Coping Outcomes Research Articles

Machine learning-enabled mental health risk prediction for youths with stressful life events: A modelling study

BackgroundYouths face significant mental health challenges exacerbated by stressful life events, particularly in the context of the COVID-19 pandemic. Immature coping strategies can worsen mental health outcomes. MethodsThis study utilised a two-wave cross-sectional survey design with data collected from Chinese youth aged 14–25 years. Wave 1 (N = 3038) and Wave 2 (N = 539) datasets were used for model development and external validation, respectively. Twenty-five features, encompassing dimensions related to demographic information, stressful life events, social support, coping strategies, and emotional intelligence, were input into the model to predict the mental health status of youth, which was considered their coping outcome. Shapley additive explanation (SHAP) was used to determine the importance of each risk factor in the feature selection. The intersection of top 10 features identified by random forest and XGBoost were considered the most influential predictors of mental health during the feature selection process, and was then taken as the final set of features for model development. Machine learning models, including logistic regression, AdaBoost, and a backpropagation neural network (BPNN), were trained to predict the outcomes. The optimum model was selected according to the performance in both internal and external validation. ResultsThis study identified six key features that were significantly associated with mental health outcomes: punishment, adaptation issues, self-regulation of emotions, learning pressure, use of social support, and recognition of others' emotions. The BPNN model, optimized through feature selection methods like SHAP, demonstrated superior performance in internal validation (C-index [95 % CI] = 0.9120 [0.9111, 0.9129], F-score [95 % CI] = 0.8861 [0.8853, 0.8869]). Additionally, external validation showed the model had strong discrimination (C-index = 0.9749, F-score = 0.8442) and calibration (Brier score = 0.029) capabilities. LimitationsAlthough the clinical prediction model performed well, the study it still limited by self-reported data and representativeness of samples. Causal relationships need to be established to interpret the coping mechanism from multiple perspectives. Also, the limited data on minority groups may lead to algorithmic unfairness. ConclusionsMachine learning models effectively identified and predicted mental health outcomes among youths, with the SHAP+BPNN model showing promising clinical applicability. These findings emphasise the importance and effectiveness of targeted interventions with the help of clinical prediction model.

Evaluating Family Coping Mechanisms in Pediatric Seizure Disorders: From Emergency Room to Long-Term Follow-Up.

Pediatric seizure disorders profoundly impact family dynamics, often escalating stress and impairing coping mechanisms. This study aimed to longitudinally assess the impact of pediatric seizures on family stress and coping, evaluating the efficacy of multidisciplinary follow-up care in enhancing psychological resilience and adaptation. A longitudinal study design was implemented, enrolling children aged 1-18 who presented with a first seizure and received a neurologist's diagnosis at the Emergency Clinical Hospital for Children "Louis Turcanu," Timisoara, Romania. Validated questionnaires, including the Parenting Stress Index (PSI), Hospital Anxiety and Depression Scale (HADS), Perceived Stress Scale (PSS-10), and Parental Concerns Questionnaire (PCQ), were employed at baseline, 6, and 12 months. Statistical analysis utilized ANOVA and t-tests to evaluate changes in stress and coping outcomes. The study involved 68 families, with significant reductions in stress and anxiety reported over the follow-up period. Initial PSI scores showed high stress levels across various domains: Emotional Stress (59.47) decreased to 50.63 at one year; Parent-Child Communication Difficulties started at 66.03 ± 20.15 and reduced to 56.92 ± 18.74; and Total Family Stress decreased from 65.55 to 55.97. The HADS scores indicated initial anxiety and depression at 8.2 ± 3.1 and 7.1 ± 2.8, respectively, with reductions to 6.8 and 5.9 by the end of the year. The overall HADS score showed a decrease from 15.4 to 12.8. PCQ results mirrored these findings, with Total Score dropping from 9.7 to 7.7. PSS-10 scores declined from 13.5 to 11.3, with a significant reduction in the positive sub-score. The proactive, multidisciplinary care approach significantly reduced stress and enhanced coping mechanisms in families dealing with pediatric seizures. The decreases in stress, anxiety, and depression scores highlight the potential for integrated care models to improve long-term outcomes in these families. These findings support the continued development of targeted interventions to aid in the management of chronic pediatric conditions.

