Behavioral Disengagement Research Articles

Perceived stress, sources of stress and coping strategies among undergraduate medical students of Nepal: a cross-sectional study

Background: Medical students are subjected to various stressors throughout their training, which has a considerable impact on their physical and mental health. Some students have positive ways of coping, while others take to maladaptive coping measures. This study aims to assess severity, sources of stress, and coping strategies among medical students of a non-Western low-income country from South Asia. Methods: A self-administered questionnaire-based cross-sectional study was carried out. Demographic variables were collected and stress level was assessed using PSS 14 (Perceived Stress Scale 14). The sources of stress were assessed using MSSQ (Medical Student Stressor Questionnaire) and coping strategies were evaluated using the Brief-Coping Orientation to Problems Experienced 28. Results: The response rate was 95%. The mean PSS score was 27.85. Overall, 55% of students were stressed (male 52%, female 60%), the difference among gender was not significant. Basic science students perceived higher levels of stress than clinical clerkship students. Academic related stressors caused higher stress, whereas other variables caused moderate stress. The major stressors were examinations, inadequate time to study, poor marks, extensive amount of learning content, and the need to performing well in the exam. The five most common coping strategies used were active coping, acceptance, planning, self-distraction, and instrumental support. The least common coping mechanism was substance use. All MSSQ domains positively correlated with the total PSS score. Students with higher PSS scores were likely to use behavioral disengagement, venting, and self-blame as the primary coping strategies. Conclusions: Stress level among the medical students is high and mainly in relation to academia. Inadequate guidance from teachers contributed significantly. Stressed students were likely to use maladaptive coping strategies. Strategies to enhance teacher-student communication and adaptive coping measures should be implemented. Further studies should be done to evaluate the effects of stress on the academic outcomes of students.

Effects of COVID-19 on Mental Health and Its Relationship With Death Attitudes and Coping Styles Among Hungarian, Norwegian, and Turkish Psychology Students.

The purpose of this study was to investigate mental effects of coronavirus disease 2019 (COVID-19) and its relationship with death attitudes and coping styles among Hungarian, Norwegian, and Turkish psychology students. A total of 388 participants from Hungary (N = 122, 31.4%), Norway (N = 96, 24.7%), and Turkey (N = 170, 43.8%) were recruited during the pandemic. The Depression, Anxiety and Stress Scale, the Impact of Event Scale-Revised, the Carver Brief COPE Inventory, and the Death Attitude Profile-Revised were used. The results indicated that escape acceptance might be the most maladaptive death attitude during COVID-19, as it was related to poorer mental health among the Hungarian, Norwegian, and Turkish psychology students. Self-blame, behavioral disengagement, self-distraction, and substance use coping styles were also related to poorer mental health, whereas positive-reframing (only among the Hungarian and Turkish participants) and humor (only among the Norwegian participants) were related to better mental health among our sample in the context of COVID-19. The findings implied that death attitudes and coping styles may differ in their efficacy among the Hungarian, Norwegian, and Turkish participants. These differences were discussed in detail in the discussion part. During the pandemic, practitioners might pay closer attention to patients with higher escape acceptance death attitude and patients who use dysfunctional coping styles. Additionally, patients can be encouraged to use techniques involving positive reframing and humor coping styles.

Coping with Stress During the Second Wave of the COVID-19 Pandemic by Polish University Students: Strategies, Structure, and Relation to Psychological Well-Being.

PurposeThe aim of the study was to establish a hierarchy of strategies and the structure of copIng with the stress of the COVID-19 pandemic by university students and the relationship between coping strategies and psychological well-being.Participants and MethodsAn exploratory study was conducted using a cross-sectional research design. The study involved 1330 university students, aged 18 to 30 years. The Brief COPE Scale, being the Polish adaptation by Juczyński and Ogińska-Bulik, and the short version of the Psychological General Well-Being Index (authors’ adaptation) were used.ResultsAcceptance, doing something else, active coping, and physical activity were the most commonly used strategies for coping with stress during the second wave of the pandemic. Substance use, denial, and behavioral disengagement were lowest in the hierarchy of coping strategies. Female and master’s students used a variety of strategies more than male and bachelor’s students. Coping strategies correlated significantly with psychological well-being. Four second-degree factors were distinguished, explaining 55.1% of the total variation: maladaptive coping, coping by support, by positive reappraisal, and by action. Stepwise regression analysis confirmed the importance of the second-degree factors as predictors of psychological well-being.ConclusionOur findings show that young adults studying at the university of physical Education in Poland used adaptive strategies to cope with stress during the second wave of the COVID-19 pandemic. Gender differences in coping with pandemic stress are similar to those found in previous studies. The structure of coping with pandemic stress is to some extent similar, but also partially dependent on various cultural factors.

