Resignation Coping Research Articles

A path analysis of impacts of social support and coping styles on posttraumatic growth of patients with ostomy

Objective To explore the effect of social support and coping style on posttraumatic growth of ostomy patients. Methods A total of 237 patients with ostomy from Affiliated Hospital of Qingdao University were investigated using General questionnaire, Perceived Social Support Scale, Medical Coping Modes Questionnaire and Posttraumatic Growth Inventory by cross-sectional survey method from September 2017 to March 2018. The path of social support and coping style on post-traumatic growth was established by correlation analysis and structural equation model. Results The total score of posttraumatic growth in patients with ostomy was (66.76±12.20) points, which was at the upper-middle level. Correlation analysis showed that posttraumatic growth was positively correlated with comprehension of social support (r=0.551, P <0.01), positively correlated with face style (r=0.580, P < 0.01), negatively correlated with avoidance style and resignation style (r=-0.334, P < 0.01; r=-0.449, P < 0.01). Structural equation model showed social support had directly positive effect on posttraumatic growth, path coefficient were 0.44. Face style, avoidance style, and resignation style had a partial mediating effect between social support and posttraumatic growth, and mediation effects account for 20.01%, 5.21%, 9.25% of the total effect, respectively. Conclusions The posttraumatic growth level of patients with ostomy needs to be improved. Medical staff should strengthen social support for patients and guide patients to adopt the positive coping styles, reduce the avoidance and resignation coping styles, and promote patients to get more posttraumatic growth, furthermore, improve their social adaptability and quality of life. Key words: Ostomy; Posttraumatic growth; Social support; Coping style, path analysis

The relationship between coping styles and benefit finding of Chinese cancer patients: The mediating role of distress.

To identify the relationship of medical coping styles and benefit finding in Chinese early-stage cancer patients by preliminary pilot study. Three hundred and fifty one cancer patients were recruited from the Affiliated Jiangyin Hospital of Southeast University medical college and the Nantong Tumor Hospital in this study. Measurements were Chinese Benefit Finding Scale, Medical Coping Modes Questionnaire- Chinese version and Distress Thermometer. Regression analysis and pathway analysis were employed to identify the correlation of medical coping styles and benefit finding, and the mediating role of distress. Hierarchical regression analyses showed that confrontation coping style explained 24% of the variance in benefit finding, controlling for demographics and medical variables. While confrontation and resignation coping styles explained 10% and 6% of variance in distress separately. Pathway analyses implied that distress was found to mediate the effect of confrontation coping style on benefit finding in our study. Our study suggested an indirect association between medical coping styles and benefit finding, and a negative correlation of distress to medical coping styles and benefit finding. These results indicated that medical coping styles could influence benefit finding through distress.

Factors associated with adoption of coping strategies among Chinese patients with heart failure in ethnic minority regions.

To examine the coping strategies in patients with heart failure (HF) in the ethnic minority regions of China and to explore the factors affecting the adoption of coping strategies. Effective coping with illness is an important element that influences the adaptation and increases the patient quality of life. Although different factors have been proposed to be determinants of coping strategy, findings are inconclusive, especially when it comes to the cultural background. A cross-sectional study was performed. A total of 360 HF patients in four districts of Xinjiang were enrolled. All participants completed the Medical Coping Modes Questionnaire, the Minnesota Living with HF Questionnaire and self-management Questionnaire. Heart failure patients had lower scores in confrontation and higher scores in avoidance and acceptance resignation than patients in the Chinese norm. The multiple regression analysis revealed several factors that indicate confrontation coping including symptom management, employment status and psychological and social management, whereas religion (R2), disease duration, employment status and payment system (P2) were identified as indicators of avoidance coping. In addition, ethnicity (E1), disease duration and employment status were indicators of acceptance resignation coping. Our findings from this study suggest that HF patients in the ethnic minority regions may use less confrontation coping and more avoidance and acceptance resignation coping than patients in the Chinese norm. Moreover, the cultural background, duration of disease, quality of life and self-management play important roles in the selection of HF coping strategy. The disparities of racial/ethnic exist in coping strategy. Healthcare providers are required to better understand the role of religion in the coping process and how it contributes to the selection of coping strategies.

