The perceived social support of parents having bipolar disorder impacts their children’s mental health: a 10-year longitudinal study

Introduction. The purpose of this study was to evaluate several psychosocial correlates of depressed mood during pregnancy. The psychosocial factors examined included background characteristics (socioeconomic status, planning of pregnancy), perceived social support, and coping styles. Methods. One hundred fifty pregnant lower income, minority women were recruited from an obstetrics clinic at an urban hospital. Patients completed a battery of psychosocial measures including measures of social support, coping style, and depressed mood. Results. Perceived social support and an avoidant coping style were the most salient psychosocial correlates of depressed mood during pregnancy, accounting for 34% of the variance in the model. More specifically, women who reported less social support satisfaction experienced greater avoidant coping strategies, which was then associated with higher levels of depressed mood. Conclusions. This study suggests that women who perceive less social support satisfaction utilize more avoidant coping strategies and experience greater depressed mood. Thus, although these associations are not indicative of a causal relationship, results raise the possibility that women at-risk for depressed mood during pregnancy can be identified by assessing perceived social support and coping styles. Future prospective studies are needed to test the causal relationships among these variables. Clinical interventions to target these psychosocial factors during pregnancy are discussed.

Objective To explore the correlation between job burnout of junior clinical nurses and their social support and coping styles.Methods 50 junior clinical nurses(less than 5 years work duration)in four medical wards were recruited and surveyed with Maslach Burnout Inventory(MBI),coping style questionnaire(CSQ)and social support rating scale(SSRS).The results were compared with Hangzhou norm.Results Personal achievement score of junior nurses was lower than Hangzhou norm,and the difference was statistically significant(P ＜ 0.05).Factors of social support and coping style had significant relationships with job burnout(P ＜ 0.05 or P ＜ 0.01).Conclusions Personal achievement of junior nurses is at a low level,and social support and coping style have influence on job burnout.Nursing administrators should make efforts to remove the stressor of job burnout,improve organizational climate,enhance perception of individual positive coping and social support,and improve their mental health. Key words: Junior nurse; Social support; Job burnout; Coping style; Correlation study

BackgroundMedical students experience depression and anxiety at a higher rate than the general population or students from other specialties. While there is a growing literature on the high prevalence of depression and anxiety symptoms and about potential risk factors to the prevalence of depression and anxiety symptoms among medical students, there is a paucity of evidence focused on the prevalence of depression and anxiety symptoms and associations with family function, social support and coping styles in Chinese vocational medicine students. This study aims to investigate the prevalence of depression and anxiety symptoms among Chinese medical students and assess the correlation between depression/anxiety symptoms and family function, social support and coping styles.MethodsA sample of 2057 medical students from Chongqing Medical and Pharmaceutical College in China was investigated with a self-report questionnaire, which included demographic information, Zung self-rating depression scale, Zung Self-Rating Anxiety Scale, Family APGAR Index, Social Support Rating Scale and Trait Coping Style Questionnaire.ResultsThe prevalence of depression and anxiety symptoms among the medical students was 57.5 and 30.8%, respectively. Older students(≥20 years) experienced higher levels of depression and anxiety. More depression and anxiety symptoms were exhibited among students with big financial burden, big study-induced stress and poor sleep quality. Students with large employment pressure showed more anxiety symptoms. Students who live alone or had bad relationship with their lovers or classmates or friends showed higher depression and anxiety scores. Depression and anxiety symptoms had highly significant correlations with family functioning, social support and coping style.ConclusionsAcademic staffs should take measures to reduce depression and anxiety among medical students and to provide educational counseling and psychological support for students to cope with these problems.

