Coping Strategies as a Mental Health Protection Factor of Spanish Nurses during COVID-19

Background: Due to the healthcare crisis caused by COVID-19, nurses have been exposed to stressful, uncertain situations. In such situations, emotional coping strategies are especially important due to their repercussion on health. The purpose of this study is analyze the relationships between nurses’ coping strategies and health, with attention to factors related to perceived threat and/or someone close to them is COVID-19 positive. Methods: This descriptive cross-sectional study was done with a sample of 351 nurses in Spain. In addition to the questionnaire on perception of threat from COVID-19, the Cognitive Emotion Regulation Questionnaire and the General Health Questionnaire, an ad hoc question asked them whether someone close to them was COVID-19 positive. Results: Perceived threat and use of negative coping strategies were related, and these strategies were related to a greater presence of somatic symptoms, anxiety, social dysfunction, and depression. Conclusions: Given the work and personal influence of coping on nurses, interventions must be designed to promote adaptive strategies.

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The Association between self-stigma and coping strategies in depressive disorder–a cross-sectional study

European Psychiatry ◽

10.1016/j.eurpsy.2017.01.717 ◽

2017 ◽

Vol 41 (S1) ◽

pp. S530-S530

Author(s):

M. Holubova ◽

J. Prasko

Keyword(s):

Depressive Disorder ◽

Coping Strategies ◽

Depressive Disorders ◽

Positive Impact ◽

Cross Sectional Study ◽

The Self ◽

Sectional Study ◽

Cross Sectional ◽

Positive Coping ◽

Negative Coping

BackgroundSelf-stigma is a maladaptive psychosocial phenomenon that may disturb many areas of patient's life. In connection with maladaptive coping strategies should make mental health recovery more difficult. Specific coping strategies may be connected with the self-stigma and also with the severity of the disorder. The objective of the study was to explore the relationship between coping strategies, the severity of the disorder and self-stigma in outpatients with depressive disorder.MethodEighty-one outpatients, who met ICD-10 criteria for depressive disorders, were enrolled in the cross-sectional study. Data on sociodemographic and clinical variables were recorded. All probands completed standardized measurements: The Stress Coping Style Questionnaire (SVF-78), the Internalized Stigma of Mental Illness Scale (ISMI), and the Clinical Global Impression (CGI).ResultsThe patients with depression overuse negative coping strategies, especially escape tendency and resignation. Using of positive coping is in average level. Coping strategies are significantly associated with the self-stigma. Negative coping (especially resignation and self-accusation) increase the self-stigma, using of positive coping (primarily underestimation, reaction control, and positive self-instruction) have a positive impact to decreased self-stigma. The level of self-stigma correlated positively with total symptom severity score.ConclusionsThe present study revealed the important association between coping strategies and self-stigma in outpatients with depressive disorders. Decreasing the use of negative strategies, and strengthening the use of positive coping may have a positive impact to self-stigma reduction.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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Inverse Correlation between Stress and Adaptive Coping in Medical Students

Open Access Macedonian Journal of Medical Sciences ◽

10.3889/oamjms.2020.5115 ◽

2020 ◽

Vol 8 (E) ◽

pp. 623-629

Author(s):

Zafar Rasheed ◽

Ali Shariq ◽

Abdulmonem Alsalhi ◽

Saleh Almesned ◽

Saud Alhussain ◽

...

Keyword(s):

Medical Students ◽

Coping Strategies ◽

General Health Questionnaire ◽

Inverse Correlation ◽

Cross Sectional Study ◽

Female Students ◽

Living Alone ◽

Adaptive Coping ◽

Cross Sectional ◽

Brief Cope

BACKGROUND: Medical students in their academic years are generally under stress but very few studies revealed the relationship between the stress and how the students manage to adapt these stressful conditions. AIM: The aim of the study was to investigate the levels of stress and their adaptive coping in the 1st 3 years medical students and also to determine the factors associated with adaptive coping strategies. METHODS: This is a descriptive cross-sectional study conducted on 441 medical students of Qassim University from September-October 2019. First 3 years medical students were randomly selected and their stress levels or adaptive coping strategies were determined by general health questionnaire (GHQ-12) and strategies coping mechanisms (SCM), respectively. The 5-points Likert scale was used for scoring and the data obtained were further validated by DASS and Brief COPE scales. RESULTS: Out of 441 medical students, 39.2% agreed to participate. The data showed that the level of stress among students was highest during their 1st year academic blocks, followed by 2nd and 3rd year students. Interesting, the adaptive coping among them was found highest during the academic blocks of 3rd year students, followed by the 2nd and 1st year students. Importantly, female students showed better adaptation against stress. Students living with their parents avoided stress in better ways as compared to those who were living alone. CONCLUSION: This is the first study that shows an inverse correlation between the stress and adaptive coping in medical students of Qassim University. The data concluded that adaptation of stress in the 3rd-year students was the highest followed by 2nd and 1st year medical students. Moreover, female students adapted well against stress and students living alone showed worse adaptation of stress.

