Multidimensional Coping Research Articles

Effects of Socioeconomic Status on the Health of Menopausal Mothers in Multicultural Families in Korea: A Test of the Reserve Capacity Model.

Based on the Reserve Capacity Model, this study examined the effect of SES(socioeconomic status) on health status on the health status of menopausal mothers of multicultural families, focusing on mediating effects of self-esteem, assimilation, integration, separation, marginalization, and daily life stress. This is a cross-sectional survey study with secondary analysis of national data on 683 perimenopausal mothers in multicultural families from the 9th Multicultural Adolescents Panel Study surveyed by the Korea Youth Policy Institute in 2019. The subjects were women aged 45-55years and foreign nationals by origin. For path analysis using observed variables, the Mplus 8.4 program was used. Self-esteem and integration were positively related to health status and negatively related to marginalization and daily life stress. Health status was higher when self-esteem and integration were high, and work-life stress and marginalization were low. To improve the perceived health status of menopausal women in multicultural families, rather than simply focusing on SES through support for employment status and income, it is necessary to improve self-esteem by resolving difficulties caused by SES and cultural adaptation to relieve stress in daily life and to provide multidimensional coping resources that can improve health by lowering risk.

Nivel de estrés y el uso de estrategias de afrontamiento de padres de niños autistas

Introduction: Autism spectrum disorder is a neurodevelopmental disorder that as a consequence has high physical, psychic and economic demand from parents. Objective: To determine the association between the level of stress and the use of coping strategies of parents of autistic children of the ARIE Villa El Salvador institute. Methods: Quantitative observational analytical study. Two surveys were used: the Parental Stress Questionnaire, modified Spanish version CEP (PSI-SF) and the abbreviated Multidimensional Coping Styles Assessment Scale Questionnaire. Results: A total of 103 parents were surveyed. The level of medium-high stress was 93.14%. Of the coping strategies; strategy A the strategy with the highest mean was planning (10.81 points), of strategy B the strategy with the highest mean was positive reinterpretation and growth (11.22 points), and of strategy C the strategy with the highest mean was mental disconnection (7.53 points). A positive correlation (0.86) was found between the level of stress and the coping test. In the multiple regression it was observed that the level of stress increases 0.81 points (95%CI: 0.718-0.909; p<0.001) for each point that the coping test increases. Furthermore, we found a strength of association between the two of 0.7402. Conclusions: There is an association between stress level and stress coping in parents. The strategies with the highest scores were planning, positive reinterpretation and growth, and mental disconnection.

Suočavanje sa stresom i mentalno zdravlje zatvorenika

Prison is a high stress environment where an individual's mental health can be seriously affected (Mansoor et al., 2015). The way prisoners cope with stress is an important factor in examining the impact of the prison environment on their mental health (Gullone et al., 2000). The aim of this study is to examine the relationship between prisoners' coping strategies and their mental health within the framework of the health theory of coping (Stallman, 2020). The study was conducted on a sample of N=125 male prisoners who were in the Diagnostic Department of the Diagnostic Centre in Zagreb (M=40.08; SD=11.97). The Multidimensional Coping Scale (Duhachek, 2005) and DASS-21 (Lovibond & Lovibond, 1995) were used. Participants were also asked to rate the intensity of emotions they had experienced in the past week. The results show that only unhealthy coping strategies make a significant contribution to explaining prisoners' anxiety, while both healthy and unhealthy coping strategies contribute to explaining prisoners' depression. The results do not confirm the premise of the theory that the frequency of using stress coping strategies is negatively associated with the intensity of experiencing unpleasant emotions. The results are discussed in relation to the theoretical framework and their practical applicability.

Ways of Coping with Stress among Patients with Depressive Disorders.

