Current Experience Research Articles

COVID-19 infection associated with poorer mental health in a representative population sample

ObjectiveThere is limited evidence of the direct effects of COVID-19 infection on mental health, and whether these are influenced by vaccination or physical health symptoms. We aimed to investigate the relationships of COVID-19 infection, current symptom presentation, and vaccination status with mental health symptoms in adults. Study design and settingA cross-sectional sample of the Australian adult population that was representative by age, gender, and location was recruited through market research panels (N = 1407, 51.3% female, mean age 47.9 years). Hierarchical regression analyses were used to examine the associations of COVID-19 infection history and current COVID-19 symptoms with symptoms of depression (Patient Health Questionnaire-9), generalized anxiety (Generalized Anxiety Disorder-7) and social anxiety (Mini-Social Phobia Inventory). ResultsCOVID-19 infection was associated with significantly higher depression and anxiety symptoms, but only in those who were not fully vaccinated. Current experience of COVID-related symptoms was associated with significantly higher depression and anxiety symptoms, and attenuated the direct effect of infection on mental health outcomes to non-significance. ConclusionCOVID-19 infection may be associated with increased mental health symptoms. However, the effects of infection on mental health were primarily evident in those who were not fully vaccinated and were explained by greater physical health problems associated with COVID-19 infection. The findings reinforce the efficacy of vaccination for reducing physical and mental health symptoms following infection.

Robotic-Assisted and Computer-Assisted Navigation Surgery in the Cervical Spine: Current Experiences, Techniques, and Accuracy

Background: In recent years, the role of robotic-assisted and computer-assisted navigation (RA-CAN) systems has significantly expanded in spine surgery, particularly those performed in the thoracic, lumbar and sacral spine showing higher accuracy in pedicle screw placement and improved surgical efficiency. However, there are few reports on these techniques in the cervical spine. The anatomy of the cervical spine possesses additional challenges such as the close proximity to critical neurovascular structures. Purpose: In this article, we present the existing clinical experience of RA-CAN in the cervical spine and evaluate technical considerations. Cervical spine screw fixation and decompression using RA-CAN are reviewed. Results: This analysis covers various aspects such as techniques, accuracy, and the types of procedures reported in the literature. Recent reports include surgical procedures such as anterior cervical diskectomy and fusion’s, odontoid fracture fixation, C1 lateral mass, C2 pedicle, translaminar, subaxial spine lateral mass, and mid-cervical spine pedicle screw fixation. There is potential for enormous clinical benefit to navigated decompression in cervical CAN procedures also. Future opportunities include further improvements in imaging co-localization, pre-surgical planning software, and mechanization of surgical procedures for instrumentation and decompression. Conclusion: The growth of RA-CAN in spinal surgery has shown significant potential in its application in the cervical spine for fusion procedures as well as decompression. By understanding the potential limitations and techniques reported from early experiences, previous techniques can be improved and provide further benefits for accuracy and less invasive surgery.

Artificial Intelligence in Plastic Surgery: Insights from Plastic Surgeons, Education Integration, ChatGPT's Survey Predictions, and the Path Forward.

Artificial intelligence (AI) is emerging as a transformative technology with potential applications in various plastic surgery procedures and plastic surgery education. This article examines the views of plastic surgeons and residents on the role of AI in the field of plastic surgery. A 34-question survey on AI's role in plastic surgery was distributed to 564 plastic surgeons worldwide, and we received responses from 153 (26.77%) with the majority from Latin America. The survey explored various aspects such as current AI experience, attitudes toward AI, data sources, ethical considerations, and future prospects of AI in plastic surgery and education. Predictions from AI using ChatGPT for each question were compared with the actual survey responses. The study found that most participants had little or no prior AI experience. Although some believed AI could enhance accuracy and visualization, opinions on its impact on surgical time, patient recovery, and satisfaction were mixed. Concerns included patient privacy, data security, costs, and informed consent. Valuable AI training data sources were identified, and there was agreement on the importance of standards and transparency. Respondents expected AI's increasing role in reconstructive and aesthetic surgery, suggesting its integration into residency programs, addressing administrative challenges, and patient complications. Confidence in the enduring importance of human professionals was expressed, with interest in further AI research. The survey's findings underscore the need to harness AI's potential while preserving human professionals' roles through informed consent, standardization, and AI education in plastic surgery.

