People Coping Research Articles

Изучение психосоциальных факторов, влияющих на приверженность пациентов к лечению хронических заболеваний.

This research article scrutinises the psychosocial underpinnings that influence adherence to treatment among patients with chronic diseases, assuming that adherence is a multifaceted phenomenon shaped by a complex set of psychosocial factors. Purpose: the aim of the study is to uncover the complex relationship between these factors and adherence to treatment, using linear sampling to capture the dynamics and temporal evolution of adherence behaviour in the context of chronic illness. Materials and methods. Using a rigorous methodological framework, participants with many chronic conditions were included in the study, with inclusion and exclusion criteria carefully developed to ensure a representative and diverse group. The study utilised a range of validated psychometric tools to quantify psychosocial variables such as social support, stress levels and health beliefs, as well as a multifaceted approach to assess adherence combining self-report, pharmacy records and biometric measures. Advanced statistical analyses, including mixed-effects models and structural equation modelling, were used to identify relationships between psychosocial factors and adherence to treatment, taking into account the complexity and longitudinal nature of the data. Results. The findings highlight the critical role of social support in increasing treatment adherence as well as the detrimental effects of elevated stress levels, emphasising the critical interplay between individual psychological resilience and external support systems. The study also clarifies the influence of health beliefs and illness perceptions on adherence behaviour, advocating a better understanding of the cognitive and affective dimensions that determine patients’ engagement in treatment. Findings. The article concludes by arguing that a paradigm shift towards integrating psychosocial support mechanisms into holistic models of care is needed to increase adherence in chronic disease management. It calls for the implementation of health care policies and practices that not only address the biomedical aspects of chronic disease, but also the psychosocial complexities inherent in long-term disease management. Findings from the study encourage further research into specialised psychosocial interventions aimed at improving adherence and consequently quality of life for people coping with the challenges of chronic illness.

Understanding coping with the climate crisis: an experimental study with young people on agency and mental health

ABSTRACT Background While the impact of climate change on mental health, especially in young people, has been acknowledged, underlying mechanisms of this relation remain elusive. Based on research on active coping, we explored effects of agency on anxiety and coping in an experimental design. We further examined the relation between mental health (i.e., psychopathology, depressiveness, trait anxiety), trait factors (i.e., climate distress, intolerance of uncertainty, trait coping), state anxiety and coping with climate distress. Methods 244 participants (15-25 years) watched a climate anxiety inducing video, followed by an agency manipulation (high agency vs. low agency vs. control). Trait mental health, intolerance of uncertainty, and climate distress and coping were examined as predictors of state anxiety and coping. Results State anxiety decreased in the high agency and control conditions, but not in the low agency condition. High agency led to increased meaning-focused coping and low agency to decreased meaning– and problem-focused coping. Trait mental health, problem-focused, and meaning-focused coping strategies each predicted their respective state counterparts. Emotion-focused coping was further predicted by all trait measures. Conclusion The findings suggest a risk of low agency communication due to the lack of arousal decrease and lack of using functional coping in young people.

Stress and Coping of Self-Quarantined People Focusing on Negative Cases of the Coronavirus Disease: A Qualitative Study

Background: In South Korea, many people have experienced self-quarantine due to coronavirus disease (COVID-19). This study explored stress, coping, and post-quarantine changes among people who were self-quarantined because of close contact but tested negative for COVID-19 in the early days of the pandemic.Methods: Qualitative interviews were conducted with four focus groups, each comprising five people. Data were analyzed using inductive content analysis.Results: Three categories of stress and coping during self-quarantine and post-quarantine changes emerged. First, the category of content related to stress comprised “problems that are difficult to handle alone.” The subcategories were “painful body and mind,” “the experience of being in a jail without bars,” and “repeated internal and external conflicts.” Second, the category for various stress-coping methods was labeled “struggling my way,” and the subcategories were “coping methods that helped me overcome” and “coping methods that added difficulty.” Finally, the category for changes after self-quarantine was labeled “more mature me.” The subcategories involved “thorough observation of infection prevention measures in daily life,” “living together,” and “a new realization of life.”Conclusions: Our findings contribute toward developing online or offline health programs to help individuals who self-quarantined but tested negative for infectious diseases, allowing them to feel confident to self-quarantine in good health.

