scholarly journals Coping strategies and self-esteem in women with breast cancer

2019 ◽  
Vol 35 (2) ◽  
pp. 188-194
Author(s):  
Miriam Joaquín-Mingorance ◽  
Félix Arbinaga ◽  
José Carmona-Márquez ◽  
Juan Bayo-Calero

Coping with a breast cancer diagnosis and the use of different strategies is key to overcoming this stressful situation. Various psychological variables are related to how patients cope with the disease, one of which is self-esteem. The current study analyses the how age influences patients with breast cancer in terms of the coping strategies used to deal with the disease, exploring whether self-esteem influences the use of such strategies, along with the possible interrelation between these variables. Self-esteem is studied using the Rosenberg Self-Esteem scale and coping strategies were assessed using the COPE-28 scale, both in their Spanish versions. The sample consisted of 121 women (with breast cancer), aged between 30 and 77 years (M = 49.33, SD = 8.90). The results indicate that active coping is the strategy with the highest score. We found significant, age-mediated relationships between self-esteem scores and active coping strategies such as positive reframing, acceptance, or use of emotional support. Knowing how to cope with the disease will help in the development of psychological interventions that improve the quality of life in these patients throughout the oncological disease process.

2021 ◽  
Vol 36 (Supplement_1) ◽  
Author(s):  
M Chehin ◽  
A R Lorenzon ◽  
H M L Montagnini ◽  
C C Avelar ◽  
J P J Caetano ◽  
...  

Abstract Study question What are the stress scale and coping strategies of patients who were unable to start/continue an IVF cycle due to COVID–19 interruption on ART treatments? Summary answer Stress scale was associated to specific coping strategies and was higher for women, patients in first IVF treatment, had compromised income and younger than 38yo. What is known already In March 2020, due to the COVID–19 outbreak caused by the SARS-CoV–2 virus, human reproduction societies, have recommended discontinuation of reproductive care, except for the most urgent cases. After few months, the treatments were resumed following proper safety guidelines. Infertility diagnostic and treatments are severe stressors, causing anxiety, depression and general emotional distress. The disruption of treatments and the pandemic uncertain scenario in all life aspects, certainly have a great impact on mental health of ART patients. There is an urge need to assess the level of stress and coping strategies in this population to offer suitable support and care. Study design, size, duration Prospective, Brazilian multicentric study (6 clinics of ART located in São Paulo, Campinas, Belo Horizonte and Brasilia), with the application of an anonymous online survey of stress scale and 14 coping strategies to 1500 patients (male and female) that had their treatments interrupted or unable to start during the months of March, April and May 2020. The online survey was sent during the months of August/September and responses were collected until early October/2020. Participants/materials, setting, methods The stress scale level was assessed using the Perceived Stress Scale protocol (PSS), and coping strategies using the Brief COPE scale protocol. Social-demographic variables (gender, age, city of residence, marital status, time of infertility, previous IVF treatments and financial impact) were included in the survey. Marginal statistical analyses were performed accordingly (t test, Mann-Whitney, Kruskal-Wallis, chi-square test) and a linear regression model was carried out to calculate the effect of COPE strategies on stress scale. Main results and the role of chance Survey’s response rate was 44.4% (n = 666). The majority were women (83.3%), married (93.2%, mean of 9,41±4,76 years), deal with infertility for 2–5 years (51.5%), had done a previous IVF treatment (61.4%, mean of 2,33 treatments) and had a work activity (83.9%). Almost 40% had their income compromised by the pandemic. Mean age was 38.47±4.99 years (≥38 yo = 59%). Stress scale was higher for women (p < 0.0001), patients that were in their first IVF treatment (p = 0.011), had their income compromised (p = 0.001) and were younger than 38yo (p < 0.0001). The most frequent coping strategies (score 5–8) were planning (87.7%), active coping (83%), positive reframing (72.1%) and religion (71.7%). Women used more emotional support, religion, venting (all p < 0.0001) and self-distraction (p = 0.002) as coping strategies than men. Younger patients (<38yo) reported more use of substances (p = 0.002) and self-distraction (p = 0.001) than older patients. Lower income was associated with denial (p = 0.002) and less use of religion (p < 0.0001) and patients that were about to start their 1st treatment used more venting (p < 0.0001) and denial (p = 0.003) than recurrent patients. The linear regression analysis showed that higher stress was associated to planning, religion, self-blame, venting, self-distraction and behavioral disengagement and lower stress scale to active coping, emotional support, positive reframing and acceptance. Limitations, reasons for caution This study was performed in Brazil, one of the most affected countries by the COVID–19 outbreak, which may limit the generalizability of the findings. Another limitation was the impossibility to compare the stress scale and coping strategies findings in this population prior to the pandemic. Wider implications of the findings: Being a woman and have a compromised income were expected stressor factors. Surprisingly, first IVF attempt and younger patients showed higher stress scale and the use of psychological defense mechanisms, such as the use of substances, denial and self-distraction. Continuous emotional support should be offer for all ART patients. Trial registration number Not applicable


