Coping strategies at the frontline of care: Comparisons between Covid-19 and non-Covid-19 units' nurses and the role of moderator variables.

Background Social support and self-efficacy play a significant role in improving positive psychological well-being in marginalized older adults. However, to date, there are few studies on identifying the relationships during the COVID-19 pandemic. We examined the effect of social support and self-efficacy on hopefulness in marginalized low-income older adults during the COVID-19 pandemic. Methods This study used baseline data from a clinical trial designed to increase COVID-19 testing in Essex County, NJ. The dataset involved participants aged 50 and over. We conducted: 1) cross-sectional descriptive/frequency statistics to understand the sociodemographic characteristics, 2) multivariate linear regression to investigate the direct relationships between social support subscales or self-efficacy and hopefulness, and 3) mediation analyses to examine the mediating role of self-efficacy in the relationship between social support and hopefulness. Results After adjusting for covariate variables, social support subscales (emotional/informational social support: b = 0.20, p < 0.05; tangible social support: b = 0.13, p < 0.05; affectionate social support: b = 0.17, p < 0.05; positive social interaction social support: b = 0.15, p < 0.05) and self-efficacy (b = 0.55, p < 0.001) were significantly associated with hopefulness. The indirect effect of social support via self-efficacy was positive and statistically significant (Effect = 0.14, Bootse = 0.04, BootLLCI - BootULCI = 0.06 - 0.23) Conclusion Self-efficacy mediated the relationship between social support and hopefulness in marginalized older adults aged 50 and over. Further research needs to identify the various facets of positive psychological well-being using longitudinal data and larger sample size.

PurposeThis study measured levels of compassion fatigue, burnout and satisfaction among critical care and emergency nurses. It investigated coping strategies as moderating factors and as predictors to levels of compassion fatigue.MethodsUsing a cross–sectional design, this study was conducted on 228 (84.4%) out of 270 from four Jordanian hospitals. Nurses worked in different types of critical care units and emergency departments. Nurses completed a demographic questionnaire on the professional quality of life and coping strategies indicator scales.ResultsNurses had low to average compassion satisfaction, burnout and secondary stress syndrome. Problem‐solving and avoidance ranged between very low and average levels. Nurses reported having very low to average levels on seeking social support scale. Female nurses had better compassion satisfaction compared with their male colleagues, and the type of unit had a significant impact on the secondary stress syndrome, problem‐solving, and seeking social support. Nurses from the surgical cardiovascular ICU scored the highest mean scores on the secondary stress syndrome. Better coping strategies were associated with higher compassion satisfaction and lower levels of secondary stress syndrome. Problem‐solving significantly predicted compassion satisfaction, avoidance significantly predicted secondary traumatic syndrome.ConclusionsCoping strategies are moderating factors that could improve compassion satisfaction among critical care nurses. Managers could use findings to create healthier and supportive work environments. We recommend focusing on activities that promote better coping strategies, including improving the social support system. We also recommend replicating this study using a qualitative approach to identify further causes of compassion fatigue.

Motivations et stratégies lors d’arrêt spontané de la consommation de cannabis : quel impact sur les rechutes ?

BackgroundSocial support and self-efficacy play a significant role in improving positive psychological well-being in marginalized older adults. However, to date, there are few studies identifying the relationships during the COVID-19 pandemic. We examined the effect of social support and self-efficacy on hopefulness in a majority Black sample of marginalized low-income older adults during the COVID-19 pandemic.MethodsThis study used baseline data from a clinical trial designed to increase COVID-19 testing in Essex County, NJ, United States. The dataset involved participants 50 years old or older. We conducted: 1) cross-sectional descriptive/frequency statistics to understand the sociodemographic characteristics, 2) multivariate linear regression to investigate the direct relationships between social support subscales or self-efficacy and hopefulness, and 3) mediation analyses to examine the mediating role of self-efficacy in the relationship between social support and hopefulness.ResultsOur findings showed that self-efficacy had a partial mediating effect on the relationship between social support and hopefulness. After adjusting for covariate variables, social support subscales (i.e., emotional/informational, tangible, affectionate, positive social interaction social support) and self-efficacy were significantly associated with hopefulness. The indirect effect of social support via self-efficacy was positive and statistically significant.ConclusionSelf-efficacy mediated the relationship between social support and hopefulness in marginalized older adults aged 50 and over. Further research is needed to identify the various facets of positive psychological well-being using longitudinal data and a larger sample size.

