Use Of Behavioral Strategies Research Articles

ENHANCING DEMENTIA CARE PARTNER ENGAGEMENT IN FALL PREVENTION PROGRAMS: A SYSTEMATIC REVIEW

Abstract Community-dwelling older people with cognitive impairment/dementia (CI/D) experience a higher risk of falls than age-matched peers without CI/D. Fall prevention programs for this population often engage their family/friend care partners. Care partner engagement (CPE) has five components: care partners’ recruitment, retention, attendance, active participation, and maintenance of changes. Little is known about the facilitators and barriers that impact CPE in those programs and strategies used to enhance CPE. We conducted a mixed-methods systematic review following PRISMA guidelines (PROSPERO: CRD42023422200). Twenty-nine unique fall prevention programs from 32 studies were included. Most studies described retention (n=19, 60%), attendance (n=12, 38%), and active participation (n=32, 100%) aspects of CPE. Fewer studies illustrated factors related to care partner recruitment (n=6, 19%) and maintenance of change (n=6, 19%). Commonly reported CPE facilitators were older people with CI/D and care partners’ perceived benefits and suitableness of the fall prevention programs and positive relationships between the dyads. The main barriers to CPE are the dyads’ poor health and the burden related to the study logistics of participating in the programs. Program characteristics (e.g., structured/group format, social engagement opportunities, delivery mechanisms, timing) and providers’ characteristics are commonly reported organizational-level factors impacting CPE. Twenty-seven studies mentioned the use of educational (e.g., training, consultation, booklet), relational (e.g., strengthening care relationships, engaging paid caregivers), and behavioral strategies (e.g., action plans, visual reminders, cognitive approach, tracking logs) to promote CPE. Findings proposed a theoretical framework and identified potential strategies to enhance CPE in fall prevention programs for older people with CI/D.

Alexithymia, Inner Thinking Patterns, and Perceptions of Mental Health Therapy Strategies Among Autistic Adults.

Autistic adults are at high risk for mental health challenges, yet there has been limited research on mental health interventions for this population. Individual differences in how thoughts and emotions are perceived may directly relate to the success of specific therapy strategies. This study examined whether alexithymia and inner thinking patterns relate to helpfulness and ease of use of mental health therapy strategies among autistic adults. Participants (n = 269 autistic adults, ages 21-77) completed questionnaires assessing alexithymia, inner thinking patterns (i.e., self-talk, verbal thinking, visual thinking), and experiences with mental health therapy strategies. Ordinal logistic regressions were used to examine associations between alexithymia, inner thinking, and perceived helpfulness and ease of use of therapy strategies. Autistic adults with greater alexithymia found cognitive strategies more difficult to use, while those with greater frequency of self-talk found them easier to use. By contrast, autistic adults with greater visual thinking found guided imagery strategies easier to use. There were no associations between alexithymia or inner thinking and perceived helpfulness or ease of use of behavioral strategies (exposure, behavioral activation), mind-body relaxation strategies (deep breathing, progressive muscle relaxation), or mindfulness meditation. The findings suggest that some mental health strategies may be more difficult to implement for some autistic adults, depending on individual thinking profiles. However, alexithymia and inner thinking patterns were unrelated to the perceived helpfulness of mental health strategies. Overall, this highlights the importance of providing individualized supports and accommodations to optimize mental health therapy for autistic adults.

Behavioral Design Strategies Improve Healthy Food Sales in a Military Cafeteria.

