Measures Of Coping Research Articles

Typical coping patterns: A person-centered approach to coping

Applying the person-oriented approach to coping can provide a unique perspective by revealing typical latent patterns. The study examined typical latent patterns shown by task-, emotion- and avoidance-oriented trait-based coping styles. We performed secondary analyses with Latent Profile Analysis on our former data and three independent datasets containing coping measures with the CISS-48 scale (Endler & Parker, 1994). Gender differences were also studied. Two basic profiles seem universal: the first is characterized by a high level of task-oriented coping, and the second profile is with moderately high scores on all three coping styles. The finding indicates that two fundamental latent coping profiles exist, which suggests a within-subject comparison in practice instead of investigating the absolute value of coping styles. Comparing data before and after 2020, COVID-19 does not seem to affect these profiles. The person-centered approach provides a possibility for the integration of coping-related findings.

Responding to harvest failure: Understanding farmers coping strategies in the semi-arid Northern Ghana.

Farmers coping strategies against harvest failures have implication for future adaptation to such shocks. Previous studies on farmers' vulnerability and response to shocks have emphasized on adaptation, at the expense of their coping to such shocks. Using a survey data from 299 farm households in northern Ghana, this study has analyzed farmers' coping strategies against harvest failure, and the drivers of the choice and intensity of the coping strategies. The empirical results show that most of the households used liquidation of productive assets, reduction in consumption, borrowing from family and friends, diversification of livelihoods, and migration to cities for off-farm jobs as coping measures in response to harvest failure. The empirical results from a multivariate probit model indicate that the choice of coping strategies is influenced by farmers' access to radio, net value of livestock produced per man-equivalent (ME), experience of yield loss in the previous year, farmers' perception about the fertility status of their crop fields, access to credit, distance to market, farm-to-farmer extension, location of the respondent, cropland per ME, and access to off-farm income. Empirical results from a zero-truncated negative binomial regression model also indicate that the number of coping strategies adopted increases with the value of farm implements, access to radio, farmer-to-farmer extension and being located in the regional capital. It however decreases with the age of the household head, number of family members abroad, a positive perception about the fertility status of crop fields, access to government extension services, distance to market, and access to off-farm income. Limited access to credit, radio, and markets renders farmers more vulnerable and pushes them to adopt more costly coping strategies. In addition, an increase in income earned from secondary livestock products decreases incentive for farmers to adopt liquidation of productive assets as coping strategy after a harvest failure. Policy makers and stakeholders could make smallholder farmers less vulnerable to harvest failure by enhancing their access to radio, credit, off-farm income and market, promotion of farmer-to-farmer extension, implementing measure to improve the fertility of crop fields in the study area, and enhancing farmers' engagement in the production and selling of secondary livestock products.

Prevalence and determinants of anxiety and stress in the general population during COVID-19 pandemic in Iraq: A cross-sectional study.

The COVID-19 pandemic and its prevention and control measures, such as social distancing, self-isolation, and quarantine, have a negative impact on the population's mental health. This study aimed to determine the prevalence of anxiety and stress among the general population during the outbreak of COVID-19 and assess their associated factors. We carried out a cross-sectional study in Erbil governorate, Iraqi Kurdistan Region, from July 18 to September 12, 2020. We used an online survey questionnaire to collect data from a sample of Erbil population. The 10-items Perceived Stress Scale and the 7-item Generalized Anxiety Disorder scale were used to measure the levels of stress and anxiety. A total of 851 persons responded to the survey. The prevalence of moderate and high perceived stress was 59.6% and 16.6%, respectively. The prevalence of moderate and severe anxiety was 24.7% and 22.7%, respectively. Age, gender, economic level, having contact with COVID-19 patients, and following COVID-19 news were independent variables significantly associated with stress levels. Age, gender, economic level, employment status, having symptoms of COVID-19, having contact with COVID-19 patients, and following COVID-19 news were independent variables significantly associated with anxiety levels. A high proportion of people experienced stress and anxiety during the COVID-19 outbreak in Erbil, Iraqi Kurdistan Region. Females, younger age, poor, and unemployed reported significantly higher stress and anxiety levels. There is a need to establish mechanisms at the population level to decrease the stress and anxiety risks and provide mental health coping measures in times of crisis, such as education about positive thinking, stress management programs, and the role of social support.

