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Bailey C, Lim SL. Investigating psychological mechanisms of self-controlled decisions for food and leisure activity. J Behav Med 2024; 47:458-470. [PMID: 38342789 DOI: 10.1007/s10865-024-00469-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2023] [Accepted: 01/15/2024] [Indexed: 02/13/2024]
Abstract
Maintaining a healthy body weight requires balancing energy intake and expenditure. While previous research investigated energy input or food decisions, little is known about energy output or leisure activity decisions. By combining experimental decision-making paradigms and computational approaches, we investigated the psychological mechanisms of self-controlled food and leisure activity decisions through the effects of reward-oriented and health-oriented preferences as well as body weight status, stress, and coping. Based on individual's responses, the self-controlled food and leisure activity choices were indexed as the proportions of "no" unhealthy but tasty (or enjoyable) (inhibitory self-control against short-term pleasure) and "yes" healthy but not tasty (or not enjoyable) responses (initiatory self-control for long-term health benefits). The successful self-control decisions for food and leisure activity were positively correlated with each other, r = 22, p < .01. In beta regression analyses, the successful self-controlled food decisions decreased as the taste-oriented process increased, β = - 0.50, z = -2.99, p < .005, and increased as the health-oriented process increased, β = 1.57, z = 4.68, p < .001. Similarly, the successful self-controlled leisure activity decisions decreased as the enjoyment-oriented process increased, β = - 0.79, z = -5.31, p < .001, and increased as the health-oriented process increased, β = 0.66, z = 2.19, p < .05. The effects of the other factors were not significant. Overall, our findings demonstrated the mutual interrelationship between food and leisure activity decision-making and suggest that encouraging health-oriented processes may benefit both energy input and expenditure domains and improve self-controlled choices.
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Affiliation(s)
- Carrie Bailey
- Department of Psychology and Counseling, University of Missouri - Kansas City, 5030 Cherry St, Kansas City, MO, 64110, USA
| | - Seung-Lark Lim
- Department of Psychology and Counseling, University of Missouri - Kansas City, 5030 Cherry St, Kansas City, MO, 64110, USA.
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Bradson ML, Strober LB. Coping and psychological well-being among persons with relapsing-remitting multiple sclerosis: The role of perceived self-efficacy. Mult Scler Relat Disord 2024; 84:105495. [PMID: 38364769 DOI: 10.1016/j.msard.2024.105495] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2023] [Revised: 12/13/2023] [Accepted: 02/10/2024] [Indexed: 02/18/2024]
Abstract
OBJECTIVE To explore self-efficacy as a possible mediator in the relationship between adaptive coping and psychological well-being (PWB) in persons with relapsing-remitting multiple sclerosis (RRMS). METHOD 174 persons with RRMS (91% Female) completed an online survey consisting of psychosocial questionnaires. The COPE Inventory was used to create an adaptive coping composite that accounts for the relative contributions of both active and avoidant coping. Self-efficacy was measured using the General Self-Efficacy Scale. The Ryff Psychological Well-Being Scales captured several domains of PWB: Positive relations with others, autonomy, purpose in life, environmental mastery, self-acceptance, and personal growth. The SPSS PROCESS macro was used to test whether self-efficacy mediated the association between adaptive coping and each PWB subscale, using 5,000 bootstrap samples to estimate confidence intervals. RESULTS In each mediational model, adaptive coping was significantly associated with each PWB subscale and self-efficacy (all p's ≤ 0.001). Self-efficacy was also significantly associated with each PWB subscale (p ≤ 0.001). After controlling for self-efficacy, the associations between adaptive coping and positive relations with others (indirect effect = 0.021, 95% CI [0.011, 0.033]) and autonomy (indirect effect = 0.019, 95% CI [0.011, 0.028]) became non-significant. The separate associations between adaptive coping and purpose in life (p = .004), self-acceptance (p = .026), and personal growth (p < .001) remained significant, despite controlling for self-efficacy. CONCLUSIONS Self-efficacy fully mediated the relationships between adaptive coping and positive relations with others and autonomy in our sample of persons with RRMS. Interventions aimed at increasing adaptive coping skills and self-efficacy may improve relations with others and autonomy among persons with MS.
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Affiliation(s)
- Megan L Bradson
- The Pennsylvania State University, University Park, 140 Moore Building, PA 16802, USA.
| | - Lauren B Strober
- Kessler Foundation, East Hanover, NJ, USA; Department of Physical Medicine and Rehabilitation, Rutgers, The State University of New Jersey, New Jersey Medical School, Newark, NJ, USA
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Tsai LH, See LC, Fan JY, Tsai CC, Chen CM, Peng WS. Trajectory of change in perceived stress, coping strategies and clinical competence among undergraduate nursing students during clinical practicum: a longitudinal cohort study. BMC Med Educ 2024; 24:349. [PMID: 38553678 PMCID: PMC10981337 DOI: 10.1186/s12909-024-05332-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/23/2023] [Accepted: 03/20/2024] [Indexed: 04/01/2024]
Abstract
BACKGROUND Clinical practicum is crucial for strengthening nursing students' clinical competence. However, nursing students often experience considerable stress during clinical practicum, and so they employ coping strategies to alleviate it. There is almost no empirical evidence on the change trajectory of perceived stress, coping strategies, and clinical competence among nursing students during a one-year clinical practicum. This study aimed to investigate the trajectory of change in perceived stress, coping strategies, and clinical competence among undergraduate nursing students during a one-year clinical practicum. METHODS This study used a longitudinal cohort design. Undergraduate nursing students were recruited from a science and technology university in Taiwan to participate from February 2021 to January 2022. Perceived stress, coping strategies, and clinical competence among students in basic training practicum (T1), advanced training practicum (T2), and comprehensive clinical nursing practicum (T3) were surveyed by using the Perceived Stress Scale (PSS), Coping Behaviour Inventory (CBI), and Clinical Competence Scale (CCS). PSS, CBI, and CCS in T1, T2, and T3 were compared using a generalized estimating equation (GEE) to deal with correlated data. The level of statistical significance was set at α = 0.05. RESULTS A total of 315 undergraduate nursing students completed the questionnaire. The study results show that the overall perceived stress of the students is the highest in T2 and the lowest in T3. The main source of stress of the students is 'taking care of patients' at T1 and 'lack of professional knowledge and skills' at T2 and T3. Students' perceived stress in 'taking care of patients' gradually decreases over time. The four coping strategies of CBI, which are 'stay optimistic', 'problem-solving', 'transference' and 'avoidance' in this order, remain the same ranking in three surveys.The main stress coping strategy used by students is 'stay optimistic', while the coping strategy 'avoidance' is used more frequently in T2 than in T1 and T3. Students' mean scores of the overall clinical competence and in the 'general nursing' and 'management' subscales in T3 are higher than those in T1 and T2. However, their mean scores in 'self-growth' and 'positivity' subscales are the highest in T1 and the lowest in T2. CONCLUSIONS The results show that through experiential learning in clinical practicum at different stages time after time, students' overall perceived stress is the lowest and their overall clinical competence is the highest in T3. The main coping strategy used when students managed stress is 'stay optimistic'. According to the results, we suggest that clinical educators provide students with appropriate guidance strategies at different stages of stress and continue to follow up the clinical competence and retention rates of these nursing students in the workplace in the future.
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Affiliation(s)
- Li-Hung Tsai
- Department of Nursing, Chang Gung University of Science and Technology, 261, Wenhua 1St Rd., Guishan Dist., Taoyuan City, 33303, Taiwan.
| | - Lai-Chu See
- Biostatistics Core Laboratory, Molecular Medicine Research Center, Chang Gung University, Taoyuan City, Taiwan
- Department of Public Health, College of Medicine, Chang Gung University, Taoyuan City, Taiwan
- Division of Rheumatology, Allergy and Immunology, Department of Internal Medicine, Chang Gung Memorial Hospital, Linkou, Taiwan
| | - Jun-Yu Fan
- Department of Nursing & Graduate Institute of Nursing, Chang Gung University of Science and Technology, Taoyuan City, Taiwan
- Division of Nursing, Chang Gung Memorial Hospital, Linkou, Taiwan
| | - Ching-Ching Tsai
- Department of Nursing, Chang Gung University of Science and Technology, 261, Wenhua 1St Rd., Guishan Dist., Taoyuan City, 33303, Taiwan
- Department of Cardiology, Chang Gung Memorial Hospital, Linkou, Taiwan
| | - Chuan-Mei Chen
- Department of Nursing, Central Taiwan University of Science and Technology, Taichung City, Taiwan
| | - Wei-Sheng Peng
- Biostatistics Core Laboratory, Molecular Medicine Research Center, Chang Gung University, Taoyuan City, Taiwan
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Tha T, Piman T, Kittipongvises S, Ruangrassamee P. Riverbank erosion vulnerability assessment and coping strategies: A case study of the riparian communities in the Mekong River Basin in Cambodia. Heliyon 2024; 10:e25418. [PMID: 38327429 PMCID: PMC10847654 DOI: 10.1016/j.heliyon.2024.e25418] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2023] [Revised: 01/15/2024] [Accepted: 01/25/2024] [Indexed: 02/09/2024] Open
Abstract
Riverbank erosion is a major hazard for riparian communities in the Mekong River Basin. This study aims to (1) assess the livelihood vulnerability of two communities residing along the Mekong River, namely, Kaoh Soutin (KS) and Ruessei Srok (RS), by using the livelihood vulnerability index framed within the Intergovernmental Panel on Climate Change vulnerability framework (LVI-IPCC) and (2) identify the coping strategies of the communities based on semi-structured interviews. The results show that KS is slightly more vulnerable to riverbank erosion than RS, as indicated by LVI-IPCC values of 0.49 and 0.46 for KS and RS, respectively. RS exhibits high adaptive capacity and low sensitivity, but its exposure level is relatively high. Majority of the respondents in KS (62 %) and RS (93 %) were affected by riverbank erosion. In KS, approximately 48 % of the respondents experienced displacement, and 39 % of them relocated once. Meanwhile, in RS, 81 % of the respondents experienced displacement, with 46 % displaced at least three times. The affected households have coped with riverbank erosion by reducing expenses, diversifying their income sources, seeking support from others, and receiving assistance from local authorities, NGOs, and government interventions. Despite such efforts to mitigate the effects of riverbank erosion, the high level of exposure and external factors, such as high living costs and low profits from agriculture, have weakened the ability of the people in both communities to cope with disasters. Moreover, the social ties among households, especially in KS, have declined, thereby making low-income households highly vulnerable to riverbank erosion.
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Affiliation(s)
- Theara Tha
- Environment, Development and Sustainability Program, Graduate School, Chulalongkorn University, Bangkok, 10330, Thailand
- Stockholm Environment Institute, Asia Center, Chulalongkorn University, Bangkok, 10330, Thailand
| | - Thanapon Piman
- Stockholm Environment Institute, Asia Center, Chulalongkorn University, Bangkok, 10330, Thailand
- Environmental Research Institute, Chulalongkorn University, Bangkok, 10330, Thailand
| | - Suthirat Kittipongvises
- Environment, Development and Sustainability Program, Graduate School, Chulalongkorn University, Bangkok, 10330, Thailand
- Environmental Research Institute, Chulalongkorn University, Bangkok, 10330, Thailand
| | - Piyatida Ruangrassamee
- Department of Water Resources Engineering, Faculty of Engineering, Chulalongkorn University, Bangkok, 10330, Thailand
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Apeadido J, Alhassah H, Ehiakpor DS. Marine plastic pollution: fishers' coping strategies and its welfare effect in Volta region, Ghana. Mar Pollut Bull 2024; 198:115782. [PMID: 38043207 DOI: 10.1016/j.marpolbul.2023.115782] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/19/2023] [Revised: 11/09/2023] [Accepted: 11/11/2023] [Indexed: 12/05/2023]
Abstract
The issue of marine plastic pollution has drawn significant attention from around the world due to the harm it poses to marine and coastal ecosystems. Despite this, the scholarly literature has not been able to fully explore the coping strategies adopted by fishers and their welfare effects. Motivated by this argument, this study examines the determinants of the coping strategies employed in response to marine plastic pollution, and its effect on fishers' productivity in the Volta region, Ghana. Empirically, the multinomial endogenous switching regression (MESR) model established that the drivers of the coping strategies adopted were age, knowledge, marital status, fishers' experience in fishing, and household size. Fishers that adopted purse net only, drift-gill net only, both purse and drift-gill nets and all the three fishing techniques (purse, drag and drift-gill) have a greater productivity compared to the non-adopters. Policy implications are proposed.
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Affiliation(s)
- Joseph Apeadido
- Department of Agricultural and Food Economics, University for Development Studies, Tamale, Ghana
| | - Hamdiyah Alhassah
- Department of Economics, School of Economics, University for Development Studies, Nyankpala, Ghana.
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Zhang X, Xu T, Qin Y, Wang M, Li Z, Song J, Tang Q, Wang Z, Xu L, Wu L, Yue P. Exploring the needs and coping strategies of family caregivers taking care of dying patients at home: a field study. BMC Palliat Care 2023; 22:196. [PMID: 38087244 PMCID: PMC10714660 DOI: 10.1186/s12904-023-01315-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2023] [Accepted: 11/28/2023] [Indexed: 12/18/2023] Open
Abstract
BACKGROUND Most Chinese patients chose to die at home, therefore there is a reliance on the family caregivers to be involved in their palliative care. The needs and coping strategies of family caregivers in home-based palliative care are rooted in culture. Little is known about the needs and coping strategies of family caregivers taking care of dying patients at home. METHODS A field study using semi-structured interview, participant observation, documents and records collection was employed. The study was conducted in two palliative care outpatient departments in tertiary hospitals and four communities in Beijing, China from March 2021 to July 2022. Using purposive sampling, twenty-five family caregivers were recruited. All collected data were analyzed using content analysis approach. RESULTS Five themes emerged, including three care needs and two coping strategies. Family caregivers need to learn care skills and acquire care resources, including (i) decision-making about home-based palliative care, (ii) improving patient's quality of life, and (iii) signs of final hours and funeral procedures. In facing the care burden, family caregivers coped by (iv) balancing the roles of caregivers and individuals: giving priority to patient care while maintaining their own normal life. In facing the death of a loved one, family caregivers responded by (v) making room for coming death by facing death indirectly and "rescuing" patients for consolation while preparing for the coming death. CONCLUSION Family caregivers strive to balance the roles of being caregivers and being themselves. As caregivers, they actively prepare patients for good death with no regrets. As individuals, they preserve themselves from being hurt to maintain normal life. The needs of family caregivers focus on caregiver role and are manifested in care skills and resources. TRIAL REGISTRATION Not registered.
