Problem Coping Research Articles

A comparative study of uncertainty and coping strategies of patients with multiple sclerosis for members and nonmembers in peer groups

Patients with multiple sclerosis (MS) experience a high level of uncertainty and face serious difficulty in coping effectively with their conditions. We compared the rate of uncertainty and coping strategies of women patients in members and nonmembers of peer groups. Our results showed that uncertainty level for patients who are members in peer groups was less than that of the nonmember patients in peer groups. Moreover, we observed that people who are members in peer groups employed problem-oriented coping strategies more than the nonmember patients in the peer group.

Health locus of control and mental health in patients with multiple sclerosis: Mediating effect of coping strategies.

In patients with multiple sclerosis (MS), mental health is significantly affected and conditioned by many factors, including psychological ones. This study team aimed to determine whether different coping strategies mediate the relationship between health locus of control (HLC) and mental health in MS patients. In this cross-sectional study, a total of 382 patients with MS were included. The patients completed General Health Questionnaire-12, Coping Inventory for Stressful Situations, and Multidimensional Health Locus of Control Scale. The demographic and clinical characteristics of the patients were collected using a self-report survey and neurological assessment. A mediation analysis was used to test the study hypothesis. Problem-oriented coping was found to be a significant mediator in the relationship between internal HLC and mental health (indirect effect: -0.129 [95% confidence interval [CI]: -0.193, -0.079]; standardized indirect effect: -0.113 [95% CI: -0.165, -0.070]). Emotion-focused coping was found to be a significant mediator in the relationship between power of others HLC and mental health (indirect effect: 0.114 [95% CI: 0.058, 0.178]; standardized indirect effect: 0.125 [95% CI: 0.062, 0.195]). Emotion-focused coping was also found to be a significant mediator in the relationship between chance HLC and mental health (indirect effect: 0.215 [95% CI: 0.154, 0.281]; standardized indirect effect: 0.209 [95% CI: 0.149, 0.272]). Patients with internal HLC were found to have positive mental health due to their problem-focused coping strategies, while patients with external HLC had worse mental health as they used more emotion-focused strategies. Hence, problem-focused and emotion-focused coping strategies can be considered mediators of the relationship between HLC and mental health in patients with MS.

ЗАЩИТНО-СОВЛАДАЮЩЕЕ ПОВЕДЕНИЕ ПЕДАГОГОВ В СИТУАЦИИ ПЕРЕЖИВАНИЯ ПРОФЕССИОНАЛЬНОГО КРИЗИСА ЛИЧНОСТИ

Целью исследования явилось рассмотрение вопроса об особенностях защитно-совладающего поведения педагогов, переживающих профессиональный кризис личности. В статье освещается ряд исследований как зарубежных, так и отечественных ученых, раскрывающих как феноменологию кризиса и кризисных состояний личности, так и феноменологию защитного и совладающего поведения.Метод и методология проведения работы: в качестве общей методологии исследования выступили: системный, синергетический, контекстный, историко-эволюционный, феноменологические подходы. Частную методологию составили подходы к исследования копинг-поведения Т.Л. Крюковой,Результаты исследования: в ходе теоретико-эмпирического исследования было установлено, что ситуация профессионального кризиса личности носит стрессовый характер. Переживание педагогами профессионального кризиса личности актуализирует потребность в совладании с ним. Эмпирическое исследование позволило выявить особенности защитно-совладающего поведения педагогов, переживающих профессиональный кризис личности, среди которых: использование неконструктивных механизмам психологической защиты (отрицание и вытеснении) наряду с конструктивным проблемно ориентированным копингом.Область применения: полученные результаты носят практический характер, они могут быть интересны педагогам, психологам и руководителям образовательных организаций в рамках организации деятельности психологической службы образования.

