Confrontive Coping Research Articles

Women Ridesharing Drivers' Responses to Sexual Violence on the Job: The Role of Confrontation.

One critical area where sexual violence has been underexplored is in the ridesharing industry in the United States, where women drivers frequently must interact with unknown male passengers. Sexual violence against them is categorized as technology-facilitated gender-based violence in the online to offline world, where services such as transportation are ordered through an online app and result in a person-to-person interaction once the driver picks the passenger up. Since ridesharing drivers are mostly independent contractors, they do not have at their disposal traditional legal and strong organizational remedies to address sexual violence; moreover, like all victims of violence, these methods usually can only be accessed after the incident has taken place. Instead, in the moment of sexual violence, they must often utilize informal methods at their disposal, including confrontational and nonconfrontational coping tools. This study uses qualitative content analysis methods on a survey of 32 ridesharing drivers (31 women and 1 nonbinary individual) who described 69 cases of sexual violence. It found that confrontational responses dominated, including the following: verbal opposition sometimes paired with physicality; canceling the ride, threatening to stop the ride, and actually stopping the ride; and threatening to attack the perpetrator, actually attacking the perpetrator, and threatening to involve the police. Less common nonconfrontational responses included emotional reactions; other strategies in this category involved ignoring the perpetrator, joking with the perpetrator, and changing the conversational subject. This study has important implications for understanding the contextual environment where confrontation is prevalent and strongly points to additional needed safeguards for drivers, passenger education campaigns, as well as app-based transportation corporate reform.

The chain mediating role of social support and coping strategy: Type D personality and psychological distress among Chinese COPD patients.

This study examines how coping strategies and social support mediate the relationship between type D personality and psychological distress in COPD patients. A sample of 351 patients completed surveys on demographics, psychological distress (Kessler Psychological Distress Scale), social support (Social Support Self-Rating Scale), coping strategies (Chinese version of Medical Coping Modes Questionnaire), and type D personality (Type D Personality Scale). Using structural equation modeling (SEM) via AMOS 23.0 and SPSS, results showed that confrontation and acceptance-resignation coping strategies, as well as type D personality, were positively correlated with psychological distress, while social support was negatively correlated. SEM estimates revealed a chain mediating effect of social support and coping strategies between type D personality and psychological distress. Enhancing social support and coping strategies is crucial for reducing psychological distress, especially in COPD patients with type D personality.

ОСОБЛИВОСТІ СПРИЙМАННЯ ОКУПОВАНИХ МІСТ В УМОВАХ ВІЙНИ

Purpose of the article is to empirically determine the peculiarities of perception of occupied cities under the stress of war. Methods. To achieve this goal, the author's questionnaire “Characteristics of Perception of Occupied, Frequently Shelled and Relatively Safe Cities of Ukraine” was used, as well as psychodiagnostic methods aimed at determining: coping strategies by R. Lazarus; stress level by V. Shcherbatykh; anxiety by C. Spielberger. The methods of statistical data processing were correlation and comparative analysis. The group of respondents consisted of 148 citizens of Ukraine (23 men, 125 women) aged 14 to 57 years, who at the time of the study (in 2023) were in 19 different regions of Ukraine and in European countries. Results. The respondents showed a high degree of stress and confrontation coping strategy, as well as its connection with the subjective experience of the value of cities, their emotional significance and “ourness”. The subjective value of the occupied cities is interconnected with the attribution of suffering to their inhabitants, the tragic nature of events in them, and their perceptual value. Gender differences have been identified: women attribute a relatively higher level of “ourness”, emotional significance and value to all Ukrainian cities than men. Women are characterized by a higher level of tragedy in the perception of all the cities assessed; they are more likely to use such coping strategies as distancing, escape, seeking social support, and positive reassessment than men. Differences in stress levels were also found: this level is paradoxically lower among residents of regions closer to the front line than among residents of western regions and people abroad. Residents of the western regions of Ukraine have a lower level of attributed “belongingness” to occupied and de-occupied cities. Conclusions. Experiencing the stress of war and the confrontation coping strategy actualized by it are related to the peculiarities of perception of the occupied cities. They are perceived as tragic, subjectively valuable, and spatially larger. Women ascribe a higher level of “ourness” and emotional significance to all Ukrainian cities and at the same time show a greater variety of coping strategies than men. Residents of the regions close to the front line have lower overall levels of stress and its physical signs than Ukrainian citizens from the western regions and European countries. Residents of the western regions of Ukraine have a lower level of attributed “belongingness” to both occupied and de-occupied cities.

