Stress Coping Research Articles

STRESS TOLERANCE OF PEOPLE OF DIFFERENT AGES IN THE CONTEXT OF THEIR FINANCIAL LITERACY

The work is devoted to the analysis of the concept of “stress tolerance” in the context of personal financial literacy. An important aspect of this research is the study of age-related characteristics of people’s exposure to stress, hardiness, and constructive coping behaviour in situations of financial uncertainty. The results of the empirical study are presented and conclusions are drawn regarding the relationship between the level of financial literacy and stress tolerance of representatives of different age groups. The data presented in the article can form a basis for further research in this direction and substantiate the importance of developing financial literacy among people of different age categories.

Hypothalamus-sympathetic-liver axis mediates the early phase of stress-induced hyperglycemia in the male mice

Rapid glucose supply is crucial for animal survival during stress response. How the timescale of stress-induced glucose release precisely controlled by hypothalamic corticotropin-releasing hormone (CRH) neurons remains unclear. Here, we show that stress-induced hyperglycemia can be divided into at least two stages in male mice: the first fast stage is mediated by hypothalamus (paraventricular to ventromedial hypothalamus)-sympathetic (raphe pallidus nucleus to intermediolateral nucleus)-liver (HSL) axis activity; the second delayed stage is mediated by adrenal activity. Blocking the activity of HSL axis impairs predatory evoked flight responses, indicating that the HSL pathway activity is necessary for stress coping. We further reveal the intracellular signal cascade for CRH signal in the hypothalamus, which is mediated by GABAA receptor β3 subunit phosphorylation at S408/409, results in prevention of GABAA receptor membrane recruitment. Thus, we uncovered the precise timescale of glucose supply during stress which is mediated by adrenal independent HSL and adrenal dependent pathway respectively.

356 - Impact of COVID 19 on stress levels and coping mechanisms among Ghanaian radiation therapists

356 - Impact of COVID 19 on stress levels and coping mechanisms among Ghanaian radiation therapists

427 - Stress profiles and coping mechanisms among clinical Radiography students in Ghana

427 - Stress profiles and coping mechanisms among clinical Radiography students in Ghana

The Effect of Applying Problem-solving Skills on Stress Coping Styles and Emotional Self-efficacy in Mothers of Preterm Neonates: A Randomized Clinical Trial.

Dysfunctional stress-coping styles may accelerate negative emotional self-efficacy in the mothers of preterm neonates. This study was conducted to determine the effect of applying problem-solving skills on stress-coping styles and emotional self-efficacy in mothers of preterm neonates. This randomized clinical trial was conducted from January 2020 to February 2021 in 4 neonatal intensive care units (NICU) of Mashhad, Iran. 60 mothers were selected using convenience sampling method and randomly assigned to control and intervention groups. The intervention group was divided into groups of 3-5 people to attend 6 sessions of at least 60 minutes held 3 times a week for two weeks and received training on problem-solving skills. The control group received routine care. Data were collected using demographic characteristic forms, problem-solving inventory, ways of Coping Questionnaire, and the emotional self-efficacy scale. The tools were initially filled out by both groups and re-completed at the end of the second week after the intervention and four weeks later. Data were analyzed using SPSS version 21 and the significance level of less than 0.05. Independent and paired t-test, Mann-Whitney, Chi-square, Fisher's exact test, repeated measures, and Bonferroni post hoc test were used. Analysis of variance with repeated measures showed that in the intervention group, there was an increase in the scores of problem-focused style (before: 37.9±6.3; immediately: 46.2±5.3; one month later: 47.5±5.6) (P<0.001), a decrease in scores of emotion-focused style (before: 44.0±6.9; immediately: 38.6±6.2; one month later: 38.0±4.4) (P<0.001), and an increase in mothers' emotional self-efficacy (before: 113.0±14.9; immediately: 130.3±10.6; one month later: 134.5±8.3) (P<0.001). Conclusion: Problem-solving skills are recommended to be used in NICU to empower mothers. Problem-solving skills are recommended to be used in NICU to empower mothers to adopt appropriate strategies for dealing with the situational stress of having a preterm neonate and to increase emotional self-efficacy.Trial Registration Number: IRCT20191211045696N1.