Correlation Between Concept of Stress and Coping Strategies Among Youth

Introduction. The article presents the results of the analysis of the correlation between the structural organization of the concept of stress and coping strategies among the freshmen, studying the humanities. The research into the subjective experience of stress of this age group reflects the content structure of the representations of stress and style of coping behaviour.
 Method. The concept of stress has been studied by means of the directed associative experiment, which helps to describe the organisation of implicit representations of stress and difficult situations of a person. The content categories (stress-factors – state and immediate effects – consequences – stress process – stress management) were found in the respondents’ answers; the number of the presented categories is a measure of differentiation of the stress concept. Coping strategies were analysed with the application of the common formof «Adolescent Coping Scale». Results. It has been revealed that the increase in the degree of differentiation of the concept results in strengthening such strategies as ‘anxiety’, ‘not coping’, ‘tension reduction’ and ‘self-accusation’ (p ≤ 0.005); ‘content simplification’ of the concept leads to the demand in the strategy ‘social action’ (p =0.000). The stylistic specifics of coping behaviour of a student are connected with the degree of differentiation of the concept. Those students who have diverse implicit representations of stress are characterized by problem-oriented coping combined with the positive focus and tendency towards solitude. The orientation to problemsolving of the respondents, who gave incomplete descriptions of stress signs, is accompanied by a competing activity in terms of physical activity. The students, scarcely describing stress, enhance socio-oriented resources application for coping with a difficult situation.
 Conclusion. Practical relevance of this research consists in identifying the psychological conditions, which are necessary for effective coping among various groups of students.
 Keywords: stress, representations of stress, concept, coping strategies, coping behaviour, cross-cultural differences, student, youth

The power of listening: Lending an ear to the partner during dyadic coping conversations.

Although active, responsive listening is widely assumed to be essential for well-functioning intimate relationships, the manner in which this important behavior might promote closeness remains unknown. To test the prediction that listening may be especially influential when partners disclose experiences of stress, we instructed 365 heterosexual couples to hold two 8-min conversations in which each partner discussed a stressful personal experience while the other partner was asked to respond as he or she ordinarily would. We coded expressions of stress and listening behavior at 10-s intervals during these conversations, applied actor-partner multilevel models to compute a variable capturing the covariation between one partner's stress expression and the other partner's listening behavior, and then used that variable in regression analyses to predict observed dyadic coping behaviors, self-reports of the quality of dyadic coping in general, and self-reports of relationship satisfaction. Attentive listening while the other partner expressed stress was significantly linked with better dyadic coping behaviors and higher relationship satisfaction. Partners displaying less attentive listening during the partner's stress expression also engaged in more problem-oriented coping and more negative dyadic coping. Because attentive listening during disclosure of stress covaries in expected ways with support provision and judgments of relationship quality, appreciating the context-specific effects of active listening merits careful consideration as an intervention target in couple therapy and in relationship education programs. (PsycINFO Database Record

The Effect of Resilience and Stress Coping Styles on Suicide Attempts in Females Reporting Spouse-Related Abuse

Background: Spouse-related abuse involves a wide range of behaviors by the partner and has many debilitating consequences for the victim, such as suicide attempt. Objectives: The aim of this study was to predict the effect of resilience and stress coping styles on the likelihood of suicide attempt in females reporting spouse-related abuse. Methods: The present descriptive comparative study was conducted on 150 female victims of spouse-related abuse in the city of Ilam, Iran, during year 2016. They were matched in two groups with and without a history of suicide attempt over the past 12 months. Data collection tools included the world health organization violence against women instrument, the connor-davidson resilience scale, and the coping inventory for stressful situations. Purposive and snowball methods were used. The obtained data was analyzed using the SPSS-21 software. Results: No significant differences were observed between the two groups in terms of the frequency and severity of exposure to different forms of violence. The mean scores of resilience (P < 0.001; -13.03 to -6.34) and problem-oriented coping style (P = 0.004, -7.65 to -1.46) were significantly higher in females without a history of suicide attempt compared to the other group. For every unit increase in the resilience score, the likelihood of not attempting suicide increased by 1.134, and for every unit increase in the avoidance style score, the likelihood of not attempting suicide decreased by 0.931. This effect remained significant with the addition of demographic variables. Conclusions: A high level of resilience and the use of problem-oriented coping have a major role in reducing the likelihood of suicide attempt in females subjected to violence. Introducing couples to coping strategies, problem solving, and anger management is an integral part of life skills education.

Relationship between personality traits (introversion-extroversion) and control source with coping skills in six-grade elementary school students in Ghaemshahr city

The purpose of this study was to investigate the relationship between personality traits (introversion-extraversion) and the source of control with coping skills in sixth-grade elementary school students in Ghaemshahr city. This research is applied in terms of purpose and in terms of method, was descriptive correlation research. The statistical population of this study consists of 3,379 six-grade elementary school students in Ghaemshahr city. Based on Krejcie and Morgan (1970) table, 346 students were selected by stratified random sampling method based on gender. To collect data, Eysenck Personality Inventory (1965) with 57 questions, Rutter’s Source Control Questionnaire (1966) with 29 questions and Lazarus and Volkman’s Coping Skills Questionnaire (1988) with 66 questions was used. The validity and reliability of the tools were confirmed. To analyze the data, Pearson correlation and multivariate regression were used. The results showed that there is a positive and significant relationship between the personality trait of introversion and the source of control with the coping skills of the emotional-focused, but there is a negative and significant relationship between the personality trait of extraversion and the coping skill of the emotional-focused. Also, there is a positive and significant relationship between the personality trait of extraversion and the problem-oriented coping skill, but there is a significant negative relationship between the control source and the problem-oriented coping skill, but there is no significant relationship between the personality trait of an introvert and the problem-oriented coping skill.

