Coping Capacity Research Articles

Sense of Coherence as a Mediator Between Functional Status and Health-Related Quality of Life in Patients With Heart Failure.

Poor functional status relating to heart failure (HF) negatively affects health-related quality of life (HRQOL). Patients with HF, especially those with New York Heart Association (NYHA) Class III or IV HF, often exhibit poor HRQOL because of physical limitations and HF-related symptoms. Although sense of coherence (SOC) has been reported to be a determinant of HRQOL, its role as a mediator between functional status and HRQOL remains unclear, and few studies have explored the prevalence of HF in patients in NYHA Classes I and II. This study was designed to investigate SOC as a mediator between different functional status classes and HRQOL in patients with HF. A cross-sectional study was conducted on patients with HF recruited from a hospital in northern Taiwan from April 2020 to September 2020. The Minnesota Living with Heart Failure Questionnaire and a questionnaire on sociodemographic characteristics; functional classification in terms of NYHA Classes I, II, and III; and SOC were administered. The PROCESS v3.5 (by Andrew F. Hayes) macro was applied to analyze the effects, and Model 4 was used to examine the mediating role of SOC on the relationship between NYHA functional class and HRQOL. Of the 295 participants, SOC was found to mediate the effects of functional status on HRQOL more significantly in patients in Class II than those in Class III but not more significantly in patients in Class I than those in Class III. A weaker mediating effect of SOC was noted on the relationship between functional status and HRQOL in patients with HF in NYHA Class II than those in Class III. In patients with HF, poor functional status often reduces HRQOL significantly. SOC mediates the relationship between functional status and HRQOL more significantly in those in NYHA Class II than those in Class III. Nursing staff should work to increase patients' SOC by strengthening their coping capacity and improving their functional status to improve their HRQOL.

Correlation macroeconomic, government efficiency, infrastructure, and climate change vulnerability: a cross-country analysis

The government is required to take proactive steps to participate in interventions that strengthen resilience in response to climate change as SDG 13: Climate Action. Therefore, this study aimed to examine the correlation of government performance, in the form of macroeconomic performance, efficiency, and infrastructure availability with vulnerability to climate change. Data were analyzed from 2021 to 2022 for 57 countries and the variables used were macroeconomic performance, government efficiency, infrastructure, and vulnerability. Furthermore, vulnerability variable has three dimensions, namely susceptibility, lack of coping capacities, and lack of adaptive capacities. The data used in this study were sourced from reputable references, such as World Competitiveness Yearbook and World Risk Report. For data analysis, correlation and comparison tests were judiciously applied. The results showed that macroeconomic performance, government efficiency, and infrastructure were negatively correlated with vulnerability. Macroeconomic performance and government efficiency variables had the strongest moderate correlation with climate change vulnerability, while infrastructure had a moderate to strong correlation. The results recommended a policy of providing infrastructure in vulnerable areas since economic performance could not guarantee resilience to climate change.

Factors influencing coping skills of middle-aged adults in COVID-19, South Korea.

In light of the persistent COVID-19 pandemic, there is a compelling imperative to enhance the COVID-19 coping capacity among middle-aged adults within the South Korean population. Consequently, there is a need for further research endeavors in this area. This study aims to explore and identify the factors influencing the coping skills of middle-aged adults in COVID-19, South Korea. This study used a cross-sectional descriptive design. Participants were 147 middle-aged adults living in Seoul, Geounggi-do, and Chungchung-do in South Korea. Data included demographics, coping skills, the impact of the event, perceived health status, psychological wellbeing, and family support. The data were analyzed using the SPSS Statistics 25.0 program. Data were collected from March to July 2020. The regression model was significant (F = 13.56, p < 0.001), and the adjusted R-squared representing the explanatory power of the model was 0.63. The strongest predictor was perceived health status (β = 0.34), followed by family support (β = 0.31), impact of event (β = -0.24), underlying disease (β = -0.13), and economic status (β = 0.11). This study suggests that to improve the coping skills of middle-aged adults with COVID-19, their perceived health status and family support should be strengthened, and the impact of the event should be decreased. Also, it needs that underlying diseases are managed and economic status is improved. Nurses need to pay more attention to the influencing factors to improve the coping skills of middle-aged adults in COVID-19, South Korea.

