Focused Coping Strategies Research Articles

Association Between Family Support, Coping Strategies and Anxiety in Cancer Patients Undergoing Chemotherapy at General Hospital in Medan, North Sumatera, Indonesia.

Objective:This study aims to test the association between family support and coping strategies and anxiety at Dr. Pirngadi General Hospital Medan. Methods:The study was a correlational descriptive study with a cross-sectional approach. The samples were 102 cancer patients undergoing chemotherapy, who were selected through purposive sampling technique. Data was collected using a family support questionnaire instrument developed based on the concept of the House and Friedman theory, a coping strategy questionnaire modified from the Revised Ways of Coping questionnaire by Folkman and Lazarus, and an anxiety questionnaire modified from the Hamilton Anxiety Rating Scale (HAM-A). Bivariate analysis was conducted using the Product Moment correlation coefficient to test the association between family support, coping strategies, and anxiety. Multivariate analysis was conducted using the logistic regression test to investigate dominant variables associated with coping strategies and anxiety. Results:The results of the bivariate analysis showed a significant positive association (p=0.001) and strong correlation (r=0.612) between family support and Problem Focused Coping (PFC) strategy, while there was a significant negative association (p=0.001) and moderate correlation (r=-0.462) with the Emotion Focused Coping (EFC) strategy. A significant negative association (p=0.001) and strong correlation (r=-0.646) was found between family support and anxiety. The multivariate analysis showed a dominant association (p = 0.001) between family support with PFC strategy (OR = 12.2), EFC (OR = 0.142), and anxiety (OR = 0.039). Conclusion:Based on the results, it can be concluded that there was an association between good family support and effective coping strategies and lower anxiety levels in cancer patients undergoing chemotherapy. These results can be an input for health services to increase family support for cancer patients undergoing chemotherapy in combination with effective coping strategies to decrease anxiety levels.

DEPRESSION AND ITS SCREENING PROGRAMS AMONG VOLUNTARY AFRICAN MIGRANTS WITHIN AFRICA. A SYSTEMATIC REVIEW

intra-continental migration has increased within Africa since the late 1980s. Africa to Africa migration ranks fifth globally. This study intended to review studies and document risk factors for depression, depressive symptoms, screening programs and coping strategies among voluntary African migrants within Africa. Online databases search was done to select journal articles published between 1980 and 2018 about the topic. PubMed generated only 8 relevant studies, Google Scholar 11, African Journals Online only 1 and international websites 3 relevant ones. Based on the keywords, Cochran protocol for quality assessment and PRISMA flowchart, 16 articles were systematically reviewed. Findings indicate few studies on depression among voluntary African migrants in Africa. Migration itself is a risk factor for depression. Other factors are trauma, poverty, forced or illegal migration, acculturation, loneliness, age, family separation, changing gender roles, and first-time migrants. It presents as insomnia, anxiety and social dysfunction. Most screening programs available are client-initiated. Family support systems, problem-focused or emotions focused coping strategies can lessen depression. Conclusively, depression is a common scenario among migrants whether voluntary or involuntary but screening programs targeting voluntary migrants are very rare in most African settings. Culturally relevant and appropriate approaches targeting voluntary migrants would address the issue.

The Moderating Role of Coping Strategies in Occupational Stress and Burnout among Mental Health Practitioners in Pakistan

The current study was aimed to observe the moderating role of coping strategies in occupational stress and burnout among mental health practitioners. It was also aimed to examine the relationship of demographic factors with occupational stress, burnout and coping strategies. Data was collected from 200 mental health practitioners (clinical psychologists and psychiatrists) from different government and private hospitals and rehabilitation centers situated in different cities of Pakistan. Three scales were used in the research, that is, Mental Health Professional Stress Scale to measure occupational stress, Brief Cope to measure coping strategies and Maslcah Burnout Inventory-Human Services Survey to assess burnout. The results indicated that there is a strong positive correlation between occupational stress, burnout and emotion focused coping strategies. The analyses showed that coping strategies did not moderate the relation between occupational stress and burnout. In demographic variables, the variables of age, education, experience and work hours were significant. Younger mental health practitioners scored high on occupational stress, burnout and use of emotion focused coping strategies than older ones. In qualification and experience, less qualified and less experienced practitioners had more occupational stress, burnout and used emotion focused coping strategies than more qualified and more experienced practitioners. Those practitioners whose working hours were less had low occupational stress and burnout and used problem focused coping strategies.