Background: According to the growing prevalence of type 2 diabetes, the present study aimed to predict adherence to treatment based on social support variables and coping strategies to reduce the severity of this disease. Materials and methods: In this cross-sectional study, 392 men and women with type 2 diabetes were evaluated using purposeful and convenient sampling. Wax social support and the Blings and Moss coping strategies questionnaire were used. Data were analyzed using SPSS software (version 22), descriptive statistics (frequency, percentage, and mean), and inferential statistics (Pearson correlation coefficient and regression analysis). Results: The results indicated that the correlation between the subscales of social support and coping strategies with adherence to drug therapy was significant (P<.01). These measures could predict more than 27%) 27.1( of changes in compliance with drug treatment. Conclusion: Social support and coping strategies can be two effective factors in promoting self-care behaviors and adherence to treatment in patients with diabetes. Including these strategies in educational, treatment, and care programs improves health and reduces long-term complications of the disease to increase the life expectancy of patients.

Background/ObjectivesThe psychological well-being of athletes has garnered increasing interest due to its strong association with physical performance. While somatic indicators such as Body Mass Index (BMI) are routinely monitored in sports, the role of psychological resources—especially coping strategies—in shaping Health-Related Quality of Life (HRQoL) remains underexplored. This study aimed to investigate the influence of psychological and physical factors on HRQoL among amateur and professional athletes, controlling for sex, age, and BMI.MethodsA cross-sectional design was adopted, involving 537 athletes (326 males, 211 females; mean age = 32.44, SD = 13.64), aged 18–76 years. Participants were recruited via online platforms and sports organizations and completed a battery of self-report questionnaires, including the SF-36 to assess HRQoL and the COPE-NVI-25 to evaluate coping strategies. BMI was calculated from self-reported height and weight. Hierarchical multiple regression analyses were performed to assess the relative contributions of demographic, anthropometric, and psychological variables to HRQoL.ResultsDemographic variables and BMI explained a limited proportion of the variance in HRQoL. In contrast, coping strategies significantly contributed to HRQoL outcomes, accounting for up to 22.5% of the variance in the global SF-36 score. Positive attitude and social support were associated with better physical and mental health, while avoidance strategies showed consistent negative associations across all HRQoL dimensions.ConclusionAdaptive coping strategies, particularly positive attitude and social support, play a pivotal role in enhancing athletes’ HRQoL, surpassing the influence of BMI, sex, and age. These findings support the development of tailored psychological interventions to foster athlete wellbeing across competitive levels.

Perceived social support, coping strategies, anxiety and depression among women with breast cancer: Evaluation of a mediation model.

Introduction: Coping strategies are used in stressful situations and have been examined in many studies. However, very few studies have examined the association between coping strategies, perceived social support and mental health in psychosocial and environmental problems in the general population.Methods: A cross-sectional study was conducted with a sample of 482 individuals (n=482) from Greece’s general population. A composite questionnaire was used, including demographic information, the Coping Strategy Indicator (CSI), the Multidimensional Scale of Perceived Social Support (MSPSS) and the General Health Questionnaire-28. The program SPSS 21.0 was used for data analysis.Results: Mean age of the participants=38.67 years (M = 38.67, SD = 13.20, Min = 18, Max = 71, Range=53), men=36.9 %, women=63.1. Mean score of the CSI scales: Problem Solving=23.60, Seeking Social Support=23.33, Avoidance-Distraction=9.82, Avoidance-Withdrawal=8.45. Mean score of MSPSS=67.79 and of the GHQ-28=23.71. Younger participants had higher score in Seeking Social Support (F4, 462=3.112, p=0.015) and lower score in Avoidance-withdrawal (F4, 467=3.265, p=0.012) scales. There were no significant differences between the type of stressors in the CSI scales score. Concerning the GHQ-28, women had higher score than men in Somatic symptoms (t=-2.875, df=476, p=0.004) and in Anxiety/Insomnia (t=-2.667, df=474, p=0.007) subscales. Illiterate-graduates of primary school had higher score in GHQ-28 (F3, 464=3.382, p=0.018) and in Anxiety/Insomnia subscale (F3,470=5.277, p=0.001). The type of stressor was found to be significant in severe depression subscale (F9, 472=2.603, p=0.006). Αge correlated significantly only with Seeking Social Support (r=-.129, p<0.05), while a positive correlation was found between Avoidance-Withdrawal and GHQ-28 (r=.117, p<0.05) and a negative one between MSPSS and GHQ-28 (r=-.283, p<0.01).Discussion: Avoidance-withdrawal coping strategy and low perceived social support predict mental health problems (anxiety/insomnia, social dysfunction, somatic symptoms, depression) in general population. Differences in coping strategies are associated with age, age group, gender and in mental health problems with age group, gender, educational level and type of stressor. Future research is suggested, so that further clarification of the study’s results to be possible.Key-words: Stress, coping strategies, social support, mental health, psychosocial problems.