Prediction Job Stress Based on Resilience and Coping Strategies in Driving School Instructors

The purpose of this study was to predict occupational stress based on resilience and stress coping strategies in coaches of driving schools in Jahrom. The statistical population consisted of all male and female educators of Jahrom Driving Schools, whose number was 80 in this year. Using the Rrejcie and Morgan table, 70 people were selected as the statistical sample. Rescue questionnaire, occupational stress questionnaire and stress coping strategies inventory were used to collect data. Validity of the questionnaires was verified using content validity and reliability through Cronbach's alpha. Descriptive statistics (mean), and inferential statistics (simple linear & multivariate regression tests) were used to analyze the data. The results showed that, 1- Resilience was able to negatively affect the level of significance less than 0.01 in the variable ofjob stress and predict it. 2- Stress coping strategies, the problem-oriented coping component is capable of considering the significance level less than 0.05 the negative impact on thejob stress variable has been predicted and predicted.

The effects of psychoeducational family intervention on coping strategies of relatives of patients with bipolar I disorder: results from a controlled, real-world, multicentric study.

BackgroundPsychoeducational family intervention (PFI) has been proven to be effective in improving the levels of family burden and patients’ personal functioning in schizophrenia and bipolar disorders (BDs). Less is known about the impact of PFI on relatives’ coping strategies in BD.MethodsA multicenter, controlled, outpatient trial funded by the Italian Ministry of Health and coordinated by the Department of Psychiatry of the University of Campania “Luigi Vanvitelli” has been conducted in patients with bipolar I disorder (BD-I) and their key relatives consecutively recruited in 11 randomly selected Italian community mental health centers. We aim to test the hypothesis that PFI improves problem-oriented coping strategies in relatives of BD-I patients compared to the Treatment As Usual (TAU) group.ResultsThe final sample was constituted of 123 patients and 139 relatives. At baseline assessment (T0), the vast majority of relatives already adopted problem-oriented coping strategies more frequently than the emotion-focused ones. At the end of the intervention, relatives receiving PFI reported a higher endorsement of adaptive coping strategies, such as “maintenance of social interests” (odds ratio [OR]=0.309, CI=0.04–0.57; p=0.023), “positive communication with the patient” (OR=0.295, CI=0.13–0.46; p=0.001), and “searching for information” (OR=0.443, CI=0.12–0.76; p=0.007), compared to TAU relatives, after controlling for several confounders. As regards the emotion-focused coping strategies, relatives receiving the experimental intervention less frequently reported to adopt “resignation” (OR=−0.380, CI=−0.68 to −0.08; p=0.014) and “coercion” (OR=−0.268, CI=−0.46 to −0.08; p=0.006) strategies, compared to TAU relatives.ConclusionPFI is effective in improving the adaptive coping strategies of relatives of BD-I patients, but further studies are needed for evaluating the long-term benefits of this intervention.

Brain functional connectivity correlates of coping styles

Coping abilities represent the individual set of mental and behavioral strategies adopted when facing stress or traumatic experiences. Coping styles related to avoidance have been linked to a disposition to develop psychiatric disorders such as PTSD, anxiety, and major depression, whereas problem-oriented coping skills have been positively correlated with well-being and high quality of life. Even though coping styles constitute an important determinant of resilience and can impact many aspects of everyday living, no study has investigated their brain functional connectivity underpinnings in humans. Here we analyzed both psychometric scores of coping and resting-state fMRI data from 102 healthy adult participants. Controlling for personality and problem-solving abilities, we identified significant links between the propensity to adopt different coping styles and the functional connectivity profiles of regions belonging to the default mode (DMN) and anterior salience (AS) networks-namely, the anterior cingulate cortex, left frontopolar cortex, and left angular gyrus. Also, a reduced negative correlation between AS and DMN nodes explained variability in one specific coping style, related to avoiding problems while focusing on the emotional component of the stressor at hand, instead of relying on cognitive resources. These results might be integrated with current neurophysiological models of resilience and individual responses to stress, in order to understand the propensity to develop clinical conditions (e.g., PTSD) and predict the outcomes of psychotherapeutic interventions.