STRATEGI KOPING PADA PELANGGAR QANUN JINAYAH DITINJAU DARI JENIS KELAMIN

Qanun Jinayah violators who are serve a period of detention experience various psychological problems such as depression, anxiety, phobias, and anti-social personality. To be able deal with these various problems, Qanun Jinayat violators need a coping strategy. The purpose of this study was to determine the differences of coping strategies in Qanun Jinayat violators in terms of gender. The sample in this study consisted of 13 male and 13 female who violated Qanun Jinayat in several prison in Aceh province. To identify coping strategies used by Jinayat lawbreakers, researcher used the WCCL-ASIAN scale with results of data analysis showed p = 0,588 for problem focused coping strategies, the results of data analysis showed p = 0,551 for seek social support coping strategies, the results of data analysis showed p = 0,231 for blame self coping strategies, the results of data analysis showed p = 0,300 for wishful thinking coping strategies, and results data analysis shows p = 0,036 for avoidance coping strategies. The results showed that there were no differences in problem focused, seek social support, blame self, and wishful thinking coping strategies, but there are difference in avoidance coping strategies for Qanun Jinayah violators, both male and female.

Patterns of Coping With Cyberbullying: Emotional, Behavioral, and Strategic Coping Reactions Among Middle School Students.

The aim of the present study was to examine coping patterns among victims of cyberbullying in middle school. The study included 232 adolescents, of whom 20.7% reported having been the victim of cyberbullying. Findings show that the most common emotional reactions to cyberbullying among the cyber victims were anger, rage, and frustration. The most commonly found behavioral reactions to cyberbullying were informing a friend, counterattacking, and ignoring the cyber incident. Examining the types of coping strategies that were used, we found that the victims of cyberbullying reported a lower use of problem-focused coping strategies for stressful situations, compared to adolescents who were not cyber victims; in addition, cyber victims also reported a much greater use of emotionally focused coping strategies and avoidance-focused strategies, compared to adolescents who were not cyber victims.

Patterns of Coping With Cyberbullying: Emotional, Behavioral, and Strategic Coping Reactions Among Middle School Students

The aim of the present study was to examine coping patterns among victims of cyberbullying in middle school. The study included 232 adolescents, of whom 20.7% reported having been the victim of cyberbullying. Findings show that the most common emotional reactions to cyberbullying among the cyber victims were anger, rage, and frustration. The most commonly found behavioral reactions to cyberbullying were informing a friend, counterattacking, and ignoring the cyber incident. Examining the types of coping strategies that were used, we found that the victims of cyberbullying reported a lower use of problem-focused coping strategies for stressful situations, compared to adolescents who were not cyber victims; in addition, cyber victims also reported a much greater use of emotionally focused coping strategies and avoidance-focused strategies, compared to adolescents who were not cyber victims.

Living with Vesico-Vaginal Fistula at Jimma University Medical Centre: A Phenomenological Study

Obstetric fistula leaves women with few opportunities to earn a living and worsens their poverty. The death of the baby, inabil­ity to carry a child, and the stigma that accompanies fistula results in significant emotional & psychosocial damage. Vesico-vaginal fistula (VVF) is a medical condition that involves an abnormal opening between the bladder and the vagina, leading to uncontrolled leakage of urine which is resulted mostly from an unattended prolonged labor. Semi-structured in-depth interview was used to explore the lived in experience of eight women with obstetric fistula who were admitted in Jimma University Medical Center selected by purposive sampling technique. The data were analyzed using thematic analysis. Seven themes illustrating the lived in experiences of women with Vesico-vaginal fistula were emerged. These were awareness of altered identity, depression, anxiety, marital problems, disrupted social life, economic problems and coping strategy. Problem focused coping strategies mentioned were having family support, orientating to reality, financial independence and religiousness. Emotion focused coping strategies were also noted, such as, isolation, suicidal thoughts and anger. Altered psychological, physical, social and economic functioning were some of the disruption in the life of women with VVF observed. Promoting their positive coping strategies, providing physical and psychological support is crucial to reverse debilitating effects of women with VVF.