2002 ◽  
Vol 11 (2) ◽  
pp. 93-102 ◽  
Author(s):  
Annette L. Stanton ◽  
Sharon Danoff-burg ◽  
Melissa E. Huggins

2003 ◽  
Vol 19 (2) ◽  
pp. 117-123 ◽  
Author(s):  
Gisli H. Gudjonsson ◽  
Jon Fridrik Sigurdsson

Summary: The Gudjonsson Compliance Scale (GCS), the COPE Scale, and the Rosenberg Self-Esteem Scale were administered to 212 men and 212 women. Multiple regression of the test scores showed that low self-esteem and denial coping were the best predictors of compliance in both men and women. Significant sex differences emerged on all three scales, with women having lower self-esteem than men, being more compliant, and using different coping strategies when confronted with a stressful situation. The sex difference in compliance was mediated by differences in self-esteem between men and women.


Author(s):  
Bernadeta Lelonek-Kuleta ◽  
Rafał Piotr Bartczuk

AbstractResearch on esports activity usually captures it from the perspective of involvement in gaming. This study presents the results of the first research in Poland (N = 438) on esports betting (ESB). ESB is compared to other forms of e-gambling and involvement in pay-to-win games. The aim was to build a predictive model of gambling disorder among people betting on esports. A predictive model of gambling disorder based on ordinal regression was built, including sociodemographic variables, involvement in esports betting, involvement in other Internet activities connected to ESB, as well as psychological variables—motivation to gamble and coping strategies. The results showed that gambling disorder among esports bettors is associated with time spent on one game session, placing other forms of online gambling bets once a week or more often, and paying in pay-to-win games. Gambling disorder was also predicted by escape coping strategies and lower engaged strategies as well as financial and coping motivation to bet on esports results. The results show the crucial role of psychological factors (motivation, coping) in the development of esports betting addiction. Esports betting is an activity associated with both gambling and gaming—involvement in both activities explains the development of ESB addiction. There is a need for further research focused on the specificity of esports betting behavior to discover the direction of links among gaming, gambling, and esports gambling.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
J Funuyet-Salas ◽  
A Martín-Rodríguez ◽  
M A Pérez-San-Gregorio ◽  
M Romero-Gómez

Abstract Background To date, coping strategies have not been studied in patients with nonalcoholic fatty liver disease (NAFLD), despite evidence of their relevance in chronic liver pathology, Type 2 diabetes mellitus (T2DM) and obesity (OB). We therefore analyzed which coping strategies predicted quality of life in diabetic and obese NAFLD patients. Methods Four hundred and ninety-two biopsy-proven NAFLD patients (290 men and 202 women, mean age 54.90±11.74) were evaluated using The Brief COPE, 12-Item Short-Form Health Survey (SF-12) and Chronic Liver Disease Questionnaire-Non-Alcoholic Fatty Liver Disease (CLDQ-NAFLD). A stepwise multiple linear regression analysis was performed on four groups (G1, n = 335, absence of T2DM; G2, n = 157, presence of T2DM; G3, n = 249, absence of OB; and G4, n = 243, presence of OB) to analyze which coping strategies predicted patient quality of life (physical component summary SF-12, mental component summary SF-12, and total CLDQ-NAFLD). Results In both diabetic and obese patients, active coping (T2DM, p = 0.003, β = 0.26; OB, p = 0.000, β = 0.33) and denial (T2DM, p = 0.027, β=-0.19; OB, p = 0.004, β=-0.18) predicted the physical component summary. Denial (T2DM, p = 0.000, β=-0.30; OB, p = 0.001, β=-0.19), positive reframing (T2DM, p = 0.000, β = 0.28; OB, p = 0.000, β = 0.29), self-blame (T2DM, p = 0.000, β=-0.24; OB, p = 0.000, β=-0.26) and self-distraction (T2DM, p = 0.033, β=-0.13; OB, p = 0.023, β=-0.11) predicted the mental component summary. Denial (T2DM, p = 0.000, β=-0.34; OB, p = 0.000, β=-0.31), positive reframing (T2DM, p = 0.000, β = 0.30; OB, p = 0.005, β = 0.15) and self-blame (T2DM, p = 0.000, β=-0.26; OB, p = 0.000, β=-0.28) also predicted the total CLDQ-NAFLD in both groups. Conclusions Active coping and positive reframing predicted better quality of life, while denial, self-blame and self-distraction predicted worse quality of life in diabetic and obese NAFLD patients, suggesting the inclusion of coping strategies in future multidisciplinary NAFLD treatments. Key messages Importance of coping strategies for NAFLD patients: active coping and positive reframing predicted better quality of life, while denial, self-blame and self-distraction predicted worse quality. This study shows the need to design multidisciplinary strategies for managing NAFLD and improving patient quality of life, in which intervention in coping strategies should be a major element.