Experiencing stressful life events and ways of coping with them can predispose to the onset of depressive mood disorders, while depression itself can be responsible for severe stress and can weaken resilience to stressors. Thus, variables relevant to the onset of depressive episodes and the course of depression have significant relationships with coping strategies to stressors. The aim of this research was to evaluate the most commonly used stress-coping strategies in patients treated for depression compared to patients with anxiety disorders and to healthy subjects. The multidimensional coping inventory (COPE Inventory) by C. S. Carver, M. F. Scheier, and J. K. Weintraub, covering 15 stress response strategies included in more general and overarching coping styles, was used in the study. Patients with depression differed from the healthy subjects in a statistically significant way. Statistical analysis showed that people with depression are less likely than healthy subjects to use Active Coping, Planning, Seeking of Instrumental and Emotional Social Support, Suppression of Competing Activities, and Positive Reinterpretation. In contrast, they are more likely to use Denial, Mental Disengagement, and Behavioral Disengagement compared to those not treated for mental disorders. The patients with depressive disorders, compared to the group of patients with anxiety disorders, scored significantly differently on stress coping strategies in only two types of actions taken in stressful situations. The patients with depression differed from the healthy subjects in terms of the highest number of the stress coping strategies assessed. Compared to the healthy individuals, a tendency toward an avoidant behavior style was prevalent among the depressed patients. There was no statistically significant difference between the patients with the first episode of the disease and recurrent depressive disorders in terms of stress coping strategies.

Predicting the Immune System Performance Based on Stress Coping Strategies and Defense Mechanisms in Women With Breast Cancer

Background and Objectives: Breast cancer, as the most common cancer, is the cause of death in many women around the world. This study aims to predict the immune system performance based on stress coping methods and defense mechanisms in women with breast cancer. Methods: The study population includs all women with breast cancer in Tehran and Guilan provinces of Iran in 2019, from whom 250 were selected by a purposive sampling method. Data were collected using the warning signs of immunodeficiency list, the Defense Style Questionnaire, and the Multidimensional Coping Inventory. The collected data were analyzed using Pearson correlation test and multiple regression analysis in SPSS software, version 22. Results: The results of regression analysis showed that the emotion-focused coping as well as mature, neurotic, and immature defense mechanisms could significantly predict the immune system performance (P<0.05). Together, these variables were able to explain 28% of the variance in the immune performance. Conclusion: In women with breast cancer, the immune system function can be predicted by their used defense mechanisms and stress coping strategies.

Caught in the eye of the perfect storm: Lebanese women human resource managers coping with macro‐level turbulence

AbstractThis paper advances research on the nexus between macro‐level turbulence and workers' experience through the empirical analysis of the coping strategies of women human resource managers in the context of Lebanon. Theoretically grounded in the transactional theory of stress and coping, the findings reveal how the multidimensional coping strategies of human resource managers unfold at the juncture of macro‐level turbulence, emotion‐focussed and problem‐solving strategies, doing/re‐doing of gender, and the deployment of various types of silence.

Effects of Coping Skills and Personality Traits on Nicotine Dependence

Objectives: Objectives of this study were: 1) to compare coping skills and personality between smokers and non-smokers, 2) to examine correlations among coping styles, personality, and nicotine dependence, and 3) to determine predictors of nicotine dependence. Methods ： A descriptive correlation design was used. Data were collected from 137 smokers and 60 nonsmokers between September 2013 and February 2017 in Incheon, South Korea. The Eysenck Personality Inventory, the Nicotine Dependence Syndrome Scale, and the revised Multidimensional Coping Scale were used. Results ： Smokers were less likely to cope actively (p<0.001) and calm their emotions (p=0.013). However, they were more likely to express their emotions directly (p=0.031) than non-smokers. Moreover, smokers scored higher on personality dimensions of criminality, empathy, impulsiveness, and addiction but scored lower on the lie personality trait than non-smokers. Nicotine dependence was positively correlated with personality traits (such as addiction [r=0.329, p<0.001], criminality [r=0.314, p<0.001], and impulsiveness [r=0.366, p<0.001]) and coping skills such as perseverance (r=0.589, p<0.001). Smokers in the family, addiction personality trait, active coping, emotional expression, positive interpretation, downward comparison, and acceptance explained 73.2% of cigarette smoking. Conclusion： Results of this study revealed that smokers used more unhealthy coping skills with more vulnerable traits than non-smokers. In addition, coping skills and vulnerable personality traits could predict cigarette smoking.