Coping as a Mediator Between Parental Attachment and Resilience: An Examination of Differential Effects Between Chinese Adolescents From Single Parent Families Versus Those From Intact Families.

The crude divorce rate has been increasing steadily for over a decade in China. Consequently, more and more children have to face the challenge of growing up in single parent families. The current study investigated the mediating effects of problem-oriented and emotion-oriented coping on the relationship between parental attachment and psychological resilience among a sample of Chinese adolescents from single parent families and intact families. Participants were 975 high school students (44.30% males; aged 15-19 years, M = 16.32 years, SD = 0.74), 871 from intact families and 104 from single parent families. Structural equation modeling showed that security in maternal attachment was positively associated with resilience through the indirect effect of reduced emotion-oriented coping among adolescents from single parent families. Among adolescents from intact families, security in maternal attachment was both directly associated with resilience and indirectly through enhanced problem-oriented and reduced emotion-oriented coping. Security in paternal attachment was associated with resilience both directly and indirectly through enhanced problem-oriented coping as well among those from intact families. Female adolescents exhibited significantly lower levels of resilience than male adolescents did regardless of the marital status of their parents. Limitations and suggestions for future research are discussed.

ВЗАИМОСВЯЗЬ КОПИНГ-СТРАТЕГИЙ, ЛОКУСА КОНТРОЛЯ И МОТИВАЦИИ ДОСТИЖЕНИЯ У РУКОВОДИТЕЛЕЙ

The article focuses on the theoretical and empirical analysis of the concepts of coping strategy, locus of control (internality-externality), and achievement motivation. Different points of view on coping strategies are considered, as well as achievement motivation and internality as professionally important characteristics of managers of the real sector of the economy. The structure of the interrelation between socio-psychological characteristics and coping strategies of managers is revealed. The correlations between coping strategies, locus of control, and achievement motivation have been studied. The results of the study of the relationship between coping strategies, locus of control and achievement motivation among managers made it possible to draw the following conclusions. Firstly, the higher the level of motivation for success, the greater the likelihood is that a person will use such coping strategies as planning of a solution to the problem, positive reassessment and problem-oriented coping. Secondly, the higher the level of motivation for avoiding failures, the more likely it is that a person, in the process of coping, will resort to such strategies as distancing, escape-avoidance, emotionally-oriented coping. Thirdly, the higher the level of the internal locus of control, the greater the probability of using such coping strategies as problem-solving planning, positive reassessment, and problem-oriented coping. Finally, the higher the level of the external locus of control, the greater the likelihood is of using such coping strategies as distancing, flight-avoidance, emotionally-oriented coping.

Coping Styles and Life Satisfaction in Palliative Care.

Background:Patients in palliative care suffer variously due to underassessment of needs and suboptimal intervention, coupled with lack of access to palliative care. This study attempts to identify effective coping strategies which lead to life satisfaction, among those afflicted with terminal cancer.Materials and Methods:This observational, cross-sectional study was carried out among terminally-ill cancer patients undergoing palliative care. Cancer patients receiving palliative care who give consent and were aged 18 years or older were included in the study. Those with cognitive deficits, delirium, or psychosis were excluded from the study. COPE scale, Temporal Satisfaction with Life Scale, and sociodemographic Performa were administered and analyzed. Pearson's r correlation coefficient test and multiple linear regression analyses were used to evaluate correlation and effect of coping strategies on life satisfaction.Results:Religious coping was the most frequently used coping strategy by patients, followed by acceptance. Females showed higher problem-focused coping, whereas males had higher emotion-focused and avoidant coping strategies. Females manifested more religious coping. Males showed more acceptance of their illness. Those without a partner had significantly higher emotion-focused coping strategies and higher religious coping. Income, social support, and problem-oriented coping were positively related to quality of life. Life satisfaction showed significant negative correlation with denial, substance use, and venting utilized as coping methods.Conclusion:Problem-focused coping (religious coping and acceptance) was found to be more effective than other methods. Patients in palliative care could be instructed for the use of problem-focused coping. Such training might enhance their life satisfaction, helping them experience greater control over the course of illness.

Zooming in: A microanalysis of couples' dyadic coping conversations after experimentally induced stress.

