Perceived Social Support, Coping Styles, and Chinese Immigrants’ Cardiovascular Responses to Stress

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

How psychosocial stress profile influences the subsequent occurrence of neuropsychiatric comorbidities: A longitudinal population-based cohort study

Background: Resilience found to be an important factor in protecting the nursing students against the stress during coronavirus outbreak. Aim of the study was to evaluate the relationships between resilience and perceived social and organizational support and coping strategies among nursing students. Methods: This web-based survey carried out among nursing undergraduates (n=1017) across the country. Data was collected using self-reported questionnaires in May 2021. Results: Majority of the students had a normal level of resilience, perceived a high level of social and organizational support and used effective coping strategies. Also, the variables of resilience, social support, organization support and coping strategies were positively correlated (p<0.001). While ag e was positively correlated with resilience, younger (t=4.647, p<0.001) and females (t=-0.3620, p<0.001) perceived a higher level of social support than others. Conclusions: The results suggest that strengthening resilience and improving coping skills and social support may promote psychological wellbeing for nursing undergraduates during the coronavirus pandemic.

Aims: The objective of this study was to investigate the impact of social support, community resilience, and coping techniques on preparedness, as well as the concurrent influence of social support, community resilience, and coping strategies on preparedness. Methods: This study uses a correlational design with a cross-sectional approach. The study population was 1,538 people, and a sample of 317 people with a proportional random sampling technique. Instruments used in this study are LIPI-UNESCO, Multidimensional Scale of Perceived Social Support (MSPSP), Connor-Davidson Resilience Scale (CD-RISC), and Ways of Coping Questionnaire (WCQ), data analysis using linear regression. Results: Most social support was moderate, at 45.7%; community resilience was moderate, at 50.2%; coping strategies were high, at 50.8%; and preparedness was ready, at 36.9%. There is an influence of social support, community resilience, and coping strategies on preparedness (p-value <0.05). Social support, community resilience, and coping strategies have a simultaneous influence on preparedness (p-value <0.05). Conclusion: Social support, community resilience, and coping strategies simultaneously influence preparedness.

Purpose – The purpose of this paper is to examine coping strategies, social support, and psychological distress for comparable samples of unemployed (n=389) and re-employed (n=270) individuals. The authors hypothesized that problem-focused coping and higher levels of social support would be associated with lower levels of psychological distress for unemployed vs re-employed participants. Design/methodology/approach – The cross-sectional design and the convenience sampling method were used in the study. Findings – Although unemployed participants reported poorer coping, higher levels of psychological distress, and lower levels of social support compared to re-employed participants; social support and coping strategies predicted psychological distress. Multiple regression analyses suggest that emotion-focused coping strategies were related to higher levels of psychological distress, whereas social support and problem-focused coping strategies were related to lower levels of psychological distress. Social support accounted for more variance in participants’ psychological distress above and beyond all other variables. Single and unemployed participants of the study used less problem-focused, more emotion-focused coping, and perceived lower social support than married unemployed. Gender and marital status of the unemployed were also significantly associated with psychological distress. In addition, older and less educated unemployed participants perceived less social support and used emotion-focused coping more frequently. Practical implications – The findings indicated that being female, single, older, and low educated are the potential sociodemographic risk factors for the psychosocial well-being of unemployed people. Originality/value – The favourable effects of certain coping strategies suggest the potential benefits of interventions to reduce reliance on emotion-focused coping and stimulate more problem-focused strategies in order to enhance psychological well-being.

Social support is an established protective factor against bullying victimization. Despite its importance, it remains limited exploration of how social support reduces bullying victimization among adolescents and the conditions under which such effects may be moderated. This study aimed to examine the mediating roles of coping efficacy and coping style in the relationship between social support and bullying victimization, and the moderating role of help-seeking willingness. A total of 992 adolescents in China completed a paper-and-pencil questionnaire. The results showed that: (1) social support, coping efficacy, coping style and help-seeking willingness were significantly correlated with bullying victimization; (2) social support indirectly predicted adolescent bullying victimization through the mediation of coping efficacy and coping style; and (3) help-seeking willingness moderated the associations of social support, coping efficacy, and coping strategies with bullying victimization. These findings demonstrate that social support serves as a significant protective factor that can reduce bullying victimization by enhancing adolescents’ coping efficacy and improving negative coping styles. Moreover, help-seeking willingness may buffer against the risk of bullying victimization associated with low levels of social support, coping efficacy, and adaptive coping styles.

This study aimed to articulate the roles of social support and coping strategies in the relation between childhood maltreatment (CM) and subsequent major depressive disorder (MDD) with a comprehensive exploration of potential factors in a longitudinal community-based cohort. Parallel and serial mediation analyses were applied to estimate the direct effect (DE) (from CM to MDD) and indirect effects (from CM to MDD through social support and coping strategies, simultaneously and sequentially). Sociodemographic characteristics and genetic predispositions of MDD were considered in the modeling process. A total of 902 participants were included in the analyses. CM was significantly associated with MDD (DE coefficient (β) = 0.015, 95% confidence interval (CI) = 0.002∼0.028). This relation was partially mediated by social support (indirect β = 0.004, 95% CI = 0.0001∼0.008) and negative coping (indirect β = 0.013, 95% CI = 0.008∼0.020), respectively. Social support, positive coping, and negative coping also influenced each other and collectively mediated the association between CM and MDD. This study provides robust evidence that although CM has a detrimental effect on later-on MDD, social support and coping strategies could be viable solutions to minimize the risk of MDD. Intervention and prevention programs should primarily focus on weakening negative coping strategies, then strengthening social support and positive coping strategies.

