Common Coping Strategies Research Articles

Migraine Prevalence and Academic Impact on Medical Students at Alfaisal University.

Migraine is highly prevalent among medical students but has been understudied in Saudi Arabia. This study aimed to determine migraine prevalence, characteristics, academic impacts, and coping strategies in medical students. A cross-sectional survey was conducted among 352 medical students. Migraine was identified using ID-Migraine (38.8% prevalence) and International Classification of Headache Disorders 3rd edition (ICHD-3) criteria (36.8% prevalence). Analyses focused on the 130 students meeting ICHD-3 criteria. The mean monthly migraine frequency was 3.5 days. Average pain severity was moderate at 6.4/10. Mean duration was 9.3h. Exams triggered migraines for 66% and increased headache frequency/severity for most students. Headaches limited productivity ≥1 day for 86% and caused missed exams and grade point average (GPA) declines. Rest (77.7%), trigger avoidance (57.7%), and medications (56.9%) were the most common coping strategies. Migraine prevalence exceeded general population estimates, frequently disrupted academics, and was exacerbated by exam stressors. Support services and education on coping strategies tailored to academically triggered migraines could better equip students to manage headaches.

The tipping point: Financial and emotional costs of care for Medicare patients with cancer.

260 Background: As cancer-related health care expenses are increasing, a greater proportion of treatment costs are shifting directly to the patient, resulting in an increased financial burden for many patients. In addition to growing healthcare costs, the inflationary environment in the US has also increased the costs of daily living expenses. Although the Inflation Reduction Act (IRA) encompasses measures for negotiating prices of specific high-cost medications within Medicare Parts B and D, given the expenses associated with cancer treatment IRA negotiation provisions will likely have limited impact on patients’ financial burden. We sought to capture the financial and emotional experiences of Medicare cancer patients about their costs of care prior to the implementation of the IRA. Methods: This cross-sectional analysis used data from a nationwide survey distributed in February 2024 by Patient Advocate Foundation (PAF). Inclusion criteria included a valid email address, age >19, self-reported cancer diagnosis and Medicare coverage. Frequencies were calculated for categorical variables. Additional information about financial challenges will be collected on a subset of cancer survey respondents in May 2024. Results: A total of 331 survey respondents with cancer completed the survey. Most respondents were female (61%), age≥56 (86%), white (73%), retired (59%), married (47%), household income <$48,000 (69%), and rural location (24%). The most common cancer types were multiple myeloma (47%) and breast (26%); 25% were diagnosed < 2 years prior, 87% were receiving cancer treatment and 52% experienced financial challenges prior to diagnosis. Almost half (45%) reported a negative change in their financial situation in the past 12 months; caused by increased living (63%), food (60%), medical care (47%) and medication (39%) costs. Overwhelming/above average financial stress (40%) was reported on the day of the survey; 30% reported spending at least 25% of their monthly income on medical costs; 69% reported financial burden due to their illness. Fifty-nine percent reported that finances impacted their emotional wellbeing. Common coping strategies to alleviate financial distress included positive attitudes, family/friend support and spiritual beliefs. Conclusions: To mitigate the impact of inflation on low-income cancer patients, it is essential for policymakers, healthcare providers, and community organizations to work together to ensure access to affordable healthcare, support services, and financial assistance programs. Additionally, raising awareness about the challenges faced by this vulnerable population and advocating for policies that address their needs can help alleviate some of the burdens imposed by inflation. While the IRA is a step in the right direction, its financial impact on patients appears limited.

Changes in Psychological Challenges, Positive Experiences, and Coping Strategies among International Students in the United States before and during the COVID-19 Pandemic: A Qualitative Study.

