scholarly journals Interrelation between Defensive Mechanisms and Coping Strategies in Psychiatry Trainees in Romania: A Multi-Centric Study

2020 ◽  
Author(s):  
Anca-Livia Panfil ◽  
Mirela Frandes ◽  
Aurel Nirestean ◽  
Marinela Hurmuz ◽  
Diana Lungeanu ◽  
...  

Abstract Background: The challenges that a professional face when working in the field of psychiatry require the development of adequate defensive and coping styles. Our study aimed to explore both the coping strategies and defense mechanisms and their relationship among psychiatry trainees in Romania.Methods: A cross-sectional study was conducted to determine and to evaluate both defensive and coping styles of Romanian psychiatry trainees. DSQ-60 and COPE scales were applied to psychiatry trainees from five training centers in Romania. By applying structural equation modeling, we studied models that presumed the existence of relationships between coping strategies and defensive mechanisms. Results: The results of the study indicate that superior defense mechanisms and task-oriented coping style were the commonly used approach by trainees in psychiatry. Also, our findings show significantly consistent correlations (ranging from 0.2 to 0.5) between adaptive defense mechanisms and coping styles focused on the problem or the emotion. Similarly, the avoidant coping strategies correlated with non-adaptative defense styles (correlations between 0.3 and 0.5). Our model presented good fit indices, X2(34) = 64.324, p < 0.001; GFI = 0.93; RMSE = 0.08. Moreover, the results indicated a weak association, r = 0.07, p < 0.001, between the two types of adaptive processes.Conclusion: Our findings suggest that trainees in psychiatry present a profile based on two independent groups of adaptation processes, namely, adaptive defenses and problem-oriented coping scales, and non-adaptive defenses and avoidant coping scales.

2020 ◽  
Author(s):  
Anca-Livia Panfil ◽  
Mirela Frandes ◽  
Aurel Nirestean ◽  
Marinela Hurmuz ◽  
Diana Lungeanu ◽  
...  

Abstract Background The challenges that a professional face when working in the field of psychiatry require the development of adequate defensive and coping styles. Aims To explore the coping strategies, the defense mechanisms and their relationship among psychiatry trainees in Romania. Materials and methods A cross-sectional study was conducted to determine and to evaluate both defensive and coping styles of Romanian psychiatry trainees. DSQ-60 and COPE scales were applied to psychiatry trainees from five training centers in Romania. By applying structural equation modeling, we studied models that presumed the existence of relationships between coping strategies and defensive mechanisms. Results The results of the study indicate that superior defense mechanisms and task-oriented coping style were the commonly used approach by trainees in psychiatry. In addition, our findings show significantly consistent correlations (ranging from 0.2 to 0.5) between adaptive defense mechanisms and coping styles focused on the problem, or on the emotion. Similarly, the avoidant coping strategies correlated with defense styles that are not adaptive (correlations between 0.3 and 0.5). Our model presented good fit indices, X 2 (34) = 50.519, p < 0.001; GFI = 0.93; RMSE = 0.08. Moreover, the results indicated a weak association, r = 0.01, p < 0.001, between the two types of adaptive processes. Conclusions Our findings suggest that trainees in psychiatry present a profile based on two independent groups of adaptation processes, namely, adaptive defenses and problem-oriented coping scales, and non-adaptive defenses and avoidant coping scales.


2020 ◽  
Author(s):  
Anca-Livia Panfil ◽  
Mirela Frandes ◽  
Aurel Nirestean ◽  
Marinela Hurmuz ◽  
Diana Lungeanu ◽  
...  

Abstract Background The challenges that a professional face when working in the field of psychiatry require the development of adequate defensive and coping styles. Aims To explore the coping strategies, the defense mechanisms and their relationship among psychiatry trainees in Romania. Materials and methods A cross-sectional study was conducted to determine and to evaluate both defensive and coping styles of Romanian psychiatry trainees. DSQ-60 and COPE scales were applied to psychiatry trainees from five training centers in Romania. By applying structural equation modeling, we studied models that presumed the existence of relationships between coping strategies and defensive mechanisms. Results The results of the study indicate that defense mechanisms and task-oriented coping style were the commonly used approach by trainees in psychiatry. In addition, our findings show significantly consistent correlations (ranging from 0.2 to 0.5) between adaptive defense mechanisms and coping styles focused on the problem, or on the emotion. Similarly, the avoidant coping strategies correlated with defense styles that are not adaptive (correlations between 0.3 and 0.5). Our model presented good fit indices, X2(34) = 50.519, p < 0.001; GFI = 0.93; RMSE = 0.08. Moreover, the results indicated a weak association, r = 0.01, p < 0.001, between the two types of adaptive processes. Conclusions Our findings suggest that trainees in psychiatry present aprofile based on two independent groups of adaptation processes, namely, adaptive defenses and problem-oriented coping scales, and non-adaptive defenses and avoidant coping scales.


