Strategi Koping dan Stres pada Mahasiswa: Studi Pendahuluan Promosi Kesehatan Mental Berbasis Sekolah

Penelitian ini bertujuan untuk mengeksplorasi kondisi kesehatan mental mahasiswa melalui desain penelitian cross-sectional survey. Instrumen dalam penelitian ini menggunakan open-ended questionnaire, perceived stress scale-10 (PSS-10), dan the Brief COPE Questionnaire. Hasil penelitian menemukan bahwa: 1) permasalahan kehidupan kampus, perasaan dan pikiran negatif, serta permasalahan relasi merupakan situasi sulit yang dihadapi oleh mahasiswa; 2) sebanyak 50.45% mahasiswa mengalami stres pada kategori sedang, 45.05% mengalami stres pada kategori tinggi, dan 4.5% mengalami stres pada kategori rendah; 3) strategi koping dapat memprediksi stres secara signifikan [F(14,96)=5.781; p<0.001]; dan 4) strategi koping jenis positive reframing dan active coping dapat memprediksi penurunan stres, sedangkan strategi koping jenis self-blame dan self-distraction dapat memprediksi peningkatan stres

Clinical characteristics of patients with chronic migraine, depending on their personality profile.

Background:chronic migraine (СM) is a highly disabling neurological disease that is difficult to treat. The success of therapeutic management depends, in part, on psychosocial and personal factors. Aims:we have evaluated the clinical characteristics of patients suffering from СM, depending on the prevailing coping strategy of the individual. Methods:104 people with an established diagnosis of СM were examined, all of them underwent clinical and neurological examination and questionnaire testing. Results:in our group of patients, active behavioral coping strategies (a strategy for solving the problem and seeking social support) prevailed, passive coping was much less common. Patients with active coping strategies had the lowest level of comorbid psychoemotional disorders. Patients with passive coping strategies had a shorter history, the least severity of the effect of migraine, but were comparable in frequency of headaches and time lost due to headaches with patients with active coping strategies. Key words:chronic migraine, coping strategies, comorid disorders, anxiety, depression.

STRATEGIJE PREVLADAVANJA STRESA KAO PREDIKTORI INTERNET ZAVISNOSTI

The aim of this study was to determinate the role of coping strategies in predicting internet addiction dimensions. The sample is conveniente and it consists of 597 subjects (63% women). The age of the subject ranges from 18 to 70 years, with an average age of 35.58 (SD=11.29). To measure a severity of compulsive internet use Young Internet Addiction Test-Short Form; YIAT-SF was used, and Brief Coping Orientation to Problems Experienced; Brief COPE was used to measure how people cope with problems and stressful life events. Two separate hierarchical regression analyses were conducted. In both analyses, in first step the predictors were sociodemographic variables, and in second were ten types of coping strategies (Self-distraction, Active coping, Denial, Use of emotional support, Use of instrumental support, Behavioral disengagement, Venting, Positive reframing, Acceptance and Self-blame), while the criteria variables were different dimensions of internet addiction (Loss of control/Time management and Craving/Social problems). The results showed that both models are statistically significant. Significant predictor of dimension Loss of control/Time management in the first step is age (β = -.13, p = .001), and in second step are Self-distraction (β = .09, p = .018); Active coping (β = -.15, p = .001); Behavioral disengagement (β = .24, p < .001) and Self-blame (β = .13, p = .002). When it comes to Craving/Social problems, significant predictor of this variable in first step is age (β = -.11, p = .006), and in second are gender (β = .07, p = .041); Active coping (β = -.09, p = .044); Denial (β = .14, p = .001); Use of emotional support (β = -.16, p = .002) and Behavioral disengagement (β = .25, p < .001). So, based on the results, we can conclude that based on Self-distraction, Active coping, Behavioral disengagement, and Self-blame we can predict the difficulties in everyday functioning caused by internet use, but we can also predict an effect that excessive internet use could have on social relations and craving for the Internet based on Denial, Use of emotional support and Behavioral disengagement. The application of Confirmatory Factor Analysis suggested good construct validity of Young Internet Addiction Test-Short Form. Keywords: coping strategies, internet addiction, internet use

Repetitive and Inflexible Active Coping and Addiction-like Neuroplasticity in Stressed Mice of a Helplessness–Resistant Inbred Strain

Dysfunctional coping styles are involved in the development, persistence, and relapse of psychiatric diseases. Passive coping with stress challenges (helplessness) is most commonly used in animal models of dysfunctional coping, although active coping strategies are associated with generalized anxiety disorder, social anxiety disorder, panic, and phobias as well as obsessive-compulsive and post-traumatic stress disorder. This paper analyzes the development of dysfunctional active coping strategies of mice of the helplessness–resistant DBA/2J (D2) inbred strain, submitted to temporary reduction in food availability in an uncontrollable and unavoidable condition. The results indicate that food-restricted D2 mice developed a stereotyped form of food anticipatory activity and dysfunctional reactive coping in novel aversive contexts and acquired inflexible and perseverant escape strategies in novel stressful situations. The evaluation of FosB/DeltaFosB immunostaining in different brain areas of food-restricted D2 mice revealed a pattern of expression typically associated with behavioral sensitization to addictive drugs and compulsivity. These results support the conclusion that an active coping style represents an endophenotype of mental disturbances characterized by perseverant and inflexible behavior.

