Unchanging dynamics in posttraumatic growth in cancer patients: ways of coping and illness perception.

Introduction: This study aims to address the positive changes due to traumatic experiences, such as being diagnosed with cancer and experiencing this disease for a certain period. Within this purpose, socio-demographic and disease-related variables, coping ways and illness perceptions that affect posttraumatic growth in cancer patients were examined. Secondly, the findings of this study, which is one of the first studies on posttraumatic growth in cancer patients in Turkey, were compared with the findings of current studies on the subject. Method: Datums were collected by an interview form and three scales (Posttraumatic Growth Scale, Ways of Coping Inventory and Illness Perception Scale-R) to 78 cancer outpatients in Istanbul University Oncology Institute in 2007. Results: Results showed that cancer patients have higher posttraumatic growth levels than the mean. According to analysis, posttraumatic growth total score between confrontive coping (t = -2.344, p < 0.05), self-controlling (t = -3.704, p < 0.001), accepting responsibility (t = -3.032, p < 0.01), escape-avoidance (t = -2.285, p < 0.05), planful problem solving (t = -2.502, p < 0.05), positive reappraisal (t = -5.241, p < 0.001), and seeking social support (t = -3.527, p < 0.01) has relationship. Also, there is a relation between posttraumatic growth subscales and the Revised form of Illness Perception Questionnaire; Change in relationships with others subscale (t = 2.887, p < 0.01) and Change in self-perception subscale (t = 2.660, p < 0.01) between timeline (acute/chronic), Change in self-perception subscale between timeline (cyclical) (t = -2.788, p < 0.01) and uncontrollable body factors (t = -1.916, p < 0.05) Change in philosophy of life subscale between external attributions (t = -2.057, p < 0.05) and Change in relationships with others subscale (t = -2.920, p < 0.01) between chance factors. It was found that positive reappraisal (F = 78.290, p < 0.001), self-controlling (F = 39.814, p < 0.001), and distancing (F = 46.311, p < 0.001) were significant predictors of posttraumatic growth total score. Results showed that ways of coping and illness perceptions were essential variables in posttraumatic growth. Discussion: Studies on posttraumatic growth in Turkey and the world have significantly increased in recent years. This study aimed to examine the findings obtained from cancer patients in 2007 in discussion with the findings in the current literature. In this context, it is seen that the relevant variables affecting posttraumatic growth in cancer patients in different cultures do not change.

The creator did not give me more than I can handle: Exploring coping in parents of Black autistic children.

LAY ABSTRACT: Parents of Black autistic children use several strategies to cope with daily stressors. These strategies include seeking social support, self-care, and optimism. We asked parents about their experiences receiving treatment services for their autistic child and how they reduce parenting stress. Twenty-two parents completed a coping survey and participated in individual interviews. Few studies have explored the experiences of Black families raising autistic children, and it's important for healthcare and other systems of care to understand the role culture, race, and ethnicity play in the use of coping strategies. In our study, the majority of parents relied on social support to relieve stress and identified partners, family, and community members, as their most useful sources of support. Connecting with other parents of autistic children, through support groups and social media, also helped parents relieve stress. Parents discussed using self-care activities (e.g. church, exercising, listening to music) to cope with stressors. Several parents described how prayer and meditation helped them reframe stressful situations and gain more patience and appreciation for "what's important." The findings of this work demonstrate the need for professionals to have ongoing and deeper conversations about the ways in which parents deal with stressors. In particular, clinicians should leverage the strengths of Black families and promote strategies that are culturally informed and engaged.

Coping flexibility: Variability, fit and associations with efficacy, emotion regulation, decentering and responses to stress.

