Sources of Stress and Coping Strategies among Iranian Physicians

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.

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Perceived stress and coping strategies among ICU nurses in government tertiary hospitals in Saudi Arabia: a cross-sectional study

Annals of Saudi Medicine ◽

10.5144/0256-4947.2019.48 ◽

2019 ◽

Vol 39 (1) ◽

pp. 48-55 ◽

Cited By ~ 7

Author(s):

Homood Alharbi ◽

Abdualrahman Alshehry

Keyword(s):

Saudi Arabia ◽

Coping Strategies ◽

Perceived Stress ◽

Cross Sectional Study ◽

Stress And Coping ◽

Sectional Study ◽

Cross Sectional ◽

Tertiary Hospitals ◽

And Coping

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Psychological Impairment and Coping Strategies during the COVID-19 Pandemic among Students in Pakistan: A Cross-Sectional Analysis

Disaster Medicine and Public Health Preparedness ◽

10.1017/dmp.2020.397 ◽

2020 ◽

pp. 1-22

Author(s):

Muhammad Salman ◽

Noman Asif ◽

Zia Ul Mustafa ◽

Tahir Mehmood Khan ◽

Naureen Shehzadi ◽

...

Keyword(s):

Mental Health ◽

Coping Strategies ◽

Cross Sectional Study ◽

Depression Score ◽

Online Questionnaire ◽

Cross Sectional ◽

Brief Cope ◽

Significant Impairment ◽

Psychological Impairment ◽

And Coping

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.

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Perceived Stress and Coping Strategies in Relation to Body Mass Index: Cross-Sectional Study of 12,045 Japanese Men and Women

PLoS ONE ◽

10.1371/journal.pone.0118105 ◽

2015 ◽

Vol 10 (2) ◽

pp. e0118105 ◽

Cited By ~ 10

Author(s):

Chisato Shimanoe ◽

Megumi Hara ◽

Yuichiro Nishida ◽

Hinako Nanri ◽

Yasuko Otsuka ◽

...

Keyword(s):

Body Mass Index ◽

Coping Strategies ◽

Perceived Stress ◽

Cross Sectional Study ◽

Stress And Coping ◽

Sectional Study ◽

Cross Sectional ◽

Japanese Men ◽

Men And Women ◽

And Coping

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Perceived Stress and Coping Strategies in Relation to Body Mass Index: Cross-Sectional Study of 12,045 Japanese Men and Women.

International Journal of Epidemiology ◽

10.1093/ije/dyv096.069 ◽

2015 ◽

Vol 44 (suppl_1) ◽

pp. i109-i110

Author(s):

C. Shimanoe ◽

M. Hara ◽

Y. Nishida ◽

H. Nanri ◽

Y. Otsuka ◽

...

Keyword(s):

Body Mass Index ◽

Coping Strategies ◽

Perceived Stress ◽

Cross Sectional Study ◽

Stress And Coping ◽

Sectional Study ◽

Cross Sectional ◽

Japanese Men ◽

Men And Women ◽

And Coping

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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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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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Psycho-social risks at work: stress and coping strategies in oncology nurses

Revista Latino-Americana de Enfermagem ◽

10.1590/0104-1169.2742.2365 ◽

2013 ◽

Vol 21 (6) ◽

pp. 1282-1289 ◽

Cited By ~ 15

Author(s):

Sandra da Fonte Sousa Gomes ◽

Margarida Maria Magalhães Cabugueira Custódio dos Santos ◽

Elisabete Teresa da Mata Almeida Carolino

Keyword(s):

Coping Strategies ◽

General Health ◽

General Health Questionnaire ◽

Well Being ◽

Work Conditions ◽

Stress And Coping ◽

Cross Sectional ◽

Brief Cope ◽

Social Risks ◽

And Coping

OBJECTIVE: to identify sources of stress and coping strategies in nurses who work in three Head and Neck Surgery Oncology Services, in three central hospitals in Portugal. METHOD: a cross-sectional descriptive-exploratory study, whose sample was made up of the 96 nurses from the three services. The following were used in the data collection: a socio-demographic questionnaire; the 12-item General Health Questionnaire; and the Occupational Stress Inventory; Brief COPE. RESULTS: reasonable levels of general health were ascertained. The most-mentioned stressors were: burden with work; low pay; the physical space where they work; emotionally-disturbing situations and lack of recognition of the profession. The most-used coping strategies were: planning; active coping; acceptance and self-distraction. CONCLUSION: the stressors identified are mainly related to organizational aspects and work conditions, and the coping strategies chosen are aimed at resolving problems and improving the nurses' well-being. A significant percentage of the nurses presents high levels of pressure and depressed emotions. The results presented corroborate previous studies which warn of the importance of developing strategies for preventing these stress levels.

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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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