Resignation Coping Research Articles

The relationship between illness perception and vision-related quality of life among Chinese patients with diabetic retinopathy: the mediating role of resignation coping style

BackgroundMaladaptive illness perception and coping strategies have been linked to illness-related quality of life in patients with chronic diseases. However, the impact of illness perception and coping strategies on vision-related quality of life (VRQOL) in patients with diabetic retinopathy (DR), a significant microvascular complication of diabetes mellitus, remains unclear. This study aims to evaluate the associations among illness perception, coping styles, and VRQOL in Chinese patients with DR, and to explore the mediating role of coping styles in the relationship between illness perception and VRQOL.MethodsThis cross-sectional study included 303 adult Chinese with DR recruited from a general Grade-A tertiary hospital in Hunan, China. All participants completed clinical and demographic questionnaires. The Brief Illness Perception Questionnaire (BIPQ), the National Eye Institute 25-Item Visual Function Questionnaire (NEI-VFQ-25), and the Medical Coping Modes Questionnaire were respectively adopted to assess the illness perception, VRQOL and coping styles. The BIPQ total scores were converted to logit scores using Rasch analysis. The NEI-VFQ-25 composite scores were converted to estimated person measures based on Rasch analysis and the method of successive dichotomizations. The relationships among these variables were assessed through independent-sample t-test, one-way analysis of variance, correlation analyses and multiple linear regression analysis, while SPSS Process model and the bootstrap analysis were utilized to evaluate the mediating effect.ResultsIllness perception was positively correlated with resignation coping style (r = 0.33, P < 0.001) and negatively correlated with VRQOL (r = -0.43, P < 0.001). Resignation coping style was negatively correlated with VRQOL (r = -0.38, P < 0.001). Illness perception significantly predicted resignation coping style (t = 5.91, P < 0.001) and resignation coping style significantly predicted VRQOL (t = -5.30, P < 0.001). The mediating effect through resignation coping was − 0.49 (95% CI: -0.75 to -0.27), accounting for 21.08% of the total effect of illness perception on VRQOL.ConclusionThe study revealed that the resignation coping style partially mediated the relationship between illness perception and VRQOL among DR patients. Specifically, DR patients may accept their worsening circumstances without attempting to change them due to their perception that their illness is threatening and beyond control. This resignation coping strategy could, in turn, lead to poorer VRQOL. These findings suggest that interventions targeting the improvement of illness perception and coping strategies could enhance the VRQOL of DR patients.

An adaptation of the KidCOPE: the KidCOPE-parent (KidCOPE-P) – a parent-report measure of child coping strategies

ABSTRACT Objective Understanding how children cope is an important factor in investigating the impact of adversity on child development. With children increasingly experiencing adverse situations – such as the COVID-19 pandemic – having methods of assessing coping strategies is an essential step in supporting self-regulation development. Parent report is a common method of measuring child outcomes, as parents observe children across a range of settings. Thus, the goal of this study was to investigate the reliability and validity of the KidCOPE-Parent form – an adaptation of the original KidCOPE self-report. Methods A sample of 253 children, aged 6–7 years old, across 19 government and catholic schools in Melbourne, Victoria. Results Findings indicate that a two-factor model best fits the data, with the KidCOPE-P demonstrating moderately acceptable reliability and validity. There were some differences in mean scores reported between males and females for items relating to problem-solving, social support, and resignation coping strategies. Conclusion Overall, the KidCOPE-P is moderately suitable for assessing children’s coping strategies, as observed by a parent. Future research is needed to replicate these findings and continue to explore the KidCOPE-P’s reliability as a parent-report measure of child coping strategies.

Characteristics and influencing factors of demoralization in patients with lung cancer: A latent class analysis.

