scholarly journals Association of Levels of Anxiety in Resident Doctors with Factors related to the Postgraduate Training in Teaching Hospitals

2021 ◽  
Vol 12 (01) ◽  
pp. 19-24
Author(s):  
Sehrish Zehra ◽  
Syed Muhammad Zulfiqar Hyder Naqvi ◽  
Muhammad Zafar Iqbal Hydrie ◽  
Samira Faiz ◽  
Farhan Muhammad Qureshi ◽  
...  

Objective: To assess level of anxiety, its associated factors and coping strategies in postgraduate trainees of public and private teaching hospitals of Karachi Study Design and Setting: It was a cross-sectional study. The data was collected from different major teaching hospitals February 2019 till April Methodology: A total of 230 postgraduate trainees were interviewed using a pre-tested structured questionnaire specifically designed for this study which included General Anxiety Disorder-7 Scale and Brief COPE Questionnaire. Data were analyzed on SPSS version 21. Chi-square test and multinomial logistic regression was performed and P-value <0.05 was considered as statistically significant Results: Total 39.6% of the participants had no anxiety, 34.3% had mild, 16.1% had moderate while 10.0% had severe anxiety. Being single, nuclear family system and low monthly household income had higher odds of having severe anxiety (Adjusted Odds Ratio (AOR); 5.50, 95% CI 1.38,22.14, AOR; 2.50, 95% CI 0.83,7.51 and AOR; 3.17, 95% CI 0.96,10.49 respectively). Severe anxiety was also highly associated with irregular sleep pattern (AOR; 2.06, 95% CI 0.70, 6.06), no daily exercise (AOR; 5.01, 95% CI 1.21, 2.69) and lack of job satisfaction (AOR; 2.64, 95% CI 0.90, 7.90). The most frequently adapted coping strategies by participants who were found to have anxiety were, planning (89.9%), acceptance (87%) and religion (85.6%). Conclusion: Postgraduate trainees should be provided with psychological counseling and support at workplace to keep them mentally healthy to enhance their everyday performance in dealing and treating patients

Objectives: This study aimed to compare coping strategies among students with chronic medical illnesses in contrast to healthy students to understand their behaviours in response to stressful situations. Methods: This comparative cross-sectional study was conducted between September and December 2019 and included students attending nine colleges at Sultan Qaboos University (SQU), Muscat, Oman. Data were collected and compared between students with chronic medical illnesses and those who were healthy. A validated Arabic version of the self-reported Brief-COPE Inventory was used to determine mean scores for 14 designated coping strategies. Results: A total of 405 students participated in the study; of these, 229 (56.5%) were male and 176 (43.5%) were female. Overall, 113 students (28%) had a chronic medical illness. Positive coping strategies named religion, acceptance planning, and active coping were the most frequently reported coping strategies among all students regardless of their health status, while substance use was the least common. There were statistical differences between the two groups in using certain coping strategies. The students with chronic medical illnesses tend to use acceptance and emotional support more than healthy students (P-value of 0.001 and 0.008 respectively). However, the healthy students use self-blames and denial as a coping strategy more than chronically ill students (P-value of 0.008 and 0.029 respectively). Conclusion: In addition to the current resources available at SQU, encouraging healthy coping mechanisms and provide support to students with chronic medical illnesses are required to alleviate their stresses, especially for students with chronic medical illnesses.


2021 ◽  
Vol 36 (1) ◽  
pp. 103-114
Author(s):  
Muneeba Shakil ◽  
Rubab Aslam ◽  
Farzana Ashraf ◽  
Memoona Idris

Demographics of Pakistani working and non-working mothers, coping skills and parental sense of competence was examined in this cross-sectional study. Two hundred (100 non-working & 100 working) mothers aged 20 to 50 years responded to demographic information, Brief Cope Scale (Carver, Scheier, & Weintraub, 1989) and Parental Sense Of Competence Scale (Gibaud-Walston & Wandersman, 1978). Results indicated that working mothers from nuclear family system used more positive coping skills and middle age working mothers were found to have more parental sense of competence than their counterparts. Interestingly, analysis of interactive effect revealed that young working mothers living in nuclear family system had more parental sense of competence than their counterparts. This study highlighted the importance of examining mother’s demographics in their coping and sense of competence in parenting. Findings would assist social psychologists to guide suitable infrastructure to mothers in both roles to improve their coping with higher parental sense of competence.