Can confrontation or avoidance coping reduce incivility recurrence? The roles of organizational communication openness and targets’ status at work

Can confrontation or avoidance coping reduce incivility recurrence? The roles of organizational communication openness and targets’ status at work

Relationship between post-traumatic stress disorder and fear of progression in stroke patients: the mediating role of perceived social support and coping styles.

Fear of progression (FoP) among stroke patients is closely associated with post-traumatic stress disorder (PTSD), perceived social support, and coping styles. However, there is still limited research on the mechanism of interaction among these four factors. The purpose of this study was to investigate the mediating role of coping styles and perceived social support in the relationship between FoP and PTSD among stroke patients. The study included 240 stroke patients and utilized a cross-sectional design. Data was collected using a general data questionnaire, the Fear of Progression-Questionnaire-Short Form (FoP-Q-SF), the Perceived Social Support Scale (PSSS), Medical Coping Modes Questionnaire (MCMQ), and the Post-traumatic Stress Disorder Check-list-Civilian Version (PCL-C). Structural equation modeling was used to assess the mediating relationship between PSSS and MCMQ between FoP and PTSD. A total of 112 (46.7%) patients exhibited mental dysfunction with FoP scores ≥34, and 89 (37.1%) patients presented with a PTSD score of at least 38had certain PTSD symptoms. FoP was negatively correlated with PSSS and facing coping styles, and positively correlated with PTSD and yielding coping styles. PSSS, facing coping styles, and yielding coping styles partially mediated the relationship between FoP and PTSD, accounting for 42.69% of the total effect. PTSD can impact FoP directly or indirectly through perceived social support, confrontation, and submissive coping styles. Therefore, it is important to urge patients to reasonably use social support and coping styles to increase well-being, and strive to mitigate the ongoing impact of PTSD symptoms, and reduce the risk of FoP.

Correlation between medical coping style and mindfulness level of hospitalized elderly: implications for enhancing psychological well-being

BackgroundThe mindfulness level of hospitalized elderly is influenced by factors such as physical health, emotional resilience, and social support. However, little is known regarding the relationship between medical coping styles and mindfulness levels of hospitalized elderly. The aims of this study were to explore the association between medical coping styles and mindfulness levels in hospitalized elderly patients, with a focus on identifying actionable strategies to enhance patient well-being.MethodsA survey of 253 elderly patients was conducted in the Department of Geriatrics of a 3 A hospital in Tangshan from September to November 2022 using the General Questionnaire, Medical Coping Style Scale (MCMQ), and Mindfulness-Attention Awareness Scale (MAAS).ResultsThe average mindfulness level score of the hospitalized elderly was (59.71 ± 13.90), with a scoring rate of 66.34%, at a moderate mindfulness level. This study revealed a strong positive correlation (r = 0.725, P < 0.05) between confrontation coping and mindfulness, highlighting the importance of promoting active coping strategies to improve mindfulness levels in elderly patients.ConclusionThe mindfulness level of the hospitalized elderly shows potential for improvement, their coping styles are closely related to their mindfulness level, and positive coping styles can help improve the mindfulness level of the hospitalized elderly. This study suggested that medical staff can consider formulating targeted interventions, contingent upon available resources and training, guide patients to establish positive coping styles, and improve the mindfulness level of hospitalized elderly people.

Social Support, Coping Strategies, Depression, Anxiety, and Cognitive Function Among People With Type 2 Diabetes Mellitus: A Path Analysis.

To explore the linear associations between social support, coping strategies, depression, anxiety, and cognitive function among people with type 2 diabetes mellitus (T2DM) using a path-analytic method. This cross-sectional study enrolled 496 individuals hospitalized due to T2DM. Well-trained investigators conducted face-to-face interviews with the participants using the Social Support Rating Scale, the Chinese version of Medical Coping Modes Questionnaire, the Hospital Anxiety and Depression scale, and the Mini Mental State Examination to measure social support (including objective support, subjective support, and support utilization), coping strategies (including confrontation, avoidance, and acceptance-resignation), depression/anxiety, and cognitive function, respectively. A path analysis was used to elucidate the linear associations between social support, coping strategies, depression, anxiety, and cognitive function. In the final path model with satisfactory model fit, objective support was found to be associated with cognitive function not only directly but also indirectly through confrontation coping and depression, and acceptance-resignation coping and depression/anxiety. Further, subjective support was found to be associated with cognitive function indirectly through depression/anxiety, as well as serially through acceptance-resignation coping and depression/anxiety. Support utilization was found to be associated with cognitive function indirectly through confrontation coping and depression, as well as through acceptance-resignation coping and depression/anxiety. Social support, coping strategies, depression, and anxiety were associated with cognitive function among people with T2DM, and these associations were best explained by a serial mediation model from social support, coping strategies, and depression and anxiety to cognitive function.