2020 ◽  
Author(s):  
Anca-Livia Panfil ◽  
Mirela Frandes ◽  
Aurel Nirestean ◽  
Marinela Hurmuz ◽  
Diana Lungeanu ◽  
...  

Abstract Background: The challenges faced by professionals when working in the field of psychiatry require the development of adequate defensive and coping mechanisms. This study aimed to explore both coping strategies and defense mechanisms and their relationship in psychiatry trainees in Romania.Methods: A cross-sectional study was conducted to determine and evaluate both defensive and coping mechanisms of Romanian psychiatry trainees. Defensive Style Questionnaire-60 and COPE scale were applied to psychiatry trainees from five training centers in Romania. By applying structural equation modeling, models that presumed the existence of relationships between coping strategies and defensive mechanisms were analyzed. Results: Superior defense mechanisms and task-oriented coping strategies were the commonly used approaches by psychiatry trainees. Furthermore, significantly consistent correlations (ranging from 0.2 to 0.5) between adaptive defense mechanisms and coping strategies focused on the problem or emotion were shown. Similarly, avoidant coping strategies correlated with non-adaptive defense mechanisms (correlations between 0.3 and 0.5). Our model presented good fit indices (X2(34) = 64.324, p < 0.001; GFI = 0.93; root mean square error = 0.08). Moreover, the results indicated a weak association between the two types of adaptive processes (r = 0.07, p < 0.001).Conclusion: Psychiatry trainees present a profile based on two independent groups of adaptation processes, namely, adaptive defenses and problem-oriented coping scales and non-adaptive defenses and avoidant coping scales.


2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Anca-Livia Panfil ◽  
Mirela Frandes ◽  
Aurel Nirestean ◽  
Marinela Hurmuz ◽  
Diana Lungeanu ◽  
...  

Abstract Background The challenges faced by professionals when working in the field of psychiatry require the development of adequate defensive and coping mechanisms. This study aimed to explore both coping strategies and defense mechanisms and their relationship in psychiatry trainees in Romania. Methods A cross-sectional study was conducted to determine and evaluate both defensive and coping mechanisms of Romanian psychiatry trainees. Defensive Style Questionnaire-60 and COPE scale were applied to psychiatry trainees from five training centers in Romania. By applying structural equation modeling, models that presumed the existence of relationships between coping strategies and defensive mechanisms were analyzed. Results Superior defense mechanisms and task-oriented coping strategies were the commonly used approaches by psychiatry trainees. Furthermore, significantly consistent correlations (ranging from 0.2 to 0.5) between adaptive defense mechanisms and coping strategies focused on the problem or emotion were shown. Similarly, avoidant coping strategies correlated with non-adaptive defense mechanisms (correlations between 0.3 and 0.5). Our model presented good fit indices (X2(34) = 64.324, p < 0.001; GFI = 0.93; root mean square error = 0.08). Moreover, the results indicated a weak association between the two types of adaptive processes (r = 0.07, p < 0.001). Conclusion Psychiatry trainees present a profile based on two independent groups of adaptation processes, namely, adaptive defenses and problem-oriented coping scales and non-adaptive defenses and avoidant coping scales.


2021 ◽  
Author(s):  
Carolyn Emily Schwartz ◽  
Roland B. Stark ◽  
Katrina Borowiec ◽  
Bruce D. Rapkin

Abstract PurposeThis study evaluated the differential impact of stressors and psychosocial resources on quality-of-life (QOL) outcomes, and investigated whether attitudes, perspectives, and behaviors relevant to wellness protect one from the negative and positive aspects of the coronavirus disease 2019 (COVID) pandemic.MethodsThis cross-sectional study done Spring/Summer 2020 recruited patients and caregivers of people with chronic medical conditions, and a nationally representative comparison sample of United States adults. Linear regression investigated the associations between COVID-specific variables and QOL outcomes, after covariate adjustment. Structural Equation Modeling investigated whether the links between Resilience and COVID-specific variables were mediated by attitudes, perspectives, and behaviors relevant to wellness.ResultsThe sample seemed knowledgeable of and adherent to the practices endorsed by public-health experts. COVID-specific Hardship, Interpersonal Conflict, and Worry were associated with worse QOL outcomes, and Growth, Social Support, and Coping were associated with better. Wellness was the most salient predictor of Resilience, functioning both as a main effect and mediator for COVID-specific predictors. People with lower levels of Worry and/or higher levels of Social Support tended to have better-than-expected daily performance in the face of the pandemic. These two predictors acted in large part through the attitudes, perspectives, and behaviors relevant to Wellness.ConclusionOur findings support the idea that cultivating Wellness by dint of one’s perspective, attitudes, and behaviors can be an important buffer to challenging times during a pandemic. Wellness seems to support resilience in its own right in addition to being a mechanism through which other factors can do so.