The purpose of this study was to understand how the challenges and coping strategies among international students in the United States changed before and during the COVID-19 pandemic. We conducted a qualitative study through one-on-one in-depth interviews during April-June 2021. A total of 34 international students in the San Francisco Bay Area participated in this study. NVivo was used to analyze the qualitative data. Before COVID-19, the challenges were primarily related to a sense of belonging, such as culture shock, language barriers, and loss of identity. However, some positive experiences from school life and new culture were also found before COVID-19. During the pandemic, students faced difficulties with online learning and lockdown protocols that they had never experienced before. The ongoing challenges before and during COVID-19 were identity crisis, racism and discrimination, and financial struggles. Common coping strategies for overcoming these difficulties included engaging in physical activity, social exposure, self-improvement, and mental self-care. The frequency of online engagement and motivation for self-improvement were particularly highlighted during COVID-19. However, international students expressed a preference for improved support systems, including financial aid, paid research opportunities, and more accessible campus resources. Future research could focus on the strategies to support the psychological well-being of international students in coping with unexpected situations, such as disease outbreaks.

Beyond Medical Bills: High Prevalence of Financial Toxicity and Diverse Management Strategies Among Vietnamese Patients With Cancer.

This study was conducted to measure financial toxicity (FT) among patients with cancer in Vietnam using the COmprehensive Score for financial Toxicity (COST) and to describe the cost management strategies employed by these patients. This comprehensive cross-sectional study enrolled 634 patients from 2 specialized oncology hospitals in Vietnam. Using COST cut-off scores, FT was classified as none/mild (≥26), moderate (14-25), or severe (≤13). Cost management strategies, or coping mechanisms, were classified into 4 groups: lifestyle changes, financial resource strategies, treatment modifications, and support seeking. The prevalence of FT was 91.8%, with 51.7% of participants demonstrating severe and 40.1% exhibiting moderate FT. Severe FT was significantly associated with female, low education level, unstable employment, low household economic status, and advanced cancer stage. The most common coping strategies were as follows: among lifestyle changes, reducing spending on basic items and leisure activities (78.7%) and cutting back on essential household expenses (66.4%); among financial resource strategies, borrowing money from relatives or friends (49.1%) and withdrawing funds from retirement or savings accounts (34.1%); within treatment modifications, switching treatment facilities or doctors due to cost concerns (9.3%); and within support seeking, obtaining help from welfare or community organizations (18.8%). All strategies were significantly more likely to be used by patients with severe FT. FT was highly prevalent among patients with cancer. Most patients relied on lifestyle adjustments and coping strategies, underscoring the need for improved financial support systems to alleviate the economic burden associated with cancer care.

A Comprehensive Analysis of Spiritual Interventions in the Prevention and Management of Student Suicide: A Three Stage Study

Background: Suicide is one of the most common high-risk behaviors in teenagers and young adults. In this regard, various solutions are implemented to prevent and treat this social concern. In the field of spiritual health and spiritual interventions in societies like Iran, which are generally mixed with religious values and beliefs, it is considered one of the most important priorities. Objectives: The main purpose of this study is an analysis of spiritual interventions in the prevention and management of student suicide and to propose practical national suggestions. Materials and Methods: Present investigation was conducted in three stages; through the first step, a systematic review of the texts was done. The second stage includes explaining the strengths, weaknesses, challenges, and suggestions for improving the interventions from the point of view of key informants and students. In the third stage, an expert panel was coordinated in order to consolidate the findings. Results: After checking the overlap and removing the duplicates, finally, thematic connection was made based on the titles, abstracts, and full texts of the articles and information was extracted from 15 papers. Generally, based on published documents, factors related to youth and adolescent suicide are classified into three categories: Demographic, environmental, and psychological factors. Studies have shown that people who have one or more risk factors are more likely to engage in suicidal behaviors. The categories related to causal conditions, background conditions, intervening factors, and common coping strategies were determined through content analysis. Following the panel of experts, the empowerment of at-risk groups and the provision of training needs assessment for the target groups was the most important priority. Conclusions: Vast advocacy, in youth and student groups, regarding the deep concepts of spiritual health plays an important role in the prevention of suicide. The main interventional priorities include: Emphasizing the role of spirituality in giving meaning to life, creating hope and motivation, and improving the individual in all aspects of health.

Pain and Coping Strategies as Determinants of Malnutrition Risk in Lung Cancer Patients: A Cross-Sectional Study.

