Negative Coping Research Articles

A Study on Coping with the Psychology of Employment and Entrepreneurship Stress among College Students under the Cognitive Interaction Model (CIM)

Abstract It is especially important to solve the psychological pressure of college students’ employment if they want to complete their employment and get better development. This paper proposes a cognitive interaction model based on the full information emotion theory and develops the psychological analysis of employment and entrepreneurial pressure on college students on this basis. In the construction of the cognitive interaction model, the basic assumptions of the all-information affective theory are first proposed, the concepts of the individual’s a priori information, a posteriori information, actual information, and expected information are introduced, the individual’s emotional model is established, and the assumption of information-emotional equivalence is proposed. Combining the PDA model with the information theory of emotional motivation completes the model construction based on this basic assumption. In the model performance test, the accuracy of emotion dimension recognition in this paper’s model is more than 95%, which is better than other models. Taking college students in 2 general colleges and universities in Hunan Province, China, as the research object, the study shows that the total psychological mean score of college students’ employment and entrepreneurship stress is 2.75, and the stress psychology is at a medium level. In the data of the randomly sampled student samples, 70% of the student’s emotional tendencies are anxiety, and anxiety is the mainstream emotion of college students. College students’ feelings of employment and entrepreneurship stress and negative coping styles are both at a high-intensity level.

Linking Perceived Risk of Public Health Emergency to Psychological Distress among Chinese College Students: The Chain Mediation Role of Balanced Time Perspective and Negative Coping Styles

Linking Perceived Risk of Public Health Emergency to Psychological Distress among Chinese College Students: The Chain Mediation Role of Balanced Time Perspective and Negative Coping Styles

The Associating Factors of Parent-Teen and Peer Relationships Among Chinese Adolescents with Type 1 Diabetes Mellitus.

Positive parent-teen and peer relationships are crucial support resources for adolescents with type 1 diabetes mellitus (T1DM). There is quite a bit of research on parent-teen relationships in Western countries, less so with peer relationships. Additionally, information on these relationships and their influencing factors among adolescents from other regions with different family culture and peer cohesion is limited, which impedes the development of targeted interventions. This study analyzed baseline data from a randomized controlled trial in China involving 122 adolescents with T1DM aged 12-18 years. Data were collected using established questionnaires on social-demographic and clinical characteristics, perceived stress, general self-efficacy, coping styles, diabetes self-management, and parent-teen and peer relationships. Multivariate linear regression analysis was conducted to determine the associating factors of parent-teen relationships and peer relationships respectively. The total score of the parent-teen relationships subscale was 11.02 ± 2.77, within a theoretical range of 4-16. The total score of the peer relationships subscale was 16.51 ± 2.42, within a theoretical range of 5-20. Positive coping styles, less negative coping styles, and more collaboration with parents in diabetes self-management were associated with better parent-teen relationships. Younger age, positive coping styles, less negative coping styles, and higher goals for diabetes self-management were associated with better peer relationships. There is room to improve parent-teen relationships, maybe via encouraging more collaboration between parents and adolescents for diabetes management. The coping styles training is indicated to improve both relationships.

Are adolescents with social anxiety disorder in danger of peer bullying?

Aim: This study aimed to assess the rates of peer bullying and stress-coping strategies in adolescents with SAD and to investigate the relationship between SAD and different types of peer bullying. Materials and Methods: This cross-sectional study included ninety-two adolescents aged 14 to 17 years with SAD and one hundred-five typically developing adolescents. A semi-structured psychiatric interview, the Social Anxiety Scale for Adolescents (SAS-A), the Peer Bullying Scale-Adolescent Form (PBS-AF), and the Coping Scale for Adolescents (CSA) were applied to all participants. Peer bullying was classified into six types (physical, verbal, exclusion, spreading rumors, attacks against property, and sexual) and two roles (bullying and victimization).Results: On every subscale of the PBS-AF victimization dimension, the SAD group's mean scores were significantly higher than those of the controls. Regarding the PBS-AF bullying dimension, the Physical Bullying and Sexual Bullying scores of the SAD group were significantly lower than the control group, but the Isolation/ Exclusion scores were significantly higher than the control group. Compared to the control group, the mean scores of Active Coping of CSA were significantly lower, while the mean scores of Negative Coping and Avoidant Coping were significantly higher in the SAD group. The SAS-A's total score had a significant positive correlation with all subscales of the PBS-AF victimization dimension. Age, gender, academic performance, and psychiatric comorbidity had a predictive effect on some of the victimization dimension variables of peer bullying. Conclusion: This study has revealed that SAD is an important risk factor for peer victimization. The routine psychiatric examination of adolescents with SAD should also include a screening for peer bullying.