Coping flexibility is a promising approach to understanding risk and resilience, but it has been conceptualized in various ways. The aim of this study was to test convergence of coping-related flexibility measures with other coping-related competencies (coping self-efficacy, emotion regulation, decentering) and ways of coping. Participants were 885 students (Mage  = 21.5 years) who completed measures of flexibility (seven subscales), coping self-efficacy, emotion dysregulation, decentering, and ways of coping with recent interpersonal stressors. Breadth of coping was also examined, given its past use as a measure of flexibility. The seven flexibility subscales converged with each other as expected, and all were associated with greater coping-related competence, with moderate or large positive associations between the four measures of coping flexibility ability and other measures of coping-related competence. Regarding associations with ways of coping, multivariate models showed that perceived ability in coping flexibility had positive associations with engagement and negative associations with disengagement coping, but multiple situational/adaptive coping flexibility subscales were associated positively with both engagement and disengagement ways of coping. In addition, some findings were weak or counterintuitive, especially when ways of coping and breadth were considered, suggesting a need for more attention to precisely conceptualizing and appropriately measuring coping flexibility.

Subjective Appraisal and Orientations in Difficult Life Situations as Predictors of Coping Strategies.

Background: Many studies have shown that problem-focused coping and a positive reappraisal of one's situation are the most conducive to achieving life goals and psychological well-being, whereas avoidance coping and self-blame have a negative impact on well-being. But there is not enough data on what the predictors of these coping strategies are in the situational context. Objective: To assess the combined influence of subjective appraisal (uncontrollability, unclearness, negative emotions) and orientations in difficult situations (by drive and rejection) on planful problem solving, positive reappraisal, wishful thinking (fantasizing), and self-blame. Design: The research has a survey design. The sample consisted of 637 adult participants who analyzed difficult situations in their lives associated with achieving significant life goals of various types (N = 637; 60% female; Mage = 24.2; SD = 6.25). Two alternative structural models were assessed, which include subjective appraisals of the situation (uncontrollability, unclearness, intensity of negative emotions), orientations in difficult situations (drive and rejection), and ways of coping (planful problem-solving, positive reappraisal, wishful thinking, and self-blame). Results: The first model, in which all cognitive appraisals and orientations in difficult situations directly influence coping strategies, has relatively low fit indices. The second model, in which the influence of cognitive appraisal was partially mediated by orientations in difficult situations, has better fit indices. In life situations involving solution of a difficult task, the strongest predictor of problem-focused coping and positive reappraisal is the "drive" orientation of being attracted to difficulties, which mediates the influence of subjective control and emotions on these ways of coping. An orientation away from difficulties, "rejection," mediates the influence of unclearness and negative emotions on fantasizing and self-blame. A low level of subjective control directly affects self-blame and the avoidance of problem-solving. Negative emotions are a weak predictor of self-blame. Conclusion: Interaction between the subject and the situation involves appraisal of difficulty, which influences orientation in difficult situations. In turn, orientations are predictors of coping strategies. The characteristics of the psychological situation determine coping, which may be oriented toward approach to or avoidance of the goal.

Nurses' Workplace Bullying Experiences, Responses, and Ways of Coping.

Workplace bullying is a serious problem that hinders the provision of quality care services by seriously affecting their physical, psychological, and social health status. Workplace bullying experiences refer to verbal and nonverbal harassment, work-related harassment, and external threats. Workplace bullying responses are negative reactions that occur in individuals who have experienced workplace bullying, while coping is the process by which an individual copes with stress. This study aims to analyze the relationship between nurses' workplace bullying experiences, responses, and ways of coping. We studied 113 nurses working in hospitals, analyzed the data using SPSS 25.0. We found that the more positive use of the positive viewpoint, the lower the bullying reaction in the workplace (r = -0.268, p = 0.004). Workplace bullying responses were lower as more positive ways of coping were used (r = -0. 268, p = 0.004). In conclusion, nurses who experience bullying in the workplace should be supported by the hospital organization and within the nursing organization, and a receptive nursing culture should be established. There is also a need for an intervention plan that allows nurses to use positive ways of coping with workplace bullying experiences.

Coping Patterns and Emotional Distress in Patients With Chronic Obstructive Lung Disease Who Are Undergoing Lung Transplant Evaluation.

