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Pi Y, Wang Y, Li X, Zhang F. Reciprocal longitudinal relations between self-efficacy and coping style: The explanatory mechanism of future self-continuity. J Adolesc 2024. [PMID: 38506257 DOI: 10.1002/jad.12318] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2023] [Revised: 03/09/2024] [Accepted: 03/11/2024] [Indexed: 03/21/2024]
Abstract
BACKGROUND It has been demonstrated that self-efficacy and coping styles are related. However, whether there is a reciprocal longitudinal relation between self-efficacy and coping styles needs to be examined. In this longitudinal study, we tested the reciprocal impacts of self-efficacy and coping styles, taking into account the role of future self-continuity (FSC) in these effects. METHODS The sample included 346 university students in central and southwestern China (48.3% female; Mage = 21.20). Three waves of questionnaire data were collected at half-year intervals. Cross-lagged models were adopted for data analysis. RESULTS Self-efficacy at Waves 1 and 2 positively predicted positive coping style at Waves 2 and 3, and positive coping style at Waves 1 and 2 positively predicted self-efficacy at Waves 2 and 3. Self-efficacy at Waves 1 and 2 negatively predicted negative coping style at Waves 2 and 3, while negative coping style at Waves 1 and 2 did not significantly predict self-efficacy at Waves 2 and 3. These results indicated the reciprocal causation of self-efficacy and coping styles. Additionally, the mediation analysis revealed that FSC at Wave 2 played a mediating role in the unidirectional association between self-efficacy at Wave 1 and negative coping style at Wave 3. CONCLUSIONS These findings suggest that self-efficacy and coping style have mutual influences over time partly explained by university students' FSC. Consequently, the results offer potential applied value for promoting positive coping strategies among university students.
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Affiliation(s)
- Yu Pi
- Institute of Psychology and Behavior, Henan University, Kaifeng, China
| | - Yuyang Wang
- Institute of Psychology and Behavior, Henan University, Kaifeng, China
| | - Xiaobao Li
- Institute of Psychology and Behavior, Henan University, Kaifeng, China
| | - Feng Zhang
- Institute of Psychology and Behavior, Henan University, Kaifeng, China
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2
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Yuan Y, Lin L, Wang H, Xie C, Chen Q, Li H, Tian L. Related factors to the coping style of patients with sudden sensorineural hearing loss. Int Health 2023; 15:198-206. [PMID: 35851640 PMCID: PMC9977213 DOI: 10.1093/inthealth/ihac046] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2021] [Revised: 11/18/2021] [Accepted: 06/27/2022] [Indexed: 11/14/2022] Open
Abstract
BACKGROUND Coping style can affect the patient's physical and mental health management. Therefore this study aimed to identify factors related to the coping style of young and middle-aged sudden sensorineural hearing loss (SSNHL) patients to provide reference for clinical nursing practice. METHODS A cross-sectional study was conducted on young and middle-aged SSNHL patients hospitalized in the otolaryngology departments of four hospitals in Suzhou City, China. A paper-based self-administered questionnaire investigated the patient's coping style and related factors. Multiple linear stepwise regression analysed the effective related factors in patients' coping styles. RESULTS Among 872 patients, 866 completed the survey, with an average age of 37.27 y. Factors related to the coping style of these patients included gender, chronic diseases, history of trauma, social support and type D personality (p<0.05). Female patients adopt more negative coping styles than male patients. Patients with chronic diseases or a history of trauma had more positive coping styles. Higher social support scores were related to improvements in coping style. Patients with type D personality were more likely to adopt negative coping styles. CONCLUSIONS This study suggests that psychological assessment of patients, chronic diseases, history of trauma, social support and type D personality may benefit the understanding of these patients' coping styles and, as a consequence, may improve their stress management.
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Affiliation(s)
- Yang Yuan
- First Affiliated Hospital of Soochow University, Suzhou 215006, China.,School of Nursing, Medical College of Soochow University, Suzhou 215006, China
| | - Lu Lin
- First Affiliated Hospital of Soochow University, Suzhou 215006, China.,School of Nursing, Medical College of Soochow University, Suzhou 215006, China
| | - Hong Wang
- Suzhou Kowloon Hospital, Shanghai Jiao Tong University School of Medicine, Suzhou 215021, China
| | - Congyan Xie
- School of Nursing, Medical College of Soochow University, Suzhou 215006, China
| | - Qiuyun Chen
- School of Nursing, Medical College of Soochow University, Suzhou 215006, China
| | - Haixia Li
- Suzhou Kowloon Hospital, Shanghai Jiao Tong University School of Medicine, Suzhou 215021, China
| | - Li Tian
- First Affiliated Hospital of Soochow University, Suzhou 215006, China.,School of Nursing, Medical College of Soochow University, Suzhou 215006, China
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3
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Coping Styles in Patients with Parkinson’s Disease: Consideration in the Co-Designing of Integrated Care Concepts. J Pers Med 2022; 12:jpm12060921. [PMID: 35743706 PMCID: PMC9225444 DOI: 10.3390/jpm12060921] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2022] [Revised: 05/27/2022] [Accepted: 05/30/2022] [Indexed: 02/08/2023] Open
Abstract
Integrated care models may help in designing care for Parkinson’s disease (PD) that is more efficient and patient-centered. However, in order to implement such models successfully, it is important to design these models around patients’ needs and preferences. Personality traits and coping styles play a well-studied important role in patients’ disease perception and their utilization of medical and social services to cope with their disease. There is evidence that coping styles remain largely unchanged over the course of PD; coping styles are defined in the early stages of life and extend over the entire lifespan of the patient. Therefore, it seems necessary to consider aspects of the personality traits and coping styles of PD patients in the development and implementation of care models. We postulate that by taking patients’ personality traits and coping styles into account, care models for PD can be designed in a more individualized and, thus, more effective way. This paper, structured in three main sections, attempts to structure the uptake of patients’ coping styles in the co-design of integrated care models. However, further studies are needed to better develop tailored care concepts to the needs of people living with PD and their individual coping styles.