Inner strength, coping self-efficacy and coping strategy of patients with peritoneal dialysis: A exploratory cross-sectional study.

The purpose of the study was to investigate and analyse inner strength of patients with peritoneal dialysis, explore the associations among inner strength, coping self-efficacy (CSE) and medial coping modes. This was a cross-sectional study which was conducted in nephrology departments of two affiliated hospitals of a comprehensive university in China. Convenience sampling was chosen to collect data. A total of 191 patients undergoing peritoneal dialysis were recruited by convenience sampling in two hospitals. Data involved of sociodemographic and clinical materials, inner strength, CSE and medical coping modes were collected from the patients. IBM SPSS Statistics 21.0 was used to process and analyse the data. The averaged score of inner strength was 95.74 (SD = 13.52). The inner strength, CSE and confrontation coping had positive associations with each other. Besides, inner strength and CSE was negatively associated with acceptance-resignation coping strategy, respectively.

Psychosocial Adaptation in Lung Cancer Patients: a Literature Review

ABSTRACT Lung cancer is one type of cancer with the highest mortality rate, this is often due to delays in diagnosis and the impact of prognosis which can affect the psychosocial adaptation of lung cancer patients. Analyze psychosocial adaptation problems in lung cancer patients, their impacts, and treatment strategies. Systematic review used the PRISMA protocol and JBI scoring tool to determine eligible articles. Five electronic databases were used (Pubmed; Science Direct and Google Scholar. Inclusion criteria included research on lung cancer published in English in the last ten years (2014-2024). The results showed that 20 articles met the inclusion criteria. The results of the review show several common problems experienced by lung cancer patients, including depression, anxiety, social isolation, stigmatization, mental health problems, and difficulties in adaptation. The impact is a decrease in emotional well-being, a reduction in quality of life, an increase in physical symptoms, and a worsening of the disease prognosis. Several prevention strategies include providing multidisciplinary therapy through supportive and palliative care, improving the quality of psychosocial health services, cognitive behavioral therapy, social support therapy, psycho-education, increasing social support, spiritual treatment, increasing healthy behavior, and using confrontation and stress coping. Psychosocial problems experienced by lung cancer patients are often complex and can include various aspects. Several common issues experienced by lung cancer patients are related to psychosocial problems. The impact of psychosocial problems can worsen the prognosis of lung cancer so several treatment efforts are needed to overcome psychosocial problems in lung cancer patients. Keywords: Adaptation, Lung Cancer, Literature Review, Psychosocial

The links between symptom burden, illness perception, psychological resilience, social support, coping modes, and cancer-related worry in Chinese early-stage lung cancer patients after surgery: a cross-sectional study

ObjectivesThis study aims to investigate the links between the clinical, demographic, and psychosocial factors and cancer-related worry in patients with early-stage lung cancer after surgery.MethodsThe study utilized a descriptive cross-sectional design. Questionnaires, including assessments of cancer-related worry, symptom burden, illness perception, psychological resilience, coping modes, social support and participant characteristics, were distributed to 302 individuals in early-stage lung cancer patients after surgery. The data collection period spanned from January and October 2023. Analytical procedures encompassed descriptive statistics, independent Wilcoxon Rank Sum test, Kruskal-Wallis- H- test, Spearman correlation analysis, and hierarchical multiple regression.ResultsAfter surgery, 89.07% had cancer-related worries, with a median (interquartile range, IQR) CRW score of 380.00 (130.00, 720.00). The most frequently cited concern was the cancer itself (80.46%), while sexual issues were the least worrisome (44.37%). Regression analyses controlling for demographic variables showed that higher levels of cancer-related worry (CRW) were associated with increased symptom burden, illness perceptions, and acceptance-rejection coping modes, whereas they had lower levels of psychological resilience, social support and confrontation coping modes, and were more willing to obtain information about the disease from the Internet or applications. Among these factors, the greatest explanatory power in the regression was observed for symptom burden, illness perceptions, social support, and sources of illness information (from the Internet or applications), which collectively explained 52.00% of the variance.ConclusionsHealthcare providers should be aware that worry is a common issue for early stage lung cancer survivors with a favorable prognosis. During post-operative recovery, physicians should identify patient concerns and address unmet needs to improve patients’ emotional state and quality of life through psychological support and disease education.