OBJECTIVES: Living with severe lung disease like chronic obstructive pulmonary disease (COPD) is a very stressful situation. The way patients cope may impact their symptoms of anxiety and depression and physical function as well. We studied how ways of coping are associated with levels of emotional distress and lung function in patients with COPD being evaluated for lung transplantation. METHODS: Sixty-five (mean age 57 years, 46% females) patients completed the General Health Questionnaire-30 (GHQ-30) assessing emotional distress and the Ways of Coping Questionnaire. Measurements of lung function and 6-minute walk test were included. RESULTS: Seventeen (26%) patients had elevated emotional distress. Logistic regression of chronic GHQ score with gender, age, body mass index, lung function, and coping scales as covariates showed that escape avoidance and self-controlling coping and forced vital lung capacity were significantly associated with high emotional distress. Odds ratio of emotional distress increased with 5.2 per tertile (P = .011) in escape avoidance coping score. Moreover, we revealed that emotionally distressed patients cope with their current situation by refusing to believe the current situation and taking their distress out on other people. CONCLUSION: Among patients with COPD, a high level of emotional distress was uniquely associated with escape-avoidance coping and lung function. Future work should ascertain whether coping style predicts distress or whether distress increases the use of escape-avoidance coping. Nevertheless, our findings indicate that if either element is present, health care professionals should be attentive to the need for interventions to improve patients' well-being.

Self-Clarity and Ways of Coping Among Jewish, Muslim, and Christian Adolescents and Emerging Adults.

Existing literature supports the notion that adolescent's level of self-esteem is significantly related to negative health outcomes and that this relatedness is mediated by the adolescent's way of coping. However, the role of self-clarity, rather than the level of self-esteem, is still understudied. The current study explored the relationships between level of self-clarity and preferred ways of coping among three religious groups-Jews (N = 245), Muslim Arabs (N = 244), and Christian Arabs (N = 241), with each of these groups comprised of two age cohorts-adolescents (N = 383) and emerging adults (N = 347)-living in either mixed-religion (N = 376) or non-mixed-religion residential areas (N = 344). Study findings indicate that across religion and age-groups, lower self-clarity is associated with a higher tendency to use disengagement as a way of coping. It is suggested that interventions to promote adolescents' active coping and resilience (e.g., as part of an effort to prevent health problems) should firstly pursue the promotion of adolescents' self-clarity.

An integrative review on coping skills in nursing students: implications for policymaking.

AIM: This study critically appraised both quantitative and qualitative studies describing coping strategies utilized by nursing students when faced with stress. BACKGROUND: Stress in nursing students during clinical training is well documented in the nursing literature. The need to utilize positive-coping strategies is necessary to effectively deal with stress and its accompanying stressors. METHODS: An integrative review method was used in this review. PsycINFO, PubMed, CINAHL (Cumulative Index to Nursing and Allied Health Literature), MEDLINE and Scopus were the databases used in searching for relevant literature using the following search terms; 'coping', 'nursing students', clinical training', 'ways of coping' and 'clinical practice'. A total of 27 studies published from 2001 to 2016 were included in this review. FINDINGS: Findings demonstrated that nursing students utilized problem-focused coping strategies rather than emotion-focused coping strategies. Specific coping behaviours utilized included problem-solving behaviours, self-confident approaches and seeking of support from family and friends. CONCLUSION: The review contributes to the growing literature on coping strategies in nursing students and may have implications on nursing education and nursing policy. This review also demonstrated a scarcity of studies that links specific coping strategies to nursing school stressors and examines predictors of coping skills in nursing students. IMPLICATIONS FOR NURSING EDUCATION: Institutionalization of structured student orientation programme, implementation of well-planned mentoring programmes and establishment of support unit/centres may be helpful in supporting nursing students during their clinical placement. By developing empirically based interventions, nursing faculty can assist nursing students in strengthening their positive-coping skills to effectively deal with various stressors encountered.

How Brunei trainee teachers cope with distress: counseling implications.