Lockdown Impact on Stress, Coping Strategies, and Substance Use in Teenagers.

BackgroundIn response to the COVID-19 pandemic, the French government took many measures, the most notable of which was a national lockdown on 17 March 2020. Its effects have been widely studied, but to our knowledge, no study has sought to determine how adolescents have adapted to cope with this situation. The present study set out to explore teenagers' stress levels, coping strategies, and substance use during this period.MethodsThis paper is a cross-sectional study that rides on an existing prevention program interviewed 348 French middle school students (209 girls and 139 boys) in grade 8 (Mage = 13.45; SDage = 0.54) using an online questionnaire between March 17 and May 11, 2020 (COVID-19 lockdown). The study examined the teenagers' perceived stress, coping strategies they had used, including recent use of tobacco, alcohol and cannabis, during COVID-19 lockdown.ResultsTeenagers reported lower perceived stress during lockdown than usually, with a significant decrease for girls. Those who perceived the least social support reported the highest levels of stress. The strategies of planning, behavioral disengagement, self-distraction, positive reframing, acceptance, and religion were used more than usual, while active coping and self-blame were used less. Acceptance was the most often used strategy and a source of decreased stress during lockdown. A significant decrease in recent tobacco, alcohol and cannabis use was also observed.ConclusionChanges in the use of coping strategies, withdrawal from the stressful school environment, and greater exposure to parents than to peers caused adolescents to be less stressed and to decrease their substance use during the lockdown.

Coping and guilt in informal caregivers: a predictive model based on structural equations

ABSTRACT Caregivers experience great stress, and coping can be one of the factors, which determine the extent of stress. The aim of the present paper is to analyze the effects of coping strategies on distress of the older adult’s caregiver, including guilt as a mediating factor in those maladaptive strategies. The sample consisted of 201 informal caregivers of institutionalized older adults. The three constructs measured were: stress, guilt, and coping strategies. Results showed that strategies that have a better ability to reduce stress are active, positive reframing and acceptance; on the contrary, behavioral disengagement, self-distraction, self-blame and venting positively predicted the feeling of guilt that facilitated the perception of stress. Given the important association obtained between the experience of guilt and psychological distress in caregivers, it could be relevant to develop psychoeducational interventions with caregivers including techniques to reduce this feeling of guilt and develop cognitive behavioral strategies that facilitate adaptation.

Focus on and venting of negative emotion mediates the 18-year bi-directional relations between major depressive disorder and generalized anxiety disorder diagnoses

BackgroundMyriad emotion regulation and coping theories have proposed that avoidant/emotion-oriented coping is a cause and consequence of anxiety and depression. However, few studies have investigated potential mechanisms underlying the prospective anxiety-depression disorder relation. The current study examined various coping strategies (i.e., denial, focus on and venting of emotion (FOAVE), and behavioral disengagement) as potential longitudinal mediators between generalized anxiety disorder (GAD) and major depressive disorder (MDD). MethodsIn a nationally representative sample of adults (N = 3,294), MDD and GAD were assessed at Time 1 (T1) and Time 3 (T3) (Composite International Diagnostic Interview – Short-Form), and avoidant coping strategies (denial, behavioral disengagement, and FOAVE) were measured at Time 2 (T2) (Coping Questionnaire). Assessments occurred over 18 years, each spaced approximately 9 years apart. Structural equation modeling mediation analyses examined whether T1 MDD predicted T3 GAD (and vice versa), and if T2 avoidant coping mediated these relations, above and beyond baseline comorbidity. ResultsFOAVE mediated the T1 MDD–T3 GAD association, and vice versa. Presence of T1 MDD and GAD predicted more T2 FOAVE, and greater T2 FOAVE forecasted T3 MDD and GAD, accounting for 16–21% of the longitudinal MDD-GAD relations. However, behavioral disengagement and denial did not mediate the prospective MDD-GAD relations. Also, T1 MDD and GAD forecasted greater T2 behavioral disengagement. ConclusionsThe use of FOAVE, may be a mechanism by which MDD earlier in life may lead to GAD 18 years later, and vice versa. Theoretical and potential clinical implications are discussed.