Coping Strategies, Locus of Control, and Quality of Life in Patients with Early-Stage Breast Cancer

Patients with cancer are included in vulnerable groups with a low quality of life. Accordingly, this study aimed to explore the relationship between coping strategies and locus of control with the quality of life in women with early-stage breast cancer. A total of 224 women with breast cancer (M age = 36.82; SD age = 11.21) were selected using convenience sampling from general hospitals and cancer treatment centers in Tehran, Iran, and completed measures included Multidimensional Coping Inventory, Locus of Control of Behavior Scale, and World Health Organization Quality of Life. The results of the current study showed significant relationships between coping strategies and locus of control with the quality of life in women suffering from breast cancer. Moreover, the results of hierarchical multiple regression analysis indicated that the locus of control (β = − .47), task-focused coping style (β = .27), and emotion-focused coping strategy (β = − .19) were significant predictors of the patients’ quality of life. Quality of life of the women with early-stage breast cancer may be improved by helping them to adopt more task-focused coping strategies and internal locus of control.

Metacommunication process during a 3-day digital storytelling workshop for patients recovering from hematopoietic cell transplantation

Abstract Purpose: The purpose of this study was to qualitatively analyze metacommunication during the digital storytelling (DST) workshop process for patients undergoing hematopoietic cell transplantation (HCT). Methods: HCT survivors who had undergone transplant within the past 2 years were recruited at a cancer center in the Phoenix Metropolitan area. Participants (M age = 51.5 years) attended a 3-day DST workshop telling and creating digital stories around their HCT experiences. Using a constructivist grounded theory approach, line by line coding and content analysis were conducted with four research team members. Results: Four themes emerged from the data: (1) communal connection; (2) expressing and processing emotions; (3) self-empowerment; and (4) multi-dimensional coping. Participants described telling and sharing their story with other HCT patients as therapeutic. Conclusion: DST shows promise as a potential coping tool and offers multiple dimensions of the role of narrative as a coping technique, in community building, and in patient-centered contexts within HCT.

Survey of activity pacing across healthcare professionals informs a new activity pacing framework for chronic pain/fatigue.

IntroductionActivity pacing is considered a key component of rehabilitation programmes for chronic pain/fatigue. However, there are no widely used guidelines to standardize how pacing is delivered. This study aimed to undertake the first stage in developing a comprehensive evidence‐based activity pacing framework.MethodsAn online survey across pain/fatigue services in English National Health Service trusts explored healthcare professionals' opinions on the types/uses of pacing, aims, facets and perceived effects. Data were analysed using descriptive statistics for closed‐ended questions and thematic analysis for open‐ended questions. Purposeful recruitment with a snowball effect engaged 92 healthcare professionals (physiotherapists, occupational therapists, nurses, doctors and psychologists) to the study.ResultsPacing was highly utilized, with perceived long‐term benefits for patients (n = 83, 90.2% healthcare professionals instructed pacing). The most endorsed aim of pacing was “achievement of meaningful activities” (24.5% of ranked votes). The least endorsed aim was “to conserve energy” (0.1% of ranked votes). The most frequently supported facet of pacing was “breaking down tasks” (n = 91, 98.9%). The least supported facet was “stopping activities when symptoms increase” (n = 6, 6.5%). Thematic analysis showed recurring themes that pacing involved flexibility and sense of choice.ConclusionsPacing is a multidimensional coping strategy and complex behaviour. The message is clear that pacing should enable increases in meaningful activities, as opposed to attempting to avoid symptoms. The survey findings have informed the development of an activity pacing framework to guide healthcare professionals on the multiple components of pacing. This will help to standardize and optimize treatments for chronic pain/fatigue and enable future investigations.