2021 ◽  
Author(s):  
Shu Cui ◽  
Fangshuo Cheng ◽  
Ling Zhang ◽  
Chao Zhang ◽  
Qiuyu Yuan ◽  
...  

Abstract Background: Negative coping strategies and behavioral problems are common among Chinese left-behind children, which are relate to a variety of negative consequences. At this stage of development, the relevant factors of coping strategies need to be further studied, in which social support and self-esteem are worthy of our attention. The aim of this study is to detect the current situation of self-esteem, social support, and coping styles of left-behind children (LBC) in rural China. Methods: 322 children from 3 schools in China enrolled in this study, including 236 LBC and 86 non-left-behind children (NLBC) to assess self-esteem, social support and coping strategies. Results: The LBC group had lower self-esteem score and lower total social support (subjective support, objective support and support-seeking behavior) than the NLBC group. In terms of coping strategies, the LBC group was lower than the NLBC group in problem-solving and rationalization. The self-esteem score in LBC was significant positive associated with the subjective support score, objective support score, problem-solving and help-seeking score. In addition, self-esteem has significant mediating effect between subjective support and problem-solving, subjective support and help-seeking, respectively. Conclusions: The finding indicate that Chinese LBC’s self-esteem and social support need to be improved. Given the significant correlativity between self-esteem, subjective support and coping strategy, it is necessary to promote Chinese LBC’s self-esteem and social support, especially subjective support.


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.


Author(s):  
Orna Braun-Lewensohn ◽  
Sarah Abu-Kaf ◽  
Khaled Al-Said ◽  
Ephrat Huss

Bedouin society has undergone rapid changes over the past decade. The younger generation of Bedouin women is better educated, which has enabled them to enter different professions, increased their incomes and elevated their social status. We examined the sense of coherence (SOC) and its components of meaningfulness, manageability and comprehensibility as well as the use of coping strategies among Bedouin women from three age groups. We also investigated the coping resources and strategies before determining the relationships between these variables in the three groups. One hundred ninety-six women participated in the study. Differences were found mostly between the oldest age group (61 years and older) and the two younger groups (21–40 and 41–60 years old). The oldest women reported less meaningfulness and used less positive reframing, planning, humor and acceptance. In terms of coping strategies, venting was used more by the youngest group whereas behavioral disengagement was used more by the oldest group. In the younger groups, SOC and its components were positively correlated with the use of coping strategies that are considered to be adaptive and with emotional support. However, the correlations between these factors were negative among the oldest group, which points to non-adaptive coping strategies used by these women. These results are discussed in light of the salutogenic, stress-appraisal and coping theories.


1983 ◽  
Vol 7 (3) ◽  
pp. 244-256 ◽  
Author(s):  
Sandra A. Shachar ◽  
Lucia A. Gilbert

This study investigated areas of interrole and intrarole conflict reported by 79 lesbian working women and factors influencing the types of coping strategies these women used. The three coping strategies identified by Hall (1972) were used to code responses to a questionnaire sent to women on the mailing list of a local lesbian newsletter. The most frequently reported interrole conflicts were between the work and lover roles, and the most frequently reported intrarole conflicts involved the work and daughter roles. Subjects viewed being lesbian as contributing little to their interrole conflicts and, as hypothesized, used predominantly role restructuring strategies (Types I and II) to deal with the conflicts. Also, as hypothesized, higher self-esteem was reported by individuals using restructuring strategies than by those using reactant strategies (Type III). In contrast, subjects viewed being lesbian as highly related to their intrarole conflicts, and, contrary to predictions, used reactive strategies almost as frequently as role restructuring strategies. Moreover, self-esteem did not differ among subjects using the three strategy types. The unexpected findings for intrarole conflict are discussed in terms of the potential benefits of reactant-avoidant strategies in work situations.


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