Qualitative analysis of naturalistically observed conversations among same‐ and different‐gender couples coping with breast cancer

AbstractThis naturalistic observation study explored communication between partners in different types of romantic couples coping with breast cancer (women with women [WW] and women with men [WM]). Past research has suggested WW, versus WM, couples are more likely to have a concordant, immersive approach to coping with illness, characterized by increased emotional disclosure and an emphasis on caregiving. This study aimed to further explore similarities and differences among WW and WM that may suggest how these types of couples cope with and adjust to cancer. Women with breast cancer and their partners wore the Electronically Activated Recorder over one weekend during treatment, as part of a larger study. Sound files from a subsample of eight WW couples and eight matched WM couples were qualitatively analyzed using thematic analysis. Overall, WW, versus WM, couples appeared to have more concordant approaches to coping with cancer, which seemed to be associated with less conflict or argumentative communication, suggesting WW may have better coping outcomes than WM. Understanding how diverse types of couples communicate about breast cancer in daily life may help clinicians tailor their treatments to their patients' unique needs.

Syrian refugee young adults as community mental health workers implementing problem management plus: Protocol for a pilot randomized controlled trial to measure the mechanisms of effect on their own wellbeing, stress and coping

This pilot randomized controlled trial protocol aims to (1) assess the impact on the wellbeing of Syrian refugee young adults (18–24 years) of being a community mental health worker (CMHW) implementing WHO's evidence-based psychosocial intervention - Problem Management Plus (PM+) - with adults in their community, and (2) identify the mechanisms associated with the outcomes of enhanced wellbeing and coping, and reduced stress among these CMHWs. Over 108 million people have been forcibly displaced as of the end of 2022. Mental health consequences of these displacements are significant, yet human resources for health are not sufficient to meet the needs. A large proportion of refugee populations are youth and young adults (YA). Evidence indicates their engagement in supporting their communities leads to their own enhanced wellbeing and that of their community. This trial trains Syrian refugees to serve their communities as CMHW (n=19) or tutors (n=19) and compare wellbeing, stress and coping outcomes between these two groups and a control group (n = 40). We will also assess 7 mechanisms as potential pathways for the interventions to influence outcomes. Surveys will assess outcomes and mechanisms, hair samples will measure stress cortisol. The primary analysis will use a Bayesian Hierarchical Model approach to model the trajectories of the mechanisms and primary study endpoints over time for individuals in each of the arms. Our results will elucidate critical mechanisms in which engagement of young adults to support their community enhances their own wellbeing. Trial registrationNational Institutes of Mental Health, NCT05265611, Registered prospectively in 2021. Lebanon clinical trials registry #LBCTR2023015206, Registered in 2023.

Coping with Non-COVID-19 Health Problems Through Communicative Action in Cyberspace

This study investigated how the online health information behaviors of U.S. adults with illnesses unrelated to COVID-19 virus infection affected their coping with health problems and concerns during the COVID-19 pandemic. Guided by the cybercoping model (Kim & Lee, 2014), the study examined associations between these patients’ online information behaviors (information seeking and information forwarding) and coping outcomes (health problems and affective states). The study further explored the mediating roles of health coping processes (problem-and emotion-focused) in the associations between these information behaviors and coping outcomes. Survey data from 687 participants were analyzed using structural equation modeling. The results highlighted the significance of information forwarding in enhancing both coping processes and outcomes, while information seeking enhanced problem-focused coping and health-problem coping outcomes alone. These associations were more pronounced among U.S. adults without chronic conditions than among those with chronic illnesses. These findings’ implications, the study’s limitations, and suggestions for future research were also addressed.