Development of Fear of Falling after proximal femoral fracture.

Background: Proximal femoral fracture is common in older people. Beyond a long recovery process and significant permanent functional limitations, older people often experience subsequent Fear of Falling. The phenomenon of Fear of Falling is not fully understood; qualitative research is underrepresented but can provide insights into the experience of those affected. Objectives: We aimed to explore the experiences of Fear of Falling development and to what extent it affects peoples' life after proximal femoral fracture. Methods: We conducted semi-structured, in-depth interviews with nine older people, aged between 61 and 88, who participated in a prospective observational study. Interview data were analysed through inductive content analysis. Results: Six major themes emerged: The development of Fear of Falling; the effect of FoF and hope for recovery; alternating between moments of fear and security; fear of helplessness and of losing independence; strategies for dealing with Fear of Falling and maintaining independence; need of support by health care professionals. Conclusion: To identify and support older people in coping with Fear of Falling (after proximal femoral fracture), strategies for dealing with Fear of Falling across occupational groups and all healthcare settings should be implemented. Nurses have a key role in this process.

Experiences and Views of Young People and Health Care Professionals of Using Social Media to Self-Manage Type 1 Diabetes Mellitus: Thematic Synthesis of Qualitative Studies.

Social media have shown the potential to support type 1 diabetes self-management by providing informational, emotional, and peer-to-peer support. However, the perceptions of young people and health care professionals' (HCPs) toward the use of social media for type 1 diabetes self-management have not been systematically reviewed. The aim of this study is to explore and summarize the experiences and views of young people with type 1 diabetes and their HCPs on using social media for self-management across qualitative findings. We searched MEDLINE, Embase, PsycINFO, and CINAHL from 2012 to 2023 using Medical Subject Heading terms and text words related to type 1 diabetes and social media. We screened and selected the studies according to the inclusion and exclusion criteria. We quality appraised and characterized the included studies and conducted a thematic synthesis. We included 11 studies in our synthesis. A total of 9 of them were qualitative and 2 were mixed methods studies. Ten focused on young people with type 1 diabetes and 1 on HCPs. All used content analysis and were of moderate to high quality. Thirteen descriptive themes were yielded by our thematic synthesis, contributing to five analytic themes: (1) differences in how young people interact with social media, (2) characteristics of social media platforms that influence their use and uptake for type 1 diabetes self-management, (3) social media as a source of information, (4) impact on young people's coping and emotional well-being, and (5) impact on support from and relationships with HCPs and services. The synthesis suggests that we should consider leveraging social media's peer support capabilities to augment the traditional services for young people with type 1 diabetes. However, the patients may have privacy concerns about HCPs' involvement in their online activities. This warrants an update of existing guidelines to help young people use social media safely for self-managing their diabetes.

‘I wasn’t me, grieving in my room. I was Spiderman’: gaming, loss and self-care following COVID-19

ABSTRACT Building on M. S. Stroebe and Schut’s (1999) ‘dual process model’ (DPM), this paper draws on data from a survey of young people who identify as regular gamers (n = 450) and semi-structured follow-up interviews (n = 20) to understand video games as a form of self-care, and the positive and problematic encounters gamers experience in relation to immersion and escapism. The work is situated in relation to game/leisure studies, and extant research on different types of loss (bereavement; social opportunities; employment). We argue that, during the COVID-19 pandemic, self-reported responses to play function as a form of oscillation between ‘loss’ and ‘restoration’ in the DPM, and that the act of play and its post-hoc rationalisation is a crucial form of coping for young people, and an opportunity for meaning-making whilst grieving. Our contribution is to demonstrate how video games can and should be considered as a catalyst for grief management.

Health Promotion in Early-Stage Dementia: A Focused Ethnographic Study of a 12-Week Group-Based Educational Intervention.