Progressive cachexia and malnutrition severely impact the physical and mental condition of cancer patients. Pain is a prognostic factor for shorter survival in cancer patients, and coping strategies are crucial for adapting to treatment and dietary regimens. This study assessed pain levels, pain-related beliefs, and coping strategies as factors increasing malnutrition risk in 257 lung cancer patients. Sociodemographic and clinical data were collected from medical records. The Mini Nutritional Assessment (MNA), Visual Analog Scale (VAS), Beliefs about Pain Control Questionnaire (BPCQ), and Coping Strategies Questionnaire (CSQ) were used. Overall, 42.8% of patients were at risk of malnutrition, and 17.5% were malnourished. Nutritional status negatively correlated with CSQ domains: reinterpretation of pain (RP: rho = -0.194; p = 0.002), catastrophizing (CP: rho = -0.414; p = 0.001), ignoring pain (IP: rho = -0.198; p = 0.001), praying/hoping (PH: rho = -0.253; p < 0.001), and coping self-statements (CS: rho = -0.172; p = 0.006); and BPCQ domains: the power of doctors (PD: rho = -0.196; p = 0.002) and VAS (rho = -0.451; p < 0.001). Nutritional status positively correlated with CSQ domains: pain control (PC: rho = 0.499; p < 0.001) and the ability to reduce pain (AR: rho = 0.512; p < 0.001). In multivariate regression analysis, a better nutritional status was associated with a younger age (β = -0.094; p < 0.001), non-small-cell lung cancer (NSCLC) (β = 1.218; p = 0.037), a greater ability to reduce pain (CSQ-AR) (β = 0.901; p < 0.001), lower catastrophizing (CSQ-CP) (β = -0.165; p = 0.001), and lower pain perceived (VAS) (β = 0.639; p < 0.001). Statistical analyses included Spearman's correlation and multivariate regression with a significance level of p < 0.05. Patients with a normal nutritional status had reduced doctor involvement in pain control, less frequent negative coping strategies, and more common positive coping strategies. A normal nutritional status correlates with lower perceived pain. A better nutritional status is linked to a younger age, NSCLC, lower pain levels, greater pain reduction ability, and lower scores in pain catastrophizing.

Assessment of Financial Toxicity and Coping Strategies Associated With Cancer Treatment Among Caregivers of Patients With Cancer From a Lower-Middle-Income Country.

The rising cost of cancer treatment causes out-of-pocket spending among patients or caregivers in lower-middle-income countries, resulting in acute misery and insolvency. This study aimed to assess the financial toxicity associated with cancer treatment and the coping strategies for cancer treatment adopted among the caregivers of patients with cancer in a tertiary cancer care center. This prospective cross-sectional study was conducted among the primary caregivers of patients with cancer undergoing curative treatment from March to June 2023. The estimated sample size was 403 caregivers. The financial toxicity was assessed using a modified Comprehensive Score for Financial Toxicity-Functional Assessment of Chronic Illness Therapy tool, and coping strategies were explored using a validated questionnaire of 20 questions. Univariate and multivariate analyses investigated the associations and factors influencing financial toxicity. The caregivers recruited in the study were 403; 83.8% were younger than 50 years, and 66.5% were male. The common cancer types included were breast cancer (27.3%), GI cancer (17.9%), head and neck cancer (12.4%), and gynecological cancer (11.6%). The mean financial toxicity score was 22.32 (standard deviation, 9.55), with 64% experiencing moderate to severe financial toxicity. The most common coping strategies used were spending a portion or all of the savings, borrowing money from others, restructuring their spending habits, seeking financial assistance from the cancer center, and resorting to gold loans. Screening patients and their primary caregivers using a modified COST tool can help identify families experiencing severe financial toxicity and provide necessary intervention.

Driving Difficulties and Coping Strategies in Persons With Homonymous Quadrantanopia or Homonymous Scotoma