OBJECTIVE: This study investigated the strategies used by student teachers when dealing with distress during training. Specifically, this study addressed the following research goals: (1) identify Ways of Coping that predict achievement on a quantitative reasoning test; (2) determine participants' coping differences per sex, age, and ability in quantitative reasoning; and (3) reveal coping strategies that work best for each and both sexes in fostering academic achievement in quantitative reasoning. The data used in this study was from a single observation. RESULTS: Confrontive coping, planful problem solving, and self-control were significant main effect predictors of achievement. Two separate sex-interaction variables (male with accepting responsibility and female versus accepting responsibility) were also significant predictors of achievement. Accepting responsibility was therefore helpful to both sexes in achievement. Younger participants aged 22-24 years scored significantly higher on the accepting responsibility subscale than older peers aged 25-26 years. In addition, low scorers on the quantitative reasoning test scored significantly higher on the escape avoidance coping subscale than their more-able counterparts. These findings have counseling implications for students with high support needs. A large-scale study with interview probes is recommended to learn more about this issue.

Health-related quality of life and ways of coping with stress in patients with migraine.

The aim of our study was to examine the relationship between the mode of coping and health-related quality of life (HRQoL) in patients with migraine. We have also tried to examine the relationship of disease duration and the frequency of attacks with HRQoL and the ways of coping with stress. The research was done on a sample consisting of 106 participants (95 women and 11 men); mean age of 40 years (IQR 28-48) with the migraine lasting for 10 years (IRQ 5-20 years). The average number of attacks, over the last month, was two attacks (IRQ 1-3 attacks). Ways of coping questionnaire were used to estimate the mode of coping with stress and SF-36 questionnaire for HRQoL. The result showed the self-control as the most common way of coping with stress in patients with migraine. They also confirmed the existence of a significant connection of ways of coping with stress and HRQoL in people with migraine. There is a larger number of significant correlations of ways of coping connected with the domains of mental health than with the physical health. Escape/avoidance is significantly negatively correlated with the largest number of HRQoL domains, especially with existence of significant mental health (ρ = -0.447) and role limitation due to the emotional problems (ρ = -0.361). The number of migraine attacks has greater influence on HRQoL in patients with migraine than the disease duration. Our study showed the existence of significant correlations between the ways of coping with stress and HRQoL, especially with mental domains. In some domains, the correlation was even stronger than the one showing the disease duration and the number of attacks. The above-mentioned results suggest the directions in further formulation of psychological interventions that would be helpful for the additional treatment of migraine.

ASSESSING FACTORS THAT AFFECT COPING STRATEGIES AMONG NURSING PERSONNEL.

INTRODUCTION: The nursing profession is characterized as one of the most stressful professions. A significant number of international surveys prove that nurses experience anxiety that often is accompanied by intense symptoms that negatively affect their work performance and their psychological mood. AIM: To evaluate the ways of coping in stress adopted by the nursing staff and their relationship with sociodemographic and job characteristics. METHODOLOGY: A cross-sectional, quantitative study was conducted in seven hospitals of Peloponnese Region, Greece. The study took place between April 2013-June 2013 and 395 nurses completed the Ways of Coping questionnaire. Socio-demographic, educational and job characteristics of nurses were, also, recorded. RESULTS: Strategies focused on the problem were adopted to a greater extent more by postgraduate nurses, head nurses, and nurses with greater working experience. Intensive Care Unit nurses mainly adopted the strategy of denial while strategies focused on emotions were mostly adopted by females. Age and marital status did not affect significantly the choice of coping strategies. CONCLUSIONS: According to our findings several demographic factors that affect coping in stressful situations can be investigated and such an investigation could offer useful research findings for consideration.

Gender differences in defense mechanisms, ways of coping with stress and sense of identity in adolescent suicide attempts.

