Behavioral Disengagement Research Articles

15. STRESS AND COPING STRESS STRATEGIES AMONG 10TH GRADE ETHNIC BOARDING STUDENTS OF VIET BAC HIGHLAND HIGH SCHOOL FROM 2023 TO 2024

Objectives: Describe ways to cope with stress in 10th grade boarding ethnic students at Viet Bac Highlands High School from 2023 to 2024. Materials and Methods: Cross-sectional descriptive research design using a set of survey questions on 262 10th grade students at Viet Bac Highlands High School for the 2023-2024 school year from February 2024 to the end of March 2024. Results: The most frequently used Problem-Focused Coping (X̅ = 2.7 ± 0.91), followed by Emotion-Focused Coping (X̅ = 2.49 ± 0.99) and the least Avoidant Coping (X̅ = 2.23 ± 0.99). The most frequently used response is “Acceptance”, at least “Substance use”. Students having chronic disease tend to choose "Self-blame" and " Behavioral disengagement “. Meanwhile, students who do not have chronic disease tend to " Acceptance " and “Active coping” more when faced with stress. Conclusions: Among the 3 forms of coping: Focusing on emotions, focusing on problems and abnormal coping methods (a total of 14 coping methods), "Problem focusing" is the most popular form. used most often. Considering a total of 14 coping methods: the "Accepting the problem" method is the most used. Students with chronic diseases: this subject uses 5 methods: "Religion", "Denial", "Stimulant use", "Lack of engagement behavior", "Self-blame". “self” more than students without chronic diseases and the difference is statistically significant.

Emotional regulation and coping strategies predicted trajectories of anxiety across the first year of the COVID-19 pandemic.

Adverse impacts of the COVID-19 pandemic on mental health have been well-documented, but only a few studies have characterized distinct trajectories of anxiety over time. Further, whether specific emotion regulation and coping efforts to manage pandemic distress predict these distinct trajectories remains unexamined. The study characterized anxiety trajectories across the first year of the pandemic and identified emotion regulation and coping strategies that predict these classes of anxiety trajectories. A national sample of 1108 U.S. adults completed online surveys six times in the first year of the pandemic. Five emotion regulation and coping strategies were assessed (substance use, active, behavioral disengagement, positive reappraisal, and catastrophizing). Latent Growth Mixture Modeling (LGGM) analyses were performed to identify anxiety trajectory classes. LGMM revealed five latent classes: Resilience (consistently very low anxiety; 79.9%), Moderate Anxiety (8.8%), Chronic High Anxiety (4.6%), Improving-Worsening Anxiety (3.2%), and Worsening-Improving Anxiety (3.5%). Using substances, disengagement, and catastrophizing to deal with COVID-19 stress consistently predicted trajectories higher in anxiety as did active coping, while positive reappraisal was unrelated to trajectory class membership. These results identify emotion regulation and coping strategies that appeared to exacerbate anxiety during the course of the pandemic.

Usability of the digit-tracking technique in a geriatric population of inpatients with and without neurocognitive disorders: The DIGICOG-start study.

Tools for the early diagnosis of neurocognitive disorders (NCD) both accessible, fast, fun and efficient are currently needed. A digit-tracking technique (Digitrack) has been developed based on the exploration of blurred images on a tablet with the finger, related to the exploration of images during eye-tracking. The present study aimed at assessing the objective usability and the subjective User eXperience (UX) of the Digitrack by older adults according to the presence and the severity of NCD. A total of 135 patients were included in a geriatric acute care unit. Objective usability was assessed through the number of patients able to complete the Digitrack's training (3 images) and evaluation (20 images) phases. UX was measured through standard questionnaires (AttrakDiff and meCUE), and through the description of engagement behaviors following an internally developed scale which included 5 levels (interactive, constructive, active, passive and disengaged behaviors). The success rate of the device was 94.1%. The Digitrack had a very good overall attractiveness, standard hedonic and pragmatic qualities, and the emotions perceived were predominantly positive. These findings were not homogeneously observed in the whole studied population. Patients highly impaired due to NCD tended to rate the device with more neutral scores and to perceive more negative emotions. The participants mainly demonstrated active behaviors, but patients with severe major NCD were mostly passive. The study showed promising results regarding the usability and acceptability of a digit-tracking technique within older adults. Further studies should evaluate the potential of this novel methods to make a cognitive diagnosis.