Experiences and perspectives on chimeric antigen receptor (CAR) T-cell therapy among recipients, carers and referrers (RE-TELL): a qualitative study to inform CAR T-cell service design

ObjectivesRE-TELL is a qualitative study, which aims to understand patient, support person, clinician and coordinator experiences and perspectives of chimeric antigen receptor (CAR) T-cell therapy, to inform design of a...

영아의 생태친화적 오감놀이에 대한 의미 탐색

This study is to develop alternative eco-friendly programs for daycare centers that do not have the conditions to practice eco-friendly childcare, such as daycare facilities and natural environments applying eco-friendly five sense play using an ethnography study. For this study, eco-friendly five-sensory play was conducted for infants aged 0 to 2 years old at a home-based daycare center, and participant observation was conducted. The development of eco-friendly five senses play was carried out in the first stage of becoming familiar with the subject matter, the second stage of leading integrated play, and the third stage of connection and expansion play, and was developed in a circular manner. The research results were derived from the meaning that infants' eco-friendly five-sensory play has on the infants and teachers in the daily routine of the daycare center. The research results are as follows. First, the meaning of eco-friendly five-sensory play for infants was summarized as imitating the play of teachers and peers, opportunities for more interactions, connecting previous and current experiences, expanding the concept of specific objects, and artistic experience. Second, the meaning of eco-friendly play to teachers is learning together with infants, becoming a playmate for infants, being a person who shares infants' experiences, providing learning opportunities through recognition of experiences, and opportunities for natural integration of the contents of the play-centered Standard Child Care Curriculum. The significance of the study is daycare centers in residential areas and small home daycare centers can provide opportunities for interaction and play that fully utilizes the five senses by providing natural objects in the classroom.

EDUCATIONAL TOURISM IN GREAT BRITAIN

The article is devoted to the organisation of educational excursions in the UK and their role in the educational process of secondary schools. The purpose is to analyze the existing experience of organising school trips and to identify opportunities for using this experience in modern education in Ukraine. The historical origins of educational excursions are identified. The results of surveys and other studies conducted in the UK to determine the attitude of teachers to excursions as an element of the educational process, as well as the problems that arise in their organisation, are highlighted. Current experience of conducting excursions in various subjects - history, geography, natural sciences, mathematics, social sciences, computer technology. The article identifies the most popular educational tourism sites in the UK and highlights the methods used to organise school tours (specially designed tours related to the school curriculum, master classes, workshops, etc.) It is noted that special educational and training centers have been set up at certain facilities to conduct training sessions. It is noted that in Britain, excursions to government facilities such as the Parliament, the Royal Palace, the residence of the head of government, and the court have become widespread. It is determined that most museums and other visitor attractions establish preferential conditions for receiving groups of schoolchildren or provide opportunities for free visits. The problems that hinder the development of educational tourism at the present stage of development, in particular, lack of funding, are identified. The role of charitable foundations in the development and support of school excursions and the directions of their activities are highlighted. The experience of involving business structures, in particular Hyundai, in supporting educational tourism is analyzed. The unique experience of parliamentary support for educational tourism through the development of special bills on outdoor education, which are at different stages of consideration by the parliaments of Great Britain, Scotland and Wales, is indicated. The elements of experience that can be used in domestic education are identified.

Work–family conflict and behavioral outcomes of Chinese female leaders: the mechanisms of work–family guilt and family centrality

Purpose The purpose of this study is to explore the impact of work-to-family conflict (WFC) on unethical pro-family behavior (UPFB) and work engagement (WE) among Chinese female leaders. In addition, this study investigates the mediating role of work-to-family guilt (WFG) and the moderating role of family centrality (FC) in these relationships. Design/methodology/approach A quantitative approach was adopted, involving the collection of data through online questionnaires administered at three time points. These data were analyzed using hierarchical regression and the bootstrapping method to test the proposed hypotheses. Findings WFC exhibited a significant positive correlation with UPFB and a negative correlation with WE; WFG played a mediating role in the relationships between WFC and both UPFB and WE; and FC had a significant moderating effect on the relationship between WFC and WE. Originality/value This study sheds light on a model of WFC and its related effects, reveals how WFC affects UPFB and WE and uncovers the mediating role of WFG and the moderating role of FC; pays attention to a unique organizational behavior, UPFB, which enriches research on the antecedents influencing such behaviors; and examines Chinese female leaders in organizations, their current experience of WFC and the resulting psychological and behavioral outcomes.

