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This study is an attempt to explore war-related trauma, its stressful effects, and the coping strategies of Saudi schoolchildren. The authors hypothesized that children exposed to war-related trauma will show higher levels of PTSD, and that those with higher levels of PTSD symptoms use more maladaptive coping strategies. The study describes the correlation between traumatic events and posttraumatic stress disorder (PTSD) as well as coping strategies. Five hundred twenty-seven intermediate and high school students, 12 to 18 years old, living in the conflict zone in southern Saudi Arabia completed three standardized self-reported scales: the War Zone Traumatic Events Checklist, the Child PTSD Symptom Scale, and the Children's Coping Strategies Checklist. Each participating student was randomly chosen. Analysis was based on two groups: the high-PTSD symptoms group (182 children) and the low-PTSD symptoms group (345 children). The study was conducted between September 2020 and April 2022 while the war was ongoing as part of an ongoing larger study. Children exposed to war-related traumatic events exhibited greater prevalence rates for PTSD. The children reported high levels of PTSD symptoms and applied a variety of coping strategies to manage related stress. Participants rarely reported that psychological or educational interventions had been used to manage the war-related traumatic experiences and PTSD or to improve related coping styles. The results are discussed in the context of mental health services needed for children in the conflict zone. To bridge the gap between health care services and the needs of children with PTSD, and for better understanding and interventions, health professionals are invited to develop a biopsychosocial model that identifies the risks of PTSD related to exposure to war-related traumatic events in school-aged children and, hence, provide a multidisciplinary intervention program that educates, encourages, and supports teachers and parents in following medical recommendations and goals. [ABSTRACT FROM AUTHOR]

This research investigates the complex relationships between university management strategies, student resilience, and their collective impact on student well-being and psychological distress in the setting of higher education. The aim of this study was to thoroughly examine how these factors interact and how their combined impact affects students' psychological distress and overall well-being. Determining the mediating and moderating roles of autonomy, parental involvement, and coping mechanisms in these connections was another goal of the research. A sample of 422 students from various higher education schools was randomly selected to participate using a quantitative approach. An online questionnaire was used to obtain data on latent constructs connected to the variables of interest. For data analysis, SmartPLS 4 software with Structural Equation Modeling (SEM) was used. The study revealed significant relationships between university management strategies, student resilience, coping mechanisms, autonomy, and parental involvement, impacting student well-being and psychological distress. Coping mechanisms and autonomy played mediating roles, elucidating the mechanisms through which these relationships operated. This study contributes to a deeper understanding of the intricate dynamics impacting student well-being and psychological distress in higher education. It enriches the existing literature by shedding light on the mediating role of coping mechanisms, autonomy, and moderating roles of parental involvement in these relationships. [ABSTRACT FROM AUTHOR]

The emergence of the COVID-19 pandemic in Nigeria has taken a huge toll on the welfare of older adults, especially the 'left behind'. Studies in Nigeria have discussed the issues of the COVID-19 pandemic but failed to consider the coping mechanisms adopted by older adults 'left behind' by their emigrant children during the COVID-19 pandemic. This study identifies the coping mechanisms developed by left-behind older parents during the COVID-19 pandemic in southeast Nigeria. The study also highlights the challenges experienced by these individuals. Qualitative data was collected from 58 older parents who were 60 years or older, and with international migrant children using in-depth interview and focus group discussion guides. Thematic analysis was then used to analyze the generated data. According to the study's results, left-behind older parents adopted several strategies such as Information Communication Technology devices and new media, faith-based activities, and electronic games, to adapt to their experiences of emotional stress, physical health challenges, and financial challenges. To achieve the United Nations agenda 2030 Sustainable Development Goals and the 2063 African Union Agenda, there is a need to strengthen systems, including family and the community that support Nigerian older adults. Also, the implementation of an ageing policy becomes imperative to ensure the protection of Nigerian older adults, especially the 'left behind', and to buffer further challenges during the pandemic. [ABSTRACT FROM AUTHOR]

Purpose: The incidence of breast cancer has increased significantly in Asia due to epidemiological transition and changes in human development indices. Advancement in medical technology has improved prognosis with a resultant increase in survivorship issues. The effects of breast cancer diagnosis and treatment are influenced by the patient’s cultural beliefs and social systems. This scoping review aims to summarise concerns and coping mechanisms of women with breast cancer in Asia and understand gaps in the existing literature. Methods: We performed a scoping review using the population-concept-context strategy. A systematic search of MEDLINE (PubMed, Web of Science), CINAHL, SCOPUS, and Embase was conducted for studies conducted in Asia on women diagnosed with breast cancer, identifying their concerns and coping mechanisms, published between January 2011 and January 2021. Data from included studies were reported using frequencies and percentages. Results: We included 163 studies, of which most (81%) were conducted in hospital settings. Emotional and psychological concerns were reported in 80% of studies, followed by physical appearance and body-image concerns in 46%. Social support (59%), emotion-based coping (46%), spirituality, and problem-based coping (37%) were the major coping systems documented. Conclusion: The mapped literature documented that anxiety, depression, and fear of cancer recurrence dominated women’s emotional concerns. Women coped with the help of social support, positive reappraisal, and faith in God and religion. Sensitization of caregivers, including healthcare professionals and family members, to context-specific concerns and inquiry into the patients’ available support systems is essential in strengthening breast cancer women’s recovery and coping. [ABSTRACT FROM AUTHOR]