Growing evidence that social support in times of stress is crucial for well-functioning relationships raises important questions about how intimate partners elicit specific forms of supportive behavior. To explore the process of support elicitation, we exposed either the male or female partner in a relationship to a standardized laboratory stressor (N = 127 couples), videotaped their subsequent reunion, and then coded those interactions at a microanalytic level to investigate links between expressions of stress and partner responses to those expressions. Multilevel analyses indicated that the type of stress expression served as a cue for the dyadic coping reaction of the partner. For example, problem-oriented stress expression within a 10-s interval of the conversation was strongly linked to problem-oriented dyadic coping in the same or following time sequence, while emotion-oriented stress expressions were associated with emotion-oriented dyadic coping reactions. These findings enhance the understanding of the link between different stress expressions and dyadic coping reactions and offer important implications for couple interventions. (PsycINFO Database Record

The Relationships Between Uncertainty and Coping Behaviors of Patients With Liver Cirrhosis

Background: Patients tend to develop a sense of uncertainty when they lack control over the progress of the disease, and physical discomforts. The sense of uncertainty that patients develop when facing their disease or treatment may elicit physical and psychological distress which can influence the patients’ coping behaviors. Purpose: This study investigated the relationships between cirrhotic patients’ sense of uncertainty and coping behaviors. Methods: A cross-sectional, correlational research design was used. Convenience sampling was performed to select 76 cirrhotic inpatients in the division of gastroenterology at a hospital in Southern Taiwan. Three structured questionnaires (Personal Characteristics Questionnaire, Mishel Uncertainty in Illness Scale, Coping Behaviors Scale) were used for data collection. Results: (a) Cirrhotic patients perceived a moderate or increased level of uncertainty and problemoriented coping behaviors were the most frequently used coping behaviors. (b) Patients who had no religion, who had fatigue or severe disease conditions exhibited comparatively high levels of uncertainty. (c) Patients who were singled or unemployed, or fatigue often showed emotion-oriented coping behaviors. Consuming alcohol frequency, illness severity was positively correlated with emotionoriented coping behaviors. (d) Patients who were unemployed often exhibited problem-oriented coping behaviors. Educational level and consuming alcohol frequency were positively correlated with problemoriented coping behaviors. (e) Patients’ sense of uncertainty was positively correlated with emotion- and problem-oriented coping behaviors. Conclusions/ Implications for Practice: Since cirrhotic patients frequently exhibit emotion-oriented coping behaviors and have high level of uncertainty, nurses could encourage them to express their emotions and problems, and listen to them patiently. If patients were high levels of uncertainty, and exhibit problem-oriented coping behaviors, by spontaneously providing disease-related information and social support, they can readily adopt to their disease conditions.

Marital adjustment: the role of perfectionism, the ways of coping with stress and gender

This study aimed to examine the concept of marital adjustment and its relation with perfectionism (self-oriented, otheroriented and socially-prescribed perfectionism), the ways of coping (problem-focused coping, emotion-focused coping and seeking social support) and gender variables. The research was carried out with 290 married individuals (188 females and 102 males). Participants were administered a questionnaire to ascertain their socio-demographic characteristics along with several assessment scales including Dyadic Adjustment Scale, Multidimensional Perfectionism Scale, The Ways of Coping Inventory, Brief Symptom Inventory. A series of analyses of Covariance (ANCOVA) was conducted to evaluate the effects of personal level of perfectionism (self-oriented, other-oriented and socially-prescribed perfectionism), the ways of coping (problem-oriented coping, emotion-oriented coping and seeking social support) and gender on marital adjustment, after controlling for psychopathological symptom levels. The results demonstrated that individuals who had self-oriented perfectionism and individuals, those who applied problem-oriented coping strategies more often, reported greater level of marital adjustment. Specifically, socially-prescribed perfectionism in males and self-oriented perfectionism in females were found to be the determinant figure on the issue of marital adjustment. Another finding revealed an interaction effect between self-oriented perfectionism and seeking social support. The findings were discussed in the light of relevant literature regarding the structure of Turkish society. Keywords: Marital adjustment; perfectionism; coping with stress; gender;

Wilderness Survival Self-Efficacy Scale (WSSES)

This article presents a new diagnostic tool: the Wilderness Survival Self-Efficacy Scale (WSSES). The WSSES was developed to allow researchers and instructors to assess individuals’ perceived abilities to build their survival skills and apply them in their daily life. An exploratory factor analysis was conducted with 348 participants and resulted in one factor. A confirmatory factor analysis was performed using another sample of 199 participants, and the results verified the one-factor structure. The results suggest that the WSSES demonstrates a strong internal consistency (α = .88). A test-retest reliability analysis on a sample of 102 respondents indicated that WSSES scores were stable over a 4-week period. WSSES scores were highly related to general self-efficacy, moderately related to problematic coping and wilderness seeking, and unrelated to personality traits (openness to experience and agreeableness). The implications for outdoor education and mental health practices as well as research applications of this new measure are discussed. Key Words: Self-efficacy—Survival—Outdoor skills—Wilderness.