Dyadic Coping as Predictor of Psychological Wellbeing in the Times of Social Isolation

Incidence of social isolation i.e., the state of being disconnected from social relationships, has increased significantly in the aftermath of Covid-19. In turn, the emerging phenomenon of social isolation across the world has impacted the interpersonal relations among married couples, among other consequences. This research studies dyadic coping and psychological wellbeing among married individuals in India and also explores whether dyadic coping strategies can predict psychological wellbeing of people afflicted by social isolation in the post-Covid-19 scenario. Results of the study indicate that dyadic coping predicts psychological wellbeing to a great extent. Among males, supportive dyadic coping impacts the psychological wellbeing while among females, common dyadic coping prominently predicts psychological wellbeing. All dimensions of dyadic coping have a significant correlation with psychological wellbeing except Negative Dyadic Coping by Oneself and Negative Dyadic Coping of the Partner, which do not seem to have any association with the latter.

Coping methods among Polish students during Covid-19 pandemic.

The Covid-19 pandemic changed daily routines and forced people to develop various coping methods. University students were a social group that suffered due to a drastic change in their daily routine. The analysis of adaptation to chronic stress may help in developing more individualized care for people affected by it. The examination of coping methods and aggression level was conducted using Brief COPE and STAXI-2 questionnaires on a group of 283 participants, extracted from the initial group of 906 tested students. The study was conducted between the second and the third wave of pandemic in Poland. The positive coping methods were dominant among the examined group. The most used were active coping, use of informational support and planning. The negative coping methods were inextricably linked to a higher aggression level, and were more prevailing in the female students. The first symptoms of maladaptive behaviors may be hidden in presumably usual activities and attitudes. It is important to be aware of them in order to provide support for students and other social groups affected by chronic stress.

Pain-Associated Psychological Distress Is of High Prevalence in Patients With Hip Pain: Characterizing Psychological Distress and Phenotypes

To identify common pain-related psychological factors among patients seeking care for athletic hip pain, as well as characterize psychological distress phenotypes and compare hip-specific quality-of-life measures across those phenotypes. A total of 721 patients were recruited from hip preservation clinics. The Optimal Screening for Prediction of Referral and Outcome-Yellow Flag Assessment Tool (OSPRO-YF) was used to identify the presence or absence of 11 different pain-associated psychological distress characteristics (yellow flags), while the International Hip Outcome Tool-12 (iHOT-12) was used to assess hip-related quality of life. Latent class analysis identified patient subgroups (phenotypes) based on naturally occurring combinations of distress characteristics. An analysis of variance was used to compare demographics, number of yellow flags, and iHOT-12 scores across phenotypes. The median (interquartile range) number of yellow flags was 6 (3-9), with 13.5% of the sample reporting 11 yellow flags. Latent class analysis (L2= 543.3, classification errors= 0.082) resulted in 4 phenotypes: high distress (n= 299, 41.5%), low distress (n= 172, 23.9%), low self-efficacy and acceptance (n= 74, 10.3%), and negative pain coping (n= 276, 24.4%). Significant differences in mean yellow flags existed between all phenotypes except low self-efficacy and negative pain coping. There were no differences in demographics between phenotypes. The high distress class had the lowest mean iHOT-12 score (mean [SD], 23.5 [17.6]), with significant differences found between each phenotypic class. There was a high prevalence of pain-associated psychological distress in patients presenting to tertiary hip arthroscopy clinics with hip pain. Furthermore, hip quality-of-life outcome scores were uniformly lower in patients with higher levels of psychological distress. Level III, retrospective cohort study.

Negative experiences and coping strategies to stressful situations by undergraduate University students during Covid- 19 lockdown period in Uganda.