Introduction: This study, conducted in the United States, investigated the challenges faced by drivers with homonymous visual field loss and their coping strategies, including the use of in-vehicle Advanced Driver Assistance Systems (ADAS). Methods: Four current drivers with either homonymous quadrantanopia or homonymous scotoma caused by a stroke completed an in-depth semi-structured telephone interview. Using mostly open-ended questions, the interview addressed the difficulties encountered while driving, strategies used to cope with the difficulties, and the use of ADAS. Results: The main difficulties related to seeing objects on the side of the field loss, especially at intersections and when merging or changing lanes. Individuals with left-sided field loss reported problems with left turns and seeing oncoming cars at intersections. Those who had homonymous scotomas described how cars disappeared in and out of the scotoma. Two participants reported many driving difficulties at first, but fewer difficulties as they became used to driving with the field loss. The most common coping strategies included scanning to the side of the field loss (including large scans with head movements), use of rearview and side mirrors, adding mirrors to the car, leaving more space on the side of the field loss, avoiding difficult driving situations and the use of ADAS (blind spot warning, GPS navigation, and rearview camera). Discussion: All participants reported some difficulties consistent with those found in on-road and driving simulator studies of individuals with homonymous visual field loss. Over time they each reported developing a set of strategies, including the use of ADAS, for coping with the field loss that enabled them to be active drivers with relatively few self-imposed restrictions. Implications for Practitioners: Advising drivers with stroke-related field loss about potential difficulties and compensatory strategies is an important part of preparation for return to driving. This article provides examples of problem situations, coping strategies, and ADAS use which can be used to guide discussion.

Identify the Most Common Challenges and Coping Strategies that Teachers Encounter in Managing Large Class Teaching

Background: It is very difficult to talk about all the problems regarding large size classes. However, there are certain problems which may look small from general point of view but can affect teaching - learning process strictly. Definitely, there are certain problems which are related to all large English classes and cannot be ignored at any time. Dealing with large number of students constitutes a real challenge to every teacher. variety of students with multi - level IQ and learning style, class environment organization, difficulty of setting and crowd control, less attention to students, limited students’ learning monitoring and difficulty in engaging all students in activities. It is a very important issue for every instructor to be involved in teaching large number of students especially, in EFL contexts. Objectives: To find out the most common challenges teachers may encounter in managing of teaching large classes and to help instructors to be aware of those problems they may face with large number of students in order to take action to overcome at least of the challenges. Method and Material: This is qualitative research; the research design is descriptive and the data was analyzed descriptively. In this research, first we searched for the keywords which related to the research topic through the online academic and up to date sources such as (ADRI, Research Gate, and Google Scholars). Out of 32 articles, we reviewed twenty - one of them that mostly explained the challenges of large classes. The articles were published between (1970 - 2010) years. Results: Dealing with large classes constitutes a real challenge to every teacher: The major hypothesis is that effective teaching and producing learning is critically constrained by the large size of classes and the students’ perception about large classes being negative. The findings indicated that small - group learning are more effective in promoting greater academic achievement, and enhances favorable attitudes toward learning. Conclusion: Most researches showed that benefit usually occur when class size is reduced to less than 20 students otherwise problem of acquisition and classroom management arise and learning process will be not occur effectively. There are other variables such as the quality of teachers, students’ degree of motivation, and role of the parents may interface and come into play in leaning process.

A Cross-sectional Study of Mental Health Effects of Excessive Screen Time and Social Media Use among Indian Adolescents and Young Adults

Abstract Introduction: The impact of excessive screen time and social media use on mental health, particularly among adolescents and young adults, has raised concerns. Objective: The objective of this study is to assess the mental health effects of excessive screen time and social media use among adolescents (13–19 years) and young adults (20–25 years) in India. Methods: This cross-sectional online survey study recruited 1392 participants (672 adolescents and 720 young adults) from India. Validated scales assessed mental health outcomes, screen time, social media use, mediating factors, and coping strategies. Descriptive statistics, correlation analyses, regression models, and thematic analysis were employed. Results: The prevalence of depression symptom was 37.9%, anxiety symptom was 33.3%, high stress 43.7%, and low self-esteem 25.3%, respectively. Significant positive correlations were found between screen time, social media use, and symptoms of depression (r = 0.32, r = 0.25), anxiety (r = 0.28, r = 0.22), and stress (r = 0.36, r = 0.29), while negative correlations existed with self-esteem (r = −0.25, r = −0.18). Poor sleep quality and cyberbullying exacerbated mental health issues, while physical activity and social support had protective effects. Common coping strategies included physical activity, hobbies, social support, digital detox, and mindfulness. Conclusions: The study provides compelling evidence linking excessive screen time and social media use with adverse mental health outcomes such as depression symptoms, anxiety symptoms, stress, and low self-esteem among Indian adolescents and young adults. Key mediating factors were poor sleep quality exacerbating mental health issues, while physical activity, social support, and reduced cyberbullying were protective. While recognizing technology’s benefits, the study highlights promoting balanced digital habits, addressing underlying factors, and equipping youth with coping skills to foster a healthier relationship with technology and safeguard mental well-being.