This study was conducted with the aim of determining the relationship between social support and coping strategies in cancer patients and that between the sociodemographic and medical properties of patients. One hundred forty-eight cancer patients admitted to an oncology and hematology clinic in Erzurum were studied. The data were collected using a questionnaire that determines sociodemographic features: the Ways of Coping Inventory and the Perceived Social Support From Family Scale. Among the coping strategies, patients were found to use unconfident approach (emotion focused) (16.8 +/- 5.5) the most and seeking social support (problem focused) (8.3 +/- 2.6) the least. Mean +/- SD score for perceived social support from the family was 15.9 +/- 2.7. Significant correlations were found among social support and coping strategies. We found a negative correlation between social support and emotion-focused coping strategies (unconfident approach and submissive approach). As the social support scores increased, scores regarding emotion-focused coping strategies decreased. On the other hand, there was a positive correlation between social support and problem-focused coping strategies (confident approach, optimistic approach, and seeking social support); that is, mean social support scores increased as the mean problem-focused coping strategy scores increased. This result implies that families have important roles for patients and should be educated and supported by healthcare professionals in approaching patients in a knowing way. In addition to the results, this study could be used to help develop nursing interventions and efficient coping strategies. Patients may then be able to use the latter to solve symptom-associated distress, consequently enhancing their quality of life.

BackgroundThe offspring of parents with bipolar disorder (OBD) are at higher risk of developing psychopathology than the offspring of parents with no affective disorder (control). In addition to genetic predisposition, childhood adversity and a stressful family environment are important risk factors for the OBD. Protective factors in parents, such as social support and coping strategies, may buffer the effects of stress on at-risk children. This study tested whether parents’ social support and coping style attenuated the link between risk status (OBD vs. control) and psychopathology in offspring.MethodsDuring offspring’s middle childhood, parents underwent a diagnostic interview and completed social support and coping style questionnaires. Sixty-nine OBD (39 female) and 69 control (29 female) offspring between ages 13 and 29 completed a diagnostic interview approximately 10 years later.ResultsParents’ social support satisfaction moderated the link between offspring risk status and their development of substance use disorder (SUD) symptoms (F(1,131) = 5.90, p = .017). Parents’ social network size moderated the link between offspring risk status and their development of anxiety and depression symptoms in an unexpected direction (F(1,131) = 5.07, p = .026). No effects of parents’ coping style were found.ConclusionsAmong the OBD, having parents with greater social support satisfaction and, unexpectedly, a smaller social network buffered their development of SUD and depression and anxiety symptoms by early adulthood. Parents’ social support may thus have a protective function for children in these high-risk families.

Job burnout among early childhood teachers often leads to adverse psychological, emotional, and professional effects. Despite increasing awareness of teacher well-being, little attention has been given to the role of social support and coping strategies in reducing burnout within this group. This systematic review aims to synthesise empirical evidence on how social support systems and coping mechanisms help reduce burnout among early childhood education teachers. Articles were identified through comprehensive searches of PsycINFO, ERIC, Scopus, and PubMed, following PRISMA guidelines. Although the initial search yielded a larger number of records, a total of 30 peer-reviewed studies published between 2013 and 2025 met the eligibility criteria and were included in this review. Articles were selected based on predefined inclusion and exclusion criteria, and the data was summarised narratively. The findings indicate that strong social support networks and adaptive coping strategies are consistently associated with lower burnout levels. In contrast, insufficient support and reliance on maladaptive coping are associated with increased burnout symptoms. Social support and coping strategies serve as key protective factors in preventing burnout among early childhood teachers. Their presence significantly boosts educators’ psychological resilience and professional longevity. The results highlight the importance of institutional interventions and policies that strengthen support systems and promote effective coping strategies. Educational policymakers, school leaders, and mental health professionals should prioritise developing teacher support structures and resilience-building training programs to reduce burnout and improve early childhood education systems. Received: 24 July 2025 / Accepted: 23 November 2025 / Published: January 2026