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

Children with learning disability (LD) often experience a poor quality of life (QOL) compared to their peers without a known history of LD. Coping strategies are known to play a role in influencing their QOL. This study aims to compare the QOL and coping strategies between children with and without LD. Additionally, it seeks to evaluate how coping strategies impact the QOL of children with LD in the Eastern Governorate of Saudi Arabia. A representative sample of 6 to 18-year-old children with (n = 97) and without (n = 89) LD were recruited from different schools. The Short Form-12 (SF-12) health survey was used to assess both physical and mental health components, while the validated Coping Orientation to Problems Experienced Inventory (Brief-COPE) measured coping strategies. Data analysis included descriptive statistics (mean, standard deviation, percentage), independent t-tests, Spearman's correlation, and binary logistic regression. The results reveal that participants with LD show poor QOL in terms of role functioning, bodily pain, general health, vitality, social functioning, role emotion, and mental health in comparison to non-disabled children. Participants with LD show greater reliance on substance abuse and religious coping than non-disabled children. The results clearly indicate a fairly to moderately strong correlation between the physical component summary and all approaches to coping strategies except religious coping. Of all the approaches to coping methods, we observe a weak correlation among denial (r = -0.17, p < 0.05), substance abuse (r = -0.15, p < 0.05), and behavioral disengagement (r = -0.18, p < 0.05) with the mental component summary aspect of QOL. The results of logistic regression analysis indicate that grade (OR = 3.79; p = 0.01) is significantly related to LD. The physical component summary score is significantly associated with denial (β = -0.33, CI = -6.87--2.19, p < 0.01), and substance abuse (β = -0.14, CI = -4.96-0.40, p < 0.05), while the mental component summary is significantly associated with active coping (β = -0.30, CI = -4.50-0.76, p < 0.01), behavioral disengagement (β = -0.20, CI = -4.48-0.30, p < 0.05), and humor coping strategy (β = 0.22, CI = 0.06-4.55, p < 0.05). These findings are relevant to researchers, psychologists, special educators, teachers, and clinicians, given the need to understand the coping variables to improve the QOL of these learning-disabled children.

Stability and change in moral disengagement and bullying participation across three years of Japanese middle school

ABSTRACT The present study investigates the longitudinal relationships between bullying roles (bullying, passive bystanding, victimization) and moral disengagement to examine influences on the shifting role of bullying in Japanese middle school students. Participants were 271 Japanese students (Time 1: M age = 12.72, SD = .45, 136 boys and 135 girls) recruited from two public middle schools (9 classes). Five data collection occasions in Grades 7 to 9 alternated between surveys of self-reported bullying behavior (three timepoints) and moral disengagement (two timepoints). Structural equation modeling showed that moral disengagement was reciprocally related to bullying and passive bystanding. Victimization was only related to moral disengagement in Grade 9, such that moral disengagement in June predicted increased victimization experiences in December. These findings suggest that intervention and prevention programs in schools need to actively address moral disengagement, with a focus on bystanders as well as perpetrators and victims of bullying.

Resilience and coping styles in family caregivers of terminally ill patients: A cross-sectional survey.

Coping styles can be improved by dyadic palliative care interventions and may alleviate patients' and family caregivers' distress. Moreover, family caregivers' preloss resilience protects against depression after bereavement. This study aimed to determine the types of coping styles can be encouraged to increase resilience. A self-reported questionnaire survey was administered to family caregivers at the 4 palliative care units, and their resilience was assessed using the Connor-Davidson Resilience Scale (CD-RISC) and their coping styles were assessed using the Brief Coping Orientation to Problem Experienced, as well as their background characteristics. Among 291 caregivers with a mean CD-RISC score of 56.2 (standard deviation: 16.13), internal locus of control, educational level, and history of psychotropic drug use were associated with resilience. After adjusting for the aforementioned factors, more frequent use of positive coping styles such as active coping (Spearman's ρ = 0.29), acceptance (ρ = 0.29), positive reframing (ρ = 0.29), planning (ρ = 0.24), and humor (ρ = 0.18), was found to be associated with higher resilience. On the contrary, more frequent use of negative coping styles such as behavioral disengagement (ρ = -0.38), self-blame (ρ = -0.27), and denial (ρ = -0.14) was found to be associated with less resilience. By assessing internal locus of control, educational level, and history of psychotropic medication use of family caregivers, as factors associated with their respective resilience, may help identify less resilient family caregivers who are at risk for developing major depression after bereavement. In addition, coping skill-based educational interventions targeting patients and their family caregivers that focus on specific coping styles associated with resilience may increase family caregivers' resilience, resulting in less emotional distress and a lower risk of major depression after bereavement.