Older adults with hypertension are at an increased risk of depression. Social support and coping style significantly influence this risk, with social cognitive theory suggesting that social support can affect an individual's coping style, and coping style can affect the effective use of social support. However, the mediating role of coping style in the relationship between social support and depression in older hypertensive patients remains unclear. This study aimed to explore the inter-relationships between social support, coping style and depression in older hypertensive patients within a community setting, and to investigate the mediating effects of coping style. A cross-sectional questionnaire survey was conducted with 4211 older hypertensive patients from Fuzhou, Fujian Province, China. Participants were assessed for depression, social support, coping styles, and general demographic information. Pearson correlation analysis was employed to test the correlation between variables. Mediation effect test was conducted using SPSS macro program PROCESS with Bootstrap based Model 4, after controlling for confounding factors. A total of 4211 valid questionnaires were collected, yielding an effective response rate of 98.6%. The average depression score among participants was 7.99 ± 4.92 points, with 29.5% of respondents experiencing varying degrees of depression. Both social support and coping style were associated with depression in older hypertensive patients. Specifically, objective support, subjective support, support utilization, and positive coping style were negatively correlated with depression, with correlation coefficients of -0.159, -0.160, -0.145, and -0.163, respectively. Conversely, negative coping style was positively correlated with depression, with a correlation coefficient of 0.170. Mediating effect analysis showed that coping style played a mediating role between social support and depression. Social support negatively moderated depression through positive coping style (moderating effect =-0.020, Bootstrap 95%CI [-0.027, -0.138], mediating effect value was 15.87%), while it positively influenced depression through negative coping style (moderating effect =0.012, Bootstrap 95%CI [0.008,0.017], intermediate effect value =9.52%). Social support exerts a direct negative effect on depression, while coping styles mediate the relationship between social support and depression. Interventions to reduce depression in this population should focus on enhancing social support (across objective, subjective, and utilization aspects) and promoting positive coping strategies, thus strengthening psychological resilience and improving overall health and quality of life for older adults with hypertension.

To investigate the relationship among post-traumatic stress disorder (PTSD), posttraumatic growth (PTG), social support, and coping style of university student volunteers in the prevention and control of the coronavirus in 2020, a total of 2,990 university student volunteers (students who are enrolled in a university and involved in volunteer activities) from 20 universities in Sichuan Province participated in the prevention and control of the epidemic were investigated when March 20-31, 2020 when the coronavirus first occurred using the post-traumatic stress disorder questionnaire, posttraumatic growth questionnaire, university student social support questionnaire and coping style questionnaire. The results showed that (1) 7.06% of university student volunteers had some degree of PTSD symptoms (the total PCL-C score was 38-49), and 2.88% had obvious PTSD symptoms, (2) PTSD level of university student volunteers was significantly positively correlated with negative coping style, and significantly negatively correlated with social support and positive coping style; on the contrary, the PTG level is significantly positively correlated with social support and positive coping styles, and (3) Positive coping style plays a partial mediating role in the influence of social support on PTG; in the influence of social support on PTSD, the mediating effect of positive or negative coping style was not significant. These results show that in the prevention and control of the coronavirus, the positive coping style and social support of university student volunteers can positively predict the PTG level of them, while the negative coping style can positively predict the severity of their PTSD symptoms. Among them, a positive coping style plays a partial mediating role in the influence of social support on the PTG level.

P-1407 - Relationship between resilience and social support, coping style of students in middle school

Association of psychosocial factors with anxiety and depressive symptoms in Chinese patients with type 2 diabetes

Objective To investigate the level of hope in patients after total hip arthroplasty, and to analyze its correlation with social support and coping style. Methods A total of 155 patients undergoing total hip arthroplasty in Guangzhou Red Cross Hospital from March 2016 to September 2017 were selected by convenience sampling method. The general information of patients was recorded. The Herth Hope Index (HHI) , Social Support Rating Scale (SSRS) and Simplified Coping Style Questionnaire (SCSQ) were used to assess the level of hope, social support and coping styles. Pearson correlation analysis was used to analyze the correlation between the level of hope and social support and coping styles. Results The HHI score of patients after hip arthroplasty was (31.43±5.45) , at a moderate level. The SSRS score was (37.19±5.05) , positive coping (1.69±0.63) and negative coping (1.75±0.59) , among which the negative coping score was higher than the domestic norm (t=2.819, P<0.05) . It was shown in the Pearson correlation analysis, that hope level was positively related with social support and positive coping score (r=0.351, 0.428; P<0.05) , and negatively related with negative coping score (r=-0.415, P<0.05) . Conclusions The hope level of patients after hip arthroplasty is at a medium level. Nursing staff should adopt targeted nursing measures to enhance the level of social support for patients, guide them to adopt a positive coping style, in order to enhance their hope level. Key words: Arthroplasty, replacement, hip; Hope level; Social support; Coping style

Nonlinear and Interactive Effects of Social Relationships and Coping Styles on Loneliness in Older Adults: A Generalized Additive Model Analysis.