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Affiliation(s)
- Xiaotian Zhang
- School of Nursing, Capital Medical University, 10 Xitoutiao, Youanmen, Fengtai District, Beijing, 100069, China
| | - Tianmeng Xu
- Wenzhou Medical University, University Town, Chashan, Wenzhou, Zhejiang, 325035, China
| | - Yuan Qin
- Hospice & Palliative Care Department Ward of Beijing Haidian Hospital, Beijing, 100080, China
| | - Minghui Wang
- Puhuangyu community health center, Fengtai District, Beijing, 100079, China
| | - Zhaoyu Li
- School of Nursing, Capital Medical University, 10 Xitoutiao, Youanmen, Fengtai District, Beijing, 100069, China
| | - Jingyu Song
- School of Nursing, Capital Medical University, 10 Xitoutiao, Youanmen, Fengtai District, Beijing, 100069, China
| | - Qianqian Tang
- School of Nursing, Capital Medical University, 10 Xitoutiao, Youanmen, Fengtai District, Beijing, 100069, China
| | - Zidan Wang
- School of Nursing, Capital Medical University, 10 Xitoutiao, Youanmen, Fengtai District, Beijing, 100069, China
| | - Lijie Xu
- School of Nursing, Capital Medical University, 10 Xitoutiao, Youanmen, Fengtai District, Beijing, 100069, China
| | - Lingling Wu
- Puhuangyu community health center, Fengtai District, Beijing, 100079, China
| | - Peng Yue
- School of Nursing, Capital Medical University, 10 Xitoutiao, Youanmen, Fengtai District, Beijing, 100069, China.
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Vashisht S, Jha S, Kant S, Thakur N, Rai S. Challenges Faced and Coping Strategies Adopted by Injecting Drug Users during COVID-19 Lockdown-A Qualitative Study. Indian J Community Med 2023; 48:846-851. [PMID: 38249706 PMCID: PMC10795882 DOI: 10.4103/ijcm.ijcm_649_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2022] [Accepted: 08/30/2023] [Indexed: 01/23/2024] Open
Abstract
Background The lockdown due to COVID-19 pandemic has adversely affected the lives of vulnerable population, including the injecting drug users (IDUs). The objective of the study was to document the coping mechanism adopted by IDUs and suggest measures to mitigate the adverse effects, if similar situation were to arise in future. Materials and Methods A qualitative study was conducted at the Targeted Intervention Non-Government Organizations catering to IDUs in Delhi and Ghaziabad district of Uttar Pradesh. Four focus group discussions among 41 IDUs and 7 key informant interviews of the NGO staff were conducted in the study. The Hindi recordings were coded and the data analysis was performed manually using grounded theory approach. Results We found that the lockdown affected the lives of most of the IDUs and they found it difficult to access the harm reduction services. To cope with this, many IDUs started following alternate methods to support the drug habits. There was an increase in reuse of needles and syringes. Conclusion The lockdown during COVID-19 and the resulting challenges negatively impacted the physical and mental health of the IDUs. We recommend that in any similar future scenario, travel pass may be issued to the IDUs and the TI-NGO personnel.
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Affiliation(s)
- Shruti Vashisht
- Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India
| | - Shreya Jha
- Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India
| | - Shashi Kant
- Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India
| | - Nishakar Thakur
- Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India
| | - Sanjay Rai
- Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India
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Erdiaw-Kwasie MO, Abunyewah M, Yusif S, Arhin P. Small and medium enterprises (SMEs) in a pandemic: A systematic review of pandemic risk impacts, coping strategies and resilience. Heliyon 2023; 9:e20352. [PMID: 37767482 PMCID: PMC10520321 DOI: 10.1016/j.heliyon.2023.e20352] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2023] [Revised: 09/11/2023] [Accepted: 09/19/2023] [Indexed: 09/29/2023] Open
Abstract
Small and Medium Enterprises (SMEs) are particularly vulnerable to pandemics. Therefore, resilience and adaptation to shocks from pandemics such as COVID-19 are urgently needed. However, despite some coping strategies already in place among SMEs, research on their nature and effectiveness is limited. Thus, it remains unclear how effectively and sustainably documented coping strategies reduce SMEs' vulnerability and increase their resilience to pandemic risk. This article reviews academic literature for evidence of pandemic risk impacts on SMEs, coping strategies in response to these impacts, and the degree to which these strategies reduce SMEs' vulnerability and increase their resilience. According to the literature review, seven essential pandemic risk impacts were identified for SMEs - human movement restrictions, financial constraints, operational challenges, logistics difficulties, delayed business reopening, short-term policy focus and tacit knowledge workers. The study also outlined eleven critical coping strategies, notably structural or physical and behavioural changes. Study analysis reveals that resilience research among SMEs is predominantly conceptual with limited empirical evidence. To conclude, this study urges more adaptation research focused on developing new forms of pandemic risk education for SMEs addressing their complexities.
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Affiliation(s)
- Michael Odei Erdiaw-Kwasie
- Business & Accounting Discipline, Faculty of Arts & Society, Charles Darwin University, NT, 0810, Australia
| | - Matthew Abunyewah
- The Australasian Centre for Resilience Implementation for Sustainable Communities, Faculty of Health, Charles Darwin University, Darwin, NT, 0909, Australia
| | - Salifu Yusif
- College of Science and Engineering, College of Medicine and Dentistry, James Cook University, Townsville, QLD, 4811, Australia
| | - Patrick Arhin
- Department of Spatial Planning, Dortmund University, Dortmund, Germany
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Salzmann S, Euteneuer F, Kampmann S, Rienmüller S, Rüsch D. Preoperative anxiety and need for support - A qualitative analysis in 1000 patients. Patient Educ Couns 2023; 115:107864. [PMID: 37393683 DOI: 10.1016/j.pec.2023.107864] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/17/2022] [Revised: 06/01/2023] [Accepted: 06/19/2023] [Indexed: 07/04/2023]
Abstract
OBJECTIVES Preoperative anxiety is prevalent, emotionally distressing for many patients, and can have harmful effects on postoperative outcomes. Despite its high prevalence, there has been little research on preoperative anxiety using qualitative methods. This study's main goal was to qualitatively examine factors that may contribute to preoperative anxiety in a large sample. METHODS In a survey, a total of 1000 patients awaiting surgery were asked open questions i) about reasons which they associate with their preoperative anxiety and ii) which coping strategies they would prefer in addition to premedication. RESULTS The qualitative analysis indicated five overarching domains, 16 themes, and 54 subthemes of preoperative anxiety. Intra- or postoperative complications was the most common theme regarding preoperative anxiety (n = 516). Personal conversation was the most frequently desired supportive measure in addition to premedication. CONCLUSIONS This study indicated a considerable heterogeneity of reasons associated with preoperative anxiety based on an unbiased assessment in a large sample. The study further suggests that a personal conversation is a clinically important coping strategy in addition to premedication. PRACTICE IMPLICATIONS Providers should assess patients' preoperative anxiety and the resulting need for support individually to offer supportive measures adapted to the patients' needs.
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Affiliation(s)
- Stefan Salzmann
- Division of Clinical Psychology and Psychotherapy, Philipps-University Marburg, Marburg, Germany; Medical Psychology, Health and Medical University Erfurt, Erfurt, Germany.
| | - Frank Euteneuer
- Department of Psychology, Clinical Psychology and Psychotherapy, Medical School Berlin, Berlin, Germany
| | | | | | - Dirk Rüsch
- Philipps-University Marburg, Marburg, Germany; University Hospital Giessen-Marburg (Marburg Campus), Department of Anesthesia and Intensive Care, Marburg, Germany
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Adoma PO, Ansah EW, Apaak D, Agjei RO, Kumah E, Boateng R, Tarkang EE. Coping with hypertensive treatment at Bono Regional Hospital in Sunyani, Ghana: a prospective observational cohort study. Pan Afr Med J 2023; 45:185. [PMID: 38020354 PMCID: PMC10656584 DOI: 10.11604/pamj.2023.45.185.39994] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2023] [Accepted: 07/02/2023] [Indexed: 12/01/2023] Open
Abstract
Introduction the stress associated with hypertension treatment makes using coping strategies inevitable. However, most patients with hypertension apply inefficient coping strategies, leading to uncontrolled blood pressure (BP). The study analyzed coping strategies associated with hypertension treatment and determined how these coping strategies predicted the current BP of patients with hypertension. Methods the study was a prospective observational cohort conducted between January and December, 2020. Consecutive sampling technique was used to enumerate 508 patients who consistently sought treatment at the healthcare facilities. A sphygmomanometer was used to measure BP to determine controlled and uncontrolled BP based on Ghana Health Service standards. A questionnaire was adapted from Coping Inventory for Stressful Situations-2 to measure patients' coping strategies. Descriptive statistics, cut off percentage and multiple linear regression were applied in analyzing the data at a 0.05 level of significance. Results females were two-thirds (74%) of the study population and the mean age was 58.40 ± 11.72. All patients with hypertension used the three coping strategies: emotion-oriented coping (EOC), task-oriented coping (TOC) and avoidance coping (AC). However, EOC was highly used (61.2%), followed by TOC (58.5%) and AC (46.2%). Also, the study found coping with treatment regimens to be relatively poor since it was only physical exercise (79.5%) that they effectively observed. The multiple linear regression results revealed that the three coping strategies were significant predictors of current BP levels [F (3, 117) = 12.390 at p < 0.001]. Thus, AC, TOC, and EOC explained 37.4% of the variability of current BP status (R2 adj=0.374). Specifically, patients who use TOC (66.3%) were more likely to have a controlled BP than those using EOC (53.7%) and AC (35.8%). Conclusion patients' coping strategies were inadequate for hypertension treatment since treatment regimens were poorly observed. Meanwhile, EOC is most likely to negatively affect a patient's treatment, leading to uncontrolled BP. Our study recommends the need to encourage patients to combine their EOC with TOC to enable them control their BP better.
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Affiliation(s)
- Prince Owusu Adoma
- Department of Health Administration and Education, Faculty of Science Education, University of Education, Winneba, Ghana
| | - Edward Wilson Ansah
- Department of Health, Physical Education and Recreation, Faculty of Science Education, University of Cape Coast, Cape Coast, Ghana
| | - Daniel Apaak
- Department of Health, Physical Education and Recreation, Faculty of Science Education, University of Cape Coast, Cape Coast, Ghana
| | - Richard Osei Agjei
- Department of Health Administration and Education, Faculty of Science Education, University of Education, Winneba, Ghana
| | - Emmanuel Kumah
- Department of Health Administration and Education, Faculty of Science Education, University of Education, Winneba, Ghana
| | - Richard Boateng
- Department of Health Administration and Education, Faculty of Science Education, University of Education, Winneba, Ghana
| | - Elvis Enowbeyang Tarkang
- Department of Population and Behavioural Science, University of Health and Allied Sciences, Ho, Ghana
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Jayarathne KDVS, Wijesinghe MSD. Coping mechanisms for emotional distress due to COVID-19 pandemic among young adults between 18 to 25 years in Sri Lanka: A cross-sectional online survey. Asian J Psychiatr 2023; 83:103501. [PMID: 36796123 PMCID: PMC9896838 DOI: 10.1016/j.ajp.2023.103501] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/10/2023] [Revised: 02/01/2023] [Accepted: 02/02/2023] [Indexed: 02/05/2023]
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Desalegn GT, Zeleke TA, Shumet S, Mirkena Y, Kassew T, Angaw DA, Salelew E. Coping strategies and associated factors among people with physical disabilities for psychological distress in Ethiopia. BMC Public Health 2023; 23:20. [PMID: 36600278 DOI: 10.1186/s12889-022-14877-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2022] [Accepted: 12/15/2022] [Indexed: 01/06/2023] Open
Abstract
BACKGROUND Coping strategies are frequently used among individuals with physical disabilities when they face adversities. Low- and middle-income countries are not investigated coping styles among psychological distress persons with disabilities despite the high prevalence of psychological distress. The aim of this study was to identify coping strategies among people with physical disabilities for their psychological distress in Ethiopia has a crucial role to improve the health status of persons with physical disabilities. METHODS An institution-based cross-sectional study was employed among individuals living with physical disabilities at the University of Gondar staff and students from May to June 2021. All staff and students with physical disabilities were screened for psychological distress (n = 269). The census sampling technique was used to select the study participants for psychological distress. The Brief Cope with Problems Experienced (COPE-28) was used to assess coping strategies. Bivariate and multivariate linear regression analyses were used to identify factors associated with coping strategies. An odd ratio (OR) with a 95% confidence interval (CI) at P < 0.05 was computed to assess the strength of the association. RESULTS The emotional-focused coping strategy was the most frequently used when dealing with psychological distress among participants with physical disabilities. The most commonly used emotional-focused coping strategy was spirituality. In the multivariate analyses; urban residence (β = 3.05, 95% CI: 0.98, 5.12), and stigma (β = 3.10, 95% CI: 0.61, 2.83) were factors positively associated with emotion-focused coping strategy, and World Health Organization Quality of Life (WHO QOL) (β = 0.18, 95% CI: 0.13, 0.22), and stigma (β = 1.11, 95% CI: 0.61, 2.83) were factors significantly associated with problem-focused coping. Urban residence (β= -0.96, 95% CI: -1.69, -0.22) was negatively associated with dysfunctional coping strategy, but WHO QOL (β = 0.35, 95% CI: 0.32, 0.38) was positively correlated with dysfunctional coping. CONCLUSION In this study revealed that spirituality is the most frequently used coping strategy among the study participants. Urban residents, stigma, and WHO QOL significantly correlated with coping strategies among such patients. The Ministry of Health, Ministry of Education, and other concerned organizations may find the present findings useful to strengthen the coping styles to minimize psychological distress among people with physical disabilities.
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Affiliation(s)
- Getachew Tesfaw Desalegn
- Department of Psychiatry, College of Medicine and Health Sciences, University of Gondar, P. O. Box: 196, Northwest Gondar, Ethiopia.
| | - Tadele Amare Zeleke
- Department of Psychiatry, College of Medicine and Health Sciences, University of Gondar, P. O. Box: 196, Northwest Gondar, Ethiopia
| | - Shegaye Shumet
- Department of Psychiatry, College of Medicine and Health Sciences, University of Gondar, P. O. Box: 196, Northwest Gondar, Ethiopia
| | - Yohannes Mirkena
- Department of Psychiatry, College of Medicine and Health Sciences, University of Gondar, P. O. Box: 196, Northwest Gondar, Ethiopia
| | - Tilahun Kassew
- Department of Psychiatry, College of Medicine and Health Sciences, University of Gondar, P. O. Box: 196, Northwest Gondar, Ethiopia
| | - Dessie Abebaw Angaw
- Department of Epidemiology and Biostatics Institute of Public Health, College of Medicine and Health Science, University of Gondar, Northwest Gondar, Ethiopia
| | - Endalamaw Salelew
- Department of Psychiatry, College of Medicine and Health Sciences, University of Gondar, P. O. Box: 196, Northwest Gondar, Ethiopia
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Cheng KT, Chang K. The efficacy of stress coping strategies in Taiwan's public utilities during the COVID-19 pandemic. Util Policy 2022; 79:101431. [PMID: 36168400 PMCID: PMC9499668 DOI: 10.1016/j.jup.2022.101431] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 06/12/2022] [Revised: 09/04/2022] [Accepted: 09/05/2022] [Indexed: 06/16/2023]
Abstract
Covid-19 posed stress to the employees in the Public Utility Sector (PUS). Although employees adopted various stress-coping strategies, the actual coping-efficacy remained unclear and hence the current research followed. Research data were gathered from 678 employees of the four PUS companies, including Power, Water, Railways, and Petroleum in TAIWAN (anonymous surveys with ethical-guideline applied). The research revealed three findings: i). the coping-efficacy was affected by gender and education; ii). the nature of strategies mattered, either increasing or decreasing the stress reduction; and, iii). using two strategies does not reduce stress necessarily. Implications for stress-coping management in PUS are discussed.
