Coping Strategies Research Articles

Perceived Stress and Coping Strategies for Frontline Nurses Caring for COVID-19 Patients: A Path Analysis.

This cross-sectional study explored the relationships among perceived stress, social support, positive coping, and mental health in frontline nurses caring for patients with COVID-19 in China. A quantitative cross-sectional study. A convenience sample of 339 eligible frontline nurses was identified from a designated hospital for COVID-19 in Shanghai, China, between May 2022 and August 2022. Data from nurses were collected through an online survey that contained 4 measurement domains: perceived stress, social support, coping strategies, and mental health. Path analysis was used to analyze the data in SPSS 24.0 and AMOS 23.0. The model tested in the path analysis fit the data well. The results demonstrated relationships among perceived stress, social support, positive coping, and mental health among frontline nurses caring for patients with COVID-19. Social support had a positive effect on positive coping strategies and a negative effect on perceived stress and mental health. In addition, path analysis indicated that social support moderated the relationship between perceived stress and mental health in nurses. Nurses experienced work-related mental stress while providing COVID-19-related care. Based on study findings, social support is expected to play a key role in stress management in nurses. Expanding opportunities for social support is an essential step for nurses to improve their mental health and quality of life.

The Influence of Age on the Death Rate of Hajj Pilgrims in South Sumatra in 2024

The Hajj pilgrimage is a significant religious obligation for Muslims, but it presents various health risks, particularly for older pilgrims. This study aims to identify the influence of age on the number of Hajj pilgrims from South Sumatra in 2024. A quantitative research approach was employed, collecting and analyzing mortality data for pilgrims based on age groups. Primary data were gathered from a survey conducted among health congregants before departure, while secondary data were sourced from official reports from the Ministry of Religion and Health Services. The analysis revealed that age significantly influences the number of deceased pilgrims, particularly among those aged over 60. This age group faces a higher risk of mortality due to vulnerable health conditions and the prevalence of chronic diseases such as heart disease, diabetes, and hypertension, which are exacerbated by the physical demands of the Hajj pilgrimage. The findings emphasize the need for careful attention and preparation regarding the health of older congregants. Intensive monitoring is essential to ensure that this group can undertake the Hajj pilgrimage safely and optimally. It is recommended to develop specialized health programs for elderly Hajj pilgrims to mitigate the risk of mortality during their religious observance. These programs should focus on health assessments, education on managing chronic conditions, and strategies for coping with the physical demands of the pilgrimage.

Psychopathological Aspects of Parasuicidal Behavior in Adolescents and Young Adults

Objective. The aim of this study was to determine the psychopathological symptoms associated with self-harming behavior in order to develop preventive measures.Materials and Methods. We included individuals aged 18 to 35. The main group consisted of individuals with a history of self-harming behavior, while the control group included individuals without any history of self-harming behavior. All participants completed a structured interview and the following questionnaires: SCL-90-R, the questionnaire of propensity to deviant behavior, and the «Coping Behavior Methods» questionnaire. We assessed the severity of psychopathological symptoms, motivation, and other characteristics of self-harming behavior.Results. A total of 77 participants were included, divided into the main (n=39) and control (n=38) groups. Correlations were identified between the main characteristics of self-harming behavior. According to the SCL-90-R questionnaire, individuals with a history of self-harming behavior had higher scores in somatization, obsessions, sensitivity, depression, anxiety, hostility, phobic anxiety, paranoia, and psychoticism (p<0.01). The «avoidance» coping strategy was more prevalent in the main group (p<0.05). According to the questionnaire of propensity to deviant behavior, individuals in the main group had higher scores in overcoming rules, aggression and violence, volitional control, and addictive, self-destructive, and delinquent behavior (p<0.05). There were correlations between the regularity of self-harming behavior and the use of multiple types of self-harming behavior (r=0.497; p<0.01), pursuit of internal goals (r=0.333; p<0.05), occurrence of positive emotions after self-harm (r=0.352; p<0.05), increasing desire to stop this behavior (r=0.359; p<0.05), and difficulty achieving remission (r= –0.553; p<0.01). Experiencing negative emotions after an act of self-harm was negatively associated with the use of multiple types of self-harming behavior (r= –0.412; p<0.01) and addictive behavior (r= –0.408; p<0.05).Conclusion. Adolescents and young adults with a history of self-harming behavior differ significantly from their peers in the presence of concomitant psychopathological symptoms. The regularity of self-harming behavior is associated with the use of multiple types of self-harming behavior and difficulty achieving remission. Our findings have clinical significance and may be incorporated into the development of preventive measures.