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Qu J, Tu Z, Zheng X, Wang M, Shen X. Potentially traumatic events and post-traumatic growth among Chinese peacekeepers: A moderated mediation model. Clin Psychol Psychother 2022; 29:1867-1876. [PMID: 35560963 DOI: 10.1002/cpp.2753] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2022] [Revised: 05/03/2022] [Accepted: 05/08/2022] [Indexed: 11/10/2022]
Abstract
Peacekeepers are inherently exposed to potentially traumatic events (PTEs) in the line of duty. However, little is known about whether PTEs during peacekeeping missions may foster post-traumatic growth (PTG) among peacekeepers and its mechanisms. This study aimed to investigate the association between PTEs and PTG among Chinese peacekeepers, as well as the mediating role of coping style and the moderating role of resilience. Five hundred ninety-five Chinese peacekeepers completing the United Nations (UN) peacekeeping mission in South Sudan and returning to China were recruited to complete Peacekeeping Traumatic Stress Exposure Scale, Posttraumatic Growth Inventory, Simplified Coping Style Questionnaire and the Chinese version of Connor and Davidson's Resilience Scale. PTEs were positively associated with PTG among Chinese peacekeepers. Coping style partially mediated the association between PTEs and PTG. Resilience moderated the association between coping style and PTG. Specifically, at a lower level of resilience, positive coping style was more effective in predicting PTG. This study contributes to understanding the complex association between PTEs in peacekeeping missions, coping style, resilience and PTG by focusing on the experiences of Chinese peacekeepers and adds value to the current literature on psychological health in peacekeepers.
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Affiliation(s)
- Jingrui Qu
- Department of Nautical Psychology, Second Military Medical University (Naval Medical University), Shanghai, China.,Department of Nursing, The 988th Hospital of Logistics Support Force of PLA, Zhengzhou, China
| | - Zhihao Tu
- Department of Nautical Psychology, Second Military Medical University (Naval Medical University), Shanghai, China
| | - Xican Zheng
- Department of Nursing, The 988th Hospital of Logistics Support Force of PLA, Zhengzhou, China
| | - Minjie Wang
- Department of Nursing, The 988th Hospital of Logistics Support Force of PLA, Zhengzhou, China
| | - Xinghua Shen
- Department of Nautical Psychology, Second Military Medical University (Naval Medical University), Shanghai, China
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5
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Wang X, Sheng Y. Readiness for advance care planning and its relationship to coping style in patients with chronic diseases in communities: A cross-sectional study. Nurs Open 2022; 9:1332-1342. [PMID: 35092182 PMCID: PMC8859049 DOI: 10.1002/nop2.1178] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2021] [Revised: 11/16/2021] [Accepted: 01/09/2022] [Indexed: 11/29/2022] Open
Abstract
Aim This study aimed to assess advance care planning readiness among patients with chronic diseases and identify its relationship to patients’ coping styles. Design A cross‐sectional study. Methods Patients with chronic diseases (N = 168) were recruited from community health service centres. We used a self‐designed and validated “advance care planning readiness questionnaire” to measure the patients’ advance care planning readiness and a "simplified coping style questionnaire” to measure the patients’ coping styles. Results Multiple linear regression analyses observed a positive relationship between “active coping style” (p = .002, 95%CI: 1.788, 7.599) with ACP readiness and a negative relationship between “passive coping style” (p < .001, 95%CI: −10.526, −4.274) with ACP readiness. Our study showed that there was a clear relationship between coping styles and ACP readiness. We suggest encouraging patients to choose more active coping strategies and to explore suitable conversation strategies for different coping styles when facilitating ACP discussion.
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Affiliation(s)
- Xinru Wang
- Chinese Academy of Medical Sciences & School of Nursing, Peking Union Medical College, Beijing, China
| | - Yu Sheng
- Chinese Academy of Medical Sciences & School of Nursing, Peking Union Medical College, Beijing, China
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Loef J, Vloet LCM, Vierhoven PH, van der Schans L, Neyman-Lubbers Y, de Vries-de Winter C, Ebben RHA. Starting ambulance care professionals and critical incidents: a qualitative study on experiences, consequences and coping strategies. BMC Emerg Med 2021; 21:110. [PMID: 34620095 PMCID: PMC8495434 DOI: 10.1186/s12873-021-00500-9] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2021] [Accepted: 08/30/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Ambulance care professionals are regularly confronted with critical incidents that increase risks for mental health disorders. To minimize these risks, it is important that ambulance care professionals adequately cope with critical incidents. Especially from the perspective of starting ambulance care professionals it is unknown which coping styles they use when experiencing a critical incident and how they are trained to cope with critical incidents. The aim of this study was to gain insight in (a) what starting ambulance care professionals describe as critical incidents, (b) how they experience these critical incidents and their consequences, (c) how they cope with these incidents, and (d) how they are trained and guided to cope with these incidents. METHODS A qualitative design with individual, semi-structured interviews was used. The data was analyzed by using inductive thematic analysis. RESULTS Twenty-two starting ambulance care professionals were interviewed of which, 11 were male. The age ranged from 23 to 31 years, with 11 participants being 27 years or younger. Three key-themes emerged that make an incident critical: (1) emotional connection versus emotional detachment, (2) feeling loss of control, and (3) incomprehension. All participants experienced several short to middle term physical, psychological and social consequences after encountering a critical incident. Starting ambulance care professionals applied different coping strategies during different phases of the ambulance care process: a mix of depersonification, focus on the medical task, support from colleagues and their own network, seeking confirmation, and distraction. Most starting ambulance care professionals don't actively remember they received education about coping with critical incidents during their initial educational program. During and after traineeships, the workplace preceptor has a crucial role for starting ambulance care professionals to learn them how to cope with critical incidents. CONCLUSIONS Three key-themes interact to make an incident more critical for starting ambulance care professionals. To cope with these critical incidents, starting ambulance care professionals use a variety of coping strategies. These results can be used to develop training and coaching for starting ambulance care professionals so they can adequately cope with critical incidents.