Post‐stroke family resilience is correlated with family functioning among stroke survivors: The mediating role of patient's coping and self‐efficacy

AbstractAimFamily resilience and healthy family functioning are crucial for stroke survivors' rehabilitation. This study aimed to determine the mediating effects of self‐efficacy and confrontation coping on the relationship between family resilience and functioning among patients with first‐episode stroke.DesignA cross‐sectional design was applied.Methods288 patients with first‐episode stroke were recruited from 7 hospitals in Shangqiu and Shanghai, China, from July 2020 to October 2020. A shortened Chinese version of the Family Resilience Assessment Scale, family adaptation, partnership, growth, affection and resolve questionnaire, Medical Coping Modes Questionnaire, and Self‐efficacy for Chronic Disease 6‐item Scale were used to collect the self‐reported data. The relationships among the studied variables were studied using spearman correlation and structural equation model.ResultsThe average level of family functioning among stroke patients was 7.87 (SD = 2.32). About 26.8% (n = 76) of patients reported family dysfunction. The structural equation model showed that family resilience directly affected patients' satisfaction with family functioning (r = 0.406, p &lt; 0.001) and indirectly affected the mediating role of patients' self‐efficacy and confrontation coping style (r = 0.119, p &lt; 0.001). The model was with good fit (χ2/df = 2.128, RMSEA = 0.065, GFI = 0.956, AGFI = 0.919, NFI = 0.949, and TLI = 0.956).ConclusionFamily resilience and functioning among patients with first‐episode stroke are positively associated with the mediating effects of the patients' confrontation coping style and self‐efficacy between family resilience and functioning. The findings indicate that the professionals should pay special attention to families exhibiting poor family resilience or with patients who rarely use confrontation coping styles or with poor self‐efficacy since they are more likely to suffer from low functioning.

СОЦІАЛЬНО-ПСИХОЛОГІЧНІ ОСОБЛИВОСТІ ДІТЕЙ, ПОСТРАЖДАЛИХ ВІД СІМЕЙНОГО НАСИЛЬСТВА

Purpose. The article reveals the problem of family violence in psychology and the study of socio-psychological characteristics of children affected by family violence. Methods. In order to achieve the goal, the following methods were used in the study: Lazarus coping test, personality orientation method" V. Smekala, M. Kuchera; personal questionnaire FPI (modified form B), method of diagnosis of indicators and forms of aggression by A. Bass and A. Darka; methods of mathematical statistics, in particular (determination of average values, percentage and correlation analysis, Fisher's φ-angle transformation). Results. According to the results of the interviewed teenagers using the selected methods, it was established that teenagers who have experienced family violence or witnessed it: are task- and self-oriented, in difficult life circumstances they are more likely to demonstrate coping behavior: distancing, seeking social support, and escape-avoidance; they are characterized by a high level of: neuroticism, depression, irritability, shyness, openness and emotional lability, verbal aggression, suspiciousness, offensiveness, indirect and physical aggressiveness. On the other hand, adolescents who were not subjected to illegal actions by their parents/guardians and generally did not experience any violent actions (bullying) in social groups were found to be: focused on themselves and on building interpersonal relationships; in difficult situations, they resort to confrontational coping, social support and positive reassessment of the situation; on the one hand, they are more balanced, on the other hand, they demonstrate irritability, emotional lability, negativism, irritation, suspicion, and verbal aggression. Also, a certain level of spontaneous aggressiveness, sociability, reactive aggressiveness, ambiversion and androgynous gender identity was determined in both groups of teenagers. Conclusions. Socio-psychological features of children affected by family violence are characterized by a certain connection among the interviewed teenagers. Namely, in adolescents who have experienced violence, a connection was determined: distancing with depression, escape-avoidance with neuroticism and reactive aggressiveness; self-directedness with coping seeking social support and negative association with shyness. In adolescents who did not experience violence in the family, connections were established: coping, problem solving planning with a focus on interaction, positive reevaluation with sociability; a negative relationship between the search for social support and neuroticism and depression.