Adolescents’ experience with sports-related pain and injury: A systematic review of qualitative research

ObjectiveThe aim of this review is to synthesise qualitative studies examining adolescents’ experience with pain and injury arising from sports participation. MethodsThis review was registered on Open Science Framework prior to data extraction. A systematic search of PubMed, Embase, and SPORTDiscus was conducted. Studies were appraised using the CASP (critical appraisal skills programme) checklist. Data was synthesised using a meta aggregation. Study selection criteriaInclusion criteria included studies related to adolescents aged 14–19yrs with sports related pain/injury, employed a qualitative design, full text publications in English. ResultsSixteen studies of 216 participants were included. Studies investigated severe knee injuries, concussion, or other musculoskeletal injuries. Synthesised findings show that, regardless of injury type, adolescents experience a mix of positive (motivation to rehab and return to sport, optimism) and negative emotions (fear of re-injury, isolation, depressive responses) throughout recovery. Common coping strategies were to ignore symptoms, modify activity levels, or seek support. ConclusionSports-related pain and injury has a multifaceted effect on the adolescent athlete. There is a pervasive fear of re-injury and social isolation, but the desire to return to sports is facilitated through motivation and support. Peer motivation effects the willingness of the adolescent to persist with rehabilitation.

Collaborative Safety Planning with Youth during a Suicide-Related Emergency: Developmental and Family Considerations

ABSTRACT Suicide is a leading cause of death among youth, yet many risk reduction interventions have been designed for and tested with adults. The Safety Planning Intervention (SPI) is widely used by child-serving clinicians; however, little formal guidance exists about how to conduct the SPI in a developmentally tailored or family centered manner. This study aimed to 1) describe the content of youth safety plans to elucidate the range of strategies that youth find helpful in managing suicide risk, 2) apply operational definitions of SPI fidelity (completeness, personalization, consistency) developed with adults to SPI fidelity measurement with youth, and 3) explore the extent to which quality SPI implementation, including collaboration with parents, was related to parents’ perceived readiness and behavioral engagement in supportive behaviors following a psychiatric emergency. A mixed methods approach was used to examine safety plans completed by 54 youth ages 12–17 (79.6% female; 88.9% White) during a psychiatric emergency department visit. Common preferred coping strategies included listening to music, spending time with supportive individuals, creating art/music, and exercise. Youth safety plans were of moderate quality (M = 3.09, SD = 1.34, range = 0–5), with 61% demonstrating evidence of personalization and 35% mostly personalized. Parent ratings of developmentally appropriate and family centered care were associated with both perceived readiness (β = .67, p < .001) and behavioral engagement (β = .51, p = .003) with safety plan recommendations in the days following ED discharge. Implications of these findings for clinical practice are discussed.

An Exploration of Common Dyadic Coping Strategies: A Perspective from Pakistani Couples Living with Chronic Conditions.

This qualitative study was conducted to explore the common dyadic coping (DC) efforts of married couples, with a chronically ill partner. The sample for the study consisted of twelve couples chosen from Gujrat, Pakistan. The semi-structured interviews were conducted with the help of aninterview guide and analyzed using thematic analysis (Braun and Clarke, 2006). The following four major themes were emerged: "common problem-focused DC," "common emotion-focused DC," "common religious DC," and "combined pattern of intimate relationships." The findings indicated that partners are not preferring relational coping resources for problem- and emotion-focused DC. However, the majority of couples participate in religious DC process in a complementary way to cope with stressful situation in the result of chronic illness. The study also indicated various indigenous factors, for example, socioeconomic status, family culture, lack of physical resource, and religious standpoints contributing in the lack of connectivity and sexual intimacy. To conclude, the results revealed that future research is required to investigate the patient and partner's relationship in greater depth, focusing on above-mentioned contextual factors.