Coping strategies and depression among Bedouin mothers raising an adolescent with a developmental disability.

Many studies have examined the coping strategies and depression of mothers of children with disabilities, but most have involved Western families and only a few refer to unique and traditional cultures. The main goal of the current study was to assess depression among Bedouin Israeli mothers raising children with developmental disability (DD) and how it is linked to their coping strategies. The study included a sample of 95 Bedouin mothers of adolescents with and without DD in Israel. Self-report measures of CES-D and Brief Cope were used to measure depression and coping strategies. Findings revealed an alarmingly high prevalence of severe depression among Bedouin mothers, especially among those raising a child with DD. Mothers raising a child with a developmental disability tended to use avoidant coping more often, while the use of active coping strategies did not differ between the two groups. Adaptivity of planning and behavioral disengagement was found to be context dependent. Findings underscore the vulnerability of Bedouin mothers living in Israel, and particularly Bedouin mothers raising a child with a DD which are a double jeopardy group.

Профили жизнестойкости подростков (на примере подростков с врожденной, приобретенной инвалидностью и здоровых сверстников)

The problem of the research is important in the context of psychological assistance and interaction with adolescents with disabilities. The study aimed to carry out a comparative analysis of the resilience profiles of adolescents with congenital (cerebral palsy), acquired disabilities (oncology, rheumatic diseases) and healthy peers. The study involved 51 adolescents with cerebral palsy, 61 with oncological diseases, 51 with rheumatic diseases and 86 conditionally healthy adolescents aged 13 to 18 years old. In total it embraced 249 teenagers (mean age 14.94+1.48), of which 128 were male and 121 were female. There were used the following methods: the “Victimity” questionnaire (M.A. Odintsova, N.P. Radchikova), “Resilience Test” (E.N. Osin, E.I. Rasskazova) and “COPE” questionnaire (E.I. Rasskazova, T.O. Gordeeva, E.N. Osin). The study revealed significant differences in the resilience profiles of adolescents from different groups: healthy teenagers are mainly characterized by unstable and resilient profiles; adolescents with oncology and rheumatic diseases — by all three profiles; adolescents with cerebral palsy — by victim and unstable ones. The female part of the sample, unlike the male part, are characterized by unstable and victim profiles. The most significant differences in groups with different resilience profiles were found in coping strategies related to the dysfunctional coping style. The use of coping strategies: behavioral disengagement, mental disengagement, concentration on emotions and humor leads to a decrease in resilience in the boys of the entire sample. Concentration on emotions, behavioral disengagement, mental disengagement, and infrequent use of active coping are predictors of reduced resilience in girls.

Psychological disorders in patients with orthopaedic oncological diseases and their coping strategies.

This study aimed to determine the prevalence and risk factors of anxiety and depression among orthopaedic oncology patients, their quality of life and coping strategies. This cross-sectional study recruited patients from the outpatient orthopaedic oncology clinic at a tertiary institution. Data were collected from self-report questionnaires: Hospital Anxiety and Depression Scale Hospital Anxiety Depression Scale, World Health Organization Quality of Life (WHOQOL-BREF) and Brief Coping with Problems Experienced (Brief COPE). Risk factors were analyzed with multiple logistic regression. 191 patients were recruited. The median age was 39.4 years old (IQR 35.0). 29.8% had anxiety, 16.2% had depression, and 15.2% had mixed anxiety and depression. Quality of life median scores differed significantly between patients with anxiety and no anxiety and patients with depression and no depression (p < 0.001). Patients with mixed anxiety and depression had a more inferior quality of life (p < 0.001). Age, psychological health and radiotherapy were inversely associated with anxiety. Physical and psychological health were significantly associated with less depression. Ongoing chemotherapy was significantly associated with anxiety and depression. The commonest coping strategies were denial, behavioural disengagement, venting and self-blame. Anxiety and depression are prevalent among orthopaedic oncology patients. Patients with mixed anxiety and depression had a more inferior quality of life. Patients with ongoing chemotherapy had higher risks of anxiety and depression. The commonest coping strategies were denial, behavioural disengagement, venting and self-blame. Psychosocial evaluation followed by appropriate psychiatric referrals and consultations could be established to facilitate orthopaedic oncology patients during their course of treatment.