To describe the negative experiences, coping strategies for stressful situations, and factors associated with COVID-19 worry among undergraduate students at Makerere University during the second COVID-19 lockdown in Uganda. Descriptive cross-sectional study at Makerere University. Negative experiences and coping strategies were measured using a semi-structured questionnaire formulated based on literature and findings from previous studies on mental health and COVID-19. Descriptive statistics and measures of association were done using Stata 13. A total of 301 participants were enrolled. Their median age were 23 years. The majority were male (192, 64.0 %), single (269, 89.7 %,) and on normal academic progress (241, 80.3 %). 48.0 % of the participants were worried about COVID-19. Disruption of students' academics (277, 92.0 %) and financial problems (184, 61.1 %) were the most reported negative experiences. Coping strategies included listening to music (203, 67.4 %), talking to family and friends (191, 63.5 %,) and watching movies (174, 57.8 %). Female students than males (aOR: 2.0, 95% CI: 1.0-45.0, p= 0.118) and students without paid employment than those with paid work (aOR: 2.2, 95% CI: 1.0-5.0, p=0.109) were more worried about COVID-19. Nearly half of the students were worried about COVID-19, which disrupted their social and academic lives. The students utilized a myriad of coping strategies.

Age-related variations of the psychosocial determinants of problematic alcohol consumption

Objective As alcohol consumption generally occurs in interpersonal contexts, many studies have examined the psychosocial mechanisms underlying drinking habits. However, most have focused on young/student populations, and far less is known regarding how these psychosocial determinants evolve through adulthood. We thus compared the weight of psychosocial factors in problematic alcohol consumption among young, middle-aged and older people from the general population. Methods A general population sample completed an online survey (N = 614, M age = 34.44, Range= 18–85). We measured demographic variables, problematic alcohol consumption and alcohol-related psychosocial factors (i.e. expectations, motives, norms, social identity, anxiety and depression). We performed dominance analyses to rank the importance of these psychological factors in explaining problematic alcohol consumption across young (18–24, n = 252), middle-aged (25–40, n = 179), and older (>40, n = 183) individuals. Results In young adults, enhancement motives were the most important determinant of problematic alcohol consumption, followed by social drinking identity, coping and social motives. In the middle-aged group, social identity had the highest contribution, followed by social and enhancement motives. Finally, problematic alcohol consumption among older adults was mainly related to coping motives and social identity. Discussion We showed that the psychosocial determinants of problematic alcohol consumption differ with age. While social drinking identity has a significant influence throughout the age groups, we documented a progressive shift from positive (social/enhancement) to negative (coping) reinforcement between younger and older individuals. This study provides a better understanding of the profiles of consumers according to age, and offers guidelines to adapt prevention and interventions to the age group targeted.

DISSECTING RACIAL DIFFERENCES IN THE PERCEPTION OF DOMAIN-SPECIFIC LIFE SATISFACTION

Abstract This study examines factors contributing to racial differences in domain-specific life satisfaction. Our study offers a major contribution to prior research that has tended to pay greater attention to psychological well-being outcomes such as life satisfaction which do not directly pertain to material circumstances of older adults. Those studies generally report better life satisfaction and fewer depressive symptoms among Black older adults than their White counterparts. Our study is based on 409 randomly selected older adults from Cleveland (mean age 79 and 25% African American). We considered socioeconomic status, stressors such as recent negative life events and coping resources such as religiosity to understand their impact on domain specific life- satisfaction (e.g., satisfaction with neighborhood, housing, and standard of living). Our ordinary least squares regression estimates suggest that, on average, Black older adults reported lower levels of domain-specific life satisfaction (b=-0.81, p< 0.01) compared to their White counterparts, despite having stronger social support and being more religious. Even though social support and religiosity did not contribute to racial differences in domain specific life satisfaction, the inclusion of education, income, and recent negative life events fully explain such differences. Findings indicate that interrelated factors such as socioeconomic disadvantage and greater life adversities such as negative life events contribute to lower domain life satisfaction among Black older adults. This finding highlights the need for further exploration of factors shaping material-related well-being outcomes for Black older adults. Our study informs future policies addressing racial well-being inequities.