The main aim of this study was to investigate the gender differences in defense mechanisms, ways of coping with stress and identity formation in relation to adolescent suicidal behavior. This study involved 64 adolescents between 12-17 years of age, who were admitted to the emergency service with a suicide attempt. They were evaluated with a semi-structured clinical interview (K-SADS), Ways of Coping Inventory (WCI), Defense Mechanisms Inventory (DMI) and Sense of Identity Assessment Form (SIAF). 60.9% (n = 39) of the adolescents were female, and 39.1% (n=25) were male. There were no statistically significant differences between the girls and the boys with respect to the clinical characteristics of the suicide attempt and the rate of psychiatric disorders. Of the 64 adolescents with suicide attempt, 47 (73.4%) had at least one, and 26 (40.6%) had more than one psychiatric disorder according to K-SADS. Disruptive behavior disorders were more frequent in males, whereas depression was more frequent in girls. The data indicated the importance of identity confusion, major depression and ADHD in adolescents with suicide attempt in both genders. 43.6% (n=17) of the girls and 36% (n=9) of the boys obtained scores higher than the cut-off point of SIAF indicating identity confusion. Professional help seeking and NSSI behaviors before the suicide attempt were more common in adolescents with identity confusion. While there were differences between genders with respect to the defense mechanisms used, no significant difference was found in terms of ways of coping. Evaluation of DMI scores revealed that the turning against object subscale score was significantly higher in boys compared to girls. While evaluating the adolescents at risk, their defense mechanisms, way of coping and sense of identity, as well as their psychiatric diagnosis should be assessed in detail in order to identify the suicidal thoughts and prevent possible suicide attempts.

Relationship of coping ways and anxiety with Pregnancy Specific-stress.

OBJECTIVES: To explore whether coping strategies and general anxiety are associated with pregnancy-specific stress (PSS) and how much of variance of PSS is explained with these variables. METHODS: A cross sectional study was conducted at two teaching hospitals between November 2013 and December 2015. Total 190 pregnant women (60 women at 6-13-weeks of gestation, 60 at 13-26 weeks, and 70 at 27-40 weeks of gestation) completed the study. The participants completed three questionnaires including; Pregnancy experience scale (PES-41), Ways of Coping Questionnaire (WCQ), and State-Trait anxiety inventory (SATI). Pearson coefficients and analysis of regression was done to assess the correlations between variables. RESULTS: Pregnant women who experienced higher mean level of pregnancy specific-stress had significantly higher mean level of occult anxiety, overt anxiety, and total anxiety than women who did not experience PSS. Although there was a positive and significant relationship between intensity of hassles and uplifts and ways of coping, the correlation between PSS and ways of coping was not significant. The results of analysis regression showed that general anxiety during pregnancy predicted 25% of the variance of PSS (F=4.480, ß=0.159). Also, ways of coping predicted 38% of the variance in pregnancy Hassles (F=7.033, ß=0.194). CONCLUSION: The ways of coping predicted the variance of pregnancy hassles, but does not evaluate pregnancy specific-stress. To think about PSS in terms of general anxiety may help to clarify past findings and to guide future research and interventions.

Frequently Used Coping Scales: A Meta-Analysis.

This article reports the frequency of the use of coping scales in academic journals published from 1998 to 2010. Two thousand empirical journal articles were selected from the EBSCO database. The COPE, Ways of Coping Questionnaire, Coping Strategies Questionnaire, Coping Inventory for Stressful Situations, Religious-COPE and Coping Response Inventory were frequently mentioned. In particular, the COPE (20.2%) and Ways of Coping Questionnaire (13.6%) were used the most frequently. In this literature reviewed, coping scales were most often used to assess coping with health issues (e.g. illness, pain and medical diagnoses) over other types of stressors, and patients were the most frequent participants. Further, alpha coefficients were estimated for the COPE subscales, and correlations between the COPE subscales and coping outcomes were calculated, including depressive symptoms, anxiety, negative affect, psychological distress, physical symptoms and well-being.

Effects of perinatal loss on current pregnancy in Turkey.

