Coping Techniques Research Articles

What are the primary stressors faced by Obstetrics and Gynaecology residents? Do their coping strategies align with adaptability or maladaptability, as per the Brief COPE assessment?

: Obstetrics and Gynaecology is a demanding and challenging speciality of medical education. The residents are the first level of contact of all patients. The aim and objectives of the study were to find what causes stress in the residents of Obstetrics and Gynaecology and their coping techniques. We conducted a cross-sectional study on 45 residents pursuing post-graduation in Obstetrics and Gynaecology at PGIMS, Rohtak. : The cause of stress in residents was long working hours, having less time for friends and family, too much paper work, new subject learnings, expectations to perform well in clinics. The coping techniques were identified like listening to music, watching movies, talking to friends and family. According to the Brief COPE assessment, the coping techniques used were adaptive in residents of Obstetrics and Gynaecology of our institute. Those working in demanding fields like Obstetrics and Gynaecology face unique challenges and have their own coping techniques. The well-being of medical residents directly impacts their future performance as physicians

Conversation circles – an inventive way to talk about and address migratory related mental health

Abstract Refugees in European countries face psychological stressors stemming from pre-, peri- and post-migration experiences. In Sweden, a mental health promotion program for newly settled refugees “Ways Forward - After the escape”, was tried out to mitigate the consequences of negative migratory experiences. The program included training of course leaders and implementation of conversation circles for participants, i.e., short in-depth courses for smaller groups led by a trained leader. The objective of the program was to equip civic communicators working within the Introduction program for refugees with the necessary skills to lead conversation circles on mental health in cities in the south of Sweden. During 2020-2023, 43 course leaders were trained and 55 refugees participated in conversation circles. The course leader training included 50 hours of training on themes of the program “Ways Forward”; health and well-being, loss and identity, grief and forgiveness, reconciliation and acceptance, stress and stress management, trauma and trauma-conscious care. The conversation circles for participants were given in 3-hour modules x 10 occasions. 1. How did the course leaser perceive the utility of the training for their work with the target group? 2. In what ways has the intervention assisted the participants in navigating their mental and well-being in Sweden? The results showed that course leaders acquired new knowledge and practical skills and tools to lead reflective conversations about mental health related to migration. Participants reported a higher awareness of mental health issues, less stigma, trying out new coping techniques and increased motivation to seek help. Short training courses for civic communicators on migratory mental health increased knowledge and gave new skills and tools to lead conversation circles. Newly settled refugees reported higher awareness, new tools and less stigma to talk about mental health following participation in conversation circles. Key messages • Short training courses on mental health related to migration increased knowledge and gave new skills and tools to lead conversation circles. • Newly settled refugees reported higher awareness, new tools and less stigma to talk about mental health following participation in conversation circles.

Are stress and engagement in toxicity associated with sleep quality? A study with League of Legends players

Today, millions of people worldwide play popular multiplayer online battle arena games (MOBAs) such as League of Legends. MOBAs are designed to require real-time teamwork to win games. A side effect of this is toxic behavior (an umbrella term for various negative in-game behaviors). Following Transactional Stress Theory, in this study, we consider toxicity as a coping mechanism to better deal with in-game stress that leads to anger and frustration, potentially leading to subsequent sleep problems. Therefore, we asked League of Legends players (N=212) about their experiences within the last 30 days in a retrospective survey study. Our results indicated that perceived stress was, indeed, a positive predictor of sleeping problems, and toxic behavior partially mediated this relationship. These results indicate that some of the toxicity is caused by stress in play and that it may increase the likelihood of the occurrence of subsequent sleeping problems. Therefore, further efforts are needed to help players to develop harmonious means and techniques for coping with experienced in-game stress.