Demoralization has garnered increasing attention in recent years as a significant psychological distress. This study aims to identify latent classes of demoralization in lung cancer patients using Latent Class Analysis (LCA) from a person-centered perspective and to explore the factors influencing the latent classes of demoralization. A cross-sectional study using convenience sampling was conducted among 567 lung cancer patients in three tertiary hospitals in China. LCA was employed to classify heterogeneous classes of demoralization. Multinomial logistic regression analyses were performed to explore the associations between demographic and clinical characteristics, as well as physical symptoms, resilience, family function, and coping strategies, with class membership in the identified heterogeneous subgroups of lung cancer patients. Three latent classes of demoralization were identified: the high demoralization group (Class 1, 14.8%), the moderate demoralization-distress and helplessness group (Class 2, 37.2%), and the low demoralization group (Class 3, 48.0%). In comparison to Class 3, lung cancer patients with hypertension, higher core symptom burden, poorer resilience, dysfunctional family dynamics, and resignation coping were more likely to belong to Class 1 and Class 2. The demoralization patterns in lung cancer patients were varied. Targeted intervention should be developed based on the characteristics of each class, and timely attention shouldbe paid to high-risk patients.

Learned Helplessness and Associated Factors Among Patients with Lung Cancer.

Learned helplessness (LH) is the psychological state in which an individual experiences multiple failures and setbacks and experiences a sense of loss when facing the current situation. It is a significant burden for lung cancer patients that can impair quality of life and lead to physical, social, and psychological difficulties. Thus, this study aimed to determine the level of LH among patients with lung cancer and identify factors associated with LH. From August 2022 to March 2023, 237 patients with lung cancer from Chongqing University Cancer Hospital were selected for this study. A general information questionnaire, the LH scale, the Brief Illness Perception questionnaire, the Strategies Used by People to Promote Health questionnaire, the Medical Coping Modes questionnaire, and the Self-esteem scale were used for the investigation. Multiple linear regression was employed to identify influencing factors for LH in patients with lung cancer. The total LH score of patients with lung cancer was 52.19±11.20. Multiple linear regression analysis showed that illness perception (β=0.249, P=0.001), self-efficacy (β=-0.194, P=0.017), and resignation coping mode (β=0.267, P<0.001) were the main influencing factors of LH (P<0.05), which explained 42.0% of the total variance. The score of LH in patients with lung cancer was at a moderate level in this study. Illness perception, self-efficacy, and resignation coping mode have been found to impact LH among patients with lung cancer. Healthcare professionals should implement effective interventions, such as promoting self-efficacy, encouraging positive coping, and reducing illness perception, to alleviate LH.

Factors that impact health-related quality of life in 168 myasthenia gravis in West China: Disease severity, social support, and coping style

Background: Myasthenia gravis (MG) is associated with reduced health-related quality of life (HRQOL). This study aimed to investigate factors that impact HRQOL in MG in a patient population in West China. Methods: A series of questionnaires were completed by 168 patients to assess the relationships between HRQOL and social support and coping style. We also evaluated the contributions of clinical characteristics to HRQOL. One-way analysis of variance (ANOVA), correlation and regression analysis were conducted to identify predictors that negatively impact HRQOL in MG. Results: There were significant differences in HRQOL scores among patients with different ratio of disease cost to income each month (F = 5.831, P = 0.001) and frequency of MG symptoms (F = 9.128, P &lt; 0.001). Spearman’s correlation analysis showed that reduced HRQOL had low correlation with Myasthenia Gravis Composite score (r = 0.461, P &lt; 0.001), confrontation (r = 0.312, P &lt; 0.001) and acceptance- resignation coping style (r = 0.433, P &lt; 0.001). Stepwise regression analysis further revealed that acceptance-resignation coping style (β = 0.380, P &lt; 0.001) and MGC score (β = 0.322, P &lt; 0.001) were the main predictors of HRQOL. Conclusions: Our study revealed the factors that impact HRQOL in MG patients and provided the first demonstration that acceptance-resignation is the main independent predictor of poor HRQOL in MG, other than disease severity.