Fisher’s Resilience: Preparedness, Coping Capacity, and Adaptation Capacity in Surigao del Sur, Philippines

Fisher’s Resilience: Preparedness, Coping Capacity, and Adaptation Capacity in Surigao del Sur, Philippines

Wisdom-oriented coping capacities at work in challenging times.

Critical life events affect personal and professional lives, change working conditions, and require specific coping strategies. Wisdom is a multidimensional capacity for coping with life problems. Since wisdom can best be investigated in relation to concrete settings and problems, we investigated research employees during a pandemic. Research employees are constantly occupied with uncertainty and problem-solving in their everyday work. Thus, they develop capacities for factual and problem-solving knowledge which can be applied in different situations. This study examines to what extent which wisdom capacities are applied by research personnel when dealing with changed working conditions. During the coronavirus (COVID-19) pandemic in 2021, researchers were asked about work-related coping capacities in an online survey. The qualitative content analysis of the free-text responses of 131 research employees was based on a multidimensional wisdom model with 12 wisdom capacities. 50% of the reported coping strategies referred to factual and problem-solving capacities, 40% to interpersonal or emotional capacities, 10% did not reflect any wisdom capacity. Associations between wise coping capacities, social behavior at work, and eudaimonic well-being emerged. The study provides concrete qualitative examples of specific behavioral capacities in which wisdom may be applied in a work setting.

Factors of preparedness for loss from cancer among Taiwanese family caregivers

This cohort study investigated factors associated with 336 Taiwanese family caregivers’ emotional and cognitive preparedness for death of a loved one with terminal cancer. Caregivers’ death-preparedness states (no-death-preparedness [as reference], cognitive-death-preparedness-only, emotional-death-preparedness-only, and sufficient-death-preparedness states) were previously identified. Associations of factors with these states were determined by a hierarchical generalized linear model. Financial hardship decreased caregivers’ likelihood for the emotional-death-preparedness-only and sufficient-death-preparedness states. Physician prognostic disclosure increased membership in the cognitive-death-preparedness-only and sufficient-death-preparedness states. The better the quality of the patient-caregiver relationship, the higher the odds for the emotional-death-preparedness-only and sufficient-death-preparedness states, whereas the greater the tendency for caregivers to communicate end-of-life issues with their loved one, the lower the odds for emotional-death-preparedness-only state membership. Stronger coping capacity increased membership in the emotional-death-preparedness-only state, but perceived social support was not associated with state membership. Providing effective interventions tailored to at-risk family caregivers’ specific needs may facilitate their death preparedness.

The role of threat and coping appraisals in motivating the use of personalised mobile emergency alert systems

PurposeDisasters and other emergencies are increasing, with millions of people affected by events like earthquakes, fires and flooding. The use of mobile emergency alert systems (MEAS) can improve people’s responses by providing targeted alerts based on location and other personal details. This study aims to understand the factors that influence people’s willingness to share the personal information that is needed to provide context-specific messaging about a threat and protective actions.Design/methodology/approachDrawing on protection motivation theory (PMT), this study proposes and tests a model of willingness to use personalised MEAS that incorporates key factors related to an individual’s appraisal of a potential threat (i.e. perceived vulnerability and severity) and coping capacity (i.e. response efficacy and self-efficacy), with deterrents like response cost and privacy concern. This study uses survey data from 226 respondents in New Zealand and SmartPLS to assess the model.FindingsThe results show how willingness to use MEAS is influenced by people’s appraisal of an emergency threat and their perception of how using MEAS would help them to cope effectively. Fear and perceived severity are significant motivators of MEAS use, along with coping appraisal. However, when the negative influences of privacy concern and response cost are strong enough, they can dissuade use, despite knowing the risks.Originality/valueThe study addresses a gap in research on the use of alert systems like MEAS, which require sharing of personal information and continuous engagement such as the real-time disclosure of one’s location. It confirms the significance of factors not studied in prior research, such as privacy concerns, that can dissuade use. This study also extends the application of the PMT in the context of emergency management.