Mapping personality traits to religious coping styles and struggle: Evidence from Malay Muslim undergraduates in Brunei

The current research explores religious struggle, aiming to assess personality traits as predictors and testing the mediating effects of religious coping styles. Using existing cross-sectional data, we used structural equation modeling to analyze data of 277 Malay Muslim undergraduates. The six-factor personality model HEXACO explained 14.2 % and 6.6 % of the variances for positive and negative religious coping styles respectively, with the addition of the two styles in the same model further explaining 19.5 % of the variances in religious struggle. Findings suggest significant relationships between various personality traits and religious coping styles, predictive of the level of religious struggle experienced by them. Extraversion and agreeableness positively predicted the use of positive religious coping style. Additionally, the same two traits with honesty-humility inversely predicted the use of negative religious coping style. Toward religious struggle, honesty-humility had a negative relation, contrasting with openness to experience having a positive relationship. Between the two religious coping styles, only positive style was observed to negatively predict religious struggle. Four mediation effects were observed. Findings provide valuable insights into the complex dynamics of religious struggle. These insights could inform future research and the development of targeted interventions to mitigate religious struggle.

Adherence to lifestyle therapy in patients with chronic heart failure and comorbidity

Background: Influence of comorbidity on adherence to lifestyle therapy in patients with chronic heart failure (CHF) have not been studied yet. The aim of this study was to investigate awareness and adherence to lifestyle therapy in patients with CHF and comorbidity.Мethods: Two hundred and three patients with CHF (130 males and 73 females, mean age was 61.8±9.6 years) were studied. CHF was defined according to ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure, in 2016. Age-adjusted Charlson comorbidity index was calculated. Awareness of lifestyle modifications was determined using a questionnaire developed in our clinic and used in previous scientific studies. Quality of life was estimated using SF-36 Health Status Survey. Psychological state and attitude to condition were estimated using Minnesota Multiphasic Personality Inventory, the Personal Questionnaire of Behterevsk’ Institute, characterological questionnaire by K. Leonhard. Follow-up period was 1 year.Results: The awareness about lifestyle modifications in patients with CHF ranged from 38.9% (daily control of body weight) to 87.2% (limited salt intake). Adherence to lifestyle therapy was from 7.9% (daily weight control) to 37.9% (limited salt intake). Age-adjusted Charlson comorbidity index was 5.0±2.1 points. Patients with high comorbidity (Charlson comorbidity index >6 points) had decreased of quality of life, both in the physical and the psychological aspects. There were no differences in adherence to lifestyle therapy in patients with CHF, depending on comorbidity. Nonadherent patients were characterized by sensitive type of attitude to their condition, emotional lability, exclusion as a type of defense mechanism and negative coping strategies.Сonclusions: Nonadherence to lifestyle therapy in patients with CHF was associated with maladaptive type of attitude to their condition, which was more common in patients with high comorbidity.

Adherence to lifestyle therapy in patients with chronic heart failure and comorbidity

Background: Influence of comorbidity on adherence to lifestyle therapy in patients with chronic heart failure (CHF) have not been studied yet. The aim of this study was to investigate awareness and adherence to lifestyle therapy in patients with CHF and comorbidity.Мethods: Two hundred and three patients with CHF (130 males and 73 females, mean age was 61.8±9.6 years) were studied. CHF was defined according to ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure, in 2016. Age-adjusted Charlson comorbidity index was calculated. Awareness of lifestyle modifications was determined using a questionnaire developed in our clinic and used in previous scientific studies. Quality of life was estimated using SF-36 Health Status Survey. Psychological state and attitude to condition were estimated using Minnesota Multiphasic Personality Inventory, the Personal Questionnaire of Behterevsk’ Institute, characterological questionnaire by K. Leonhard. Follow-up period was 1 year.Results: The awareness about lifestyle modifications in patients with CHF ranged from 38.9% (daily control of body weight) to 87.2% (limited salt intake). Adherence to lifestyle therapy was from 7.9% (daily weight control) to 37.9% (limited salt intake). Age-adjusted Charlson comorbidity index was 5.0±2.1 points. Patients with high comorbidity (Charlson comorbidity index >6 points) had decreased of quality of life, both in the physical and the psychological aspects. There were no differences in adherence to lifestyle therapy in patients with CHF, depending on comorbidity. Nonadherent patients were characterized by sensitive type of attitude to their condition, emotional lability, exclusion as a type of defense mechanism and negative coping strategies.Сonclusions: Nonadherence to lifestyle therapy in patients with CHF was associated with maladaptive type of attitude to their condition, which was more common in patients with high comorbidity.