Coping Strategies Adopted by Construction Employees to Deal with the Causes and Effects of Occupational Psychological Disorders: A Study in Ghana

Coping strategies adopted to deal with psychological health issues could have influences on the general health, productivity and task performance of the employee. This study sought to investigate the coping strategies adopted by construction employees to deal with the causes and effects of occupational psychological disorders such as burnout and workaholism. To achieve this aim, the methods of focus group discussions were first employed. A total of 16 semi-structured focus group discussions were held in Ghana, with 90 construction employees. The focus group study revealed 25 coping strategies adopted as efforts to mitigate the causes and 22 coping strategies adopted as responses to moderate the effects of occupational psychological disorders. A quantitative study involving 150 construction professionals and 150 construction trade workers were also conducted in Ghana to investigate the coping strategies that were highly adopted by the two construction working groups. The findings from the study revealed that the construction professionals adopted delegating complicated tasks and seeking medical attention as the most common coping strategies to manage the causes and effects respectively. The construction trade workers were also revealed to adopt withdrawing from work duties or changing jobs and taking in more caffeinated drinks as the most common coping strategies to manage the causes and effects respectively. Exploratory factor analysis was employed, and the findings were put into the main constructs. The causes focused coping strategies were categorized under avoidance, alteration, adaptation, and acceptance. The effects focused coping strategies were also categorized under healthy and unhealthy coping strategies. This study recommends appropriate coping strategies and interventions in the construction industry such as education of construction personnel on the consequences of various coping strategies.

Stress, stress responses and coping strategies among bachelor nursing students

Introductions: Inability to use effective coping strategies to minimize stress due to high academic and clinical expectations may affect nursing students’ health, academic and clinical performance. The aim of this study was to assess the level of stress, stress responses and use of coping strategies among bachelor nursing students.
 Methods: This-cross-sectional study included bachelor nursing program students selected by stratified random sampling technique from four nursing colleges affiliated to Tribhuvan University in Kathmandu Valley, Nepal, during August 18th to September 15th 2017. Data were collected using structured self-administered questionnaire. Perceived stress scale, physio-psycho-social responses scale and coping check lists were used to assess stress, stress responses and coping strategies of bachelor nursing students.
 Results: There were total 284 participating nursing students, 240 (84.5%) had moderate level of stress and 20 (7%) high level of stress. The common source of stress were assignments and workload (2.37±0.63), and clinical environment (2.16±0.74). Students’ physio-psycho-social responses during stress, 109 (38.4%) reported best emotional health, 125 (44%) best social behavioral and 189 (66.7%) best physical health. Coping strategies were, problem focused 175 (61.6%), social support coping 173 (60.9%), and avoidance coping 165 (58.1%). There was a positive correlation between stress and coping (r=0.138).
 Conclusions: More than 3/4th of bachelor nursing studentsreported moderate level of stress, problem focused coping strategies was commonly used and half of the students maintained good level of physio-psychosocial health during stress.

The personal experience of severe suicidal behaviour leads to negative attitudes towards self- and other's suicidal thoughts and behaviours: A study of temperaments, coping strategies, and attitudes towards suicide among medical students

The attitudes individuals have towards suicidal behaviour, be it their own or others', and their capacity for developing specific coping strategies are influenced by affective temperaments that play a significant role in emotional regulation. However, few studies have investigated these specific patterns with a view to stratify them according to the severity of suicidal behaviours in medical students. The Pearson χ2 test for the comparison of categorical variables, the t-test for independent samples of continuous variables and logistic regression analysis were used to compare the association among temperaments, coping strategies, and attitudes towards suicide in a sample of medical students who attend the School of Medicine, Genoa. Severe suicidal thoughts and behaviours relative to those who were not at risk for suicide were also revealed. The severe suicidal thought and behaviour group had significantly more anxious and cyclothymic temperaments together with a higher use of dis-adaptive, lower emotional focus coping strategies, and higher self-reproaching, criticizing, and judgemental attitudes towards suicidality compared to the no severe suicidal thought and behaviour group. The identified pattern suggests the need for clinicians to carefully consider the complex interplay of clinical features which characterize severely at risk for suicide young adults in order to develop effective and comprehensive prevention strategies.

Proces adaptacji rodziców do roli rodzicielskiej dziecka z zespołem Downa jako strategia radzenia sobie z sytuacją stresową

The process of adaptation to the role of a parent of a child with Down Syndrome is very difficult, multi-staged and stress-causing both for mothers and for fathers. Coping with the parental stress is a constant challenge for mothers and fathers of a child with Down syndrome and it increases the significance of different types of social support. The choice of coping strategy influences parents’ cognitive abilities, competences of emotional and behavioural regulation and facilities more positive assessment of their intellectually disabled child. In case parents choose more adaptive, that is problem – focused coping strategy the adjustment to parental role proceed more fluent, or even more adequate. In addition, it has been proven that receiving social support and using accommodative coping style may boost the process of adaptation to parental role of a child with Down syndrome.