This study examined the use of behavioral design strategies to improve healthier food sales. A quasi-experimental, one-group, repeated measures design examined changes in food sales following behavioral design adjustments. United States military base hospital dining facility. U.S. military service members, retirees, and civilian employees. Behavioral design changes included placement, layout, messaging, default healthy bundling, a stoplight rating system, strategic positioning of healthy items on menu boards, and an increase in healthier snacks. Food sales were assessed by point-of-sales data. T-tests examined total sales of each food adjusted weekly between baseline and intervention and intervention and post-intervention. 16 food items targeted by the intervention were examined. Weekly food sales were calculated for the 18-week baseline, 18-week intervention, and 9-week post-intervention. Further, analysis estimated negative binomial models for food item sales. The hospital dining facility served 600 to 900 meals per day. Weekly foods sales decreased during the intervention for desserts, cooked starches, hummus, and yogurt (P < 0.01). Sales increased during the intervention for fruit cups, cooked vegetables, vegetable and turkey burgers, grilled chicken, packaged salads, French fries, hamburgers, and hot dogs (P < 0.02). This study demonstrates that a mixture of behavioral design strategies can be operationalized with reasonable fidelity and can lead to increases in the sales of some healthy foods in military worksites.

Financial Literacy and Financial Anxiety in Malaysia: Determinants and Behavioural Influences

In reaction to economic uncertainty, there has been a rise in financial anxiety, which is defined as the psychological distress brought on by financial circumstances. The current study looks into how financial literacy—which encompasses financial behaviour, impulsivity, vulnerability, and knowledge—affects financial anxiety among Malaysians. The data gathered from 389 individuals served as the basis for the analysis. The findings show that the most important predictor of financial anxiety is financial vulnerability, most especially the inability to pay monthly obligations. A major contributing factor to reckless spending is the heightened anxiety that accompanies rash financial decisions. On the other hand, forming sound financial practices, such making on-time bill payments and keeping a careful eye on funds, significantly reduces financial stress. The study shows that misunderstandings of financial concepts exacerbate anxiety, underscoring the necessity for proper financial education. Demographic factors including age, gender, and marital status have an impact on financial anxiety. In particular, stress tends to be somewhat higher in younger people, women, and unmarried people. These findings emphasise the need for tailored financial literacy programs that address behaviour and knowledge gaps, promote financial self-control, and provide specific help to excluded groups. The study underscores the critical role that financial literacy plays in mitigating financial anxiety and improving overall financial well-being. It contends that in order to effectively address these challenges, future interventions should prioritise the use of behavioural change strategies and practical financial education.

Actions speak louder than words: The adaptive use of behavioral repair strategies on trust recovery

While trust is the cornerstone of marketing exchange relationships, even the best salespeople can damage a buyer's trust. Drawing on the relational selling literature, we hypothesize how a salesperson's repair strategies (words and actions) shape a buyer's perceptions of fairness after the buyer's trust has been damaged. We contend that behavioral repair strategies will be more effective than verbal repair strategies in increasing relational fairness, providing a reliable signal of whether the salesperson can be trusted again. We also argue that the efficacy of various behavioral repair strategies depends on the buyer's perceptions of the salesperson's level of culpability for damaging the buyer's trust. These behavioral repair strategies have positive relational implications for how the buyer perceives both the salesperson and the selling firm. A field survey results with 204 professional buyers and an experiment with 308 professional buyers provide evidence for our theory-based assertions.

Alcohol Protective Behavioral Strategy use and Negative Consequences Across Heavy Alcohol Users and Risky Drinkers.

This study investigated differences in alcohol protective behavioral strategy (PBSA) use and negative consequences (ARNC) experienced among heavy alcohol users and non-heavy alcohol users, and risky and non-risky drinkers. Participants were from 12 universities in the United States (n = 2,163 college students, Mage = 19.47), predominantly identified as White (74%), and female (68.7%), who completed measures of typical weekly drinking, risky drinking, ARNC, and PBSA use. ANOVAs revealed that the heavy alcohol users and risky drinkers reported significantly fewer total PBSA, subtype strategy use, and greater negative consequences than their counterparts. Harm reduction interventions may benefit from identifying and targeting college students who are engaging in heavy alcohol use and risky drinking regardless of sex.

Is a very brief web-based intervention with focus on protective behavioral strategies efficacious in reducing impaired control over alcohol in undergraduates?