Evaluation and Future Challenges in a Self-Guided Web-Based Intervention With and Without Chat Support for Depression and Anxiety Symptoms During the COVID-19 Pandemic: Randomized Controlled Trial.

The COVID-19 pandemic has had an impact on mental health worldwide. Low- and middle-income countries were largely affected by it. Mexico was one of the most affected countries. Extended periods of lockdowns, isolation, and social distancing, among other factors, highlighted the need to introduce web-based psychological interventions to the Mexican population. In this context, Mental Health COVID-19 emerged as a self-guided web-based intervention (SGWI) aimed at adults to improve mental health during the COVID-19 pandemic. This study aims to assess the efficacy of 2 modalities of a self-guided intervention (with and without chat support) in reducing depression symptoms, generalized anxiety, community posttraumatic stress, widespread fear, anxiety, sleep quality, physiological and affective coping, and suicide ideation. In addition, it aimed to compare the moderating role of coping strategies, acceptance, and satisfaction in participants' symptom reduction. We hypothesize that the self-guided, chat-supported modality will show higher efficacy than the modality without chat support in achieving clinical change and better performance as a moderator of depression symptoms, generalized anxiety, community posttraumatic stress, widespread fear, anxiety, sleep quality, physiological and affective coping, and suicide ideation, as well as an increase in participants' satisfaction and acceptability. A randomized controlled trial was conducted. Data were collected from May 2020 to June 2022. We performed intrasubject measures at 4 evaluation periods: pretest, posttest, and follow-up measurements at 3 and 6 months. Differences between intervention groups were assessed through the Mann-Whitney U test for continuous variables and the chi-square test for categorical variables. Changes due to intervention were analyzed using Wilcoxon W test. Moderated regression analysis was performed to test the hypothesized moderating role of coping strategies, usability, and opinion about treatment on clinical change. A total of 36 participants completed the intervention; of these, 5 (14%) were part of the SGWI group, and 31 (86%) were on the SGWI plus chat support (SGWI+C) group, which included a chat service with therapists. The perceived high complexity of the system for the SGWI group had a moderating effect associated with a lack of efficacy of the intervention regarding depression, but not when controlled for sociodemographic variables. A perception of lower helpfulness of the intervention was associated with poorer outcomes. Coping strategies did not show moderating effects. Enhancing the utility of web-based interventions for reducing clinical symptoms by incorporating a support chat to boost treatment adherence seemed to improve the perception of the intervention's usefulness. Web-based interventions face several challenges, such as eliminating complexities in platform use and increasing the users' perceived utility of the intervention, among other issues identified in the study. ClinicalTrials.gov NCT04468893; https://clinicaltrials.gov/study/NCT04468893?tab=results. RR2-10.2196/23117.

Burnout risk among German and Ukrainian kindergarten teachers depending on individual stress coping strategies

Burnout risk among German and Ukrainian kindergarten teachers depending on individual stress coping strategies

LEVEL OF STRESS LEVELS AMONG THE SCHOOL GOING STUDENTS AND COPING MECHANISMS: A CASE STUDY AT SELECTED SIX DIFFERENT SCHOOLS

Stress is the state of worry or mental situation caused due to the situations that everyone faces in everyday life, sometimes it seems to be minor, however, shows an unidentified impact. The present generation is witnessing the stress as a part of life and unavoidable. The main objective of this study was to study and understand the stress levels of the current generation students, particularly, school going students, as they will become the roots of the future. This study was also aimed at studying the relationship between stress and coping strategies adopted by the students and propose appropriate stress coping mechanisms, with respect to the schools visited. The results suggest that there is a need for the schools to operate hybrid-counseling centers for the students apart from their parents support to provide necessary support in effectively handling the stressful conditions. The results further suggest that the teachers employ information and communication technology (ICT) tools to instill conceptual learning, ultimately aiming to minimize stress in the academics. Furthermore, it is also suggested that the schools should encourage the students and make it mandatory to implement yoga techniques, which would instill self-controlling techniques, discipline and help in combating the stressful conditions.