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Affiliation(s)
- Kuo-Tai Cheng
- Department of Environmental and Cultural Resources, National Tsing Hua University, 521, RD Nan-Da, Hsin-Chu, Taiwan
| | - Kirk Chang
- Yin Shu-Tien Educational Honorary Professor, National Tsing-Hua University, Hsin-Chu, Taiwan
- Royal Docks School of Business and Law, University of East London, London, United Kingdom
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Serrano JO, Reyes MES. Bending not breaking: coping among Filipino University students experiencing psychological distress during the Global Health Crisis. Curr Psychol 2022; 42:1-11. [PMID: 36406854 PMCID: PMC9647747 DOI: 10.1007/s12144-022-03823-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2022] [Revised: 08/18/2022] [Accepted: 09/25/2022] [Indexed: 11/11/2022]
Abstract
The impact of the global health crisis on students' mental health has been well documented. While most of the studies looked into the psychological impact of the coronavirus disease, the process of coping with psychological distress as experienced by university students in the Philippines remains unexamined. Cognizant of the dearth in literature, this grounded theory study purports to investigate and understand the coping processes among 20 Filipino university students. A comprehensive model highlights Filipino university students' coping techniques with psychological distress through vertical and horizontal analysis of the field text, open, axial, and selective coding. To ensure the trustworthiness and truthfulness of the theory and for refinement and consistency, triangulation, peer debriefing, and member checking validation strategies were likewise employed. The novel and distinct B.E.N.D. Model of Coping with Psychological Distress illustrates a substantive four-phased process symbolic of the challenges that a bamboo tree underwent, namely: (1) Befuddling Phase, (2) Enduring Phase, (3) Navigating Phase, and (4) Developing Phase. The phases that emerged had the advanced appreciable understanding of the university students' coping processes that may provide evidence-based information in crafting programs and specific interventions to support and safeguard students' mental health.
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Affiliation(s)
- Jennifer O. Serrano
- The Graduate School, University of Santo Tomas, Manila, Philippines
- Department of Guidance and Counseling, Quirino State University, Quirino, Philippines
| | - Marc Eric S. Reyes
- The Graduate School, University of Santo Tomas, Manila, Philippines
- Department of Psychology, College of Science, University of Santo Tomas, Manila, Philippines
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Xu R, Yan Q, Xu Z, Long X, Yin R. Post-traumatic growth in adult patients with systemic lupus erythematosus: a cross-sectional study in China. Rheumatol Int 2022; 43:1077-1085. [PMID: 36255484 PMCID: PMC9579633 DOI: 10.1007/s00296-022-05233-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2022] [Accepted: 10/07/2022] [Indexed: 10/28/2022]
Abstract
This cross-sectional study aims to evaluate the post-traumatic growth (PTG) level and explores its predictors among adult patients with SLE in China. From April 2020 to April 2021, 135 hospitalized adult SLE patients completed the questionnaire including sociodemographic and disease-related data, Post-traumatic Growth Inventory (PTGI), Medical Coping Modes Questionnaire (MCMQ), Social Support Rating Scale (SSRS), Pittsburgh Sleep Quality Index (PSQI), Hospital Anxiety and Depression Scale (HADS), and Self-Perceived Burden Scale (SPBS). Descriptive analysis, pearson's correlation analysis, and forward multiple line regression analysis were used for analysis by SPSS 22.0. Results showed that, the mean PTGI score was 57.52 ± 20.82. Pearson correlation analysis showed that, complicated autoimmune hemolytic anemia (r = - 0.185), CD4 +/CD8 + (r = - 0.383), acceptance-resignation (r = - 0.185), poor PSQI (r = - 0.215), and depression (r = - 0.322) were negatively associated with total PTGI score; while the relationship with lupus nephritis (r = 0.247), confrontation (r = 0.313), avoidance (r = 0.379), and SSRS (r = 0.242) were positive (all P < 0.05). The total score of PTGI and its five sub-dimensions were not correlated with anxiety and self-perceived burden. Further, CD4 +/CD8 +, confrontation of MCMQ, and SSRS could explain 30.3% of the variance in total PTGI (F = 6.646, P < 0.01). In summary, Chinese adults with SLE experience moderate levels of PTG. Clinical nurses need pay attention to the current disease status and individual characteristics of patients, as well as their mental health, to promote their growth experience, so that they can cope with the future life in a better state and coexist well with SLE.
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Affiliation(s)
- Rong Xu
- Department of Rheumatology, The First Affiliated Hospital of Soochow University, 188th Shizi Street, Suzhou, Jiangsu, China
| | - Qianqian Yan
- Department of Rheumatology, The First Affiliated Hospital of Soochow University, 188th Shizi Street, Suzhou, Jiangsu, China
| | - Zuocheng Xu
- Department of Rheumatology, The First Affiliated Hospital of Soochow University, 188th Shizi Street, Suzhou, Jiangsu, China
| | - Xianming Long
- Department of Rheumatology, The First Affiliated Hospital of Soochow University, 188th Shizi Street, Suzhou, Jiangsu, China
| | - Rulan Yin
- Department of Rheumatology, The First Affiliated Hospital of Soochow University, 188th Shizi Street, Suzhou, Jiangsu, China. .,Faculty of Nursing, Chiang Mai University, Chiangmai, Thailand.
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Quansah F, Hagan JE, Frimpong JB, Srem-Sai M, Agormedah EK, Ankomah F. Psychometric properties of the cultural mix coping inventory for stressful situations using physical education teachers: a multidimensional item response theory analysis. BMC Psychol 2022; 10:209. [PMID: 36038931 PMCID: PMC9422939 DOI: 10.1186/s40359-022-00916-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2022] [Accepted: 08/22/2022] [Indexed: 11/10/2022] Open
Abstract
The incidence of the COVID-19 pandemic heightened the levels of stress of not only students but for teachers, particularly physical education (PE) teachers. The reference to PE teachers is due to their role in engaging students in practical in-person lessons after the resumption of school. Previous literature has revealed that PE teachers exhibit significantly increased levels of anxiety, fear, tension and uncertainty that they could contract the virus during these lessons. Given this scenario, there is a growing need for identifying a suitable coping scale which can accurately measure coping strategies employed these teachers. This research assessed the psychometric properties of the 16-item coping inventory using a multidimensional item response theory approach. The study surveyed 484 PE teachers through the convenience sampling technique, after which the cultural mix coping instrument was administered to them. The findings of this study confirmed the 4-factor structure of the coping measure which is consistent with the original measure. Results further revealed that a modified 14-item compared to the original 16-item coping inventory was optimal in measuring coping strategies among PE teachers. The study concluded that the 14-item cultural mix coping inventory was appropriate, applicable and reproducible to the PE teachers' population.
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Affiliation(s)
- Frank Quansah
- Department of Educational Foundations, University of Education, Winneba, Ghana.
| | - John Elvis Hagan
- Department of Health, Physical Education and Recreation, University of Cape Coast, Cape Coast, Ghana.,Neurocognition and Action-Biomechanics-Research Group, Faculty of Psychology and Sports Science, Bielefeld University, Bielefeld, Germany
| | - James Boadu Frimpong
- Department of Health, Physical Education and Recreation, University of Cape Coast, Cape Coast, Ghana
| | - Medina Srem-Sai
- Department of Health, Physical Education, Recreation and Sports, University of Education, P. O. Box 25, Winneba, Ghana
| | - Edmond Kwesi Agormedah
- Department of Business and Social Sciences Education, University of Cape Coast, Cape Coast, Ghana
| | - Francis Ankomah
- Department of Education and Psychology, University of Cape Coast, PMB Cape Coast, Cape Coast, Ghana.,Department of Education, SDA College of Education, P. O. Box AS 18, Asokore-Koforidua, Ghana
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Hsu HC, Chao SF. Loneliness, loneliness literacy, and change in loneliness during the COVID-19 pandemic among older adults: a cross-sectional study. BMC Geriatr 2022; 22:707. [PMID: 36028799 PMCID: PMC9412798 DOI: 10.1186/s12877-022-03396-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2022] [Accepted: 08/18/2022] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Loneliness has become a significant public health concern for older people. However, little is known about the association of loneliness, loneliness literacy, and changes in loneliness during the COVID-19 pandemic with mental well-being. The purpose of this study was to explore whether loneliness literacy is related to a lower risk of loneliness, increased loneliness during the COVID-19 pandemic, and improved mental well-being for community-based older adults. METHODS A telephone survey was conducted to collect data from older adults aged 65 years or older in Taiwan (n = 804). Loneliness, change in loneliness during COVID-19, and loneliness literacy were the main variables. Mental well-being was assessed by depressive symptoms and life satisfaction. Related factors included personal level (demographics, health conditions, health behaviors, and problem-focused/ emotion-focused coping strategies), interpersonal level (marital status, living arrangements, social support, social participation, leisure activities, and social interactions during COVID-19), and societal level (areas and regions) factors. RESULTS Four dimensions of loneliness literacy were identified by factor analysis: self-efficacy, social support, socialization, and in-home support. Self-efficacy and in-home support were related to lower loneliness. Lower self-efficacy, higher social support, and higher socialization were related to changes (increases) in loneliness during COVID-19. In-home support may prevent depressive symptoms, while self-efficacy was beneficial for better life satisfaction. In addition, emotion-focused coping may increase loneliness during COVID-19, while satisfaction with family support would be a protective factor against loneliness. CONCLUSION Loneliness literacy is related to loneliness and increased loneliness during the COVID-19 pandemic. Building up an age-friendly community with embedded services/information and learning positive coping and mental resilience strategies are suggested.
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Affiliation(s)
- Hui-Chuan Hsu
- School of Public Health, Taipei Medical University, No.250, Wuxing Street, 11031, Taipei, Taiwan, R.O.C.. .,Research Center of Health Equity, College of Public Health, Taipei Medical University, Taipei, Taiwan, R.O.C..
| | - Shiau-Fang Chao
- Department of Social Work, National Taiwan University, Taipei, Taiwan, R.O.C
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18
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Liu M, Hu L, Han X, Cao M, Sun J, Liu Y. Financial toxicity in female patients with breast cancer: a national cross-sectional study in China. Support Care Cancer 2022. [PMID: 35819521 DOI: 10.1007/s00520-022-07264-3] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2022] [Accepted: 06/27/2022] [Indexed: 10/29/2022]
Abstract
PURPOSE To quantify financial toxicity of female patients with breast cancer in China and investigate its factors and patients' coping strategies. METHODS The Comprehensive Score for Financial Toxicity (COST) is defined by using a structured questionnaire containing 12 items measuring perceived affordability of healthcare services, with the range of scoring of which being from 0 to 44 (higher score indicates lower financial toxicity). From January to March 2021, a total of 664 female patients diagnosed with stage 0-IV breast cancer were recruited from 33 public tertiary cancer hospitals located in 31 provinces of China. Multivariate linear regression models were used. RESULTS The median age of patients was 48 years (range: 26-84 years), and 62.04% lived in urban areas. The median COST score was 21.00 (interquartile range: 15-26). Older age, higher household income, and better self-reported health status were associated with lower financial toxicity, while a bigger household size, being retired or unemployed, stage IV cancer, and a history of targeted therapy were associated with higher financial toxicity (all P < 0.05). Nearly half of the patients reported using at least one coping strategy, including considering quitting treatment, delaying treatment, and failing to take medicine or attend medical visits as instructed. The people with increased financial toxicity seem to adopt more coping strategies. CONCLUSIONS Financial toxicity and coping strategies are common among Chinese women with breast cancer. An understanding of the factors regarding financial toxicity may help oncologists and policy-makers identify at-risk patients and develop targeted interventions.
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Park YH, Kim IH, Jeong YW. Stress, and coping strategy of university students during COVID-19 in Korea: The mediating role of ego-resiliency. Acta Psychol (Amst) 2022; 227:103615. [PMID: 35569204 PMCID: PMC9091160 DOI: 10.1016/j.actpsy.2022.103615] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2021] [Revised: 05/09/2022] [Accepted: 05/09/2022] [Indexed: 01/31/2023] Open
Abstract
We aimed to identify the level of stress, ego-resiliency (ER), and coping strategies of university students during the onset of coronavirus disease 2019 (COVID-19) and examine the mediating role of ER in the relationship between stress and coping strategies (e.g., problem-solving, social support seeking, and avoidance). We analyzed responses from 160 university students and found that problem-solving was the most common coping strategy (26.02 ± 4.65), followed by social support-seeking (25.08 ± 5.23), and avoidance (19.21 ± 3.78). ER was negatively associated with stress and showed a mediating effect on the relationship between stress and social support, and stress and problem-solving coping strategies. These findings indicate that ER helps decrease stress caused by the pandemic among university students and should be considered a significant factor for developing adaptive stress coping strategies.
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Ben Saida I, Grira S, Toumi R, Ghodhbani A, Ennouri E, Meddeb K, Ben Saad H, Boussarsar M. North-African doctors as second victims of medical errors: a cross sectional survey. BMC Psychiatry 2022; 22:411. [PMID: 35718779 PMCID: PMC9208235 DOI: 10.1186/s12888-022-04049-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/29/2022] [Accepted: 06/03/2022] [Indexed: 11/10/2022] Open
Abstract
INTRODUCTION Physicians involved in medical errors (MEs) can experience loss of self-esteem and negative psychological experiences. They are called "second victims" of the ME. AIMS To i) describe the profile, the types and the severity of MEs, and ii) explore the psychological impact on "second victims" to better understand how they cope. METHODS It was a cross sectional retrospective study conducted from March to August 2018. All physicians working at Farhat Hached and Sahloul University hospitals were asked to complete a questionnaire about their possible MEs. The impact of MEs was evaluated using the Impact of Event Scale-Revised (IES-R) (scoring, 0-88) (subscales ranges; intrusion, (0-32); avoidance, (0-32); hyperarousal, (0-24)). The diagnosis of post-traumatic stress disorder (PTSD) was made when the total IES-R score exceeded 33. The coping strategies were evaluated using Ways of Coping Checklist Revised (WCC-R) scale (scoring, problem-focused, (10-40); emotion focused, (9-36); seeking social support, (8-32)). RESULTS Among 393 responders, 268(68.2%) reported MEs. Wrong diagnosis (40.5%), faulty treatment (34.6%), preventive errors (13.5%) and faulty communication (6.4%) were the main frequent types of MEs. The most common related causes of MEs were inexperience (47.3%) and job overload (40.2%). The physicians' median (range) score of the IES-R was 19(0-69). According to the IES-R score, the most frequent psychological impacts were median (range): intrusion, 7(0-28) and avoidance symptoms, 7(0-24). PTSD symptoms affected 23.5% of physicians. Female sex and serious MEs were identified as predictors of PTSD. On the WCC-R check list, coping was balanced between the three coping strategies median (range), problem focused, 28.5(10-40); emotion-focused, 24(9-36) and seeking social support 21(8-32). CONCLUSION There is a relatively high impact of ME within these North-African university hospital physicians. Coping was balanced within different three strategies as reported worldwide. Physicians adopted more likely constructive changes than defensive ones.