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Affiliation(s)
- Jorik Loef
- Emergency Medical Service Brabant Midden-West-Noord, 's Hertogenbosch, The Netherlands. .,Research Department of Emergency and Critical Care, HAN University of Applied Sciences, School of Health Studies, Nijmegen, the Netherlands.
| | - Lilian C M Vloet
- Research Department of Emergency and Critical Care, HAN University of Applied Sciences, School of Health Studies, Nijmegen, the Netherlands.,IQ healthcare, Radboud University Medical Center, Radboud Institute for Health Sciences, Nijmegen, The Netherlands
| | - Peter-Hans Vierhoven
- Research Department of Emergency and Critical Care, HAN University of Applied Sciences, School of Health Studies, Nijmegen, the Netherlands.,, Dutch platform of Bachelor of Medical Health, Utrecht, The Netherlands
| | - Leonie van der Schans
- Dutch Society of Bachelor of Medical Health, Utrecht, The Netherlands.,Emergency Medical Service Amsterdam, Amsterdam, The Netherlands
| | - Yvonne Neyman-Lubbers
- Emergency Medical Service Brabant Midden-West-Noord, 's Hertogenbosch, The Netherlands
| | - Christine de Vries-de Winter
- Research Department of Emergency and Critical Care, HAN University of Applied Sciences, School of Health Studies, Nijmegen, the Netherlands.,, Dutch platform of Bachelor of Medical Health, Utrecht, The Netherlands
| | - Remco H A Ebben
- Research Department of Emergency and Critical Care, HAN University of Applied Sciences, School of Health Studies, Nijmegen, the Netherlands
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Xu Y, Cao Y, Ma Y, Zhao Y, Jiang H, Lu J, Zhao C, Quan C. COVID-19 Vaccination Attitudes With Neuromyelitis Optica Spectrum Disorders: Vaccine Hesitancy and Coping Style. Front Neurol 2021; 12:717111. [PMID: 34421811 PMCID: PMC8378309 DOI: 10.3389/fneur.2021.717111] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2021] [Accepted: 07/12/2021] [Indexed: 11/13/2022] Open
Abstract
Background: Vaccination is an important method by which to stop the spread of coronavirus disease 2019 (COVID-19) in a population. Patients with neuromyelitis optica spectrum disorders (NMOSD) have unstable immune function and receive immunosuppressive therapy frequently, so they are hardly to make a decision to receive vaccination. Our study investigated the vaccine hesitancy and coping styles in patients with NMOSD to analyze the relationship between vaccine hesitancy and coping styles, and elucidate the factors influencing vaccine hesitancy. Methods: A convenient sampling method was used to recruit participants. The Adult Vaccine Hesitancy Scale and Medical Coping Modes Questionnaire were used to measure the vaccine hesitancy and coping style of the participants. Pearson correlation, multiple stepwise, linear regression, and one-way analysis of variance were used to analyze the data. Results: A total of 262 NMOSD patients were investigated. The score of vaccine hesitancy in NMOSD patients is lower (21.13 ± 4.355) than 25 points which indicated the patient is not considered to have vaccine hesitancy. The score for vaccine hesitancy was negatively correlated with the confrontation and avoidance coping styles (r = -0.481 and r = 0.423). That adoption of the coping styles of confrontation and avoidance as well as the residence of the patient were predictors of vaccine hesitation in NMOSD patients (R 2(adj) = 0.29, P < 0.001). In addition, the vaccine hesitancy scores of NMOSD patients residing in rural areas were significantly higher than those of patients living in urban areas (P < 0.01). Comparing with each level of education, the scores were not statistically significant in vaccine hesitancy and coping styles (P > 0.05). Conclusions: This study reveals that the NMOSD patients is not considered to have vaccine hesitancy, Patients who tend to adopt confrontation and avoidance coping styles have less vaccine hesitancy. Health authorities and medical specialist teams should strengthen effective vaccination information for patients with NMOSD, such as expert consensus or guidelines through various media to help them with decision-making. The significance of vaccination, the safety and side effects of COVID-19 vaccination and predicting of epidemiological trends of COVID-19 should be emphasized. More attention should be paid to NMOSD patients who living in rural areas.
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Affiliation(s)
- Yafang Xu
- Department of Nursing, Huashan Hospital, Fudan University, Shanghai, China
| | - Yanpei Cao
- Department of Nursing, Huashan Hospital, Fudan University, Shanghai, China
| | - Yue Ma
- Department of Nursing, Huashan Hospital, Fudan University, Shanghai, China
| | - Yan Zhao
- Department of Nursing, Huashan Hospital, Fudan University, Shanghai, China
| | - Hong Jiang
- Department of Nursing, Huashan Hospital, Fudan University, Shanghai, China
| | - Jiahong Lu
- Department of Neurology, Huashan Hospital, Fudan University, Shanghai, China
| | - Chongbo Zhao
- Department of Neurology, Huashan Hospital, Fudan University, Shanghai, China
| | - Chao Quan
- Department of Neurology, Huashan Hospital, Fudan University, Shanghai, China
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8
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Wen YF, Fang P, Peng JX, Wu S, Liu X, Dong QQ. Differential Psychological Factors Associated With Unnecessary Dental Avoidance and Attendance Behavior During the Early COVID-19 Epidemic. Front Psychol 2021; 12:555613. [PMID: 34122203 PMCID: PMC8187600 DOI: 10.3389/fpsyg.2021.555613] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2020] [Accepted: 05/04/2021] [Indexed: 11/30/2022] Open
Abstract
The coronavirus disease 2019 (COVID-19) pandemic caused by severe acute respiratory syndrome coronavirus 2 is challenging the dental community to an unprecedented degree. Knowledge of the increased risk of infection in dental settings has been disseminated to the public and guidelines have been formulated to assist dental attendance decision-making. However, dental attendance behaviors incompatible with treatment need is not uncommon in clinical settings. Important gaps remain in the knowledge about how psychological factors are affecting dental attendance behaviors during the COVID-19 epidemic. In this cross-sectional study, a questionnaire survey was performed during February and March 2020. A total of 342 and 294 dental patients who attended and avoided dental visits, respectively, were included. The participants were classified into four groups based on dental attendance behavior and emergent/urgent dental treatment need. Bivariate analysis was performed to investigate factors associated with dental attendance. Multivariable logistic regression based on principal component scores was performed to identify major psychological constructs associated with unnecessary dental avoidance and attendance. Among all the factors explored, inability to wear masks during dental treatment (P < 0.001; effect size: 0.32) was most closely associated with the overall pattern of dental attendance among participants. Multivariable regression suggested that unnecessary dental avoidance was associated with perceived risk of infection in general and in dental settings (odds ratio [95% CI]: 0.62 [0.53, 0.72]; p < 0.001), perceived impact of COVID-19 and dental problems on general health (0.79 [0.65, 0.97]; 0.021), and personal traits such as trust and anxiety (0.77 [0.61, 0.98]; 0.038). Unnecessary dental attendance was associated with optimism toward the epidemic (1.68 [1.42, 2.01]; <0.001) and trust (1.39 [1.13, 1.74]; 0.002). Multidisciplinary efforts involving dental and medical professionals as well as psychologists are warranted to promote more widespread adoption, among the general public, of dental attendance behaviors compatible with dental treatment need during the COVID-19 epidemic.