Coping strategies of psychiatrists and psychiatry trainees following patient suicide and suicide attempt: A national cross-sectional study in Saudi Arabia.

A patient's suicide or suicide attempt is a challenging experience for psychiatrists. This study aimed to explore the common coping strategies and habits developed by psychiatrists/trainees following such incidents. A self-administered questionnaire was distributed among participants in Saudi Arabia. The study enrolled 178 participants, of whom 38.8% experienced a patient's suicide, 12.9% experienced a patient's severe suicide attempt, and 48.3% did not encounter any suicidal events. The most frequently utilized sources of support were colleagues (48.9%), team discussions (41.3%), and supervisors (29.3%). Only 21.4% received formal education in coping with a patient's suicide. Approximately 94.9% reported a lack of support systems within their institution. The study highlighted the coping strategies most commonly employed by psychiatrists/trainees and revealed that the majority of participants reported no changes in their daily habits. The findings underscore the need for a structured support system and formal educational resources to address the existing deficit. Mental health organizations must take action to ensure adequate resources for healthcare providers.

Stress coping skills and strategies as antidote to mental health for adult male migrants – open space for CBT interventions

Migrants often encounter numerous stressors that can significantly impact their mental health. Understanding the coping strategies employed by migrants and assessing their mental health status is crucial for developing effective support systems. The main aim of this study was to examine the most common coping skills and strategies of young adult migrants in order to generate ideas for creating a comprehensive CBT support program. The study explored the frequency of different coping strategies employed by migrants in correlation with their levels of depression, anxiety, and stress. This study utilized a quantitative approach and recruited a sample of 184 male migrants from 14 different countries facing stressful situations. The findings revealed that religion was the most commonly used coping strategy, followed by planning for the next steps and actively coping with the situation. Substance use was identified as the least utilized coping strategy. The mental health scores of male migrants reflected moderate levels of depression, anxiety, and mild manifestations of stress symptoms. These results underscore the importance of understanding and addressing the coping mechanisms and mental health needs of migrants to provide appropriate support and interventions.

Stress and Coping Strategies in Malay Parents of Children with Cleft Lip and/or Palate.

This study was aimed at describing the level of stress and types of coping strategies used among Malay parents of children with cleft lip and/or palate (CL/P). Cross-sectional study. A dental clinic and a general hospital. Parents (N = 84) whose children were less than 12 years old with CL/P. Socio-demographic data and clinical characteristics of CL/P were collected. Self-administered validated Malay versions of the stress scale from the Depressive, Anxiety and Stress Scale-42 (DASS-42) and COPE Inventory questionnaires were used. Descriptive statistics and Multivariate Analysis of Covariance were used for data analysis. The prevalence of stress among parents of children with CL/P was 21.4% [95% confidence interval (12.4, 30.4)]. The most common coping strategies were problem-focused (mean 58.15, standard deviation (SD) 7.75), followed by emotion-focused (mean 54.05, SD 4.78). The adjusted mean score for overall coping strategies was significantly different between stressed and non-stressed parents after adjustment for education, number of children, sex of child with CL/P, and cleft type [F (df) = 4.174 (3,74), P = .009]. There was a significant mean difference between stressed and non-stressed parents for avoidant coping strategies [P = .003]. Problem-focused and emotion-focused coping strategies did not differ after Bonferroni correction. Around a fifth of parents caring for children with CL/P experienced stress and avoidant coping strategies were more common among stressed parents. Multi-disciplinary team care should provide social support to parents of children with CL/P.

Analysis of Experiences and Coping Strategies of Pregnant Women with Hyperemesis Gravidarum in Purwakarta Regency, Indonesia

Introduction: Hyperemesis gravidarum (HG) is a pregnancy complication characterized by excessive nausea and vomiting. HG can cause dehydration, malnutrition, and other serious complications. In Indonesia, data regarding the experiences and coping strategies of pregnant women with HG is still limited.&#x0D; Methods: This research uses a qualitative design with a phenomenological approach. Data was collected through in-depth interviews with 10 pregnant women who experienced HG in Purwakarta Regency. Data were analyzed using qualitative data analysis methods.&#x0D; Results: The research results show that pregnant women with HG experience various kinds of physical and emotional symptoms. The most common physical symptoms are nausea, vomiting, fatigue, and dizziness. The most common emotional symptoms are anxiety, depression, and stress. Pregnant women use various coping strategies to deal with HG. The most common coping strategies are problem-focused coping strategies, such as seeking information about HG, consulting a doctor, and trying home remedies. Other coping strategies used are coping strategies that focus on emotions, such as seeking social support and relaxation.&#x0D; Conclusion: This research shows that pregnant women with HG experience a variety of physical and emotional symptoms. Effective coping strategies can help pregnant women to overcome HG and improve their quality of life.