Controlled expression of avian pre-migratory fattening influences indices of innate immunity.

While immunity is frequently dampened when birds engage in strenuous migratory flights, whether and how immunity changes during the rapid accumulation of energy stores in preparation for migration remains largely unknown. Here we induced pre-migratory fattening through controlled changes of daylight in common quails (Coturnix coturnix) and regularly assessed changes in three markers of constitutive innate immunity (leukocyte coping capacity or LCC, hemagglutination and hemolysis titres) and measures of body composition (lean and fat mass). All the three markers showed similar changes over the pre-migratory fattening process. LCC responses, hemagglutination titres, and hemolysis titres, were on average higher in the mid-fattening phase compared to the peak-fattening phase, when values were similar to those observed prior the start of pre-migratory fattening. At mid-fattening, we found that the birds that showed a larger accumulation of fat mass (as % of body mass) had lower LCC peak responses and hemolysis titres. Reversibly, at mid-fattening, we also found that the birds that kept a higher proportion of lean mass (as % of body mass) had the highest LCC peaks. Our results indicate that migratory birds undergo changes in immune indices (over 8 weeks) as they accumulate energy stores for migration and propose that this could be due to competing or trade-off processes between metabolic remodelling and innate immune system function.

Discussing trust and resilience: The need for a healthy dose of distrust

AbstractHow are trust and reslience related? There is a lack of conceptual discussions. This paper analyzes trust and resilience with respect to the system of critical infrastructures and engineers working on critical infrastructure resilience. The results are three findings based on the assumption that resilience and trust are mechanisms to cope with complexity and uncertainty inherent to modern societies and critical infrastructures. First, they are no functional alternatives. Trust is an everyday process where favorable expectations help to act “as if” uncertainty was successfully resolved. Resilience helps to cope in “what if” cases when disaster strikes. Second, resembling the risk perception paradox, too much trust in critical infrastructures might lead to complacency, decreasing individual coping capacities and subsequently resilience. People need a healthy dose of distrust—distrust being a functional alternative to trust and not its opposite—to be aware that a disruption might happen and prepare for it. Third, notwithstanding the difficulties of uncertainty communication, engineers need to communicate limits to knowledge resulting from complexity transparently. This might decrease trust in specific solutions, but could sustain overall system trust, because it helps to adjust favorable expectations.

Identifying disaster risk factors and hotspots in Africa from spatiotemporal decadal analyses using INFORM data for risk reduction and sustainable development

AbstractThe incidence and magnitude of hazards in Africa are escalating. Extant knowledge base of disaster risk (DR) trends, factors, and hotspots is lacking for the continent. Here we applied random forest machine learning regressions, spatial stratified heterogeneity, and hotspot analyses on INFORM data to identify DR patterns, factors and interactions, and notable risk hotspots. We show that although DR is generally decreasing in Africa, the Eastern, Southern, and Western regions record increasing DR. Physical exposure to floods, epidemics, and violent conflicts are hazard drivers of DR in Africa. Other significant DR drivers are mostly clustered under vulnerable groups and poor infrastructural coping capacities. Human hazards interact with other factors, exhibiting the highest influences on DR. Precisely, 19 out of 53 African countries in this study are DR hotspots. Eritrea is identified as a new hotspot. Targeted policies, resilience building, vulnerability reduction measures and comprehensive sustainability‐infused solutions are required for DR reduction and sustainable development in Africa.

Size matters: lower body weight pigs have a different response to immune challenge and amino acids supplementation above the estimated requirement compared to heavy pigs.