Impaired control (i.e., difficulty adhering to limits on alcohol use) prospectively predicts self-reported alcohol-related problems in undergraduates yet remains understudied. In particular, there is little evidence regarding whether brief interventions can reduce impaired control. An efficacious, very brief, web-based intervention focused on protective behavioral strategy (PBS) use may be well suited to reducing impaired control, but there is also little evidence regarding relationships between impaired control and PBS use. Data were analyzed from a randomized controlled trial of U.S. Tertiary Health Research Intervention via Email (Leeman et al., 2016) that yielded evidence of reduced weekly and peak alcohol use among undergraduates who drink heavily (N = 208). Multilevel models were tested to determine efficacy in reducing impaired control over alcohol use. The parent trial tested variants providing both direct (e.g., avoiding drinking games) and indirect (e.g., securing a designated driver) PBS, direct only or indirect only. Given this focus of the parent trial, self-reported PBS use was included in the model. U.S. Tertiary Health Research Intervention via Email did not significantly reduce impaired control over alcohol use compared to a control condition (p = .15-.96), and there was no significant main effect of time or interactions with time. However, direct and indirect PBS use was significantly inversely related to impaired control. An efficacious, very brief web-based intervention associated with decreased alcohol use did not decrease impaired control over alcohol significantly. More intensive, or longer, interventions may be needed to reduce impaired control. Greater PBS use was associated with less impaired control; thus, interventions that increase PBS use may decrease impaired control. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Effectiveness of a nurse-led mHealth approach in preventing obesity in adolescents: an intervention study.

Obesity prevention in adolescents is a public health priority given its increasing prevalence and health impact of obesity. To evaluate the effectiveness of an educational intervention in overweight and obesity using a mHealth app in improving nutritional and sports knowledge, adherence to the Mediterranean diet, physical activity and anthropometric measurements in adolescents. A randomised controlled trial with parallel groups that included 305 adolescents. The app includes the use of effective behavioural strategies to achieve habit change. Primary outcome variables were nutritional and sports knowledge score (GeSNK), adherence to a Mediterranean diet (KidMed) and level of physical activity (PAQ-A). The study included 154 participants in the mHealth group and 151 in the control group. The level of nutritional and sports knowledge was significantly higher in the mHealth group, 47 points versus 42 points. Adherence to the Mediterranean diet improved in both groups, 9 points in the mHealth group versus 8 points in the control group. Physical activity was statistically higher in the intervention group, 160 minutes/week versus 120 minutes/week. The mHealth intervention showed a significant improvement in the level of nutritional and sports knowledge, adherence to the Mediterranean diet and time spent on physical activity.

Daily-Level Associations between Situational Familiarity with Location and People and Use of Alcohol-related Protective Behavioral Strategy Among Adolescents and Young Adults.

Despite protective behavioral strategies (PBS) being an important part of alcohol prevention programs, utilization of PBS is sub-optimal, and research is needed to determine factors associated with use and non-use of PBS. The present study examined daily-level associations between situational familiarity (i.e., familiarity with locations and people) and the use of alcohol-related PBS among adolescents and young adults. Participants (analysis N = 564, 55.1% females, 45.2% White, Non-Hispanic, ages 15 to 25, mean = 21.07 years [SD = 2.79]) were part of a longitudinal ecological momentary assessment burst study on cognitions and alcohol use. Mixed effects Poisson models were used to analyze data for engagement in PBS (i.e., serious harm reduction, stopping/limiting, and manner of drinking PBS). Within-person results indicated when participants had elevated (i.e., higher than their own average) familiarity with their location, they were less likely to use serious harm reduction PBS (Rate ratio [RR] = 0.94, p < 0.001) and stopping/limiting PBS (RR = 0.95, p < 0.001). Results showed that on drinking days with elevated familiarity with people, individuals were more likely to use serious harm reduction PBS (RR = 1.03, p = 0.01). There were no significant daily-level associations between familiarity with people or location and manner of drinking PBS. The study suggests PBS use, particularly for serious harm reduction and stopping/limiting strategies, varies among adolescents and young adults based on familiarity with location and people. Alcohol prevention interventions, including just-in-time interventions, should consider how to promote PBS use particularly in familiar locations and with less familiar people.