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Affiliation(s)
- Imen Ben Saida
- grid.7900.e0000 0001 2114 4570University of Sousse, Faculty of Medicine of Sousse, 4000 Sousse, Tunisia ,grid.412791.80000 0004 0508 0097Farhat Hached University Hospital, Medical Intensive Care Unit, Research Laboratory “Heart Failure”, LR12SP09, 4000 Sousse, Tunisia
| | - Sabil Grira
- grid.7900.e0000 0001 2114 4570University of Sousse, Faculty of Medicine of Sousse, 4000 Sousse, Tunisia ,grid.412791.80000 0004 0508 0097Farhat Hached University Hospital, Medical Intensive Care Unit, Research Laboratory “Heart Failure”, LR12SP09, 4000 Sousse, Tunisia
| | - Radhouane Toumi
- grid.7900.e0000 0001 2114 4570University of Sousse, Faculty of Medicine of Sousse, 4000 Sousse, Tunisia ,grid.412791.80000 0004 0508 0097Farhat Hached University Hospital, Medical Intensive Care Unit, Research Laboratory “Heart Failure”, LR12SP09, 4000 Sousse, Tunisia
| | - Amani Ghodhbani
- grid.7900.e0000 0001 2114 4570University of Sousse, Faculty of Medicine of Sousse, 4000 Sousse, Tunisia ,grid.412791.80000 0004 0508 0097Farhat Hached University Hospital, Medical Intensive Care Unit, Research Laboratory “Heart Failure”, LR12SP09, 4000 Sousse, Tunisia
| | - Emna Ennouri
- grid.7900.e0000 0001 2114 4570University of Sousse, Faculty of Medicine of Sousse, 4000 Sousse, Tunisia ,grid.412791.80000 0004 0508 0097Farhat Hached University Hospital, Medical Intensive Care Unit, Research Laboratory “Heart Failure”, LR12SP09, 4000 Sousse, Tunisia
| | - Khaoula Meddeb
- grid.7900.e0000 0001 2114 4570University of Sousse, Faculty of Medicine of Sousse, 4000 Sousse, Tunisia ,grid.412791.80000 0004 0508 0097Farhat Hached University Hospital, Medical Intensive Care Unit, Research Laboratory “Heart Failure”, LR12SP09, 4000 Sousse, Tunisia
| | - Helmi Ben Saad
- grid.7900.e0000 0001 2114 4570University of Sousse, Faculty of Medicine of Sousse, 4000 Sousse, Tunisia ,grid.412791.80000 0004 0508 0097Farhat Hached University Hospital, Laboratory of Physiology and Functional Explorations, Research Laboratory “Heart Failure”, LR12SP09, 4000 Sousse, Tunisia
| | - Mohamed Boussarsar
- University of Sousse, Faculty of Medicine of Sousse, 4000, Sousse, Tunisia. .,Farhat Hached University Hospital, Medical Intensive Care Unit, Research Laboratory "Heart Failure", LR12SP09, 4000, Sousse, Tunisia.
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Manzoor S, Sajjad M, Anwar I, Rafi A. Coping strategies adopted by medical residents in dealing with work-related stress: a mixed-methods study. BMC Med Educ 2022; 22:449. [PMID: 35681196 PMCID: PMC9185940 DOI: 10.1186/s12909-022-03520-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/06/2021] [Accepted: 05/31/2022] [Indexed: 06/15/2023]
Abstract
BACKGROUND This study was carried out to identify and explore the difference in coping strategies for dealing with stress; adopted by medical residents in surgical and nonsurgical specialties. METHODS A mixed methods approach, was chosen for this study. In phase one (quantitative); data were collected by a web-based survey, using a structured questionnaire. This survey was carried out in five major teaching hospitals of Rawalpindi & Muzaffarabad in 2020. Purposive sampling was done and data were analysed using SPSS, recording frequencies and major trends. In phase two (qualitative); six focus group discussions were carried out with 24 participants, using semi-structured questions and prompts. Convenient sampling was done from the cohort of phase 1. These focus group discussions, explored the various coping strategies adopted by medical residents. Later, the data were analysed manually for development of codes, sub-themes and themes. RESULTS Out of 250 (100%) participants, 146 (58%) participants responded to the online survey. Surgical residents had a higher response rate (60%, n = 87) than nonsurgical residents. Moreover, female participation (54%, n = 79) was greater than male participation (46%, n = 67). The Mann-Whitney U test was statistically significant only for seeking medical advice to cope with stress (P = .029). There was no statistically significant difference found between the coping strategies, employed by medical residents. In focus group discussions, female involvement was more (58% n = 14) than their counterparts. Four main themes were developed after data analysis: self-regulation, tailor-made strategies, educational focus and support system. Finally, minor differences were obtained qualitatively; like, socializing is preferred by surgical residents whereas, spiritualism is chosen by nonsurgical residents. CONCLUSION Quantitatively, no significant differences were found between the coping strategies of medical residents, against work-related stress. However, minor differences were obtained qualitatively due to difference in job demands and level of burnout between these two specialities.
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Affiliation(s)
- Shamaila Manzoor
- Azad Jammu & Kashmir Medical College, University of Health Sciences (Lahore), Muzaffarabad, Pakistan
| | - Madiha Sajjad
- Islamic International Medical College, RIPHAH International University, Islamabad, Pakistan
| | - Idrees Anwar
- Rawalpindi Medical University, Rawalpindi, Pakistan
| | - Aisha Rafi
- Shifa Medical College, Shifa Tameer-e Millat University, Islamabad, Pakistan
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22
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Chen L, Jia S, Li P, Shi Z, Li Y. Experiences and coping strategies of somatic symptoms in patients with depressive disorder: A qualitative study. Arch Psychiatr Nurs 2022; 38:6-13. [PMID: 35461645 DOI: 10.1016/j.apnu.2022.01.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/11/2021] [Revised: 01/15/2022] [Accepted: 01/17/2022] [Indexed: 11/02/2022]
Abstract
BACKGROUND Depressive disorder is the most prevalent mental illness and is characterised by the presence of mental and somatic symptoms, with the latter affecting 65.0% to 98.2% of patients with their general function and quality of life. PURPOSE The purpose of this study aimed to explore the experiences and coping strategies of somatic symptoms in Chinese patients with depressive disorder, and to gain new insight into the illness and the health care provided to patients. METHODS Semi-structured, in-depth interviews were conducted with 15 patients diagnosed with depressive disorder according to international classification of diseases 10th revision. The interviews were transcribed verbatim and the thematic analysis was adapted to the data. MAXQDA10 software was used to organise, encode, classify, induce, and extract themes. RESULTS Four major themes were extracted from the interviews: (1) descriptions of symptoms; (2) perceptions of the symptoms; (3) symptom disturbance; and (4) coping strategies of symptoms. Within the first theme, patients identified the following sub-themes: complex experiences of somatic symptoms, which were mainly in the neuromuscular system, circulatory respiratory system, gastrointestinal system and some symptoms without obvious systemic classification; difficulty in locating symptoms accurately; and being not consistent with examination results. The second theme included patient's inadequate understanding of somatic symptoms; and denial of the link between physical discomfort and depression. Disturbance of somatic symptoms embraced three sub-themes: (1) Uncertainty about somatic symptoms; (2) Struggling with daily life; (3) Impact on social activities; (4) feeling a decrease in family support. Lastly, coping strategies taken by patients in the face of various symptoms mainly included relying on drug treatment, avoiding stressors, diverting attention, and compromise or acceptance. CONCLUSIONS Patients with depressive disorder experience a variety of somatic symptoms that have a negative impact on social function and reduce their quality of life. Patients did not have an adequate understanding of their physical discomfort and lacked effective coping strategies for these somatic symptoms. Professional staff should pay more attention to patients' somatic symptoms and focus on targeted symptom management to facilitate patient recovery.
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Affiliation(s)
- Li Chen
- School of Nursing, Fudan University, No. 305, Feng Lin Road, Shanghai 200032, PR China
| | - Shoumei Jia
- School of Nursing, Fudan University, No. 305, Feng Lin Road, Shanghai 200032, PR China.
| | - Ping Li
- Putuo Mental Health Centre, Shanghai 200065, PR China
| | - Zhongying Shi
- Nursing Department, Shanghai Mental Health Centre, Shanghai 200032, PR China
| | - Yang Li
- School of Nursing, Fudan University, No. 305, Feng Lin Road, Shanghai 200032, PR China.
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Hoffeld K, Pflüger P, Pförringer D, Hofmeister M, Stuby F, Biberthaler P. [Decline in work and commuting injuries during the first lockdown in the SARS-CoV-2 pandemic : Comparison to the time period 2015-2019]. Unfallchirurgie (Heidelb) 2022; 125:467-472. [PMID: 34156486 PMCID: PMC8218558 DOI: 10.1007/s00113-021-01023-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Accepted: 05/07/2021] [Indexed: 01/08/2023]
Abstract
BACKGROUND Measures such as restrictions on personal contact and going out were taken to reduce SARS-CoV‑2 infection numbers, ultimately resulting in the first lockdown. This was intended to create capacity in the healthcare system to manage the pandemic. AIM OF THE WORK To analyze whether the number of work and commuting injuries decreased during the lockdown compared to the years 2015-2019. MATERIAL AND METHODS All work and commuting accidents treated at the Klinikum rechts der Isar and the Berufsgenossenschaftliche Unfallklinik Murnau during the observational period 16 March-4 May 2020 were retrospectively compared with the figures from the same observation period in the years 2015-2019. The data on case numbers according to the transit physician procedure (DAV) were further broken down into cases of the injury type procedure (VAV) and severe injury type procedure (SAV) according to the injury type index of the German Social Accident Insurance (DGUV). In addition, the collected data were compared with data from the Federal Statistical Office on the numbers of traffic accidents and traffic fatalities. RESULTS A total of 4313 cases were considered. In 2020, the number of work and commuting accidents decreased by 31% compared to the observation period 2015-2019. VAV cases were decreased by 26% in 2020. SAV cases decreased by 5% in 2020. Road traffic accidents decreased by 17% in thre first four months in 2020 compared to the first four months in 2019. Traffic fatalities decreased by 11%. DISCUSSION There was a 31% decrease in work and commuting accidents. This contributed to resource reallocation in the context of the pandemic. Nevertheless, almost constant numbers of severely injured patients and accidental deaths occurred, which shows the relevance of trauma surgery structures especially in times of crisis and makes it indispensable to include them in the calculation of intensive care resources.
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Affiliation(s)
- Kai Hoffeld
- Klinik und Poliklinik für Unfallchirurgie, Klinikum rechts der Isar, Technische Universität München, Ismaninger Straße 22, 81675, München, Deutschland.
| | - Patrick Pflüger
- Klinik und Poliklinik für Unfallchirurgie, Klinikum rechts der Isar, Technische Universität München, Ismaninger Straße 22, 81675, München, Deutschland
| | - Dominik Pförringer
- Klinik und Poliklinik für Unfallchirurgie, Klinikum rechts der Isar, Technische Universität München, Ismaninger Straße 22, 81675, München, Deutschland
| | - Martin Hofmeister
- Berufsgenossenschaftliche Unfallklinik Murnau, Professor-Küntscher-Straße 8, Murnau, 82418, Deutschland
| | - Fabian Stuby
- Berufsgenossenschaftliche Unfallklinik Murnau, Professor-Küntscher-Straße 8, Murnau, 82418, Deutschland
| | - Peter Biberthaler
- Klinik und Poliklinik für Unfallchirurgie, Klinikum rechts der Isar, Technische Universität München, Ismaninger Straße 22, 81675, München, Deutschland
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Arawomo AO, Erhabor JO, Akinsulore A, Awopeju OF, Ajayi AO, Erhabor GE. Perceived Stress and Coping Strategies among Adults with Asthma in Ile-Ife, Nigeria. West Afr J Med 2022; 39:441-450. [PMID: 35633621] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
BACKGROUND AND OBJECTIVES Asthma is one of the common chronic diseases globally. There is paucity of data on perceived stress among patients with asthma in Nigeria. This study aimed to determine the extent of perceived stress and its association with coping strategies among adults with asthma. METHODS This is a cross-sectional descriptive study in which 100 adults with asthma were consecutively recruited from the Respiratory Clinic of the Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria. They completed a questionnaire containing demographic details, Perceived Stress Scale(PSS), Brief Coping Orientation to Problems Experienced (Brief-COPE) Scale and Asthma Specific Coping Scale(ASCS). RESULTS Most of the respondents were female (56%, n = 56) with mean age of 38.8 (±16.5), and FEV1% predicted was 78.9%±24.5. Sixty-three (63%) participants had high levels of perceived stress. Patients with asthma who had high perceived stress were significantly younger than those with low perceived stress (χ2 = 2.66; p=0.01). The mean scores of coping strategies for asthma patients with high stress level was generally higher compared with those with low stress level, and was significantly higher in the adaptive coping strategy (t=-3.36; p=0.01) and its subscales. For asthma specific coping scale, there was significant difference between those with high perceived stress and low perceived stress in the positive appraisal (t=-2.95, p=0.004) and ignoring asthma (t=-2.09, p=0.040) subscales. CONCLUSION The level of perceived stress is high among Nigerian patients with asthma. This study showed that the more stressed they are, the more they are likely to use coping strategies.
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Affiliation(s)
- A O Arawomo
- Department of Medicine, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Osun State, Nigeria
| | - J O Erhabor
- Postdoctoral Research Fellow, Ciccarone Center for the Prevention of Cardiovascular Diseases, Johns Hopkins School of Medicine, 1620 E. Monument St, Baltimore, MD 21205
| | - A Akinsulore
- Department of Mental Health, Obafemi Awolowo University/Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Osun State, Nigeria
| | - O F Awopeju
- Department of Medicine, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Osun State, Nigeria
- Department of Medicine, Obafemi Awolowo University, Ile-Ife, Osun State, Nigeria
| | - A O Ajayi
- Department of Medicine, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Osun State, Nigeria
| | - G E Erhabor
- Department of Medicine, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Osun State, Nigeria
- Department of Medicine, Obafemi Awolowo University, Ile-Ife, Osun State, Nigeria
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Sarkar B, Islam A. Assessing poverty and livelihood vulnerability of the fishing communities in the context of pollution of the Churni River, India. Environ Sci Pollut Res Int 2022; 29:26575-26598. [PMID: 34855169 DOI: 10.1007/s11356-021-17719-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/05/2021] [Accepted: 11/19/2021] [Indexed: 06/13/2023]
Abstract
The present study exhibits a critical outlook on the poverty and livelihood vulnerability of the fisherman community in the context of persistent water pollution of the Churni River. The logistic regression model has identified eight factors influencing the poverty of the study area while the entropy weight method identifies the livelihood vulnerability of the fishermen. The livelihood vulnerability index of the upper stretch of the river is higher (0.65-0.67) compared to that of the lower stretch (0.46-0.57). The typical spatiality in poverty and livelihood vulnerability is triggered by the fragility of fishing livelihoods in the wake of lower concentrations of dissolved oxygen (DO), and higher BOD, COD, ammonia, nitrate and phosphate mainly due to industrial water pollution. For example, average DO ranges from 1.65 mg/l (upper stretch) to 2.50 mg/l (lower stretch) while the average BOD ranges from 5.44 mg/l (lower stretch) to 9.42 mg/l (upper stretch). This pollution induces acute ecological stress concerning declining fish diversity (from 41 to 16 fish species at the upper stretch and 41 to 23 fish species at the lower stretch during 1980-2018) as well as productivity of the existing fish species. Therefore, paralysed fishing economy and high dependency of the fishermen on the Churni River have forced them to revolve into the vicious cycle of poverty and enduring fragile livelihoods. Thus, the fishermen adopt few coping strategies like access to the nearby wetland for fishing, diversity in earning strategy and environmental movements against pollution to reduce the intensity of vulnerability. The present study would help the regional planners to frame the participatory plans for the sustainability of the riverine ecology and economy.