Coping strategies associated with art adherence among older adults living with HIV, South Carolina

ABSTRACT People living with HIV/AIDS (PLWH) are living longer due to improvements in HIV care including antiretroviral therapy (ART). Even though ART improves HIV prognosis and life expectancy, its adherence is hindered by many factors. As the population of older adults living with HIV (OALH) continues to increase, it is important to understand the psychosocial factors that are associated with living with HIV to improve ART adherence. The aim of this study was to determine the association between coping strategies and ART adherence. Data were obtained from 91 OALH at an immunology clinic in Columbia, South Carolina via purposive sampling. The participants were at least 50 years or older and living with HIV. Coping was assessed using the Brief COPE Inventory. Crude and adjusted linear regression models, controlling for age, race, gender, and were used to determine the association between coping strategies and ART adherence. Subgroup analyses were done to determine if the association between coping and ART adherence varied by gender. The analyses were conducted in SAS version 9.4. The mean difference in ART adherence was statistically significant for race (p = 0.0292). There was a statistically significant association between religion and ART adherence (β = −0.718, p = 0.024). Males who use venting as a coping mechanism had higher ART adherence (β = 1.227, p = 0.048), and males who use behavioral disengagement had lower ART adherence (β = -1.624, p = 0.003) after adjusting for age and race. OALH who use religion as a coping strategy were less likely to adhere to ART treatment. Venting and behavioral disengagement tend to be associated with ART adherence among men. Qualitative research is needed to delve deeper into the relationship between religious coping and ART adherence, especially among OALH.

Coping strategies and patient-reported outcomes (PROs) in early phase cancer clinical trial (EP-CT) participants.

245 Background: Individuals with cancer often rely on various coping strategies as they navigate their cancer course. Little is known about coping strategies among patients enrolled on EP-CTs or associations of these coping strategies with other PROs. Methods: We prospectively enrolled adults with cancer participating in EP-CTs at Massachusetts General Hospital from 4/2021-1/2023. Participants completed baseline surveys prior to EP-CT initiation that assessed coping strategies (Brief COPE), quality of life (QOL; Functional Assessment of Cancer Therapy-General), hope (Herth Hope Index), depression/anxiety symptoms (Patient Health Questionnaire-4), and financial wellbeing (COST tool). We used regression models to explore associations of coping strategies with patient characteristics and PROs (QOL, hope, depression/anxiety symptoms, financial wellbeing). Results: Among 205 participants (median age=63.3 [range: 31.8-88.6], 57% female), the most common cancer types were gastrointestinal (35%) and breast (20%). Patients in this cohort utilized the following coping strategies (range 0-6): acceptance (mean=4.81), emotional support (mean=4.63), active (mean=4.30), positive reframing (mean=3.13), religion (mean=2.77), self-blame (mean=.87), denial (mean=.59), and behavioral disengagement (mean=.36). Older age was associated with decreased use of self-blame coping (B=-0.02, p=.025). Female sex was associated with higher scores for denial (B=0.42, p=.009), emotional support (B=0.50, p=.037), positive reframing (B=0.57, p=.036), and religion (B=1.02, p=.001) coping compared with males. See table for associations of coping strategies with PROs (QOL, hope, depression/anxiety symptoms, financial wellbeing). Conclusions: In this cohort of EP-CT participants, we demonstrated that patients use multiple coping strategies and identified differences by age and sex. Notably, we found that some coping behaviors (acceptance, emotional support, positive reframing) were more favorably associated with QOL, hope, depression/anxiety symptoms, and financial wellbeing than others (denial, self-blame, behavioral disengagement). Interventions seeking to enhance PROs in this population should address patients’ use of coping strategies. Coping Strategy QOL Depression Anxiety Hope Financial Wellbeing Beta P Beta P Beta P Beta P Beta P Denial -2.81 .001 0.27 &lt;.001 0.39 &lt;.001 -1.26 &lt;.001 -0.96 .100 Active 0.51 .428 -0.06 .315 0.01 .874 0.98 &lt;.001 0.84 .065 Acceptance 3.13 &lt;.001 -0.15 .013 -0.22 .004 1.31 &lt;.001 1.40 .003 Self-Blame -5.30 &lt;.001 0.44 &lt;.001 0.56 &lt;.001 -1.35 &lt;.001 -2.94 &lt;.001 Emotional Support 1.34 .023 -0.12 .014 0.004 .945 1.03 &lt;.001 0.39 .328 Positive Reframing 1.19 .027 -0.11 .020 -0.08 .184 1.12 &lt;.001 0.13 .715 Behavioral Disengagement -5.99 &lt;.001 0.62 &lt;.001 0.52 &lt;.001 -2.66 &lt;.001 -1.38 .112 Religion 0.57 .195 -0.04 .307 -0.01 .812 0.62 &lt;.001 -0.31 .309

