Use Of Coping Strategies Research Articles

Assimilating Problematic Experiences through Cognitive Behaviour Therapy in Adolescence with Social Anxiety Disorder: A Case Study

Introduction: Social anxiety is common among adolescents, and Cognitive Behavior Therapy (CBT) is an evidence-based intervention. We present a case of a 17-year-old girl, called Z, who was diagnosed with Social Anxiety Disorder (SAD) and undergone CBT. Z presented with school refusal and social avoidance due to excessive negative thoughts about herself and others thinking badly of her. Methods: A brief psychoeducational-based CBT was conducted over 10 weekly sessions with the emphasis on psychoeducation, behavioural and cognitive skills training, and practices at home, as well as reflective discussion to modify negative beliefs, increase the use of positive coping strategies, and understanding of problematic experiences. Pre-intervention scores were compared to mid and post-intervention using Beck Youth Inventory (BYI) and Assimilation of Problematic Experiences Scales (APES). Outcomes: Pre-intervention BYI scores revealed an extremely elevated level of anxiety and depression symptoms, anger, and disruptive behaviours, with a much lower-than-average level of self-concept. APES revealed a score of 1/7 at the pre-intervention phase. Towards the end of the session, Z reported significantly reduced scores in anxiety, depression, and anger symptoms. The scores on the APES demonstrated an increased awareness, understanding and clarification towards her problematic experience, as well as application of her understanding in problem-solving efforts. Conclusion: It is apparent that CBT has a positive effect in adolescents with social anxiety.

Adapting to Lockdown: Exploring Stress Coping Strategies on Short Video Social Media During the COVID-19 Pandemic.

The study addresses a gap in research on media use during the COVID-19 pandemic, focusing on the overlooked role of short video social media platforms in stress management. It builds on transactional stress model and coping flexibility to advance the understanding of the strategy-situation fit, particularly the alignment of coping strategies with platform affordances. Our study investigated the detailed use of short video platforms and coping strategies during the pandemic lockdown through an online survey of 1569 respondents conducted immediately after the lockdown. We characterized lockdown duration as a situational stressor attribute and explored variations in the coping process. Assessing changes in user behavior across the top four Chinese short video platforms, we examined anxiety induced by lockdown and the use of problem-focused and emotion-focused coping strategies. Significant changes in user behavior in response to lockdown-induced stress were observed. Structural model analyses reveal that people employed both coping strategies to manage heightened anxiety, primarily through increased viewing behavior over interaction behavior. The findings underscore the positive implications of short video platforms on individual well-being. This study argues for a deeper research focus on coping flexibility within the realm of social media, accompanied by a comprehensive assessment of platform user behavior. Future research should also consider the influence of algorithms on platform functionality.

<p>Mental health in school teachers: An explanatory model with emotional intelligence and coping strategies</p>

Introduction. Even before the pandemic began, teachers faced multiple challenges such as diverse student populations with widely varying needs, excessive workloads, lack of community support, and adverse working conditions. The COVID-19 pandemic exacerbated these problems. The teachers have been increasingly susceptible to stress, anxiety, and depression. The objective of this research was to evaluate the mediation effect of coping strategies on the relationship between emotional intelligence and teachers' mental health. Method. The design was explanatory with latent cross-sectional variables. The sample was 1668 Chilean school level teachers, 331 (19.8%) were men, and 1337 (80.2%) were women; the mean age was 42.08 years (SD = 11.50). Three scale self-report were used: the emotional intelligence WLEIS, the scale DASS-21 was used to measure mental health levels y, the short version of the COPE-28, for coping strategies. Results. This study showed that high levels of anxiety, depression, and stress are significantly related to the lower emotional intelligence of teachers. The strongest relationships are between mental health variables and the emotional intelligence evaluation and regulation of emotions. The results indicated that the dimensions of emotional intelligence predicted 22%, 26%, and 23% of the variance in anxiety, depression, and stress, respectively. The estimated mediation model showed satisfactory fit indices. For anxiety, active coping and religion were mediated, and for stress, substance abuse, self-distraction and disengagement were mediated. Also, the results showed indirect effects of two maladaptive coping strategies (denial and self-blame) between the relationship of emotional intelligence the dimensions and depression, anxiety, and stress. Discussion and Conclusion. Explanatory models can be the basis for specific strategies to treat stress, anxiety, and depression in teachers. Considering the importance of the teaching role, the results of this study are useful to guide intervention actions that strengthen the management of emotions and the identification and use of effective coping strategies for the promotion of mental health.

