scholarly journals Positive reframing: An important but underutilized coping strategy in youth athletes undergoing sports-related knee surgery

Author(s):  
Joshua S Everhart ◽  
Alex C DiBartola ◽  
Christian Blough ◽  
Steven E Schiele ◽  
Kristie M Harris ◽  
...  

Abstract Context: It is unknown how specific coping strategies are associated with the short-term outcomes among athletes following knee surgery. Objective: 1) To determine whether specific coping strategies are associated with satisfaction, return to sport, self-reported knee function, or kinesiophobia following sports-related knee surgery. 2) To determine whether these associations vary by age, sex, or surgical procedure. Study design: Case series. Methods: Athletes (n=184 total; n=104 men, n=80 women; n=38 age <20 years, n=35 age 20–25, n=36 age 26–31, n=36 age 32–40, n=39 age >40) who underwent outpatient knee surgery were enrolled from a single center. Utilization of specific coping strategies (self-distraction, use of emotional or instrumental support, venting, positive reframing, and acceptance) was assessed pre-operatively with the Brief-COPE inventory. Relationship between coping strategies and post-operative satisfaction, return to sport, International Knee Documentation Committee-subjective (IKDC-S) and Tampa Scale for Kinesiophobia scores at median 10.7 months follow-up were determined with consideration for age, sex, and surgical procedure. Results: Return to prior level of sport was 72%, and satisfaction was 86%. Most coping strategies had age-specific utilization rates; positive reframing was utilized least frequently in ages <20 years. Satisfaction increased with greater positive reframing among ages <20 years and decreased with greater self-distraction among men. Return to sport was higher with greater positive reframing in ages <32 years. No coping strategies predicted IKDC-S scores. Greater positive reframing correlated with lower kinesiophobia in ages <20 years. Greater instrumental support correlated with lower kinesiophobia in ages >40 years. No other coping strategies were associated with outcomes. Surgical procedure was not related to association between coping strategies and outcomes. Conclusion: Coping strategies have age-specific associations with outcomes after knee surgery in athletes. Positive reframing is infrequently utilized in younger athletes. Greater use of positive reframing in this group may improve satisfaction, return to sport, and lower fear of re-injury.

2019 ◽  
Vol 33 (12) ◽  
pp. 1225-1231
Author(s):  
Joshua S. Everhart ◽  
Kristie M. Harris ◽  
Steven E. Schiele ◽  
Moneer Abouljoud ◽  
Alexander Eikenberry ◽  
...  

AbstractWe sought to determine whether individual coping strategies and optimism are associated with satisfaction after sports-related knee surgery at the time of rehabilitation completion and whether the association between coping strategies/optimism and satisfaction varies by surgical procedure or length of rehabilitation. A total of 104 recreational and competitive athletes who underwent knee surgery completed preoperative assessments for intrinsic optimism using the revised Life Orientation Test and coping strategies using the brief Coping Orientations to the Problem Experience inventory. Postoperative assessments at completion of rehabilitation (mean: 5.5-month follow-up.; maximum: 15 months) included satisfaction with surgery, return to prior level of sport, and International Knee Documentation Committee (IKDC-S) symptom scores. Eighty-one percent were satisfied after completion of rehabilitation with a 68% return to prior level of sport. Irrespective of surgical procedure or length of rehabilitation (p > 0.25, all comparisons), greater reliance on others for emotional support as a coping mechanism increased risk of dissatisfaction after surgery (per point: odds ratio [OR]: 1.75; confidence interval [CI]: 1.13–2.92; p = 0.01), whereas greater use of positive reframing as a coping mechanism was protective (per point: OR: 0.43; CI: 0.21–0.82; p = 0.009). Intrinsic optimism was not predictive of postoperative satisfaction (p = 0.71). Satisfied patients had mean 13.5 points higher IKDC-S scores at follow-up than unsatisfied patients (p = 0.001). Patients who returned to prior level of sport had significantly higher satisfaction scores than patients who had not. Irrespective of surgical procedure or length of rehabilitation, use of positive reframing and reliance on others for emotional support are positive and negative predictors, respectively, of satisfaction after sports-related knee surgery. Preoperative optimism is not predictive of postoperative satisfaction.