Dimensions of the KidCope and their associations with mental health outcomes in Tanzanian adolescent orphans

ABSTRACT Background Adverse life experiences require a broader range of adaptive behavioral strategies to cope with related stressors. The association between intensity, duration, type of stress and impacts on mental health is important for effective programming aimed at increasing resilience in the face of stress. This study examines adverse life experiences, coping strategies, and associations with mental health outcomes among very young adolescent orphans. Methods The analytic sample was collected between January and March of 2019 and included 350 adolescent orphans ages 10–15 years old from three districts in Tanzania. Participants completed survey interviews, 75–90 minutes in length, that measured adverse life experiences, stigma, coping strategies, and psychological symptoms. Results A four-factor dimensional structure of the KidCope survey fits these data and distinguished between distraction and resignation coping strategies. Use of distraction as a coping dimension was the most frequently used coping dimension and was associated with lower reported symptoms of depression, anxiety, and externalizing behaviors. Resignation was positively associated with adverse life experiences including emotional abuse, emotional neglect, and physical neglect. Problem-focused coping was not associated with study outcomes and social support coping was associated with externalizing behaviors only. Conclusion Results from adolescent orphans in a low-resource context suggest that distraction coping strategies may be adaptive in response to stress. Implications for intervention programming that aims to target acquisition of coping skills and mindsets among vulnerable populations are discussed.

Chain mediation model of consultation empathy, resilience and resignation coping on depression: a cross-sectional study among patients with COVID-19 in China

ObjectivesThis study aimed to explore the mediating role of resilience and resignation coping in the relationship between consultation empathy and depression in patients with COVID-19.DesignCross-sectional study.SettingParticipants were recruited from a...

Self-Efficacy, Coping Strategies and Quality of Life among Patients with Chronic Hepatitis B.

This study aimed to examine the relationships of self-efficacy, coping strategies, and quality of life (QoL) among patients with chronic hepatitis B and to explore whether coping strategies play a mediating role. In this cross-sectional study, 193 patients with chronic hepatitis B from two tertiary hospitals were recruited. Data were collected using a self-report questionnaire. The results indicated that physical and mental QoL were positively associated with self-efficacy and negatively associated with resignation coping. Moreover, resignation coping partially mediated the relationship between self-efficacy and physical and mental QoL. Our findings indicated that healthcare providers can enhance self-efficacy with an emphasis on reducing the use of resignation coping to better improve QoL among patients with chronic hepatitis B.

Correlates of stigma for patients with breast cancer: a systematic review and meta-analysis.

This study was conducted to examine the factors associated with stigma in breast cancer women. PubMed, Embase, the Cochrane Library, Web of Science, and two Chinese electronic databases were electronically searched to identify eligible studies that reported the correlates of stigma for patients with breast cancer from inception to July 2022. Two researchers independently performed literature screening, data extraction, and risk of bias assessment. R4.1.1 software was used for statistical analysis. Twenty articles including 4161 patients were included in the systematic review and meta-analysis. Results showed that breast cancer stigma was positively correlated with working status, type of surgery, resignation coping, depression, ambivalence over emotional expression, and delayed help-seeking behavior and negatively correlated with age, education, income, quality of life, social support, confrontation coping, psychological adaptation, self-efficacy, and self-esteem. Descriptive analysis showed that breast cancer stigma was positively correlated with intrusive thoughts, body image, anxiety, and self-perceived burden but negatively correlated with a sense of coherence, personal acceptance of the disease, sleep quality, cancer screening attendance and doctor's empathy. Many demographic, disease-related, and psychosocial variables are related to breast cancer stigma. Our view can serve as a basis for health care professionals to develop health promotion and prevention strategies for patients with breast cancer.

Investigation of Factors Influencing the Fear of Cancer Recurrence in Breast Cancer Patients Using Structural Equation Modeling: A Cross-Sectional Study.

This study aimed to investigate the fear of cancer recurrence (FCR) in breast cancer patients and develop a structural equation model of influencing factors to help formulate clinical intervention strategies. A convenience sample of 325 patients was surveyed using a general and disease-related data questionnaire, which combined the Fear of Progression Questionnaire-Short Form, Mishel Uncertainty in Illness Scale, Perceived Social Support Scale, and Medical Coping Modes Questionnaire. The total score of FCR in breast cancer patients was 35.06 ± 10.83, and 53.8% of patients reached the clinical level. The structural equation model demonstrated that illness uncertainty had a direct positive impact on FCR (β = 0.275, p < 0.05), and it could have an indirect impact through social support and resignation coping methods (β = 0.254, p < 0.05). The fear of cancer recurrence in breast cancer patients needs further understanding. Medical staff can reduce or buffer FCR in breast cancer patients by strengthening positive influences, such as social support, or weakening negative influences, such as illness uncertainty and resignation coping.