The trajectories of psychosocial adjustment among young to middle-aged women with breast cancer: A prospective longitudinal study

PurposeThis study aims to explore heterogeneous trajectories of psychosocial adjustment among young to middle-aged women with breast cancer and determine the predictive factors influencing these trajectories. MethodsThis study was conducted from October 2019 to October 2022 across two hospitals in Guangzhou. Demographic and disease characteristics, psychosocial adjustment, self-efficacy, social support, and coping modes were collected at baseline. Follow-up evaluations of psychosocial adjustment occurred at 1, 3, and 6 months post-surgery. Latent class growth modeling identified distinct patterns of psychosocial adjustment trajectories. Logistic regression analysis determined the predictive factors. ResultsA total of 377 young to middle-aged women with breast cancer participated in this study, with 289 participants completing the 6-month follow-up. Three distinct trajectories of psychosocial adjustment were identified including a "sustained severe maladjustment" trajectory, comprising 22.5% of participants, a "sustained moderate maladjustment" trajectory, comprising 50.4% of participants, and a "well-adjusted class" trajectory, comprising 27.1% of participants. Predictors of psychosocial adjustment trajectories included affected side, surgical type, chemotherapy, self-efficacy, social support, and coping modes. ConclusionsThis study revealed three distinct trajectories of psychosocial adjustment among young to middle-aged women with breast cancer. Those with right-sided breast cancer, undergoing total mastectomy, receiving chemotherapy, low self-efficacy, limited social support, and relying on confrontation or avoidance coping modes may experience sustained maladjustment.

The Mediating Role of Self-efficacy and Coping Mode Between Powerlessness and Quality of Life in Patients with Venous Leg Ulcers.

To explore the mediating effect of self-efficacy and coping mode between powerlessness and quality of life in patients with a venous leg ulcer (VLU). The authors used a convenience sampling method to select 208 patients with a VLU in four tertiary grade A hospitals in Qingdao and Tianjin from June 2021 to August 2022. Instruments included the Powerlessness Assessment Tool, Venous Leg Ulcer Self-efficacy Tool, Medical Coping Modes Questionnaire, and Venous Leg Ulcer Quality of Life Questionnaire. The authors used descriptive statistics, Pearson correlation, and PROCESS macros for data analysis. The powerlessness score was significantly negatively associated with self-efficacy and confrontation coping mode scores and positively associated with patients' quality-of-life scores. In addition, self-efficacy and confrontation coping modes separately and sequentially mediated the relationship between powerlessness and quality of life. Self-efficacy and confrontation coping mode play important mediating roles between powerlessness and quality of life in patients with VLUs. By decreasing patients' sense of powerlessness, boosting their self-efficacy, and encouraging them to adopt confrontation coping mode, health professionals can improve patients' quality of life.

The impact of emotional intelligence on coping strategies for psychological trauma

The aim is to determine the impact of emotional intelligence on coping strategies for psychological trauma. Methods: The research was conducted using survey and testing based on diagnostic methods: Primary Care PTSD Screen, WCQ, EQ-test. Statistical methods were used: ANOVA, descriptive statistics, regression analysis. Two hundred seventy internally displaced persons (IDPs) aged 23 to 48 participated in the study. The study found that subjects with PTSD signs have low emotional intelligence (M=32.31±14.88) and confrontation (M=12.68±4.08), distancing (M=12.74±4.62), avoidance (M=13.85±4.97) coping strategies. Regression analysis established that a low level of emotional intelligence promotes confrontation (β=-1.926±0.296) and distancing (β=-1.198±0.386) coping, and a high level of emotional intelligence develops a problem-solving strategy (β=1.277±0.298). The results make it possible to expand the range of providing psychological assistance in overcoming psychological trauma through the formation of emotional intelligence. This will ensure the assimilation of constructive coping as elements of conscious overcoming of life's difficulties. Increasing the level of emotional intelligence and adaptive behavior strategies will help reduce feelings of stress due to trauma. The obtained results open opportunities to study the impact of emotional intelligence on individuals who experienced traumatic events. Studying external and internal factors contributes to emotional intelligence development. Identifying individual and socio-cultural aspects of coping strategies enhances psychological support methods. Understanding emotional intelligence's influence helps design programs to develop it and overcome psychological trauma, including telepsychology.