Examining variability in Naturalistic Developmental Behavioral Intervention strategy use in caregivers of children with autism spectrum disorders.

Naturalistic Developmental Behavioral Interventions (NDBIs) for young children with autism spectrum disorder commonly involve caregiver-mediated approaches. However, to date, there is limited research on how caregivers' skills change, and, in turn, impact child outcomes. We evaluated the NDBI strategy use of 191 caregivers prior to participation in NDBIs (or control groups) across multiple randomized controlled trials, using the Measure of NDBI Strategy Implementation, Caregiver Change (MONSI-CC). Clustering analyses were used to examine caregiver variability in NDBI strategy use at intervention entry. Generalized Linear Mixed Models were used to examine changes in caregiver strategy use over the course of intervention and its impact on changes in children's social communication. Using clustering analysis, we found that caregivers' baseline skills fit four profiles: limited, emerging, variable, and consistent/high, with few demographic factors distinguishing these groups. Caregivers starting with limited or emerging skills improved in their strategy use with intervention. Caregivers starting with more skills (consistent/high or variable) maintained higher skills over intervention. Children of caregivers in these groups who received target NDBIs improved in their social communication skills. Results suggested that caregiver skills improve through participation in NDBIs and may directly contribute to their children's outcomes, although more research on mediating factors is needed. Individualized approaches for caregivers and their children starting with differing skill profiles at intervention entry may be warranted.

Baseline protective behavioral strategy use predicts more moderate transdermal alcohol concentration dynamics and fewer negative consequences of drinking in young adults' natural settings.

Test whether frequent protective behavioral strategies (PBS) users report (a) fewer alcohol-related consequences and (b) less risky alcohol intoxication dynamics (measured via transdermal alcohol concentration [TAC] sensor "features") in daily life. Two hundred twenty-two frequently heavy-drinking young adults (Mage = 22.3 years) wore TAC sensors for 6 consecutive days. TAC features peak (maximum TAC), rise rate (speed of TAC increase), and area under the curve (AUC) were derived for each day. Negative alcohol-related consequences were measured in the morning after each self-reported drinking day. Past-year PBS use was measured at baseline. Young adults reporting more frequent baseline PBS use showed (a) fewer alcohol-related consequences and (b) lower intoxication dynamics on average (less AUC, lower peaks, and slower rise rates). Limiting/stopping and manner of drinking PBS showed the same pattern of findings as the total score. Serious harm reduction PBS predicted fewer negative alcohol-related consequences, but not TAC features. Multilevel path models showed that TAC features peak and rise rate partially explained associations between PBS (total, limiting/stopping, and manner of drinking) and consequences. Independent contributions of PBS subscales were small and nonsignificant, suggesting that total PBS use was a more important predictor of risk/protection than the specific types of PBS used. Young adults using more total PBS may experience fewer alcohol-related consequences during real-world drinking episodes in part through less risky intoxication dynamics (TAC features). Future research measuring PBS at the daily level is needed to formally test TAC features as day-level mechanisms of protection from acute alcohol-related consequences. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Preparing Nursing Students to Manage Acculturative Stress Experienced During Study Abroad Experiences: Novel Use of Immersive Simulation and Cognitive Behavioral Strategies

Preparing Nursing Students to Manage Acculturative Stress Experienced During Study Abroad Experiences: Novel Use of Immersive Simulation and Cognitive Behavioral Strategies

When life changes: use and effects of behavioral coping strategies among relatives of people with intellectual disabilities during the COVID-19 pandemic