2020 ◽  
Author(s):  
Hend Ibrahim Shousha ◽  
Nagwan Madbouly ◽  
Shaimaa Afify ◽  
Noha Asem ◽  
Rabab Maher ◽  
...  

AbstractCOVID-19 patients, especially those with chronic medical illnesses (CMI), may use different coping strategies, to reduce their psychological distress while facing the COVID-19 infection. The aim was to compare anxiety, depression and coping styles between patients infected with COVID-19 disease with and without CMI during the peak of COVID-19 disease in Egypt. This is a cross sectional study, that included an online survey consisting of Arabic versions of General Health Questionnaire-12, Taylor Manifest Anxiety Scale (TMAS), Beck Depression Inventory (BDI) and Brief-COPE scale. Questionnaires were distributed to adult patients with a confirmed diagnosis of SARS-CoV-2 virus infection during their quarantine in Egypt. One hundred ninety-nine patients responded to the survey, where 46.73% of them had CMI. Religion, emotional support, use of informational support and acceptance were the most used coping strategies by participants. Avoidant coping strategies were frequently used by divorced patients, home quarantined individuals, patients who developed COVID-19 related anxiety/depression and patients who didn’t receive hydroxyl-chloroquine. Approach strategies were frequently used by patients with mild COVID-19. Understanding the used coping strategies has implications for how individuals might be helped to manage their illness during the current presentation and intervene with development of serious long-term mental health conditions.


2021 ◽  
Vol 36 (4) ◽  
pp. 401-414
Author(s):  
Tomoki Nakamizo ◽  
John Cologne ◽  
Kismet Cordova ◽  
Michiko Yamada ◽  
Tetsuya Takahashi ◽  
...  

AbstractPast reports indicated that total-body irradiation at low to moderate doses could be responsible for cardiovascular disease risks, but the mechanism remains unclear. The purpose of this study was to investigate the association between radiation exposure and atherosclerosis, an underlying pathology of cardiovascular diseases, in the Japanese atomic bomb survivors. We performed a cross-sectional study measuring 14 clinical-physiological atherosclerosis indicators during clinical exams from 2010 to 2014 in 3274 participants of the Adult Health Study cohort. Multivariable analyses were performed by using a structural equation model with latent factors representing underlying atherosclerotic pathologies: (1) arterial stiffness, (2) calcification, and (3) plaque as measured with indicators chosen a priori on the basis of clinical-physiological knowledge. Radiation was linearly associated with calcification (standardized coefficient per Gy 0.15, 95 % confidence interval: CI [0.070, 0.23]) and plaque (0.11, 95 % CI [0.029, 0.20]), small associations that were comparable to about 2 years of aging per Gy of radiation exposure, but not with arterial stiffness (0.036, 95 % CI [− 0.025, 0.095]). The model fitted better and had narrower confidence intervals than separate ordinary regression models explaining individual indicators independently. The associations were less evident when the dose range was restricted to a maximum of 2 or 1 Gy. By combining individual clinical-physiological indicators that are correlated because of common, underlying atherosclerotic pathologies, we found a small, but significant association of radiation with atherosclerosis.


Author(s):  
Priyanka Sharma ◽  
Anita Khokhar

Abstract Background: There has been a reported increase in cases of domestic violence during the coronavirus disease (COVID-19) pandemic, however systematic research data is still unavailable. This study was conducted to find out domestic violence prevalence and coping strategies among married adults during lockdown due to COVID-19 in India. Methodology: A cross-sectional study was conducted among married men and women in the month of April 2020. Data regarding socio-demographic profile, domestic violence and coping strategies employed during lockdown was collected thorough google forms. 97.9% forms were completely filled by the respondents. Descriptive analysis was done. Results: Out of 94 study participants, about 7.4% (n=7) had faced domestic violence during lockdown. Out of these 7 participants, about 85.7% (n=6) reported increased frequency of domestic violence during lockdown. About half of the victims chose to ignore it (57.1%, n=4) or used yoga/meditation (42.9%, n=3) to cope. Conclusion: With about 7.4% study participants facing domestic violence during lockdown, it is necessary to study its detailed epidemiology in pandemics so that interventions like helpline numbers, screening of patients during tele-consultation, etc. which can be delivered even during lockdown with the help of healthcare and frontline workers could be devised to address this problem.


Author(s):  
Yolanda Navarro-Abal ◽  
José Climent-Rodríguez ◽  
María López-López ◽  
Juan Gómez-Salgado

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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