Making Memories: A Qualitative Exploration of the Impact of False Allegations of Satanic Ritual Abuse

ABSTRACT The aim of the present study was to explore the impact of false allegations of satanic ritual abuse. Data was gathered from semi-structured interviews with six participants and analyzed using thematic analysis through an interpretivist paradigm. Two key themes are discussed: (i) the impact of false allegations and (ii) coping techniques employed by retractors and falsely accused individuals. Results highlight the long-term, life-changing impact of false memories as well as the coping strategies employed by those involved. While the authors make no claim to generalizability, these findings raise significant implications for practice, including greater governance for private therapeutic practice.

Effectiveness of Emotional-Focused Coping on Heart-Focused Anxiety in Patients Prior to cardiac Catheterization

Background: Heart-focused anxiety involves a concentration on and a fear of cardiac-related feelings and their anticipated negative outcomes (such as a life-threatening arrhythmia or abrupt cardiac death). It results in continuing concerns about heart function, avoiding activities that are thought to cause cardiac symptoms, and frequent behavior of requesting assistance in medical settings. Study purpose: This study aimed to measure the effectiveness of Emotional-Focused Coping on Heart-Focused Anxiety in Patients Prior to cardiac Catheterization. Materials and methods: A quasi-experimental study using (pretest and posttest design with a control group). A purposive sampling technique was used to gather the study information from 120 patients prior to cardiac catheterization by using the beck anxiety inventory scale. The study is conducted in Al-Najaf Al-Ashraf Government, Al-Najaf Center for Cardiac Surgery and Trans-Catheter Therapy. Results: A statistically significant difference is found in participants anxiety level prior to cardiac catheterization between the first measure before applying the coping techniques and the second measure after the application of coping strategies (Mean difference =13.500, P <0.0005) Conclusion: The emotional focused coping strategies are proves as easy interventions to apply and effective in terms of reducing the level of heart-focused anxiety prior to cardiac catheterization

Self-management needs, strategies and support for individuals with sickle cell disease in developing countries: a scoping review

IntroductionSickle cell disease (SCD) poses a significant global health burden, particularly affecting individuals in developing countries with constrained healthcare resources. While research on self-management in the context of SCD is...

Global Health Management: Addressing Health Disparities And Inequalities

It is the state's responsibility to provide access to public health care management for the poor and vulnerable, as the cost of curative care is disproportionately higher among lower income groups, the majority of whom are Dalits. India's population health has significantly improved during the past 70 years. The disparity across social groupings is still rather large, though. Low health status is clearly associated with poverty, being a woman, living in a rural area, belonging to a tribal ethnic group, being a scheduled caste (SC), and belonging to particular minority groups. In order to guarantee health fairness, it is necessary to review the environment and policy implementation regime. The purpose of this article is to provide context for relevant healthcare concerns and challenges by examining a few key health, poverty, illness-related costs, and coping techniques across social groupings indicators. The conceptual foundation for the health effects of public health care management's globalisation is described in this study. An examination of the main social determinants influencing population health is known as the social determinant of health.

Navigating Digital Era Challenges: Resilience Among Educators in Sindh (Pakistan)

This research aimed at establishing the coping techniques that teachers in Sindh, Pakistan have adopted to deal with impacts of digital age. Qualitative case study research design was used in this study. Ten teachers from various teaching backgrounds in Sindh was selected to collect the data. The purposeful recruitment of these participants was with the intention of capturing possible diversity in the participant’s experiences and Precarious Academic Interests, such as teaching in rural and urban areas and in the public as well as the private schools as well as in terms of their readiness with digital learning resources. The results of the research show that educators’ resilience not only involves the technological perspective of how they accommodate themselves to learning, but also is a combination of cognitions and emotions, professionalism, collaboration, and individual flexibility. Teachers managed challenges of digital education on teaching by creating anticipatory measures and asking for help from other teachers as an illustration of strength of interpersonal connections. The work provides the educational leaders and policymakers with the insights of how to ensure the teacher flourishing and their professional development in the context of the continuous digitalization of education.