Factors Influencing Self-Management of Schizophrenia: A Cross-Sectional Study.

The purpose of the current study was to (a) understand the influencing factors of self-management in schizophrenia, (b) explore the relationship between social support and self-management, and (c) explore the intermediary role of coping modes between social support and self-management. From May to December 2020, a total of 320 community-dwelling persons with schizophrenia were recruited and completed self-report questionnaires. Spearman's correlation analysis was used to determine the relationship between the three variables and the bootstrap method was used to test the intermediary hypothesis. Results showed that 21.9% of persons with schizophrenia had low social support, 78.1% had medium social support, and convalescent persons with schizophrenia had high social support. Self-management was positively correlated with social support (r = 0.372, p < 0.05), confrontation coping mode (r = 0.576, p < 0.05), and avoidance coping mode (r = 0.204, p < 0.05), and negatively correlated with resignation coping mode (r = -0.057, p < 0.05). Confrontation and avoidance coping modes have a mediating effect between social support and self-management. Mental health nurses should understand the influence of social support and coping modes on self-management, and help persons with schizophrenia find social resources, build confidence, and confront the disorder positively. [Journal of Psychosocial Nursing and Mental Health Services, 61(2), 19-26.].

Type C Behavior and Associated Factors in Patients with Breast Cancer During Postoperative Chemotherapy: A Cross-Sectional Study.

BackgroundType C behavior is a cancer-prone behavior that can affect the occurrence and development of cancer. This study aimed to investigate the prevalence of type C behavior in patients with breast cancer during postoperative chemotherapy and determine its associated factors.MethodsThis study enrolled 161 patients with breast cancer who received postoperative chemotherapy. Type C personality behavior pattern questionnaire was used to assess type C behavior patterns. The following instruments were employed: medical coping modes questionnaire, social support scale, social relational quality scale, Herth hope index. logistic regression was used to identify the factors affecting type C behavior.ResultsThe incidence of type C behavior was 28%. Participants aged 45–59 years (OR = 3.62, 95% CI = 1.04–12.56, P = 0.043), and who adopted a resignation coping style (OR = 1.25, 95% CI = 1.03–1.50, P = 0.021), were more likely to develop type C behavior. Type C behavior was less common in patients with employment (OR = 0.38, 95% CI = 0.15–0.97, P = 0.043), with a high level of social support (OR = 0.89, 95% CI= 0.80–0.98, P = 0.023), and more hope (OR = 0.83, 95% CI = 0.71–0.98, P = 0.079).ConclusionIn this study, 28% patients with breast cancer during postoperative chemotherapy exhibited type C behavior. Associated factors with type C behavior were identified, which could guide health care professionals to reduce the prevalence of type C behavior through guiding patients to adopt positive coping styles and improving their level of social support and hope, especially in those aged 45 to 59 years or in those without employment.

A cross-sectional study of sexual dysfunction in chinese mainland female patients with rheumatoid arthritis.

Objectives This study aims to investigate the effects of rheumatoid arthritis (RA) on Chinese mainland female patients’ sexual function compared with healthy subjects and to determine the risk factors of sexual dysfunction.Patients and methods A total of 151 female RA patients (mean age: 46.3±8.6 years) and 146 healthy female controls (mean age 45.7±7.6 years) were included in this cross-sectional study whose data were collected consecutively by questionnaires between November 2017 and June 2019. Data were collected by using demographics, disease-related information, Female Sexual Function Index, Dyadic Adjustment Scale, Medical Coping Modes Questionnaire, other psychological parameters and the Short Form-36.Results Our results showed that the prevalence of female sexual dysfunction was 67.5% in RA patients, which was significantly higher than the controls (54.1%) (p<0.05). Body mass index, resignation coping style, physical component summary, marital dysfunction and postmenopausal status were significant correlation factors by backward stepwise binary logistic regression.ConclusionRheumatoid arthritis negatively affected sexual function of patients who had considerably impaired sexual function compared to controls.

Perceived participation and autonomy post-stroke and associated factors: An explorative cross-sectional study.