Adherence to lifestyle therapy in patients with chronic heart failure and comorbidity

Background: Influence of comorbidity on adherence to lifestyle therapy in patients with chronic heart failure (CHF) have not been studied yet. The aim of this study was to investigate awareness and adherence to lifestyle therapy in patients with CHF and comorbidity.Мethods: Two hundred and three patients with CHF (130 males and 73 females, mean age was 61.8±9.6 years) were studied. CHF was defined according to ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure, in 2016. Age-adjusted Charlson comorbidity index was calculated. Awareness of lifestyle modifications was determined using a questionnaire developed in our clinic and used in previous scientific studies. Quality of life was estimated using SF-36 Health Status Survey. Psychological state and attitude to condition were estimated using Minnesota Multiphasic Personality Inventory, the Personal Questionnaire of Behterevsk’ Institute, characterological questionnaire by K. Leonhard. Follow-up period was 1 year.Results: The awareness about lifestyle modifications in patients with CHF ranged from 38.9% (daily control of body weight) to 87.2% (limited salt intake). Adherence to lifestyle therapy was from 7.9% (daily weight control) to 37.9% (limited salt intake). Age-adjusted Charlson comorbidity index was 5.0±2.1 points. Patients with high comorbidity (Charlson comorbidity index >6 points) had decreased of quality of life, both in the physical and the psychological aspects. There were no differences in adherence to lifestyle therapy in patients with CHF, depending on comorbidity. Nonadherent patients were characterized by sensitive type of attitude to their condition, emotional lability, exclusion as a type of defense mechanism and negative coping strategies.Сonclusions: Nonadherence to lifestyle therapy in patients with CHF was associated with maladaptive type of attitude to their condition, which was more common in patients with high comorbidity.

Trajectories of intrusive and deliberate rumination in young and middle-aged stroke survivors: A growth mixture modeling approach.

This study aimed to explore the relationship between intrusive and deliberate rumination, to identify distinct trajectories of intrusive and deliberate rumination, and to examine their predictors in young and middle-aged stroke survivors. This study employed a longitudinal design in which 200 young and middle-aged stroke survivors were investigated at 1-week pre-discharge (T0), 1 month (T1), 3 months (T2), and 6 months (T3) post-discharge. The Event-Related Rumination Inventory, Simplified Coping Style Questionnaire, and Perceived Social Support Scale were used for data collection. The results showed that intrusive rumination was positively correlated with deliberate rumination at T0 and T1, and negatively correlated with deliberate rumination at T3. Growth mixture modeling identified three classes of intrusive rumination: Stable-low, Declined, and Elevated group, and two classes of deliberate rumination: High-level and Low-level group. Furthermore, number of children or dysfunctions, type of stroke, family history of stroke, negative coping, and social support were found to predict intrusive rumination. These findings can help healthcare providers timely intervene on survivors in the Elevated and Stable-low intrusive rumination groups, and the Low-level deliberate rumination group.

Influence of childhood trauma on adolescent internet addiction: The mediating roles of loneliness and negative coping styles.

In the information age, the use of the internet and multimedia tools has large effects on the life of middle school students. Improper use of the internet may result in internet addiction (IA). Thus, actively exploring the factors influencing adolescent and the mechanism of addiction as well as promoting adolescent physical and mental health and academic development are priorities that families, schools, and society urgently need to address. To explore the effect of childhood trauma on adolescent IA and to consider the roles of loneliness and negative coping styles. A total of 11310 students from six junior high schools in Henan, China, completed the child trauma questionnaire, IA test, loneliness scale, and simple coping style questionnaire. In addition, data were collected from 1044 adolescents with childhood trauma for analysis with IBM SPSS 26.0 and AMOS 28.0; we examined the relationships among childhood trauma, IA, loneliness, and negative coping styles. We found that childhood trauma not only directly affected adolescents' IA but also affected IA through loneliness and negative coping styles. Therefore, this study has theoretical implications regarding adolescent mental health and may inform interventions for IA.

Surviving the shift: College student satisfaction with emergency online learning during COVID-19 pandemic.