Educational health promotion interventions for people with early-stage dementia have shown promising results, including empowering the person with dementia to live well and cope with their condition. The aim of this study was to explore how group interactions, course structure, and facilitation by healthcare professionals in a 12-week educational health promotion course promote coping, healthy behaviors, and empowerment in people with early-stage dementia. A focused ethnographic approach was employed, collecting data through moderate participant observations of people with early-stage dementia who attended the health promotion course and field conversations with the facilitators. Additionally, before and after the participants had completed the course, the participants and their care partners were interviewed individually. The findings showed that group discussions provided an opportunity for the facilitators to identify knowledge gaps, correct misinterpretations of symptoms, and tailor the information to the participants' specific needs, thereby promoting healthy behaviors and empowering the participants. The consistent and structured format of the course appeared to reduce stress and promote learning. Learning about dementia first-hand, reminiscing, using humor, receiving support from others facing similar challenges, and receiving support and validation from facilitators all contributed to participants coping with their condition, processing negative emotions, and reducing internalized stigma. This study emphasized the importance of providing people living with early-stage dementia educational opportunities that combine first-hand information, peer and facilitator support, reminiscing, humor, recognition, and validation. These interventions can contribute to promote coping, healthy behaviors, and empowerment in people living with early-stage dementia.

학령기 경계선 지적 기능을 가진 자녀의 문제행동에 대한 부모 인식과 지원 요구

This study sought to examine the characteristics and forms of problem behavior in children with borderline intelligence and explore how parents can learn to recognize and deal with it. For this purpose, in-depth interviews were conducted with mothers of children with borderline intelligence, and the results were finally organized into 4 major categories and 10 subcategories as follows: 1) Characteristics and difficulties of the child, 2) Problem behavior Coping and reaction of parents and people around them, 3) Parents' concerns and difficulties, 4) Requests and suggestions. Through this study, the difficulties faced by parents of children with borderline intelligence as well as challenges and solutions for education and support for children with borderline intelligence were discussed, and the need for related follow-up research was confirmed.

Religious meaning system and life satisfaction: the mediating role of meaning in life among Polish people with multiple sclerosis.

The complexity of the associations between religiosity and indicators of well-being suggests the presence of a mediating mechanism. Previous studies indicate that religion may influence subjective well-being because it helps to find meaning and purpose. Therefore, the aim of our study was to examine the mediating role of the presence and search dimensions of meaning in life in the relationship between religious meaning system and life satisfaction in patients with multiple sclerosis (MS). This cross-sectional study included 600 MS patients recruited from Poland who completed the Satisfaction with Life Scale (SWLS), the Religious Meaning System Questionnaire (RMS) and the Meaning in Life Questionnaire (MLQ). Model 6 of Hayes PROCESS was used to test the hypotheses. The results of our research indicate that there was a significant indirect effect of religious meaning system on life satisfaction through the presence of meaning in life. The specific indirect effect of religious meaning system on life satisfaction through searching for meaning in life was not significant. The results of our study are relevant because they show that religion as a meaning system is positively related to the presence of meaning in life, which in turn positively predicts life satisfaction. This is particularly important in the case of incurable illness, where finding meaning in life is one of the natural stages of adaptation. By incorporating these findings into mental health practice, professionals can enhance the holistic well-being of people coping with MS and contribute to a more comprehensive and effective approach to mental health care.

Religious/spiritual coping in people with chronic kidney disease: A cross-sectional study

Introduction: Chronic kidney disease (CKD) is considered a public health problem due to its high morbidity and mortality rates. Objective: To assess religious/spiritual coping in people with chronic kidney disease as a strategy for coping with the disease. Materials and Methods: This quantitative exploratory research was conducted out in a hemodialysis clinic. The sample consisted of 100 people with chronic kidney disease, undergoing hemodialysis treatment. The study used a socioeconomic demographic questionnaire and the Religious/Spiritual Coping Scale. Results: Altogether, 100 people participated in the study, with a mean age of 55.6 years and predominantly male (58%). Among religious/spiritual coping variables (positive, negative, total), the mean value of total religious-spiritual coping was the highest. The means of positive and negative coping indicate that the former is more used. Patients whose religion was Candomblé had higher positive coping, whereas Evangelical patients had higher negative coping, and Spiritists had higher total coping. Discussion: Religious/spiritual coping in the study population was high, demonstrating its importance for coping with chronic kidney disease. Conclusion: The kidney patients who participated in this study were quite adept at using religious/spiritual coping expressively and positively, pointing out the importance of this practice in coping with kidney disease.