BACKGROUNDUncertainty in illness (UI) and fear of progression (FoP) are significant psychological challenges for lung cancer patients. Coping styles and social support are critical mediators, influencing patients' ability to manage the emotional and psychological burden of UI and FoP. However, limited research has explored the chain mediation effect of these factors on the relationship between UI and FoP, particularly among Chinese lung cancer patients.AIMTo investigate the association between UI and FoP among patients with lung cancer.METHODSConvenience sampling was used to recruit inpatients diagnosed with lung cancer at a tertiary hospital in Changde City between November and December 2023. A total of 320 participants completed the Mishel Uncertainty in Illness Scale, Simplified Coping Style Questionnaire, Mandarin Chinese Version of the Medical Outcomes Study Social Support Survey, and Fear of Progression Questionnaire-Short Form. The chain mediation analysis was performed using the PROCESS macro to examine the relationships between the variables.RESULTSThe results revealed that UI had a significant direct effect on FoP (effect = 0.224, 95%CI: 0.136-0.408). Additionally, three indirect pathways were identified: (1) Social support (effect = 0.128, 95%CI: 0.045-0.153); (2) Coping style (effect = 0.115, 95%CI: 0.048-0.157); and (3) Chain mediators involving social support and coping style (effect = 0.072, 95%CI: 0.045-0.120). The total indirect effect of the three mediation paths is 31.5%. These results confirm that social support and coping style significantly mediate the relationship between UI and FoP.CONCLUSIONBased on cross-sectional data and a chain mediation model, this study explored the mechanisms between UI, social support, coping style, and FOP. Patients with lung cancer have higher levels of FOP, and the results of this study revealed a correlation between these four factors. Social support and coping style partially mediated the effects of UI on FOP, and there was a chain-mediating effect between UI and FOP. Programs designed to strengthen social support networks should also incorporate training to develop adaptive coping strategies, ultimately reducing FOP and improving overall quality of life.

Background: Radiochemotherapy and subsequent rehabilitation impose significant psychological burdens on nasopharyngeal carcinoma patients, who often experience anxiety and depression that undermine treatment compliance and quality of life. Previous studies suggest social support and coping styles can buffer psychological distress during cancer treatment; however, longitudinal research examining their dynamic impact during radiochemotherapy and rehabilitation remains scarce. Objective: This study explored the impact of social support and coping styles on changes in anxiety and depression among nasopharyngeal carcinoma patients undergoing radiochemotherapy and rehabilitation, providing a basis for individualized psychological interventions. Methods: A prospective cohort design was adopted. The Hospital Anxiety and Depression Scale (HADS), Social Support Rating Scale (SSRS), and Simplified Coping Style Questionnaire (SCSQ) were administered before radiochemotherapy (T0), mid-treatment (T1), treatment completion (T2), and one month post-treatment (T3). Tumor stage and economic burden were also recorded. Changes in anxiety, depression, social support, and coping strategies were analyzed via repeated-measures ANOVA, while linear mixed-effects models evaluated the longitudinal influence of social support and coping styles. Results: Among 180 patients (107 males, 73 females; mean age 51.7 ± 7.2 years), anxiety scores significantly decreased from 6.39 ± 0.94 (T0) to 4.79 ± 0.68 (T3) (F=20.371, P&lt;0.001); depression scores similarly decreased from 6.02 ± 0.68 to 4.63 ± 0.57 (F=18.426, P&lt;0.001). Social support and positive coping increased significantly, while negative coping decreased (all P&lt;0.001). Multivariate analysis revealed social support (B=−0.08, P&lt;0.001) and positive coping (B=−0.12, P&lt;0.001) were associated with reduced anxiety and depression, whereas negative coping and economic burden correlated positively (all P&lt;0.01). Stratified analysis confirmed patients with high social support and strong coping skills exhibited consistently lower anxiety and depression (P&lt;0.05). Conclusion: Strengthening social support networks and promoting positive coping strategies effectively reduce anxiety and depression during radiochemotherapy and rehabilitation in nasopharyngeal carcinoma patients, enhancing treatment compliance and emotional well-being.