The impact of a children's literature-based cognitive behavioural therapy skills curriculum on middle-school youth who self-report clinically relevant and non-clinical mental health symptomatology

To evaluate potential differences in the impact of a children's literature-based mental health literacy and cognitive behavioural therapy (CBT) skills curriculum on middle-schoolers with and without mental health symptoms that may be clinically relevant. Youth (aged 11-14; grades 7-8) who received a 3-month teacher-delivered intervention embedded in the language arts curriculum (N=196) were compared to a wait-list control group (N=233) from a large, diverse, urban school board in Canada. The Revised Child Anxiety and Depression Scale (RCADS) and Life Problems Inventory (LPI) were administered. Youth were divided according to scores of possible clinical relevance into "clinical" and "non-clinical" groups. A mixed ANOVA (Intervention and Clinical status at baseline are between subject scores and Time is the only repeated measure) was used clustered by classroom. Thirty-three-point six percent of all participants endorsed symptoms of potential clinical relevance on the RCADS and/or one of its subscales. The primary analyses were non-significant but also underpowered to detect outcomes (RCADS β = 0 .14; LPI β = 0.28). LPI scores improved numerically for intervention vs. control youth (clinical: -8% vs. +24%; non-clinical -9% vs. 0%, effect size = .002). This study was underpowered; however, it did identify a potentially clinically meaningful trend in a measure of maladaptive coping (LPI) favouring the intervention. A future, well-powered study is needed to characterize the impact of this intervention.

Structural equation modeling of microaggressions, religious and racism-related coping, medication adherence, and viral load among Black women living with HIV.

Despite the disproportionate impact of HIV, microaggressions, and discrimination among Black women living with HIV (BWLWH), BWLWH have demonstrated resilience by mobilizing religious and other coping strategies. The current study sought to examine whether racism-related or religious coping moderates the relationship between latent gendered racial microaggressions (GRMs), antiretroviral therapy (ART) adherence and viral load (VL) among 119 BWLWH. Data was collected via self-report measures of GRMs and coping. ART adherence was measured via self-report and electronic monitoring and VL was measured via blood specimens. Structural equation modeling showed significant main effects of religious coping on adherence and VL. Furthermore, GRMs × racism-related coping and GRMs × religious coping significantly predicted adherence and VL. Our findings indicate the unique and culturally salient role of religious and racism-related coping among BWLWH in the context of GRMs. Such findings may be optimized in the development of culturally relevant multilevel interventions for BWLWH.

Risk-Reduction, Coping, and Adaptation to Flood Hazards in Manitoba, Canada: Evidence from Communities in the Red River Valley

In general, much is known about patterns relating to flood risk reduction, coping, and adaptation in various types of communities; however, knowledge of their drivers—which are critical for building community resilience to natural hazards—is limited. The present study investigates the influencing factors of coping and adaptation measures vis-a-vis flood hazards at the community level and examines their interrelationships. This work employs a “case study” approach and analyzes two towns—St. Adolphe and Ste. Agathe—in the Red River Valley in the province of Manitoba, Canada. Data collection consisted of in-depth interviews with key informants and obtaining oral histories from the locals, along with an examination of secondary official records and documents. The results revealed that the major drivers of local-level coping and adaptation include functioning partnerships among stakeholders, strong institutional structures that facilitate interactive learning, knowledge co-production, resources sharing, communication and information sharing, and infrastructure supports. It was observed that an institutional atmosphere conducive to spontaneous network development yields diverse coping and adaptation strategies. To improve the outcomes of coping and adaptation measures, close collaboration between community-based groups and formal and quasi-formal institutions, and transparency in decision-making processes are vital.