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Sports competition related anxiety: Is it modifiable among athletes in urban schools in Sri Lanka?

Asian Journal of Interdisciplinary Research ◽

10.54392/ajir2145 ◽

2021 ◽

Vol 4 (4) ◽

pp. 37-46

Author(s):

Sumudu Rajasinghe ◽

◽

Carukshi Arambepola ◽

Keyword(s):

Sri Lanka ◽

Coping Strategies ◽

Simple Random Sampling ◽

Cross Sectional Study ◽

Psychological Issue ◽

Cross Sectional ◽

Positive Coping ◽

Sport Competition ◽

Negative Coping ◽

High Level

Competition related anxiety is a major psychological issue among athletes and this study estimates the prevalence of competition related anxiety, its associated factors and coping strategies used, among school athletes in Sri Lanka. A cross-sectional study was conducted among 330 athletes. Two-stage simple random sampling was used. Competition related anxiety level was determined by Sport Competition Anxiety Test for adults (SCAT-A). Prevalence of ‘high’ level of sport competition related anxiety was 19.4% and it was significantly associated with individual sports, fear of failure, experience of past defeat, and poor support received from parents/friends. Listening to music, goal setting, positive self-talk and meditation were positive coping strategies used by athletes. The main negative coping strategy was being angry. High competition related anxiety prevalent in about 1/5th of school athletes was influenced by several factors related to the sport event. Psychological support incorporated into routine physical training sessions is recommended.

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STRESS, STRESSORS AND COPING STRATEGIES AMONG UNIVERSITY NURSING STUDENTS

Malaysian Journal of Public Health Medicine ◽

10.37268/mjphm/vol.19/no.2/art.168 ◽

2019 ◽

Vol 19 (2) ◽

pp. 20-28

Author(s):

Retneswari Masilamani ◽

Myat Moe Thwe Aung ◽

Hamidah Othman ◽

Aini Abu Bakar ◽

Tan Chung Keat ◽

...

Keyword(s):

Nursing Students ◽

Coping Strategies ◽

Nursing Student ◽

General Health Questionnaire ◽

Student Nurses ◽

Sociodemographic Factors ◽

Cross Sectional Study ◽

Cross Sectional ◽

Brief Cope ◽

And Coping

Literature has documented that student nurses undergo stress in their academic and clinical setting. This raises concerns because stress during undergraduate training may result in psychological or emotional impairment during the nurses’ professional life and ultimately affect the quality of patient care. The Objective of the study was to study the prevalence of stress, and the association between sociodemographic factors, stressors and coping strategies with stress. This was a cross-sectional study on 96-year 1-3 nursing students from a government university done between 2015-2018. Bahasa Malaysia translated The General Health Questionnaire, Stressors in Nursing Student Scale Questionnaire and Brief COPE Questionnaire was used in this study. This study had Malay (95.9%) and female (91.7%) dominated population. The prevalence of stress in student nurses was 25%. No association was reported between sociodemographic factors and stress. Among the 4 stressors educational, clinical, confidence and financial, clinical stressor scored the highest mean 6.40 (SD±3.66). Confidence stressor (AOR=1.26 95% CI 1.04-1.53) was the only stressor associated with stress. The top 3 coping strategies practiced by the student nurses were religion (praying), acceptance and planning. Self-blame (AOR 8.18 95% CI 1.86-35.91) was the only coping strategy associated with stress. Stress management programmes, and workshops on stress and coping strategies should be conducted yearly to ensure a well-balanced environment for good learning experiences and prevent stress related health problems and improved academic performance.

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Coping Strategies in the Spanish Population: The Role in Consequences of COVID-19 on Mental Health

Frontiers in Psychiatry ◽

10.3389/fpsyt.2021.606621 ◽

2021 ◽

Vol 12 ◽

Author(s):

María del Mar Molero Jurado ◽

María del Carmen Pérez-Fuentes ◽

Elena Fernández-Martínez ◽

África Martos Martínez ◽

José Jesús Gázquez Linares

Keyword(s):

Mental Health ◽

Coping Strategies ◽

General Health Questionnaire ◽

Sociodemographic Characteristics ◽

Negative Consequences ◽

Cognitive Emotion Regulation ◽

Negative Coping ◽

The Impact ◽

The Relationship ◽

Mediation Models

The worldwide health emergency caused by COVID-19 is a new challenge for humanity which individuals respond to in a diversity of ways. The type of coping people use in such a situation could lead to positive or negative consequences to their health. Our objective was to analyze the use of coping strategies in the general population with attention to sociodemographic variables, and to test the capacity of these strategies for mediating in repercussions on mental health. The 1,160 adults who participated in this study answered the Cognitive Emotion Regulation Questionnaire (CERQ-S) and General Health Questionnaire (GHQ-28). The data were collected in a CAWI (Computer Aided Web Interviewing). The results suggest that the coping strategies they used the most differed depending on sociodemographic characteristics, such as age, sex and education. Furthermore, two mediation models were estimated for positive and negative coping strategies in the relationship between the presence of COVID-19 near them and mental health. The “negative” coping strategies were found to exert an indirect effect as mediators in the impact that COVID-19 positive cases near them had on their health. The consequences to mental health of the impact of coping with adverse situations should not be underestimated and it is important to design programs to educate the population in coping strategies that promote their health.