This study aims to address a research gap related to the outcomes of the use of technology when the performance falls short of initial expectations, and the coping mechanisms that users may deploy in such circumstances. By adopting Cognitive Dissonance Theory, the objectives of the study are a) to examine how dissonance, caused by the negative disconfirmation of expectations, may translate into a positive outcome and b) study how negative emotions, such as anger, guilt and regret, determine the selection of the mechanism to reduce dissonance. The theorised model was tested using a cross-sectional research design and a sample of 387 smart home users. The focus on smart home users fitted the objectives of the study due to the high expectations that users form and the challenges that the utilisation of technology sometimes causes. The collected data was analysed using structural equation modelling. Findings indicate that post-disconfirmation dissonance induces feelings of anger, guilt and regret, correlating with dissonance reduction mechanisms, which in turn have a distinctive effect on satisfaction and wellbeing. The findings of the study contribute to the discussion on expectation-disconfirmation and cognitive dissonance, by illustrating the interrelationship between emotional, cognitive and behavioural factors following the evaluation of technology performance and confirming that negative disconfirmation may result in satisfaction. [ABSTRACT FROM AUTHOR]

The study aimed to understand the nature and context of mental health stigma among people living with a mental health condition and the subsequent effect on their caregivers. Semi-structured qualitative face to face interviews were conducted by trained mental healthcare professionals with mental health service users (n = 26) and caregivers (n = 24) in private rooms at a tertiary health facility, where service users were admitted. Following transcription and translation, data was analysed using framework analysis. There was limited knowledge about their mental health diagnosis by service users and generally low mental health literacy among service users and caregivers. Mental health service users reported experiences of stigma from their own families and communities. Caregivers reported withholding the patient's diagnosis from the community for fear of being stigmatised, and this fear of stigma carries the risk of negatively affecting care treatment-seeking. Limited mental health knowledge, coupled with a high prevalence of perceived family and community stigma among caregivers and service users, impedes the capacity of caregivers to effectively cope in supporting their family members living with mental illness. There is a need for interventions to provide psychoeducation, reduce community stigma, and support coping strategies for caregivers and people with mental health conditions. [ABSTRACT FROM AUTHOR]

The study focuses on the subjective well-being (SWB) of school counsellors in Israel and its relationship with environmental and personal resources. School counsellors work within a stressful organizational high-pressure high-touch environment, characterized by crises and involving complex tasks related directly and indirectly to their emotional world. Therefore, counsellors' SWB is an essential condition for them to fulfil their roles in an optimal manner. The research population comprised 216 school counsellors. The data collection included six questionnaires describing the participants' SWB and personal and environmental resources. Research findings demonstrated a high level of SWB among participants, self-control being the strongest explaining variable regarding the variance in SWB levels. The study offers both practical implications and theoretical contributions by identifying personal and environmental resources related to counsellors' SWB essential for the implementation of the counsellors' role. [ABSTRACT FROM AUTHOR]

In the wake of declaration of Covid-19 as a pandemic by the World Health Organization, the Prime Minister of India announced a nationwide lockdown to curb its spread. Subsequently, some groups of people found themselves away from their family or friends, and were unable to return to them. The aim of the research was to explore the lives of young adults who were living alone and working, during the lockdown in India. Focus was on their daily living, their relationships and their mental health. Twelve participants residing in various cities of India were included via the Internet. Focus group discussions were used to attain the objectives of the study. The data that emerged from the discussions, was analysed using thematic analysis. All participants had experienced different kinds of disruptions in their life due to the lockdown. This effect was mediated by their financial situation, their general comfort and preference for living alone, media, opportunities for non-virtual interactions and other kinds of recreation, quality of relationships and more. Though there were similarities in their coping methods, their perspective on the lockdown, the meaning they attributed to their current situation and their vision for their future was unique. [ABSTRACT FROM AUTHOR]