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Affiliation(s)
- Yi Feng Wen
- Key Laboratory of Shaanxi for Craniofacial Precision Medicine Research, College of Stomatology, Xi'an Jiaotong University, Xi'an, China
| | - Peng Fang
- Department of Military Medical Psychology, Air Force Medical University, Xi'an, China
| | - Jia-Xi Peng
- College of Teachers, Chengdu University, Chengdu, China
| | - Shengjun Wu
- Department of Military Medical Psychology, Air Force Medical University, Xi'an, China
| | - Xufeng Liu
- Department of Military Medical Psychology, Air Force Medical University, Xi'an, China
| | - Qian Qian Dong
- Key Laboratory of Shaanxi for Craniofacial Precision Medicine Research, College of Stomatology, Xi'an Jiaotong University, Xi'an, China
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Wu C, Liu Y, Ma S, Jing G, Zhou W, Qu L, Wang Z, Cheng M, Wu Y. The mediating roles of coping styles and resilience in the relationship between perceived social support and posttraumatic growth among primary caregivers of schizophrenic patients: a cross-sectional study. BMC Psychiatry 2021; 21:58. [PMID: 33499828 PMCID: PMC7836590 DOI: 10.1186/s12888-021-03058-9] [Citation(s) in RCA: 17] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/28/2020] [Accepted: 01/17/2021] [Indexed: 11/25/2022] Open
Abstract
BACKGROUND Despite the substantial burden of caring schizophrenic patients, primary caregivers can also experience posttraumatic growth (PTG) which may buffer their negative experience. Influencing factors of PTG and their functional pathways among primary caregivers of schizophrenic patients remain unclear. This study is designed to test the simple and serial mediating roles of coping styles and resilience in the relationship between perceived social support and PTG among those primary caregivers. METHODS A cross-sectional study was conducted from October 2018 to January 2019, and 365 primary caregivers (self-reported) of schizophrenic patients were analyzed. Measures used to assess their perceived social support, coping styles, resilience, and PTG were the Perceived Social Support Scale, the Simplified Coping Style Questionnaire, the Connor-Davidson Resilience Scale, and the Posttraumatic Growth Inventory, respectively. Structural equation modeling was used to run the analysis. RESULTS The average scores of PTG (range: 0-5), perceived social support (range: 1-7), positive coping style (range: 0-3), negative coping style (range: 0-3), resilience (range: 0-4) reported by primary caregivers was (2.91 ± 0.99), (4.80 ± 1.26), (1.79 ± 0.65), (1.49 ± 0.56), and (2.46 ± 0.66), respectively. The fitness indices of measurement and structural models were satisfactory. Three indirect pathways totally explained 55.56% variance of the PTG. The indirect effect of positive coping style between perceived social support and PTG was 0.20 [95% confidence interval (CI) 0.05 to 0.37], and this simple mediation pathway explained 27.78% variance of PTG. The indirect effect of resilience between perceived social support and PTG was 0.11 [95% CI 0.01 to 0.20], and this simple mediation pathway explained 15.28% variance of PTG. The indirect effect of positive coping style and then resilience between perceived social support and PTG was 0.09 [95% CI 0.01 to 0.17], and this serial mediation pathway explained 12.50% variance of PTG. CONCLUSIONS Both simple and serial mediation roles of positive coping style and resilience are established in the relationship between perceived social support and PTG among primary caregivers of schizophrenic patients. Positive coping style and resilience are two important targets for future interventional studies, and interventions on them may bring the synergistic effect on improving PTG.
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Affiliation(s)
- Chen Wu
- grid.440653.00000 0000 9588 091XSchool of Nursing, Binzhou Medical University, No.346 Guanhai Road, Yantai, Shandong Province China ,grid.10698.360000000122483208School of Nursing, CB 7460, University of North Carolina at Chapel Hill, Chapel Hill, USA
| | - Yaping Liu
- grid.440653.00000 0000 9588 091XSchool of Nursing, Binzhou Medical University, No.346 Guanhai Road, Yantai, Shandong Province China
| | - Songcui Ma
- grid.440323.2Yantai Yuhuangding Hospital, No.20 Yuhuangding East Road, Yantai, Shandong Province China
| | - Guojian Jing
- Mental Health Center of Shandong Province, No.49 Wenhua East Road, Jinan, Shandong Province China
| | - Wei Zhou
- grid.440653.00000 0000 9588 091XSchool of Nursing, Binzhou Medical University, No.346 Guanhai Road, Yantai, Shandong Province China
| | - Lei Qu
- grid.440653.00000 0000 9588 091XDepartment of Pathogenic Biology, Binzhou Medical University, No.346 Guanhai Road, Yantai, Shandong Province China
| | - Zitong Wang
- grid.440653.00000 0000 9588 091XSchool of Nursing, Binzhou Medical University, No.346 Guanhai Road, Yantai, Shandong Province China
| | - Mei Cheng
- School of Nursing, Binzhou Medical University, No.346 Guanhai Road, Yantai, Shandong Province, China.
| | - Yulong Wu
- Department of Pathogenic Biology, Binzhou Medical University, No.346 Guanhai Road, Yantai, Shandong Province, China.