Momentary Effects of Customer Incivility and Effectiveness of Emotion-Focused Coping Strategies

Customer incivility is a common occurrence for frontline service employees that is associated with employees’ impaired short term as well as long term well-being and performance. Given its severe impact, research has been trying to explore effective ways to mitigate the detrimental effect of customer mistreatment. However, the search has been predominately directed at external environmental factors and role of employees’ proactive initiation of coping behaviors only got minimal attention. This ignores employees’ own agency and proactivity in dealing with stressors. In this research, we examined effectiveness of two emotion- focused coping strategies. In more detail, we collected momentary data from parking officers and examined their engagement of job avoidance and venting after encountering customer incivility. While job avoidance buffers the negative impact of customer incivility, venting ironically aggravate the negative effect. Furthermore, our study also showed the boundary effect of employees’ prosocial motivation.

Evaluation of Coping Strategies with Stress of Parents Who Have Mentally Disabled Children in Northern Cyprus

In this research, it's aimed to determine the problems that faced by parents who have mentally disabled children and evaluate coping strategies of them. Interview technique is performed in this study which is designed in qualitative model. Study group which was determined by purposeful sampling method is consisted from the parents of mentally disabled children who are studying in private education centres in TRNC. Data are evaluated by content analysis. According to the findings in this research, the problems of parents which they faced are determined as related with their each other that are educational, physical, psychological, sociological, economical and also health care problems and problems with siblings. It's found that parents are focused especially on educational problems. According to the results that were emerged in the research that educational problems are cumulated in two categories as problems related with the quality of education that given to children and acceptance of children in educational environment, and the problems on the need for training of parents. It's determined in this research that increasing educational and consciousness level of parents has more efficiency for coping with stress. Also it's found that, parents use emotional focused coping strategies for struggle with mental disability which is the main source of stress; but they prefer problem focused coping strategies for struggling with external problems that causes increasing the stress. It's suggested that qualified and continuous educational service for both mentally disabled children and their parents could direct them to problem focused coping strategies instead of emotional focused coping strategies.

A Path Analysis of Psychotic Symptoms among Persons with Schizophrenia using Methamphetamines

Knowledge of psychotic symptoms among persons with schizophrenia influenced by methamphetamine use guides the design of nursing innovations to maximize positive patient outcomes. This cross-sectional, descriptive correlation study aimed to explore the relationships among coping, medication use self-efficacy, expressed emotions, stressful life events, social support, and social dysfunction, and to test a model that explained the influences of these factors on psychotic symptoms among persons with schizophrenia using methamphetamines.The stress-vulnerability model for schizophrenia guided this study. A sample of 313 persons with schizophrenia using methamphetamines in psychiatric hospitals and institutes for drug abuse treatment in Thailand was recruited by multi-stage sampling and responded to a Demographic Questionnaire, Brief Psychiatric Rating Scale, Brief COPE, Self-efficacy for Appropriate Medication Use Scale, Expressed Emotional Scale, Stressful Life Events Questionnaire, and Social Dysfunction Scale. A linear structural relationship was used to test the hypothesized path model.The hypothesized model was found to fit the empirical data and explained 54 % of variance in psychotic symptoms (χ2 = 8.28, df = 8, χ2 /df = 1.0, GFI = 0.99, AGFI = 0.96, RMSEA = 0.01). The highest total effect and factors directly affecting psychotic symptoms were emotionally focused coping strategies, medication use self-efficacy, social dysfunction, positively expressed emotions, and stressful life events.The findings recommend that emotionally focused coping strategies, self-efficacy in medication use, social dysfunction, positively expressed emotions, and stressful life events were important factors that influenced psychotic symptoms in patients. Nursing interventions designed to manage these factors are crucial for reducing psychotic symptoms.