Career Related Stress among Adolescents

Adolescence is a transitional stage of physical and mental development that occurs between childhood and adulthood. This transitional involves biological, social and psychological change . Choosing a right career during adolescence is very important. Career development and career plans in adolescence are related to both mental and physical health and can have long-term outcomes. The study Career Related Stress among Adolescent was undertaken purposively in Faizabad city of Uttar Pradesh state. The study was conducted on a sample of 100 adolescent, which are randomly selected for the study. The major objectives were :- . To Check and analyze level of career related stress among adolescent. . To Check and analyze the factors responsible for career related stress among adolescent. . To analyze various stress reducing strategies adapted by adolescent. In the process of investigation, a Scale of Vocational Stress( SVC, from Bisht Battery of Stress Scale ), and a stress coping strategy scale were used. Results highlight that most of the adolescent respondents experienced moderate stress followed by low level of stress and high level of stress. Most of the adolescents adopted moderate to low level of negative coping styles and moderate to high levels of positive coping strategies.

Effects of single housing on behavior, corticosterone level and body weight in male and female mice

BackgroundExperimental mice are often single-housed either for an individual analysis (feeding behavior, imaging, calorimetry) or as a stress paradigm (social isolation) in translational biomedical research. Reports of the influence of single housing in rodents are conflicting and may depend on age and duration of isolation. Sex is often not included as a factor. In this study we investigated the effects of 4-week single housing in male and female mice on behavior, body weight, and serum corticosterone levels.ResultsBehavioral tests showed no effect on anhedonia and stress coping, anxiety and motor exploration. Social avoidance occurred in both males and females. Regarding physiological effects, single housing did not induce changes in serum corticosterone levels, but reduced body weight gain.ConclusionsWhile some mouse studies of chronic social isolation reported depression-related disturbances, our data suggest that single housing might be not necessarily be too stressful. This is important for animal welfare regulations and experiments in life science research.

Needs Analysis on the Module Development for Working Sandwich Generation in public University in Malaysia

The number of caregivers of older people will increase to 60% by 2040 to maintain the current ratio of caregivers to older people, which in turn will impact on their mental health and career needs. This study provides the profile, characterisation and needs analysis of the samples, which were conducted using non-probability convenience sampling. This included 201 sandwich and non-sandwich generation working at a public university in relation to coping with caring responsibilities, workplace challenges, personal development and interest in specific programmes or support systems to strengthen and improve coping strategies, adaptability and resilience of employees in the workplace. Understanding these dynamics, improved the development of modules and services to better meet the specific needs of these groups. The aim of this study is to identify the need for stress coping strategies, career adaptability and career resilience and to analyse needs-based programmes for the working sandwich generation. The needs analysis shows that the development of modules must be taken into account when designing a career intervention modules. The research proposes a comprehensive intervention module for career guidance programs to aid sandwich generation in coping with stress, enhancing career adaptability and resilience.

Association between Type D personality, illness perception, and coping strategies in patients undergoing open-heart surgery.

A combination of social inhibition and negative affectivity characterizes Type D personality. Type D, or distressed personality, is an established risk factor for the development and prognosis of coronary heart disease. It occurs in approximately 1 in 4 patients with coronary heart disease. This study aimed to investigate the relationship between Type D personality, illness perception, and coping strategies in patients undergoing open-heart surgery. This retrospective and cross-sectional study was conducted in a university hospital psychiatry and cardiovascular surgery clinics between February 2022 and April 2022. Seventy-one volunteered patients over the age of 18 who underwent open-heart surgery in the cardiovascular surgery clinic were included in the study. Cardiovascular surgeons recorded the sociodemographic and clinical data of the patients and referred them to the psychiatry clinic for further evaluation. Subsequently, patients underwent psychiatric evaluation and were assessed using the Type D Personality Scale, Coping Attitudes Assessment Scale, Hospital Anxiety and Depression Scale, and Illness Perception Questionnaire. According to this study, individuals with Type D personality tended to have higher scores on the Hospital Anxiety and Depression Scale. Analysis of the subdimensions of the Stress Coping Styles Scale revealed that individuals with Type D personalities showed a significantly lower optimistic approach and a considerably higher helpless approach. In terms of the subdimensions of the Illness Perception Questionnaire, it was found that individuals with Type D personality had a statistically lower treatment control approach and a statistically higher emotional representations approach. Identifying Type D personality traits in patients undergoing open-heart surgery can help manage negative illness perceptions through effective coping mechanisms.