Analysis on the psychological resilience and its influencing factors among patients after hepatectomy

Objective To investigate the psychological resilience and its influencing factors among patients after hepatectomy. Methods A total of 126 cases of hepatocellular carcinoma patients undergoing surgery eradication were selected. 1 d before the patients discharged, the general information was collected, the patients were investigated by using psychological elasticity scale, medical coping questionnaire, social support rating scale, quality of life measurement scale of liver cancer patients. The correlations between variables were analyzed by using Pearson correlation analysis. The influencing factors of psychological resilience were analyzed by using multiple linear regression equation. Results The overall psychological resilience score for patients after hepatectomy was (54.73±10.61) points. The psychological resilience among patients after hepatectomy was related with age, educational level and postoperative hospital stay (t=2.959, 3.452, 2.507, P<0.05). Pearson correlation analysis showed that the psychological resilience among patients after hepatectomy was positively correlated with the confront coping, social support score, objective support, subjective support, supportive utilization, total quality of life, physical function, psychological function and social function (r=0.208-0.429, P<0.05), while was negatively correlated with avoiding coping, resignation coping, symptoms/side effects (r=-0.187,-0.442,-0.325, P<0.05). Multivariate stepwise linear regression analysis showed that resignation coping, subjective support, objective support, physical function and postoperative time entered the regression model and explained 59.4% of all the variation. Conclusions Patients after hepatectomy had poor psychological resilience, postoperative time, resignation coping, subjective support, supportive utilization and physical function were important influencing factors. Key words: Liver neoplasms; Hepatectomy; Psychological resilience; Influencing factor

Estudio de propiedades psicométricas de un cuestionario de afrontamiento, apoyo social y conducta alimentaria en personas con diabetes e hipertensión

INTRODUCTION: Adapting to chronic disease is a complex process influenced by psychosocial factors. Considering the rather limited time of medical consultations, it would be beneficial to have instruments that evaluate these psychosocial factors quickly and easily, allowing the identification of potential focuses of intervention. OBJECTIVE: To analyze the psychometric properties of a questionnaire that assesses coping with chronic illness, social support and eating behavior in people with diabetes and/or hypertension. METHODS: The questionnaire is composed of a set of 25 items generated by both the authors and existing questionnaires. The subjects for this study are 216 diabetes and/or hypertension patients, who joined a remote monitoring program for these pathologies. The analysis considered parallel analyzes for the number of factors, factorial analysis (principal axis), reliability and multiple linear or logistic regression with data reported by the patients (for example, HbA1c) as well as and observable data obtained with a telemonitoring program (biochemical glycemia data and/or blood pressure and adherence to the program). RESULTS: Five factors were identified: active, avoidance and passive resignation coping, overfeeding and social support. Factors presented a reliability of .54 to .91. Coping strategies were associated with adherence to treatments and pathology severity. CONCLUSIONS: Results suggest the questionnaire has acceptable psychometrical properties, allowing the identification of psychosocial aspects that influence the management and prognosis of the pathology.

Path analysis of the impact of self-efficacy, social support and coping style on resilience in rectal cancer patients

Objective To determine the impact of self-efficacy, social support and coping style on resilience in rectal cancer patients and analyze the path influences. Methods From July 2014 to August 2015, a total of 192 patients with rectal cancer in the 2nd Affiliated Hospital of Harbin Medical University were recruited by cross-sectional survey method. They were investigated using the Connor-Davidson resilience scale, the self-efficacy questionnaire, social support rating scale and medical coping modes questionnaire. SPSS 19.0 and AMOS21 software were applied for statistical analysis. Results The resilience score for rectal cancer patients was(56.73±13.44); self efficacy, subjective support, confront and resignation coping style in rectal cancer patients entered the multiple regression equation; self-efficacy and subjective support not only directly but also indirectly impacted on resilience of rectal cancer patients; confront coping style and resignation coping style could influence resilience directly. Conclusions Rectal cancer patients have poor resilience, and the patients′ self-efficacy, subjective support, confront and resignation coping style play an important role to enhance resilience of rectal cancer patients. Key words: Rectal cancer; Resilience; Path analysis

Factors influencing comfort level in head and neck neoplasm patients receiving radiotherapy