Rethinking narratives about youth experiencing homelessness: The influence of self-determined motivation and peer relations on coping.

Using the cognitive appraisal theory of coping and the self-determination theory of motivation, we examined the shared variance of motivational orientations, attachment relationships, and gender on adaptive and maladaptive coping among youth experiencing homelessness. Several scales including The Global Motivation Scale (assessing motivational orientations; i.e., autonomous and controlled motivation), the Brief Cope (adaptive and maladaptive coping strategies), and the Inventory of Parent and Peer Attachment (self-perceptions of relationships with mothers, fathers, and peers) were administered to 102 youth aged between 16 and 24 (Mage = 20, SD = 2.07) years recruited from an evening program for youth experiencing homelessness in Montreal, Canada. Autonomous motivation was positively associated with engagement in effective coping strategies, while controlled motivation was positively linked to maladaptive coping. Moderation analyses were used to examine whether gender and relationships with attachment figures moderated the relationship between motivation and coping. A significant main effect of peer attachment on adaptive coping emerged, in which greater peer attachment was related to more adaptive coping among the youth. No interaction effects resulted. Although no significant moderating effects were associated with essential relationships and gender, further research implementing a more nuanced approach to assessing the interaction between these constructs may be warranted. Overall, the findings highlight the importance of intervention programs for youth experiencing homelessness, that focus on enhancing autonomous motivation and utilizing peer support to optimize the use of adaptive coping strategies.

The mediating role of response-focused emotion regulation strategies in intimate partner violence across the stages of change

Intimate partner violence against women is a pervasive and significant problem around the world that causes victims to suffer grave mental and physical health issues. The Stages of Change or SOC model has been used in recent study to examine the stage of change in female victims as a potential predictor of their readiness to end their relationship. This study's objective was to analyse emotion-focused coping strategies used by female victims to deal with emotions arising from trauma, violence or abuse, according to the SOC model. The sample comprised 200 victims of gender violence who had received formal assistance in Spain. The standardised test was administered in face–to-face interviews. According to the women's SOC, the findings showed differences in the use of emotion-focused coping strategies and indicated that emotion regulation efforts were greater in the early SOC- especially in precontemplation and action—of the continuum towards action. Emotion-focused coping strategies were activated to regulate either positive or negative emotions, again in accordance with participants’ stage of change, with negative affectivity predominating in the early stages (precontemplation and contemplation), and positive affectivity having a greater presence in the later ones (action and maintenance). A series of mediation analyses demonstrated that although negative emotions immobilise female victims in the precontemplation stage, they also facilitate effective coping in the action stage, thereby helping to reduce the emotional impact of violence.

Coping in Patients with Hematologic Malignancies Undergoing Hematopoietic Cell Transplantation