Psychometric Properties of the Revised Multidimensional Coping Scale in University Students

Psychometric Properties of the Revised Multidimensional Coping Scale in University Students

Impact of Yoga on Coping Styles of Mid-Level Managers-An Experimental Study

Recently, the daily news is overloaded with reports of human atrocities in the society due to the presence of uncontrolled emotions in human life. This is because of high degree of anger and frustration caused by the manifestation of emotional weaknesses which leads individuals in adopting negative coping styles. Research studies have shown that yoga has played a constructive role in enhancing emotional intelligence which in turn leads to adaptation of positive coping style. But how far yoga impacts one's coping style on mid-level managers has not been dealt so far and hence the current study is undertaken to explore the research gap. For this purpose an experimental study on 105 mid-level managers belonging to HTC Global Services, Chennai was undertaken. The mid-level managers were divided into 70 and 30 mid-level managers under experimental and control group respectively. The Simplified kundalini yoga training was imparted for 25 sessions, each session consisting of 1hour 15 minutes. Data was elicited through multi-dimensional coping inventory (Carver et al., 1989) from both the groups before and after Simplified kundalini yoga training. Paired‘t’ test was used to analyze the collected data and the results has shown significant improvement in emotion focused coping and significant decrease in avoidance focused coping in the experimental group after Simplified kundalini yoga training in comparison to the control group. Though increased mean scores for problem focused were observed after yoga training in comparison to control group, the results were not statistically significant. Therefore, the present study has revealed that regular practice of yoga can have an impact in making individuals adopt a positive coping style and reduces maladaptive coping to an extent to face challenges in their career and attain success in life.

Multi-dimensional coping and adaptation strategies of small-scale fishing communities of Bangladesh to climate change induced stressors

PurposeCoastal and floodplain areas are on the frontline of climate change in Bangladesh. Small-scale coastal and floodplain fishing communities of the country face a host of cross-scale stressors continually, some induced by climate change, and they have developed coping and adaption strategies based on customary social and experiential learnings. This paper aims to examine the coping and adaptation strategies that small-scale fishing communities undertake in the face of stresses including climate change and variability.Design/methodology/approachThis research takes a nuanced ethnographic-oriented approach based on around two-year-long field study in two coastal and floodplain fishing villages, represented by two distinct ethnic groups. The study adopts direct observational methods to denote the ways small-scale fishing communities address the arrays of stressors to construct and reconstruct their survival and livelihood needs.FindingsIt was observed that fishers’ coping and adaptation strategies comprise a fluid combination of complex overlapping sets of actions that the households undertake based on their capitals and capabilities, perceptions, socio-cultural embeddedness and experiential learnings from earlier adverse situations. Broadly, these are survival, economic, physiological, social, institutional and religiosity-psychological in nature. Adaptation mechanisms involve some implicit principles or self-provisioning actions that households are compelled to do or choose under given sets of abnormal stresses to reach certain levels of livelihood functions.Originality/valueBased on empirical field research, this paper recognizes small-scale fishers’ capability and adaptability in addressing climate change-induced stresses. Policymakers, international development planners, climate scientists and social workers can learn from these grassroots-level coping and adaptation strategies of fishing communities to minimize the adverse effects of climate change and variations.