Challenges, coping strategies, and sources of support available to South African parents with children with autism spectrum disorder during the COVID-19 lockdown: a qualitative study

Parenting a child with autism spectrum disorder (ASD) is known to be complex and challenging and likely to be exacerbated under conditions of stress and uncertainty. We aimed to explore how parents experienced parenting their child with ASD during the initial COVID-19 lockdown in 2020. We also aimed to identify the coping strategies and sources of support available to them during this time. Using an exploratory qualitative design within an interpretivist paradigm, we interviewed 23 parents of children with ASD between the ages of 6 and 12 years. Parents were recruited from an online support group for ASD in South Africa. Interviews were semi-structured and transcribed verbatim for thematic analysis, using ATLAS.ti. We identified five themes: (1) The experience of communicating lockdown rules and disease containment measures to children, (2) Consequences of disruption to routine, (3) Parenting and interpersonal relationships in conditions of confinement, (4) Help-seeking and sources of support, and (5) Finding ways to cope amid a crisis. The findings demonstrate that the initial COVID-19 lockdown placed parents of children with ASD under considerable stress. Disrupted routines and interrupted access to financial, psychological, social, and educational support during the initial lockdown period exacerbated parenting experiences. This study highlights the importance of providing parents of children with ASD strategies to communicate significant change and various forms of support to navigate the negative effects of routine disruptions during conditions of uncertainty and crisis.

Visual analysis of patient safety research hotspots and trends in the context of telemedicine based on Web of Science.

To analyze the research status, hotspots, and trends of patient safety in the context of international telemedicine, and to provide reference for future research in various countries. The literature pertaining to patient safety within the realm of telemedicine was systematically retrieved from the Web of Science core collection database, encompassing the period from January 2010 to December 2023. Visual analysis of publication quantity, primary authorship, and keyword trends was conducted using CiteSpace (6.2R6) software. The geographical distribution of research focus was visualized through VOSviewer software and SCImago Graphica software, while research institutions were depicted using VOSviewer software and Highcharts software. Data organization was facilitated by Excel 2019 software. A total of 5356 related articles were included, and the number of published papers showed an overall upward trend, and the countries and institutions with the largest number of papers were the United States and Harvard University, respectively, and a stable core author research population had not yet been formed in this research field. Through keyword analysis, it can be seen that the research hotspots mainly focus on the research on the influencing factors of patient safety in the context of telemedicine, the research on the application value of telemedicine, and the research on coping strategies that affect patient safety. The research on patient safety in the context of telemedicine in foreign countries has a certain depth and breadth, which has important reference significance for improving the medical quality and patient safety of Internet hospitals in various countries.

Immigration Policy and Latinx/é Children from Mixed-Status Families: Mental Health Consequences and Recommendations for Mental Health Providers

The impact of immigration policies on Latinx/é mixed-status families and their children is undeniable. Changes in immigration policy, focused on increased deportation enforcement, within the last three decades have led to an increased fear of deportation and unique circumstances mixed-status families must navigate. These circumstances, combined with fear of deportation, have had deleterious effects on the psychological well-being of the family, in general, and the children, in particular. This paper reviews the impact of immigration policies on Latinx/é mixed-status families, the unique circumstances of mixed-status families, and the mental health implications these have on the children specifically. Articles and books were selected from various sources that addressed Latinx/é mental health, mixed-status families, and immigration. After a review of the literature, these circumstances emerged: familial separation, citizen children second-class citizenry, developmental implications, psychological implications, and coping mechanisms and strategies of mixed-status families. Recommendations for mental health providers who work with children from mixed-status families are provided.