We are sidekicks! Concretizing the antecedents and outcomes of communal coping in the COVID‐19 crisis renewal

AbstractScholars have gradually shifted efforts to understand the COVID‐19 crisis renewal stage. Viewing a gap in college communities' knowledge regarding COVID‐19 renewal, this study drew upon the extended theoretical model of communal coping and explored college students' stressor coping in back‐to‐campus situations. Results of an online survey (N = 460) across nine US universities, first, supported the presence of communal coping in such a situation. Second, universities' transparent communication benefited students' communal coping appraisal, while online and offline bonding social capital boosted communal coping action; both the appraisal and action components positively contributed to student adaptivity, with life satisfaction being associated only with the action dimension. Theoretical and practical implications for interdisciplinary model concretization and public health crisis renewal are discussed.

From Incidental Exposure to COVID-19 Coping: The Influence of Expression and Perceived Networks on Social Media and Messaging Apps

ABSTRACTResearch has established the important role of incidental exposure in facilitating political learning, participation, as well as attitude polarization. Extending this line of work to public health crisis contexts, this study examines how pro-attitudinal and counter-attitudinal incidental exposures predict individuals’ expressive behaviors on social media and messaging apps (e.g. WhatsApp and LINE), and the subsequent coping outcomes during the COVID-19 pandemic. Analysis of an online survey in Taiwan showed that incidental exposure was related to expressive behaviors on social media and LINE, which in turn predicted coping outcomes, regardless of whether the information affirmed or undermined individuals’ opinions. However, the relationships between pro-attitudinal but not counter-attitudinal incidental exposure and expressive behaviors varied by perceived network homogeneity both on social media and LINE.

Cash for assets during acute food insecurity: an observational study in South Sudan

BackgroundCash-based assistance in humanitarian contexts has grown substantially in recent years, yet little is empirically known about differential impacts of cash for diverse beneficiaries, which could better inform assistance targeting. In the context of increasing food insecurity and extreme levels of famine in South Sudan despite significant scale-up of humanitarian assistance, this analysis examined food security and household economy outcomes to better understand the impact of cash assistance and characteristics associated with worsened household food security and coping strategies.MethodsIn 2019–2021, a prospective cohort study was conducted leveraging a program providing cash for work in community gardens. 1213 households receiving cash prior to the start of the study (Cohort A/B), 582 non-intervention households (Control), and 300 households that received cash after the start of the study (Cohort C) completed 2 interviews spaced one year apart to measure household food insecurity and coping mechanism adoption.ResultsThere were no significant differences in change over time in household hunger score (p = 0.074), livelihoods coping strategy index score (p = 0.104), or meal frequency (p = 0.113) between program participants and the comparison group. The comparison group had a significantly larger increase in dietary diversity over time (0.6 vs. 0.2 in Cohort A/B, p = 0.005); however, at endline there were no significant differences in dietary diversity between program participants and the non-intervention group (4.3 in both groups). There were few factors associated with increased likelihood of worsened food security and coping outcomes, the most noticeable being recent investment livestock, which was associated with 1.5 times greater odds of worsened hunger and 1.63 times greater odds of worsened coping strategy adoption.ConclusionCash transfers did not appear to have lasting benefits on food security and livelihoods coping strategy use. Larger transfer sizes may need to be considered in future programming to achieve more substantial improvements in household food security; however, maintaining rather than improving household food security may be sufficient in worsening food crises contexts.

Effectiveness of psychoeducation interventions in reducing negative psychological outcomes and improving coping skills in caregivers of children with cancer: A systematic review and meta-analysis.