Burnout and coping strategies among future healthcare professionals: A structural equation modelling approach

Background/Aim. To reduce the risk of burnout development in medical professionals, it is important to identify the contributing factors as early as in their schooling years. The aim of this study was to propose a model for determining the relationship between the coping strategies used by medical high school and medical faculty students and burnout. Methods. The cross-sectional study included 164 students of Medical High School (80.5% female and 19.5% male) and 344 students of the Faculty of Medicine University of Belgrade, Serbia (76.9% female and 23.1% male). The model exploring the relationship between coping strategies (measured by the Brief COPE scale) and burnout [measured by the Copenhagen Burnout Inventory-student version (CBI-S) scale] was tested using structural equation modelling (SEM) analysis. Results. When copied with stress, Medical High School students used Acceptance, Venting, Behavioural Disengagement, and Planning, which increased their burnout, but they did not use any strategies to help them reduce burnout. When copied with stress, Faculty of Medicine students used Planning, Acceptance, Humour, Venting, Behavioural Disengagement, Self-Blame, and Substance Use, which increased their burnout, and Positive Reframing, which helped them reduce burnout. Conclusion. The results of this research showed an evident lack of using adaptive coping strategies with both groups of respondents. Proper education could help them replace these dysfunctional coping strategies with constructive ones.

Coping styles in parents of children with Thalassemia in West Bengal

Background: Thalassemia is stress inducing, and the parents of the affected child develop a variety of coping strategies in response to that stress. Objective: The objective of this study was to find coping styles adopted by parents of thalassemic children and to identify factors associated with their coping. Materials and Methods: This cross-sectional survey was conducted in 2016–2017 involving 96 randomly selected parents of thalassemic children attending the Thalassemia Clinic of Bankura Sammilani Medical College and Hospital. Data were collected via interview using predesigned questionnaire and Brief-COPE inventory. Analyses were done estimating mean and proportion and using Pearson correlation coefficient (r), unpaired t-test, analysis of variance, and multiple linear regressions. Results: Two third of participants were mothers (66.7%) accompanying thalassemic children. Majority of them were aged within 21–30 years (55.2%), Hindu (84.4%), rural inhabitants (96.9%) and belonged to backward class (60.4%). Majority (72.9%) were from joint family of lower socioeconomic strata (94.8%). The age of thalassemic children was 80.47 ± 42.49 (mean±sd) months. Most of them were male (53.1%). Majority of thalassemic children was born in first birth order (63.0%) and diagnosed before attaining first birthday (71.0%). More than 60% of the participants were using acceptance coping “a lot.” The most commonly used coping strategies were active coping, acceptance, planning, and religion. In multivariable analyses, overall coping was found to increase by 0.331 on every unit decrease of age at diagnosis of thalassemia of children and to decrease by 0.116 unit on every unit increase of age of respondents. Conclusion: Acceptance coping was used effectively rather than behavioral disengagement, which suggests that a positive attitude toward stress is present but needs to be better handled. Counseling and psychotherapy for parents of thalassemic children can be provided through an intervention program.

Возможности диспозиционной и ситуативной оценки копинг-стратегий (на примере применения общей и специфичной для пандемии версий методики COPE)

The problem of stability / variability of ways of coping with stress and of the need of diagnostic of situational coping is actual for both psychology of stress and self-regulation psychology. The pandemic situation presents a model of the overall stressful situation that allows such a comparison. The aim is to reveal methodological differences in assessing general and specific (for a pandemic situation) coping strategies and their relationship with the reaction to a pandemic and subjective well-being, and their dynamics over 3—4 weeks of the self-isolation regime. 402 adults filled the general and situational (for a pandemic) versions of COPE, Satisfaction With Life Scale, Scale of Positive And Negative Experiences, measures for anxiety and adherence to self-isolation recommendation. After 3—4 weeks, 203 respondents re-completed the well-being and pandemic reaction scales. The results demonstrate that in a pandemic situation, people are more likely to report using behavioral disengagement, restraint and acceptance, and less often to report all other strategies than in general. Situational use of emotional support and emotions venting improve the prediction of anxiety of the negative consequences of a pandemic and anxiety of infection. Denial and non-acceptance of the pandemic predict low adherence with recommendations. An increase in infection anxiety in 3—4 weeks is more pronounced in those using emotional support and substances, while decrease in anxiety of negative consequences — in those with lower use of emotional support and lower behavioral disengagement in pandemic.