Background Patients undergoing hematopoietic cell transplantation (HCT) must cope with immense physical and psychological symptoms during HCT hospitalization, which contribute to a dramatic deterioration in quality of life (QOL). Yet, studies examining pre-HCT coping strategies are limited. We aimed to characterize use of pre-HCT coping strategies, to identify sociodemographic and clinical factors associated with coping strategy use, and to investigate the association of coping strategy use with pre-HCT QOL and psychological distress. Methods We conducted a secondary analysis of baseline data from a multi-site randomized controlled trial evaluating a supportive care intervention for patients with hematologic malignancies undergoing allogeneic or autologous HCT (NCT#03641378). From 10/2018 - 07/2022, the trial enrolled consecutive adults (age ≥ 18) with hematologic cancers undergoing HCT at three tertiary care academic centers. Prior to HCT, we assessed QOL (Functional Assessment of Cancer Therapy - Bone Marrow Transplant), psychological symptoms (Hospital Anxiety and Depression Scale and Post Traumatic Stress Disorder (PTSD) - Civilian Version), and coping (Brief COPE). We categorized coping as either “approach-oriented” (active coping, use of emotional support, positive reframing, acceptance) or “avoidant” (behavioral disengagement, denial, and self-blame). We used the median split method to categorize high and low use of approach-oriented and avoidant coping. Univariate logistic regression was used to identify sociodemographic and clinical factors associated with high use of coping strategies. Multivariate linear regression was used to measure associations of coping strategy use with QOL and psychological distress. Results Of pre-HCT patients (n=360), the majority were male (62.8%), identified as White (77.5%), were younger than 65 (73.6%), and had received at least some college education (78.9%). A minority were unemployed due to disability from illness (29.2%). Approximately half received autologous HCT (n=178, 49.4%). Figure 1 displays the proportion of patients scoring as high utilizers of individual coping strategies. While 31.3% were high utilizers of avoidant coping, 43.5% were high utilizers of approach-oriented coping. Notably, 43 (11.9%) patients identified as high utilizers of both approach-oriented and avoidant coping. No sociodemographic or clinical factors were associated with use of approach-oriented coping. Older age (>65 years, OR=0.9, p=0.01) and higher income (>$100K, OR=0.90, p=0.04) were associated with less frequent use of avoidant coping. Female gender (OR=1.11, p=0.03) and disabled employment status (OR=1.11, p=0.05) were associated with increased likelihood of high use of avoidant coping. Table 1 displays adjusted associations between approach-oriented and avoidant coping strategies and patient-reported outcomes. High use of approach-oriented coping was associated with better pre-HCT QOL (B=6.4, p<0.001) and lower depression (B=-1.1, p=0.001) and anxiety (B=-0.9, p=0.02) symptoms. High use of avoidant coping was associated with worse pre-HCT QOL (B=-11.7, p<0.001) and symptoms of depression (B=1.9, p<0.001), anxiety (B=3.1, p<0.001), and PTSD (B=8.1, p<0.001). Conclusions Prior to HCT, patients frequently employ approach-oriented and avoidant coping strategies. Key sociodemographic factors including age, gender, income level, and employment status were associated with avoidant coping. Patients with high use of approach-oriented coping reported higher baseline QOL and lower psychological distress, while those with high use of avoidant coping strategies reported worse QOL and psychological distress. These data suggest that supportive care interventions which enhance approach-oriented coping and mitigate avoidant coping in pre-HCT populations may improve QOL and reduce psychological distress

The relationship between religious coping strategies to gain control and well-being among African American college students

ABSTRACT This study aimed to explore if religious coping strategies to gain control were related to well-being in a sample of African American college students. An additional purpose was to determine how religious coping strategies were associated with facets of spirituality. A multiple regression analysis was used to determine if collaborative religious coping, active religious surrender, and self-directing religious coping positively predicted well-being, and passive religious deferral and pleading for direct intercession negatively predicted well-being. Results demonstrated pleading for direct intercession positively predicted well-being and self-directing religious coping negatively predicted well-being. Bivariate correlations also revealed religiousness and cognitive orientation towards spirituality were negatively related to collaborative religious coping, active religious surrender, pleading for direct intercession, and self-directing religious coping. These results may have important implications for understanding factors that impact well-being and coping strategy use among African American college students.