Self-management, care needs and clinical management of primiparous mothers during early labour – a qualitative content analysis

BackgroundChildbearing women face the problem of managing spontaneous onset of labour without professional support. It is their responsibility to diagnose and react to early labour and subsequently recognise the right time to seek support. Institutional guidelines of clinics aim to admit childbearing women when in established labour. This explains why women in early labour are often advised to stay at home, which can be overwhelming and dissatisfying. This study aims to understand the self- and clinical management of early labour and care needs of first-time mothers during early labour.MethodsA qualitative approach was used involving four focus group discussions with a total of N = 18 mothers. Included were primiparous women who had given birth at term within the last 6 months and who experienced spontaneous onset of labour. Elective caesarean section or induction of labour were thereby exclusion criteria. The interviews followed a semi-structured, literature-based guide. Content analysis was applied.ResultsThirteen codes were summarised within three themes: ‘self-management’, ‘care needs’ and ‘professional management’. Various coping strategies and measures such as positive thinking or taking a bath helped women in managing early labour at home. The need for reassurance, professional guidance and pain management led them to seek professional support, which was initially accompanied by a feeling of inhibition. This negative emotion was mostly unjustified since many women felt well cared for and taken seriously in their needs.ConclusionCoping strategies and professional care help women going through early labour. Yet, there still exists insecurity about the justified timing in seeking professional support. An individual assessment of the women’s coping resources and their needs is required to promote shared decision making and give high-standard care.

Resilience and Coping Are they Different

The concepts of resilience and coping share an intertwined relationship with each other to the extent thatquestions arise whether the two are different constructs or one encompasses the other. The present study aimed at analysing the correlated and conjoint factorial nature of two popular measures of resilience and coping, namely the Connor-Davidson Resilience scale (CD-RISC); and the Coping Styles Questionnaire (CSQ) in the Indian population. The sample consisted of 184 participants within the age range of 18-30 years. Results depicted that adaptive coping styles correlated with resilience. The factor analysis of CD-RISC provided two factors, whereas CSQ provided four different factors. The joint factor analysis provided four factors with significant overlap between adaptive coping and resilience.

Quality of self-report coping measures for children and adolescents with cancer: A systematic review.

Cancer and its treatments cause significant stress in children and adolescents. This stress is associated with risks of emotional and behavioral problem development and interfering with adherence to treatment regimens. Instruments enabling the precise evaluation of the coping behaviors of pediatric patients with cancer in clinical practice are needed. The study aimed to identify existing self-report measures of pediatric coping patterns and to evaluate their psychometric properties, to aid the selection of tools for application to pediatric patients with cancer. This systematic review was conducted according to the PRISMA statement and registered in PROSPERO (CRD 42021279441). Nine international databases were searched from their inception to September 2021. Studies with the main goal of developing and psychometrically validating pediatric coping measures with populations aged <20 years, not specific to any disease or situation, and published in English, Mandarin, or Indonesian were included. The Consensus-based Standards for the Selection of Health Measurement Instruments (COSMIN) checklist was applied. Of 2527 studies initially identified, 12 met the inclusion criteria. Five scales had positive internal consistency ratings and adequate reliability (α > .7). Construct validity ratings were positive for five scales (41.6%), intermediate for three (25%), and poor for three (25%). No information was available for one (8.3%) scale. The Coping Scale for Children and Youth (CSCY) and Pediatric Cancer Coping Scale (PCCS) had the largest numbers of positive ratings. Only the PCCS was developed for pediatric patients with cancer and showed acceptable reliability and validity. The findings of this review highlight the need to increase the validation of existing coping measures in clinical and research settings. Some instruments seem to be specific to adolescent's cancer coping assessment and knowledge of these validity and reliability of the instruments may improve the quality of clinical interventions.

Mental health of Scandinavians during the first lockdown in the COVID-19 pandemic: Psychosocial resources and coping strategies as protective or risk factors for anxiety and depression.