Anxiety and coping strategies among nursing students returning to university during the COVID-19 pandemic

BackgroundDespite the continued expand of the coronavirus disease 2019 (COVID-19) pandemic, nursing students are returning to on-campus learning and training in clinical settings. The COVID-19 pandemic might constitute a new source of anxiety that increases the already high anxiety levels of nursing students. This study aimed to assess the COVID-19 infection-related anxiety and coping strategies among nursing students returning to university campuses during the COVID-19 pandemic in Jordan. MethodsA cross-sectional study was conducted on a sample of 282 nursing students who returned to campus during the summer semester of the academic year 2019/2020. The returning students were invited to complete an online questionnaire consisting of three parts: 1) sociodemographic variables and infection-related information, 2) the Generalized Anxiety Disorder 7 (GAD-7) Scale, and 3) the Brief-Coping Behavior Questionnaire (Brief-COPE). ResultsOf the participating students, 70.6% reported mild to severe anxiety levels. Female students and students who had fears of becoming infected with COVID-19 were found to be at higher risk of anxiety than were other students. A positive correlation was found between students’ anxiety levels and their dysfunctional coping strategies, which included denial, behavioral disengagement, venting, and self-blame. Students who had chosen to study nursing willingly used coping planning. Further, other sociodemographic variables and infection-related information were associated with dysfunctional and emotion-focused coping strategies. ConclusionsThe participating nursing students showed significant COVID-19-related anxiety upon returning to on-campus learning. Unfortunately, the students were found to use some dysfunctional coping strategies which were associated with increased levels of anxiety. The results highlight the important role of universities and nursing faculty members in supporting students emotionally and ensuring their personal safety inside the classroom and in clinical settings.

Conducting oral and written language adapted tele-assessments with early elementary-age children with autism spectrum disorder.

Due to the COVID-19 pandemic, tele-health has gained popularity for both providing services and delivering assessments to children with disabilities. In this manuscript, we discuss the process of collecting standardized oral language, reading, and writing tele-assessment data with early elementary children with autism spectrum disorder (ASD) and offer preliminary findings related to child and parent engagement and technology issues. The data presented are from pretest assessments during an efficacy study examining the electronic delivery of a listening comprehension intervention for children with ASD. Pretest sessions included a battery of standardized language, reading, and writing assessments, conducted over Zoom. The authors operationalized and developed a behavioral codebook of three overarching behavioral categories (parent involvement, child disengagement, and technology issues). Researchers coded videos offline to record frequencies of indicated behaviors across participants and assessment subtests. Involvement from parents accounted for the highest number of codes. Children showed some disengagement during assessment sessions. Technology issues were minimal. Behavioral categories appeared overall limited but varied across participants and assessments. Parent involvement behaviors made up approximately two-thirds of the coded behaviors. Child disengagement behaviors made up approximately one-fourth of the coded behaviors, and these behaviors occurred more frequently across many different participants (with lower frequencies but greater coverage across children). Technology problems specific to responding to assessment items were relatively uncommon. Clear guidelines including assessment preparation, modification of directions, and guidelines for parents who remain present are among the implications discussed. We also provide practical implications for continued successful adapted tele-assessments for children with ASD.

Coping Strategies as Predictors of COVID-19 related Anxiety among General Physicians of Faisalabad

Emergence of COVID-19 pandemic created numerous physical and psychosocial upheavals for all. Specifically, health care professionals are at great risk of being contaminated by this life-threatening virus; consequently, they may prone to fear and anxiety related to COVID-19 situation. Thus, the present study aimed to examine the coping strategies as predictors of COVID-19 in general physicians of Faisalabad. The present correlational study was done on general physicians working in the outpatient departments of public and private sector hospitals of Faisalabad, Pakistan. Demographic Information Form, Brief Cope Scale and COVID-19 related Anxiety Scale were used to meet the present objectives. Multiple regression analysis revealed active coping (? = -.247, t(118) = -2.446, p &lt; .05), venting (? = .332, t(118) = 3.959, p &lt; .001), religion (? = -.274, t(118) = -3.058, p &lt; .01), emotional support (? =.207, t(118) = 2.085, p &lt; .05), behavioral disengagement (? = .336, t(118) = 3.873, p &lt; .001), humor (? = -.199, t(118) = -2.659, p &lt; .01) and substance use (? = .363, t(118) = 4.158, p &lt; .001) as significant predictors of COVID-19 related anxiety in general physicians. Three types of coping strategies seemed effective in overcoming COVID-19 related anxiety among general physicians. However, venting, behavioral disengagement, emotional support and substance abuse may decrease the COVID-19 related anxiety, if are used less by general physicians at work. The present findings have implications for general physicians who need to use coping strategies which may effectively reduce their anxiety associated with COVID-19 situation.