Cognitive and behavioral factors in the chronification of suicidal behavior

Relevance. Suicide is one of the leading causes of death worldwide. Suicidal behavior is a complex phenomenon that includes suicidal thoughts, intentions and actions; and those actions do not always lead to death, but often turn into chronic suicidal behavior. The study of the factors in chronification of suicidal behavior is necessary for the development of evidence-based programs for the prevention of repeated suicide attempts.Aim of study. is to compare cognitive and behavioral strategies for coping with stress in patients with single suicide attempts and chronic suicidal behavior.The hypothesis of the study is that in patients with repeated suicide attempts, destructive cognitive and behavioral strategies for coping with stress are more pronounced.Materials and methods. The study included 119 patients treated at the somatopsychiatric and toxicology departments, 60 patients after the primary suicide attempt, 59 – after repeated ones. Patients were asked to complete the following procedures: Beck Depression Inventory (Beck, 1961; N.V. Tarabrina, 2001), Beck Anxiety Inventory (Beck, 1961; Tarabrina, 2001), Rumination Scale (Treynor W. et al., 2003; adaptation by O.D. Pugovkina et al., 2021), Alexithymia Scale (Toronto Alexithymia Scale G.J. Taylor et al., 1985; adaptation by Starostina E.G. et al. 2009), COPE Inventory (Ch.S. Carver et al., 1989; adaptation by P.A. Ivanov and N.G. Garanyan, 2013).Results. Patients after repeated suicide attempts, compared with patients who made the first attempt, are more likely to be diagnosed with borderline personality disorder, have more pronounced symptoms of depression and suicidal readiness, higher rates of ruminative thinking and alexithymia — reflecting a deceptive cognitive style, — as well as indicators of the use of destructive behavioral strategies for coping with stress in the form of various types of avoidance behavior.

The state of the psychoemotional sphere and coping strategy in therapists during the pandemic of the novel coronavirus infection COVID-19

Objective. To establish the features of the state of the psychoemotional sphere and the coping strategies being implemented among medical workers of therapeutic specialties of COVID hospitals, medical personnel of polyclinics, and medical personnel of multidisciplinary hospitals during the COVID-19 pandemic. Subjects and methods. The investigators examined the following groups of physicians: 1) 111 physicians of therapy specialties (TS) in the COVID hospitals; 2) 106 TS physicians in the multidisciplinary hospitals; and 3) 102 TS physicians in the polyclinics; and 4) 190 employees of engineering, technical, and economic specialties who are not related to work in the healthcare facilities (these are healthy). The development of psychoemotional disorders in TS physicians was studied by the integrative anxiety test (IAT). The coping strategies were assessed using the procedure designed by R. Lasarus and C. Folkman. Results. The work of TS physicians during the COVID-19 pandemic was related to a number of specific risk factors associated with the nursing of infected patients, as well as with significant changes in the organization of medical activity and its safety, which had contributed to an increase in stress levels, anxiety, and the use of coping strategies. Conclusion. To assess the state of the affective and anxiety spheres in the TS physicians, it is recommended to use IAT and to assess the asthenic component of anxiety, emotional discomfort and promises. Also, when evaluating the severity of psychological reactions in TS physicians, coping strategies are recommended, by using the questionnaire "Coping Strategies" designed by R. Lasarus

Wellbeing in high-performance swimming: A grounded theory study

The demands of elite sport have the potential to negatively impact on athletes’ wellbeing (e.g., Arnold & Fletcher, 2012; Rice et al., 2016). Despite this, not all elite athletes experience detrimental effects, rather some individuals thrive in an elite sports environment. The reasons why some athletes experience positive wellbeing while others struggle remains unclear although, in part, due to methodological limitations of previous research. To overcome these limitations, the purpose of the current study was to examine how change in high-performance swimmers’ wellbeing occurs. Grounded theory methodology was used to enable examination of processes of change. Semi-structured interviews with 22 current and five retired swimmers, eight coaches, and seven support staff were used to generate data alongside observations and field notes. The resultant theory illustrated how a dominant performance narrative influenced the development and maintenance of an exclusive swimmer identity that was tied to performance. Specifically, transitions were highlighted as critical points where wellbeing was likely to be affected, due to the increased potential for change and uncertainty to impact on performance and subsequently identity. However, the use of proactive coping strategies, such as anticipating and planning, as well as accessing and utilising appropriate support were shown to help minimise the impact on wellbeing.

Does the disposition of passive coping mediate the association between illness perception and symptoms of anxiety and depression in patients with spinal cord injury during first inpatient rehabilitation?