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.


2021 ◽  
Vol 19 (5) ◽  
pp. 49-60
Author(s):  
Amgad Said Mohammed ◽  
Sahar Mahmoud Mohamed ◽  
Rania Abdel-Hamid Zaki

Background: Training family caregivers of children with Down Syndrome on how to promote their own psychological well-being and to cope effectively is essential as they are frequently unstable and forego their psychological well-being. Aim: This study aimed to assess the effect of psycho-educational nursing intervention on coping strategies and psychological well-being among family caregivers of children with Down Syndrome. Design: A quasi-experimental design was utilized in this study. Setting: This study was carried out in the Genes Clinics of Down Syndrome in the specialized clinics of the university pediatric hospital affiliated to Ain Shams University Hospitals. Subjects: A sample of 60 family caregivers of children with Down Syndrome. The study tools were: 1) Interviewing Questionnaire, 2) Brief-COPE inventory (Carver, 1997), 3) Ryff’s Psychological well-being scale (1989) and 4) Psycho-educational program. The results: There were highly statistically significant differences between pre & post intervention regarding to emotion-focused coping strategies except for humor, acceptance, religion, venting and substance use and there were highly statistically significant differences between pre & post intervention regarding to problem-focused coping strategies except for use of instrumental support. Conclusions: There were highly statistically significant differences between pre & post intervention regarding the level of psychological well-being. There was a negative statistically significant correlation between psychological well-being pre & post intervention and all types of emotion-focused coping strategies except for humor, acceptance and religion. Meanwhile, there was a highly positive statistically significant correlation between psychological well-being pre & post intervention and problem-focused coping strategies regarding active coping and positive reframing and a positive statistically significant correlation regarding use of instrumental support and planning. Recommendations: Future research to assess challenges encountered by siblings of Down Syndrome children and to apply supportive intervention that promotes positive relationships and attitudes.


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.


2018 ◽  
Vol 32 (06) ◽  
pp. 513-518 ◽  
Author(s):  
Matteo Baldassarri ◽  
Luca Perazzo ◽  
Diego Ghinelli ◽  
Marco Ricciarelli ◽  
Federico Pilla ◽  
...  

AbstractThe anterior cruciate ligament reconstruction (ACLR) has become a very common surgical procedure. One of the main success indicators of the surgical procedure is the return to preinjury sporting level. In recent years, reconstructive techniques have been geared toward less morbidity and optimized ligaments process to speed up the recovery of sports activity. This study compares clinical and imaging data, to evaluate the timing of return to sport, of two populations undergoing ACLR using two different techniques: ACLR with hamstring maintaining tibial insertion (MHG) and an all-inside technique with complete hamstring detachment (DHG). Patients were clinically evaluated with Marx rating scale, International Knee Documentation Committee (IKDC) score, and Tegner activity scale at a minimum follow-up (FU) of 4 years. The two groups have homogeneous characteristics: age, sex, type, and level of sports activity. Since November 2012, 59 patients with unilateral ACL insufficiency underwent ACLR: 31 patients using the MHG technique and 28 patients using the DHG technique. In both groups, a significant improvement in the clinical scores of the administered tests was observed. The MHG group reported a higher percentage of normal knees (83.8%) compared with the DHG group (78.6%). IKDC subjective score improved at each FU. Comparing the two techniques, at 12 months' FU the MHG group achieved better IKDC results (89.6) compared with the DHG technique (84.2). Marx and Tegner score values improved over time reaching comparable results at final FU. At final FU, 98% of patients returned to the same preinjury professional sporting level. Both techniques have been able to provide good clinical results. The MHG group, however, had a resumption of sports activity of the same level and intensity slightly longer (6.3 months) than that in the DHG group (5.9 months). Furthermore, the resumption of training and athletic gestures for the type of sport practiced was earlier than the DHG group. However, in the long run the level of sporting activity leveled in both groups, demonstrating the effectiveness of both techniques.