Recursos personales relevantes para el bienestar psicológico en el personal de enfermería

Changes to social and healthcare providers support in the perinatal period: Impact on coping strategies, depression and anxiety.

The Role of Social Network and Support in Mental Health Service Use: Findings From the Baltimore ECA Study

Family caregivers (FCs) play a critical role in supporting terminal cancer patients; however, they often experience significant emotional, physical and financial burdens. While social support may help reduce this burden, research specifically examining its impact during end-of-life care remains limited. This study aimed to investigate the association between social support and subjective care burden among FCs of terminal cancer patients. A cross-sectional study was conducted between June 2021 and May 2023 at nine hospice care units in South Korea. Data from 169 FCs were analysed. Multivariate regression analysis was used to examine associations between subscales of social support and care burden. An analysis of associations between subscales of subjective care burden and social support showed: (1) lack of family support was negatively associated with all subscales of social support; (2) self-esteem was positively associated with emotional/informational support, tangible support and positive social interaction; (3) financial problems were negatively associated with emotional/informational and tangible support and (4) health problems were negatively associated with positive social interaction. Properly addressing the multiple dimensions of social support alleviates the subjective care burden of the FCs of terminal cancer patients.

On 2 March 2020, the first COVID-19 case was reported in Tunisia.1 On 12 March 2020, the World Health Organization declared the COVID-19 outbreak a pandemic. This pandemic was unprecedented for Tunisians. Tunisian authorities quickly took lockdown measures by establishing general containment on 20 March. Public hospitals, the only institutions authorized to receive COVID-19 patients, had to implement a brutal reorganization of health activities. Physicians had to deal with a sudden change in work organization and way of life (e.g., shifts, sorting and screening of patients, post-shift containment at hospital). This may have caused stress and adaptation efforts. Indeed, communicable disease outbreaks can have an impact on health-care workers as a result of increased workload, uncertainty about the pathogenicity of the causative agent, and anxiety about becoming infected.2, 3 Several studies have highlighted the psychological impact of COVID-19 among physicians.4, 5 In Tunisia, there are no available publications about the stress experience and the coping strategies among health workers. Yet, these aspects have a major impact on prevention and care strategies for physicians. This study aimed to examine the impact of COVID-19 on the stress and coping strategies of Tunisian physicians working at public health hospitals during the pandemic. After giving informed consent, participants anonymously took a Web-based survey between 18 March and 28 May 2020, which was approved by Razi Hospital Ethics Committee. A semi-structured questionnaire was performed, based on previous studies.2, 4, 6 We requested information about sociodemographic and professional characteristics, and perceptions and concerns about the COVID-19 pandemic. We used the French 10-item version of the Perceived Stress Scale (PSS-10),7 and the French version of the Brief COPE Inventory to asses coping strategies. Items were grouped in four dimensions: Social Support, Problem-Solving, Avoidance, and Positive Thinking.8 We used the Pearson correlation test (r), the Student's t-test for independent-samples, and the analysis of variance test. The significance threshold was fixed to P < 0.05. The sample consisted of 191 physicians. The average age was 33 years (SD = 7.9) and 80.9% were female. One hundred and nine (57.06%) were physicians in training. We divided the sample into three groups according to the field: medical (82.1%), surgical (10.9%), and emergency (6.2%). A total of 156 physicians (81.6%) worked in hospitals in the north, 22 (11.5%) in the center, and 12 (6.2%) in the south of the country. Physicians’ mean duration of medical practice was 8 years (range: 0.5–37 years). Direct contact with COVID-19 patients was reported by 26.3% of physicians. More than half of the participants (56.7%) responded that their department had taken appropriate crisis-response measures. Only 35% considered these measures sufficient and 33.5% felt safe taking care of patients. Their main sources of information during the pandemic were the official Tunisian sources (65.5%); however, only 45.4% considered that the national guidelines for the management of COVID-19 were clear. The mean score on the PSS-10 was 28.86 (SD = 6.19) and 92.14% reported moderate to severe stress perception. Females scored significantly higher (29.65, SD = 5.9) than males (25.53, SD = 6), P < 10−3. Physicians in training had higher scores (29.68, SD = 5.8) than seniors (27.8, SD = 6.5), P = 0.039. Age was significantly negatively correlated with PSS-10 score (P = 0.011, r = 0–1.86). We found no significant effect of having direct contact with COVID-19 patients on stress (P = 0.74). The field of practice was not associated with stress (P = 0.24). Physicians who trusted the national police management of the COVID-19 outbreak were significantly less stressed (27.70, SD = 5.75) than others (29.74, SD = 6.39), P = 0.026. Mean scores for Social Support, Problem-Solving, Avoidance, and Positive Thinking were, respectively, 15.47 ± 2.67, 7.82 ± 1.9, 21.47 ± 2.92, and 13 ± 2.2. Stressed physicians used significantly more social support (r = 0.216, P = 0.003), problem-solving (r = 0.23, P = 0.001), and less avoidance (r = −0.33, P < 10−3) to cope with the pandemic. We found no association between coping strategies and sex, age, or being in training status. The main finding of our study was the high score of stress among female and young physicians in training. We found that a high level of stress was positively correlated with social support and resolving problems, and negatively with avoidance. Taking account of potential social desirability bias related to self-assessment methods, our participants seemed to adopt appropriate coping strategies, although they reported more perceived stress than other studies using the same9 or other instruments.4, 5 Stressed physicians in our sample had less trust for national police management of the COVID-19 outbreak. Our findings highlight the necessity to focus on physicians’ well-being, especially those who are female and/or young. A medium-term assessment of the impact of the epidemic would be beneficial. There is no conflict of interest.