OBJECTIVE: to evaluate how a history of pregnancy loss in the perinatal period (from 20 weeks of gestation to seven days post partum) affects women during subsequent pregnancies. DESIGN: cross-sectional, descriptive study. SETTING: Istanbul Medical School, Istanbul University between January and October 2009. PARTICIPANTS: 128 pregnant women with a history of pregnancy loss and 214 pregnant women without a history of pregnancy loss. MEASUREMENTS AND FINDINGS: in all women, antenatal attachment was measured using the Prenatal Attachment Inventory, depression was measured using the Center for Epidemiologic Studies' Depression Scale, and coping with stress was measured using the Scale of Ways of Coping with Stress. The rates of undergoing tests (other than routine tests) (p<0.001), calling medical professionals (p<0.001) and visiting an obstetrician more than once per month (p<0.001) were higher in women with a history of pregnancy loss compared with women without a history of pregnancy loss. No difference was found between the groups in terms of coping with stress (p>0.05) and antenatal attachment (p=0.384). However, depressive symptoms were higher in women with a history of pregnancy loss (p=0.008). KEY CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: levels of depression, antenatal attachment and coping with stress should be evaluated meticulously in women with a history of pregnancy loss, and appropriate interventions should be performed.

Efecto de las estrategias de afrontamiento al estrés en los síntomas de estrés post-traumático en sobrevivientes de un terremoto. Hacia un modelo explicativo del estrés post-traumático / The effects of stress coping strategies in post-traumatic stress symptoms among earthquake survivors: an explanatory model of post-traumatic stress

Se determinó el efecto de las estrategias de afrontamiento (WOC) en los síntomas de estrés post-traumático (PTSD) ante un evento estresante común para 304 personas (Chile, terremoto 27 de febrero de 2010), mediante la aplicación del ways of coping questionnaire y de la davidson scale of trauma. Los resultados muestran 4 modelos de regresión lineal múltiple significativos que explican el total y los 3 tipos de síntomas del PTSD a partir de las WOC evitación y resolución de problemas. Sin embargo, un primer modelo integrado mediante ecuaciones estructurales no obtuvo buenos índices de ajuste. Se concluye con un modelo integrado alternativo que presenta muy buenos índices de ajuste. Finalmente se entregan explicaciones basadas en neuroimágenes y covert conditioning, además de reflexiones sobre prevención y prevalencia del PTSD.

The effect of the ways of coping (WOC) in post-traumatic stress disorder (PTSD) symptoms in a stressing event common to a sample of 304 people (Chile, earthquake february, 27 2010) was determined through the application of the ways of coping questionnaire and the davidson scale of trauma. The results show 4 significant regression multiple linear models explaining the total and the 3 types of PTSD symptoms through WOC such as avoidance and problem solution. However, a first integrated model through structural equations did not attain good fit indexes. The study has been concluded with an alternative integrated model presenting very good adjustment indexes (CMIN/DF=.058, RMSEA=.000, NFI=.999, CFI=.999 and PNFI=.100). Finally, explanations based on neuroimages and covert conditioning are provided along with reflections on the prevention and prevalence of the PTSD.

Relationship Among the Dissociation, Ways of Coping Style, and Hypnotizability in Undergraduate Students / 신경정신의학

OBJECTIVES : Presently there exist conflicting results in terms of the relationship between hypnotic susceptibility and the dissociation experience in college-aged populations. The present investigation sought to explore the relationship among dissociation, coping style and hypnotizability using structural equation modeling (SEM). METHODS : 288 Korean undergraduates completed the Dissociation Experience Scale-Korean version (DES-K), Coping style assessment, and assessment of the eye roll sign which is a suggested biological marker of hypnotizability according to Spiegel. We divided the students into two groups (DES> or = 20, N=81; DES <20, N=207) to evaluate differences in these variables. The Pearson correlation test was used to investigate the relationship among the variables. We used SEM to investigate the mediating process in the relationship among hypnotizability coping style and dissociation. RESULTS : In the high DES-K group, scores of passive coping strategies (emotionally focused and wishful thinking) were higher than low DES-K group. There were statistically significant but weak correlations between hypnotizability and wishful thinking and between passive coping strategies and dissociation. The mediating role of passive coping style between hypnotizability and dissociation was confirmed in university students. CONCLUSION : These results suggested there was no direct relationship between hypnotizability and dissociation and passive coping strategies mediating the relationship between hypnotizability and dissociation. This study cautions against equating dissociative capacity with hypnotizability.