Stress coping and resilience of frontline nurses under the emergency infectious disease pandemic: A latent class analysis

AimThis study aimed to classify coping strategies and resilience among nurses caring for COVID-19 patients using latent class analysis (LCA), and to compare variations across these subgroups. BackgroundThe pandemic of emerging infectious diseases is a traumatic stressor for frontline nurses, potentially leading to compassion fatigue. Effective coping strategies and resilience were essential for managing stress, but their nuanced classification and outcomes remain unclear. MethodsA cross-sectional survey was conducted from January to March 2022. Purposive and snowball sampling was utilized to recruit participants. ResultsA total of 215 clinical nurses (mean age 34.59 years) were recruited. A three-class model showed the best fit: class 1 (35.8 %) with proactive coping and high resilience, class 2 (29.8 %) with mixed coping and high resilience, and class 3 (34.4 %) with avoidance coping and low resilience. Compared to class 3, class 1 participants had lower stress (Odds Ratio (OR) = 0.37, 95 % CI: 0.143–0.950, P = 0.039), reduced risk of compassion fatigue (OR = 0.29, 95 % CI: 1.110–4.536, P < 0.001), and lower intention to quit (OR = 0.39, 95 % CI: 0.175–0.843, P = 0.017). Class 2 participants, with higher proportion to live with family, had longer work experience, higher income, and also showed significantly reduced intention to quit (OR = 0.386, 95 % CI: 0.168–0.887, P = 0.025). ConclusionsIdentifying these vulnerable groups can help in providing interventions to reduce stress and prevent compassion fatigue and intention to quit.

The Importance of Social Support in the Occurrence of Mental Disorders in Patients Suffering from Psoriasis Vulgaris

Psoriasis represents a global issue affecting approximately 1% of the Caucasian population, contributing not only to aesthetic concerns but also to stigmatization, social isolation, and an overall decline in quality of life. The chronic inflammatory state in the patient's body predisposes them to a higher susceptibility to anxiety and depressive disorders. Novel treatment methods, particularly monoclonal antibodies, may serve as a bridge between physical and psychological benefits. The research addresses the issues of psychological disorders in patients with common psoriasis and explores the impact of various dimensions of social support on the course of the disease. Topics covered include the etiopathogenesis of psoriasis, the connection between this dermatosis and an increased frequency of psychological disorders, as well as the bidirectional relationship between both disease entities. Four studies, encompassing clinical, demographic, and psychosocial variables, underwent analysis. Each study description includes statistical analysis, operationalization of variables, and a section dedicated to drawing conclusions. In the discussion section, a strong correlation between social support and the psychological state of dermatological patients is demonstrated. An integrated approach to the therapeutic process and the benefits of a holistic approach to issues related to chronic inflammatory diseases are also discussed. The theory of bidirectional relations between psoriasis and depression opens new possibilities for clinicians and psychologists. The work emphasizes that utilizing proven stress coping strategies based on various dimensions of social support can be a significant protective factor against psychological disorders associated with psoriasis. These actions have the potential to impact not only the psychological well-being of the patient but also to reduce the severity of skin symptoms. In light of this hypothesis, the study emphasizes the implementation of effective coping strategies in challenging situations, contributing to the improvement of the quality of life for patients with common psoriasis.

Perceived stress and prenatal depression symptoms among couples with gestational diabetes mellitus: The mediating role of dyadic coping