Coping strategies for managing diabetes distress in adults with type 1 and type 2 diabetes: a cross-sectional study on use and perceived usefulness

Coping strategies for managing diabetes distress in adults with type 1 and type 2 diabetes: a cross-sectional study on use and perceived usefulness

''There is a Rainbow After The Rain'': The Role of Hope in Increasing Resilience Among Students of Universitas Negeri Malang

Students as individuals who are at the transition stage from late adolescence to early adulthood, also face various challenges, such as academic challenges, adapting to a new environment, and new responsibilities as a growing adult. This affects psychological conditions and makes students vulnerable to mental health problems. To face these various challenges, students need to have the skills and coping strategies for these various challenges. This term is known as resilience. Various studies show that resilience is related to positive outcomes for students. Various factors have been researched to increase resilience in students. Hope is one of the protective factors of resilience. Therefore, researchers are interested in seeing the role of hope in increasing resilience among students at Universitas Negeri Malang. The method used is quantitative, with hypothesis testing using simple linear regression. This research was conducted on 85 students of Universitas Negeri Malang (Male = 26; Female = 59). The research results show that there is a significant contribution from hope to student resilience, which is 27.7%. This research highlights the importance of students developing goals in their lives. The goals that they have will foster hope, by having the hope that students will be able to face difficult situations, and become more resilient and adaptive. Keywords: Keywords: hope, resilience, students

Stress in Esports: A Qualitative Study on The Interplay of Player Experiences and Organizational Systems

Video games are designed for enjoyment and can benefit players, but in competitive settings such as esports they may lead to stress, a significant concern for players and coaches in competitive play due to potential negative psychological, social, and physical impacts. Since esports players are mostly adolescents and young adults, the vulnerability of their age underscores the need to investigate their stress experience. To this aim, we conducted semi-structured interviews with 16 First-Person Shooter (FPS) players and coaches (mean age 22.2) across A- to C-tiers. We examined players’ subjective stress experiences, team dynamics, and the broader esports organizational context. Findings reveal the players’ ability to recognize their stress signals and to make sense of stressful events, along with a stronger reliance on individual coping strategies over team-based or organizational resources, which remain largely inaccessible. Finally, we propose design strategies to strengthen esports players’ resilience and coping capacity in stressful environments.

The Impact of Social Media Addiction on Teenagers

Abstract: Electronic devices and social media platform usage has become so prevalent that it become almost indispensable for people to stay in contact and usage in daily life. Even though social media provides numbers of benefits, the overuse of social media can lead to problems such as social media addiction. In this research, the cause, impact, and solutions of social media addiction will be discussed. Due to the high susceptivity of teenagers to social media addiction, this research aims to figure out possible ways to interfere with teenagers addiction and discuss possible treatments for it. This research used document analysis as the method. This research found social media addiction is caused by triggers, reward systems, and emotional needs; the impact of social media addiction is impaired brain functions, mental health issues, and overall well-being, including the cycle of depression and addiction, and the high rates of suicidal thoughts. This research also poses solutions, including setting limits to social media usage, adopting coping strategies, seeking therapy, and incorporating physical exercise.

The prevalence of early maladaptive schemas, anxiety, and coping strategies in adolescent girls who are survivors of sexual abuse: a case report

ABSTRACT Sexual abuse of adolescent girls often leads to maladaptive behavioural patterns, variable anxiety responses, and dysfunctional coping mechanisms. This case report aims to investigate the prevalence of early maladaptive schemas (EMSs), anxiety, and coping strategies among five adolescent girls who are survivors of sexual abuse. The participants had a mean age of 16.6 years (±1.14 years) and were residing at the Ibtissama Social Complex Support Association (ISCSA) in Meknes, Morocco. Data were collected using a suite of standardised Likert-scale instruments. The State and Trait Anxiety Inventory (STAI), Young Schema Questionnaire-Short Form (YSQ-SF), and Ways of Coping Checklist (WCC) were used. Findings reveal pervasive EMS activation and high anxiety levels among all participants, with emotion-focused coping as the predominant mechanism. These results emphasise the critical roles of EMS, anxiety, and coping strategies following sexual abuse, highlighting the need for effective, scalable therapeutic interventions for this vulnerable demographic.