Psychoeducation interventions (PEIs) have been used as an adjunct treatment for negative psychological outcomes in caregivers of children with cancer. This systematic review and meta-analysis aimed to evaluate the evidence on the effectiveness of PEIs in reducing anxiety and depressive symptoms and improving health-related quality of life (HRQoL) and coping skills in caregivers of children with cancer. Ten English databases were searched to identify studies on PEIs for caregivers of children with cancer. Studies inclusion criteria were as follows: (1) participants who were caregivers of children with cancer receiving treatment; (2) psychoeducational interventions assessing anxiety, depressive symptoms, HRQoL, and coping outcomes; and (3) usual care, waitlist, or active control as a control group. Meta-analysis and narrative synthesis were used to analyse data. Fourteen randomised control trials were included. PEIs have a beneficial effect on anxiety levels (SMD: -0.59, 95% CI [-0.92, -0.25], p=0.0007), quality of life (SMD: -0.31, 95% CI [-0.00, -0.61], p=0.05) and depressive symptoms (SMD: -1.18, 95% CI [-2.08, -0.28], p=0.01) immediately post-intervention. The effect of PEIs was maintained at long-term follow-up on depressive symptoms (SMD: -0.52, 95% CI [-1.54, -0.36], p=0.0004). Similarly, the synthesised data suggest that PEIs are effective in improving coping skills. The review provides evidence that PEIs effectively reduce negative psychological outcomes and improve coping skills in caregivers of children with cancer. However, due to methodological flaws and heterogeneity of the interventions evaluated, more research is needed to determine the most effective PEI design and improve the quality of evidence.

Coping with subjective and objective stress during a pandemic pregnancy: implications for maternal mental health.

The COVID-19 pandemic heightened prenatal maternal stress, a risk factor for poorer maternal and infant health. There was substantial variability, however, in the extent to which the stress of pandemic pregnancy influenced maternal mental health. Some of this variability may have been due to the different coping strategies used to manage pandemic stress. In this cross-sectional study of 7,383 pregnant women in the U.S. (M = 25.69 ± 8.71weeks gestational age) recruited during the first and second U.S. waves of the COVID-19 pandemic, we examined associations of objective stressors, the subjective experience of stress, and the use of four coping strategies with anxiety and depressive symptoms. Spiritual coping, planning/preparation, and avoidant coping were associated with increased subjective and objective stress and with greater mood and anxiety symptoms, whereas coping by positive appraisal was associated with modestly lower subjective stress and with lower mood and anxiety symptoms. We also found small interactions of stress and coping in predicting mood and anxiety symptoms, suggesting that fit between coping strategy and type of stress influences coping outcomes. Specific coping strategy used as well as the fit between coping strategy and stress type may determine whether coping buffers or exacerbates mood and anxiety symptoms. The small magnitude of these associations suggests that individual-level coping may be insufficient in the face of the overwhelming nature of the stress accompanying a global pandemic. This work adds to our understanding of coping with pregnancy stress in the context of population-level stressors (i.e., a pandemic or large-scale disaster).

The coping strategies in fitness apps: a three-stage analysis with findings from SEM and FsQCA

PurposeCombining the coping theory and social support theory, this study aims to reveal users' coping strategies for mobile fitness app (MFA) engagement and fitness intentions with a rigorous and comprehensive hybrid research approach.Design/methodology/approachA three-stage hybrid research design was employed in this study. In the first stage, this study utilized structural equation modeling (SEM) to investigate the associations between coping resources and coping outcomes. A post hoc analysis was conducted in the second stage to unveil the reasons behind the insignificant or weak linkages. In the third stage, the fuzzy-set qualitative comparative analysis (fsQCA) technique was applied to explore the various configurations of coping resources that lead to the coping outcomes.FindingsThe results in the three stages verify and compensate each other. The SEM results confirm the presence of two coping strategies in MFA, highlighting the importance of the intertwining of the strategies, and the post hoc analysis unveils the mediating role of positive affect. Moreover, the fsQCA results reinforce and complement the SEM findings by revealing eight alternative configurations that are sufficient for leading to users' MFA engagement and fitness intention.Originality/valueThis study offers a prominent methodological paradigm by demonstrating the application of multi-analysis in exploring users' coping strategies. In addition, the study also advances the understanding of the complexity of the mechanism that determines users' behavioral decisions by presenting a comprehensive interpretation.

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.

A Communal Coping Intervention for Couples Managing Chronic Illness: Proof-of-Concept Study.