How are people coping with working from home during the COVID-19 pandemic?: Experiences from the Netherlands and South Korea.

COVID-19 has made working from home routine for many. People who have had to maintain their productivity, particularly in physically and/or socially unacceptable home-working situations, experienced one of the pandemic's disadvantages. The experience can vary substantially among individuals as well as by country. This study presents the results of a comparative study of the Netherlands and Korea. Working from home was not uncommon in the Netherlands before the pandemic; however, in Korea, employers adopted working from home from its start, and that increased rapidly. An online survey enabled us to compare the physical and social conditions of current home workspaces in both countries, to understand how well-equipped they were to support people who had to work from home. We studied the changes in productivity and physical/mental health before and during COVID-19, to learn how people coped with working from home in both countries. Contrary to expectations, Koreans showed better scores than people in the Netherlands, in terms of changes in health and productivity. This article discusses various aspects of that result, such as satisfaction with home workspace, housing type, job position and prior experience, compulsoriness, and frequency of working from home. Relieving stress and concentration appeared to be the most important dimensions of telecommuters' satisfaction with working from home environments in both countries. The results are the basis for suggesting the development of strategies for a desirable WFH environment, considering different background contexts, experiences and cultures.

The Effect of Social Support on Stress Coping in People with HIV

The high stress experienced by ODHIV requires adaptive coping. Negative stigma in society exacerbates the situation so that ODHIV do not get social support which is very important in dealing with stress or problems. This study aims to determine the impact of social support on stress coping among ODHIV in Makassar. This study involved 56 respondents respondents aged around 15-50 years taken from the Gaya Celebes Foundation (YGC), social support group care foundations (YPKDS), and hospitals. The research method employs a quantitative survey approach. The measuring instruments used in this study were The Brief Cope (Carver, 1997) and the Multidimensional Social Support (MSPSS) (Zimet, Dahlem, Zimet, & Farley 1988 The results showed that the value of the Wald test sig. value of 0.001 (p < 0.05) means that the null hypothesis (H0) is rejected and the alternative hypothesis is accepted. Thus, it can be concluded that there is a significant influence of social support on stress coping in people with HIV with a Negelkerke R Square value of 42,3% where the greater the social support received by ODHIV, the greater the possibility of coping with stress adaptively.

AGE-FRIENDLY ENVIRONMENT PROMOTES WELL-BEING IN PEOPLE WITH SUBJECTIVE MEMORY IMPAIRMENT

Abstract Objectives Older people with cognitive impairment are more likely to feel lonely and to have lower well-being compared to others (Shankar et al., 2017). One way to overcome difficulties and loneliness is to live in an Age Friendly Environment (AFE) (Gibney et al., 2020). Living in an AFE enables older people to stay active even when function deteriorates (Cramm et al., 2018) and thus- maintain low loneliness and high well-being (Domènech-Abella et al., 2021). Approximately 18%-25% of people aged 60 and over whose objective cognitive function is normal report a subjective cognitive impairment (Röhr et al., 2020; Zullo et al., 2021). They are less active (Parikh et al., 2016) and so, they are lonelier (Montejo Carrasco et al., 2020). The aim of this study was to examine whether living in an AFE enables people coping with subjective memory impairment to maintain higher well-being than those who don’t. Methods Applying a correlational study design, 105 community dwelling older adults (mean age 74.5; SD-6.54), 62% of whom were women, were recruited. Hayes’ PROCESS macro (Model 7) assessed relationships between socio-demographic data, subjective social support (SS), loneliness, a sense of belonging, AFE, active ageing and negative affect (NA). Results Findings demonstrated a significant indirect association between age-friendly environments and negative affect, which was moderated by subjective memory impairment. Moreover, we found an interaction between AFE and memory.. Those with SMI experienced less loneliness in an AFE In conclusion, AFE is crucial for individuals with SMI to reduce loneliness and negative affect. Conclusion This study is the first to show that when AFE is low, people with subjective memory impairment cope with more loneliness compared to those without it, but when AFE is high then there is no difference in the level of loneliness between people with or without subjective memory impairment. Hence, AFE is especially significant for those coping with subjective memory impairment for reducing loneliness and negative affect. Authorities should strive to create AFE to promote active aging and high WB of older people living in the community.