Trajectories of Coping With Persistent Smell and Taste Dysfunction After a Covid-19 Infection-A Qualitative Interview Study.

To explore trajectories of understanding and managing persistent chemosensory dysfunction after COVID-19 in patients undergoing clinical treatment. A descriptive qualitative interview study with a realist approach. Data were collected in Sweden, from August 2022 to March 2023 through semi-structured interviews with 30 patients undergoing treatment for long-lasting smell and taste dysfunction resulting from COVID-19. Thematic analysis was applied in a process that involved continuous discussions and refinement of codes into themes and subthemes. Three main themes were identified: (1) Understanding the sensory alterations, which includes subthemes of Searching for validation and Seeking remedies; (2) Practical coping strategies, encompassing Adapted eating and Managing olfactory training and (3) Navigating the emotional landscape, featuring Self-persuasion and suppression and The ambivalence of acceptance. These themes highlight the cyclic and fluid nature of coping with the dysfunction, reflecting a dynamic process of adaptation. Despite treatment options like olfactory training, participants frequently experienced frustration due to limited perceived improvement and the psychological toll of managing their condition. The study highlights the complex and personal nature of coping with long-term smell and taste dysfunction post-COVID-19. Coping strategies varied widely and evolved over time, reflecting a dynamic process of adaptation. The emotional and psychological impact was profound, underscoring the need for comprehensive treatment approaches that include both physiological and psychological support. There is a need for more effective interventions and support mechanisms to improve the quality of life for those affected by these persistent symptoms. This study contributes to the understanding of COVID-19's long-term effects on smell and taste, highlighting the need for ongoing support from health care, further research into effective interventions, and a comprehensive approach to care for individuals affected by these conditions. This study addresses trajectories and challenges of coping with persistent chemosensory dysfunction. Findings emphasise the complexity of managing persistent chemosensory dysfunction and the critical role of personalised care. The study contributes to knowledge for nurses in understanding patients with chemosensory dysfunction. This research adheres to the EQUATOR guidelines: Standards for reporting qualitative research (SRQR). No patient or public contribution.

Patent Abuse in the Context of International Law

Misuse of intellectual property rights is not uncommon, and often occurs particularly between developed and developing countries. This has a great negative impact on the progress of developing countries, global scientific and technological development and economic efficiency. The author hopes to strengthen the attention to this problem and effectively regulate the abusive behavior through the study of this issue. The definition of intellectual property abuse is vague, and this paper provides a preliminary understanding by summarizing the four basic constituent elements. Focusing on patent trolls, the paper analyzes the embodiment of intellectual property abusive behaviors and coping strategies. This paper analyzes the Wireless Planet v. Huawei case related to standard essential patents against the background of the TRIPS Agreement, FRAND principle, and the combination of trade barriers and breakthroughs to the traditional jurisdictional system of patent rights. In addition, this paper compares the intellectual property laws of China and the United States, and China and Japan, and analyzes the antagonism between developed home and developing home in this field.

Quality of Life and Coping Strategies in Children with and Without Learning Disabilities from the Perspective of Their Parents and Caregivers

Quality of Life and Coping Strategies in Children with and Without Learning Disabilities from the Perspective of Their Parents and Caregivers

"Getting Out of a Dark Place": a qualitative exploration of the impact, current coping, and what people with breast cancer hope to gain by participating in a fear of recurrence clinical trial.