Depression, suicidal risk, and its relation to coping in Indian school-going adolescents

Aims and Objectives: The study aimed at examining the prevalence of depression, suicidal risk in school going adolescents and to understand the stressors, coping methods used in relation to severity of depression and socio-demographic variables. Materials and Methods: Stratified Random sampling was used to select the 7 schools (8-10 grades) and 10 pre-university colleges (11 and 12 grades) from South Bangalore. Sample comprised of 1428 adolescents. Assessment tools used included Beck depression inventory, Checklist for stress, coping and suicidal behaviours, Suicidal probability scale, and Adolescent coping orientation to problems experienced inventory. Results: About 30% of the sample had moderate to severe depression, 3% reported suicidal behaviours and 0.7% had moderate to severe suicide risk. Older adolescents and girls had higher severity of depression. Suicidal risk was higher in males. Younger adolescents used more emotion focused coping strategies. Those with suicidal behaviours had higher scores on depression, hopelessness, suicidal ideation, and risk. Suicidal probability was predicted by scores on BDI, and methods of coping used. Conclusion: The study implicates need for preventive interventions in school setting in keeping with the sociodemographic and family factors and developmental needs of adolescents.

Role of Positive Approaches towards Illness in Coping with a Terminal Illness Such as Cancer and AIDS

The purpose of this study was to (a) examine the relationships between positive approaches (positive outlook, optimism, health esteem & external health locus of control) and coping with the emotional and behavioural consequences of disease in cancer and AIDS patients, (b) to find out the best predictors among positive approaches that reduced the impact of emotional and behavioural consequences of associated with one's disease.(c) Moderating role of satisfaction in positive approaches (positive outlook, optimism, health esteem & external health locus of control) and coping with the emotional and behavioural consequences of disease. The sample consisted of 100 people suffering from terminal illness such as Cancer and AIDS. Both male and female from rural and urban settings were taken for this study within the age range of 20 to 80 years with mean score 35.73 years. The education level of the patients within the range of illiterate to post graduate. Two type of the scale were used in this study. First scale comprises of emotional focused coping and problem focused coping. Further, emotional focused coping scale was the combination of two sub scale i.e. positive outlook and health esteem. While, problem focused coping was the combination of two sub scale i.e. optimism and health locus of control. Second scale for assess the emotional (negative feelings) and behavioural (hopelessness) consequences associated with one's disease. All these scales were based on Likert 5-point rating scale and have a high reliability coefficient. The results of the study revealed that there is a negative correlation between emotional focused coping with emotional and behavioural consequences associated with terminal illness. There is no significant difference was found between problem focused coping with emotional consequences (negative feelings) but a significant negative relationships with behavioural consequences (hopelessness). Another important findings of this study is that emotional focused coping approach has been found the best predictor for minimizing the effect of negative feelings and a sense of hopelessness among patients. On the other hand, health esteem as a dimension of emotional focused coping and optimism as problem focused coping strategies were emerged as the best predictors of the negative feelings while, health esteem become the best predictor in case of minimizing the feelings of hopelessness in patients.

KOPING STRES WANITA MENIKAH YANG BELUM DIKARUNIAI ANAK

Getting married is a phase in the cycle of human life. The purpose of marriage are very diverse one of which is the desire to have a child as a complement in a family. For some people in Indonesia, to have children as the successor of their generations is a must. Even though most of married couple want to have a child, but unfortunately not every married couple are blessed with child. This can be caused by several factors, one of which is a biological factor, namely infertility. This study was conducted to determine coping strategies that are more often used by married women while facing the stress due to not having children. This study used quantitative method. The instrument used to measure coping stress is a modified inventory of The Ways of Coping (WOC) and associated with a stressor of infertility from The Infertility Problem Inventory (FPI) with coefficient Cronbach Alpha 0,88. The sample for this study is 42 subjects, with non-probability sampling technique and incidental technique. Data was analyzed using Winstep software (RASCH Model) version 3.73 and SPSS version 16.0. The result of this research shows that married women more often use emotion focused coping strategy in facing stress because haven’t been blessed with child, with percentage equal to 67,33%.