Background: Cancer pain affects coping strategies in patients. Besides, social protection is a tool that helps to alter the patient’s encounter with cancer. This study aimed to investigate the relationship between social support, coping, and disease strategies. Methods: This was an analytical cross-sectional study with a quantitative approach, and conducted using a self-made social support questionnaire and the Billings and Mouse coping strategies questionnaire. The study population consisted of all the cancer patients in Kerman City, from September 2016 to March 2017; it was estimated to include 1400 people. Based on the Cochran formula, the study sample size was calculated as 300 cancer patients, which were collected using a systematic sampling method. Also, data analysis was carried out using the Pearson tests and regression in SPSS V. 21. Results: The results showed a statistically significant association of social support and coping with the disease strategies (P&lt;0.01). Moreover, problem-focused coping has the most positive and direct relationship with social support. Regression analysis also showed that emotional aspects (kindness and shared positive actions), service-practical support, and financial support can predict the coping strategies with disease. Conclusion: According to the results, it is recommended to formulate a comprehensive care program and increase social support to enhance the problem-focused coping strategies among cancer patients.

During the COVID-19 pandemic, health workers are at the highest risk of infection so appropriate coping strategies are needed to survive the situation. This study aims to examine the role of coping strategies ((problem focused coping, emotion focused coping, and avoidance coping) on the resilience of health workers in hospitals. Using the Brief COPE questionnaire for coping strategy variables with α 0.888 and the Connor-Davidson Resilience Scale (CD-RISC) for resilience with α 0.89. The sampling technique used proportional random sampling with 86 respondents. Data analysis using multiple regression shows that there is a significant effect between coping strategy variables on resilience with a value of p = 0.008 (p &lt;0.05), there is a significant effect between Problem Focused Coping on resilience with a value of p = 0.000 (p &lt;0.05), there is a significant effect between Emotion Focused Coping on resilience with a value of p = 0.012 (p &lt;0.05), and there is a significant effect between Avoidance Coping on resilience with a value of p = 0.037 (p &lt;0.05). Coping and resilience strategies that are widely used by health workers at the Meuraxa Regional General Hospital, Banda Aceh City during the pandemic are drawing closer to God, praying, believing in God, being proud of achievements, social support, and the ability to adapt. The results of this research can be used as input for related agencies so that they can hopefully form resilient health workers.