The immune response varies between pigs, as not all pigs have the same response to a stressor. This variation may exist between individuals due to body weight (BW) or body composition, which may impact the capacity for coping with an immune challenge (IC). Tryptophan (Trp), threonine (Thr), and methionine (Met) requirements might also play a considerable part in supporting immune system activation while reducing variation between pigs; however, the latter has yet to be reported. This exploratory study investigated the effect of initial BW (light vs. heavy-weight) and supplementation of Trp, Thr, and Met above National Research Council (NRC) requirements on feeding behavior and the coping capacity of growing pigs under an IC. Eighty gilts were categorized into 2 groups according to BW: light-weight (LW, 22.5kg) and heavy-weight pigs (HW, 28.5kg). Both BW groups were group-housed for a 28-d trial in a good or poor sanitary condition (SC). Pigs within a poor SC were orally inoculated with 2 × 109 colony units of Salmonella Typhimurium, and fresh manure from a pig farm was spread on the floor. Pigs within good SC were not inoculated, nor was manure spread. Two diets were provided within each SC: control (CN) or supplemented (AA+) with Trp, Thr, and Met at 120% of NRC recommended levels. A principal component analysis was performed in R, and a feeding behavior index was calculated in SAS. Results showed that LW and HW pigs were clustered separately on day 0, where LW pigs had a positive correlation with body lipid percentage (r = 0.83), and HW pigs had a positive correlation with body protein percentage (r = 0.75). After the IC, the cluster configuration changed, with diets influencing LW more than HW pigs within poor SC. On day 14, LW fed AA + diet in poor SC was clustered separately from LW pigs fed CN diet, whereas LW fed AA + and CN diets in good SC were clustered together. For feeding behavior, in both analyzed periods (period 1: days 7 to 14; period 2: days 21 to 28), LW had lower total feed intake and shorter meals than HW pigs (P < 0.10), independent of the SC. Furthermore, LW pigs fed AA + diet had a more regular feed intake pattern than those fed CN diet, while a more irregular pattern was observed for HW pigs fed AA + diet than CN diet at period 2. These findings suggest that supplementing Trp, Thr, and Met above requirements may be a nutritional strategy for LW pigs under IC by improving feed intake regularity and reducing the probability of being susceptible to IC.

A Preliminary Validation of an Optimal Cutpoint in Total Number of Patient-Reported Symptoms in Head and Neck Cancer for Effective Alignment of Clinical Resources with Patients' Symptom Burden.

Patients with head and neck cancer (HNC) often experience high symptom burden leading to lower quality of life (QoL). This study aims to conceptually model optimal cutpoint by examining where total number of patient-reported symptoms exceeds patients' coping capacity, leading to a decline in QoL in patients with HNC. Secondary data analysis of 105 individuals with HNC enrolled in a clinical usefulness study of the NYU Electronic Patient Visit Assessment (ePVA)©, a digital patient-reported symptom measure. Patients completed ePVA and European Organization for Research and Treatment of Cancer (EORTC©) QLQ-C30 v3.0. The total number of patient-reported symptoms was the sum of symptoms as identified by the ePVA questionnaire. Analysis of variance (ANOVA) was used to define optimal cutpoint. Study participants had a mean age of 61.5, were primarily male (67.6%), and had Stage IV HNC (53.3%). The cutpoint of 10 symptoms was associated with significant decline of QoL (F= 44.8, P<.0001), dividing the population into categories of low symptom burden (< 10 symptoms) and high symptom burden (≥ 10 symptoms). Analyses of EORTC© function subscales supported the validity of 10 symptoms as the optimal cutpoint (Physical: F=28.3, P<.0001; Role: F=21.6, P<.0001; Emotional: F=9.5, P=.003; Social: F=33.1, P<.0001). In HNC, defining optimal cutpoints in the total number of patient-reported symptoms is feasible. Cutpoints in the total number of patient-reported symptoms may identify patients experiencing a high symptom burden from HNC. Using optimal cutpoints of the total number of patient-reported symptoms may help effectively align clinical resources with patients' symptom burden.