여자 대학생의 학업 정서 군집과 유형: 군집 간 수업 참여 및 학업성취도 차이 분석

Learners can experience mixed emotions simultaneously. This study identified the emotion clusters based on positive activated (e.g., energetic) positive deactivated (e.g., calm), negative activated (e.g., angry), and negative deactivated (e.g., fatigued) emotions experienced by students in academic situations. We also examined differences in behavioral engagement, cognitive engagement, disengagement, and academic achievement among the derived emotion clusters. A total of 159 undergraduate students enrolled at a university in the Seoul metropolitan area participated in this study. As results, first, four different emotion clusters were identified: Positive (37%), Negative (16%), High-Mixed (31%), Moderate-Mixed (16%) clusters. Second, there were significant differences in the level of class engagement among the four clusters, with the Positive cluster generally showing a higher level of class engagement and the Negative cluster showing a lower level of class engagement. The High-Mixed cluster showed a similar level of class engagement to the Positive cluster but also displayed a higher level of disengagement. However, there were no significant differences in academic achievement according to the emotion clusters. This study empirically confirms that undergraduate students in academic situations often feel mixed rather than singular affects, through person-oriented analysis. Additionally, by examining the relations between the emotion clusters and academic-related variables, this study provides implications on which emotions should be educationally supported to enhance learning experiences.

Surviving the atrocity: A study of resilience and coping behaviour among Ukrainians during the Russo-Ukrainian war.

The study was conducted during the first 8 months of the Russo-Ukrainian war, investigating an interplay of resilience, coping strategies and perceived stress in Ukrainians of various age groups, war experiences and displacement statuses. The study was conducted on the sample of 18-76-year-old Ukrainians (n = 337) using the COPE, CD-RISC-10 and PSS-14 scales. It aimed to understand how Ukrainians cope with war-stressors and stay resilient. Data analyses, including Bayesian ANOVA, independent samples t-tests, linear regressions and bivariate correlation, were conducted using JASP and IBM SPSS-23. The results of the quantitative study showed that Ukrainians attributed their resilience to perceived self-efficacy, regulating emotions and flexibility. It was also found that the pattern of most and least preferred coping strategies was relatively consistent across all the sample subgroups. Thus, to cope with war, Ukrainians relied on 'planning', 'positive interpretation and growth', 'acceptance' and 'active coping' and refrained from 'behavioural disengagement', 'denial' and 'substance use'. It was concluded that coping strategies may be significant predictors of Ukrainians' resilience.