Objectives The COVID-19 pandemic posed risks to the wellbeing of different groups in society. This study focuses on relatives of people with intellectual disabilities in the Netherlands. Their behavioral coping strategies, effects on psychological quality of life (QoL), and differences according to age, family relationship, and severity of disability were investigated. Methods Survey data of 284 relatives were analyzed. Differences in utilization of coping strategies were analyzed using a multivariate test of the means and paired t-tests. Variations according to background characteristics were analyzed using MANOVAs and multivariate regressions. Relations between coping and QoL – and differences according to characteristics – were analyzed using multiple and linear regressions. Results Seeking distraction and actively approaching were used most, followed by seeking social support and ignoring. Withdrawal was adopted the least. Seeking distraction and actively approaching were positively associated with QoL. Seeking social support and withdrawal were negative predictors. These associations were unaffected by relatives’ characteristics, while use of coping differed according to age and family relationship. Mothers made least use of adaptive coping. Conclusions Although relatives used more adaptive than maladaptive coping strategies, it is essential to offer interventions on effective coping and improving social support during life events to protect their QoL.

Artificial intelligence for education and its emphasis on assessment and adversity quotient: a review

PurposeThe purpose of this study was to analyze importance of artificial intelligence (AI) in education and its emphasis on assessment and adversity quotient (AQ).Design/methodology/approachThe study utilizes a systematic literature review of over 141 journal papers and psychometric tests to evaluate AQ. Thematic analysis of quantitative and qualitative studies explores domains of AI in education.FindingsResults suggest that assessing the AQ of students with the help of AI techniques is necessary. Education is a vital tool to develop and improve natural intelligence, and this survey presents the discourse use of AI techniques and behavioral strategies in the education sector of the recent era. The study proposes a conceptual framework of AQ with the help of assessment style for higher education undergraduates.Originality/valueResearch on AQ evaluation in the Indian context is still emerging, presenting a potential avenue for future research. Investigating the relationship between AQ and academic performance among Indian students is a crucial area of research. This can provide insights into the role of AQ in academic motivation, persistence and success in different academic disciplines and levels of education. AQ evaluation offers valuable insights into how individuals deal with and overcome challenges. The findings of this study have implications for higher education institutions to prepare for future challenges and better equip students with necessary skills for success. The papers reviewed related to AI for education opens research opportunities in the field of psychometrics, educational assessment and the evaluation of AQ.

Brief online negative affect focused functional imagery training (FIT) improves four-week drinking outcomes in hazardous student drinkers: A pilot randomised controlled trial replication in South Africa

BackgroundPrevious study has shown that functional imagery training (FIT) to utilise positive mental imagery in response to negative affect could improve alcohol-related outcomes. The current study aimed to replicate whether this negative affect focused FIT would improve alcohol-related outcomes in hazardous student drinkers in South Africa at four-week follow-up. Methods50 hazardous student drinkers who reported drinking to cope with negative affect were randomised into two groups. The active group (n = 25) was trained online over two weeks to respond to personalised negative drinking triggers by retrieving a personalised adaptive strategy they might use to mitigate negative affect, whereas the control group (n = 25) received standard risk information about binge drinking. Outcome measures including alcohol consumption, drinking motives, anxiety and depression, self-efficacy and use of protective behavioural strategies were obtained at baseline and four-week follow-up. ResultsFIT effects were revealed by three significant group-by-timepoint interactions in a per-protocol analysis: there was a significant decrease in depressive symptoms, drinking to cope and drinking for social reasons from baseline to follow-up in the active group, but not the control group. No effects were observed on alcohol consumption, self-efficacy, protective behaviour strategies and anxiety. ConclusionsPreliminary evidence supports that online negative affect focused FIT can improve depression as well as coping and social drinking motives in South African hazardous student drinkers who drank to cope, at four-week follow-up, suggesting that the principles of this FIT approach might be adapted and incorporated into a clinical intervention to test for efficacy in mitigating substance use problems.