To explore the level and associated factors of perceived participation and autonomy among stroke survivors in Shanghai, China. Cross-sectional explorative study. From January to December 2018, 431 patients presenting at the neurology departments of three hospitals with a confirmed diagnosis of stroke were recruited. Impact on Participation and Autonomy Questionnaire, modified Rankin Scale, Self-efficacy for Managing Chronic Disease six-item Scale, Medical Coping Modes Questionnaire and Multidimensional Scale of Perceived Social Support were applied to measure their participation, physical function, self-efficacy, coping styles, and social support. The average score of perceived participation and autonomy was 41.30 (SD 21.22); and 54.3%, 46.9%, 21.6%, and 7.7% of the participants reported poor participation in social relations, family role, autonomy indoors, and autonomy outdoors. Age, physical function, self-efficacy, friend support, and knowledge of stroke were predictors of post-stroke participation. Physical function and self-efficacy were the most relevant factors of nearly all domains of participation except autonomy outdoors, while predictors of autonomy outdoors were social support, resignation coping style, and knowledge of stroke. The stroke patients experienced insufficient participation compared with previous studies in western countries. Patients' physical function and self-efficacy were particularly important and contributed to their participation, while the patient's age, perceived social support, coping styles, and knowledge of stroke also played a role in formulating participation. The results may be used to provide nurses with a better understanding of the participation among stroke patients and assist them in promoting the post-stroke participation. Nurses should pay special attention to those with older age, worse physical function, lower self-efficacy, less support, little stroke-related knowledge, or who applied resignation coping style since those patients might experience lower participation in their daily life. It needs further studies to explore the causal effects of self-efficacy, coping styles, and social support on post-stroke participation.

Relationship between Illness Perception and Depressive Symptoms among Type 2 Diabetes Mellitus Patients in China: A Mediating Role of Coping Style.

Objective The aims of the present study were to investigate the prevalence of depressive symptoms among type 2 diabetes mellitus (T2DM) patients in China and to explore how coping style influences the relationship between illness perception and depressive symptoms. Methods Nine hundred and thirty-nine T2DM patients were recruited from a grade 3 Class A hospital in Harbin, China, and asked to complete a demographic questionnaire as well as the Self-rating Depression Scale (SDS), Brief Illness Perception Questionnaire-Revised (IPQ-R), and Medical Coping Modes Questionnaire (MCMQ). Hierarchical linear regression analysis and the bootstrap method were preformed to examine if coping style influenced the relationship between illness perception and depression. Results The majority of patients (73.59%) exhibited depressive symptoms, including 37.27% with moderate and 6.71% with severe depressive symptoms. Depressive symptoms were more frequent in patients with complications (P < 0.05). A resignation coping style partially mediated the influence of illness perception on depressive symptoms. Conclusions Interventions to improve coping style may reduce the prevalence or severity of depressive symptoms among T2DM patients, potentially enhancing treatment adherence and clinical outcome.

Short report: sleep quality and associations with health locus of control and coping styles in young people with ankylosing spondylitis

ABSTRACT The poor sleep of young people with ankylosing spondylitis (AS) has not attracted enough attention of clinicians and experts. This study aimed to evaluate the sleep quality and associations with health locus of control (HLC) and coping styles in young people with AS. A total of 133 patients completed the measures of demographics, disease characteristics, HLC, coping styles, and Pittsburgh sleep quality index (PSQI). The patients were worse than general population in PSQI global score and multiple domains. Among patients, the poor sleep was positively related to chance HLC (CHLC) and resignation. Resignation completely mediated the association between CHLC and sleep. There were severe sleep problems in young people with AS, and strategies to change the resignation coping style should be implemented.

Level of depression, anxiety and stress in patients with intrauterine adhesions in Hunan Province, China: A cross-sectional study.