ObjectiveTo determine factors that influence comfort in head and neck neoplasm patients receiving radiotherapy. MethodsIn total, 200 head and neck neoplasm patients receiving radiotherapy were recruited from three tertiary first class hospitals. They were assessed by Radiotherapy Comfort Questionnaire for patients with head and neck neoplasm, Social Support Scale, and Medical Coping Modes Questionnaire. ResultsThe total score of comfort was 60.54 ± 8.32. Multiple linear regression analysis indicated that number of radiation treatments, family accompaniment, educational level, resignation coping mode, complications due to diabetes, accompanying chemotherapy, and the utilization of social support significantly influenced comfort level (p < 0.05). Among these, number of radiation treatments, complications due to diabetes, accompanying chemotherapy, and resignation coping were negative factors. ConclusionEncouraging utilization of social support systems and a positive coping mode is important for increasing comfort level in head and neck neoplasm patients during radiotherapy. Nurses should pay particular attention to those patients during later stages of radiotherapy or chemotherapy, with diabetes, without family accompaniment, and with lower education level.

Analysis on influencing factors of subjective well-being among geriatric patients with fractures

Objective To identify the influencing factors of the subjective well-being of geriatric patients with fractures and to provide a theoretical basis for targeted nursing interventions .Methods The Memorial University of Newfoundland Scale of Happiness （ MUNSH ） , Social Support Rating Scale （ SSRS ） , Medical Coping Modes Questionnaire （ MCMQ ） and general questionnaire were used to survey 45 geriatric patients with fractures within one-week after hospitalization .Results The score of subjective well -being was （25.77 ±12.03 ） in the participants.Among the targeted group of geriatric patients with fractures , the subjective well-being was positively correlated with subjective support and objective support （r=0.547, 0.649, respectively;P〈0.05）, and negatively correlated with the resignation coping style （r=-0.707,P〈0.05）. The subjective well-being was negatively correlated with the factors of spouse and living conditions （ r =-0.311, -0.347, respectively;P〈0.05）, while it was positively correlated with income （ r=0.535,P〈0.01）.Conclusions Favorable social support and coping style , sound family structure and living conditions as well as relatively high income will help to improve subjective well-being of geriatric patients with fractures . Nurses should provide targeted nursing intervention , while the society and families should care the elderly . Key words: Elderly; Fractures; Social support; Subjective well-being

Association of depression with glycosylated hemoglobin,lipid metabolism and coping style in patients with type 2 diabetes mellitus

Objective To investigate the association of depression with glycosylated hemoglobin,lipid metabolism and coping style in patients with type 2 diabetes mellitus(DM). Methods A total of 73 patients with type 2 DM were divided into depression group(n=31) and non-depression group(n=42) according to the results of Zung Self-Rating Depression Scale.The anxiety statuses were evaluated by Zung Self-Rating Anxiety Scale(SAS).The coping style was assessed by Medical Coping Modes Questionnaire(MCMQ).Moreover,the blood HbA1c,triglycerides(TG),total cholesterol(TC),high density lipoprotein cholesterol(HDL-C),and low density lipoprotein cholesterol(LDL-C) were also compared between the two groups.Results The SAS standard score and MCMQ score of resignation in the depression group were significantly higher than those in the non-depression group(P0.01).The MCMQ score of confronce and avoidance,blood HbA1c,TG,TC,HDL-C,and LDL-C were not significantly different between the 2 groups. Conclusion It is suggested that type 2 DM patients with resignation coping style are more liable to have depression.

Pre‐competitive confidence, coping, and subjective performance in sport

The primary aim of this study was to investigate the relationship between confidence and subjective performance in addition to exploring whether coping mediated this relationship. A sample of 414 athletes completed a measure of confidence before performance. Athletes also completed a measure of coping and subjective performance after competing. Correlational findings revealed that confidence was positively and significantly associated with subjective performance. Furthermore, mediational analysis found that coping partly mediated this relationship. In particular, task-oriented coping (i.e., mental imagery) and disengagement-oriented coping (i.e., resignation) had positive and negative mediational effects, respectively. Additionally, athletes who employed mental imagery generally coped more effectively than those using resignation. These findings imply mental imagery has the potential not only to improve confidence, but also subsequent performance, while resignation coping may have the opposite effect. Overall, these results lend some credence to Vealey's integrated sports confidence model.