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Affiliation(s)
- Biplab Sarkar
- Department of Geography, Aliah University, 17 Gorachand Road, Kolkata, 700014, India
| | - Aznarul Islam
- Department of Geography, Aliah University, 17 Gorachand Road, Kolkata, 700014, India.
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Amel Barez M, Babazadeh R, Latifnejad Roudsari R, Mousavi Bazaz M, Mirzaii Najmabadi K. Women's strategies for managing domestic violence during pregnancy: a qualitative study in Iran. Reprod Health 2022; 19:58. [PMID: 35236396 PMCID: PMC8892786 DOI: 10.1186/s12978-021-01276-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2021] [Accepted: 10/19/2021] [Indexed: 11/30/2022] Open
Abstract
BACKGROUND Domestic violence during pregnancy is a severe public health problem. Abused pregnant women are confronted with the threats posed by domestic violence. Pregnancy and protection of the unborn child could affect maternal strategies for managing violence. The purpose of this study was to explore Iranian women's strategies for managing domestic violence during pregnancy. METHODS This qualitative study was conducted in October 2019 to June 2021 in Mashhad, Iran. Data were collected through individual semi structured interviews with 13 women who experienced perinatal domestic violence, two relatives and 24 related specialists as well as two focus group discussions with attendance of 20 abused mothers until the data saturation was achieved. Data were analyzed by the conventional content analysis approach of Graneheim and Lundman. RESULTS The main themes "escape strategies" and "situation improvement strategies" were emerged as the result of data analysis. Escape strategies was comprised of three categories including concealment, passive dysfunctional behaviors and neutral behaviors to control maternal emotional distress. Situation improvement strategies was comprised of three categories including active self-regulation, protecting family privacy and help seeking to control violence. CONCLUSION Understanding the experience of managing domestic violence among pregnant women is essential to design evidence based violence prevention programs, which enable supportive healthcare and social systems to encourage abused mothers to use more effective strategies and seeking help to overcome domestic violence.
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Affiliation(s)
- Malikeh Amel Barez
- Student Research Committee, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
- Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Raheleh Babazadeh
- Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
- Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Robab Latifnejad Roudsari
- Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
- Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Mojtaba Mousavi Bazaz
- Department of Community Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Khadigeh Mirzaii Najmabadi
- Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
- Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
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Ramadianto AS, Kusumadewi I, Agiananda F, Raharjanti NW. Symptoms of depression and anxiety in Indonesian medical students: association with coping strategy and resilience. BMC Psychiatry 2022; 22:92. [PMID: 35130862 PMCID: PMC8820032 DOI: 10.1186/s12888-022-03745-1] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/12/2021] [Accepted: 01/31/2022] [Indexed: 12/30/2022] Open
Abstract
BACKGROUND Depression and anxiety are prevalent mental health issues among medical students due to the various challenges during medical education. These issues affect not only their quality of life, but also their academic and professional development. Coping strategy and resilience are two factors that may influence students' mental health outcomes. Data of medical student mental health in Indonesia is scarce, hampering efforts to systematically address the problem. Hence, this study aims to estimate the prevalence of depressive and anxiety symptoms in Indonesian medical students, and their association with coping strategy and resilience. METHODS Undergraduate medical students from each year of study (Preclinical Year 1 to 4, Clinical Year 1 and 2) in the Faculty of Medicine Universitas Indonesia were randomly selected to participate in this cross-sectional study. The study questionnaire included sociodemographic characteristics, Depression Anxiety Stress Scale (DASS) to measure symptoms of depression and anxiety, Brief COPE to measure coping strategy, and Connor-Davidson Resilience Scale (CD-RISC) to measure resilience. Scores of depression and anxiety symptoms were analyzed by comparing them between different sociodemographic groups and by measuring their correlation with coping strategies and resilience. Multiple regression analyses were conducted to identify predictors of depression and anxiety symptoms. RESULTS Among 532 respondents, 22.2% reported symptoms of depression and 48,1% reported anxiety, including 3.0% and 8.1% with extremely severe depression and anxiety, respectively. Students not living with immediate family had higher depression score; female students and those in Preclinical Year 1 and Clinical Year 1 showed higher anxiety scores. Dysfunctional coping strategies and lower resilience are predictors of higher depression and anxiety symptoms. CONCLUSIONS Students show different levels of depressive and anxiety symptoms, signifying different levels of mental health support needs from universal mental health promotion to psychiatric treatment. Prevention programs can be targeted towards students with risk factors, such as not living with immediate family, undergoing first year of preclinical studies or clinical rotations, coping with dysfunctional strategies, and having low resilience. Additionally, medical educators must be aware of other, non-student factors that may impact student mental health, such as curriculum design and learning experience.
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Affiliation(s)
- Adhitya Sigit Ramadianto
- Department of Psychiatry, Faculty of Medicine Universitas Indonesia - Cipto Mangunkusumo Hospital, Jakarta, Indonesia.
| | - Irmia Kusumadewi
- grid.9581.50000000120191471Department of Psychiatry, Faculty of Medicine Universitas Indonesia – Cipto Mangunkusumo Hospital, Jakarta, Indonesia
| | - Feranindhya Agiananda
- grid.9581.50000000120191471Department of Psychiatry, Faculty of Medicine Universitas Indonesia – Cipto Mangunkusumo Hospital, Jakarta, Indonesia
| | - Natalia Widiasih Raharjanti
- grid.9581.50000000120191471Department of Psychiatry, Faculty of Medicine Universitas Indonesia – Cipto Mangunkusumo Hospital, Jakarta, Indonesia
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Wässerle U, Ermer U, Habisch B, Seeliger S. [Anorexia nervosa: does the incidence increase during the coronavirus pandemic?]. Padiatr Padol 2022; 57:247-53. [PMID: 36320420 DOI: 10.1007/s00608-022-01022-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
Seit Beginn der Coronapandemie und den damit einhergehenden Lockdownmaßnahmen steigen die Behandlungszahlen für Kinder und Jugendliche mit Essstörungen und insbesondere mit Anorexia nervosa in der Klinik für Kinder und Jugendliche, KJF Klinik St. Elisabeth in Neuburg/Donau deutlich. Eine verstärkte Fokussierung auf die Kontrolle des Körpergewichts durch restriktives Essverhalten oder anderweitig herbeigeführte Gewichtsabnahme (Sport) kann Ängste vor Kontrollverlust kompensieren. Anorexietypische Denk- und Verhaltensmuster können als dysfunktionale Bewältigungsstrategien (Coping-Strategien), ausgelöst durch Lockdownmaßnahmen im Rahmen der Coronapandemie, gewertet werden, um Kontrollerleben (im Sinne einer Ersatzstruktur) wiederzuerlangen, aber auch um Depressions- und Angstgefühle besser bewältigen zu können.
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Wässerle U, Ermer U, Habisch B, Seeliger S. [Anorexia nervosa: does the incidence increase during the coronavirus pandemic?]. Monatsschr Kinderheilkd 2021;:1-5. [PMID: 34961799 DOI: 10.1007/s00112-021-01385-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/15/2021] [Indexed: 10/26/2022]
Abstract
Since the beginning of the coronavirus pandemic and the associated lockdown measures, the number of children treated in this children's hospital for eating disorders and in particular anorexia nervosa has significantly increased.An increased focus on the control of body weight with restrictive eating habits or otherwise induced weight loss (sport) can compensate for fears of loss of control. Thinking and behavioral patterns which are typical for anorexia can be assessed as dysfunctional coping strategies of the corona pandemic in order to regain control (in the sense of a substitute structure) but also as a means of coping better with feelings of depression and anxiety.
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Kandasamy D, Shastry S, Chenna D, Mohan G. COVID-19 pandemic and blood transfusion services: The impact, response and preparedness experience of a tertiary care Blood Center in southern Karnataka, India. Hematol Transfus Cell Ther 2021; 44:17-25. [PMID: 34931179 PMCID: PMC8674497 DOI: 10.1016/j.htct.2021.09.019] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2021] [Accepted: 09/26/2021] [Indexed: 01/28/2023] Open
Abstract
Introduction With the outbreak of COVID-19 and its containment measures, blood centers faced a huge challenge in balancing blood demand and supply and devising a preparedness plan to withstand the uncertain situation. This study assesses the effect of the COVID-19 pandemic on blood transfusion services and discusses the appropriate mitigation strategies adopted. Methods We analyzed our center's blood transfusion services during the first half-period of the pandemic (Y3) and non-pandemic years 2018(Y1) and 2019(Y2) in two-quarters Q1 (pre-lockdown), from January to March and Q2 (post-lockdown), from April to June. The blood donation variables, the packed red blood cells (PRBCs) demand and the utilization pattern were compared between pandemic (Y3) and non-pandemic years (Y1 and Y2) in each quarter. The mitigation strategy adopted at every step of the transfusion service is highlighted. Results During post-lockdown (Q2) of the pandemic year (Y3), the blood donation was majorly by repeat donors (83%) from the in-house site (82.5%). Furthermore, the proportion of outdoor donation, deferral, blood collection, demand and issue demonstrated a significant drop of 50%, 32.6%, 33%, 31.8% and 32.3%, respectively, in comparison to Q2 of the non-pandemic years (Y1 and Y2), with a statistically significant difference for surgical and hemorrhagic indications (p < 0.05). Coping strategies, such as blood donor education and motivation using e-platforms emphasizing eligibility during the pandemic, staggering of donor in-flow, postponement of elective surgeries and donor and staff’ COVID-19 safety assurance, were followed. Conclusion The timely adoption of coping strategies played a crucial role in the better handling of shortcomings at our center's blood transfusion services caused by the COVID-19 pandemic.
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Affiliation(s)
- Dhivya Kandasamy
- Department of Immunohematology and Blood Transfusion, Kasturba Medical College, Manipal, Manipal Academy of Higher Education,Manipal, Karnataka, India.
| | - Shamee Shastry
- Department of Immunohematology and Blood Transfusion, Kasturba Medical College, Manipal, Manipal Academy of Higher Education,Manipal, Karnataka, India
| | - Deepika Chenna
- Department of Immunohematology and Blood Transfusion, Kasturba Medical College, Manipal, Manipal Academy of Higher Education,Manipal, Karnataka, India
| | - Ganesh Mohan
- Department of Immunohematology and Blood Transfusion, Kasturba Medical College, Manipal, Manipal Academy of Higher Education,Manipal, Karnataka, India
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Bahta YT, Myeki VA. Adaptation, coping strategies and resilience of agricultural drought in South Africa: implication for the sustainability of livestock sector. Heliyon 2021; 7:e08280. [PMID: 34765793 PMCID: PMC8571085 DOI: 10.1016/j.heliyon.2021.e08280] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2021] [Revised: 08/26/2021] [Accepted: 10/25/2021] [Indexed: 12/03/2022] Open
Abstract
Agricultural drought has put sub-Saharan African under significant pressure, and without adaptation, will negatively influence a future generation. Hence, it is crucial to assess the adaptation and coping strategies, the resilience of agricultural drought, its implication on the sustainability of the livestock sector, and developing future interventions. Data of 217 smallholder livestock farmers were used in a principal component analysis to estimate the agricultural drought resilience index as an outcome variable against social wellbeing, economic outcome, environmental variable and adaptive capacity variables. The results found that 21% of the livestock farming households sold their livestock as an adaptation and coping strategy. In contrast, 20% of the farming households used alternative land use as an adaptation, and coping strategy, 20% stored food, 17% asked for animal feed, 6% sought employment, 6% migrated, 5% kept drought-tolerant breeds, 3% received relief grants, 2% used their savings and investments, and 1% leased their farms. When natural, economic and social sustainability was viewed as a resilience process, the three pillars positively and significantly impacted households' agricultural drought resilience. This implied that the more smallholder farmers participated in social networks and cooperatives, the higher the resilience to agricultural drought. Further, the more resources, income, access to land, access to water, access to credit, and additional types of farming, the higher the households’ resilience to agricultural drought and adaptive capacity. Thus, the three pillars of sustainability are crucial for enhancing the resilience and adaptability of smallholder livestock farmers. The study recommends that government aid reduce vulnerability to agricultural drought via access to agricultural credit and encourage farmers to be part of social networks and cooperatives. Additionally, the government could improve access to land and water rights to boost the resilience of smallholder farmers to agricultural drought. This could be achieved through collaboration and coordination among all role players.
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Affiliation(s)
- Yonas T Bahta
- Department of Agricultural Economics, University of the Free State, Bloemfontein, South Africa
| | - Vuyiseka A Myeki
- Department of Agricultural Economics, University of the Free State, Bloemfontein, South Africa
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Jing X, Gu W, Zhang L, Miao R, Xu X, Wang M, Ramachandran HJ, Wang W. Coping strategies mediate the association between stigma and fertility quality of life in infertile women undergoing in vitro fertilization-embryo transfer. BMC Womens Health 2021; 21:386. [PMID: 34727911 PMCID: PMC8561985 DOI: 10.1186/s12905-021-01525-9] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/15/2021] [Accepted: 10/25/2021] [Indexed: 11/10/2022]
Abstract
BACKGROUND The mediating role of coping strategies and its relationship with psychological well-being and quality of life has been considered in the literature. However, there is little research to explore the mechanism of coping strategies on stigma and fertility quality of life (FertiQoL) in infertile women undergoing In Vitro Fertilization Embryo Transfer (IVF-ET). The aim of this study was to examine the mediating effect of coping strategies on the relationship between stigma and fertility quality of life (FertiQoL) in Chinese infertile women undergoing In Vitro Fertilization Embryo Transfer (IVF-ET). METHODS In this cross-sectional study, a total of 768 infertile women undergoing IVF-ET were recruited from Assisted Reproductive Center of Shaanxi Province, China. The personal information, infertility stigma scale, coping strategy scale and FertiQoL scale were measured using a set of questionnaires. The multiple mediator model was performed using AMOS 21.0. RESULTS The model showed a significant negative direct effect between stigma on FertiQoL. There were significantly negative indirect effects of stigma on FertiQoL through active-avoidance, active-confronting and passive-avoidance, respectively. The meaning-based coping played a positive intermediary role. The model explained 69.4% of the variance in FertiQoL. CONCLUSION Active-avoidance coping strategy is the most important mediator factor between stigma and FertiQoL in infertile women undergoing IVF-ET treatment. Meaning-based coping strategy plays a positive mediating role between stigma and FertiQoL.