Sandplay therapy for people coping with negative symptoms of psychosis: a theoretically promising option

ABSTRACT Sandplay therapy (SPT) is a promising approach to the treatment of negative psychosis symptoms, due to the psychodynamic lens it brings to both the underlying trauma and the attachment insecurity commonly associated with psychotic episodes. Additionally, SPT and other psychodynamic interventions offer a strengths-based alternative to a cognitive approach to the treatment of psychosis symptoms. Given the evidence that increasing social cognition, attachment security, and engagement with the imagination may all be associated with decreasing negative symptoms of psychosis, it is surprising that SPT, an expressive play therapy with Jungian origins, has not been tested for treatment of psychosis, even for negative symptoms, in any randomised clinical trials. Psychodynamic and cognitive perspectives on psychosis treatment are reviewed, exploring their different assumptions, and implications for direct social work practice as illustrated by a case example, are discussed.

Investigating coping and stigma in people living with HIV through narrative medicine in the Italian multicentre non-interventional study DIAMANTE

Antiretroviral therapy (ART) significantly reduced Human Immunodeficiency Virus (HIV) morbidity and mortality; nevertheless, stigma still characterises the living with this condition. This study explored patients’ coping experience by integrating narrative medicine (NM) in a non-interventional clinical trial. From June 2018 to September 2020 the study involved 18 centres across Italy; enrolled patients were both D/C/F/TAF naïve and previously ART-treated. Narratives were collected at enrolment (V1) and last visit (V4) and then independently analysed by three NM specialist researchers through content analysis. One-hundred and fourteen patients completed both V1 and V4 narratives. Supportive relationships with clinicians and undetectable viral load facilitated coping. Conversely, lack of disclosure of HIV-positive status, HIV metaphors, and unwillingness to narrate the life before the diagnosis indicated internalised stigma. This is the first non-interventional study to include narratives as patient reported outcomes (PROs). Improving HIV awareness and reducing the sense of guilt experienced by patients helps to overcome stigma and foster coping.

Relationship between physical activity and coping with stress in people with multiple sclerosis: A moderated mediation model with self-efficacy and disability level as variables

PurposeAn increasing number of studies support the beneficial relationship between physical activity and stress coping in people with multiple sclerosis (MS). However, there has been limited understanding of the variables that may influence the nature of this relationship. Therefore, based on the social-cognitive framework and previous research, we aimed to examine the association between the habitual physical activity of people with MS and their coping effectiveness. Furthermore, we sought to determine the extent to which self-efficacy acts as a mediator in this relationship, considering the level of disability as a moderator variable. MethodsIn this cross-sectional study, a total of 351 people with MS participated. The participants were asked to complete several assessment tools, including the Mini-COPE Inventory for Measurement—Coping with Stress, the Generalized Self-Efficacy Scale, and the Godin Leisure-Time Exercise Questionnaire. Additionally, a neurologist assessed the severity of the disease using the Expanded Disability Status Scale. Information on the demographic and clinical characteristics of the participants was collected via a self-report survey. Two moderated mediation analyses were conducted as part of the study. ResultsThe study findings indicated a positive correlation between engagement in physical activity and self-efficacy among participants with high and medium disability levels. This, in turn, demonstrated a positive association with effective stress-coping strategies and a negative association with ineffective coping methods. In particular, a significant relationship was observed between involvement in physical activity and self-efficacy in participants with high disability, while it was not statistically significant in participants with low disability. ConclusionPhysical activity was associated with improved psychosocial functioning in people with high levels of disability caused by MS. This association may be attributed to factors such as increased self-efficacy and improved stress coping. However, the relationship between physical activity and psychosocial functioning was less evident in people with low disability caused by MS.

Beyond One's Attitude Toward the Self: The Role of Social Anxiety in Self-Stigma Among Individuals With Schizophrenia.