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10
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Xiao X, Chen C, Gao C, Wang H, Reynolds NR. Ways of coping mediate the relationship between self-efficacy for managing HIV and acceptance of illness among people living with HIV. J Adv Nurs 2020; 76:2945-2954. [PMID: 32893375 DOI: 10.1111/jan.14488] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2019] [Revised: 06/02/2020] [Accepted: 07/06/2020] [Indexed: 12/01/2022]
Abstract
AIM The purpose of this study was to examine the relationship between self-efficacy for managing HIV and acceptance of illness and to identify the potential mediation effect of active coping and passive coping on this relationship. DESIGN The study used a cross-sectional survey. METHODS A sample of 555 people living with HIV were recruited from September-December 2018 in the HIV clinic of a tertiary general hospital in Changsha, China. Survey data were collected through face-to-face interviews that included measures of sociodemographic and HIV-related clinical characteristics, Acceptance of Illness Scale, the Simplified Coping Style Questionnaire and the Self-efficacy for Managing Chronic Disease Scale. Step-by-step linear regression models combined with bootstrap testing were used to test the relationships when controlling for gender and HIV diagnosis duration. RESULTS Self-efficacy was positively related to acceptance of illness and this relationship was partially mediated by both active coping and passive coping. Acceptance of illness increased by 0.175 for every point increase in self-efficacy indirectly through active coping, while acceptance of illness decreased by 0.034 for every point increase in self-efficacy via passive coping. CONCLUSION The findings highlighted the importance of self-efficacy for managing HIV and ways of coping, especially active coping, for illness acceptance. IMPACT The findings suggested that interventions that improve confidence in managing HIV and active coping may enhance the illness acceptance of people living with HIV.
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Affiliation(s)
- Xueling Xiao
- Xiangya School of Nursing of Central South University, Changsha, Hunan, China.,Johns Hopkins School of Nursing, Baltimore, MD, USA
| | - Chen Chen
- Xiangya School of Nursing of Central South University, Changsha, Hunan, China
| | - Chang Gao
- Xiangya School of Nursing of Central South University, Changsha, Hunan, China
| | - Honghong Wang
- Xiangya School of Nursing of Central South University, Changsha, Hunan, China
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11
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Restifo S, Tan LYH. On what basis should we select treatment in clinical psychiatry: a question too obvious to ask? Australas Psychiatry 2020; 28:202-205. [PMID: 31530168 DOI: 10.1177/1039856219875060] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
OBJECTIVE Given the differences between our profession and the broader set of medical disciplines, a review of the factors to be considered in treatment planning was conducted. CONCLUSION Treatment planning in psychiatry is inherently more complicated than in other medical disciplines for various reasons including: a broader range of conceptual models of mental illness and treatment; greater complexities around nosology and diagnosis; the greater limitations of the research evidence base and clinical practice guidelines; and the more substantial impacts of patients' subjectivity and contextual aspects. Diagnosis is generally neither a sufficient nor necessarily the most useful criterion for treatment planning in psychiatry, with a number of other considerations to help guide treatment being outlined.
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Affiliation(s)
- Sam Restifo
- Psychiatrist, Wheatbelt Mental Health Service, Northam, WA, Australia
| | - Lemuel Y H Tan
- Psychologist, Wheatbelt Mental Health Service, Northam, WA, Australia
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12
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McLellan LF, Stapinski LA, Peters L. Pre-treatment CBT-Mindedness Predicts CBT Outcome. COGNITIVE THERAPY AND RESEARCH 2018. [DOI: 10.1007/s10608-018-9977-7] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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13
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Antunes-Alves S, Vukovic B, Milyavskaya M, Kramer U, Dobson K, Drapeau M. Investigating the effects of therapist accuracy in cognitive behavioural therapy for depression. BRITISH JOURNAL OF GUIDANCE & COUNSELLING 2018. [DOI: 10.1080/03069885.2018.1453048] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Affiliation(s)
- Sara Antunes-Alves
- Educational and Counselling Psychology, McGill University, Montreal, Canada
| | - Boris Vukovic
- Educational and Counselling Psychology, McGill University, Montreal, Canada
| | - Marina Milyavskaya
- Educational and Counselling Psychology, McGill University, Montreal, Canada
- Department of Psychology, Carleton University, Ottawa, Canada
| | - Ueli Kramer
- Département de Psychiatrie, Institut Universitaire de Psychothérapie et Service de Psychiatrie Générale, University of Lausanne, HUV Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland
| | - Keith Dobson
- Department of Psychology, University of Calgary, Calgary, Canada
| | - Martin Drapeau
- Educational and Counselling Psychology, McGill University, Montreal, Canada
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Innes SI. The relationship between levels of resilience and coping styles in chiropractic students and perceived levels of stress and well-being. THE JOURNAL OF CHIROPRACTIC EDUCATION 2017; 31:1-7. [PMID: 27459674 PMCID: PMC5345779 DOI: 10.7899/jce-16-2] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/11/2023]
Abstract
OBJECTIVE The aim of this study was to explore the relationship between chiropractic students' coping styles and levels of resilience with their physical injuries, perceived levels of stress, and well-being. METHODS A questionnaire was distributed to the entire student body of the chiropractic program at Murdoch University, and gathered demographic variables and responses to the Connor-Davidson Resilience Scale, Perceived Levels of Stress Scale, Everyday Feelings Questionnaire, and Coping Inventory for Stressful Situations. Linear regression analysis was used to calculate for significant relationships. RESULTS Of 244 students, 194 (81%) completed the surveys. Being female and not having recovered from an injury within 12 months was significantly associated with lower levels of well-being and higher levels of stress. Being female, possessing an increased use of an emotional-based coping style, and having lower levels of well-being were associated with higher levels of stress (R2 = 0.65, F(6,164) = 50.47, p < .001). Lower levels of well-being were associated with being female, higher perceived levels of stress, lower levels of resilience, and an increased use emotional coping styles (R2 = 0.64, F[6,164] = 49.5, p < .001). CONCLUSION It is possible to identify chiropractic students at the university who are at risk of experiencing low levels of well-being and high levels of stress. These students may benefit from interventions aimed at enhancing their coping style choices and increasing their resilience levels. Future studies are recommended to see if these findings are consistent across chiropractic programs nationally and internationally.