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Affiliation(s)
- Xiaoyu Jing
- Northwest Women's and Children's Hospital, No. 73 Houzaimen, Xi'an, 710003, Shaanxi, China
| | - Wei Gu
- School of Nursing, Xi'an Jiaotong University Health Science Centre, No. 76 Yantaxi Road, Xi'an, 710061, Shaanxi, China.
| | - Lu Zhang
- School of Nursing, Xi'an Jiaotong University Health Science Centre, No. 76 Yantaxi Road, Xi'an, 710061, Shaanxi, China
| | - Runna Miao
- School of Nursing, Xi'an Jiaotong University Health Science Centre, No. 76 Yantaxi Road, Xi'an, 710061, Shaanxi, China
| | - Xiuli Xu
- Northwest Women's and Children's Hospital, No. 73 Houzaimen, Xi'an, 710003, Shaanxi, China
| | - Min Wang
- Northwest Women's and Children's Hospital, No. 73 Houzaimen, Xi'an, 710003, Shaanxi, China
| | - Hadassah Joann Ramachandran
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Block MD11, level 2 10 Medical Drive, Singapore, 117597, Singapore
| | - Wenru Wang
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Block MD11, level 2 10 Medical Drive, Singapore, 117597, Singapore
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Ejiri M, Kawai H, Kera T, Ihara K, Fujiwara Y, Watanabe Y, Hirano H, Kim H, Obuchi S. Exercise as a coping strategy and its impact on the psychological well-being of Japanese community-dwelling older adults during the COVID-19 pandemic: A longitudinal study. Psychol Sport Exerc 2021; 57:102054. [PMID: 34512181 PMCID: PMC8416690 DOI: 10.1016/j.psychsport.2021.102054] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/27/2021] [Revised: 09/02/2021] [Accepted: 09/03/2021] [Indexed: 05/17/2023]
Abstract
This study aimed to examine the prevalence of exercise as a coping strategy among Japanese community-dwelling older adults and its impact on their psychological well-being during the COVID-19 pandemic. In October 2019 (baseline [BL]), 720 community-dwelling older adults living in an urban area in Japan participated in a comprehensive health survey. Of these, 618 responded to a mail survey (follow-up [FL]) in June 2020, after the first state of emergency was lifted. Their psychological well-being was assessed using the WHO-5 Well-Being Index (WHO-5). Exercise as a coping strategy during the stay-at-home period was determined at FL by asking respondents whether they had engaged in 1) walking and 2) at-home exercise and strength training to maintain their physical and mental health. Each type of exercise's impact and the effective exercise combinations were examined. Time and group interaction effects on the WHO-5 scores were investigated using a two-way analysis of covariance. Of the final sample, 65.1% engaged in walking. The WHO-5 mean scores at BL and FL were 16.7 and 15.4 for the walking group and 16.7 and 14.5 for the non-walking group, respectively; interaction for time and group was significant. Additionally, 56.4% of the participants engaged home training. The WHO-5 mean score at BL and FL were 17.5 and 15.5 for the home training group and 15.7 and 14.5 for the no home training group, respectively; there was no significant interaction. Older adults who engaged in both walking and home training received higher score on the WHO-5 than those who engaged in only one activity at FL. The decline in psychological well-being was most attenuated in the walking only group compared to the at-home exercise and strength training groups. Exercise as a coping strategy during the stay-at-home period was associated with psychological well-being, with different impacts observed depending on the type of activity.
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Affiliation(s)
- Manami Ejiri
- Tokyo Metropolitan Institute of Gerontology, 35-2 Sakae-cho, Itabashi-Ku, Tokyo, 173-0015, Japan
| | - Hisashi Kawai
- Tokyo Metropolitan Institute of Gerontology, 35-2 Sakae-cho, Itabashi-Ku, Tokyo, 173-0015, Japan
| | - Takeshi Kera
- Tokyo Metropolitan Institute of Gerontology, 35-2 Sakae-cho, Itabashi-Ku, Tokyo, 173-0015, Japan
- Department of Physical Therapy, Takasaki University of Health and Welfare, 37-1 Nakaorui-machi, Takasaki-shi, Gunma, 370-0033, Japan
| | - Kazushige Ihara
- Department of Social Medicine, Hirosaki University School of Medicine, 5 Zaifu-cho, Hirosaki City, Aomori, 036-8560, Japan
| | - Yoshinori Fujiwara
- Tokyo Metropolitan Institute of Gerontology, 35-2 Sakae-cho, Itabashi-Ku, Tokyo, 173-0015, Japan
| | - Yutaka Watanabe
- Gerodontology, Department of Oral Health Science, Faculty of Dental Medicine, Hokkaido University, Nishi-7, Kita-13, Kita-ku, Sapporo, Hokkaido, 060-8586, Japan
| | - Hirohiko Hirano
- Tokyo Metropolitan Institute of Gerontology, 35-2 Sakae-cho, Itabashi-Ku, Tokyo, 173-0015, Japan
| | - Hunkyung Kim
- Tokyo Metropolitan Institute of Gerontology, 35-2 Sakae-cho, Itabashi-Ku, Tokyo, 173-0015, Japan
| | - Shuichi Obuchi
- Tokyo Metropolitan Institute of Gerontology, 35-2 Sakae-cho, Itabashi-Ku, Tokyo, 173-0015, Japan
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陆 权. [Reflections on the Global Pandemic of COVID-19 and the Response Strategies]. Sichuan Da Xue Xue Bao Yi Xue Ban 2021; 52:936-938. [PMID: 34841757 PMCID: PMC10408832 DOI: 10.12182/20211160103] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 06/04/2021] [Indexed: 11/23/2022]
Abstract
The coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) continues to ravage the world, posing great challenges to the public health system and threatening the health and survival of humans. The outbreak of COVID-19 leaves us with much to reflect on and calls on our attention to respiratory infectious diseases, especially new outbreaks of respiratory infectious diseases that are zoonotic. The importance of identifying viral pathogens should be highlighted because it is related to the prevention and treatment strategy of childhood pneumonia. Due to the highly infectious nature of COVID-19, the rapid mutation of the virus, and the lack of specific drugs, vaccines are currently the most effective means of prevention, and a global immune barrier must be established as soon as possible.
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Affiliation(s)
- 权 陆
- 上海交通大学附属儿童医院 (上海 200062)Shanghai Children’s Hospital, Shanghai Jiao Tong University, Shanghai 200062, China
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Savary A, Hammouda M, Genet L, Godet C, Bunel V, Weisenburger G, Goletto T, Medraoui C, Jebrak G, Marceau A, Tran-Dinh A, Mordant P, Castier Y, Montravers P, Mal H, Messika J. Coping strategies, anxiety and depression related to the COVID-19 pandemic in lung transplant candidates and recipients. Results from a monocenter series. Respir Med Res 2021; 80:100847. [PMID: 34371237 PMCID: PMC8260501 DOI: 10.1016/j.resmer.2021.100847] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2021] [Revised: 05/17/2021] [Accepted: 06/21/2021] [Indexed: 11/15/2022]
Abstract
BACKGROUND The COVID-19 pandemic has been associated with an increase in anxiety and depression symptoms in people. We investigated the impact of the pandemic on coping strategies and anxiety and depression in lung transplantation (LT) recipients and patients with end-stage chronic lung disease awaiting LT. METHODS We retrospectively investigated coping strategies by using the Coping Inventory for Stressful Situations questionnaire and anxiety and depression symptoms by the Hospital Anxiety and Depression scale in 115 LT candidates and recipients. RESULTS Overall, 63 participants (20 women; median age 59 years [interquartile range 52•65]) answered one or both questionnaires (49 LT recipients and 14 LT candidates). The preferred coping strategy was task-focused for 51 (86.4%) participants, with no difference between LT recipients and candidates nor according to the main anamnestic and clinical data. Eleven patients had suspected or proven depression symptoms, and 18 had suspected or proven anxiety symptoms. Coping strategies related to COVID-19 did not differ by presence of anxiety or depression symptoms. CONCLUSION In the current pandemic, healthcare professionals should consider these results to provide relevant psychological help to these fragile populations and promote a systematic and wide multidisciplinary assessment of LT recipients and candidates.
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Affiliation(s)
- Alice Savary
- APHP, Hôpital Bichat, Service de Pneumologie B et Transplantation Pulmonaire, F-75018 Paris, France
| | - Malika Hammouda
- APHP, Hôpital Bichat, Service de Pneumologie B et Transplantation Pulmonaire, F-75018 Paris, France
| | - Lucie Genet
- APHP, Hôpital Bichat, Service de Pneumologie B et Transplantation Pulmonaire, F-75018 Paris, France
| | - Cendrine Godet
- APHP, Hôpital Bichat, Service de Pneumologie B et Transplantation Pulmonaire, F-75018 Paris, France; Universitèc) de Paris, PHERE UMRS 1152, LVTS UMRS 1148, F-75018 Paris, France
| | - Vincent Bunel
- APHP, Hôpital Bichat, Service de Pneumologie B et Transplantation Pulmonaire, F-75018 Paris, France; Universitèc) de Paris, PHERE UMRS 1152, LVTS UMRS 1148, F-75018 Paris, France
| | - Gaelle Weisenburger
- APHP, Hôpital Bichat, Service de Pneumologie B et Transplantation Pulmonaire, F-75018 Paris, France; Universitèc) de Paris, PHERE UMRS 1152, LVTS UMRS 1148, F-75018 Paris, France
| | - Tiphaine Goletto
- APHP, Hôpital Bichat, Service de Pneumologie B et Transplantation Pulmonaire, F-75018 Paris, France
| | - Chahine Medraoui
- APHP, Hôpital Bichat, Service de Pneumologie B et Transplantation Pulmonaire, F-75018 Paris, France
| | - Gilles Jebrak
- APHP, Hôpital Bichat, Service de Pneumologie B et Transplantation Pulmonaire, F-75018 Paris, France
| | - Armelle Marceau
- APHP, Hôpital Bichat, Service de Pneumologie B et Transplantation Pulmonaire, F-75018 Paris, France
| | - Alexy Tran-Dinh
- Universitèc) de Paris, PHERE UMRS 1152, LVTS UMRS 1148, F-75018 Paris, France; APHP, Hôpital Bichat, Dèc)partement d'Anesthèc)sie et Rèc)animation, F-75018 Paris, France
| | - Pierre Mordant
- Universitèc) de Paris, PHERE UMRS 1152, LVTS UMRS 1148, F-75018 Paris, France; APHP, Hôpital Bichat, Chirurgie Vasculaire, Thoracique et Transplantation, F-75018 Paris, France
| | - Yves Castier
- Universitèc) de Paris, PHERE UMRS 1152, LVTS UMRS 1148, F-75018 Paris, France; APHP, Hôpital Bichat, Chirurgie Vasculaire, Thoracique et Transplantation, F-75018 Paris, France
| | - Philippe Montravers
- Universitèc) de Paris, PHERE UMRS 1152, LVTS UMRS 1148, F-75018 Paris, France; APHP, Hôpital Bichat, Dèc)partement d'Anesthèc)sie et Rèc)animation, F-75018 Paris, France
| | - Herve Mal
- APHP, Hôpital Bichat, Service de Pneumologie B et Transplantation Pulmonaire, F-75018 Paris, France; Universitèc) de Paris, PHERE UMRS 1152, LVTS UMRS 1148, F-75018 Paris, France
| | - Jonathan Messika
- APHP, Hôpital Bichat, Service de Pneumologie B et Transplantation Pulmonaire, F-75018 Paris, France; Universitèc) de Paris, PHERE UMRS 1152, LVTS UMRS 1148, F-75018 Paris, France; Paris Transplant Group, Paris, France.
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Li Y, Peng J, Tao Y. Relationship between social support, coping strategy against COVID-19, and anxiety among home-quarantined Chinese university students: A path analysis modeling approach. Curr Psychol 2021; 42:10629-10644. [PMID: 34629830 PMCID: PMC8487756 DOI: 10.1007/s12144-021-02334-x] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/22/2021] [Indexed: 11/09/2022]
Abstract
With the continued spread of the COVID-19 pandemic and the strict implementation of quarantine policy, the levels of anxiety among university students surged in the lockdown period. Previous studies confirmed the effectiveness of social support in mitigating anxiety, so offering social support should be of high priority in COVID-19, especially in quarantine. However, various coping strategies against the pandemic may explain the link between social support and anxiety. The purpose of this study was to investigate the associations of social support, coping strategy against COVID-19, and anxiety, identifying the potential mediating effect of coping strategy between social support and anxiety during the COVID-19 quarantine. Home-quarantined Chinese university students (N = 2640; 68.79% female) completed online ratings of social support, coping, and anxiety from February 21st to 24th, 2020, when they had been confined to their homes in the peak of the pandemic. Sex and academic attainment being covariates, path analysis with parallel mediation were conducted using "lavaan" package in R environment. Anxiety was significantly negatively related to subjective support and counselor support, while family support did not demonstrate substantive associations with anxiety. The mediating role of cognitive coping was found between all the three social support sources and anxiety. Emotional coping and behavioral coping were found to partially mediate the relationship between subjective support and anxiety, fully mediate the associations of family support and anxiety. However, the impact of counselor support on anxiety was not found to be mediated by emotional coping and behavioral coping. This large-scale online study provides initial evidence that various coping strategies may mediate the relationship between three sources of social support and anxiety in quarantine to some extent. Given that coping against COVID-19 is a valuable reasearch goal upon the global ongoing challenge, the findings will shed more light on the mechanism in the link between coping, social support, and anxiety.
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Affiliation(s)
- Yue Li
- Division of Art, Shenzhen University, Shenzhen, China
- School of Education, City University of Macau, Macau, China
| | - Jun Peng
- School of Education, City University of Macau, Macau, China
| | - Yanqiang Tao
- Beijing Key Laboratory of Applied Experimental Psychology, Faculty of Psychology, Beijing Normal University, Beijing, China
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Okon EM, Falana BM, Solaja SO, Yakubu SO, Alabi OO, Okikiola BT, Awe TE, Adesina BT, Tokula BE, Kipchumba AK, Edeme AB. Systematic review of climate change impact research in Nigeria: implication for sustainable development. Heliyon 2021; 7:e07941. [PMID: 34541351 PMCID: PMC8436081 DOI: 10.1016/j.heliyon.2021.e07941] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2021] [Revised: 07/05/2021] [Accepted: 09/02/2021] [Indexed: 11/23/2022] Open
Abstract
There is evidence that Nigeria is already experiencing environmental challenges attributed to climate change (CC) and its impacts. This has clearly highlighted the need for knowledge-based strategies to help plan adequate mitigation and adaptation measures for the country. One of the basic requirements to ensure such strategies is the development of a database of national CC research. This will aid in the assessment of past and present scientific publications from which directions for future study can be mapped. The present study used standard, systematic, and bibliographic literature reviews to analyse the trend, focus, spatial variability, and effectiveness of published research on CC impacts in Nigeria. Four thematic areas of CC impact research were defined: Agriculture, Environment, Human and Multi-disciplinary study. A total of 701 articles were found to be relevant and the review shows that CC impacts and adaptations in the literature vary across research categories and locations. The period between 2011 (68 studies) and 2015 (80 studies) showed a tremendous rise in CC impact research with a peak in 2014 (84 studies). Studies in the agriculture category had the highest publications in 23 States of Nigeria. The review revealed three research gaps: (1) lack of research that investigated the magnitude of present and potential future impacts in the aquatic environment (2) little attention on CC impacts and adaptation in the Northern regions of Nigeria (3) absence of study investigating the effects of multiple variables of CC at the same time. The findings suggest that it would be useful to advance CC research in Nigeria beyond perceptive approaches to more quantitative ones. This is particularly important for highly vulnerable animals, crops, locations, and for better planning of adaptation strategies.