Analysis of Structural System Selection and Seismic Design for Modern Residential Buildings in China

This article aims to research and review the selection of structural systems and seismic design for modern residential buildings in China. Through a comprehensive analysis of the current research status and practical experience, it explores the application and suitable scenarios of different structural systems in seismic design. The goal of this paper is to provide guidance for architects, engineers, and researchers and promote the development of structural system selection and seismic design for modern residential buildings in China. Conclusions are drawn and future research and practice are discussed through comparison and analysis. This article will discuss the selection of structural systems in building construction, ensuring the quality of construction projects, and guaranteeing the stability and safety of the structures.

„Pandi-Project”. Narracyjna metabolizacja doświadczenia w „Dziennikach czasu pandemii”

The presented research is a part of the broader project carried out in Poland to reconstruct the ways of experiencing the first wave of the COVID-19 Pandemic. Personal documents were obtained from psychology students elaborating daily their current experience in a written form – using proposed patterns (narrative “Subjective Figures”). The semantic analysis of 30 “Pandi-Diaries” was conducted by coders according to our Coding Sheet on three levels of text organization: content analysis, formal and meaning-making aspects. The results confirm other researchers’ reports about the visible domination of “avoiding” and/or “task-oriented” responses to the COVID-19 Pandemic’s first wave. Parallelly, results indicate the incomplete competencies of our Diaries’ Authors in their differentiation of internal states, and a kind of resistance in the use of the developmental potentiality which transcends survive and social adaptation tasks. The results can be applied in counselling, psychotherapy and supporting life-long “existential resilience” deep education activities.

PREMENSTRUAL SYNDROME: BASIC APPROACHES TO TREATMENT

Premenstrual syndrome (PMS) is a common neuroendocrine pathology. PMS has a significant impact on the women’s lives. It negatively affects the psychophysiological state, social functioning, reduces ability to work and quality of life. Therefore, it has great medical and social significance. According to numerous studies, PMS prevalence ranges from 25 % to 80 %. PMS clinical picture is characterized by a variety of mental and somatic symptoms of varying severity, that leads to certain difficulties in choosing therapy. Currently, there are no clinical guidelines for the diagnosis and treatment of this pathology in Russia. The task of practitioners is to find the most effective, safe and pathogenetically justified treatment modes, based on an individual approach depending on the clinical manifestations of the disease.
 The review presents the results of various PMS treatment modalities, presented in eLibrary.ru, Pubmed, SpringerLink, APA PsycNET, ScienceDirect, and Google Scholar. Current experience shows that PMS therapy should be carried out comprehensively. In order to achieve and maintain good results, it is advisable to combine drug therapy with cognitive behavioral therapy, physical therapy and physiotherapy.
 PMS is an interdisciplinary problem, so it should be treated by various specialists. It is important to differentiate between PMS, somatic pathology and affective states. A large scope of treatment modalities does not exclude the patients who do not respond to therapy. It proves the need for further study of the disease pathogenesis and the development of preventive measures with respect to modern medical advances.

How to Integrate Sustainable Development in English Lessons: Reflections from Teachers, Students and Academicians

This qualitative descriptive study as one small part of a big project sought to examine the opinions and recommendations of different stakeholders (i.e. students, teachers and academicians) as to the basic characteristics of a middle school English language course integrating sustainable development content. Three different interview schedules for each group of participants were developed by the researchers to elicit participants’ ideas about a sustainable development-oriented English course to be developed. Qualitative data were analyzed by means of content analysis and the main components of a course, that is, course aims, course content, learning-teaching experiences and course evaluation practices were utilized as themes to analyze the data. The results from this analysis indicated that the participants from each of these different stakeholder groups all appeared to appreciate and support the education for sustainable development. Their recommendations often pertained to course content that would include real-life videos and materials centering on the reallife issues already put forth by the 17 Sustainable Development Goals of the United Nations’ 2030 Agenda for Sustainable Development. The utilization of technology and collaborative activities were recommended by all participants as an important dimension of teaching-learning experiences of this course. All stakeholders also emphasized the dominance or popularity of ecological dimension of sustainable development framework within their current experiences pointing out the lack or insufficiency in terms of including the economic and social dimensions of sustainable development for the teaching of English. Teachers and academicians mentioned some psychological conditions like students’ developing ecophobia and losing hope for future and they warned that these should be seriously taken into consideration in the course design process. Several constraints were also reported by teachers and students against the optimal utilization of foreign language teaching irrespective of the integration of sustainable development content.

Safety and Performance of the Subcutaneous Implantable Cardioverter Defibrillator Detection Algorithm INSIGHTTM in Pacemaker Patients.