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Caregiver Burden and Coping Strategies in Caregivers of Elderly Patients with Stroke

10.21203/rs.3.rs-31733/v1 ◽

2020 ◽

Author(s):

Azar Kazemi ◽

Jalil Azimian ◽

Maryam Mafi ◽

Kelly-Ann Allen ◽

Seyedeh Ameneh Motalebi

Keyword(s):

Elderly Patients ◽

Coping Strategies ◽

Caregiver Burden ◽

Coping Skills ◽

Well Being ◽

Cross Sectional Study ◽

Cross Sectional ◽

Male Caregivers ◽

Negative Coping ◽

And Coping

Abstract Background Coping strategies play a key role in modulating the caregiving burden. The present study was aimed to determine the severity of the burden of care and its relationship with coping strategies among caregivers of post-stroke elderly patients in Zanjan City, Iran. Methods A total of 110 caregivers of elderly patients who had previously had a stroke participated in this descriptive and cross-sectional study. A demographic checklist, Zarit Burden Interview, and Lazarus and Folkman questionnaires were used for data collection. Questionnaires were completed by the caregivers, who were selected using convenience sampling. The collected data were analyzed using Pearson's correlations and independent t-tests. Results The mean age of 110 caregivers participated in the study was 32.09 ± 8.70 years. The most commonly used coping strategies were reappraisal and seeking social support. Results of the independent t-test showed that male caregivers used the reappraisal strategy (t(110) = 2.76; p = 0.007) and responsibility (t(110) = 2.26; p = 0.026) significantly more than female caregivers. Pearson’s correlation showed a significant positive correlation between caregiver burden and emotional-focused strategies including escaping (r = 0.245, P = 0.010) and distancing (r = 0.204, P = 0.032). Conclusions Based on the results, caregivers with higher burden care used more negative coping strategies, such as escape and distancing. In order to encourage caregivers to utilize effective coping skills, appropriate programs should be designed and implemented to support caregivers. Use of effective coping skills to reduce the level of personal burden can improve caregiver physical health and psychological well-being.

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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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Psychiatric morbidities and Coping strategies in patients with different Coronavirus disease-2019 severities and chronic medical diseases: A multicenter cross-sectional study

10.1101/2020.12.22.20248379 ◽

2020 ◽

Author(s):

Hend Ibrahim Shousha ◽

Nagwan Madbouly ◽

Shaimaa Afify ◽

Noha Asem ◽

Rabab Maher ◽

...

Keyword(s):

Coping Strategies ◽

Online Survey ◽

Coping Styles ◽

General Health Questionnaire ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Brief Cope ◽

And Coping ◽

Anxiety Depression

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.

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Suicidal Ideation Among Medical Students in Dammam, Saudi Arabia

Crisis ◽

10.1027/0227-5910/a000720 ◽

2020 ◽

pp. 1-6

Author(s):

Mohammed Madadin ◽

Ritesh G. Menezes ◽

Maha A. Alassaf ◽

Abdulaziz M. Almulhim ◽

Mahdi S. Abumadini ◽

...

Keyword(s):

Saudi Arabia ◽

Medical Students ◽

Suicidal Ideation ◽

General Health Questionnaire ◽

Cross Sectional Study ◽

Eastern Province ◽

Cross Sectional ◽

The Past ◽

Depression Subscale ◽

History Of

Abstract. Background: Medical students are at high risk of suicidal ideation. Aim: We aimed to obtain information on suicidal ideation among medical students in Dammam located in the Eastern Province of Saudi Arabia. Method: This cross-sectional study was conducted at the College of Medicine affiliated with Imam Abdulrahman Bin Faisal University in the Eastern Province of Saudi Arabia. Suicidal ideation in the past 12 months was assessed based on responses to four questions in the depression subscale of the General Health Questionnaire 28 (GHQ-28). In addition, data were collected to examine the association of suicidal ideation with various factors. Results: We found that 1 in 3 medical students in the study had suicidal ideation in the past 12 months, while around 40% had lifetime suicidal ideation. Suicidal ideation was associated with feelings of parental neglect, history of physical abuse, and dissatisfaction with academic performance. Limitations: The cross-sectional nature of this study limits its ability to determine causality regarding suicidal ideation. Conclusion: These rates are considerably high when compared with rates from studies in other countries around the world. This study provides a reference in the field of suicidology for this region of Saudi Arabia.

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