BMJ Open ◽  
2020 ◽  
Vol 10 (12) ◽  
pp. e043365
Author(s):  
Subhasish Das ◽  
Md. Golam Rasul ◽  
Md Shabab Hossain ◽  
Ar-Rafi Khan ◽  
Md Ashraful Alam ◽  
...  

IntroductionWe conducted a cross-sectional survey to assess the extent and to identify the determinants of food insecurity and coping strategies in urban and rural households of Bangladesh during the month-long, COVID-19 lockdown period.SettingSelected urban and rural areas of Bangladesh.Participants106 urban and 106 rural households.Outcome variables and methodHousehold food insecurity status and the types of coping strategies were the outcome variables for the analyses. Multinomial logistic regression analyses were done to identify the determinants.ResultsWe found that around 90% of the households were suffering from different grades of food insecurity. Severe food insecurity was higher in urban (42%) than rural (15%) households. The rural households with mild/moderate food insecurity adopted either financial (27%) or both financial and food compromised (32%) coping strategies, but 61% of urban mild/moderate food insecure households applied both forms of coping strategies. Similarly, nearly 90% of severely food insecure households implemented both types of coping strategies. Living in poorest households was significantly associated (p value <0.05) with mild/moderate (regression coefficient, β: 15.13, 95% CI 14.43 to 15.82), and severe food insecurity (β: 16.28, 95% CI 15.58 to 16.97). The statistically significant (p <0.05) determinants of both food compromised and financial coping strategies were living in urban areas (β: 1.8, 95% CI 0.44 to 3.09), living in poorest (β: 2.7, 95% CI 1 to 4.45), poorer (β: 2.6, 95% CI 0.75 to 4.4) and even in the richer (β: 1.6, 95% CI 0.2 to 2.9) households and age of the respondent (β: 0.1, 95% CI 0.02 to 0.21).ConclusionBoth urban and rural households suffered from moderate to severe food insecurity during the month-long lockdown period in Bangladesh. But, poorest, poorer and even the richer households adopted different coping strategies that might result in long-term economic and nutritional consequences.


BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S238-S239
Author(s):  
Mohammed Binnwejim ◽  
Atheer Alhumade

AimsThe present study aims at investigating the level of stress among Saudi healthcare workers during COVID-19 pandemic. In addition, the present study sought to identify the coping strategies adopted by Saudi healthcare workers to alleviate the stress related to COVID-19 pandemic.MethodA descriptive cross-sectional study was performed in the period between September and November/2020. A sample of 381 healthcare workers (Physicians, nurses, and technicians) were recruited from King Saud Medical City (KSMC). Both Perceived Stress Scale-4 (PSS-4) and BRIEF-COPE scale were used to assess the levels of stress and the stress coping strategies, respectively. Descriptive statistics were used to analyze the healthcare workers’ responses about the COVID-19 related stress and their adopted coping strategiesResultThe results of the study showed that there was a moderate to high level of COVID-19 related stress (11.64 ± 0.73) among the Saudi healthcare workers. In addition, it was found that planning (3.89 ± 0.61), positive reframing (3.69 ± 0.77), venting (3.39 ± 1.01), and emotional support (3.27 ± 0.63) were the most adopted coping strategies by the healthcare workers to overcome and reduce the stress levelsConclusionThe study concluded that both problem-focused and emotion-focused stress coping strategies were the most commonly adopted coping strategies among Saudi healthcare workers in KSMC. The study recommends increasing the number of the healthcare workers in the KSMC, in addition to increasing the healthcare workers’ knowledge, awareness and practice of the stress coping strategies, especially in crisis events, such as COVID-19 pandemic.


Author(s):  
Muhammad Salman ◽  
Noman Asif ◽  
Zia Ul Mustafa ◽  
Tahir Mehmood Khan ◽  
Naureen Shehzadi ◽  
...  