The effects of music listening on emerging adulthood in dealing with grief of losing parents during the covid-19 pandemic

Purpose: The COVID-19 pandemic is a difficult situation to face, especially at the emerging adulthood development stage. The death factor during the COVID-19 pandemic continues to rise and increases daily cases in Indonesia. Grief is one of the responses felt by individuals in the emerging adulthood development stage who experienced the loss of someone close to them during the COVID-19 pandemic. Music is one of the coping techniques that individuals can use throughout the time of grief during the COVID-19 pandemic. This research aims to determine the role of music in emerging adulthood in alleviating grief, and aims to obtain an overview of the condition in question after being faced with grief. Method: This research was conducted using qualitative methods with semi-structured interviews. The participant criteria used in this study were individuals aged 18 to 25 years, who had experienced the death of a parent during the COVID-19 pandemic, and listened to music when they lost a loved one. The number of participants in this research was three female participants with convenience sampling as the sampling technique used. The interview was conducted in three sessions and each interview session lasted 60 to 90 minutes. The interview guide used included questions to dig deeper into participants' feelings and experiences during the COVID19 pandemic, music listening activities, and participants' experiences of grief. The integrity of the research methodology was carried out using member checking. The analysis technique for this research uses thematic analysis. Result: The results of this research shows that the grief experienced by emerging adults is faced and responded into different ways. The music listened to by emerging adults has goals and benefits as a coping strategy for the three participants. Conclusion: The experience of grief experienced by emerging adulthood can also be overcome with support from the closest ones or significant others.

Stressors and coping strategies in esports: a systematic review

ABSTRACT In this systematic review, we provide an overview of stressors and coping strategies in esports, emphasizing the goal of informing applied practice and guiding future research. Guided by the PRISMA guidelines and employing the SPIDER framework, we synthesize findings from 19 studies. Performance stressors such as defeat and performance pressure (e.g. pressure to win) were prominently observed, along with team, social, organizational, and personal stressors. Coping strategies, aligned with Nicholls et al. ((2016). The development of a new sport-specific classification of coping and a meta-analysis of the relationship between different coping strategies and moderators on sporting outcomes. Frontiers in Psychology, 7(11), 1–14), demonstrate internal regulation was the most frequently reported, followed by mastery coping, while goal withdrawal strategies were less frequently reported. Comparing esports to traditional sports highlights the role of social stressors such as social media and public perceptionin esports. However, personal stressors remain relatively unexplored. The review also identifies research gaps in stressor appraisal and communal coping strategies. Future research could delve into personal stressors, considering a wide array of psychological factors, and employing dynamic methodologies. Practical implications revolve around tailored interventions, promoting open communication, mastery coping techniques, and holistic well-being strategies. This review provides a broader understanding of esports stressors and coping strategies, offering a starting point for targeted interventions aimed at enhancing performance and well-being in the distinctive competitive landscape of esports.

Exploring the State of Mental Well-Being Among B40 Women

The solution projects under The All-Party Parliamentary Group Malaysia on the Sustainable Development Goals (APPGM-SDG) have played a significant role in empowering the local communities, particularly women through Income Generation (IG) and Community Learning Center (CLC) projects. The initiative consists of twelve modules on entrepreneurship skills and handholding, with a minimum of 10 to 25 beneficiaries from the B40 category who are mentored by the Solution Provider (SP) throughout the following three to four months. Each project was awarded a RM40,000 grant to provide the beneficiaries with skills and knowledge that will allow them to be independent entrepreneurs. It was discovered through the four case studies that adhered to SDG 1 (No Poverty) and SDG 3 (Good Health and Well-Being) that certain female beneficiaries were experiencing such high levels of life pressure that negatively impacted their mental health due to a lack of necessary coping strategies to manage the stress and uncomfortable emotions. The reasons vary, ranging from personal issues and societal pressures to the inherent challenges of entrepreneurship. The finding shows that the project’s method of group activities or social groups enhances the beneficiaries’ mental health by providing them with encouragement, hope, and drive to succeed in life. It is also highly recommended to provide mental health awareness as one of the compulsory modules in the solution projects to equip women with appropriate coping techniques for overall success.