Coping in Pediatric Burn Survivors and Its Relation to Social Functioning and Self-Concept

Pediatric burn survivors experience increased risk for bullying, stigmatization, body image concerns, and problematic social functioning. Although coping behaviors are associated with engagement in social supports and positive self-concept in multiple pediatric illness populations, their relation has not been examined in pediatric burns. This study examined coping in relation to social functioning and self-concept in 51 pediatric burn survivors aged 7–17years (M=12.54; SD=2.65). Survivors and their caregivers completed the Child Coping Strategies Checklist (CCSC; youth report); the Burn Injury Social Questionnaire (BISQ; parent and youth report); and the Piers-Harris Children’s Self-Concept Scale-2 (PH-2; youth report). Associations between coping, social functioning, self-concept, demographic features, and burn injury characteristics were examined via bivariate correlations. Hierarchical linear regressions examined whether coping strategies predicted social functioning and youth self-concept beyond burn injury and demographic variables. Social functioning concerns were positively correlated with total body surface area (TBSA; r=0.63 and 0.40, respectively). TBSA was the only significant predictor of parent-reported social concerns (β=0.65, p&lt;0.001). Greater distraction coping predicted fewer youth-reported social concerns (β=−0.39, p=0.01). Greater active coping (B=0.67, p=0.002) and lower avoidance coping (B=−0.36, p=0.03) predicted better youth-reported self-concept. This study advances our understanding of coping as potentially protective for psychosocial adjustment. Clinicians working with child burn survivors should incorporate active coping interventions into treatment. Further research including larger and more diverse samples is needed to understand the role of coping approaches on psychological adjustment during burn healing.

The relationship between active coping and hope during the COVID-19 pandemic: The mediating role of meaning in life

This study aims to examine the relationship between active coping and hope during the COVID-19 pandemic and investigate the underlying mechanism based on meaning making theory. We conducted a two-wave survey and recruited 521 Chinese adults (aged 18–65). Results show that all three active coping strategies (personal hygiene practice, support seeking, and positive reappraisal) at T1 was positively associated with T2 hope. Importantly, T2 meaning in life serves as a mediator between T1 active coping and T2 hope. Our findings suggest that active coping could be an effective approach to maintain mental health by making meaning and promoting hope.

The Impact of the COVID-19 Pandemic on Stress and Other Psychological Factors in Pregnant Women Giving Birth During the First Wave of the Pandemic

BackgroundThe onset of mental illness such as depression and anxiety disorders in pregnancy and postpartum period is common. The coronavirus induced disease 2019 (COVID-19) pandemic and the resulting public policy responses represent an exceptional situation worldwide and there are hints for adverse psychosocial impact, hence, the study of psychological effects of the pandemic in women during hospitalization for delivery and in the postpartum period is highly relevant. MethodsPatients who gave birth during the first wave of the Corona pandemic in Germany (March to June 2020) at the Department of Obstetrics and Gynecology, University of Würzburg, Germany, were recruited at hospital admission for delivery. Biosamples were collected for analysis of SARS-CoV-2 infection and various stress hormones and interleukin-6 (IL-6). In addition to sociodemographic and medical obstetric data, survey questionnaires in relation to concerns about and fear of COVID-19, depression, stress, anxiety, loneliness, maternal self-efficacy and the mother-child bonding were administered at T1 (delivery stay) and T2 (3-6 month postpartum).ResultsIn total, all 94 recruited patients had a moderate concern of severe acute respiratory syndrome coronavirus 2 (SARS-CoV2) at T1 with a significant rise at T2. This concern correlated with low to low-medium general psychosocial stress levels and stress symptoms, and the women showed a significant increase of active coping from T1 to T2. Anxiety levels were low and the Edinburgh Postnatal Depression Scale showed a medium score of 5 with a significant (T1), but only week correlation with the concerns about SARS-CoV-2. In contrast to the overall good maternal bonding without correlation to SARS-CoV-2 concern, the maternal self-efficiency correlated negatively with the obstetric impairment caused by the COVID-19 pandemic. ConclusionObstetrical patients` concerns regarding SARS-CoV-2 and the accompanying pandemic increased during the course of the pandemic correlating positively with stress and depression. Of note is the increase in active coping over time and the overall good mother-child-bonding. Maternal self-efficacy was affected in part by the restrictions of the pandemic.Clinical trial registration: DRKS00022506

An integrative theoretical model to predict positive aspects of caregiving in dementia

Family caregiving for dementia is the crucial informal care resource to buffer the associated disease burden. Whereas substantial research focused on ameliorating the caregiving burden through increasing their coping resources, least attention is placed on how to promotive their positive aspects of caregiving (PAC). This longitudinal exploratory study aimed at testingWhereas the perceived self-efficacy was further enriched in the context of good social sup an integrative theoretical model which attempts to explain the evolvement of PAC from the paradigm of stress and coping and existentialism. From to June 2017 to April 2020, we have recruited a total of 403 dementia caregivers from the a geriatric clinic in Hong Kong (mean age = 56.2, SD = 12.2; child-caregiver: 73.9%). About 61% of them were taking care of PwD of moderate to severe dementia. Validated instruments were used to measure the hypothesized model constructs. By using path analysis, it was found that PAC was evolved from two conditions, including i) perceived self-efficacy developed through active coping strategies for carers with good to moderate social support and ii) meaning-focused coping in the context of high religiosity, better social support and active coping. Data-model fit was evident by RMSEA = 0.023, CFI = 0.994, NFI = 0.968 and AIC = 97.762. The findings suggested that PAC was evolved from the interaction of the stress-coping and meaning-making process. Empowering carers for successful caregiving experience, facilitating them to make meaning in the process, enhancing good dyadic relationship and social support are crucial to cultivate PAC.