Relationship Among the Dissociation, Ways of Coping Style, and Hypnotizability in Undergraduate Students / 신경정신의학

OBJECTIVES : Presently there exist conflicting results in terms of the relationship between hypnotic susceptibility and the dissociation experience in college-aged populations. The present investigation sought to explore the relationship among dissociation, coping style and hypnotizability using structural equation modeling (SEM). METHODS : 288 Korean undergraduates completed the Dissociation Experience Scale-Korean version (DES-K), Coping style assessment, and assessment of the eye roll sign which is a suggested biological marker of hypnotizability according to Spiegel. We divided the students into two groups (DES> or = 20, N=81; DES <20, N=207) to evaluate differences in these variables. The Pearson correlation test was used to investigate the relationship among the variables. We used SEM to investigate the mediating process in the relationship among hypnotizability coping style and dissociation. RESULTS : In the high DES-K group, scores of passive coping strategies (emotionally focused and wishful thinking) were higher than low DES-K group. There were statistically significant but weak correlations between hypnotizability and wishful thinking and between passive coping strategies and dissociation. The mediating role of passive coping style between hypnotizability and dissociation was confirmed in university students. CONCLUSION : These results suggested there was no direct relationship between hypnotizability and dissociation and passive coping strategies mediating the relationship between hypnotizability and dissociation. This study cautions against equating dissociative capacity with hypnotizability.

The Association of Alcohol Problems with Posttraumatic Stress Disorder Symptoms, Psychological Hardiness and the Ways of Coping in Firefighters / 신경정신의학

OBJECTIVES: This study investigated the association between alcohol problems and posttraumatic stress disorder (PTSD) symptoms, psychological hardiness, and coping mechanisms in firefighters. METHODS: We conducted an e-mail survey of 131 firefighters who were working at the two fire department stations in Gyeonggido, receiving replies from 96. Alcohol Use Disorder Identification Test (AUDIT), Impact of Event Scale-Revised (IES-R), Hardiness Scale, and The Ways of Coping Checklist were used to collect the data. We divided the subjects into three drinking groups per their AUDIT scores : social, problem, and abuse drinking groups and compared PTSD symptoms, psychological hardiness, and coping strategies among the groups. RESULTS: Of the 96 firefighters, 73 (76.1%), 11 (11.4%), and 12 (11.4%) belonged to the social, problem, and abuse drinking groups, respectively. Control, one component of psychological hardiness, was significantly lower in the abuse drinking group. However, IES-R scores and four subscales of the Ways of Coping Checklist did not vary significantly among the groups. CONCLUSION: These results suggest an approach focused on psychological hardiness should show a preventive effect with regard to firefighters' alcohol problems.

The relationship between emotional intelligence and the ways of occupational stress coping in nurses / 中国行为医学科学

Objective To investigate characteristics of emotional intelligence(EI)and the ways of occupational stress coping in nurses as well as the predictive validity of EI on coping strategies.Methods 464 nurses from general hospitals were collected and evaluated with psychometric instruments including:Wong's Emotional Intelligence Scale(WEIS)and Nurse Ways of Coping Questionnaire.Data were conducted by Logistic regress analysis according to key themes.Results (1)Nurses' demographic characteristics had effects to the ways of occupational stress coping and emotional intelligence.However,there was no statistical difference of El varied with education levels(P＞0.05).(2)Both problems solving and positive recognition are main coping styles of nurses towards occupational stress.Either avoidance or self-reproach was seldom coping strategies of nurses toward occupational pressures(2.60±0.55;2.60±0.75;1.37±0.69;respectively).(3)El was correlated with coping styles(r=-0.123～0.253,P＜0.05,P＜0.01).Conclusion Four dimensions of EI positively or negatively predicted six kinds of occupational stress coping strategies separately.