STRATEGIJE PREVLADAVANJA STRESA KAO PREDIKTORI INTERNET ZAVISNOSTI

The aim of this study was to determinate the role of coping strategies in predicting internet addiction dimensions. The sample is conveniente and it consists of 597 subjects (63% women). The age of the subject ranges from 18 to 70 years, with an average age of 35.58 (SD=11.29). To measure a severity of compulsive internet use Young Internet Addiction Test-Short Form; YIAT-SF was used, and Brief Coping Orientation to Problems Experienced; Brief COPE was used to measure how people cope with problems and stressful life events. Two separate hierarchical regression analyses were conducted. In both analyses, in first step the predictors were sociodemographic variables, and in second were ten types of coping strategies (Self-distraction, Active coping, Denial, Use of emotional support, Use of instrumental support, Behavioral disengagement, Venting, Positive reframing, Acceptance and Self-blame), while the criteria variables were different dimensions of internet addiction (Loss of control/Time management and Craving/Social problems). The results showed that both models are statistically significant. Significant predictor of dimension Loss of control/Time management in the first step is age (β = -.13, p = .001), and in second step are Self-distraction (β = .09, p = .018); Active coping (β = -.15, p = .001); Behavioral disengagement (β = .24, p &lt; .001) and Self-blame (β = .13, p = .002). When it comes to Craving/Social problems, significant predictor of this variable in first step is age (β = -.11, p = .006), and in second are gender (β = .07, p = .041); Active coping (β = -.09, p = .044); Denial (β = .14, p = .001); Use of emotional support (β = -.16, p = .002) and Behavioral disengagement (β = .25, p &lt; .001). So, based on the results, we can conclude that based on Self-distraction, Active coping, Behavioral disengagement, and Self-blame we can predict the difficulties in everyday functioning caused by internet use, but we can also predict an effect that excessive internet use could have on social relations and craving for the Internet based on Denial, Use of emotional support and Behavioral disengagement. The application of Confirmatory Factor Analysis suggested good construct validity of Young Internet Addiction Test-Short Form. Keywords: coping strategies, internet addiction, internet use

Stress, Anxiety, and Depression among Medical Undergraduate Students and Their Coping Strategies

Background. Students’ mental health deteriorates after they enter medical school and continues to deteriorate throughout their training. Every individual has a certain number of coping resources, and once these coping resources are challenged, mental illness usually results. Objective. We aimed to determine the prevalence and severity of depression, anxiety, and stress as well as coping strategies used by medical undergraduate students enrolled in Arsi University. Methods. Institution-based, cross-sectional design was conducted on 265 sampled medical students. Participants were selected by a systematic, random-sampling technique. Data were collected by pretested, structured, and self-administrated questionnaires. Afterwards, logistic regression analysis was employed, and statistical significance was accepted at p &lt; 0.05 . Results. In the present study, 5 questionnaires were rejected for incompleteness, resulting in a response rate of 98.1%. The mean age of the respondents was 22.03 (SD = 2.074) years. The current prevalence rates of depression, anxiety, and stress were 52.3%, 60.8%, and 40.4%, respectively. The proportion of respondents who had extremely severe symptoms of depression, anxiety, and stress was 6.2%, 16.2%, and 2.3%, respectively. Depression was specifically associated with monthly income and residency. Anxiety was significantly associated with residency and educational level. Stress was associated with monthly income, educational level, and residency. The main coping strategy adopted by the respondents was religion with a mean (±SD) of 5.94 (1.85). The coping mechanisms of denial, substance use, behavioral disengagement, venting, and self-blame were significantly associated with depression, anxiety, and stress. Conclusion. Overall prevalence rate of depression, anxiety, and stress is alarmingly high. Therefore, implementing stress reduction interventions and establishing a student counseling center are highly recommended.