Abstract High levels of stress are expected when crises affect people’s lives. Therefore, this web-based, cross-sectional study was conducted among university students from Pakistan to investigate the psychological impairment and coping strategies during COVID-19 pandemic. Google forms were used to disseminate the online questionnaire to assess anxiety (Generalized Anxiety disorder-7), depression (Patient Health Questionnaire-9) and the coping strategies (Brief-COPE). A total of 1134 responses (age 21.7±3.5 years) were included. The frequency of students having moderate-severe anxiety and depression (score ≥ 10) were ≍ 34% and 45%, respectively. The respondents’ aged ≥ 31 years had significantly lower depression score than those ≤ 20 years (p = 0.047). Males had significantly less anxiety (6.62 ± 5.70 vs 7.84 ± 5.60, p = 0.001) and depression (8.73 ± 6.84 vs 9.71 ± 7.06, p = 0.031) scores. Those having family member, friend or acquaintances infected with disease had significantly higher anxiety score (8.89 ± 5.74 vs 7.09 ± 5.56, p < 0.001). Regarding coping strategies, majority of respondents were found to have adopted religious/spiritual coping (6.45 ± 1.68) followed by acceptance (5.58 ± 1.65), self-distraction (4.97 ± 1.61) and active coping (4.81 ± 1.57). In conclusion, COVID-19 cause significant impairment on mental health of the students. The most frequent coping strategy adopted by students were religious/spiritual and acceptance coping. During epidemics mental health of students should not be neglected.


2016 ◽  
Vol 9 (1) ◽  
pp. 120 ◽  
Author(s):  
Zohreh Tavakoli ◽  
Ali Montazeri ◽  
Ali Asghar Farshad ◽  
Zahra Lotfi ◽  
Ismail Noor Hassim

BACKGROUND: Physicians are at risk of having high levels of stress which affect their performance. Finding the stressors and the coping skills to manage stress could be used to develop program to decrease stressful situation. No study has been done on Physicians' stress and coping in Iran. The main objective of this study is to find out the main stressors and coping strategies among Iranian Physicians working in hospital in Tehran-Iran.METHODS: A cross-sectional study was performed on 780 Physicians,using a questionnaire consisted of two sections ;The first section were the stressors which included 67 questions and The second section were The Brief COPE with 28-items for assessing a broad range of coping behaviors among respondents.RESULTS: A total of 1100 questionnaires were distributed to all the available Physicians in the hospitals selected. 780 Physicians returned complete questionnaires with observed response rate of 75%. The majority of respondents (56.9%) were women. The first 3 sources of stress in workplace (Job stressors) are physical environment problem (75%), too much volume of work and poorly paid. The main sources of stress outside the work place (non-job stressors) ranked by Physicians were; financial problem (9.09), not enough time to spend with family (8.87), conflicts with household tasks (7.36).The top five coping strategies used by Iranian Physicians were Behavioral Disengagement, Planning, Instrumental support, Acceptance, and turning to religion.CONCLUSIONS: This study revealed that both workplace and non-job sources of stress can affect the Physicians performance and there is an association between gender and coping skills.


Author(s):  
Mahdieh Momayyezi ◽  
Parisa Peigan ◽  
Hossein Fallahzadeh

Introduction: Understanding the epidemiological pattern and causes of poisoning is the first step to prevent and reduce complications and mortality due to poisoning in children. Given that no study has been conducted on this subject in Yazd, this study aimed to determine the epidemiology pattern of poisoning in children admitted to the referral teaching hospitals in Yazd and Taft cities during 2014-2019. Materials and Methods: This descriptive cross-sectional study was conducted on 238 children under the age of 15 who have been admitted to Shahid Sadoughi hospital in Yazd and Shahid Beheshti hospital in Taft city during 2014-2019. The data were analyzed by SPSS version 20.0 using descriptive statistics, Pearson correlation, and Chi-square. In all the statistical analyses, a P-value of less than 0.05 was considered significant. Results: The results showed that the frequency of poisonings was higher in girls (58%), in summer (31.1%), and in urban areas (82.8%). Most cases of poisoning aged less than 15 years (75.1%). The main cause of poisoning in children was drug poisoning (60.5%), followed by cleansing products (10.1%). The most common clinical manifestations included neurological signs (33.6%). During 2014-2019, the frequency of drugs and pesticide poisonings decreased; while poisoning due to drug-opioids and cleansing products increased (P = 0.04). Also, 3 deaths occurred due to poisoning during this period. Conclusion: The higher prevalence of drug and cleansing products poisoning in children under the age of 15 indicates involuntary poisoning in this group. Therefore, proper storage of these substances and more parental care can reduce poisonings in children.