The use of the S-ICD is limited by its inability to provide backup pacing. Combined use of the S-ICD with a pacemaker may be a good choice in certain situations, yet current experience concerning the compatibility is limited. The goal of this study was to determine the safety and efficacy of the S-ICD in patients with a pacemaker. A total of 74 consecutive patients with a bipolar pacemaker were prospectively enrolled. First, surface rhythm strips were recorded in all possible pacemaker stimulation modes, to screen for T-wave oversensing (TWOS). Second, a S-ICD functional dummy was placed epicutaneously on the patient in the typical implant position. The same standardized pacing protocol was used as mentioned above, and every stimulation mode was recorded via S-ECG in all vectors. In 16 patients (21.6%), programmed stimulation would have led to VT/VF detection. Triggered episodes were due to counting of the pacing spike(s), QRS complex, premature ventricular contractions, and/or additional TWOS. Three cases triggered in the bipolar stimulation mode. Oversensing was associated with lung emphysema and a reduced QRS amplitude in the S-ECG. The combination of an S-ICD and a pacemaker may lead to inadequate shock delivery due to oversensing, even under programmed bipolar stimulation. Oversensing cannot be sufficiently predicted by the screening tool in pacemaker patients. Testing with an epicutaneous S-ICD dummy in all vectors and stimulation settings is recommended in patients with pre-existing pacemakers.

A Story About Hibuki - A Psychologist's Instruments in Work with Children's Trauma

Problem definition. The uncertainty of the consequences of situations related to stressful situations for the child's psyche actualizes the issue of introducing new approaches, methods and tools of psychological influence that would contribute to the preschooler's ability to overcome stress in a constructive way. Problem analysis. Childhood psychological trauma leaves its mark on the subconscious, can shape a person's worldview, beliefs, and identification of the self. And since trauma affects the levels of primary safety, it creates very powerful patterns in the mind. Signs of childhood trauma include mood swings, guilt, anxiety, feelings of abandonment, confusion and impaired concentration, and withdrawal. The conceptualization of traumatic experience is widely presented in scientific literature: theories of traumatic emotional experience (O.S. Kocharyan, R. Lanius, M. Massey, R. Hammer), conceptual foundations of the subverbal model of client-centered psychotherapy (O.S. Kocharyan), theories and typologies of infantile traumas (Johnson St. M., Burbo L., etc.), theoretical positions of procedural-experiential and emotionally-focused psychotherapy (Greenberg L. and Elliott R.), psychoanalytic theory according to Freud Z., ideas about the formation of early maladaptive schemes (Boterhoven de H., Christopher W., Fassbinder E., Hayes C., Katrina L., Yong J.) and others. However, solving many complex problems remains relevant, one of which includes psychological assistance to the most vulnerable population groups in extreme situations, one of which includes children and work with current traumatic experiences. The purpose of the study is to develop and test a multifunctional tool for working with childhood trauma in conditions of long-term traumatic circumstances. Conclusions. The stories about Hibuki, through which the child identified with the hero of the story, contribute to the restoration of internal mechanisms of the psyche, which help the process of restoring the child's psychological health. A psychologist can use these stories both to rehabilitate a child's psyche and to diagnose his or her emotional state.

Deciphering Decision Making: The Interplay of Mood States and Decision Styles

Recent theories of Decision- Making have advocated the role of emotions in the cognitive processes of decisions. One such approach is the EIC model (Lerner et al., 2015) which posits – mood to indirectly affect decision making by impacting current emotions, indicating individual’s overall emotional states to indirectly influence cognitive decision processes. The study aimed to understand the role of emotions on decision making and the nuances that underlie it. The 6 main hypothesis of the paper focused on evaluating whether incidental emotions via current emotions affect decision making significantly or do decision styles have a stronger significant effect on decision making. The paper used a mixed method design where the qualitative data was collected via interviews and thematic analysis and labels were attuned via open coding that helped in triangulation and pattern generation. Tools used were the YDMC, Mood induction videos of OPENLAV Database, Decision Style questionnaire (DSQ), Ryff’s well-being scale and an Interview schedule. A purposive sampling was done to obtain the sample (N=29) for the pre-test post-test design. Results for the quantitative data concluded that sad and angry incidental mood had significant effects on FR1 and FR2 (Resistance to Framing and Sunken costs) of YDMC and, that happy mood had no significant effect on risk perception. The decision styles that have been seen to dominate were Vigilant followed by Dependent and Spontaneous style. For qualitative data, based on the dominant responses for the entire sample an Interactive Hexagonal map was constructed. STB (Self -thoughts & Beliefs), FP (Futuristic perspective), CE (Current experiences), EE (Environmental ‌effects), and PEx (Past experiences) were the dominant pattern connections found for the current sample. Thus, Incidental Mood had a significant effect on Resistance to Framing and Sunken costs whereas had no significant effect on Consistency with Risk Perception. Future work on the nuances of mood on decision-making can help determine the affective, cognitive, and neuropsychological models of decision-making where neural correlates could help delve deeper in these higher cognitive and emotional processes.