Communal coping is an interpersonal coping strategy defined as the appraisal of a problem as shared and collaboration to manage it. Despite evidence establishing links of communal coping to health, few interventions have involved communal coping. This study seeks to establish proof of concept that an intervention rooted in communal coping theory can impact couple members' communal coping and intermediary outcomes. Couples (n = 40) in which one person has type 2 diabetes were randomly assigned to intervention versus control in a parallel randomized trial with 1:1 allocation. The intervention consisted of a single session focused on discussion of shared stressors, communal coping education, and collaborative implementation intentions followed by 7 days of text message reinforcement. Couples were interviewed in-person, received the intervention or active control, and completed 7 daily questionnaires. Communal coping and intermediary outcomes associated with communal coping were assessed daily. Feasibility and acceptability were also assessed. The intervention increased reports of both patient and partner shared appraisal and collaboration and impacted some intermediary outcomes of communal coping. Compared to control, intervention participants reported greater perceived partner responsiveness, patient support receipt, and partner confidence in patient illness self-efficacy. This study provides initial proof of concept that an intervention based on communal coping theory can increase couples' communal coping-both shared appraisal and collaboration. Additionally, the intervention was able to impact some intermediary outcomes that may be linked to downstream health outcomes for both patients and partners.

Idiographic Coping Outcomes in Youth with Autism Spectrum Disorder and Co-Occurring Anxiety: Results from the TAASD Study.

Versions of cognitive behavioral therapy (Coping Cat, CC; Behavioral Interventions for Anxiety in Children with Autism, BIACA) have shown efficacy in treating anxiety among youth with autism spectrum disorder. Measures of efficacy have been primarily nomothetic symptom severity assessments. The current study examined idiographic coping outcomes in the Treatment of Anxiety in Autism Spectrum Disorder study (N = 167). Longitudinal changes in coping with situations individualized to youth fears (Coping Questionnaire) were examined across CC, BIACA and treatment as usual (TAU) in a series of multilevel models. CC and BIACA produced significantly greater improvements than TAU in caregiver-reported coping. Youth report did not reflect significant differences. Results show the efficacy of CC and BIACA in improving idiographic caregiver-, but not youth-, reported youth coping.

Psychological flexibility, distress, and quality of life in secondary progressive multiple sclerosis: A cross-sectional study

IntroductionOne of the strongest predictors of successful coping in multiple sclerosis (MS) is the extent to which one can accept the diagnosis and limitations associated with the disease. Acceptance is also one of three core processes of psychological flexibility – a malleable treatment target of some psychological therapies. This is the ability to notice and accept the presence of thoughts and feelings without being swept along by them, engaging in the present moment, and making decisions in line with personal values.Poor psychological flexibility is associated with elevated levels of distress in the general population. However, we do not know the level of psychological flexibility in people with MS, or its relationship to distress or quality of life when the disease becomes more physically disabling. The aims of this study were to determine the level of psychological flexibility, and its relationship with distress and quality of life in secondary progressive multiple sclerosis (SPMS), a subtype of MS with increased severity of disability and distress. MethodThis cross-sectional analytic study used data collected by the UK MS Register. Pre-existing data on distress, quality of life, disability, and demographics collected by the UK MS Register were combined with a psychological flexibility measure and its component parts, collected for the purpose of this study.Patient demographics and questionnaire data were recorded for distress, quality of life, and psychological flexibility. Pearson's correlations were used to examine bivariate relationships between distress, quality of life, disability and psychological flexibility. Whether psychological flexibility moderated the relationship between disability (predictor), distress and quality of life (outcomes) was also investigated. ResultsBetween February and March 2020, 628 participants with SPMS completed the CompACT and had a recent (<12 months) HADS questionnaire (Mage = 60.66, 70.90% women). On the HADS questionnaire subscales, 44% of the sample scored above the MS clinical cut-off (≥8) for anxiety (M = 7.09, SD = 4.57), and 30% above the clinical cut off (≥11) for depression (M = 8.35, SD = 4.21). Psychological flexibility (M = 81.94, SD = 22.60) and its components were each moderately negatively correlated with total distress (r = -0.65), anxiety (r = −0.58), and depression (r = -0.56). A second subsample (n = 434) completed the EQ-5D-5L health-related quality of life measure, which was moderately positively correlated with psychological flexibility (r = 0.47). A third subsample (n = 210) found a weak negative relationship between psychological flexibility and disability (r = -0.16), a weak positive relationship between distress and disability (r = 0.26), and a moderate negative relationship between quality of life and disability (r = -0.56). Psychological flexibility was not found to moderate the relationships between disability and anxiety, depression, or quality of life in SPMS. DiscussionGreater psychological flexibility was associated with lower self-reported distress and higher quality of life in this SPMS sample. It was not shown to moderate the extent to which physical disability predicts distress or quality of life in SPMS.These findings demonstrate that greater psychological flexibility is related to better coping outcomes (lower distress, higher quality of life) in SPMS. If psychological flexibility can be increased in people with SPMS, this could lead to a reduction in distress and improvement in quality of life, although directionality could not be attributed with these methods. Further longitudinal evidence and trials of psychological flexibility-focussed interventions are needed.