Author(s):  
Shahid Bilal ◽  
Jaiperkash Dayaram ◽  
Ali Nawaz Bijarani ◽  
Mariam Muneer ◽  
Saba Arshad ◽  
...  

Aims: The aim of current study is to find out the prevalence of depression in doctors in different hospitals of Karachi and its association with lifestyle, the field of specialty and coping mechanisms. Place and Duration of Study: The sample was collected from 10 different hospitals of Karachi, in a period of one Year i.e., March 2019 to February 2020. Methodology: A descriptive cross-sectional study design using non-probability consecutive type of sampling technique was used. Sample size was calculated at 95% confidence interval and was found to be 368. The sample was classified in two broader categories Surgery & Allied and Medicine & Allied. For identification of depression level, Public Health Questionnaire (PHQ-9) was used. A 28-item questionnaire Brief COPE was used to asses coping mechanisms. Results: In total 400 forms were used for data analysis. The mean age of doctors was 35 ± 4 years, 65% were males while 35% were females, there was a statistically significant association of female gender with depression. Chi-Square was applied to determine the association of depression and departments and it was found to be highly significant with a P < .001. Highest level of depression was found in Orthopedics and Psychiatry departments followed by Surgery and Gynecology. While Otolaryngology was the least depressed department. Chi-square was applied and a statistically significant association of low monthly income and depression with a p-value of 0.02. In Surgery and allied there was a statistically significant association of depression with extensive working hours and lack of facilities with a p-value of 0.01 and 0.04. While in Medicine and allied there was a statistically significant association of depression with a harsh attitude of seniors and an uncomfortable working environment with a p-value of 0.02 and 0.03. A linear regression model comparing depression and its associations with coping strategies was applied. Conclusion: Our study shows that depression is present in a vast majority of doctors from multiple specialties. Various risk factors for depression have also been identified so appropriate coping strategies should be formulated to deal with it.


Author(s):  
Maria Mathew ◽  
Navya C J ◽  
Vidhu M Joshy

Coping strategies used by an individual for stress determine its effect on health and the body’s functioning. Academic challenges make the first year medical students disparately susceptible to it. A cross-sectional study was conducted among the first year undergraduate medical students of a private medical college in Thrissur, Kerala to find the prevalence of stress and the coping strategies used with the help of pretested and validated questionnaire containing the Perceived Stress Scale 10 (PSS-10) and Brief COPE Inventory. 73% of the students had moderate stress and, 20% of the students had high-stress scores. Self-distraction and religion {(6.66 ±1.52), (6.55 ±1.58)}were the most common coping strategies used by the boys and girls respectively. The prevalence of stress was high among the first year undergraduate medical students and those with high-stress scores were found to use maladaptive coping strategies.


Author(s):  
Saikat Samaddar ◽  
Arup Chakraborty ◽  
Sangita Bhattacharya Samaddar ◽  
Arista Lahiri ◽  
Saumendra Nath Bandyopadhyay

Background: The result of poor ear care and hygiene behaviours are often encountered in otology practice. There is also lack of any proper guideline of hygienic ear care behaviours. The present study aims to assess the awareness and practice of hygienic ear care behaviours of the community, in the light of the guidelines as per WHO Primary Ear and Hearing Care Training Resources-Basic level.Methods: A cross-sectional descriptive study was conducted at Baruipur Sub-Divisional Hospital serving semi urban population of South 24 Parganas, West Bengal, India. Patients and parents (in case of children below the age of six years) were interviewed. Maintaining the inclusion and exclusion criteria after obtaining informed consent 480 participants were included in the study who responded to a validated self-reported semi structured questionnaire.Results: The mean age was 32.44 (±18.95) years. Around 51.3% were male, 81.25% were professionals. Majority belonged to nuclear family (52.083%) and Islam (53.333%). Around 88.958% of the population had practice of ear care behaviour which was poor. Joint family had an odds of 2.86 (p value=0.002) and Islam by religion had an odds of 1.99 (p value=0.044) for a higher level of awareness. Educated group had an odds of 4.07 (p<0.001) for higher awareness. Aware group had an odds of 19.95 (p<0.001) in favour of having hygienic ear care practices.Conclusions: The study demonstrated lack of formal education regarding ear hygiene at the community level. Dearth in formal knowledge leading to poor practices is compounded with several socio-cultural issues. 


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