Factors Predicting Individuals’ Behavioural Intentions for Choosing Cultural Tourism: A Structural Model

Drawing from the theory of self-regulation and a model of goal-directed behaviour, this study examines the determinants (i.e., attitudes, subjective norms, perceived behavioural control, desire, negative WOM coping strategies, and avoidance coping strategies) of visitors’ intentions to engage in cultural tourism within Sicily. Based on a sample of 469 visitors, the results revealed that 12 of the 14 proposed hypothesised direct effects were significant in explaining behavioural intentions to choose a cultural holiday. As for indirect effects, negative WOM coping strategies served as a more salient mediator in the model, as opposed to avoidance coping strategies.

Coping Strategies in Children of Parents Deceased from Cancer and Children of Parents Healed from Cancer

This study aimed to compare coping strategies in children of parents deceased from cancer and children of parents healed from cancer in the city of Shiraz, Iran. One-hundred and fifteen people [58 children of parents healed from cancer and 57 children of parents deceased from cancer] were recruited in this study via a convenience sampling method. Coping Inventory for Stressful Situations was used to measure different types of coping strategies [task-oriented coping strategy, emotion-oriented coping strategy, and avoidance coping strategy]. The results showed that the children of parents healed from cancer used task-oriented coping strategy significantly more than children of parents deceased from cancer. Moreover, the results showed that the use of emotion-oriented coping strategy in children of parents deceased from cancer was significantly more than children of parents healed from cancer. No significant difference was observed between the two groups in the use of avoidance coping. This study highlights the importance of coping strategies in families with a cancer parent which demand the importance of teaching appropriate coping strategies in order to reduce the adverse consequence of cancer in the family.

IMPACT OF ILLNESS PERCEPTION AND COPING STRATEGIES ON QUALITY OF LIFE AMONG MIGRAINEURS

Objectives: To find out the impact of illness perception and coping strategies on quality of life among migraineurs. Study Design: Correlational study. Place and Duration of Study: The sample was selected from different hospitals of Hazara Division, from Mar to Jul 2018. Methodology: The sample of 300 migraineurs with age range 18-55 years was selected from hospitals of Hazara Division through purposive sampling technique. Brief illness perception questionnaire, The World Health Organization Quality of Life Scale (WHOQOL-BREF) and brief cope scale were used for data collection. Results: Illness perception significantly predicted (p=0.002) quality of life in positive direction. The results also explored that positive coping (p≤0.001) and problem focused coping strategies (p=0.002) predict quality of life significantly positively; whereas active avoidance coping strategies (p≤0.001) significantly negative predict quality of life; while religious denial coping was non-significant predictor of quality of life. Conclusion: Illness perception has significant negative relationship with quality of life, problem-focus coping (PFC), and positive coping (PC). Illness perception has significant positive relationship with religious denial coping (RDC) and active avoidance coping (AAC).

COVID-19 Vaccination Attitudes With Neuromyelitis Optica Spectrum Disorders: Vaccine Hesitancy and Coping Style

Background: Vaccination is an important method by which to stop the spread of coronavirus disease 2019 (COVID-19) in a population. Patients with neuromyelitis optica spectrum disorders (NMOSD) have unstable immune function and receive immunosuppressive therapy frequently, so they are hardly to make a decision to receive vaccination. Our study investigated the vaccine hesitancy and coping styles in patients with NMOSD to analyze the relationship between vaccine hesitancy and coping styles, and elucidate the factors influencing vaccine hesitancy.Methods: A convenient sampling method was used to recruit participants. The Adult Vaccine Hesitancy Scale and Medical Coping Modes Questionnaire were used to measure the vaccine hesitancy and coping style of the participants. Pearson correlation, multiple stepwise, linear regression, and one-way analysis of variance were used to analyze the data.Results: A total of 262 NMOSD patients were investigated. The score of vaccine hesitancy in NMOSD patients is lower (21.13 ± 4.355) than 25 points which indicated the patient is not considered to have vaccine hesitancy. The score for vaccine hesitancy was negatively correlated with the confrontation and avoidance coping styles (r = −0.481 and r = 0.423). That adoption of the coping styles of confrontation and avoidance as well as the residence of the patient were predictors of vaccine hesitation in NMOSD patients (R2(adj) = 0.29, P < 0.001). In addition, the vaccine hesitancy scores of NMOSD patients residing in rural areas were significantly higher than those of patients living in urban areas (P < 0.01). Comparing with each level of education, the scores were not statistically significant in vaccine hesitancy and coping styles (P > 0.05).Conclusions: This study reveals that the NMOSD patients is not considered to have vaccine hesitancy, Patients who tend to adopt confrontation and avoidance coping styles have less vaccine hesitancy. Health authorities and medical specialist teams should strengthen effective vaccination information for patients with NMOSD, such as expert consensus or guidelines through various media to help them with decision-making. The significance of vaccination, the safety and side effects of COVID-19 vaccination and predicting of epidemiological trends of COVID-19 should be emphasized. More attention should be paid to NMOSD patients who living in rural areas.

The relationship between attention and avoidance coping in anorexia nervosa: functional magnetic resonance imaging study

Background Numerous studies have demonstrated attentional control difficulties and high avoidance coping in patients with anorexia nervosa. Attention is a critical coping resource because it enables individuals to demonstrate self-control and complete goal-directed behaviours. Aims We aimed to examine whether attentional control difficulty is related to high avoidance coping, and investigate the neural underpinnings of attentional control difficulties in individuals with anorexia nervosa. Method Twenty-three patients with anorexia nervosa and 17 healthy controls completed questionnaires that assessed attention and coping, and underwent functional magnetic resonance imaging while performing a go/no-go task. Results Patients with anorexia nervosa showed weaker attentional control, higher omission error rates and higher avoidance coping compared with healthy controls. Attentional control difficulty was associated with higher avoidance coping in both groups. Functional magnetic resonance imaging analysis showed less deactivation in regions representing internal mental processing, such as the praecuneus, cuneus and left lingual gyrus, during the no-go condition. Moreover, weakened deactivation of the left lingual gyrus was associated with higher commission error rate in the anorexia nervosa group. Conclusions Our results suggest that patients with anorexia nervosa may have difficulty in maintaining attention to external ongoing events because of disturbance from internal self-related thought, and support the notion that attentional control difficulties underlie the frequent use of avoidance coping in anorexia nervosa.