An ecological momentary assessment study of outcome expectancies and smoking lapse in daily life

ObjectiveOutcome expectancies have been identified as key components of behavior change. Expectancies related to affect control are hypothesized to play an important role in smoking cessation, such that smokers may be more likely to lapse if they believe they can control their affect by smoking and less likely if they believe they can control their affect by means other than smoking. However, little is known about whether real-time, real-world changes in affect control expectancies influence smoking lapse during a quit attempt. MethodsA diverse sample (N = 369) of adult smokers completed ecological momentary assessment of smoking expectancies and lapse for 28 days following a quit attempt. Multilevel logistic regression was used to examine whether the difference score of positive smoking outcome expectancies (the belief that smoking would improve mood) minus positive coping outcome expectancies (the belief that something other than smoking would improve mood) was related to smoking lapse in daily life. ResultsThere was a significant within-person association between the expectancies difference score and lapse likelihood. When the difference score was 1 unit above a person’s typical level, odds of lapse increased by 18.65 % (β = 0.174, SE = 0.024, p < .0001, OR = 1.189, 95 % CI [1.135, 1.247]). ConclusionSmokers undergoing a quit attempt were more likely to lapse in moments when the difference in the belief that smoking would improve their mood minus the belief that something other than smoking would improve their mood was larger. This work has relevance for tailoring interventions to both cultivate positive coping outcome expectancies and reduce smoking outcome expectancies, and informs theoretical models about the dynamic nature of outcome expectancies.

Attentional and Behavioral Disengagement as Coping Responses to Technostress and Financial Stress: An Experiment Based on Psychophysiological, Perceptual, and Behavioral Data

Discontinuance of information systems (IS) is a common phenomenon. It is thus critical to understand the decision process and psychophysiological mechanisms that underlie the intention and corresponding behaviors to discontinue IS use, particularly within the digital financial technology usage context, where continuance rates remain low despite increased adoption. Discontinuance has been identified as one coping behavior to avoid stressful situations. However, research has not yet explored this phenomenon toward digital financial technologies. This manuscript builds upon a pilot study that investigated the combined influence of technostress and financial stress on users’ responses toward digital financial decision-making tasks and aims to disentangle the specific impacts of unexpected technology behaviors and perceived financial loss on attentional and behavioral disengagement as coping responses, which may lead to discontinuance from digital financial technology usage. A two-factor within-subject design was developed, where perceived techno-unreliability as variable system response time delays under time pressure and perceived financial loss as negative financial outcomes were manipulated in a 3 × 2 design. Psychophysiological, perceptual, and behavioral data were collected from N = 15 participants while performing an adapted version of the Iowa Gambling Task. The results indicate that unexpected technology behaviors have a far greater impact than perceived financial loss on (1) physiological arousal and emotional valence, demonstrated by decreased skin conductance levels and curvilinear emotional valence responses, (2) feedback processing and decision-making, corroborated by curvilinear negative heart rate (BPM) and positive heart rate variability (HRV) responses, decreased skin conductance level (SCL), increased perceptions of system unresponsiveness and techno-unreliability, and mental workload, (3) attentional disengagement supported by curvilinear HRV and decreased SCL, and (4) behavioral disengagement as coping response, represented by curvilinear decision time and increasingly poor financial decision quality. Overall, these results suggest a feedforward and feedback loop of cognitive and affective mechanisms toward attentional and behavioral disengagement, which may lead to a decision of disengagement-discontinuance as a coping outcome in stressful human-computer interaction situations.