Purpose To examine associations between illness perception, also called illness cognitions or appraisals, disposition of passive coping, and symptoms of anxiety and depression, and to test whether passive coping mediates the associations between illness perception and symptoms of anxiety and depression. Materials and methods Longitudinal, multicentre study. Participants were inpatients of spinal cord injury (SCI) rehabilitation. Measures included the Brief Illness Perception Questionnaire (B-IPQ), the Utrecht Coping List passive coping subscale (UCL-P), and the Hospital Anxiety and Depression Scale (HADS). Mediation was tested with the PROCESS tool. Results The questionnaires were completed by 121 participants at admission and at discharge. Of them, 70% were male, 58% had a paraplegia, and 82% an incomplete lesion. Weak to strong (0.294–0.650) significant associations were found between each pair of study variables. The use of passive coping strategies mediated the associations between illness perception and symptoms of anxiety and depression. Conclusion Symptoms of anxiety and depression were more frequent in people who have a threatening illness perception combined with a lower use of passive coping strategies. Therefore, it is advised that patients are screened and treated for threatening illness perception and high use of passive coping strategies during rehabilitation after SCI.

Nurses’ experience with presenteeism and the potential consequences on patient safety: a qualitative study among nurses at out-of-hours emergency primary care facilities

ObjectivesThis study aimed to gain new insight and knowledge on out-of-hours emergency primary care nurses’ experience of presenteeism in their workplace and their outlook on the impact they recognised the...

52 Association Between COVID-19 Coping Strategies and Cognitive Function in Older Adults

Objective:Cognitive function may underlie the use of more adaptive as compared to maladaptive coping strategies to manage pandemic-related stress in older adults. As the composition of coping strategies varies with context, we investigated the factor structure of 14 established coping strategies. We then aimed to determine whether specific coping strategies were associated with cognitive function.Participants and Methods:141 adults aged 50-90 years old completed the study via Zoom. The National Alzheimer’s Coordinating Center TCog battery assessed cognitive function. The Brief Cope, adapted to evaluate COVID-19, measured 14 specific coping strategies.Results:Based on our factor analyses, Avoidant (e.g., denial and substance use) and Approach (e.g., planning, instrumental and emotional support systems) coping composite scores were formed. Regression analyses, adjusted for age and education, indicated that 12.9% of the variance in the use of Avoidance coping strategies was explained by worse performance on measures of episodic memory, executive attention/processing speed, working memory, and verbal fluency. A closer examination indicated that verbal fluency was not a statistically significant contributor to the model. 9.1% of the variance in Approach coping strategies was related to cognitive function with working memory and verbal fluency being statistically significant contributors to the model.Conclusions:Older adults with better performance on higher-order cognitive testing may utilize more effective coping strategies in older adults. These results have implications for attenuating pandemic-related stress and warrant developing brief interventions to help facilitate problem-solving and reduce emotional distress in those with lower cognitive resources.

Perceived Stress, Work–Family Conflict, and Burnout in Irish Certified Athletic Therapists

Burnout and its associated factors are a concern for U.S. athletic trainers, but no research has investigated it from an international perspective. We examined perceived stress, work–family conflict, burnout, coping, and self-care practices in Irish certified athletic therapists. Low burnout (41.0 ± 12.1) and moderate perceived stress levels (17.8 ± 6.2) were observed. Certified athletic therapists with children had significantly higher work–family conflict (p = .02, ) and time-based conflict (p < .001, ) than those without. Moderate resilient coping was noted (14.7 ± 2.5). Low burnout was found, likely due to the use of resilient coping strategies. Time was a limiting factor for both self-care and experiences of work–family conflict.