Psychological distress, social media use, and academic performance of medical students: the mediating role of coping style

BackgroundGiven that social media use (SMU) is an increasingly widespread activity among university students, more information is needed to evaluate its relationship with students’ mental health, particularly medical students.ObjectiveThe present study assessed the relationships between SMU and coping style with psychological distress and academic performance of medical students.MethodsAn offline cross-sectional survey conducted with 398 undergraduate medical students. The survey collected data on demographics, psychological distress (DASS-21), coping strategies (Brief COPE Scale), academic performance (grade point average) and estimated average time spent on social media per day. Structural equation modeling was used to clarify relationships between the main study variables. The study also examined the mediating effect of maladaptive coping between SMU and psychological distress.ResultsStudents with higher levels of psychological distress were more likely to be engaged in frequent social media use. Spending more than two hours a day on social media use had a positive association with maladaptive coping (p < 0.001), particularly with substance use and behavioral disengagement both of which could negatively affect academic performance. Maladaptive coping mediated the relationship between students’ SMU and psychological distress.ConclusionThe findings suggest that medical students commonly use social media as a maladaptive coping tool to deal with psychological distress. Empowering students to adopt and foster appropriate coping strategies could help them to enhance resilience against life stresses and ameliorate potential long-term mental health consequences associated with maladaptive behaviors.

Depression, anxiety and coping strategies among Palestinian university students during political violence: a cross sectional study.

There are numerous wars and ongoing political violence in Palestine and little is known about how they have affected Palestinian undergraduate students' mental health and coping strategies. This study aimed to assess the prevalence of depression, and anxiety symptoms and coping mechanisms among Palestinian university students during the times of current political violence in Palestine after October 7, 2023. A cross-sectional descriptive study design was utilized for a sample of students from 3 universities in Palestine (Al Quds University, Hebron University, and An-Najah University) and 1815 participants responded. Data were collected using self-reported questionnaires, including Hospital Anxiety and Depression Scale (HADS) and Brief COPE scale. Person correlation test, chi-square test, and bivariate analysis were performed to examine the associations between research variables. The estimated prevalence of depression was 65.9, and 60.9% for anxiety. The logistic regression showed that students from the Arts Faculty, females, and those with working parents were significantly more likely to experience depression and anxiety symptoms. Also, active coping, emotional support, and humor reduced the likelihood of experiencing depression symptoms, while active coping, positive reframing, humor, and acceptance decreased the likelihood of developing anxiety symptoms. Further, the study found that using religion, self-blame, denial, and behavioral disengagement increased the likelihood of depression symptoms while planning, venting, religion, self-blame, denial, and behavioral disengagement increased the likelihood of anxiety symptoms. The study found that political violence often leads to symptoms of depression and anxiety among undergraduates. Furthermore, the use of maladaptive coping mechanisms increases the likelihood that these symptoms will occur. Providing immediate assistance to university students affected by political violence and conflicts is crucial for their emotional and mental recovery and coping with difficulties.

Parental Stress and Coping Strategies in Parents of an Educational Institution in Times of COVID-19

As a consequence of the COVID-2019 pandemic, parents had to adapt to a new way of life, facing different stressors through the use of coping strategies. The aim of the study was to establish the relationship between parental stress and coping strategies in parents of an educational institution in the district of Cartavio, Peru. The research was descriptive-correlational, non-experimental cross-sectional design, with a sample of 108 parents, using the Parental Stress questionnaire, in its reduced version and adapted to the Peruvian context, and the Stress Coping Estimation Inventory (COPE). The results indicate a positive relationship between parental stress and the strategy of behavioral disengagement; parental stress levels belonged mostly to the medium category with 67.5%; the predominant stress coping strategies were active coping and positive reinterpretation - personal development, both with 18.5%. It is concluded that there is a relationship between the parental stress strategy and behavioral disengagement.

How is variability in physiological responses to social stress related to punishment and reward sensitivities? Preliminary findings from the revised reinforcement sensitivity theory of personality perspective

ABSTRACT Objective: Although personality traits are assumed to have biological/physiological foundations, research has yielded mixed evidence regarding the relationship between personality and physiological stress responses. Moreover, the field has often overlooked the contemporary neuroscience-based personality approach, known as the Reinforcement Sensitivity Theory (RST) of Personality, in stress research. Method: The present study examined the relationship between the revised RST's personality dimensions and heart rate and skin conductance level (SCL) in response to the Trier Social Stress Test in a sample of 61 healthy university students. Results: Piecewise latent growth curve analysis controlling for the participants’ current life stress, smoking use, and caffeine intake revealed that individuals with higher behavioral inhibition exhibited higher physiological reactivity, whereas those with high reward sensitivity showed smaller heart rate reactivity. The behavioral disengagement facet of the behavioral inhibition scale was associated with reduced sympathetic arousal during the stress task. Additionally, reward interest was associated with a larger recovery of SCL. Conclusion: Results were generally in line with the revised theory. The study findings were discussed within the paradigm of the approach-avoidance conflict and highlighted the importance of reward sensitivity in stress resilience.