The Impact of Coping Styles and Gender on Situational Coping: An Ecological Momentary Assessment Study With the mHealth Application TrackYourStress.

The aim of this study was to investigate the impact of different coping styles on situational coping in everyday life situations and gender differences. An ecological momentary assessment study with the mobile health app TrackYourStress was conducted with 113 participants. The coping styles Positive Thinking, Active Stress Coping, Social Support, Support in Faith, and Alcohol and Cigarette Consumption of the Stress and Coping Inventory were measured at baseline. Situational coping was assessed by the question “How well can you cope with your momentary stress level” over 4 weeks. Multilevel models were conducted to test the effects of the coping styles on situational coping. Additionally, gender differences were evaluated. Positive Thinking (p = 0.03) and Active Stress Coping (p = 0.04) had significant positive impacts on situational coping in the total sample. For women, Social Support had a significant positive effect on situational coping (p = 0.046). For men, Active Stress Coping had a significant positive effect on situational coping (p = 0.001). Women had higher scores on the SCI scale Social Support than men (p = 0.007). These results suggest that different coping styles could be more effective in daily life for women than for men. Taking this into account, interventions tailored to users’ coping styles might lead to better coping outcomes than generalized interventions.

How to minimize job insecurity: The role of proactive and reactive coping over time

Job insecurity is no longer a temporary setback but an experience that many workers endure for prolonged periods of time during their career. While there is much research on the behaviors that may help workers to cope with the negative consequences of job insecurity (i.e., reactive coping), insight into behaviors that may help workers to minimize or even prevent the experience of job insecurity itself is still minimal (i.e., proactive coping). Yet, such insight is crucial to advance our knowledge on the dynamics of job insecurity and may offer an alternative strategy to help workers manage the experience of job insecurity during their career. Hence, in this 5-wave weekly survey study among 266 workers, we view the experience of job insecurity as an ongoing process that may fluctuate over time and investigated whether proactive coping (career planning, scenario thinking, career consultation, networking, and reflecting) could help workers to minimize their future job insecurity. Multilevel path analyses showed that weekly proactive coping behaviors were either unrelated or positively (rather than negatively) related to job insecurity in the following week, indicating that positive outcomes of proactive coping may need more time to establish. Additionally, we explored whether coping behaviors that are proactive in theory could also function as reactive coping behaviors (i.e., could buffer the negative consequences of job insecurity). Results showed no buffering effects, indicating that theoretically proactive coping behaviors did not function reactively. We discuss that prolonged proactive coping efforts are needed in contemporary careers, despite the short-term discomfort.

Coping with mental health issues via communicative action in the digital age: testing cybercoping models

ABSTRACT Background Mental health issues have become critical social problems around the world. Individuals who are suffering from mental health problems tend to obtain health information and social support in the digital media environment. However, there has been little research on how information-seeking and information-forwarding behaviors affect sufferers’ coping processes and outcomes. Based on communicative behaviors of people in online to solve health problmes, this study aims to apply two cybercoping modes proposed by previous reserach to mental health issues. Method Using anxiety and depression issues, this study conducted an online survey (N = 560) to examine two cybercoping models with data collected from an online crowdsourcing platform (Amazon’s Mechanical Turk). Structural equation modeling (SEM) was conducted to test the cybercoping models in the context of mental health issues. Results Results of the first cybercoping model showed that information seeking was positively associated with coping outcomes, whereas information forwarding was not significant. While information seeking in the second cybercoping model was significantly associated with other factors, information forwarding was not significant. The second model revealed that coping processes fully mediate between information seeking and cybercoping outcomes. Conclusions This study contributes to the theoretical building of cybercoping models in the context of mental health issues by illustrating the effects of information seeking on cybercoping outcomes. Health care practitioners may use these results to better understand which communicative processes in online mental health communication are positively associated with specific coping processes and outcomes.