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Ariaratnam S, Krishnapillai AD, Daher AM, Fadzil MA, Razali S, Omar SA, Keat NK, Mat Nasir N, Miskan M, Md Yasin M, Saw JA, Durairajanayagam D, Kaur G, Che Bakar O, Hashim NA. Relationship between coping styles and lipid profile among public university staff. Lipids Health Dis 2017; 16:50. [PMID: 28245847 PMCID: PMC5331730 DOI: 10.1186/s12944-017-0438-1] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2016] [Accepted: 02/20/2017] [Indexed: 11/16/2022] Open
Abstract
Background The scarcity of data about coping styles with a biochemical marker namely lipid profile, potentially associated with cardiovascular risk factors is most striking among professionals working in public university. Hence, this research aimed to investigate the relationship between coping styles and lipid profile comprising total cholesterol (TC), triglyceride (TG), HDL-cholesterol (high density lipoprotein-cholesterol) and LDL-cholesterol (Low density lipoprotein-cholesterol) among this group of professionals. Methods A cross sectional survey was conducted among staff from a tertiary education centre. Subjects were contacted to ascertain their medical history. A total of 320 subjects were interviewed and 195 subjects were eligible and subsequently recruited on a suitable date for taking blood and administration of the questionnaires. The subjects completed questionnaires pertaining to demographic details and coping styles. Pearson’s correlation coefficient was used to measure the strength of association between lipid profile and coping styles. Results Majority of the subjects were non-academic staff (60.0%), female (67.2%), Malay (91.8%), married (52.3%) and educated until Diploma level (34.9%). Academic staff scored significantly higher mean scores in task-oriented coping styles (Mean = 64.12). Non-academic staff scored significantly higher mean scores in emotion (Mean = 48.05) and avoidance-oriented coping styles (Mean = 57.61). Malay subjects had significantly higher mean scores in emotion (Mean = 47.14) and avoidance-oriented coping styles (Mean = 55.23). Non-malay subjects (Mean = 66.00) attained significantly higher mean scores in task-oriented coping styles. Single/divorced/widowed individuals scored significantly higher mean scores in emotion (Mean = 48.13) and avoidance-oriented coping styles (Mean = 56.86). There was a significant negative correlation between TC (r = −0.162) and LDL (r = −0.168) with avoidance-oriented coping styles (p = 0.023, p = 0.019 respectively). Conclusion Avoidance-oriented coping style was more likely to engender favourable lipid profile. Hence, assessment of coping styles would certainly assist health care practitioners in predicting subjects who would be at a greater risk of developing cardiovascular diseases.
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Affiliation(s)
- Suthahar Ariaratnam
- Discipline of Psychological and Behavioural Medicine, Faculty of Medicine, Universiti Teknologi MARA, Kampus Selayang, Jalan Prima Selayang 7, 68100, Batu Caves, Selangor, Malaysia. .,MusTReWell, Brain and Neuroscience Communities of Research, Universiti Teknologi MARA, 40450, Shah Alam, Selangor, Malaysia.
| | - Ambigga Devi Krishnapillai
- Department of Primary Care Medicine, Faculty of Medicine and Defence Health, National Defence University of Malaysia, Sg Besi, 57000, Kuala Lumpur, Malaysia
| | - Aqil Mohammad Daher
- Department of Public Health, Faculty of Medicine and Defence Health, National Defence University of Malaysia, Sg Besi, 57000, Kuala Lumpur, Malaysia
| | - Mohd Ariff Fadzil
- Discipline of Public Health, Faculty of Medicine, Universiti Teknologi MARA, Kampus Sungai Buloh, Jalan Hospital, 47000, Sungai Buloh, Selangor, Malaysia
| | - Salmi Razali
- Discipline of Psychological and Behavioural Medicine, Faculty of Medicine, Universiti Teknologi MARA, Kampus Sungai Buloh, Jalan Hospital, 47000, Sungai Buloh, Selangor, Malaysia
| | - Siti Aminah Omar
- Discipline of Psychological and Behavioural Medicine, Faculty of Medicine, Universiti Teknologi MARA, Kampus Sungai Buloh, Jalan Hospital, 47000, Sungai Buloh, Selangor, Malaysia
| | - Ng Kien Keat
- Department of Primary Care Medicine, Faculty of Medicine and Defence Health, National Defence University of Malaysia, Sg Besi, 57000, Kuala Lumpur, Malaysia
| | - Nafiza Mat Nasir
- Discipline of Primary Care Medicine, Faculty of Medicine, Universiti Teknologi MARA, Kampus Selayang, Jalan Prima Selayang 7, 68100, Batu Caves, Selangor, Malaysia
| | - Maizatullifah Miskan
- Department of Primary Care Medicine, Faculty of Medicine and Defence Health, National Defence University of Malaysia, Sg Besi, 57000, Kuala Lumpur, Malaysia
| | - Mazapuspavina Md Yasin
- Discipline of Primary Care Medicine, Faculty of Medicine, Universiti Teknologi MARA, Kampus Selayang, Jalan Prima Selayang 7, 68100, Batu Caves, Selangor, Malaysia
| | - Jo Anne Saw
- Discipline of Psychological and Behavioural Medicine, Faculty of Medicine, Universiti Teknologi MARA, Kampus Selayang, Jalan Prima Selayang 7, 68100, Batu Caves, Selangor, Malaysia
| | - Damayanthi Durairajanayagam
- Discipline of Physiology, Faculty of Medicine, Universiti Teknologi MARA, Kampus Sungai Buloh, Jalan Hospital, 47000, Sungai Buloh, Selangor, Malaysia
| | - Gurpreet Kaur