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Affiliation(s)
- E M Okon
- Department of Animal Science, College of Agricultural Sciences, Landmark University, P.M.B. 1001 Omu-Aran, Kwara State, Nigeria.,Institute of Aquaculture, Faculty of Natural Sciences, University of Stirling, Stirling, Stirlingshire FK9 4LA, UK
| | - B M Falana
- Department of Animal Science, College of Agricultural Sciences, Landmark University, P.M.B. 1001 Omu-Aran, Kwara State, Nigeria.,Landmark University SDG 14 (Life Below Water Research Group), Nigeria
| | - S O Solaja
- Department of Agricultural Economics and Extension, College of Agricultural Sciences, Landmark University, P.M.B. 1001 Omu-Aran, Kwara State, Nigeria.,Landmark University SDG 13 (Climate Action Research Group), Nigeria
| | - S O Yakubu
- Institute of Aquaculture, Faculty of Natural Sciences, University of Stirling, Stirling, Stirlingshire FK9 4LA, UK.,Department of Fisheries and Aquaculture, Federal University Gashua, PMB 1005, Yobe State, Nigeria
| | - O O Alabi
- Department of Animal Science, College of Agricultural Sciences, Landmark University, P.M.B. 1001 Omu-Aran, Kwara State, Nigeria.,Landmark University SDG 13 (Climate Action Research Group), Nigeria
| | - B T Okikiola
- Department of Animal Science, College of Agricultural Sciences, Landmark University, P.M.B. 1001 Omu-Aran, Kwara State, Nigeria
| | - T E Awe
- Department of Agricultural Economics and Extension, College of Agricultural Sciences, Landmark University, P.M.B. 1001 Omu-Aran, Kwara State, Nigeria.,Landmark University SDG 13 (Climate Action Research Group), Nigeria
| | - B T Adesina
- Department of Animal Science, College of Agricultural Sciences, Landmark University, P.M.B. 1001 Omu-Aran, Kwara State, Nigeria.,Landmark University SDG 13 (Climate Action Research Group), Nigeria.,Landmark University SDG 14 (Life Below Water Research Group), Nigeria
| | - B E Tokula
- Department of Chemistry, College of Pure and Applied Sciences, Landmark University, P.M.B. 1001 Omu-Aran, Kwara State, Nigeria
| | - A K Kipchumba
- Department of Biological and Environmental Sciences, Faculty of Natural Sciences, University of Stirling, Stirling, Stirlingshire FK9 4LA, UK
| | - A B Edeme
- Department of Agricultural Economics and Extension, College of Agricultural Sciences, Landmark University, P.M.B. 1001 Omu-Aran, Kwara State, Nigeria
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Lee M, Snow J, Quon C, Selander K, DeRycke E, Lawless M, Driscoll M, Ditre JW, Mattocks KM, Becker WC, Bastian LA. I smoke to cope with pain: patients' perspectives on the link between cigarette smoking and pain. Wien Klin Wochenschr 2021; 133:1012-9. [PMID: 34460005 DOI: 10.1007/s00508-021-01931-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2021] [Accepted: 07/23/2021] [Indexed: 10/20/2022]
Abstract
BACKGROUND For people with chronic pain, cigarette smoking is associated with greater pain intensity and impairment. Researchers have hypothesized a reciprocal relationship in which pain and smoking exacerbate each other, resulting in greater pain and increased smoking. This study aimed to qualitatively examine patient perspectives on this association. METHODS A retrospective thematic analysis of smoking cessation counseling notes for 136 veterans in the Pain and Smoking Study, a tailored smoking cessation trial, was conducted. A validated codebook was applied to each counseling note by four independent coders using Atlas.ti (Atlas.ti, Berlin, Germany). Coders participated in a consensus-forming exercise with salient themes validated among the wider research team. KEY RESULTS Participants averaged 60 years of age (range 28-77 years) and were 9% female. The median number of cigarettes smoked per day was 15, with a mean pain intensity score in the last week (from 0-10) of 5.1. While not all patients acknowledged a connection between pain and smoking, we found that (1) pain motivates smoking and helps manage pain-related distress, as a coping strategy and through cognitive distraction, and (2) pain motivates smoking but smoking does not offer pain relief. Concerns about managing pain without smoking was identified as a notable barrier to cessation. CONCLUSION Many patients with chronic pain who smoke readily identified pain as a motivator of their smoking behavior and are reluctant to quit for this reason. Integrated interventions for smokers with pain should address these perceptions and expectancies and promote uptake of more adaptive self-management strategies for pain.
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Yuan X, Gan Y, Zhang Y, Dong B. Level, source, and risk assessment of toxic elements in traditional agricultural soils and coping strategies. Environ Monit Assess 2021; 193:568. [PMID: 34386879 DOI: 10.1007/s10661-021-09362-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/15/2020] [Accepted: 07/30/2021] [Indexed: 06/13/2023]
Abstract
The level, source, and risk of toxic elements in traditional agricultural soils are particularly crucial for the sustainable development of agriculture. An important agricultural production base was selected, a total of 251 topsoil samples were collected, eight toxic elements (As, Cd, Cr, Cu, Hg, Ni, Pb, Zn) in soil were analyzed, and environmental and health risk assessments were conducted. Results showed that all concentrations of eight elements in soil samples were lower than the risk screening values with negligible pollution risk. Approximately 83.8% of Hg in soil was originated from atmospheric deposition related to industrial emissions, 53.2% of Cd was derived from direct industrial activities, and the other elements came from soil parent materials or agricultural activities. Accumulation risk of As in agricultural products, potential ecological risk from Cd, and As's ingestion risk and Cr's dermal contact risk should be paid more attention. More stricter monitoring and coping countermeasures and strategies should be established to ensure the sustainable development of agriculture.
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Affiliation(s)
- Xuexia Yuan
- Institute of Agricultural Standards and Testing Technology for Agri-Products, Shandong Academy of Agricultural Sciences & Shandong Provincial Key Laboratory of Test Technology On Food Quality and Safety, Gongyebei Road 202, Shandong, 250100, Jinan, China.
| | - Yandong Gan
- School of Life Sciences, Qufu Normal University, Qufu, China
| | - Yong Zhang
- Shandong Institute of Territorial and Spatial Planning, Erhuandong Road 5948, Jinan 250014, China.
| | - Bo Dong
- Institute of Dryland Agriculture, Gansu Academy of Agricultural Sciences, Lanzhou, China
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Wang J, Liu GH, Wang J, Xu X, Shao Y, Zhang Q, Liu Y, Qi L, Wang H. Current status, existent problems, and coping strategy of urban drainage pipeline network in China. Environ Sci Pollut Res Int 2021; 28:43035-43049. [PMID: 34125384 DOI: 10.1007/s11356-021-14802-9] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/30/2020] [Accepted: 06/04/2021] [Indexed: 05/13/2023]
Abstract
Urban drainage pipeline systems collect and transport domestic sewage, industrial wastewater, and rainwater. They are important components of urban infrastructure. The quality of drainage facilities directly determines the level of urban development and affects the urban landscape and sanitary environment. In recent years, however, the phenomenon of "attaching importance to construction, despising management and maintenance" has prevailed in China's urban drainage pipeline network. The problems such as structural damage, corrosion, and blockage of the sewage pipelines are becoming increasingly prominent in China, causing a lot of operational challenges such as direct discharge of sewage, backward irrigation of river and lake water, infiltration of external water, and overflow pollution. To comprehensively acquire these information about China's urban drainage pipeline network, this paper reviews current status of construction, operation, management and maintenance, existent problems, and coping strategy of the sewage pipelines. Finally, future directions are also discussed in detail for rational construction and maintenance of sewage pipelines.
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Affiliation(s)
- Jian Wang
- Low-carbon Water Environmental Technology Center, School of Environment & Natural Resource, Renmin University of China, 59 Zhongguancun Street, Beijing, 100872, People's Republic of China
| | - Guo-Hua Liu
- Low-carbon Water Environmental Technology Center, School of Environment & Natural Resource, Renmin University of China, 59 Zhongguancun Street, Beijing, 100872, People's Republic of China.
| | - Junyan Wang
- Low-carbon Water Environmental Technology Center, School of Environment & Natural Resource, Renmin University of China, 59 Zhongguancun Street, Beijing, 100872, People's Republic of China
| | - Xianglong Xu
- Low-carbon Water Environmental Technology Center, School of Environment & Natural Resource, Renmin University of China, 59 Zhongguancun Street, Beijing, 100872, People's Republic of China
| | - Yuting Shao
- Low-carbon Water Environmental Technology Center, School of Environment & Natural Resource, Renmin University of China, 59 Zhongguancun Street, Beijing, 100872, People's Republic of China
| | - Qian Zhang
- Low-carbon Water Environmental Technology Center, School of Environment & Natural Resource, Renmin University of China, 59 Zhongguancun Street, Beijing, 100872, People's Republic of China
| | - Yuchen Liu
- Low-carbon Water Environmental Technology Center, School of Environment & Natural Resource, Renmin University of China, 59 Zhongguancun Street, Beijing, 100872, People's Republic of China
| | - Lu Qi
- Low-carbon Water Environmental Technology Center, School of Environment & Natural Resource, Renmin University of China, 59 Zhongguancun Street, Beijing, 100872, People's Republic of China.
| | - Hongchen Wang
- Low-carbon Water Environmental Technology Center, School of Environment & Natural Resource, Renmin University of China, 59 Zhongguancun Street, Beijing, 100872, People's Republic of China
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Khademian F, Aslani A, Ravangard R, Nami M, Abbasi S, Bastani P. Iranian University students' stressors and coping strategies: A qualitative study. J Educ Health Promot 2021; 10:244. [PMID: 34485541 PMCID: PMC8395881 DOI: 10.4103/jehp.jehp_1278_20] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/28/2020] [Accepted: 11/25/2020] [Indexed: 06/13/2023]
Abstract
BACKGROUND Although a certain amount of stress is essential, excessive stress can adversely influence the physiological and mental health. Hence, this study aims to assess common stressors and coping strategies among university students. MATERIALS AND METHODS This qualitative study was conducted from October to November 2019 in Iran. Twelve students were recruited based on purposeful sampling to participate focus group discussions (FGD). Transcripts of three sessions of FGD were analyzed applying Graneheim and Lundman (2004) approach, and a thematic network was applied to illustrate the findings. RESULTS The finding emerged 78 codes, 14 subthemes, and 4 main themes. Stressors were classified in two main themes, including individual stressors and the social ones. Behavioral strategies and the cognitive ones were among two categories of coping strategies. According to the thematic network, a full stress student affecting the precious stressors and the social, cultural, and the economic context may manage his/her stress applying the coping strategies. CONCLUSION The findings revealed that university students experienced different kinds of stress, and usually, they do not apply right coping strategies. It is important to establish stress counseling programs for university students. Besides, it is proposing to provide 1st year university students with workshops about the cause of stress and effective coping strategies.
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Affiliation(s)
- Fatemeh Khademian
- Department of Health Information Management, School of Management and Medical Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
- Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Azam Aslani
- Department of Health Information Management, School of Management and Medical Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
- National Agency for Strategic Research in Medical Education, Tehran, Iran
| | - Ramin Ravangard
- Health Human Resources Research Center, School of Management and Medical Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Mohammad Nami
- Department of Neuroscience, School of Advanced Medical Sciences and Technologies, Shiraz University of Medical Sciences, Shiraz, Iran
- Neuroscience Center, Instituto de Investigaciones Científicas y Servicios de Alta Tecnología (INDICASAT AIP), City of Knowledge 084301103, Panama
- Visiting Scientist, Society for Brain Mapping and Therapeutics, Brain Mapping Foundation, Los Angeles, CA, USA
| | - Samaneh Abbasi
- Department of Medical Physics, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Peivand Bastani
- Health Human Resources Research Center, School of Management and Medical Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
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Kim H. COVID-19 Apps as a Digital Intervention Policy: A Longitudinal Panel Data Analysis in South Korea. Health Policy 2021; 125:1430-1440. [PMID: 34301408 PMCID: PMC8272623 DOI: 10.1016/j.healthpol.2021.07.003] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2021] [Revised: 07/05/2021] [Accepted: 07/07/2021] [Indexed: 01/18/2023]
Abstract
Many countries have developed COVID-19 tracking apps that help individuals trace and detect “people” who are likely to have come in contact with confirmed patients. However, their adoption rates remain low. This study, therefore, investigated South Koreans’ adoption and usage behaviors of COVID-19 apps that detect the “place” where infectious people are found and alert people within 100m in dangerous zones. Our focus was on such apps’ impact on various facets of human life . Specifically, we analyzed mobile app usage data from 5,940 panelists at the start of the pandemic in South Korea and after the first major wave (January 6 to August 2, 2020). Findings showed that higher-income and more educated individuals were more likely to adopt COVID-19 apps early, and male and low-income people tended to use the COVID-19 tracking apps more frequently. In addition, this study offered empirical evidence of health protective behaviors, such as driving, shopping online, ordering food online, and avoiding travel and public transportation, and supported social- and religious-coping for people using COVID-19 apps. The implications are valuable for policy makers to implement a digital policy to motivate people to voluntarily engage in self-protective and coping behaviors through COVID-19 apps.
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Affiliation(s)
- Hwang Kim
- CUHK Business School, The Chinese University of Hong Kong
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Li Y, Peng J. Does social support matter? The mediating links with coping strategy and anxiety among Chinese college students in a cross-sectional study of COVID-19 pandemic. BMC Public Health 2021; 21:1298. [PMID: 34215244 PMCID: PMC8253469 DOI: 10.1186/s12889-021-11332-4] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2020] [Accepted: 06/21/2021] [Indexed: 11/10/2022] Open
Abstract
Background The provision of public adaptive coping strategies to reduce psychological tension during the ongoing COVID-19 pandemic is critical. We sought to provide evidence-based guidance for psychological intervention, exploring the potential mediating roles of three sources of social support (i.e., subjective support, family support and counselor support) between coping strategies (i.e., cognitive coping, emotional coping and behavioral coping), and anxiety among college students at the height of the pandemic in China. Methods Using the Coping Strategy Questionnaire, Social Support Questionnaire, and Self-Rating Anxiety Scale, this large-scale online study analyzed the levels of social support, coping, and anxiety among 2640 college students in China from February 21st to 24th, 2020, when the students had been isolated at home for 1 month since the lockdown of Wuhan city. Results Students reported high levels of cognitive coping, behavioral coping, and social support. They also experienced low levels of anxiety and emotional coping. Anxiety was significantly and negatively related to coping and social support. The mediating roles of three sources of social support were found between cognitive coping, behavioral coping, and anxiety, respectively. However, the effect of emotional coping on anxiety was not found to be mediated by social support. Conclusions Adopting positive coping strategies may enhance social support that in turn relieves anxiety. The effect of social support, especially family and counselor support, should arouse greater awareness in coping with the pandemic cognitively and behaviorally. Supplementary Information The online version contains supplementary material available at 10.1186/s12889-021-11332-4.
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Affiliation(s)
- Yue Li
- Division of Art, Shenzhen University, Shenzhen, Guangdong Province, China.,School of Education, City University of Macau, Macau, China
| | - Jun Peng
- School of Education, City University of Macau, Macau, China.