Collaboration in a Liminal Space: Pracademia

In the context of contemporary policy development in higher education, which focusses on student outcomes as a central measure of success, the recruitment of academic staff has diversified in response. The authors explore the insights, experience, knowledge, and skills that academics with either former or current practitioner experience (‘pracademics’ or second-career academics) can bring to this setting that can complement those of existing faculty. Drawing on findings from empirical, theoretical, and reflexive research, and experiences of developing associated research-informed communities of practice, the authors consider increasing debates around pracademia, the value of labels, the liminal spaces that pracademics occupy, and the potential roles of this group within wider policy agendas. In doing so, we outline the next stages for this research programme.

УЛУЧШЕНИЕ СИСТЕМЫ ВЗЫСКАНИЯ АЛИМЕНТОВ В КАЗАХСТАНЕ: ПРОБЛЕМЫ И ПЕРСПЕКТИВЫ

The main purpose of this study is to develop recommendations and practical solutions aimed at ensuring a more effective recovery of alimony and protecting the interests of children and other persons in need. The analysis of current legislation, international experience, judicial practice, and scientific research aimed at regulating issues of alimony liability is carried out. The relevance of this topic is due to the need to solve the systemic problems that families face when collecting alimony, as well as the importance of ensuring justice and the material well-being of children. The study examines key aspects of alimony recovery systems in Kazakhstan, including legal regulation, organizational mechanisms, sanctions applied to ensure the fulfillment of alimony obligations, and measures to support families. The methodology includes the analysis of international experience, the study of expert opinions, and the analysis of the effectiveness of measures taken in Kazakhstan. The results of the study reveal problems such as income instability and evasion of obligations, as well as successful practices, including the introduction of a Unified Register of Debtors and the tightening of debtor liability. The conclusions are aimed at proposing concrete measures to automate processes, tighten the responsibility of debtors, create a unified coordination structure, and improve information exchange. The proposed recommendations are intended to improve the system of alimony collection, ensuring more equitable and effective functioning in the interests of families and children in Kazakhstan.

THE CURRENT AND RETROSPECTIVE COGNITIVE RESERVE (2CR) SURVEY AND ITS RELATIONSHIP WITH COGNITIVE AND MOOD MEASURES

Abstract Cognitive reserve (CR) is often assessed with surveys spanning demographic, lifestyle, and socio-behavioral variables. The role of both past and current life experiences on CR has, however, rarely been examined. We developed the Current and Retrospective Cognitive Reserve (2CR) survey to assess classical CR proxies (socio-economic status, engagement in leisure and social activities) and other dimensions of potential importance (family engagement, religious/spiritual activity) both currently (CRc; in later adulthood) and retrospectively (CRr; as recalled from younger adulthood). We administered the 2CR, measures of general cognitive functioning, working memory (WM), vocabulary, fluid reasoning, and depressive symptoms (DS) to 235 community-dwelling Italian adults (ages 55-90 years). We used exploratory and confirmatory factor analyses to examine the 2CR latent structure, and we estimated correlations of its dimensions with cognitive abilities and DS. Analyses confirmed a three-level factor structure with two global CR factors (CRc and CRr) at the top level, dimensional CR factors (socio-economic status, family engagement, leisure activity, social engagement, and religious/spiritual activity) at mid-level, and observed items at the lowest level. Item-factor representations partially differed across CRc and CRr. Both CRc and CRr were positively correlated with measures of intelligence, WM, and DS. Associations with measures of intelligence were comparatively stronger for CRr, whereas associations of WM and DS were slightly stronger for CRc. The 2CR can be considered a reliable survey for assessing CR proxies within a multidimensional, “life stage-dependent” framework insofar as CRc are CRr closely related but also differently associated with intelligence, WM, and DS.