- Secretariat of National Institutes of Health, Ministry of Health Malaysia, c/o Institut Pengurusan Kesihatan, Jalan Rumah Sakit Bangsar, 59000, Kuala Lumpur, Malaysia
| | - Osman Che Bakar
- Discipline of Psychological and Behavioural Medicine, Faculty of Medicine, Universiti Teknologi MARA, Kampus Sungai Buloh, Jalan Hospital, 47000, Sungai Buloh, Selangor, Malaysia
| | - Nurul Azreen Hashim
- Discipline of Psychological and Behavioural Medicine, Faculty of Medicine, Universiti Teknologi MARA, Kampus Selayang, Jalan Prima Selayang 7, 68100, Batu Caves, Selangor, Malaysia
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Hussong D, Levson S. Giving Up the White Coat. JOURNAL OF CONSTRUCTIVIST PSYCHOLOGY 2016. [DOI: 10.1080/10720537.2016.1266451] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- Devin Hussong
- Department of Professional Psychology, Chestnut Hill College, Philadelphia, Pennsylvania, USA
| | - Scott Levson
- Department of Professional Psychology, Chestnut Hill College, Philadelphia, Pennsylvania, USA
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Relationship Between Patient SWAP-200 Personality Characteristics and Therapist-Rated Therapeutic Alliance Early in Treatment. J Nerv Ment Dis 2016; 204:437-44. [PMID: 27176789 DOI: 10.1097/nmd.0000000000000526] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
In the present study, we assess the extent to which patient personality features and prototypes are associated with early treatment therapist-rated alliance. The study sample consisted of 94 patients receiving psychodynamic psychotherapy at an outpatient clinic. Clinicians completed the Working Alliance Inventory (J Couns Psychol 36:223-233; Psychother Res 9:405-423) to assess their views of early alliance and the Shedler-Westen Assessment Procedure 200 (SWAP-200; Assessment 5:333-353, Am J Psychiatry 161:1350-1365, 1743-1754; Am J Psychiatry 156:258-272, 273-285) to assess patient personality. The SWAP-200 Narcissistic Clinical Prototype, Dysphoric Q-Factor, and Dysphoric/High-Functioning Neurotic Q-Subfactor significantly correlated with early therapist-rated alliance. Correlations that trended toward significance were also found. Also identified were specific SWAP-200 items that were found to relate to high early therapist-rated alliance scores. These results demonstrate some relationship, albeit small, between patient personality characteristics and therapists' views of the alliance that may serve to further a conceptual understanding of the alliance, specific personality syndromes, and the associated impact on the therapeutic interaction.
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Kramer U. The Role of Coping Change in Borderline Personality Disorder: A Process-Outcome Analysis on Dialectical-Behaviour Skills Training. Clin Psychol Psychother 2016; 24:302-311. [PMID: 27098296 DOI: 10.1002/cpp.2017] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2015] [Revised: 03/11/2016] [Accepted: 03/22/2016] [Indexed: 11/06/2022]
Abstract
Difficulty in emotion regulation is a hallmark feature of patients with borderline personality disorder (BPD). Skills training concepts based on dialectical-behaviour therapy (DBT) are common and effective treatment options for specifically addressing lacking skills in emotion regulation. However, so far it is unclear which aspects of coping change over the course of DBT skills training and if these coping strategies predict symptom change. The present process-outcome analysis, based on a randomized controlled study, aims at investigating these questions, by referring to a general conception of coping and by using an observer-rated approach to assess coping strategies directly in the therapy sessions. In total, n = 31 patients with BPD underwent two individual clinical interview assessments (pre- and post-study intervention; half of the patients underwent DBT skills training, half were in a wait-list control). All individual assessment sessions were transcribed and analysed using the Coping Action Pattern Rating Scale. Outcome was assessed pre- and post-intervention using the Outcome Questionnaire-45.2 and the Borderline Symptom List 23. The results showed increase in overall coping functioning in patients who underwent the DBT skills training, compared with the controls, and specific increases in relatedness coping where the stress is appraised as challenge, along with specific decreases in autonomy coping where the stress is appraised as threat. These changes predicted changes in general distress and borderline symptomatology. The results are interpreted within a general framework aiming at understanding the psychological effects of treatments for BPD, in particular effects related to coping. Effective emotion regulation strategies may therefore be important candidates as potential change mechanisms in treatments for BPD. Copyright © 2016 John Wiley & Sons, Ltd. KEY PRACTITIONER MESSAGE It seems important for clinicians to assess the quality of coping strategies as they occur within the session facing a patient with borderline personality disorder. Clinicians may foster the emergence of support-seeking and self-reliance coping strategies in order to increase the effectiveness of therapy. Clinicians may monitor closely the patient's use of ineffective emotion regulation strategies, in particular opposition and submission, with the aim of reducing them early in therapy.