Coping Strategies of Parents with Chronic Ill Children Hospitalized in Educational Hospitals, Ahvaz-Iran

Background: The incidence of a child chronic disease causes high levels of stress and anxiety in the parents and caregivers. This study aimed to investigate the coping strategies of parents with chronic ill children who hospitalized in educational hospitals of Ahvaz -Iran. Materials and Methods: This cross sectional study conducted in two hospitals that affiliated to Jundishapur University of Medical Sciences in 2016. The total number of respondents was 252 parents (150 mothers and 102 fathers) of 150 children with chronic disease that were selected using convenience sampling. Data collection tools were a self-administered demographic and clinical checklist and standard questionnaire Of Coping Inventory for Stressful Situation (CISS). Data analysis runs using SPSS version 22.0. Results: The results showed that the dominant strategies of parents who had a child with chronic disease were task-oriented (52.3%), and emotion-oriented (54%) strategies, respectively. The average score of problem- focused strategy in fathers was (53.67±11.1) and the average score of emotion- focused coping strategy in mothers was (53.33±10).Mothers were used emotion oriented and social diversion coping strategies significantly more than fathers. Child gender, child age, and having another ill child were significant variables in correlation with mother’s distraction; however family economic state was significant variable in correlation with social diversion (P<0.05). In fathers task- oriented coping strategies were in correlation with child age, disease duration, numbers of hospitalizations, education, job and having another ill child. Emotion oriented coping strategies was in correlation with father’s age and distraction was in in correlation with father’s job (P<0.05). Conclusion: To provide optimal care for families with chronic ill child, assessment of psychological needs and coping strategies of parents is necessary. Moreover, families with lower economic and educational level are prior for further attention.

Hey Stress, I Stress to De-Stress Me from Distress: A Study on Indian Police Constables

Objective - What are the work-related issues which contribute to police constables stress? How do police constables get rid of their stress? Because stress and copings are the two most important factors that influence work-related wellbeing. This paper aims to understand the theoretical framework of police stress and coping procedures. The ideas that make up this system can be used in the appraisal, intervention, and assessment of the police stress reaction and the coping forms utilised after stressful situations. Methodology/Technique - 492 Tamil Nadu state police constables were chosen randomly. Information was gathered utilising two self-report questionnaires which include questionnaire related to police stress and coping strategies. Researcher measured the reliability and validity of the multiple-item research scales by analysing the measurement model using confirmatory factor analysis. Correlation analysis investigative the relationship between police stress and coping strategies, it found that it was positive and significant. Further, the researcher used the SEM approach to testing the relationship between police stress and coping strategies. Findings – SEM approach concludes that overall police stress influences self-supported emotional focused coping strategies positively and that overall police stressors have a positive impact on social supported emotional focused coping strategies. Furthermore, there is a positive impact on overall stress and problem-focused coping and avoidant coping strategies. Novelty - The outcomes can be utilised to help researchers and policy makers foresee police work execution and aid government consider police's identity attributes. Type of Paper - Empirical Keywords: Police Stress, Coping Strategies, Active Copings, Emotional Copings, Tamilnadu Police. JEL Classification: J24, J28.

Knowledge, stress and adopted coping strategies of parents of children having congenital adrenal hyperplasia: An exploratory survey

Background: Congenital adrenal hyperplasia (CAH) is an inherited disorder of adrenal glands, the most common type being due to a deficiency of the enzyme 21-?-hydroxylase. Girls affected with it are virilized to a variable extent. The taboo associated with ambiguous genitalia in female babies poses an immense societal pressure on parents for keeping the disease a secret. Objective: The aim of the study was to generate the evidence on the knowledge, stress, and coping strategies used by the parents of CAH children. Methodology: In a cross-sectional descriptive survey using mixed methods approach, 30 parents of children with CAH attending the outdoor department of pediatric medicine and surgery in a tertiary care hospital were enrolled. The CAH knowledge questionnaire, parental stress scale (PSS), and COPE inventory were the standardized tools used along with demographic profile sheet to assess the knowledge of parents related to CAH, stress, and coping strategies used by them. Results: Majority of the parents (67%) had poor knowledge (&lt;7) and moderate stress (42-65) scores. Knowledge and stress were negatively correlated (r=?0.39, p=0.035). Coping strategies used by the parents in dealing with stress in moderate amount were mainly problem-focused (active coping [60%] and planning [60%], instrumental social support [53%], suppression of competing activities [50%]), and emotion-focused (positive reinterpretation [60%], emotional social support [67%], acceptance [53%], and religious coping [50%]). Less useful coping strategies such as focus on and venting of emotions, behavioral disengagement, mental disengagement, humor, and substance abuse were not used by the majority parents. Conclusion: Parents of children with CAH had poor knowledge and moderate stress related to the disease condition of their children and were using problem focused and emotion focused coping strategies to reduce their stress.