Strategie radzenia sobie ze stresem u mężczyzn uprawiających narciarstwo ekstremalne

Extreme skiing is growing in popularity. This kind of sport is designed to expose athletes to greater thrills and risks than are found in traditional sporting activities. Also practicing this sport gives you more emotional experience in extreme than the traditional cultivation of recreational skiing activities. Theoretical perspectives on extreme sports and extreme sport participants have assumed that participation is about risk‐taking and stress exposure. In this paper we compare style of stress coping among two groups of skiers (“extreme” and “recreational”). We have examined the group of 54 male skiers ages 30 to 45 years with minimum 15 years of skiing experience). They were applied interview with the skiers relating to the preferred lifestyle and Questionnaire COPE – a Multidimensional Coping Inventory (Carver, C.S., Scheier, M.F., & Weintraub, J.K.) in order to determine the dominant styles of coping with stress (problem-focused coping, seeking of emotional support and denial-focused coping). Results indicate that active style of coping dominated in the both groups, but the extreme skiers score higher the skiers from recreational group. The difference is on significance level of 0.05.

Neither passive nor powerless: reframing economic vulnerability via resilient pathways

ABSTRACTResilience, as an emerging construct within the contemporary field of consumer vulnerability, has received limited empirical attention within the context of economic adversity. This paper examines how low-income women strive to reframe their relationship to the market via resilient pathways. It establishes how through active agency, self-care practices and relational coping, women maximise care of self and care of others with limited economic means. Comprised of multidimensional coping resources for positive adaptation, resilient pathways offer vulnerable consumers distinct trajectories to well-being and overturn deficit-focused views about how those facing chronic economic disadvantage, (re)assert themselves in vulnerable consumption contexts.

Coping styles and empathy in professional burnout: A study of physical therapists

Abstract The profession of a physical therapist is among so-called social professions, which are particularly exposed to high risks of burnout. Our paper analyzes the relationships between professional burnout in physical therapists and their perceived levels of stress, the strategies they use to cope with stress, as well as their levels of empathy and professional satisfaction. The following questionnaires were used in the study: the Burnout Scale Inventory (Okła &amp; Steuden, 1998); the multidimensional coping inventory COPE (Carver, Scheier, &amp; Weintraub, 1989); and the Questionnaire Measure of Emotional Empathy (Mehrabian &amp; Epstein, 1972). Varying levels of professional burnout were observed in a sample of 76 physical therapists, who demonstrated no significant relationships between burnout and empathy levels. Higher burnout levels were found in participants working in public compared to privately-owned health centers, while those scoring higher on job satisfaction also had lower burnout results. Further, participants with higher professional burnout also reported higher levels of stress at the workplace and at home, as well as using avoidance coping strategies. The results of our study call for further investigation into the determinants of burnout in physical therapists and for implementing preventive measures.

간호대학생의 정신건강에 영향을 주는 요인

본 연구는 간호대학생의 정신건강 정도와 이에 영향하는 요인을 규명하기 위해 실시되었다. 자기보고형 설문지를 이용하였으며, 19-23세의 간호대학생 269명이 참여하였다. 사용되어진 도구로는 간이 정신진단검사, 다차원적 대처척도, 간호대학생의 스트레스가 사용되었다. SPSS WIN 20.0을 사용하여 대상자의 빈도분석, 피어슨 상관관계, 회귀분석법을 실시하였다. 간호대학생의 정신건강 수준은 고민을 나눌 수 있는 가족, 친구, 그 외 주위 사람, 건강상태, 학과만족도, 소극적 철수, 정서표출, 적극적 망각, 자제, 고집, 긍정적 비교, 동화 또는 양보, 체념, 자기비판, 문제해결적 지원추구, 정서적 지원추구, 종교적 추구, 대학차원 스트레스, 임상차원 스트레스와 유의한 상관관계가 있었다. 이들 변수 중에서 간호대학생의 정신건강은 대학차원 스트레스, 자기비판, 소극적 철수, 학과만족도, 건강상태에 의해 44.9% 설명되어졌다. 본 연구 결과를 근거로 간호대학생의 정신건강향상을 위해서는 이들 요인들이 모두 고려된 다 학제적 접근법이 적합함을 알았으며, 차후 중재를 통한 효과 검증 연구를 제안하는 바이다. The purpose of this study was to investigate the degree of mental health among nursing students in Korea and identify factors influencing the tendency to mental health. A self-report survey was conducted with South Korean nursing students who were from 19 to 23 years old. 269 nursing students were included in the study. The instruments utilized in the study were Symptom Checklist-90-Revision, Stress and multidimensional coping. Data were analyzed using descriptive statistics, Pearson correlation and Simultaneous multiple regression with SPSS WIN 20.0. The average mental health score of the participants was 0.57. Significant predictors for mental health 'College-level stress', 'Self-criticism', 'Passive withdrawal', 'Nursing satisfaction' and 'Health state'. The study findings suggest that nursing students require special concern regarding the risk of mental health. Multi and interdisciplinary mental health promotion program will enhance the mental health of nursing students.