The coronavirus disease 2019 (COVID-19) epidemic disrupted education systems by forcing systems to shift to emergency online leaning. Online learning satisfaction affects academic achievement. Many factors affect online learning satisfaction. However there is little study focused on personal characteristics, mental status, and coping style when college students participated in emergency online courses. To assess factors related to satisfaction with emergency online learning among college students in Hebei province during the COVID-19 pandemic. We conducted a cross-sectional survey of 1600 college students. The collected information included demographics, psychological aspects of emergent public health events, and coping style. Single factor, correlation, and multiple linear regression analyses were performed to identify factors that affected online learning satisfaction. Descriptive findings indicated that 62.9% (994/1580) of students were satisfied with online learning. Factors that had significant positive effects on online learning satisfaction were online learning at scheduled times, strong exercise intensity, good health, regular schedule, focusing on the epidemic less than one hour a day, and maintaining emotional stability. Positive coping styles were protective factors of online learning satisfaction. Risk factors for poor satisfaction were depression, neurasthenia, and negative coping style. College students with different personal characteristics, mental status, and coping style exhibited different degrees of online learning satisfaction. Our findings provide reference for educators, psychologists, and school administrators to conduct health education intervention of college students during emergency online learning.

PSYCHOLOGICAL CHARACTERISTICS OF PATIENTS SUFFERING FROM SKIN DISORDERS

Background: Dermatology holds a unique place among the other clinical specialties due to the "visibility" of the skin organ. Psycho dermatology focuses on the interaction between the mind and skin, based on the bio-psycho-social disease model in psychosomatics. It focuses on the complex, non-linear interactions between biological, psychological, and social factors in the pathogenesis of skin diseases. The present research work aims to assess the psychological characteristics of patients suffering from skin disorders- eczema and psoriasis. Method: A sample of 90 individuals was divided into three groups: eczema patients, psoriasis patients, and control group. Participants were administered several tools and effective results were found out after statistical analyses. Results: Significant differences between the three groups, with respect to coping styles, perceived stress, locus of control, and anxiety were demonstrated. On the other hand, in Psoriasis patients’ group, significant relationships of Coping Styles and Perceived Stress with Locus of Control and Anxiety were found out. In Eczema patients’ group, a significant relationship of coping styles and perceived stress with locus of control was found out; a significant relationship between anxiety and self-blame coping style and between locus of control and trait anxiety were also found out. Conclusion: The study reveals individuals with skin disorders experience negative psychological symptoms such as, high perceived stress, high anxiety, and negative coping styles. Psycho dermatology treatments can address these factors for a holistic healthcare approach.

Islamic spiritual care and negative religious coping


 This article discusses religious coping behaviors in relation to Islamic spiritual care practices. Islamic spiritual care is an established practice, integrated in many European countries’ health and welfare services, and an emerging field of research. I have 17 years of experience as a Muslim chaplain in Danish hospitals and a prison, working with counseling, educating staff, and policymaking in the field of Muslim chaplaincy. In this article, I use psychological theory to analyze positive and negative religious coping, first demonstrating that spiritual care is a practice in Islam that is embedded in its theological and psychological (re)sources. Then, based on two case examples, I analyze negative religious coping among Muslims, which is a topic that has received little scholarly attention. The article contributes to the emerging field of Islamic practical theology and the interdisciplinary relationship between practical theology and psychology of religion.

The mediating role of coping styles in illness perception and self-management in patients with obstructive sleep apnea

Study objectivesObstructive sleep apnea (OSA) has become a chronic disease that threatens human health. Self-management in patients with OSA can influence their quality of life, and illness perception and coping styles are relevant facilitators of self-management, but this specific relationship has not been adequately studied. The purpose of this study was to investigate the current status and relationship between illness perception, coping styles, and self-management behaviors in patients with OSA, and how coping styles mediate this relationship. MethodsThis is a cross-sectional study. Conducted between September 2022 and March 2023, the study involved patients aged ≥18 years old in two hospitals who were diagnosed with OSA. The survey was conducted using the demographic characteristics questionnaire, the Brief Illness Perception Questionnaire, the Simple Coping Style Questionnaire, and the Self-management Behavior Questionnaire of patients with obstructive sleep apnea. Spearman’s correlation analysis was used for correlation analysis and multiple linear regression and structural equation models were used for mediation effect testing. ResultsThere were 282 valid questionnaires, with a 94 % valid response rate. Higher levels of self-management behaviors were associated with low negative illness perceptions, high positive coping, and low negative coping. The study also demonstrated that the mediating effect accounted for 25.65 % (−0.049/−0.191) of the overall effect. ConclusionIllness perceptions in OSA patients were negatively related to positive coping styles, positively related to negative coping styles, and negatively related to self-management. This study suggests that coping styles of OSA patients mediate illness perception and self-management.