Risk Factors for Suicide Among Professional Athletes.

Suicide is a major public health concern that affects all demographics. Risk factors for suicide in professional athletes are poorly understood compared with the general population. The goal of this study was (1) to explore the current literature on risk factors for suicide in the population of professional athletes and (2) to formulate a proposed suicide risk identification tool as the first step in the production of a validated screening method specific to this population. A comprehensive literature search for relevant publications was carried out through 7 databases. There is some evidence to suggest that retirement, anabolic androgenic steroid use, sexual abuse victimization, health problems, financial issues, relationship issues, having immigrant parents, having a financially disadvantaged childhood, using self-blame or behavioral disengagement as a coping strategy, changes in appetite or weight, sleep problems, reduced competitiveness, and thinking about a career after retirement are potential risk factors for suicide in this population. There is limited evidence to suggest that having a career in elite or professional sports, participation in contact sports, and participating in specific sports that are not associated with a higher suspected prevalence of performance-enhancing drug use are potential risk factors. This study identified potential risk factors for suicide among elite and professional athletes. These findings were used to help formulate a proposed suicide risk identification tool. Future research is recommended to explore and clarify specific risk factors for suicide in this population and to test the validity of the proposed tool.

Maladaptive Personality Characteristics, Coping and Situational Factors Predict Symptoms of Complicated Grief and Health Difficulties.

Grief responses range from minimal changes in functioning to debilitating, prolonged, complicated grief. The objective of the current study was to clarify the relationship between maladaptive personality characteristics, coping and situational factors associated with symptoms of complicated grief and health difficulties among bereaved individuals who had lost a loved one within the past six months to two years (N = 304; 59% male; M age = 33.49, SD = 9.98, range 20-81). Situational risk factors, coping (self-distancing, denial, substance use, positive reframing, acceptance, religion, self-blame, behavioral disengagement, venting and humor) and maladaptive personality traits significantly predicted either symptoms of complicated grief or health difficulties. Coping strategies partially mediated the relationship between maladaptive personality traits and symptoms of complicated grief and health difficulties. Overall, these findings highlight the importance of maladaptive personality traits and coping strategies in the conceptualization of complicated grief and should be a greater focus of clinical intervention.

Stress, Coping, and Mental Health Among Local Government Officials: A Longitudinal Study

This study investigated the mediating role of perceived stress in long-term development of posttraumatic stress symptoms (PTSS) and emotional distress among local government officials over seven years after the Wenchuan earthquake in China. Moreover, how dysfunctional coping would impact the relationship between perceived stress and PTSS or emotional distress was examined. Data were collected one year (T1) and seven years (T2) after the earthquake. Trauma experience, PTSS, and emotional distress were measured at one year. PTSS and emotional distress were re-assessed at seven years together with perceived stress and dysfunctional coping (i.e., behavioral disengagement, denial, self-distraction, self-blame, substance use, and venting). Mediation analyses were conducted to examine the mediating role of perceived stress. Moderated mediation analyses were performed to test the moderation effect of dysfunctional coping. Perceived stress fully mediated the association of T1 emotional distress with its’ T2 scores (indirect effect: B = 0.10, SE = 0.04, β = 0.11, 95% CI [0.02, 0.18]), while did not mediate the association of T1 PTSS with T2 PTSS (indirect effect: B = 0.04, SE = 0.03, β = 0.04, 95% CI [−0.02, 0.10]). Compared to a low frequency use of dysfunctional coping strategies (ps = 0.148–0.326), the detrimental effects of perceived stress on PTSS and emotional distress were stronger at higher levels of dysfunctional coping strategies (ps < 0.001). This study highlights the importance of paying attention to the adverse impacts of perceived stress and dysfunctional coping on long-term mental health outcomes among local government officials after disasters.