Coping Mediates the Association Between Type D Personality and Perceived Health in Chinese Patients with Coronary Heart Disease

BackgroundIncreasing evidence show that Type D personality is a risk factor for morbidity, mortality, and quality of life of patients with coronary vascular disease. Few studies examined coping as a potential behavioral mechanism to explain the harmful effect of Type D personality.PurposeThis study examined the association between Type D personality, coping, and perceived health among Chinese patients with coronary heart disease (CHD).MethodsOne hundred seventeen CHD patients completed the assessments on Type D personality, coping, perceived severity of CHD, and morale.ResultsThere was no difference on severity of coronary artery stenosis between Type D and non-Type D patients. Compared to the non-Type D patients, the Type D patients perceived higher severity of CHD (5.31 ± 2.41 versus 4.45 ± 2.17, p < 0.05) and lower morale (12.67 ± 4.71 versus 15.00 ± 4.43, p < 0.05), and used less confrontation (16.90 ± 5.39 versus 20.88 ± 4.95, p < 0.001) and more acceptance–resignation coping (10.16 ± 3.50 versus 8.35 ± 3.48, p < 0.05). Mediation analyses showed that confrontation coping mediated the association between Type D personality and perceived severity of disease, and acceptance–resignation coping mediated the association between Type D personality and morale after controlling for age, gender, and clinical variables.ConclusionThe Type D patients used maladaptive coping in response to disease. These coping strategies fully mediated the association between Type D personality and perceived health. Implications for integrating coping training into the intervention for patients with a Type D personality are discussed.

Do Coping and Social Support Predict Depression and Anxiety in Patients Undergoing Hematopoietic Stem Cell Transplantation?

This study examined whether different types of coping and social support predict anxiety and depression in 212 hematopoietic stem cell transplant (HSCT) recipients. Data were collected prior to and 6 months after HSCT. Coping, social support, and gender predicted 26% of the variance in pre-HSCT anxiety and 24% of the variance in pre-HSCT depression. Coping and social support did not explain significant post-HSCT anxiety or depression when controlling for pretransplant anxiety or depression. High use of acceptance/ resignation coping, cognitive avoidance coping, lower tangible support, and lower belonging support were related to increased pre-HSCT anxiety and depression. Approach coping was not related to pre-HSCT anxiety. Patients who use acceptance/resignation coping and report low levels of two types of social support prior to HSCT may require additional intervention before HSCT, as they are at higher risk for depression and anxiety.

The relationship between illness uncertainty and coping style of breast cancer women undergoing chemotherapy

Objective To explore the correlation between illness uncertainty and coping style of breast cancer women undergoing chemotherapy. Methods A descriptive and correlative design was employed. 147 breast cancer women undergoing chemotherapy were recruited in the study. Three instruments were used to collect data, including the demographic form, the Mishel Uncertainty in Illness Scale for Adult (MUIS-A) and the Medical Coping Modes Questionnaire (MCMQ). All information were statistically analyzed through SPSS 11.5. Results The score of illness uncertainty (87.46 ± 9.92) was negatively correlated with confrontation (19.63 ± 4.02) and avoidance (14.81 ± 2.26) (P＜0.01), and it was positively correlated with resignation (9.68±2.67) (P＜0.01). Conclusions The breast cancer women undergoing chemotherapy much adopted the confrontation and avoidance style have lower illness uncertainty, while those much adopted the resignation coping style have higher illness uncertainty. It is suggested that the medical staffs should instruct the breast cancer women undergoing chemotherapy use the effective coping style, so as to reduce the illness uncertainty and improve the physical and mental health. Key words: Breast cancer; Chemotherapy; Illness uncertainty; Coping

The downside of coping: Work–family conflict, employee burnout and the moderating effects of coping strategies

ABSTRACTThis study explored the relationship between work–family conflict and employee burnout, with a sample of 203 New Zealand government workers. Two types of conflict (work–family and family–work) were significant predictors of employee burnout. This supports the bi-directional nature of work–family conflict. In addition, the moderating effects of employee coping strategies were explored. Positive thinking coping had no significant effect on either work–family or family–work conflict and burnout. Direct action coping intensified the negative relationships for both work–family and family–work conflict, with employees coping through working harder suffering intensified burnout effects. In addition, resignation coping also intensified the family–work conflict and employee burnout relationship. The implications for employers and employees are discussed.