Information Seeking Behavior and Strategies to Increase Milk Supply Among Breastfeeding Mothers in the United States.

Background: Some breastfeeding mothers try to increase their milk supply through pharmaceutical, dietary, and behavioral strategies that vary in effectiveness. Information seeking behaviors may influence which strategies mothers use. Objective: To describe where mothers obtain information about increasing milk supply, describe the perceived influence of each information source on decision-making about strategies for increasing milk supply, and explore associations between information sources and mothers' use of galactagogues (i.e., pharmaceutical and dietary strategies) and behavioral strategies. Methods: Women who were currently breastfeeding and living in the United States were recruited through Facebook advertisements to complete an online survey between December 2020 and February 2021. Descriptive statistics were calculated, and chi-square tests compared participants' use of galactagogues and behavioral strategies by information sources. Results: Participants were 1,351 breastfeeding mothers (81% non-Hispanic white; 47% first-time breastfeeding; 21% Special Supplemental Nutrition Program for Women, Infants, and Children participants). Nearly all participants (97%) obtained information about increasing milk supply from at least one source, most commonly lactation consultants (68%), Facebook (61%), search engines (50%), websites (47%), and nurses (41%). There was high variability in the perceived influence of each source on decision-making. Galactagogue use was higher among participants who obtained information from the internet (Yes: 68% vs. No: 43%, p < 0.000), social media (Yes: 65% vs. No: 40%, p < 0.000), family and friends (Yes: 65% vs. No: 53%, p < 0.000), and lactation consultants (Yes: 63% vs. No: 54%, p < 0.002). Behavioral strategies were more commonly reported among participants who accessed these same sources, maternal health care professionals (Yes: 98% vs. No: 91%, p < 0.000), and pediatricians (Yes: 98% vs. No: 94%, p = 0.001). Conclusion: Breastfeeding mothers commonly obtained information about increasing milk supply from a variety of sources. Information sources accessed were associated with mothers' use of galactagogues and behavioral strategies for increasing milk supply.

Preschool Teachers’ Perceptions and Use of Naturalistic Developmental Behavioral Intervention Strategies: An Explanatory Sequential Mixed Methods Investigation

Preschool classrooms serve children of varying abilities, including those who may benefit from social communication intervention. Research supports the use of naturalistic developmental behavioral interventions (NDBI) to effectively increase the social communication skills of young children. Yet, little is known about preschool teachers’ perspectives on and use of NDBI strategies. The purpose of this explanatory sequential mixed methods study was to integrate data from classroom observation, teacher self-report, and qualitative interviews to understand training and support needs for increasing implementation of NDBIs in a preschool classroom context. Eight preschool teachers provided a recording of an intervention session, self-reported their use of NDBI strategies, and participated in an interview to discuss their experiences. Results indicate preschool teacher participants perceive NDBI strategies favorably although they may need targeted support understanding and using NDBI strategies. We discuss implications for practice that may support increased use of NDBIs by preschool teachers.

Migren tanılı ebeveynler ve çocuklarında ağrıyla başa çıkma stratejileri arasındaki ilişki: Ergenlik dönemi odaklı bir inceleme

Purpose: This study aims to scrutinize how the relationships between parents' and adolescents' coping strategies with migraine through correlational analysis of quantitative data as well as supporting qualitative information.&#x0D; Materials and Methods: This research included 70 parents and their adolescent children diagnosed with migraine after neurological evaluation. Besides the sociodemographic data, the commonly used pain coping methods by participants were examined with the Headache Questionnaire. The groups' pain coping strategies were measured with the sub-dimensions of the Pain Coping Questionnaire.&#x0D; Results: Positive and significant relationships were found between parents and adolescents in terms of the use of functional behavioral (r=.29, p=.015) and cognitive coping strategies (r=.29, p=.015). Both groups were similar in their frequency rates of preferring ineffective attack treatment and inappropriate analgesic usage. The significant correlations found between the scores of groups’ for coping with pain by seeking ineffective medical remedies supported our qualitative results (r=.35, p=.003). Conclusion: The possible roles of parents' knowledge and practices regarding pain management on their children with similar headache complaints may be variable in itself, depending on some developmental and individual issues with the onset of adolescence period.