BackgroundThe incidence of intrauterine adhesions has been increasing in recent years, seriously affecting women’s health. This study aimed to investigate the psychological status and identify risk factors associated with high psychological distress in patients with intrauterine adhesions.MethodsA cross-sectional study was conducted in Hunan Province, China. A total of 258 patients who presented with intrauterine adhesions between February and May 2018 were included. Data were collected by a questionnaire packet that included the Depression Anxiety Stress Scale, the Medical Coping Mode Questionnaire, and demographic and clinical information. Descriptive statistics, t-tests, one-way ANOVA, Pearson’s correlations and multiple linear stepwise regression were employed in this study.ResultsAmong 258 participants, the detection rates of mild depression and moderate to extremely severe depression were 10.1% and 10.5%, respectively; the detection rates of mild anxiety and moderate to extremely severe anxiety were 11.2% and 20.2%, respectively; the detection rates of mild stress and moderate to extremely severe stress were 9.3% and 10.2%, respectively. Avoidance and resignation coping were positively correlated with the overall scores of general distress which represents the total scores of the Depression Anxiety Stress Scale (r = 0.171, 0.475, P < 0.01). Multiple linear stepwise regression results showed that husband-wife relationships and avoidance and resignation coping strategies were the main factors predicting general distress levels.ConclusionsPatients with intrauterine adhesions have psychological distress in a certain extent. Target interventions should be taken to improve the mental health level of patients.

Knowledge and Coping Strategies Among Patients Diagnosed With Type 2 Diabetes Mellitus

The purposes of this study were to investigate level of knowledge and employed coping strategies, and to examine the relationship between knowledge and coping strategies among persons diagnosed with Type 2 diabetes. Cross sectional descriptive design was used. A convenience sample of 222 adult patients with diabetes was recruited. Diabetes knowledge test (DKT) and the Diabetes Coping Measure (DCM) were used. The overall knowledge test score was low. Participants achieved higher scores in tackling spirit and diabetes integration coping while avoidance coping strategies had the lowest scores. There was a significant positive correlation between knowledge and tackling spirit coping and diabetes integration, and a significant negative correlation between knowledge and passive resignation coping. Knowledge among patients with type 2 diabetes was poor. Several areas of knowledge deficits were identified. Efforts to improve knowledge of persons with diabetes need to be continued along with an emphasis on their coping strategies used which require assessment and understanding by health care providers in clinical settings.

Analysis of psychological resilience of breast cancer patients during chemotherapy period and its influencing factors

Objective To explore the statue quo of psychological resilience of breast cancer patients during chemotherapy period and its influencing factors. Methods From December 12 to May 2018, Totally 165 breast cancer patients during chemotherapy period in Department of Mammary Chemotherapy of Zhejiang Cancer Hospital were investigated by self-designed demographic questionnaire, the Connor-Davidson Resilience Scale and the Medical Coping Modes Questionnaire. Results The total score of psychological resilience for breast cancer patients during chemotherapy period was (60.26±16.17)points.Multiple regression analysis showed that marital status, transfer, confront and resignation coping style were the influencing factors for psychological resilience(t=-3.048, 3.216, 3.070, -3.044, all P<0.05). Conclusion The level of psychological resilience of breast cancer patients is poor and multivariate analysis appears that marital status, transfer, confront and resignation coping style are important influencing factors. Key words: Chemotherapy; Breast cancer; Resilience; Influencing Factors; Coping style; Confront; Resignation; Nursing

The relationship among illness perception, coping and functional exercise adherence in Chinese breast cancer survivors.

To explore functional exercise adherence, coping styles, and illness perception and to examine the relationships between functional exercise adherence and coping styles with illness perception among Chinese breast cancer survivors. Although the relationships between functional exercise adherence with coping styles and illness perception have been examined in people with various chronic illnesses, breast cancer has not yet been included. A cross-sectional descriptive correlational design was employed. From September 2016 - January 2017, 124 breast cancer survivors completed a survey that assessed their illness perception, coping style, functional exercise adherence and, demographic and illness-related characteristics. Multiple linear regression analyzes were employed to examine the relationship of demographic and illness-related variables and illness perception to coping style and functional exercise adherence. Our respondents tended more to adopt avoidance and resignation coping styles, and showed better functional exercise adherence than respondents in a previous Chinese study. Multiple linear regression analyzes showed that confrontation was associated with treatment control and emotional representation and that avoidance was related to personal control and age at first labour, while resignation was related to timeline acute/chronic, timeline cyclical, and consequence. As for functional exercise adherence, adherence to functional exercise was related to personal control and marital status, while adherence to actively seeking advice was associated with marital status, treatment control, and employment. These results imply that interventions that improve illness perceptions may lead to more positive coping styles and better functional exercise adherence and should thus be explored.