ProblemNo studies have been conducted to examine the relationships between perceived stress, positive/negative dyadic coping, and prenatal depression symptoms in Chinese couples with gestational diabetes mellitus (GDM). BackgroundGDM is a stressful event for pregnant women and their partners, which may result in clinically significant prenatal depression symptoms in couples. AimThis study aims to examine the relationships and differences in perceived stress, positive/negative dyadic coping, and prenatal depression symptoms between Chinese pregnant women with GDM and their partners and to explore the mediating role of positive/negative dyadic coping. MethodsA cross-sectional study was conducted in Guangzhou, China, from January to October 2021. 402 pairs of GDM couples completed the questionnaires, including the Edinburgh Postnatal Depression Scale, the Chinese version of the Dyadic Coping Inventory, and the Perceived Stress Scale. Dyadic data was analyzed using the actor-partner interdependence mediation model. Findings37.6 % of pregnant women with GDM and 24.6 % of their partners experienced clinically significant prenatal depression symptoms. Depression symptoms in couples mutually influence each other. Perceived stress was directly or indirectly related to their and partners’ prenatal depression symptoms in GDM couples, with negative dyadic coping acting as a mediator. Maternal negative dyadic coping was also a partner-mediator. DiscussionThe findings of the present study may provide healthcare professionals with a better understanding of the effect of the interpersonal interaction between the couples as a dyad on prenatal depression symptoms in Chinese context. ConclusionThere were intrapersonal and interpersonal associations among perceived stress, negative dyadic coping, and prenatal depression symptoms in pregnant women with GDM and their partners. It suggests a need for screening clinically significant prenatal depression symptoms and decreasing perceived stress and negative dyadic coping among couples with GDM with a focus on pregnant women with GDM.

A prefrontal-periaqueductal gray pathway differentially engages autonomic, hormonal, and behavioral features of the stress coping response.

Activation of autonomic and hypothalamo-pituitary-adrenal (HPA) systems occur interdependently with behavioral adjustments under varying environmental demands. Nevertheless, laboratory rodent studies examining the neural bases of stress responses have generally attributed increments in these systems to be monolithic, regardless of whether an active or passive coping strategy is employed. Using the shock probe defensive burying test (SPDB) to measure stress-coping features naturalistically in male and female rats, we identify a neural pathway whereby activity changes may promote distinctive response patterns of hemodynamic and HPA indices typifying active and passive coping phenotypes. Optogenetic excitation of the rostral medial prefrontal cortex (mPFC) input to the ventrolateral periaqueductal gray (vlPAG) decreased passive behavior (immobility), attenuated the glucocorticoid hormone response, but did not prevent arterial pressure and heart rate increases associated with rats' active behavioral (defensive burying) engagement during the SPDB. By contrast, inhibition of the same pathway increased behavioral immobility and attenuated hemodynamic output but did not affect glucocorticoid increases. Correlational analyses confirmed that hemodynamic increments occurred preferentially during active behaviors, and decrements during immobility epochs, whereas pathway manipulations, regardless of the directionality of effect, weakened the correlational relationship. Finally, neuroanatomical evidence indicated that the influence of the rostral mPFC-vlPAG pathway on coping response patterns are mediated predominantly through GABAergic neurons within vlPAG. These data highlight the importance of this prefrontal-midbrain connection in organizing stress-coping responses, and in coordinating bodily systems with behavioral output for adaptation to aversive experiences.Significance statement Organisms maximize fitness by exhibiting distinct stress-coping responses that are specific to a particular challenge. However, the neurobiology underlying cortical control over coping styles is poorly understood. We reveal a novel role for a prefrontal-to-ventrolateral periaqueductal gray pathway in regulating active versus passive stress-coping response patterns in rats. Optogenetic excitation of this pathway decreased behavioral passivity, attenuated stress-induced glucocorticoid increases, but did not prevent associated increases in autonomic output. Pathway inhibition increased behavioral passivity, attenuated autonomic output, but did not affect glucocorticoid increases. These data highlight the importance of this prefrontal-midbrain connection in organizing stress-coping responses, and in coordinating bodily systems with behavioral output for adaptation to aversive experiences.

How stress influences e-cigarette health message perceptions and intentions to abstain from vaping among young adults who vape

PurposeWhile most U.S. young adults attribute e-cigarette use (vaping) to stress coping, it is relatively unknown how young adults’ stress levels influence their e-cigarette health message responses and vaping abstinence intentions. MethodsIn an online crowdsourcing study, young adults who currently vape (N = 346, Mage = 25.24) were assessed for their past-30-day stress levels. Then, they saw a message about the health effects of vaping and were asked questions about the messages and their vaping abstinence intentions. We performed multiple regressions to examine the main effects of stress levels on message evaluation (message perceptions, effects perceptions) and intentions to abstain from vaping. We then examined the indirect effects of stress levels on abstinence intentions mediated by each message outcome, respectively. Models controlled for sociodemographic characteristics, mental health status, and past-30-day e-cigarette use and cigarette smoking. ResultsParticipants with higher stress levels reported more negative message evaluation (ps < 0.05). Additionally, participants with higher stress levels reported lower abstinence intentions via more negative message perceptions (b = -0.02, SE = 0.01, 95 % CI = -0.041, −0.004). Likewise, participants with higher stress levels reported lower abstinence intentions via more negative effects perceptions (b = -0.03, SE = 0.01, 95 % CI = -0.046, −0.008). ConclusionsHigher stress levels were associated with negative message evaluation among young adults who vape. Additionally, the association of stress levels and abstinence intentions was mediated by negative message evaluation. Public health officials may need to account for stress levels in young adults to increase the effects of e-cigarette health messages on their intentions to abstain from vaping.