Coping strategies and symptoms of Adjustment Disorder among adults with Attention Deficit Hyperactivity Disorder (ADHD) during the Covid-19 pandemic.

The current study examined whether coping strategies and symptoms of Adjustment Disorder in adults with ADHD differed from what was observed in the general adult population during the Covid-19 pandemic, and compared the extent to which coping strategies and symptom levels of Adjustment Disorder were related to ADHD. This cross-sectional study was based on survey data collected during the spring of 2021 from 231 adult ADHD patients in specialist care and 1148 volunteers without ADHD in Sweden. The survey included questions about sociodemographic and clinical characteristics, along with the Brief-COPE and Adjustment Disorder-New Module 8 questionnaires. Regression models adjusting for sociodemographic and clinical characteristics were used for between-group comparisons of coping strategies and symptoms of Adjustment Disorder. There were some notable differences in the use of coping strategies between persons with and without ADHD; however, many of these differences were not observed in the adjusted models. The use of behavioral disengagement was more frequently observed among individuals with ADHD, whereas planning was more common among individuals without ADHD. Individuals with ADHD appeared to show higher symptom levels of Adjustment Disorder during the pandemic. Passive coping strategies, such as denial, self-blame, and behavioral disengagement, were associated with higher symptom levels of adjustment disorder in both individuals with and without ADHD. In conclusion, the results highlight that persons with ADHD may need more support to adjust to large societal changes than the general public. Potential targets for intervention towards members of this group include reducing resignation and maladaptive coping strategies.

Maintaining the Psychological Well-Being of Physicians in the Uncertain Work Environment: A Practitioners Perspective

COVID-19 significantly altered the healthcare ecosystem and forced us to stretch the capacity to ensure healthcare delivery services. Physicians were on the frontline and acted as an important cog in the wheel of healthcare delivery. This unprecedented situation forced them to adopt to a new norm amidst uncertainty, potentially impacting their mental well-being and overall health. The study aims to investigate the coping strategies for physicians to maintain their psychological well-being during uncertain events such as COVID-19. By employing Analytic Hierarchy Process (AHP), the research prioritizes coping strategies that can improve physicians’ psychological well-being. This study affirms that the physicians working in healthcare during pandemic preferred adaptive strategies over maladaptive strategies. Maintained exercise, yoga/meditation (or similar), and behavioral disengagement are the three most preferred coping strategies. The study will benefit physicians and the policy makers, to achieve their agenda of enhancing physicians’ psychological resilience during uncertain events, ultimately contributing to the continuity and quality of healthcare delivery.

The impact of abuse experiences and coping responses on distress and mental health outcomes in sports officials

ABSTRACT Sports officials (e.g., referees) experience multiple role-related stressors, including episodes of verbal, physical, and social media abuse. However, the impact of strategies employed to cope with abuse experiences is unknown. The aims of this study were to: (i) explore the prevalence and frequency of abuse experiences over a single season, (ii) determine the impact of abuse and other stressors on sports officials’ mental health, and (iii) understand the mental health impact of strategies utilised by sports officials to cope with abuse experiences. A total of 303 Gaelic games match officials completed an online survey measuring stressors (including abuse experiences), coping strategies, and mental health outcomes. Correlational and path analyses explored relationships between abuse experiences, coping strategies, distress, and subsequent mental health outcomes. In total, 88.11% of officials reported experiences of verbal abuse, 7.59% physical abuse, and 17.16% social media abuse during the previous season. Greater use of both avoidance-cognitive and approach-oriented coping was associated with higher distress and poorer mental health outcomes following verbal abuse. Moreso, greater use of avoidance-cognitive strategies to cope with verbal abuse from players predicted higher distress which, in turn, predicted higher anxiety, higher depression, and lower mental well-being. For social media abuse, self-blame, planning, and behavioural disengagement were associated with poorer mental health. The findings suggest that sports officials employ maladaptive coping for abuse experiences, negatively impacting on mental health outcomes. Developing alternative strategies, such as mastery-oriented coping, may help sports officials to deal with abuse experiences and better protect their mental health.