Foreign language teaching modes and adaptive methods in emergency education: Evaluation of first-hand experience

Turbulent world events require crisis-sensitive education models that can address new challenges and promote productive learning in extraordinary times. The research aimed to analyze the issue of teaching a foreign language to undergraduate students using intervention techniques in online and offline modes. The researchers suggested the following responsive and adaptive strategies: the creation of adaptive online learning platforms, the development of a multimedia resources bank and the careful selection of innovative teaching tools capable of addressing both psychological and educational needs. The work in groups of both formats was studied through discussion and survey from the point of view of teachers’ perceptions of positive and negative features, difficulties revealed in the education in emergencies, and the productivity of using specially designed adaptive teaching techniques for coping with them. The findings show that in most aspects teachers have a more positive assessment of ‘live’ language teaching in comparison with the online format. They indicate such benefits as more coordinated work, a collaborative and engaging environment, controllability, and greater motivation. The most effective tools used for developing vocabulary, listening skills, reading skills, and speaking skills were revealed. The final testing results in both online and offline groups were analyzed to study the effectiveness of the employed intervention methods. The study demonstrates that the rigorous instructional design is of vital importance for education in an emergency. Special attention should be given to specific adaptive and responsive intervention technologies aimed at interaction and communication enhancement as well as psychological support of students, the choice of which can be determined by the distinctive features of different teaching formats.

Coping with emotional pain: An experimental comparison of acceptance vs. avoidance coping

The present study compared multi-methodically and multi-dimensionally the effects of acceptance and avoidance coping with emotional pain, both between and within-group. Convenience sampling was used, with 88 participants included (81.8% females; Mage = 21.75 years) and being randomly assigned to one of two instructed groups: (a) Acceptance followed by avoidance of pain sensations and thoughts, and (b) Avoidance followed by acceptance. All participants underwent an emotional pain induction procedure three times involving negative autobiographical recall and an emotional-pain standardized script. In the first emotion induction, no instructions were given whereas in the other two, participants were instructed to use the techniques they were trained in. On both autobiographical and emotional-pain script tasks, participants who used firstly avoidance and secondly acceptance exhibited significantly lower mean heart rate and higher mean heart rate variability RR index across time. Also, in the last emotional pain induction, on both tasks, acceptance resulted in lower physiological activation than avoidance. No significant differences were found for the self-report of negative affect. Overall, acceptance vs. avoidance differences were mostly found in the physiological outcomes, suggesting the importance of including objective measures when examining coping techniques. Our findings suggest that ACT's concept of creative hopelessness is supported, as participants may have to use firstly use ineffective coping strategies to better understand what methods are most effective for managing pain. To our knowledge, this study is the first study to compare acceptance vs. avoidance coping with emotional pain both between and within-group, using a multi-method and multi-dimensional approach.

Coping Techniques and Family Empowerment in Lowering Diabetes Distress, Depression, and Personal Care Management Among Individuals Having Diabetes Type 2 Kahuripan Health Centre Working Area, Tasikmalaya City

Coping Techniques and Family Empowerment in Lowering Diabetes Distress, Depression, and Personal Care Management Among Individuals Having Diabetes Type 2 Kahuripan Health Centre Working Area, Tasikmalaya City

Depression in nursing students during the COVID-19 pandemic: Systematic review and meta-analysis.

