Measurement properties of the Spanish version of the brief resilient coping scale (BRCS) in cancer patients

Healthcare professionals' perceptions of system preparedness during public health emergencies: a path analysis of mental health impacts

Background

The easing of COVID-19 policies in China appears to have been inadequately prepared, leading to a profound shift in the mental wellbeing of healthcare professionals following the lifting of these measures. Our study aims to investigate the pathways underlying negative emotions experienced by healthcare professionals due to perceived inadequate system preparedness, aiming to enhance their mental health protection and facilitate more effective responses during future large-scale public health crises.

Methods

A total of 826 healthcare professionals were enrolled. Depression symptoms, anxiety symptoms, perceived stress, resilience, perceived inadequate system preparedness were measured in our research.

Results

The prevalence of depression and anxiety symptoms among healthcare professionals were 32.1 and 16.2%, respectively, during the concentrated outbreak of COVID-19 in China after easing policy. The chain mediation analysis reveals that perceived inadequate system preparedness significantly directly predicts depression or anxiety symptoms among healthcare professionals, indirectly through the mediating role of stress, as well as via the chain mediation of stress and resilience. However, it does not predict these symptoms through the mediator of resilience alone. Furthermore, contracting COVID-19 directly predicts depression symptoms.

Conclusions

Perceived inadequate system preparedness can have a detrimental impact on negative emotions through various channels. When facing the potential outbreak of a large-scale public health event in the future, it is crucial to implement measures such as providing psychological counseling, increasing risk allowances, and ensuring an adequate supply of personal protective equipment to be better prepared. Additionally, psychosocial interventions should be implemented to enhance the resilience of healthcare professionals and safeguard the mental wellbeing of those infected with COVID-19, etc.

Resilient Coping Levels and Psychometric Properties of the Brief Resilient Coping Scale Among Nursing Professionals in Saudi Arabia

OBJECTIVES

This cross-sectional survey assessed resilient coping levels and their relationship with the sociodemographic characteristics of nursing professionals in Saudi Arabia.

METHODS

Adult (≥18 years) registered nurses who had been practicing for ≥1 year were included in the study. Resilient coping levels (as assessed via a 4-item Brief Resilience Coping Scale; BRCS) and the data of sociodemographic and other characteristics were collected. Descriptive analysis and ordinal logistic regression were used to analyze the data. Furthermore, the psychometric properties of the BRCS are also reported.

RESULTS

Overall, 216 nursing professionals were included. The mean BRCS score was 14.6 (standard deviation = 3.6), with most nursing professionals (62.5%) reporting medium-to-high resilience coping levels. The ordinal logistic regression model demonstrated that nurses with increasing age (p = 0.002), best overall health (p = 0.001), and in the outpatient department (p = 0.049) and intensive care unit (p = 0.032) had significantly high resilient coping levels. The internal consistency of the BRCS was good (Cronbach's alpha = 0.80). The results of the exploratory factor analysis and confirmatory factor analysis clearly indicate a unidimensional solution with one factor.

CONCLUSIONS

In summary, most nursing professionals in Saudi Arabia showed medium-to-high resilience coping levels. Moreover, this study suggests that the BRCS was found to be a psychometrically reliable and adequate tool for assessing resilience coping levels and provides valuable insights into the relationship between resilient coping levels and the sociodemographic characteristics of nursing professionals in Saudi Arabia.

Factor Structure, Construct Validity, and Measurement Invariance of the Neuroception of Psychological Safety Scale (NPSS)

Psychological safety has recently emerged as a central construct, strictly implicated in mental health and emotional well-being. The Neuroception of Psychological Safety Scale (NPSS) is the first scale designed to assess feelings of psychological safety from a multidimensional perspective. However, the robustness of its factorial structure requires further examination in large community samples, and evidence of construct validity along with measurement invariance across genders is scarce. The present study aimed to address these gaps through a comprehensive cross-validation approach. A community sample of 660 Italian adults, aged 18-65, completed self-report questionnaires including the NPSS, the Compassionate Engagement and Action Scale (CEAS), the Sussex-Oxford Compassion for Others (SOCS), and the Body Perception Questionnaire (BPQ). A three-factor model, i.e., Social Engagement, Compassion, and Bodily Sensations, demonstrated a good fit to the data in two random subsamples. Moreover, the measurement model was factorially invariant across genders. Model-based omega coefficients supported the internal consistency of the NPSS scores (ω ranged between 0.879 and 0.918). Zero-order correlations between NPSS subscales and CEAS, SOCS, and BPQ provided construct validity evidence. Additionally, inter-correlations between latent factors and Harman's single-factor test supported the discriminant validity of the NPSS dimensions. Overall, this study provided compelling evidence regarding the psychometric properties of the NPSS, demonstrating for the first time the invariance of its factorial structure across gender.

Status and influential factors of spiritual well-being in cancer patients with drug clinical trials: a cross-sectional study

PURPOSE

The purpose of this study was to investigate the spiritual well-being status of cancer patients in drug clinical trials and its influencing factors, and to provide theoretical support for the spiritual health intervention of clinical trial cancer patients.

METHODS

This cross-section study was conducted among 244 cancer patients in clinical trials. The Memorial Symptom Assessment Scale Short Form (MSAS-SF), Connor-Davidson Resilience Scale 10 (CD-RISC 10), and Functional Assessment of Chronic Illness Therapy-Spiritual (FACIT-SP-12) were used to measure symptom burden, psychological resilience, and spiritual well-being. The Multiple Linear Regression Model was used to determine the influencing factors of patients' spiritual health.

RESULTS

The overall spiritual health level of cancer patients with clinical trials was high (36.87 ± 11.0), and the spiritual health level was positively correlated with psychological resilience (r = 0.872, P < 0.001). Religious belief, nationality, treatment regimen, and resilience were independent risk factors for the spiritual health of cancer patients in clinical trials. Patients with religious beliefs (β = 0.097, P = 0.012), ethnic minorities (β = 0.087, P = 0.023), and high resilience scores (β = 0.874, P < 0.001) had higher levels of spiritual health. Patients who received single antineoplastic therapy (β =  - 0.079, P = 0.028) had lower levels of spiritual health.

CONCLUSION

Our study found that the spiritual health of cancer patients in clinical trials was at a high level, superior to cancer patients receiving conventional anti-tumor therapy. Religious belief, nationality, treatment regimen, and psychological resilience were the influential factors of spiritual health.

Psychological distress and resilience in patients with advanced cancer during the Covid-19 pandemic: the mediating role of spirituality

Background

The purpose of this study was to investigate the sociodemographic factors related to psychological distress, spirituality, and resilience, and to examine the mediating role of spirituality with respect to psychological distress and resilience in patients with advanced, unresectable cancer during the Covid-19 pandemic.

Methods

A prospective, cross-sectional design was adopted. Data were collected from 636 participants with advanced cancer at 15 tertiary hospitals in Spain between February 2019 and December 2021. Participants completed self-report measures: Brief Resilient Coping Scale (BRCS), Brief Symptom Inventory (BSI-18), and Spiritual well-being (FACIT-Sp). Hierarchical linear regression models were used to explore the mediating role of spirituality.

Results

Spirituality was significantly different according to the person’s age and marital status. Psychological distress accounted for 12% of the variance in resilience (β = − 0.32, p < 0.001) and spirituality, another 15% (β =0.48, p < 0.001). Spirituality acted as a partial mediator in the relationship between psychological distress and resilience in individuals with advanced cancer.

Conclusions

Both psychological distress and spirituality played a role in resilience in cases of advanced cancer. Spirituality can help promote subjective well-being and increased resilience in these subjects.