Musculoskeletal disorders among dental students: a survey from Saudi Arabia

BackgroundWork-related musculoskeletal disorders (WMSD) are injuries affecting bones, joints, muscles, and tendons due to improper working conditions with serious consequences on health and career. Dentists were found to be at greater risk of developing WMSD compared to other healthcare providers. This study aimed to investigate the prevalence and risk factors of WMSD among dental students in Saudi Arabia.MethodsThis cross-sectional survey-based study recruited dental students across the kingdom using respondent-driven sampling technique. Data was collected using the Nordic Musculoskeletal scale and a validated, self- administered, close-ended questionnaire which assessed WMSDs predisposing factors, enabling factors and musculoskeletal disorders consequences and management. The questionnaire was administered in both Arabic and English languages and was distributed online using google forms. Data analysis was performed using SPSS, Chi-square test or Fisher Exact test was used where appropriate and Multivariate Logistic regression analysis was performed to identify predictors of developing WMSDs.ResultsThe prevalence of WMSD was 87% (95% CL; 83.9% to 90.3%) among the 462 respondents. Gender, study year, type of practice, having clinics for left-handed, hours of clinical practice, sitting in the proper position while working, use of coping strategies were significantly associated with WMSD prevalence (P < 0.05). Males were OR = 10 times at higher risk of WMSD compared to females (P = 0.0001). Those with daily clinical practice were OR = 5 times at higher risk of WMSD than those who have weekly practice. Those practicing walking, workout, and yoga showed lower prevalence of WMSD (OR = 0.377 & 0.323, p = 0.015, 0.010 respectively).ConclusionsThe prevalence of WMSD among dental students in KSA was high. Males and those with prolonged clinical sessions were at greater risk of WMSD. There is a need for awareness campaigns to educate dental students about risk factors of WMSD. Collegesy, dental colleges should adopt policies in reducing WMSD among their students.

Co-producing a culturally sensitive storytelling intervention with Nepalese migrant workers

Abstract Background Labour migration is an increasingly important contributing factor to Nepal's economy; remittance from migrants abroad contribute to quarter of Nepal's gross domestic product. However, this income comes at a great cost; nearly 1,000 Nepalese migrant workers (NMWs) die every year in Gulf States and Malaysia. This interdisciplinary study informs the co-production of a culturally adaptive storytelling intervention to support the mental health and wellbeing of NMWs. Methods We focused on outgoing and returnee adult NMWs in the GCC countries. The study was conducted in Dhading district, Nepal and involved three different but interconnected phases; 1. a systematic review and a mixed methods study exploring health and wellbeing issues of NMWs (both studies already published, available online); 2. exploration, and analysis of Nepalese literature relevant to contemporary migration (n = 49); and 3. co-development of storytelling intervention working together with a co-production group (n = 12). Results Findings from phase one and two showed that NMWs suffer from various health and wellbeing issues (mental health, physical health including workplace hazard, abuse, and exploitation). Themes identified from the Nepalese literature centred around hopelessness, helplessness, and separation. Based on these findings, a culturally sensitive storytelling intervention was co-produced to support the mental health and wellbeing of NMWs in GCC countries. The intervention video includes an animated story centred around the struggles of an archetypal male migrant worker and their use of coping strategies for dealing with adversities. Conclusions Our study suggests that co-production of storytelling intervention provides shared spaces for migrant workers to engage, imagine and participate as communities. The process also helps to redistribute power and redress top-down modes of working that may undermine and devalue the stories of marginalised groups. Key messages • Co-production of storytelling intervention provides shared spaces to engage, imagine and participate as communities. • Co-production helps to redistribute power and redress top-down modes of working that may undermine and devalue the stories of marginalised groups.

Investigating the effect of psychological empowerment on using coping strategies, stress, anxiety and depression in adolescents with haemophilia: a randomized controlled trial

ABSTRACT This study examined the effect of psychological empowerment on using coping strategies, stress, anxiety and depression in haemophilic adolescents. A total of 60 adolescents with haemophilia aged 13–19 years old were recruited in a randomized clinical trial and randomly divided into two groups of intervention and control. The instruments included Depression, Anxiety and Stress Scale-21 (DASS-21) and Lazarus and Folkman’s Coping Strategies Questionnaire (LFCSQ). The intervention group underwent psychological empowerment. The control group received routine intervention. Data were analysed with Chi-square test and repeated measures analysis of variance. The findings showed a decrease in the mean scores of anxiety, stress and depression (p < .001), and an increase usage of the problem-focused coping strategies (p = .007), in the intervention group after the intervention, that were significantly different with those of the control group. Psychological empowerment could be effective in improving the use of coping strategies and decreasing stress, anxiety and depression in adolescents with haemophilia.

Attachment and Breakup Distress: The Mediating Role of Coping Strategies.