Clinical and psychological associations and coping strategies for personality type D and depression in patients with coronary artery disease

The comorbidity of manifestations of psychological distress and cardiovascular diseases is complex. The degree of impact of psychological stress on the patient depends on the possibilities of the adaptive potential of the individual in the environment.Aim: To study the cognitive assessment of stress, coping strategies and clinical and psychological associations in personality type D and depression in patients with coronary artery disease (CAD).Material and Methods. The study included 112 CAD patients. The DS-14 questionnaire was used to determine personality type D.To determine the level of depression the hospital scale HADS (Hospital Anxiety and Depression Scale). To assess coping strategies, the questionnaires “Methods of Coping Behavior” and “Indicator of Stress Coping Strategies” were used. Difficult life situation (DLS) assessment was determined using the “Cognitive Assessment of DLS” methodology. The questionnaire “Types of Orientations in Difficult Situations” was used to study orientations in DLS.Results. Patients were divided into groups based on manifestations of psychological distress: with type D (n = 40), without type D (n = 72); with depression (n = 48) without depression (n = 82). In type D, there was a more frequent assessment of the situation as out of control (12.0 ± 4.6 points versus 11.0 ± 4.6 points, p = 0.049) and orientation towards losses in difficult situations (17.0 ± 4.1 points 15.5 ± 5.1, points, p = 0.016). In depression, less pronounced desire for difficulties (19.0 ± 5.0 points versus 23.0 ± 5.9 points, p = 0.006), orientation towards opportunities (15.5 ± 3.2 points versus 18.0 ± 3.5 points, p &lt; 0.001). In type D, the strategies “Escape-avoidance” (p = 0.05) and “Self-control” (p = 0.04) were used more often. In depression, the strategies “Problem resolution” (p = 0.02), “Search for social support” (p &lt; 0.001) and “Avoidance” (p = 0.02) were more often used, less often – “Confrontational coping” (p = 0.001).Conclusion. Differences in cognitive assessment and coping strategies were revealed in patients with coronary artery disease in personality type D and the development of depression symptoms. This study emphasizes the need for individualized behavioral interventions for patients with coronary artery disease with manifestations of psychological distress.

Correlates of death anxiety for patients with cancer: A systematic review and meta-analysis.

A systematic review and meta-analysis was performed to identify the factors related to cancer death anxiety based on available evidence. This systematic review and meta-analysis followed the PRISMA 2020 guidelines. Seven databases were searched to identify studies on the relationships of cancer death anxiety with demographic characteristics, disease factors and psychosocial factors from inception to May 2023. The Agency for Medical Research and Quality (AHRQ) scale was used to evaluate the quality of the included studies. After two researchers independently completed the literature search, data extraction and quality evaluation, meta-analysis was conducted by using RevMan5.3 and Stata 17.0 software. In total, 52 studies were included in this review. The results revealed that there were positive correlations of death anxiety with female sex, the symptom burden, anxiety levels, depression levels, fear of recurrence, attachment avoidance, psychological distress, resignation and confrontation coping. Death anxiety was negatively correlated with age, education level, ability to perform daily activities, self-esteem, spiritual well-being, sense of meaning in life, resilience, quality of life, social support and religious beliefs. Our results can inform the design of interventions to address death anxiety and improve the overall quality of life of cancer patients. Healthcare professionals should promptly identify and focus on death anxiety in high-risk populations of cancer patients. Cancer patients commonly experience death anxiety, and this anxiety has a nonnegligible impact on patients' mental health and overall quality of life. This study can inform the development of interventions by clinical healthcare professionals. This was a meta-analysis based on data from previous studies.

Связь стратегий совладающего поведения и социально-демографических характеристик пациентов с диагнозом "рак легкого"