Predicting Posttraumatic Growth Based on Coping Strategies in Women and Men Involving with Advanced Cancer

BackgroundLots of research has been dedicated to negative consequences of cancer, but few probably studied personal growth and self-enhancement and its related variables after experiencing this disease. The aim of this research was to predict posttraumatic growth based on coping strategies and gender in patients with cancer.MethodsUsing a correlational method and a questionnaire tool, 120 patients (65 females and 55 males, mean age 47 ± 14.72) were selected among hospitalized patients in Firouzgar, Ayatollah Taleghani and Rasoul Akram hospitals in Tehran. They completed post traumatic growth inventory (PTGI) and coping responses inventory (CRI). Descriptive statistics, independent t-test, correlation tests and multiple linear regression were used for data analysis by SPSS version 20.ResultsFindings indicated that among problem-oriented coping strategies, cognitive assessment and seeking social support explains 53% of PTG changes (P 0.05).ConclusionsResults showed that problem-oriented strategies especially re-evaluation can support the patients to strive to re-conceptualize their experience and make it easier to deal with. In this regard, clinical interventions such as training problem-focused coping skills and facilitating measures to provide social support may also be helpful.

Marital adjustment: the role of perfectionism, the ways of coping with stress and gender

This study aimed to examine the concept of marital adjustment and its relation with perfectionism (self-oriented, otheroriented and socially-prescribed perfectionism), the ways of coping (problem-focused coping, emotion-focused coping and seeking social support) and gender variables. The research was carried out with 290 married individuals (188 females and 102 males). Participants were administered a questionnaire to ascertain their socio-demographic characteristics along with several assessment scales including Dyadic Adjustment Scale, Multidimensional Perfectionism Scale, The Ways of Coping Inventory, Brief Symptom Inventory. A series of analyses of Covariance (ANCOVA) was conducted to evaluate the effects of personal level of perfectionism (self-oriented, other-oriented and socially-prescribed perfectionism), the ways of coping (problem-oriented coping, emotion-oriented coping and seeking social support) and gender on marital adjustment, after controlling for psychopathological symptom levels. The results demonstrated that individuals who had self-oriented perfectionism and individuals, those who applied problem-oriented coping strategies more often, reported greater level of marital adjustment. Specifically, socially-prescribed perfectionism in males and self-oriented perfectionism in females were found to be the determinant figure on the issue of marital adjustment. Another finding revealed an interaction effect between self-oriented perfectionism and seeking social support. The findings were discussed in the light of relevant literature regarding the structure of Turkish society. Keywords: Marital adjustment; perfectionism; coping with stress; gender;

Emotion-oriented coping increases the risk of depression among caregivers of end-stage renal disease patients undergoing hemodialysis.

We investigated the possible association between coping style and depressive feelings among caregivers of end-stage renal disease patients undergoing hemodialysis. We studied 107 main caregivers of hemodialysis patients. Main caregiver was defined as the person on whom the patient counts for daily care or the one the patient calls upon in case of difficulties. Demographic data of caregivers and clinical data of patients were collected. The Jalowiec Coping Scale was applied to score two styles of coping: problem-oriented coping (POC) and emotion-oriented coping (EOC). Depression was screened by the 20-item version of the Center for Epidemiologic Studies Depression Scale (CES-D). A score ≥16 was used to classify depression. Comparisons were made by Student's t and Chi-square tests. The Pearson's test was used to assess correlation between scores. Linear and logistic regressions were used, respectively, to test variables as predictors of the CES-D scores and the presence of depression. The depression rate among caregivers was 71.9%. In the comparison between depressed and non-depressed caregivers, only EOC score differed, being higher among depressed ones (69.8 vs. 62.4; p<0.001). EOC score was positively correlated with depression score (r=0.368; p=<0.001). In the multivariate analysis, EOC independently predicted both the depression score (b=0.272; p=0.001) and the presence of depression (OR 1.221; 95% CI 1.123-1.339; p=0.001). Our results indicate that EOC is associated with and increases the risk of depression among caregivers of HD patients. We propose that strategies aiming to strengthen POC and diminish EOC can be applied to minimize depressive feelings.