The relationship between self-efficacy level and stress coping style in nurses living in the Turkish Republic of Northern Cyprus: descriptive research

The relationship between self-efficacy level and stress coping style in nurses living in the Turkish Republic of Northern Cyprus: descriptive research

Machine learning-enabled mental health risk prediction for youths with stressful life events: A modelling study

BackgroundYouths face significant mental health challenges exacerbated by stressful life events, particularly in the context of the COVID-19 pandemic. Immature coping strategies can worsen mental health outcomes. MethodsThis study utilised a two-wave cross-sectional survey design with data collected from Chinese youth aged 14–25 years. Wave 1 (N = 3038) and Wave 2 (N = 539) datasets were used for model development and external validation, respectively. Twenty-five features, encompassing dimensions related to demographic information, stressful life events, social support, coping strategies, and emotional intelligence, were input into the model to predict the mental health status of youth, which was considered their coping outcome. Shapley additive explanation (SHAP) was used to determine the importance of each risk factor in the feature selection. The intersection of top 10 features identified by random forest and XGBoost were considered the most influential predictors of mental health during the feature selection process, and was then taken as the final set of features for model development. Machine learning models, including logistic regression, AdaBoost, and a backpropagation neural network (BPNN), were trained to predict the outcomes. The optimum model was selected according to the performance in both internal and external validation. ResultsThis study identified six key features that were significantly associated with mental health outcomes: punishment, adaptation issues, self-regulation of emotions, learning pressure, use of social support, and recognition of others' emotions. The BPNN model, optimized through feature selection methods like SHAP, demonstrated superior performance in internal validation (C-index [95 % CI] = 0.9120 [0.9111, 0.9129], F-score [95 % CI] = 0.8861 [0.8853, 0.8869]). Additionally, external validation showed the model had strong discrimination (C-index = 0.9749, F-score = 0.8442) and calibration (Brier score = 0.029) capabilities. LimitationsAlthough the clinical prediction model performed well, the study it still limited by self-reported data and representativeness of samples. Causal relationships need to be established to interpret the coping mechanism from multiple perspectives. Also, the limited data on minority groups may lead to algorithmic unfairness. ConclusionsMachine learning models effectively identified and predicted mental health outcomes among youths, with the SHAP+BPNN model showing promising clinical applicability. These findings emphasise the importance and effectiveness of targeted interventions with the help of clinical prediction model.

Patterns of Health Behaviors and Trajectories of Stress among People with Disabilities in Korea.

As a health vulnerable group, people with disabilities require more health-promoting behavior than non-disabled people. We aimed to identify the types of health behavior of disabled people and to track the trajectories of stress by the type of health behaviors. Data came from the Panel Survey of Employment for the Disabled Second Wave by the Employment Development Institute (EDI) in Korea. We used dataset from the first 6 years of the 2nd wave of PSEDSW (2016-2021). The current study analyzed 3,991 subjects. The types of health behavior were identified through latent class analysis (LCA) and the trajectories of stress were estimated through multi-group latent growth modeling using Mplus 8.0. Two types of groups in health behaviors, smoking-drinking group (SD), nonsmoking-less drinking group (NLSD) were derived. Depending on the types of health behavior, the trajectories of stress appeared significantly different: the NLSD had significantly lower stress than the SD in the first year, and this low-level stress trajectory was maintained continuously for 6 years. Health behaviors could be suitable as a stress coping method for people with disabilities. This study suggests that it is necessary to make efforts to create an environment that supports people with disabilities to learn healthier ways to cope with stress.