The article examines the connection between coping strategies and sociodemographic characteristics of patients diagnosed with lung cancer. When collecting empirical material, the authors used a questionnaire to obtain data on socio-demographic indicators and the psychodiagnostic survey technique “Methods of Coping Behavior” by R. Lazarus (adapted by T.L. Kryukova). The respondents in this study were 78 patients of the Chelyabinsk Regional Clinical Center of Oncology and Nuclear Medicine, aged from 39 to 80, with malignant neoplasms arising from the epithelium of the tissue of large and medium bronchi, small bronchioles and alveoli. The results of the study are the following. (1) A clear difference between groups of respondents on the basis of “gender” is observed in the coping strategies “confrontational coping” and “positive reappraisal”: the latter is significantly higher in women, while the former in men. The coping strategy “planning to solve a problem”, which is weakly expressed in both men and women, is separately noted; its values are below the norm of the questionnaire. (2) A significant difference between groups of respondents on the basis of “professional status” is observed in the coping strategies “distancing” and “taking responsibility”; among non-working respondents they are much more pronounced. (3) A significant difference between groups of respondents based on age is observed in the coping strategies of “distancing”, “seeking social support”, “planning to solve a problem”, and “positive reappraisal”. Respondents in the 51–60 age group have the highest values of coping “seeking social support”, “planning to solve a problem”, “positive reappraisal”, and the lowest “distancing”. Respondents in the 61–70 age group have the lowest value compared to other groups of respondents and the norm of the questionnaire for the strategy “planning to solve a problem”. Respondents in the 71–80 age group have the highest value for the strategies “seeking social support” and “distancing”, as well as a low value for “planning to solve a problem” in relation to the questionnaire norm. The results obtained can serve as a building block for the development of a scientifically based system of psychological support for both patients and medical personnel working with them at all stages of treatment: from diagnosis to remission.

Effects of social support on vision-related quality of life in older adults with dry eye disease: the chain mediating role of illness perception and coping style.

This study explored the effects of social support, illness perception, coping style, and vision-related quality of life (VRQOL) in older patients with dry eye disease (DED) using a chain mediation model. A total of 407 patients with DED from a tertiary hospital in Wuxi, Jiangsu Province, China, between June and December 2023 were selected as participants. A demographic questionnaire, the Social Support Rating Scale, the Brief Illness Perception Questionnaire, the Medical Coping Modes Questionnaire, and the National Eye Institute Visual Functioning questionnaire-25 were all given to them to complete. IBM SPSS (version 27.0) was used for data analysis, and Model 6 of the PROCESS Macro was used to test the predicted chain mediation model. The positive association between social support and VRQOL demonstrated the mediation role of illness perception and coping style. Social support affected VRQOL via three pathways: illness perception (effect = 0.190), confrontational coping style (effect = 0.103), and a combination of illness perception and confrontational coping style (effect = 0.067), accounted for 23.60%, 12.80%, and 8.32% of the total effect, respectively. Social support in older patients with DED can significantly and positively predict the VRQOL. In addition to the independent mediating effect of illness perception and confrontational coping style, a chain-mediating effect exists between social support and VRQOL. The study serves as a valuable strategy for healthcare professionals to prevent and intervene in VRQOL for older patients with DED in the future.

INFLUENCE OF EMOTIONAL INTELLIGENCE OF ELITE WOMEN’S HANDBALL PLAYERS ON THE CHOICE OF STRESS COPING STRATEGIES

Introduction. The problem of finding optimal strategies for overcoming stress by elite athletes remains relevant. Many authors study the problem of stress resistance in sports from the standpoint of forming a set of athlete’s personal qualities. The emotional intelligence is such athlete’s personal characteristics that affect the ability to withstand competitive stress.&#x0D; The aim of the study: to establish a relation between coping strategies and emotional intelligence of elite women’s handball players.&#x0D; Materials and methods: Athletes of the Ukrainian national women’s handball team (21 players aged 17 to 28, experience in this sport from 5 to 19 years) took part in the research. The following methods: questionnaire «Ways of coping behaviour» by R. Lazarus, the Nelson-Hall methodology devised to diagnose EI, was used. Data was processed by non-parametric descriptive statistics, Shapiro-Wilk normality test, and correlation analysis.&#x0D; Results: Strategies using by athletes to increase the ability of the psyche to adapt to anxiety, the level of emotional intelligence and its components, the characteristics of motivation to succeed and motivation to avoid failure have been identified. 61.9 % of elite women’s handball players showed a low level of general emotional intelligence; 38.1 % of people showed a middle level. Correlation analysis between athletes’ choice of coping strategies and manifestations of emotional intelligence revealed certain patterns. «Confrontational coping» correlated with empathy (r = 0.45). Coping «Distancing» correlated with self-control (r = 0.59) and self-motivation (r = 0.53). Coping «Positive reappraisal» correlated with emotional awareness (r = 0.47), self-emotion management (r = 0.52) and overall emotional intelligence (r = 0.59). Coping «Self-control» had a positive correlation with self-motivation (r = 0.53).&#x0D; Conclusions: The obtained results give grounds to assert the expediency of applying the correction of emotional intelligence by increasing one in the practice of psychological training of athletes, which will increase their stress resistance.