The COVID-19 pandemic was a global health and economic crisis. In the early phase of the pandemic, studies found that populations were reporting lower levels of mental well-being and high levels of distress and worry. This study investigated potential protective and risk factors such as sociodemographics and psychological factors such as adaptation/coping. Two convenience samples from Norway and Denmark were recruited during the early phase of the first lockdown in May 2020 using snowball sampling primarily by social media. Measures included the Patient Health Questionnaire-4 (PHQ-4) for screening anxiety and depression, COVID-19 distress, and coping strategies applied during the lockdown. Descriptive analyses were applied as well as bivariate correlations for associations between coping and mental health measures. Levels of anxiety and depression were not alarmingly high, but being young, single, and female constituted a higher risk for poorer mental health. Applying positive reframing strategies was negatively associated with poor mental health and high COVID-19 stress, whereas distraction coping strategies were positively correlated with poor mental health and high COVID-19 stress. Applying positive reframing as a coping strategy may constitute a protective factor for mental health in the early phase of a crisis such as a pandemic. This knowledge may inform public health agencies on how to promote mental health in similar situations in the future. However, longitudinal and qualitative studies are needed to investigate the long-term effects of the different coping strategies applied.

Higher Stress in Oncology Patients is Associated With Cognitive and Evening Physical Fatigue Severity.

Cognitive and physical fatigue are common symptoms experienced by oncology patients. Exposure to stressful life events (SLE), cancer-related stressors, coping styles, and levels of resilience may influence the severity of both dimensions of fatigue. Evaluate for differences in global, cancer-specific, and cumulative life stress, as well as resilience and coping in oncology patients (n=1332) with distinct cognitive fatigue AND evening physical fatigue profiles. Latent profile analysis, which combined the two symptom scores, identified three subgroups of patients with distinct cognitive fatigue AND evening physical fatigue profiles (i.e., Low, Moderate, High). Patients completed measures of global, cancer-specific, and cumulative life stress as well measures of resilience and coping. Differences among the latent classes in the various measures were evaluated using parametric and nonparametric tests. Compared to Low class, the other two classes reported higher global and cancer-specific stress. In addition, they reported higher occurrence rates for sexual harassment and being forced to touch prior to 16 years of age. Compared to the other two classes, High class reported lower resilience scores and higher use of denial, substance use, and behavioral disengagement. To decrease both cognitive and evening physical fatigue, clinicians need to assess for relevant stressors and initiate interventions to increase resilience and the use of engagement coping strategies. Additional research is warranted on the relative contribution of various social determinants of health to both cognitive and physical fatigue in oncology patients receiving chemotherapy.

Abstract P250: Prospective Associations of Coping Strategies and Variability in Their Use With Hypertension and Obesity Incidence

Objectives: Stressful adverse experiences (e.g., childhood abuse) are associated to greater cardiometabolic disease risk. Yet, it is unknown whether how individuals cope with these stressors can influence disease risk. Coping strategies are usually characterized as being either adaptive (e.g., seeking social support) or maladaptive (e.g., denying the stressor). However, flexibility in tailoring their implementation to contexts appears critical to optimal adjustment and might matter for cardiometabolic health as well. Method: Participants free of hypertension and obesity from the Nurses’ Health Study II completed the validated COPE inventory and reported relevant potential covariates in 2001 (N=32,762). Hypertension and obesity respective incidence were documented every two years until 2019, separately. Cox proportional hazard models estimated hazard ratio (HR) and 95% confidence intervals (CI) of hypertension and obesity associated with the use of individual coping strategies (continuous standardized scores). The Between-Strategy Index, validated in prior epidemiologic research, was used to derive a proxy for coping flexibility, which was considered in tertiles (smaller, moderate, greater levels). This score indicates to what extent strategies chosen within a repertory are (un)equally used and potentially indicates attempts to find the best strategy or favor certain strategies across distinct stressors. In all models, a 2-year lag was introduced to reduce concerns of reverse causation. Results: After controlling for baseline sociodemographic and health status (core model), no adaptive or maladaptive strategies were related to a risk of hypertension onset, and only a few adaptive and maladaptive strategies were related to obesity incidence (e.g., per 1-SD increase: Active coping, HR=0.96, 95%CI=0.93, 0.99; Behavioral Disengagement, HR=1.05, 95%CI=1.02, 1.08). When considering coping flexibility, greater levels were related to a marginally significant lower risk of disease (hypertension: HR greater vs. moderate =0.95, 95%CI=0.90, 1.01; obesity: HR greater vs. lower levels =0.93, 95%CI=0.86, 1.00). In secondary analyses, results were overall similar when further adjusting for behavioral factors. Discussion: These findings suggest that how midlife women typically cope with stressors was not clearly associated with incidence of hypertension or obesity, although we cannot rule out a modest association with some individual coping strategies, and a suggestive protective association with greater coping flexibility levels. Since the COPE inventory captures how individuals handle stressors in general, future research on hypertension and obesity incidence should consider stressor-specific measures of coping.