The pandemic meant a change in academic approach. This had an impact on the mental health of students, leading to, among other problems, depressive disorders. The aim of this study was to find out the prevalence and factors that favoured the development of depression in nursing students during the COVID-19 pandemic. A systematic review with meta-analysis of prevalence was conducted in October 2023, using Pubmed, CINAHL and Scopus as the data sources used for the search. This review followed the guidelines outlined in the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Search equation was: "(undergraduate nurses OR nursing students) AND depression AND (COVID-19 OR Sars-CoV-2)". The final set of articles was N = 12. Quantitative primary studies using anonymous scales and surveys to assess the prevalence of depression in nursing students in the last 3 years were included. Studies show a high prevalence of depression among young university students with figures above 50%. The total sample of students in the meta-analysis was n = 4,479 with a prevalence value of 32% (CI95% 22%-42%). Affected students are characterised by young, female students. Concerns included generalised academic uncertainty, social isolation, work overload, fear of contagion and concern about teaching delivery. Coping mechanisms were generally resilience, spiritual support, laughter therapy, seeking information about COVID-19 and eating food. In conclusion, students, especially female students, are at high risk of depression due to social isolation. In addition, coping techniques were inadequate and future strategies to prevent this situation should be considered.

Smallholder farmers’ coping strategies to climate change and variability: Evidence from Ethiopia

Climate change poses significant challenges for smallholder farmers worldwide, particularly in regions like sub-Saharan Africa, including Ethiopia, requiring effective coping strategies for resilience. This study examines farmers’ exposure to climatic shocks and their adoption of coping strategies. Findings from a survey of 646 farm households and qualitative discussions revealed farmers’ high vulnerability to climate-related hazards. Smallholder farmers rely on ex-ante coping strategies, including early planting (48.5%), income diversification (41.3%), increasing savings (42 %), water management (39.2%), and sowing drought-resistant varieties (37%). Similarly, they resort to ex-post coping techniques, such as reducing expenses (46.1%), utilizing savings (41.6%), changes in consumption patterns (39.5%), seeking assistance from relatives (23.5%), borrowing (17.6%), selling assets (11.9%), and migration for employment (8.7%). Farmers also encounter constraints such as limited access to weather information, inadequate extension services, weak institutional support, insufficient skills, high poverty levels, and limited access to innovations. Factors like land size, climate training, self-efficacy, cost-effectiveness perception, and hazard consequence perception positively influence farmers’ adoption of proactive strategies against climate change, while being male, older, less educated, owning a farm, limited access to extension services, and market constraints hinder anticipatory measures. Additionally, household head being male, education level, farm experience, land ownership, and access to climate information positively impact the implementation of ex-post strategies, whereas age, agroecology, infrequent extension worker visits, and limited road access have negative effects. Enhancing access to climate information, institutional support, and design policy with an understanding of these multifaceted contexts could substantially improve smallholder farmers’ resilience to climate change.

EDAS method for circular pythagorean fuzzy with improved Dombi power aggregation operators and their application in policy analysis and decision support systems

A circular Pythagorean fuzzy set is a very dominant and reliable technique for coping with uncertain and vague information in genuine life problems because it contains the membership function, non-membership function, and radius between both grades with a condition that is the sum of the pair will be contained in the unit interval. The objective of this article is to define some improved Dombi operational laws based on circular improved Pythagorean fuzzy values. Moreover, we discuss some drawbacks of the existing Dombi aggregation operators based on circular improved Pythagorean fuzzy numbers. We also defined some improved Dombi averaging and geometric aggregation operators and their properties. Later on, a technique of evaluation based on distance from the average solution is stated by using the proposed operators. Additionally, we resolve the problem of policy analysis and decision support systems based on multi-attribute decision-making problems for initiated techniques to enhance the worth of the derived theory. Finally, we illustrate some examples for showing the supremacy and validity of the proposed theory with the help of comparative analysis between proposed ranking values and some existing ranking values.