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Tsujii N, Mikawa W, Adachi T, Sakanaka S, Shirakawa O. Right prefrontal function and coping strategies in patients with remitted major depressive disorder. Prog Neuropsychopharmacol Biol Psychiatry 2021; 108:110085. [PMID: 32889030 DOI: 10.1016/j.pnpbp.2020.110085] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/15/2020] [Revised: 08/09/2020] [Accepted: 08/26/2020] [Indexed: 10/23/2022]
Abstract
BACKGROUND Patients with remitted major depressive disorder (rMDD) generally rely on maladaptive coping strategies for stressful situations. These maladaptive copings are associated with an elevated relapse risk of rMDD; however, their neural basis remains poorly understood. METHODS We enrolled (1) 45 patients with rMDD (17-item Hamilton Depression Rating Scale [HRSD17] total score ≤ 3) and (2) 56 healthy controls (HCs). Coping styles were measured using the Coping Inventory for Stressful Situations (CISS) according to three coping dimensions: avoidance-, emotion-, and task-oriented copings. The cognitive strategic processes of the prefrontal cortex were measured using a verbal fluency task (VFT). Furthermore, regional frontotemporal hemodynamic responses were monitored by near-infrared spectroscopy (NIRS). RESULTS Patients with rMDD had significantly lower task-oriented coping scores and significantly higher avoidance- and emotion-oriented coping scores than HCs. Predominantly in the left frontotemporal region, patients with rMDD had lower frontotemporal hemodynamic responses during a VFT than HCs. Hemodynamic responses in the right inferior frontal gyrus of patients with rMDD were significantly and negatively associated with avoidance-oriented coping scores, but not of HCs. Conversely, those responses of HCs were significantly and positively associated with task-oriented coping scores, but not of patients with rMDD. DISCUSSION Alteration in the right inferior frontal cortex plays an important role in dysfunction to stress response in patients with rMDD. Differential functioning patterns of the right inferior frontal cortex associated with coping strategies may link to MDD recurrence vulnerability.
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Affiliation(s)
- Noa Tsujii
- Department of Neuropsychiatry, Kindai University Faculty of Medicine, Osaka-sayama, Osaka 589-8511, Japan.
| | - Wakako Mikawa
- Department of Neuropsychiatry, Kindai University Faculty of Medicine, Osaka-sayama, Osaka 589-8511, Japan
| | - Toru Adachi
- Department of Neuropsychiatry, Kindai University Faculty of Medicine, Osaka-sayama, Osaka 589-8511, Japan
| | - Soichiro Sakanaka
- Department of Neuropsychiatry, Kindai University Faculty of Medicine, Osaka-sayama, Osaka 589-8511, Japan
| | - Osamu Shirakawa
- Department of Neuropsychiatry, Kindai University Faculty of Medicine, Osaka-sayama, Osaka 589-8511, Japan
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Alinejad-Naeini M, Peyrovi H, Shoghi M. Self-reinforcement: Coping strategies of Iranian mothers with preterm neonate during maternal role attainment in NICU; A qualitative study. Midwifery 2021; 101:103052. [PMID: 34102556 DOI: 10.1016/j.midw.2021.103052] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2020] [Revised: 05/18/2021] [Accepted: 05/20/2021] [Indexed: 10/21/2022]
Abstract
INTRODUCTION Having a preterm neonate in the neonatal intensive care unit (NICU) is one of the most stressful experience for parents. In facing these stressors, mothers need to find ways to adapt and control resources to maintain stability. The aim of this paper is to report coping strategies of mothers with preterm neonate during maternal role attainment in NICU. METHODS This paper reports a part of the findings of a grounded theory study that investigated how the mothers of preterm neonates go through maternal role attainment. The data were collected through in-depth semi-structured interviews with 12 mothers with preterm neonate admitted to the NICU and 5 nurses working in NICU. Data were analyzed according to Corbin and Strauss's (2015) approach using constant comparative analysis technique. FINDINGS Four themes, emerged from experiences of the participants, formed the concept of "Self-reinforcement" as the prominent strategy of mothers: "support seeking", "Spiritual getting in the mood", "Hope creation" and "Getting energy from the baby". CONCLUSION These findings showed that mothers use strategies to calm and support themselves and their neonates, and recognize that their lives had changed and need to adjust to their new circumstances.
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Affiliation(s)
- Mona Alinejad-Naeini
- Nursing Care Research Center, Pediatric and Intensive Neonatal Nursing Department, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
| | - Hamid Peyrovi
- Nursing Care Resarch Center and Department of Critical Care Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
| | - Mahnaz Shoghi
- Nursing Care Research Center, Pediatric and Intensive Neonatal Nursing Department, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
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Susilo E, Purwanti P, Fattah M, Qurrata VA, Narmaditya BS. Adaptive coping strategies towards seasonal change impacts: Indonesian small-scale fisherman household. Heliyon 2021; 7:e06919. [PMID: 33997422 PMCID: PMC8105632 DOI: 10.1016/j.heliyon.2021.e06919] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2020] [Revised: 02/25/2021] [Accepted: 04/22/2021] [Indexed: 11/27/2022] Open
Abstract
Small-scale fishers are always expected to adapt to fishing activities that cannot be conducted all year round due to weather and fishing season. This condition, especially when it is not the fish season, makes fishers face a problem. Notwithstanding, fishermen households need to develop an adequate adaptation strategy to solve the problem of fulfilling their needs, known as coping strategies. This study aims to analyze fishermen households' coping strategies in facing the fishing season and non-fish season by using fishermen's family resources and two types of internal and external family coping strategies. The data were gathered from approximately 150 small-scale fishing households using simple random sampling. The results indicate the fishers do fishing activities in three batch: peak season (68%), mild season (20%), and off-season (12%). The use of resources for fishermen households' coping strategy is carried out by diversifying the sources of household income. Some economic activities include cultivating forest land belonging to the forest department, marine tour guides, livestock, and his wife. This study also confirm that all households use internal family coping strategies with humor indicator as the highest percentage. Accordingly, the households also adopt the external family coping strategy to deal with the existing situation. This strategy follows the local community's characteristics and culture who are friendly and open and based on religion. The household coping strategy strengthening model is generated through the synergy of formal institutional roles in society and government institutions as policymakers.
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Affiliation(s)
- Edi Susilo
- Socio-Economy Fisheries and Marine, Faculty of Fisheries and Marine Science, Brawijaya University, Indonesia
- Corresponding author.
| | - Pudji Purwanti
- Socio-Economy Fisheries and Marine, Faculty of Fisheries and Marine Science, Brawijaya University, Indonesia
| | - Mochammad Fattah
- Socio-Economy Fisheries and Marine, Faculty of Fisheries and Marine Science, Brawijaya University, Indonesia
| | - Vika Annisa Qurrata
- Economic Development Department, Faculty of Economics, Universitas Negeri Malang, Indonesia
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Adeagbo OA, Ojo TO, Adetoro AA. Understanding the determinants of climate change adaptation strategies among smallholder maize farmers in South-west, Nigeria. Heliyon 2021; 7:e06231. [PMID: 33665418 PMCID: PMC7900690 DOI: 10.1016/j.heliyon.2021.e06231] [Citation(s) in RCA: 20] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2020] [Revised: 11/20/2020] [Accepted: 01/27/2021] [Indexed: 11/27/2022] Open
Abstract
Climate is one of the most important factors in agricultural productivity, which could directly or indirectly influence productivity since the climate is linked to physiological processes. It is, therefore, essential to understanding the various strategies used by farmers to mitigate the adverse impact of climate change and the factors that influence maize farmers' adoption and intensity of climate change adaptation strategies among smallholder maize farmers in South-west Nigeria. In all, a sample of three hundred and thirty (311) smallholder maize farmers were interviewed. A double-hurdle count data model was employed to estimate the factors influencing farmers' adoption of adaptation strategies while accounting for selection bias with the plugging of inverse mill ratio (IMR) as a regressor. Significant variables such as household size, depreciation ratio, frequency of extension visits, access to extension, and non-farm income were factors influencing the adoption of climate change adaptation strategies among maize farmers. Age of the respondent, age square, household size, farm-based organization (FBO), non-farm income, climate information, access to credit, farmers residing in Osun State (location_Osun), distance to market significantly influenced the intensity of climate change adaptation strategies. This study, therefore, concluded that farm-level policy efforts that aim to improve rural development should focus on farmers' membership in FBO, increase the visits of extension agents, encourage non-farm income and access to climate change information, particularly during the off-cropping season. Policies and investment strategies of the government should be geared towards supporting improved extension service, providing on-farm demonstration training, and disseminating information about climate change adaptation strategies, particularly for smallholder farmers in Nigeria.
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Affiliation(s)
- O A Adeagbo
- Institute of Entrepreneurship and Development Studies, Obafemi Awolowo University, Ile-Ife, Nigeria
| | - T O Ojo
- Department of Agricultural Economics, Obafemi Awolowo University, Ile-Ife, Nigeria.,Disaster Management Training and Education Centre for Africa at the University of the Free State, P.O Box 339, Bloemfontein, 9300, South Africa
| | - A A Adetoro
- Department of Agricultural Economics, University of KwaZulu-Natal, Pietermaritzburg Campus, South Africa
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Bastani P, Mohammadpour M, Ghanbarzadegan A, Kapellas K, Do LG. Global concerns of dental and oral health workers during COVID-19 outbreak: a scope study on the concerns and the coping strategies. Syst Rev 2021; 10:45. [PMID: 33526078 PMCID: PMC7850712 DOI: 10.1186/s13643-020-01574-5] [Citation(s) in RCA: 18] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/19/2020] [Accepted: 12/29/2020] [Indexed: 12/15/2022] Open
Abstract
BACKGROUND Dental and oral health workers have direct contact with respiratory aerosols of patients during procedures. This study aimed to determine the main concerns of dental and oral health workers globally during COVID-19 outbreaks and the coping strategies that help the resilience of dental and oral healthcare system. METHODS This scoping study was conducted in August 2020. After adjusting the search strategy, a systematic search of five databases (PubMed, ISI Web of Science, Scopus, ProQuest and EMBASE) was conducted. Data was extracted using Microsoft Excel and the contents of retrieved articles were analysed through a qualitative thematic analysis applying MAX QDA10. RESULTS Most articles were either editorial/letters to the editor/commentary formats (34%), or literature reviews (26%). About half of the articles belonged to three countries of Italy, China and the USA (each 16% and totally 48%). Thematic analysis of included papers led to the identification of four main global concerns and 19 sub-concerns. Economic, ethical, social and professional concerns are among dental and oral health concerns. Other results indicate on three main themes and 13 sub-themes as the coping strategies including patient management, infection control and virtual strategies. CONCLUSION Dental and oral health care workers have many concerns relating to COVID-19 including economic, ethical, social and professional factors. Resolution of concerns may involve enhancing coping strategies relating to patient management and infection control strategies as well as using new technologies for virtual contact with the patient without any risk of infection.
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Affiliation(s)
- Peivand Bastani
- Health Human Recourses Research Centre, School of Health Management and Medical Informatics, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Mohammadtaghi Mohammadpour
- Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.
- School of Health Management and Medical Informatics, Shiraz University of Medical Sciences, Shiraz, Iran.
| | - Arash Ghanbarzadegan
- Australian Research Centre for Population Oral Health (ARCPOH), Adelaide Dental School, University of Adelaide, Adelaide, South Australia, Australia
| | - Kostas Kapellas
- Australian Research Centre for Population Oral Health (ARCPOH), Adelaide Dental School, University of Adelaide, Adelaide, South Australia, Australia
| | - Loc Giang Do
- Australian Research Centre for Population Oral Health (ARCPOH), Adelaide Dental School, University of Adelaide, Adelaide, South Australia, Australia
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Mauritz PJ, Bolling M, Duipmans JC, Hagedoorn M. The relationship between quality of life and coping strategies of children with EB and their parents. Orphanet J Rare Dis 2021; 16:53. [PMID: 33516244 DOI: 10.1186/s13023-021-01702-x] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2020] [Accepted: 01/21/2021] [Indexed: 12/30/2022] Open
Abstract
Background Epidermolysis bullosa (EB) is a group of rare genetic skin disorders that primarily manifest as blisters and erosions following mild mechanical trauma. Despite the crucial role of the parents of children with EB in managing the disease, studies focusing on the parent–child relationship remain a gap in the literature. To address this gap, the current quantitative study, involving 55 children with all types of EB and 48 parents, assessed the relationship between their quality of life and coping strategies. Quality of life was measured with the Pediatric Quality of Life Inventory and TNO-AZL Questionnaire for Adult’s Health- related Quality of Life, and coping strategies were assessed with the Coping with a Disease Questionnaire. The majority of the analyses were descriptive and the results were interpreted qualitatively because of the small sample size. Results Overall, the quality of life of children with EB and that of their parents was somewhat lower compared with the quality of life of healthy children and adults. Children with EB who more frequently used emotional reactions and cognitive-palliative strategies to cope with the disease demonstrated lower levels of emotional and social functioning, while children who showed more acceptance and distancing showed higher levels of functioning on all domains. Parents who frequently demonstrated emotional reactions reported lower levels of social functioning and experienced more depressive emotions and anger. Parents who used more avoidance showed higher levels of positive emotions. Within parent–child dyads, acceptance, cognitive-palliative strategies and distancing were positively related. Children’s emotional and social functioning were negatively associated with their parents’ depressive emotions. Parents’ acceptance was linked to higher physical functioning in children, whereas children’s avoidance was linked to a lower level of anger in parents. Conclusion Children who are able to accept the disease or distance themselves from it appear to be better off in contrast to those who tend to engage in the cognitive-palliative strategies and expressing emotional reactions. Parents seem to be better off when they are able to use avoidance in contrast to those who tend to show emotional reactions. Further research is needed to substantiate these findings.
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Kazemi A, Torabi M, Abdishahshahani M. Adjustment toward infertility mediates the relationship between coping, depression and anxiety in men: A confirmatory analysis. Eur J Obstet Gynecol Reprod Biol 2021; 258:48-52. [PMID: 33412462 DOI: 10.1016/j.ejogrb.2020.12.049] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2020] [Revised: 11/10/2020] [Accepted: 12/21/2020] [Indexed: 01/25/2023]
Abstract
OBJECTIVE The aim of the present study was to develop a theoretical framework for the relationships between coping, adjustment toward infertility, depression and anxiety and to present a confirmatory analysis of the developed theoretical framework in men who, together with their spouses, were candidates for assisted reproductive technology (ART) treatment. STUDY DESIGN This cross-sectional study was conducted on 212 men selected from the couples who were candidate for ART. Depression and anxiety, adjustment toward infertility, and coping strategies were assessed using self-report questionnaire. Statistical analysis was performed using the plug-in application PROCESS macro and AMOS software. RESULTS The results showed that higher depression and anxiety scores were related to lower adjustment to infertility. Higher adjustment score was associated with lower self-blame, self-focused rumination, active confronting and avoidance coping strategies scores significantly. In the depression and anxiety pathway models, the positive relationship between active confronting and elf-focused rumination coping strategies were mediated by adjustment. However, the effect of active confronting on depression and anxiety was significant only with mediating role of adjustment. The direct and indirect relationship of self-focused rumination and the indirect relationship of active confronting with depression and anxiety had a good fitness (CMIN/ DF = .419). CONCLUSION The self-focused rumination and active confronting coping strategies, having negative association with adjustment to infertility, and may increase depression and anxiety in men undergoing ART; however, higher adjustment is associated with decreased depression and anxiety. Therefore, mental health programs for men undergoing ART may need to focus on improving the skills of adaptive coping strategies.
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Affiliation(s)
- Ashraf Kazemi
- Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
| | - Marjan Torabi
- Student Research Committee, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
| | - Mahshid Abdishahshahani
- Midwifery Department, Nursing and Midwifery Health Care Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
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