The downside of coping: Work–family conflict, employee burnout and the moderating effects of coping strategies

ABSTRACTThis study explored the relationship between work–family conflict and employee burnout, with a sample of 203 New Zealand government workers. Two types of conflict (work–family and family–work) were significant predictors of employee burnout. This supports the bi-directional nature of work–family conflict. In addition, the moderating effects of employee coping strategies were explored. Positive thinking coping had no significant effect on either work–family or family–work conflict and burnout. Direct action coping intensified the negative relationships for both work–family and family–work conflict, with employees coping through working harder suffering intensified burnout effects. In addition, resignation coping also intensified the family–work conflict and employee burnout relationship. The implications for employers and employees are discussed.

Effects of stress management program for teachers in Japan: a pilot study.

The aim of this study was to examine the effects of a stress management program for teachers on their stress responses, social support, and coping. Participants (n=24) were assigned to either an intervention or a waiting list control group. A five-session program, including psychoeducation, group discussion, role-playing and relaxation training, was conducted for the intervention group at two week intervals. Eight participants from each of the groups responded to pre- and post-intervention questionnaire surveys. The positive intervention effect was significant for social support from co-workers (p=0.035), whereas the negative intervention effect was significant for proactive coping (p=0.033). No significant effect was observed for stress responses (vigor, anger, fatigue, anxiety, depression, and somatic stress responses) (p>0.05). The positive intervention effect was marginally significant for social support from co-workers (p=0.085) and anger (p=0.057) among those who at first had high stress response scores in the pre-intervention survey (n=5 and n=4 for the intervention and waiting list control groups, respectively). Furthermore, the positive intervention effect was significant for social support from co-workers (p=0.021) and marginally significant for resignation coping (p=0.070) among those who at first had high job control scores (n=4 and n=5 for the intervention and waiting list control groups, respectively). Results showed that the stress management program conducted in this study contributed to increasing social support from co-workers. This study suggests that a program that focuses on a particular subgroup (e.g., those with high stress responses or high job control) might be effective in enhancing coping skills, increasing social support, and reducing stress responses.

A psychoeducational nursing intervention to enhance coping and affective state in newly diagnosed malignant melanoma patients

The primary purpose of this study was to determine if a psychoeducational nursing intervention including (a) health education, (b) stress management, and (c) the teaching of coping skills could enhance the coping behavior and affective state of newly diagnosed Stage I/II malignant melanoma patients. The secondary purpose was to determine if this intervention could be implemented by a nurse and integrated into the overall patient care program. Sixty-one patients were randomized to a control condition or an experimental condition that received and educational manual plus 3 h of individual nurse teaching. Despite randomization, experimental patients had significantly higher baseline distress. By 3 months there was a complete reversal of the baseline trend in Profile of Mood States (POMS) total mood disturbance (TMD), suggesting that the experimental subjects were experiencing less distress over time. Between-group analysis of change scores found significant decreases in experimental subjects for POMS TMD, fatigue, and Brief Symptom Index (BSI) somatization. Within-group analysis found significant experimental decreases for BSI somatization, anxiety, grand total, General Severity Index, and Positive Symptom Distress Index as well as for POMS anxiety, fatigue, confusion, vigor, and TMD. No significant changes were found for controls. Experimental patients were using significantly fewer ineffective passive resignation coping strategies than controls at 3 months.

Clinical and socio-demographic correlates of coping strategies in relatives of schizophrenic patients

The study aimed to describe coping strategies in a sample of key-relatives of schizophrenic patients, and to explore their relationships with the following variables: patients' and key-relatives' socio-demographic characteristics; patients' and key-relatives' clinical status; and key-relatives' subjective burden. Significant correlations were found between the scores on coercion items and those on Present State Examination (PSE-9) factors "disorganized syndrome" and "psychomotor poverty syndrome". A long duration of illness was found to be associated with relatives' strategies characterized by positive communication and patient's social involvement. Coercion, avoidance and resignation coping strategies were significantly associated with the occurrence of anxiety and depressive symptoms in patients' key-relatives.

COPING WITH WORK-FORCE REDUCTION: THE EFFECTS OF LAYOFF EXPOSURE ON SURVIVORS' REACTIONS.

This study investigated the relationship of layoff exposure to survivors' reactions to cutbacks. Layoff exposure was positively associated with sense of powerlessness, layoff anticipation, and direct action coping. Seniority was negatively related to threat of job loss and avoidance/ resignation coping. Both layoff exposure and seniority influenced positive thinking coping.