O-176 Hoping for the best, expecting the worst: pregnancy after loss

Abstract Recurrent pregnancy loss (RPL) is an extremely distressing condition and can be both physically and emotionally traumatising. The condition is compounded by the fact that even after diagnostic procedures, the majority of cases, remain unexplained. The early waiting period of a new pregnancy, when confirmation by ultrasound scan of an ongoing and viable pregnancy is awaited, represent a particularly challenging time for those affected by this condition. This waiting period is associated with high levels of distress due to the anxiety of possibly experiencing a further miscarriage. However, there is a lack of understanding amongst some health professionals of the emotional burden of this difficult waiting period, furthermore, limited support and counselling is available, and many women are left to manage their distressing emotions without coping support. While some seek frequent confirmation of viability by ultrasound scans, this approach is not feasible in most clinical settings and, in any case, appears to be of limited efficacy in reducing anxiety. An alternative approach was to provide the woman with tools that could bolster their ability to cope with this challenging period. Our programme of research has investigated the use of the Positive Reappraisal Coping Intervention (PRCI), a self- administered coping technique, based on the principles of positive reappraisal, as a method of providing much needed emotional support. Qualitative research findings have provided deep insight into the lived experience of RPL during the early waiting stages of a new pregnancy, establishing that for those with a history of RPL, this is a traumatic time of great uncertainty, emotional turmoil and immense personal significance, where those affected ‘hope for the best, but expect the worst.’ Whilst our programme of research is still ongoing, studies to date, have demonstrated that study participants were receptive to the use of the PRCI and that it appeared to convey benefits, with no apparent downside. It was a ‘go to’ resource in times of strong emotional need and one that stimulated positive coping, providing respite from the stressor of uncertainty. There is a compelling need to provide those experiencing RPL with increased emotional support to help them manage the stressful early waiting period of a new pregnancy. Findings suggest that PRCI could provide a useful adjunct to care pathways and has the potential to be made more widely available as an effective, safe, convenient, and low-cost intervention to provide emotional support in RPL clinics.

TikTok and teen mental health: an analysis of user-generated content and engagement.

TikTok is a social media mobile application that is widely used by adolescents, and has the potential to serve as a revolutionary platform for public and mental health discourse, education, and intervention. Our study aimed to describe the content and engagement metrics of the hashtag #teenmentalhealth on TikTok. In this study, we: (a) conducted a directed content analysis of the Top 100 TikTok videos tagged with #teenmentalhealth, and (b) collected data on video engagements (views, likes, saves, and shares) and computed view-based engagement rates. The videos collectively garnered 144,320,591 views; 28,289,655 likes; 219,780 comments; 1,971,492 saves; and 478,696 shares. Most of the generated content were from teens and therapists. Engagement metrics revealed strong user engagement rates across user types. The most prevalent content categories represented across videos were personal experience, coping techniques or treatment, humor, interpersonal relationships, and health campaign. The content categories with the highest engagement rates were relatable media representation, health campaign, social isolation, and humor. Only a single video incorporated evidence-based treatment content. TikTok facilitates communication and information dissemination on teen mental health. Future research should focus on improving the quality and credibility of digital content while maintaining engagement through creativity, self-expression, and relatability. Use of popular social media platforms and community-engaged research to disseminate evidence-based content may help bridge the translational research gap.

Navigating hardships: Resilience-building coping strategies and actionable techniques for entrepreneurs

Hardships are an inevitable part of entrepreneurial experiences. Successful entrepreneurs identify hardships early on and craft effective strategies to overcome them. While previous work in practitioner-oriented and academic outlets has emphasized the significance of resilience in overcoming hardships, entrepreneurs have been left with minimal guidance on cultivating coping strategies that build resilience in response to different types of hardships. In this work, we first provide a typology of hardships that entrepreneurs face. Then, by grounding our work in the resilience literature, we offer a typology of coping strategies. Finally, we offer a list of actionable recommendations by introducing a toolbox of coping techniques entrepreneurs can use to effectively manage different hardships. Our work contributes to a more nuanced understanding of hardships in entrepreneurship research and offers practical guidance on how entrepreneurs can build resilience.