The role of coping strategies in subjective wellbeing indicators of non-profit workers

This study examines the relationship between coping styles, job satisfaction, and subjective wellbeing among non-profit (NPO) workers serving refugees. A sample of 228 paid and volunteer NPO workers based in Turkey was analysed, revealing generally high levels of job satisfaction and widespread utilisation of coping mechanisms. The most common coping strategies among NPO workers include social support, exercise, and prayer/spirituality. Interestingly, while no significant variations were found in happiness and life satisfaction scores based on coping strategies, there were significant differences in job satisfaction scores. Specifically, employing prayer/spirituality as a coping strategy is associated with higher levels of happiness, life satisfaction, and job satisfaction. These results suggest the potential benefits of incorporating prayer/spirituality into coping mechanisms within the NPO work. Conversely, workers who did not utilise any coping strategies reported the lowest levels of job satisfaction, highlighting the importance of employing coping strategies to enhance job satisfaction in NPO work.

Experiential Avoidance, Post-Traumatic Stress Symptoms, and Academic Impairment.

The ways in which Posttraumatic Stress Disorder (PTSD) symptoms lead to impairments in functioning, including academic performance, are not well understood. The present study sought to examine the role of a common maladaptive coping strategy, experiential avoidance, as a moderator of the relationship between posttraumatic stress symptoms (PTSS) and academic achievement. Participants (N = 326) were undergraduate students enrolled in introductory psychology courses at a large university in the Midwestern United States who reported at least one event potentially meeting Criterion A for PTSD. The prospective association of PTSS with current and subsequent semester GPAs, and with experiential avoidance as the moderator, were examined. The interaction between PTSS and experiential avoidance significantly predicted both current semester GPA and subsequent semester GPA, with stronger associations between PTSS and GPA being observed at higher levels of experiential avoidance. These results were not fully explained by control variables of high school performance, standardized test scores, and general negative affect. This study found that experiential avoidance significantly moderates the relationship between PTSS and academic performance. These results suggest that interventions that target PTSS and/or experiential avoidance may increase GPA. Limitations and future directions are discussed.

Chiropractic faculty experiences of burnout and the COVID-19 pandemic.

The Maslach Burnout Inventory (MBI) is frequently used to assess occupational burnout and the Epidemic-Pandemic Impacts Inventory (EPII) is a new tool for assessing pandemic impacts. This study's objective is to describe chiropractic faculty members' experience of the COVID-19 pandemic, their burnout as professional educators, and their strategies for coping with stress. A Qualtrics survey link was emailed to 73 current faculty and 10 previously employed faculty from 1 chiropractic school. The survey included 22 MBI, 31 EPII, and 2 questions about coping strategies. Faculty were given several weeks to complete the survey, were reminded via emails and meeting announcements, and were given paper surveys to increase participation. Responses were analyzed in STATA17. Forty-three faculty completed the survey (response rate = 52%). Of these, 25.8% reported testing positive for COVID-19, 30.23% reported difficulties transitioning to working from home, and 25.5% scored high on the MBI subscale for emotional exhaustion (EE) (mean 15.79, SD 13.68). Higher EE was associated with pandemic-related increases in mental health and sleep problems. Common coping strategies included self-care and social support. The majority of faculty reported neither contracting COVID-19 nor having difficulty transitioning to work from home. Average EE for participating faculty was lower than previous reports although a quarter scored high in EE, which may be associated with pandemic-related mental health and sleep problems. These results suggest chiropractic faculty might need support coming out of the COVID-19 pandemic and indicate the need for future research on burnout among faculty from other chiropractic institutions.