Seismic risk assessment using integrated MCDM method in West Bengal, India

Earthquakes are one of the natural hazards that threaten human lives and properties. Consequently, seismic risk assessment plays a significant role in disaster mitigation. This study estimates seismic risk in West Bengal, India, by integrating the two multi-criteria decision-making (MCDM) models: analytical hierarchy process (AHP) and Entropy. Integrated AHP-Entropy is used to determine vulnerability, seismic hazard, and coping capacity. The seismic risk was then assessed by integrating the thematic information of vulnerability, seismic hazard, and coping capacity. The results show that about 19% of the total area and 70% of the total population in West Bengal may be at very high seismic risk. The result is validated through a receiver operating characteristic curve, displaying satisfactory performance in seismic risk estimation. The findings of this study may help governmental agencies identify seismic-risk zones and establish seismic hazard plans in advance against any potential threat in the study region.

Adherence to treatment in chronic kidney disease: associations with therapeutic modalities and coping capacity

Adherence to treatment in chronic kidney disease: associations with therapeutic modalities and coping capacity

Food security intervention mechanisms in the drought-prone rural areas of Tigray.

Tigray is one of the food-insecure regions with many people living under the condition of chronic hunger. Proper intervention mechanisms are vital for addressing food insecurity. Yet, food security intervention mechanisms of various levels are not researched well. Besides, previous studies have rarely addressed the objectives of food security intervention mechanisms in relation to the four pillars of food security: availability, access, utilization, and stability. Thus, this study aims to investigate the food security intervention mechanisms in the drought-prone rural areas of Tigray in relation with the major components of food security. This study has employed a cross-sectional study design based on a mixed research approach with primary and secondary data. For this, 363 households from three selected drought-prone rural districts, i.e., Atsbi-wenberta, Irob, and Hintalo- wejerat were studied. Primary data were collected using questionnaires and key-informant interviews. And, secondary data were collected from relevant archives and policy documents. The obtained data were analyzed descriptively and content-wise. Findings show that there were several international interventions intended to halt food insecurity sustainably through financial aid, but many of the interventions were found to be responding to humanitarian crises mainly the food shortages. Ethiopia's Food and Nutrition Policy, Food Security Program, Food Security Strategy, and Food Security Pack program were the food security intervention mechanisms at the national level. These interventions were found to be inconsistent with each other in their intended goals. Regionally, no food security strategy or program was found intervening to the prevailing food insecurity in Tigray. More notably, the region has no food security bureau or office that deals with food security issues of the region. At a community level, food aid, and PSNP transfers have been the usual food security intervention mechanisms. 35.6% (77,010) of the population in the study rural districts were found to be rural PSNP beneficiaries. The food aid and PSNP transfers were outrageously insufficient for the recipients to cope with food insecurity. Intervention mechanisms should focus on enhancing vulnerable households' coping and adaptive capacities to deal with food security problems. In this regard, all the food security intervention mechanisms of various levels should be integrated into the common goal of achieving food security.

Impact of endowments and risk coping capacity on the willingness of homestead withdrawal：Based on a survey of 6754 farming households in Jiangsu Province

Impact of endowments and risk coping capacity on the willingness of homestead withdrawal：Based on a survey of 6754 farming households in Jiangsu Province

Important Issues about Chinese Rural Older Adults’ Pandemic Crisis Coping: A Qualitative Study by Grounded Theory

