◽  
M A Pérez-San-Gregorio ◽  
M Romero-Gómez

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.


2021 ◽  
Vol 17 (1) ◽  
pp. 152-160
Author(s):  
Maria Batsikoura ◽  
Sofia Zyga ◽  
Foteini Tzavella ◽  
Athanasios Sachlas ◽  
Andrea Paola Rojas Gil

Aim: The aim of this study was to investigate the relationship between nutritional habits, lifestyle, anxiety, and coping strategies. Background: Anxiety is an underestimated and often undiagnosed subclinical disorder that burdens the general public of modern societies and increases illness suscentibility. Methods: The study group consisted of 693 individuals living in Peloponnese, Greece. A standardized questionnaire that consists of the dietary habits and lifestyle questionnaire, the trait Anxiety STAI-X-2 questionnaire and the brief-COPE questionnaire, was used. Principal components analysis identified the factors from the questionnaires, and stepwise multivariate regression analysis investigated their relationships. Results: Weekly consumption of fruits, tomatoes, salads and lettuce, together with Εmotional/Ιnstrumental support, Denial/Behavioural disengagement, substance use and self-blame, was the most important predictors of anxiety scores. Positive reframing/Humour and Acceptance/Planning are also associated with the Positive STAI factor and decreased anxiety scores. Conclusion: Healthy nutritional habits, comprised of consumption of salads and fruits, together with adaptive coping strategies, such as Positive reframing/Humour and Active problem solving, may provide the most profound improvement in the anxiety levels of a healthy population in Peloponnese, Greece.


Author(s):  
Eduardo Mendes Nascimento ◽  
Marcia Carvalho Garcia ◽  
Edgard Cornacchione

ABSTRACT This study sought to investigate which coping strategies are most frequently used by accounting faculty and how they can modulate the perceived stress. The higher education academic environment is filled with events that are stressful in nature; however, little effort, especially in the area of accounting, has been employed in seeking to understand and propose guidelines that can improve well-being and pleasure in the teaching profession. A coping strategy is a behavior that protects the individual from psychological damage related to problematic social experiences; it is through these behaviors that individuals manage their day-to-day experiences, thus helping to maintain their mental health. The discussion about the use of strategies for coping with stress lacks an approach in higher education institutions (HEIs), as it indicates that various strategies are being employed ineffectively and signals that three of the statistically significant strategies belong to the dimension of those focused on dysfunctional emotions. And, more seriously, of those three strategies, two (self-reproach and denial) have further contributed to increasing the perception of stress. The Teacher Stress Inventory (TSI), composed of 26 questions with a five-point Likert scale, and the Brief COPE (Coping Orientation to Problems Experienced Inventory), with 28 items and a four-point scale, were employed together with sociodemographic questions. An electronic questionnaire was sent to two thousand accounting faculty in Brazil. Altogether, 563 faculty members answered the questions. The analysis was conducted through association and multiple linear regression tests. It was verified that the average stress reported by the faculty members was 63% of the maximum TSI score, and the most prevalent strategies measured by the Brief COPE were planning, active coping, positive reinterpretation, use of instrumental support, self-reproach, and religion. Through linear regression estimation, it was concluded that two coping strategies (active coping and behavioral divestment) negatively moderated the faculty members’ stress, but two others (self-reproach and denial) raised their perception of stress. Moreover, it was discovered that the faculty members who were most vulnerable to stress use less adaptive coping strategies more intensely.


2019 ◽  
Vol 51 (3) ◽  
pp. 168-178 ◽  
Author(s):  
Anita Subedi ◽  
Dana S. Edge ◽  
Catherine L. Goldie ◽  
Monakshi Sawhney

Background Since 2008, Bhutanese refugees have been resettled in Canada, including Ottawa. This relocation and resettling process is associated with significant physical and psychological stress, as individuals acclimatize to a new country. Purpose To assess the relationship between coping strategies and psychological well-being of Bhutanese refugees resettled in Ottawa. Methods A cross-sectional survey utilizing a convenience sample of adults (n = 110) was conducted in the fall of 2015 in Ottawa. Two tools, Brief COPE and general well-being schedule were used. Results Bhutanese refugees were in moderate distress. Using multiple linear regression, age, education, and three coping strategies (positive reframing, self-blame, and venting) were identified as predictors of general well-being ( F (11, 96) = 3.61, p < .001, R2 = 21.2%). Higher levels of education and positive reframing were associated with greater general well-being scores, while self-blame and well-being between ages 41 and 50 years were inversely associated with general well-being. Conclusions Findings suggest that a broad intersectorial approach between nurses and partner agencies is needed to enhance the mental health of this population for better adjustment in the host country. Nurses could provide support and counseling to minimize the use of self-blame and venting and promote positive coping strategies.


2021 ◽  
Vol 36 (Supplement_1) ◽  
Author(s):  
M Chehin ◽  
A R Lorenzon ◽  
H M L Montagnini ◽  
C C Avelar ◽  
J P J Caetano ◽  
...  

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


2011 ◽  
Vol 26 (S2) ◽  
pp. 156-156 ◽  
Author(s):  
P. Grandinetti ◽  
A. Frustaci ◽  
G. Guerriero ◽  
S. Solaroli ◽  
L. Janiri ◽  
...  

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.


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