Many people with breast cancer (PwBC) experience psychological distress, including fear of cancer recurrence (FCR). Clinical levels of FCR can negatively impact quality of life. While the FCR trajectory may vary according to age, stage at diagnosis, and imminent exams, FCR levels tend to remain relatively stable over time without intervention. Understanding FCR's impact and how PwBC cope with FCR can improve care. This study aimed to explore the nature of FCR and coping mechanisms by analyzing responses to open-ended survey questions from an FCR randomized controlled trial (RCT). This qualitative study was part of a 3-arm RCT for PwBC (N = 390) reporting clinical FCR at eligibility screening. Enrolled PwBC completed a baseline survey, including three open-ended questions regarding FCR experiences. Following thematic analysis, responses were sorted by PwBC's baseline score on the 7-item Fear of Cancer Recurrence (FCR-7) scale, identifying trends by FCR level. N ≥ 347 PwBC completed the three open-ended survey questions. FCR impacted PwBC's lives across five key domains: emotional, behavioral, cognitive, relational, and professional life. Most identified at least one coping strategy, with strategies consistent across FCR-7 score levels. Higher FCR-7 scores were associated with listing more strategies, tending toward avoidant coping. PwBC sought strategies to improve their sense of purpose, belonging, and control. This study suggests many PwBC with clinical FCR are suffering without adequate means of coping. Clinicians should regularly discuss FCR with survivors. This discussion can foster education about actual risk and ways PwBC could reduce their risk of recurrence.

The effect of educational intervention based on the health belief model on the domestic violence coping skills in women referring to comprehensive rural health service centers

BackgroundDomestic violence, in addition to the destructive effects it brings to the mother of the family, also has a strong impact on the children. According to the evidence obtained, coping strategies have been successful in tackling this issue. The purpose of this study was to investigate the effect of education on coping skills with domestic violence based on the health belief model (HBM) in women referring to comprehensive rural health service centers in Marvdasht City, Iran.MethodsThis semi-experimental study was conducted on 120 women affected by domestic violence who were referred to rural health centers in Marvdasht City in 2022. The multi-stage cluster sampling method was used for assigning people to two experimental and control groups (60 people in each group). The data collection tool was a questionnaire based on the HBM and a coping strategies questionnaire that was completed before and two months after the intervention by both groups. After entering SPSS 24, the data were analyzed by paired t, independent t, and chi-square statistical tests.ResultsBefore the intervention between the two groups in terms of the constructs of awareness (P = 0.45), attitude (P = 0.23), behavior (P = 0.67), perceived sensitivity (P = 0.10), perceived severity (P = 0.84), perceived barriers (P = 0.31), perceived benefits (P = 0.21), perceived self-efficacy (P = 0.10), and cues to action (P = 0.19), no significant difference was observed, while after the intervention, a significant difference was observed between the two groups in terms of the structures expressed (P < 0.05). Likewise, before the intervention between the two experimental and control groups in terms of the ability to receive and send messages (P = 0.73), emotional control (P = 0.22), listening skills (P = 0.65), insight into the communication process (P = 0.15), communication combined with assertiveness (P = 0.98), and coping skills (P = 0.21), no significant difference was observed, while after the educational intervention, there was a significant difference between the two groups in terms of skill components (P = 0.001).ConclusionIn the current study, education based on the HBM with a focus on coping skills led to the improvement of the skills of women who have experienced violence, their attitude and awareness, perceived sensitivity and perceived severity, and finally the benefits and barriers they receive from using coping skills.

Sequential multiple mediating effect of loneliness and family health on physical frailty and willingness to age at home in older adults: a national survey in China

BackgroundWith the rapid ageing of the global population, the number of older adults with physical frailty has been gradually increasing, making ageing at home a key strategy for coping with this demographic change. The opinions of older adults regarding their willingness to age at home deserve to be considered respectfully. As a result, this study aimed to investigate willingness to age at home and any associated underlying mechanisms involving physical frailty among older Chinese adults.MethodsThis study was a national cross-sectional survey. Stratified random and quota sampling were used before and after the individual level respectively. Willingness to age at home was compared between older adults with different characteristics using the Mann–Whitney U test and Kruskal–Wallis H test. A Spearman rank test was conducted to explore the correlations among physical frailty, loneliness, family health, and willingness to age at home. The path hypothesis that loneliness and family health influence the relationship between physical frailty and willingness to age at home among older adults was further tested through sequential multiple mediation analysis.ResultsA total of 3,837 older adults were included in this study. They returned a median score of 78 in terms of willingness to age at home. Physical frailty (β = − 0.044, P < 0.01) and loneliness (β = − 0.070, P < 0.001) were negatively associated, and family health (β = 0.275, P < 0.001) was positively associated with a willingness to age at home among older Chinese adults. Loneliness and family health played sequential multiple mediating role (β = − 0.018, Boot SE = 0.002, 95% CI = [–0.022, − 0.014]) between physical frailty and willingness to age at home.ConclusionsReducing physical frailty in older adults, reducing their sense of loneliness, and enhancing their family health is essential, as it can increase their levels of confidence with regard to ageing at home.