HEALTH-RELATED QUALITY OF LIFE IN OLDER ADULTS AFTER A FLOOD

Abstract Exposure to multiple back-to-back disasters may threaten physical and mental health for people who live in geographic areas that are prone to severe weather events. In 2005, coastal residents from south Louisiana lost homes in Hurricane Katrina and many moved inland to presumably higher and safer ground. In August of 2016, historic flooding brought widespread destruction, creating a second round of catastrophic losses for those who had permanently relocated to Baton Rouge, Louisiana after Katrina. The present research is part of a larger longitudinal study on health and well-being after multiple disaster exposures. In this study, we examined associations among current and prior flood experience and health-related quality indexed by the SF-36 Health Survey (Ware & Sherbourne, 1992). Three flood exposure groups were compared across two waves of testing: non-flooded (controls), single disaster (flooded in 2016) and double disaster (flooded in 2005 and again in 2016). Results indicated that the flood exposure groups did not differ in physical health, although mental health was poorer for those whose homes flooded relative to the non-flooded controls at both waves of testing. Correlation analyses revealed that age was negatively associated with intolerance of uncertainty and physical health, but positively correlated with mental health at both waves of testing, consistent with the inoculation view of post-disaster psychological reactions. Implications of these data for understanding health-related quality of life after multiple disaster exposures are discussed.

Subclinical Hypothyroidism and Functional Hemodynamics of the Heart

Subclinical hyperthyroidism (SHyper), a laboratory decrease in thyroid-stimulating hormone levels with peripheral thyroid hormone levels within the reference interval, is considered a medical condition, especially its impact on cardiac hemodynamics among young women. To determine the effects of subclinical thyroid dysfunction on hemodynamics in young women. clinical observation included two groups of women: (1) the main group consisted of 30 patients with subclinical hyperthyroidism, which was examined at the Family Medicine Clinic of the West Kazakhstan Marat Ospanov Medical University (Aktobe, Kazakhstan) and (2) the control group consisted of 30 practically healthy women. The groups were comparable in age (30–42), mean age 36.2±7.0 years. Blood pressure (BP) was measured, heart rate (HR) was counted, and thyroid hormones were determined. in the examined patients, clinical symptoms of pathology were not observed; laboratory tests determined a decrease in thyroid-stimulating hormone (TSH) in the main group of patients to 2.48±0.23 mIU/L in comparison with the control group 3.65±1.3 mIU/L, which was significant (p0.05) increase in blood pressure SBP/DBP from 122.34±2.7/78.3±2.7 to 127.8±3.1/83.2±2.1 mmHg and HR from 77.7±1.9 to 82.2±2.6 in 1 minute. A significant (r2 =0.482) interaction was determined between TSH -0.236 mIU/L and HP +20.3 in 1 minute, this could be a predictor of an increase in heart rate greater than the reference value (60–80 per minute), and an increased heart rate is considered a predictor of an increase in blood pressure. Subclinical hyperthyroidism may produce a significant laboratory decrease in TSH, without significant clinical symptoms of increased blood pressure. In conclusion, current observational experience suggests that small decreases in laboratory values of thyroid-stimulating hormone may affect blood pressure and heart rate.

PATTERNS AND THEMES OF OLDER ADULTS’ COPING ACROSS TWO YEARS OF THE COVID-19 PANDEMIC

Abstract Throughout the COVID-19 pandemic, older adults developed coping strategies to adapt to the necessary social distancing precautions intended to protect from severe illness. However, over time, especially as vaccines became available, their need and ability to adapt and cope shifted. This longitudinal, mixed-methods study investigates whether older adults’ perceptions of coping changed across the first two years of the pandemic and how older adults described their experiences with coping at different points during this time. Between April 2020 and June 2022, five waves of interviews were conducted with 76 Midwestern older adults between the ages of 70 and 97. At each timepoint, participants rated their level of perceived coping, quality of life, and stress. They also answered several open-ended questions about their current daily life and experiences during the pandemic. Repeated-measures ANOVAs indicated participants’ perceived coping and quality of life significantly increased between the first and final interview. Thematic coding of interview transcripts identified four themes of coping across two years of the pandemic: 1) staying occupied, 2) seeking social support, 3) cultivating an adaptive mindset, and 4) future planning. Theme meaning shifted once vaccines were available, as participants adapted to ‘a new normal’ lifestyle, gained realistic perspectives, and appreciated their own resilience. Findings suggest older adults had nuanced and shifting coping experiences throughout the initial two years of the pandemic, but overall coped by drawing on life experiences. Our discussion will highlight variability in older adults’ coping over time and directions for future study and practice.