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.


Healthcare ◽  
2021 ◽  
Vol 9 (5) ◽  
pp. 497
Author(s):  
Artemisa R. Dores ◽  
Helena Martins ◽  
Ana C. Reis ◽  
Irene P. Carvalho

This study aimed to examine the patterns of associations between empathy and coping among undergraduate men and women studying at Allied Health Sciences. This cross-sectional study is part of a larger longitudinal study conducted in an Allied Health Sciences School. Participants were 183 undergraduate students from 12 training programs (e.g., Physiotherapy, Occupational Therapy, Speech Therapy). Their mean age was 20.79 years (SD = 2.64), and they were in their first, third, and fourth years of school. The instruments were the Brief-COPE and the Interpersonal Reactivity Index (IRI). Empathy correlated with coping strategies in both genders, though showing different patterns of association. First, distinct coping strategies were associated with the same empathy dimension (perspective taking) among women (positive reframing and self-blame) and among men (active coping). Second, the same three coping strategies appeared in both genders (seeking emotional or instrumental support and resorting to religion) but associated with different empathy dimensions (cognitive empathy among women and mostly emotional empathy among men). Third, among women (but not among men), two coping strategies (positive reframing and behavioral disengagement) were each simultaneously correlated with cognitive and emotional empathy in opposite directions. Fourth, emotional empathy correlated, only among women, with several coping strategies considered to be maladaptive (behavioral disengagement, denial and substance use). Among men, only one significant coping strategy was considered to be maladaptive (behavioral disengagement) and it was negatively correlated with cognitive empathy (perspective taking). Unlike in women, relationships between the empathic dimension of fantasy and coping strategies were non-significant among men. These distinct patterns of associations emerged despite significant differences in empathy by gender (fantasy, personal distress and empathic concern) and in coping strategies (instrumental support, emotional support, religion and venting). These results support the idea that the display of empathy might be associated with gender differences in the underlying empathy dimensions and in the coping strategies used to deal with stress in the undergraduate programs of Allied Health Sciences.


2016 ◽  
Vol 3 (4) ◽  
Author(s):  
Abhay Pratap Singh

The present study investigate the impact of coping strategies on organizational commitment of employees working at different hierarchical level i.e., police officers, sub-inspectors and constables. A sample of 240 employees working at different hierarchical level was assessed on the measures of coping scale and organizational commitment questionnaire. Step-wise multiple regression analysis revealed that a different set of predictors of organizational commitment was obtained for employees working at deferent hierarchical level. On police officers, positive reframing, planning and use of instrumental support coping strategies played as favorable role for increasing commitment level. However, religion played favorable role for uplifting the level of commitment of police sub- inspectors. But coping strategies had no significant favorable role on commitment of constables.  However, maladaptive coping strategies were played unfavorable role for increasing the level commitment in all cadre of police employees. Results have been discussed in the light of personal and organizational factors.


Author(s):  
Swati Bajpai ◽  
Swati Vispute

This study analyzes the factors affecting psychological wellbeing and personal coping strategies adopted by individuals, “during the lockdown of the COVID-19 pandemic”. Ox CAP-MH and Brief COPE was used to develop an online survey. Using the data collected from 351 respondents of the Indian general population, it was found that psychological well-being was affected by activity levels & social involvement; endogenous & exogenous sense of influence; leisure, bias & self worth; adaptability & mindfulness; and mental stress & sleep. Factors associated with personal coping strategies included positive reframing & active coping; defence mechanisms & self-doubt; use of emotional support & planning for the recovery of the pandemic covid-19 by personal coping; substance use & humour; spirituality; persistence threshold; using social support system. Finally result obtained is “the attitude of females and males varies”, towards the majority of the factors. The implications theoretically and in practice have been discussed.


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.


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