Association of Technology Use with Subjective Cognitive Decline among Older Adults

AbstractBackgroundOlder adults with a family history of Alzheimer’s disease (AD) have elevated rates of subjective cognitive decline (SCD). SCD is distressing for older adults and is a risk factor for future objective cognitive impairment, AD pathology, and AD diagnosis. Hence, it is important to understand whether lifestyle factors can mitigate SCD. One potentially protective factor is the use of technology‐based behavioral strategies for completing daily tasks. For example, in the face of subjective memory difficulties, an older adult may move from relying on memory to remember to pay bills to utilizing an automatic bill pay system. The current study examined whether greater use of technology for daily task completion was associated with fewer self‐reported cognitive symptoms, especially in individuals with family history of AD.MethodIndividuals over the age of 50 (range: 50‐85) completed surveys about their digital and analog approaches for completing daily tasks, as well as measures of physical activity and SCD. Participants with and without family histories of AD were matched on age, education, and sex. Multiple linear regression was used to assess main effects of family history and technology‐based behavioral strategy use on SCD. In addition, we examined whether family history of AD moderated this association.ResultThere was no main effect of technology‐based behavioral strategies on SCD (p = 0.259). However, there was an interaction effect between technology use and family history of AD on SCD. Specifically, in individuals with a family history of AD, more reliance on technology‐based behavioral strategies was associated with less SCD (t = ‐2.45, p = 0.018), but this relationship was not significant in individuals without family history of AD (t = 0.66, p = 0.511). This interaction remained significant even when controlling for another important protective lifestyle factor for SCD, physical activity.ConclusionOur findings suggest that technology‐based behavioral strategies are associated with less SCD in individuals with a family history of AD, independent of other protective lifestyle factors. Future recommendations provided by healthcare providers in the community to address subjective cognitive decline in cognitively unimpaired older adults might include focusing on technological assistance.

Cognitive and behavioral factors in the chronification of suicidal behavior

Relevance. Suicide is one of the leading causes of death worldwide. Suicidal behavior is a complex phenomenon that includes suicidal thoughts, intentions and actions; and those actions do not always lead to death, but often turn into chronic suicidal behavior. The study of the factors in chronification of suicidal behavior is necessary for the development of evidence-based programs for the prevention of repeated suicide attempts.Aim of study. is to compare cognitive and behavioral strategies for coping with stress in patients with single suicide attempts and chronic suicidal behavior.The hypothesis of the study is that in patients with repeated suicide attempts, destructive cognitive and behavioral strategies for coping with stress are more pronounced.Materials and methods. The study included 119 patients treated at the somatopsychiatric and toxicology departments, 60 patients after the primary suicide attempt, 59 – after repeated ones. Patients were asked to complete the following procedures: Beck Depression Inventory (Beck, 1961; N.V. Tarabrina, 2001), Beck Anxiety Inventory (Beck, 1961; Tarabrina, 2001), Rumination Scale (Treynor W. et al., 2003; adaptation by O.D. Pugovkina et al., 2021), Alexithymia Scale (Toronto Alexithymia Scale G.J. Taylor et al., 1985; adaptation by Starostina E.G. et al. 2009), COPE Inventory (Ch.S. Carver et al., 1989; adaptation by P.A. Ivanov and N.G. Garanyan, 2013).Results. Patients after repeated suicide attempts, compared with patients who made the first attempt, are more likely to be diagnosed with borderline personality disorder, have more pronounced symptoms of depression and suicidal readiness, higher rates of ruminative thinking and alexithymia — reflecting a deceptive cognitive style, — as well as indicators of the use of destructive behavioral strategies for coping with stress in the form of various types of avoidance behavior.