Breakups are common among emerging adults and are associated with elevated depressive and anxiety symptoms, especially in the presence of attachment insecurities. Previous authors have suggested that inadequate coping strategies might explain this association, yet this has not been examined longitudinally. This study examined the mediating role of five coping strategies (self-help, approach, accommodation, avoidance, self-punishment) in the longitudinal associations between attachment insecurities (anxiety, avoidance) and depressive and anxious symptoms in 196 emerging adults experiencing a romantic breakup. Measures of pre-breakup attachment, post-breakup coping strategies (one-month post-breakup), and depressive and anxiety symptoms (one- and three-month post-breakup) were administered. Results from a longitudinal autoregressive cross-lagged model showed that pre-breakup attachment insecurities were related to higher depressive and anxiety post-breakup symptoms through higher use of self-punishment and lower use of accommodation coping strategies. Findings highlight coping strategies as potential intervention targets to promote the recovery of emerging adults experiencing breakup distress.

The integrative model of resiliency in higher education seekers in war conditions

The article presents the results of the study of “The Integrative Model of Resiliency” in higher education seekers in war conditions. 174 higher education seekers were examined, among them: 144 students of the 4th-6th year of the medical faculty and the faculty of medicine and pharmacy of the Dnipro State Medical University, majoring in 222 “Medicine” (main group) and 30 students of the 4th-5th year of the Ukrainian State University of Science and Technology (comparison group). The aim of the study was to determine the modalities of resiliency in higher education seekers in the war condition. A psychodiagnostic method with the integrative model of resiliency “BASIC Ph” was used in the research. The distribution of modalities, their degree of expression (scoring), gender features of the distribution of modalities and their correlations were studied. In the vast majority of higher education seekers, one modality of resiliency dominated (94% in the main group, 100% in the comparison group), which was cognitive modality (64% in the main group, 67% in the comparison group) as the most mature, adaptive and constructive way of overcoming the crisis, especially during the war. In 6% of the investigated ones in the main group, the dominance of two modalities was found, among which the cognitive strategy was once again the leading one (89%). Some gender features of the use of stress coping strategies were revealed. Thus, a statistically significant difference was observed between the indicators of the modalities “Belief”, “Emotions” and “Social support” among males and females of the main group and “Emotions” and “Imagination” in the comparison group (p&lt;0.05). Analyzing the gender characteristics of the correlations of resiliency modalities, a more multifaceted model was found in medical students of male gender. The obtained data contribute to a deeper understanding of own personal strengths and the involvement of less developed ones by higher education seekers, aimed at strengthening and enriching their resources to overcome resiliency of war crisis. Thus, the results of the study should be taken into account when developing psychoeducational and psychocorrective measures and conducting psychological support for of higher education seekers in the conditions of war and post-war time.

Coping with Workplace Bullying: Strategies Employed by Nurses in the Healthcare Setting

Purpose. As regards nursing professionals, workplace bullying is characterized by a set of repeated and banalized negative behaviors carried out by the aggressors that have more power than victims. Such behaviors adversely affect both the victims and the healthcare institutions where the events occur. Upon repeated exposure to workplace bullying, the victims use coping strategies to modify their work environment and adapt to the aggressor, as they try to reduce the discomfort caused by the bullying behavior. The present work aims to describe the psychometric characteristics of the NAQ-R (Negative Act Questionnaire-Revised) and COPE (COPE Inventory) assessment instruments. In addition, it aims to assess the coping strategies employed by nurses who were victims of workplace bullying. Methods. This study is quantitative, descriptive, correlational, and cross-sectional in nature. Data were collected through a digital survey which consisted of sociodemographic and professional components. The NAQ-R and COPE scales were used to evaluate these components. The study included a total of 2015 Portuguese nurses in the sample. Results. Talking to coworkers and confronting the aggressors were the main strategies adopted by nurses who experienced bullying behaviors at work. Also, based on the first and third evaluation criteria, nurses who faced workplace bullying presented a higher average value of “support seeking” and “substance use” and resorted more to “evasion” when compared to those who had not been bullied. Based on the second assessment criterion, nurses who endured workplace bullying resorted more to “evasion” and “substance use” and exhibited less “acceptance.” Conclusions. When confronted with workplace bullying, nurses predominantly chose negative coping strategies and, in their majority, nurses had not received training on that topic. In this regard, nurses’ training is considered important, so as to encourage the use of positive coping strategies that minimize the negative effects of the phenomenon.