Interpersonal problems, optimism and coping styles among women with conversion disorder: A correlational study.

To explore the relationship of interpersonal problems, optimism and coping styles among women with conversion disorder. The correlational study was conducted from August to October 2017 at different hospitals in Lahore, Pakistan, and comprised 50 women aged 12-60 years who had been diagnosed with conversion disorder. The translated version of Interpersonal Problem-32, brief version of Coping Orientation to Problems Experienced, and Life Orientation Test-Revised tools were used to collect data and to assess the relationship of optimism, interpersonal problems, optimism and copying styles. Data was analysed using SPSS 23. Of the 50 women approached, 49(98%) responded on variables questionnaires with a mean age of 24.44±10.29. Among the total, 20(40%) belonged to very low socioeconomic class and 17(34%) belonged to the low socioeconomic class. An inverse relationship was found between the variables of interpersonal problems and optimism (r= -0.067). Self-blaming coping style was significantly correlated with the disorder (r=0.294; p<0.05). Positive relationship was also found between coping by emotional support (r=0.198) and pessimism (r=0.018). Social inhibition had positive correlation with behavioural disengagement (r=0.122). Social inhibition self-blaming non-adaptive ways, pessimism, optimism and the interpersonal problem of behavioural disengagement were found to be associated with each other among women with conversion disorder.

SOCIAL ANXIETY, DEPRESSION, COPING SELF-EFFICACY, AND COPING STRATEGIES AMONG COLLEGE STUDENTS

The transition to college and its associated social challenges could trigger social anxiety and depression among young college students. There is a paucity of literature relating coping self-efficacy, coping strategies, social anxiety and depression. The current study aims to fill this gap by finding the contributions of gender, coping self-efficacy (CSE), and coping strategies onto the levels of social anxiety and depression among college students. It also aims to find race-ethnicity differences, considering students’ level of social anxiety and depression. One hundred and fifty-eight students were recruited from the undergraduate psychology subject pool at a northeastern university. The Liebowitz Social Anxiety Scale, Diagnostic Inventory for Depression, Coping Self-Efficacy Scale and Brief COPE were used to measure the study variables. A one-way ANOVA and simultaneous multiple linear regression analyses were conducted to examine data. There were no significant race-ethnicity differences in social anxiety, depressive symptom severity, psychosocial impairment, and quality of life. However, gender and self-blame significantly predicted social anxiety; substance use, behavioral disengagement, and self-blame significantly predicted depressive symptom severity; and social support CSE significantly predicted psychosocial impairment. Gender, dysfunctional coping strategies and social-support CSE were significantly associated with social anxiety and depression among college students. The results have important implications for treatment intervention and outreach by college counseling personnel.

Evaluation and Comparison of Medical Students Stressors and Coping Strategies among Undergraduate Preclinical and Clinical Year Students Enrolled in Medical School of Arsi University, Southeast Ethiopia

Background. The transition into higher education is stressful as university students face many stressful events. Medical students must deal with stressors specific to medical education. While many students adjust effectively to the university context, large proportions of students are at risk of developing mental health problems. The objective of the present study was to evaluate the most common medical student’s stressors and coping strategies among undergraduate students enrolled in the Medical School of Arsi University and their association with educational year levels. Methods. An Institutional based cross-sectional study was conducted on 265 medical students by systematic random sampling. Data were collected by pretested self-administrative questionnaire and analyzed by SPSS-21 software. Logistic regression analysis was employed, and statistical significance was accepted at p &lt; 0.05 . Result. In the present study, 5 questionnaires were rejected for incompleteness, giving a response rate of 98.1%. The top sources of stress were lack of time to review, conflict with teacher(s), and uncertainty of what was expected. ARS domain was the main cause of high stress, followed by IRS and TLRS. Religious coping, active coping, positive reframing, and planning were the most commonly used coping strategies. When preclinical year students were compared with the clinical years, TLRS and DRS domains were identified as the most common cause of stress in the preclinical years. Furthermore, instrumental support, behavioral disengagement, acceptance, religion, self-blame, and emotional support were the most commonly used coping strategies in the preclinical years compared to the clinical years. Conclusion. We observed that academic-related stressors followed by interpersonal and intrapersonal stressors are the major stressors faced by students. Active coping strategies were the most commonly employed ones rather than avoidant strategies. Stress reduction interventions were recommended.