고등학생의 신체활동이 학업 스트레스와 스트레스 대처방안에 미치는 영향

The purpose of this study was to examine the effects of high school students’ physical activity on academic stress and stress response plans. The subjects of this study were 468 high school students for analysis by simple random sampling. The survey tool was used by adopting a questionnaire whose reliability and validity were verified in previous studies. The collected data went through coding and data cleaning. Statistical processing was analyzed using Version SPSS 23.0, and independent t-test, One way ANOVA, and Simple Linear Regression Analysis were performed. As a result, first, the academic stress and stress response plan according to the amount of physical activity was significantly higher in the high-intensity group than in the low-intensity and medium-intensity groups. Second, it was found that the higher the amount of physical activity, the more positive the stress response plan’s problem-solving coping plan and social support coping plan. It is thought that high school students’ academic stress is affected by their understanding of their own stress and having a coping plan. Therefore, it is necessary for parents or teachers to identify the main causes and levels of stress for high school students and to find coping measures together.

The Psychological Impact of Rhino-Orbital Mucormycosis During the Second Wave of COVID-19 Pandemic From South East Asian Country.

The present study addressed overcoming the lacunae in the literature of psychiatric manifestations associated with rhino-orbital mucormycosis. The current study aimed to assess the symptoms of depression, anxiety, stress, coping measures, suicidal intent, and visual disability in patients of rhino-orbital mucormycosis (ROM) during the epidemic of the disease at the nodal tertiary care center in North India. Fifty-four inpatients of laboratory-proven rhino-orbital mucor-mycosis (ROM)were included for an observational, cross-sectional study at nodal, designated COVID-19, and mucormycosis treating tertiary care hospital. Patients with Hindi Mini-Mental State Examination score <24, prior psychiatric illness, and severely ill requiring ventilator support were excluded. The psychological variables were assessed using Depression, Anxiety, and Stress Scale 21 (DASS 21), Beck's Suicide intent Scale, Coping Scale Questionnaire, and Visual disability scale (IND-VFQ33). Their socioeconomic status was assessed using the Modified Kuppuswamy Scale. Ninety percent of patients with ROM had diabetes mellitus. The majority (44%) of patients belonged to lower socioeconomic strata. Higher frequencies of severe depression (28%), extremely severe anxiety (26%), and mild stress (17%) were noted in the study participants. On the Tukey test, depression score was higher in patients of ROM compared to COVID (with ROM) (p-value= 0.016). On Tukey analysis, anxiety score was significantly higher in ROM patients compared to COVID (with ROM) patients (p-value = 0.018). Coping scores were significantly higher in COVID (with ROM) patients compared to ROM patients (p value = 0.035). Mild to moderate visual disability was noted in the study participants. Conclusion: The current study reflects the association of higher depression and anxiety scores in cases with ROM that indicated higher mental health needs. Early assessment, early detection, and early intervention for psychological help, along with themultidisciplinary team, helped toimprovethe overallpsychological outcome of the affected patients.