This study sampled Chinese families of children with acute leukemia to assess their levels of anxiety and explore whether those levels were associated with social support levels and coping style. The study also aimed to identify demographic factors influencing anxiety, social support and coping style. A purposive sample of 223 families whose children were being treated for acute leukemia at West China Second University Hospital, Sichuan University completed a questionnaire to provide basic demographic information as well as the Self-Rating Anxiety Scale, Social Support Rating Scale, and Simplified Coping Style Questionnaire. Categorical data were reported as n (%), while continuous data were reported as mean ± standard deviation if normally distributed or as median (interquartile range) if skewed. the Kruskal-Wallis or Wilcoxon rank sum test, Bonferroni correction for multiple comparisons, Pearson correlation analysis or Spearman correlation analysis were used for data analysis. The score of anxiety in our sample was 36.80 ± 9.05 points and 33.6% of family members exhibited clinically significant symptoms of anxiety; anxiety level was significantly higher in family members whose affected children had no siblings (P < 0.05). The score of social support was 42.86 ± 7.80 points. Objective social support level was significantly higher for families living in urban areas than rural areas (P < 0.05), and it correlated positively with monthly household income (B = 2.176, P = 0.009). The score of coping style was 50.23 ± 10.04 points. Coping style score was significantly higher for family members in urban areas, with more education, or with higher monthly household income. It also correlated positively with overall social support score. Our results suggest that many families of children with acute leukemia suffer clinically significant anxiety. Families from rural areas and those with lower income have relatively poor social support and coping abilities. Additionally, levels of education is related to their coping abilities, and they can benefit from education and psychological support.

Objective To study the relationship between psychological health and social support and coping style in general hospitals. Methods 756 nurses from 3 general hospitals were enrolled by cluster sampling and were investigated by Symptom Checklist 90(SCL-90),Social Support Rate Scale(SSRS)and Simplified Coping Style Questionnaire(SCSQ).The investigation results were analyzed. Results The general level of psychological health of nurses was not optimistic with a positive rate Of 37.04％. The somatizatlon factor of the head nurses was different from that Of normal nurses. Significant difference existed in the following aspects such as somatization, depression and terror factors between night shift nurses and day shift nurses. Relativity could be seen between social support and coping style and psychological health. Conclusion Hospital managers should attach importance to the psychological health of nurses. At the same time they should supply positive social support and instrucitons of coping style to improve the general level of psychological health. Key words: Nurses; Psychological health; Social support; Coping style

Poster Abstracts from the AAAP 20th Annual Meeting and Symposium

Background/objectivesChronic obstructive pulmonary disease (COPD) not only affects patients but also their partners. Gender-related differences in patients with COPD are known, for instance regarding symptoms and quality of life. Yet, research regarding gender differences in partners of patients with COPD has been conducted to a lesser extent, and most research focused on female partners. We aimed to investigate differences between male and female partners of patients with COPD regarding their own characteristics and their perceptions of patients’ characteristics.DesignCross-sectional study.SettingFour hospitals in the Netherlands.ParticipantsOne hundred and eighty-eight patient–partner couples were included in this cross-sectional study.MeasurementsGeneral and clinical characteristics, health status, care dependency, symptoms of anxiety and depression, social support, caregiver burden, and coping styles were assessed during a home visit.ResultsFemale partners had more symptoms of anxiety and a worse health status than male partners. Social support and caregiver burden were comparable, but coping styles differed between male and female partners. Female partners thought that male patients were less care dependent and had more symptoms of depression, while these gender differences did not exist in patients themselves.ConclusionHealth care providers should pay attention to the needs of all partners of patients with COPD, but female partners in particular. Obtaining an extensive overview of the patient–partner couple, including coping styles, health status, symptoms of anxiety, and caregiver burden, is necessary to be able to support the couple as effectively as possible.