Drinking in the Context of Life Stressors: A Multidimensional Coping Strategy Among South African Women

This study explored narratives of drinking as a coping strategy among female drinkers in a South African township. In 2010–2011, we conducted qualitative in-depth interviews with 54 women recruited from 12 alcohol-serving venues. Most women drank heavily and linked their drinking to stressors. They were motivated to use drinking to manage their emotions, facilitate social engagement, and achieve a sense of empowerment, even while recognizing the limitations of this strategy. This study helps to contextualize heavy drinking behavior among women in this setting. Multifaceted interventions that help female drinkers to more effectively manage stressors may aid in reducing hazardous drinking.

Trauma, stress, grief, loss, and separation among older adults in prison: the protective role of coping resources on physical and mental well-being

Recent evidence suggests that older adults in prison experience a high level of adverse life experiences that can be categorized as trauma, stress, grief and loss. However, there is a dearth of research that examines how older adults' use of physical, cognitive, emotional, social, and spiritual coping resources influence their physical and mental well-being. The current study uses a cross-sectional correlational design and a sample of 667 adults aged 50 and older in a northeastern state prison system. Data were collected using a mailed survey that included the Life Stressors Checklist-Revised, the Coping Resources Inventory, and Health-Related Quality of Life Survey to measure the variables of central interest. The majority (70%) of the sample reported some type of traumatic and stressful life experiences that included childhood and/or adult exposure to violence, unexpected and expected loss of a loved one, family separation, or being diagnosed with a serious physical or mental illness. Path analysis results produced a well-fitting model and revealed that five dimensions of coping resources (physical, cognitive, emotional, social, and spiritual) demonstrate a protective affect on the relationship between cumulative, traumatic and stressful life experiences and well-being among older adults in prison. These findings suggest that the lifetime experiences of multiple types of trauma, stress, grief, separation, and loss are common among older adults in prison and place them at risk for later-life physical and mental decline. Multidimensional coping strategies that address physical, cognitive, emotional, social, and spiritual domains are promising intervention techniques that can improve well-being among older adults in prison.

Four types of coping with COPD-induced breathlessness in daily living: a grounded theory study

Coping with breathlessness is a complex and multidimensional challenge for people with chronic obstructive pulmonary disease (COPD) and involves interacting physiological, cognitive, affective, and psychosocial dimensions. The aim of this study was to explore how people with moderate to most severe COPD predominantly cope with breathlessness during daily living. We chose a multi-modal grounded theory design that holds the opportunity to combine qualitative and quantitative data to capture and explain the multidimensional coping behaviour among people with COPD. The participants’ main concern in coping with breathlessness appeared to be an endless striving to economise on resources in an effort to preserve their integrity. In this integrity-preserving process, four predominant coping types emerged and were labelled: ‘Overrater’, ‘Challenger’, ‘Underrater’, and ‘Leveller’. Each coping type comprised distinctive physiological, cognitive, affective and psychosocial features constituting coping-type-specific indicators. In theory, four predominant coping types with distinct physiological, cognitive, affective and psychosocial properties are observed among people with COPD. The four coping types seem to constitute a coping trajectory. This hypothesis should be further tested in a longitudinal study.