Does Coping Mediate the Relationship Between Adverse Childhood Experiences and Health Outcomes in Young Adults?

Adverse childhood experiences (ACEs) affect 22-75% of American young adults. ACEs are associated with adverse health outcomes that begin in young adulthood. Yet, scant research has examined if coping can mediate the relationship between ACEs and adverse outcomes. The current study determined if coping mediates the relationship between ACEs and body mass index (BMI), substance use, and mental health outcomes in young adults. A community sample of 100 White and 100 Black young adults 18-34 years of age participated in a cross-sectional study conducted via Zoom conferencing. Participants provided demographic data, height/weight, and completed measures of ACEs, coping, substance use, and mental health outcomes. Coping was measured using an established three-factor model consisting of adaptive, support, and disengaged coping. Structural equation modeling (SEM) examined the relationships of ACEs to outcomes as mediated by coping. Participants were predominantly female (n = 117; 58.5%) and mid-young adult (M = 25.5 years; SD = 4.1). SEM results indicated good model fit: (CMIN/df = 1.52, CFI = 0.94, RMSEA = 0.05 [90% CI = 0.03-0.07], SRMR = 0.06). Only disengaged coping mediated the ACE and substance use (β = 0.36, p = .008), smoking (β = 0.13, p = .004), and mental health (β=-0.26, p = .008) relationships. Disengaged coping styles may be a critical mechanism in developing adverse mental health and substance use outcomes among ACE-exposed individuals. Future ACE and health outcomes research should examine the role of coping. Interventions focusing on adaptive coping may improve the health of individuals exposed to ACEs.

Threat Appraisal, Resilience, and Health Behaviors in Recovered COVID-19 Patients: The Serial Mediation of Coping and Meaning-Making.

Research indicates that both cognitive appraisal and personal resources can noticeably influence health behaviors, as individuals modify their health convictions and practices on the basis of threat appraisal, personality, and meaning. The aim of the current study was to investigate whether coping strategies and meaning-making can serially mediate the relationship of threat appraisal and resilience with health behaviors in recovered COVID-19 patients. Self-report measures of threat appraisal, resilience, coping, meaning-making, and health behaviors were completed by 266 participants (aged 17 to 78, 51.5% female) who had recovered from COVID-19. The serial mediation analysis showed that the relationship of threat appraisal and resilience with health behaviors was mediated by problem-focused coping, meaning-focused coping, and meaning-making, but not by emotion-focused coping. These results suggest that associations among threat perception, resilience, and health behavior depend to some extent on the interplay of coping and meaning-making, which reveals their unique role in the process of recovery from COVID-19, with potential implications for health interventions.

A Death in the Family: Links between Religion, Parenting, and Family Communication about Death

The present study assessed the frequency and nature of parent–child communication about death and identified predictors of such communication. The sample comprised 24 families who had recently lost a family member. Parents completed survey measures of global parenting dimensions (warmth/acceptance, psychological control, behavioral control), parental coping (religious and secular coping), parental religiosity, and parent–child communication about death. Almost 80% of parent–child dyads discussed death at least once a week, and children initiated approximately half of these conversations. Parental warmth/acceptance was positively associated with the frequency of parent–child communication about death, whereas psychological control, negative religious coping, private religious practices, and religious focus were negatively associated with the frequency of parent–child communication about death. Results from hierarchical linear regression analyses suggest that even when controlling for parental warmth/acceptance and psychological control, parents’ private religious practices and religious focus negatively predicted the frequency of parent–child communication about death.