<p><strong>Background: </strong>The necessity of studying the concept of social support in well-being experiences is evident by the theoretical and practical nature of psychological well-being including interpersonal relations and support. Social support can diminish the adverse effects of chronic diseases and help patients cope with their condition more effectively.<strong></strong></p><p><strong>Aim:</strong> The aim of this study is examine the role of social support and coping strategies in the prediction of psychological well-being in type 2 diabetic patients of the city of Zahedan, Iran.</p><p><strong>Methods: </strong>The studied sample included 225 type 2 diabetic patients. All patients referred to the Aliasghar Hospital of Zahedan’s Diabetes Center from 10/11/2015 to 03/02/2016 included in the study. The Ryff’s 18-item Psychological Well-being Scales, the Multidimensional Scale of Perceived Social Support (MSPSS), and the Coping Strategies Questionnaire administered to the subjects (N=225), and the scores were analyzed using inferential statistics (correlation coefficient and stepwise multivariate regression analysis).<strong></strong></p><p><strong>Results:</strong> The Results suggested that there was a significant positive correlation between social support and coping strategies with psychological well-being. Results from the regression analysis demonstrated that from six predictor variables out of a 12-variable model, the perceived support from a significant other, avoidance-oriented coping, emotion-oriented coping, and perceived family support can predict 25.4% of the psychological well-being of type 2 diabetic patients, respectively, regarding their predictive power.</p><p><strong>Conclusion: </strong>According to the results, it can concluded that there is a relationship between social support and coping strategies with psychological well-being. </p>

The aim of this study is to investigate the role of social support and coping strategies in enhancing post-traumatic growth (PTG) in cancer patients. The study focused on both avoidance and approaching coping and on four distinct types of social support: (a) perceived availability, (b) actual received, (c) satisfaction with received support, and (d) the competence of caregiver to satisfy the patient's basic psychological needs of autonomy, competence, and relatedness. A longitudinal study was conducted with a group of 41 cancer patients currently in the treatment and management phase of their illness. Data were collected by means of a written questionnaire, at two time points (T1 and T2) that were 6 months apart. Social support was assessed using the Interpersonal Support Evaluation List and the Need Satisfaction in Relationship Scale. Coping strategies were assessed using the Brief COPE questionnaire. Social support and coping strategies were assessed only at T1. PTG was assessed using the Post-Traumatic Growth Inventory at T1 and T2. Correlation and regression analyses were used to examine the association between social support and coping strategies with short-term reports of post-traumatic growth. Regression analyses showed that autonomy-supportive caregivers and a problem-focused strategy of coping significantly predicted greater PTG at T2. This study contributes to a deeper understanding of the type of social support that may specifically aid cancer patients in experiencing PTG. Furthermore, findings confirm the important role of problem-focused coping strategies in growing psychologically.

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<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.

Cancer diagnosis and treatment is a stressful event that generates psychological distress. Psychological distress covers a wide continuum of emotions, ranging from feeling of sadness and vulnerability to anxiety and depression, which can adversely affect the cancer treatment and recovery, as well as quality of life and mortality rate. Aim: Assess the psychological distress of elderly cancer patients and its associated social support and coping strategies factors. Method: A descriptive correlational design was used. The study was carried out in the oncology outpatient clinics at Oncology Center Mansoura University. A purposive sample of 175 elderly cancer patients was included in the study. Tools: Five tools were used for data collection; Demographic and health-related data structured interview questionnaire, National Comprehensive Cancer Network Distress Thermometer, Hospital Anxiety and Depression Scale, Multidimensional Scale of Perceived Social Support, and Medical Coping Modes Questionnaire. Results: Age of the studied patients ranged from 60 to 87 years old with a mean age of 66.52±6.35. Females constituted 65.1% and illiteracy was prevailing among the studied subjects. The prevalence of psychological distress was 68.6% (cutoff point ?4 according distress thermometer). Anxiety and depression were common in 85.1 and 81.7% of elderly cancer patients, respectively. Age, social support, avoidance and acceptance-resignation coping style predict 0.36, 0.41, 0.46, and 0.49 respectively of the variability of anxiety. Also, social support and age of the studied patients predict 0.32 and 0.43 of the variability of depression. Conclusion: psychological distress, anxiety and depression were prevailing among elderly cancer patients. Thus, it should be considered by the heath care professionals when caring for those patients especially more frail and vulnerable group as elderly population. The availability of considerable level of social support and effective use of coping strategies appear to have a positive effect on the level of psychological distress in the studied elderly cancer patients. Recommendation: Assessing the psychological distress through stressful times may help in identifying the psychological needs and allow targeted psychological support.

Introduction: The process of life has changed in the post-pandemic COVID-19 era, including in the educational setting of schools. This condition has an impact on adolescents who tend to struggle in determining effective coping strategies. Adolescents require a lot of support in resolving their chosen coping strategies. Objectives: This research aims to explain the relationship between social support and coping strategies among adolescents in the post-pandemic COVID-19 era. Methods: This research used a quantitative approach with a cross-sectional design. The research sample consists of 11th-grade students attending schools in the urban city, with 224 respondents. The sampling technique used in this study is random sampling. The correlation between social support and coping strategies is analyzed using the Chi-square test with normally distributed data. Results: This research indicates a relationship between social support and coping strategies adolescents use during the learning process in Tangerang (p-value < 0.05). Conclusions: Adolescents with low social support tend to use problem-focused coping strategies, while the majority of adolescents with high social support tend to use emotion-focused coping strategies. This study recommends interventions for adolescent groups to determine appropriate coping strategies when experiencing stress.