Self-stigma is associated with a variety of negative self-perceptions among people coping with schizophrenia, as well as with different aspects of social behaviors. We explored the associations between self-compassion, self-esteem, social anxiety, and self-stigma among people coping with schizophrenia. The baseline data of 56 adults with schizophrenia who were enrolled in a Metacognitive Reflection and Insight Therapy trial were used. Participants filled out self-report questionnaires measuring self-compassion, self-esteem, social anxiety, and self-stigma. Self-esteem and self-compassion were negatively correlated with self-stigma and social anxiety. Self-compassion was not found to contribute beyond self-esteem to the prediction of self-stigma. Importantly, self-esteem and social anxiety were found to mediate the effects of self-compassion on self-stigma. Thus, it seems that social variables, in addition to self-variables, may lead to the formation of self-stigma among people with schizophrenia. Therefore, alongside addressing self-esteem and self-compassion, integrating therapeutic elements related to coping with social anxiety into interventions would seem to be an important factor in reducing self-stigma among people with serious mental illness.

Changes in loneliness and coping strategies during COVID‐19

AbstractThe social distancing measures implemented to slow the spread of COVID‐19 impacted many aspects of people's lives. Previous research has reported negative consequences of these measures for people's psychological well‐being, and that people differed in the impact on their psychological well‐being. The present study aimed to describe the different coping strategies Dutch people used to deal with these measures and to link these strategies to loneliness. In addition, the study aimed to examine mean‐level changes in loneliness and to explore individual differences in loneliness change. We used data from 2009 participants of a panel study of representative Dutch households. We assessed coping strategies used during the first wave of the COVID‐19 pandemic in May 2020 and examined changes in loneliness between October 2019 (before COVID‐19) and May 2020 (during the first wave of COVID‐19). First, results showed that most people employed specific coping strategies. The most frequently used social strategies were chatting and (video)calling; the most frequently used non‐social strategies were going outside, doing chores, watching TV, reading and self‐care. Second, people who used more coping strategies reported lower levels of loneliness. Third, analyses revealed an average increase in loneliness between October 2019 and May 2020. Fourth, we observed two significant interaction effects, showing a stronger positive link between the number of social coping strategies and initial loneliness levels among those with a partner or living with others than for those who were single or lived alone. Yet, no moderating effects on changes in loneliness were found: people using more coping strategies did not differ in loneliness changes from people using fewer coping strategies. Together, findings suggest that loneliness increased in the Netherlands during the first phase of COVID‐19 and that, while people's coping strategies were related to loneliness levels, they did not buffer against loneliness increases.

A STUDY ON EFFECT OF UNDER EMPLOYMENT TOWARDS INDIVIDUAL PERFORMANCE AT WORKPLACE, AT BOX MUSE, DODDABALLAPUR.

This study looks into how individual performance at Box Muse in Doddaballapur is affected by underemployment. The study employs a mixed-methods approach to determine the scope of underemployment, identify its causes, and examine how it affects job satisfaction, motivation, productivity, and engagement. The study uses data from a broad employee cross- section to establish relationships between key performance measures and underemployment across departments and levels of the hierarchy. The study gives information on people's coping processes and adaptive techniques for dealing with issues related to underemployment. The projected results are anticipated to advance significantly our understanding of the intricate connection between underemployment and performance on the job. The learned lessons are useful for people facing these difficulties and organizations trying to improve talent allocation and general workplace effectiveness in the special environment of Box Muse, Doddaballapur Keywords: Performance, Underemployment, Satisfaction, Motivation, Productivity, Engagement,Talent allocation.

Would the Conservative Aspect of Asian Culture Help People Bounce Back?: An Investigation into the Correlation Between Defensive Pessimism and Resilience

The rising interest in resilience as a desired mental health counselling outcome has prompted increased research into its predictors. In addition to genetic factors and excellent social ties, previous researchers argued that people's coping approach toward environmental dangers might be a significant element. Defensive pessimism, a prominent cognitive strategy among conservative civilizations such as Asian culture and persons with a propensity for mental illness, functions as a strategy that protects individuals from failure and misery by decreasing their expectations and anxiety. The author did qualitative research on Asian volunteers to examine the relationship between defensive pessimism and resilience. The results of this paper contradict the authors' hypothesis that adopting defensive pessimism would increase individuals' resilience. And the findings reveal a significant negative correlation between the two. Additionally, the significant linear regression indicated that defensive pessimism might be a weak negative predictor of resilience. The results may contribute to the early identification of harmful coping strategies in psychological assessment and help with treatment plan development in mental health counselling.