Threshold of Depression Measure in the Framework of Sentiment Analysis of Tweets: Managing Risk during a Crisis Period Like the COVID-19 Pandemic

The COVID-19 pandemic has had a devastating impact on the world. The surge in the number of daily new cases and deaths around the world and in South Africa, in particular, has increased fear, psychological breakdown, and uncertainty among the population during the COVID-19 pandemic period, leading many to resort to prayer, meditation, and the consumption of religious media as coping measures. This study analyzes social media data to examine the perceptions and attitudes of the South African community toward religion as well as their well-being appreciation during the COVID-19 period. We extract four sets of tweets related to COVID-19, religion, life purpose, and life experience, respectively, by users within the geographical area of South Africa and compute their sentiment scores. Then, a Granger causality test is conducted to assess the causal relationship between the four time series. While the findings reveal that religious sentiment scores Granger-causes life experience, COVID-19 similarly Granger-causes life experience, illustrating some shifts experienced within the community during the crisis. This study further introduces for the first time a Threshold of Depression measure in the sentiment analysis framework to assist in managing the risk induced by extremely negative sentiment scores. Risk management during a period of crisis can be a hectic task, especially the level of distress or depression the community is experiencing in order to offer adequate mental support. This can be assessed through the Conditional Threshold of Depression which quantifies the threshold of depression of a community conditional on a given variable being at its Threshold of Depression. The findings indicate that the well-being indicators (life purpose and life experience) provide the highest values of this threshold and could be used to monitor the emotions of the population during periods of crisis to support the community in crisis management.

Emotion regulation mediates the relationship between family caregivers' pain-related beliefs and patients' coping strategies.

Background: In order to tailor more effective interventions and minimize the burden of chronic pain, it is critical to identify the interaction and contribution of social and psychological factors in pain. One of the important psychological factors in pain management is related to the choice of pain coping strategies in chronic pain patients. Social resources, including family caregivers' pain attitudes-beliefs, can influence pain coping strategies in chronic pain patients. Moreover, one key factor that may intervene in the relationship between caregivers' pain attitudes-beliefs and the patients' coping strategies is the emotion regulation strategies. Therefore, the present study aimed to investigate the mediating role of emotion regulation strategies of chronic pain patients and their family caregivers on the association between caregivers' pain attitudes-beliefs and pain coping strategies of chronic pain patients. Methods: We recruited 200 chronic musculoskeletal pain patients and their family caregivers. Chronic pain patients responded to measures of pain coping and emotion regulation strategies while family caregivers completed questionnaires related to their attitude toward pain and emotion regulation of themselves. Results: There is an association between caregivers' pain attitudes-beliefs and pain coping strategies in patients with chronic musculoskeletal. Moreover, the structural equation modeling revealed that the emotion regulation of both patients and family caregivers mediate the relationship between the caregivers' pain attitudes-beliefs and pain coping strategies of patients with chronic musculoskeletal. Conclusions: The social context of pain, including the effect of family caregivers' responses to the patient's pain, is a critical pain source that is suggested to affect coping strategies in patients. These findings suggest an association between pain attitudes-beliefs in family caregivers and pain coping strategies in patients. Moreover, these results showed that the emotion regulation of both patients and their family caregivers mediates this association.

A proof-of-concept study of iCope: A nurse-led psychoeducational telephone intervention for women attending a rapid diagnostic centre for breast abnormality.

The period between the initial discovery of a suspicious breast lesion and a confirmed diagnosis is a time of significant psychological distress, heightened anxiety, and uncertainty for many women. This proof of concept (PoC) study explored the clinical outcomes and acceptability of iCope, a nurse-led psycho-educational telephone intervention aimed to assist with uncertainty, anxiety and coping in women going through a Rapid Diagnostic Centre (RDC) offering quick diagnosis of breast cancer (same day to three-day post-investigation). Guided by the Uncertainty Theory, and using a one-arm pretest-posttest design, two brief 15-minute telephone sessions were delivered by a nurse prior to the women's day of testing at the RDC and three days after the receipt of their results. Six women completed measures of anxiety, uncertainty, and coping before the clinic visit, three days and three weeks after receiving their test results. Results show that the implementation of the telephone intervention was challenging, yet may offer potential for positive impact. That is, trends of decreased uncertainty and anxiety in participants over time were noted. Considering the difficulty observed in the recruitment and delivering the two interventions in the timeline planned, feasibility testing is recommended before the conduct of a large-scale study.