Background. Rural older adults are an important vulnerable group facing the pandemic crisis. They are at a greater risk and have suffered more. They need more support and have challenged the society more. Thus, their pandemic crisis coping is essential for national emergency management. Objectives. This study was designed to address issues of rural older adults’ pandemic crisis coping, with the aim of better protecting rural older adults’ health and supporting national emergency management. Methods. Grounded theory was employed in this study. Open questions were designed by theoretical sampling and theoretical coding processes until theoretical saturation. In total, 56 participants were recruited via a snowballing process, from ZX city, Hubei Province, China. Results. Rural older adults’ pandemic crisis coping was impacted by many limitations, including less coping awareness, lower coping capacity, and insufficient coping support. Pandemic crisis coping awareness was difficult to initiate and lagged. The older adults’ pandemic crisis coping capacity was impacted by limited knowledge, weak personal finances, and a deficient ability to obtain and stockpile materials. Social support for coping with the pandemic crisis was limited to life support, official support, and health support. Conclusion. Much attention needs to be paid in strengthening the pandemic crisis coping of rural older adults. Thus, future works should focus on raising rural older adults’ pandemic crisis coping awareness, improving their pandemic crisis coping capacity, and providing them with appropriate pandemic crisis coping support.

Level of resilience in nursing students doing their pre-professional internships at a university in northern Lima

Resilience is a capacity for adaptation and coping that nursing students have during their pre-professional training period, therefore, the objective of the study is to determine the level of resilience in nursing students doing their pre-professional internship at a university in North Lima. It is a quantitative, descriptive, cross-sectional and non-experimental study, with a population of 80 nursing students, who completed a questionnaire of sociodemographic data and the Connor-Davidson resilience scale. In their results, 14% (n=11) of the students have low resilience, 21% (n=17) medium resilience and 65% (n=52) high resilience. In conclusion, it is necessary the implementation of psychoemotional support programs when students perform their pre-professional internships, since this allows the strengthening of well-being generates and thus strengthens their resilience.

Autonomy and Coping with Stress in Persons with ASD

This article presents empirical analysis of selected issues related to autonomy of persons with ASD, along with the psychosocial conditions of its development. This analysis is an attempt to determine direct causes and particular types of conditions necessary for the development of autonomy in people with autism, manifested in the capacity of coping with stress. The theoretical basis for the research is the three-component model of autonomy, under which autonomy is an internal attribute of each person, manifesting itself in the qualities of authorship (the person feels to be the author of his/her own behaviour), interest-taking (reflection on internal and external events), and absence of the perceived sense of pressure or control.&#x0D; The research problems in this study concern the level of autonomy in people with ASD, the level of their psychosocial functioning in the dimension of coping with stress, and the potential correlations between the two parameters.&#x0D; A diagnostic survey method was used to obtain the research material, which employed the following research tools: Index of Autonomous Functioning, The Autism-Spectrum Quotient, Coping Inventory, the author’s own Interview Questionnaire, developed for the purposes of our study regarding age, gender, marital status, residence, education, income, past therapy and current health conditions.

COGNITIVE ASPECTS OF MANAGING STRESS AND UNWANTED EMOTION SUCCESSFULLY IN OLD AGE

Abstract The ability to cope with stressors and manage unwanted emotion is central to health-related outcomes across adulthood. Prominent models of adult development suggest there may be age-related shifts in motivational strivings and accumulated knowledge that help support emotional well-being in old age. At the same time, older adults have cognitive and physical vulnerabilities that may offset some of these strengths. This session will showcase new work leveraging experimental and experiencing sampling methods to examine how people of varying ages and resource levels manage their emotions. These studies provide new insights into how older adults respond to stressors and adverse stimuli in controlled settings and daily life contexts. The first talk centers on how individuals are negatively impacted by cognitive stressors regardless of age, but older adults show more resilience than younger adults after stressor exposure. The second talk focuses on how a cognitive process known as affective labeling (or naming one’s emotions) can create emotion regulation difficulties, especially in old age. The third talk examines emotion regulation success and the benefits of instructional support for cognitively normal older adults compared to those with mild cognitive impairment (MCI). The fourth talk extends this work by tracking emotion regulation motives in daily life, showing that cognitively diverse older adults report fewer attempts to manage their emotions, but similar reasons for doing so, compared to relatively younger adults. Together these presentations delineate age-related similarity and differences in emotion regulation, highlighting avenues through which coping capacity may be maintained and improve in late life.