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Affiliation(s)
- Ueli Kramer
- Institute of Psychotherapy, Department of Psychiatry-CHUV, University of Lausanne, Lausanne, Switzerland.,General Psychiatry Service, Department of Psychiatry-CHUV, University of Lausanne, Lausanne, Switzerland.,Department of Psychology, University of Windsor, Windsor, Canada
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Evers AWM, Gieler U, Hasenbring MI, van Middendorp H. Incorporating biopsychosocial characteristics into personalized healthcare: a clinical approach. PSYCHOTHERAPY AND PSYCHOSOMATICS 2014; 83:148-57. [PMID: 24732828 DOI: 10.1159/000358309] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/22/2013] [Accepted: 01/02/2014] [Indexed: 01/08/2023]
Affiliation(s)
- Andrea W M Evers
- Health, Medical and Neuropsychology Unit, Leiden University, Leiden, The Netherlands
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20
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Lee DO, Gong HS, Kim JH, Rhee SH, Lee YH, Baek GH. The relationship between positive or negative phrasing and patients' coping with lateral epicondylitis. J Shoulder Elbow Surg 2014; 23:567-72. [PMID: 24630548 DOI: 10.1016/j.jse.2014.01.020] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/17/2013] [Revised: 01/03/2014] [Accepted: 01/12/2014] [Indexed: 02/01/2023]
Abstract
BACKGROUND Research suggests that phrases with negative content can affect patients' response to medical procedures and how they cope with medical illnesses. We hypothesized that patients with lateral epicondylitis who describe their condition in positive phrases cope better than those who do not. METHODS We prospectively followed up 91 patients with lateral epicondylitis for 12 months. The patients indicated their baseline coping status based on the Pain Catastrophizing Scale (PCS) and were discharged with a wait-and-see policy. During follow-up interviews, the patients described the nature of their condition in their own words and were then categorized into either positive or negative phrasing groups. We compared these two groups regarding current coping status and whether they had sought additional treatment. We also analyzed for the factors associated with these outcomes. RESULTS There were no significant differences in baseline PCS scores between the two groups. At follow-up, patients in the positive phrasing group (n = 62) had significantly lower PCS scores and were less likely to seek additional treatment than those in the negative phrasing group (n = 29). Multivariable analyses showed that positive phrasing and low pain levels were independently associated with improvement in PCS scores and that negative phrasing and depression were independently associated with patients' seeking additional treatment. CONCLUSION Patients' positive phrasing about their condition are associated with improvement in their coping status and with less use of medical resources in the case of lateral epicondylitis. This study suggests that patients with more positive attitudes toward their illness cope and comply better when a wait-and-see treatment is recommended by their physicians.
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Affiliation(s)
- Dong Oh Lee
- Department of Orthopaedic Surgery, Seoul National University Bundang Hospital, Seongnam, South Korea
| | - Hyun Sik Gong
- Department of Orthopaedic Surgery, Seoul National University Bundang Hospital, Seongnam, South Korea.
| | - Jeong Hwan Kim
- Department of Orthopaedic Surgery, Seoul National University Bundang Hospital, Seongnam, South Korea
| | - Seung Hwan Rhee
- Department of Orthopaedic Surgery, Seoul National University Bundang Hospital, Seongnam, South Korea
| | - Young Ho Lee
- Department of Orthopaedic Surgery, Seoul National University Bundang Hospital, Seongnam, South Korea
| | - Goo Hyun Baek
- Department of Orthopaedic Surgery, Seoul National University Bundang Hospital, Seongnam, South Korea
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Martindale SL, Sejud LR, Giardina A, McGowan S, Dolan SL. Changes in Coping Strategies over Time in a Residential Substance Use Disorder Treatment Population: A Preliminary Assessment. ALCOHOLISM TREATMENT QUARTERLY 2013. [DOI: 10.1080/07347324.2013.831683] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Laaksonen MA, Knekt P, Lindfors O. Psychological predictors of the recovery from mood or anxiety disorder in short-term and long-term psychotherapy during a 3-year follow-up. Psychiatry Res 2013; 208:162-73. [PMID: 23123046 DOI: 10.1016/j.psychres.2012.09.053] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/18/2011] [Revised: 08/13/2012] [Accepted: 09/27/2012] [Indexed: 11/25/2022]
Abstract
Choice of optimal treatment length for psychiatric patients requires knowledge about the patients' pre-treatment suitability. This study compares the prediction of seven psychological suitability measures on changes in psychiatric symptoms in short- and long-term psychotherapy over a 3-year follow-up. The psychological suitability of 326 outpatients from the Helsinki Psychotherapy Study, aged 20-46 years, and suffering from mood or anxiety disorders, was assessed at baseline using the Suitability for Psychotherapy Scale (SPS) before randomly assigning them to solution-focused therapy, short-term or long-term psychodynamic psychotherapy. Psychiatric symptoms (Symptom Checklist-90 Global Severity Index) were assessed at baseline and seven times during follow-up. Three patient groups with different prognosis were found when a cumulative SPS score, summing up the values of the seven single suitability measures, was used to predict symptom development: patients with more good (4 or more) than poor values benefited more from short-term therapy, patients with more poor (4-6) than good values benefited more from long-term therapy, and patients with all seven values poor failed to benefit from either short- or long-term therapy. The SPS can apparently be applied before the start of treatment to predict the amount of therapy patients need to recover, although its suitability in therapies of different types needs to be confirmed.
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Affiliation(s)
- Maarit A Laaksonen
- National Institute for Health and Welfare (THL), Department of Health, Functional Capacity and Welfare, Helsinki, Finland
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24
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McArthur K, Cooper M, Berdondini L. School-based humanistic counseling for psychological distress in young people: Pilot randomized controlled trial. Psychother Res 2013; 23:355-65. [DOI: 10.1080/10503307.2012.726750] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
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25
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Kim JE, Zane NW, Blozis SA. Client predictors of short-term psychotherapy outcomes among Asian and white American outpatients. J Clin Psychol 2012; 68:1287-302. [PMID: 22836681 DOI: 10.1002/jclp.21905] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
PURPOSE To examine predictors of psychotherapy outcomes, focusing on client characteristics that are especially salient for culturally diverse clients. METHOD Sixty clients (31 women; 27 White Americans, 33 Asian Americans) participated in this treatment study. Client characteristics were measured at pretreatment, and outcomes were measured postfourth session via therapist ratings of functioning and symptomatology. Regression analyses were utilized to test for predictors of outcomes, and bootstrap analyses were utilized to test for mediators. RESULTS Higher levels of somatic symptoms predicted lower psychosocial functioning at posttreatment. Avoidant coping style predicted more negative symptoms and more psychological discomfort. Non-English language preference predicted worse outcomes; this effect was mediated by an avoidant coping style. CONCLUSIONS Language preference, avoidant coping style, and somatic symptoms predicted treatment outcome in a culturally diverse sample. Findings suggest that race/ethnicity-related variables may function through mediating proximal variables to affect outcomes.
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Affiliation(s)
- Jin E Kim
- Asian American Center on Disparities Research, Department of Psychology, University of California Davis, One ShieldsAvenue, Davis, CA95616, USA.
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