Spiritual needs of family caregivers in palliative care

ObjectiveThe primary aim of this study is to elucidate the spiritual needs encountered by family members who intricately engage in the progression of illness within the palliative care framework, thus assuming the paramount responsibility of caregiving.MethodsThis study was approved by the Institutional Review Board and Ethics Committee of the University of Health Sciences İzmir Tepecik Training and Research Hospital (17/01/2022–2022/01–16). The research was designed as a prospective study. It was conducted through face-to-face, interactive interviews with family caregivers of patients admitted to the palliative care unit at Tepecik Training and Research Hospital between April 2022 and December 2022. The interviews were performed using a phenomenological approach and structured in a question-and-answer format. Data from twenty family caregivers were analyzed using thematic analysis. The questions were specifically designed to explore the psychological processes, spirituality, conceptions of God, meaning-making, and coping strategies of the family caregivers.ResultsCaregivers experienced various psychological and emotional states progressing through stages of denial, anger, and acceptance. Spirituality emerged as a critical coping mechanism providing strength and meaning amidst caregiving challenges. Caregivers’ perceptions of God varied from loving to punitive, influencing their interpretations of suffering and caregiving roles.ConclusionThis study underscores the importance of integrating spiritual support into palliative care practices. Recognizing and addressing caregivers’ spiritual needs is crucial for enhancing their well-being and improving the quality of palliative care delivery. Training healthcare professionals in spiritual care and implementing targeted interventions can effectively support family caregivers in their caregiving journey.

Comparison of Stress Coping Strategies of Socially Vulnerable Young People in Lithuania and Latvia

Comparison of Stress Coping Strategies of Socially Vulnerable Young People in Lithuania and Latvia

Addressing treatment hurdles in adults with late-onset attention-deficit/hyperactivity disorder: a detailed case report

BackgroundAttention-deficit/hyperactivity disorder (ADHD) is the most prevalent psychiatric disorder in children, characterized by inattention, hyperactivity, and impulsivity. This neurobehavioral disorder often persists into adulthood, presenting significant challenges when undiagnosed and untreated, due to potential long-term implications and comorbidities, including anxiety, mood instability, and mixed symptoms along the bipolar spectrum.Case presentationA 49-year-old married male patient presented with anxiety and recurrent depressive episodes, initially diagnosed as major depressive disorder. His mood symptoms fluctuated between depressive lows, irritability, and impulsivity. His diagnosis was revised to ADHD with comorbid bipolar spectrum disorder. The patient exhibited lifelong ADHD symptoms affecting academic performance, relationships, and job responsibilities. Cognitive-behavioral therapy (CBT) was employed to manage symptoms and enhance coping strategies. Despite progress in controlling anger and impulsivity, challenges persisted in inhibitory control and negative triggers, causing impulsive decisions. The patient reported a restless mind, depressive mood, and a sense of inadequacy. Improvements were noted in anxiety regulation, concentration, and sleep quality, though deficits in cognitive and behavioral domains remained. The patient faced challenges in academic performance, information processing speed, attention, and executive functions.ConclusionThis case underscores the importance of accurately diagnosing ADHD and its comorbidities in adults to ensure effective treatment. Delayed diagnosis can have lasting impacts, emphasizing the need for further research and personalized therapeutic approaches. The insights from this case serve as a valuable resource for healthcare professionals enhancing their understanding of the diverse manifestations of ADHD, aiding in better diagnosis and management strategies.