This research was conducted in Turkey to determine the experiences and coping mechanisms of breast cancer patients during the COVID-19 pandemic. The research was conducted using qualitative descriptive phenomenology. Data were collected from ten patients via in-depth interviews through semi-structured questionnaires. Content analysis, incorporating a combination of deductive and inductive approaches, was conducted to determine the themes and subthemes. Interviews were transcribed verbatim, simultaneously with the analysis and collected data. The study data were categorized into 3 contexts, 7 themes and 39 subthemes. The first context titled "Problems accompanying the disease" includes the effects of the pandemic, the fear of being infected with COVID-19 and hospital-related themes. The second context titled "Coping strategies" comprises the themes of coping behaviors and healthy lifestyle behaviors. The last context is titled "Anxiety about being infected, and suggestions for the future". In the study, problems experienced by patients with breast cancer throughout the COVID-19 pandemic were investigated from a broad perspective. Patients treated in chemotherapy units constitute the vulnerable group affected by the pandemic most. Therefore, it is important to investigate the experiences of oncology patients, particularly of patients with breast cancer and their coping strategies, and to take necessary precautions accordingly. [ABSTRACT FROM AUTHOR]

Background: The present study aimed to explore, for a better understanding, the relationship between dysfunctional coping mechanisms, functionality, and quality of life in patients with major depression, during an acute episode and euthymic phase. 65 patients diagnosed with recurrent major depressive disorder were included in a longitudinal study, during which they were evaluated twice, clinically, for coping mechanisms, and also for different life quality areas. For the first time, all patients were assessed during an acute depressive episode and for the second time after 6 months of euthymia. Coping mechanisms were assessed with the Brief COPE scale, the severity of depression was evaluated by the Hamilton Depression Rating Scale-17 items, the quality of life with the WHOQOL-Bref, and the functionality with GAF. Results: The coping mechanisms, represented by self-distraction and self-blame, were identified as being significantly correlated with the areas of life quality, mental health, and general environment, for patients having an acute depressive episode. In the euthymic phase of major depression, all dysfunctional coping strategies showed statistically significant associations with the quality-of-life domains and the coping mechanism represented by disengagement was significantly correlated with the global functionality. Conclusions: Regardless of the current mood state, acute depression or euthymic phase, the dysfunctional coping mechanisms influence the level of life quality domains. [ABSTRACT FROM AUTHOR]

Background: Despite no scientific evidence linking vaccines to Autism Spectrum Disorder (ASD), vaccine hesitancy persists among parents of children with ASD. This study aims to compare vaccine hesitancy and behaviors among parents of children with ASD, other Neurodevelopmental Disorders (NDD), and without NDD, and to examine the relationship between stress coping mechanisms and vaccine hesitancy, including comparing coping mechanisms between diagnostic groups as well as their association with hesitancy.In this cross-sectional study, one parent of each child with ASD, non-ASD NDD, or without NDD was included. Data were collected using a researcher-created form, the Vaccine Hesitancy Scale in Turkish, and the Coping Style Scale Brief Form. Vaccine hesitancy, parents’ COVID-19 vaccination status, and vaccination status of children’s younger siblings were analyzed through univariate and multivariate analyses, with a focus on correlations between vaccine hesitancy and coping styles.The study included one parent from each of 299 children. Parents of children with ASD showed an adjusted odds ratio of 2.66 (95% CI 1.35–5.06) for high vaccine hesitancy, 2.57 (95% CI 1.17–5.65) for not receiving the COVID-19 vaccine, and 1.40 (95% CI 0.45–4.40) for younger siblings not receiving routine vaccines. A weak but significant correlation was observed between vaccine hesitancy and the use of restraint coping style among these parents (r = 0.280; p = 0.010).The study underscores the importance of targeted educational efforts and personalized communication to address vaccine hesitancy among parents of children with ASD. Enhancing vaccination coverage in this community requires further research to develop interventions tailored to their specific needs.Methods: Despite no scientific evidence linking vaccines to Autism Spectrum Disorder (ASD), vaccine hesitancy persists among parents of children with ASD. This study aims to compare vaccine hesitancy and behaviors among parents of children with ASD, other Neurodevelopmental Disorders (NDD), and without NDD, and to examine the relationship between stress coping mechanisms and vaccine hesitancy, including comparing coping mechanisms between diagnostic groups as well as their association with hesitancy.In this cross-sectional study, one parent of each child with ASD, non-ASD NDD, or without NDD was included. Data were collected using a researcher-created form, the Vaccine Hesitancy Scale in Turkish, and the Coping Style Scale Brief Form. Vaccine hesitancy, parents’ COVID-19 vaccination status, and vaccination status of children’s younger siblings were analyzed through univariate and multivariate analyses, with a focus on correlations between vaccine hesitancy and coping styles.The study included one parent from each of 299 children. Parents of children with ASD showed an adjusted odds ratio of 2.66 (95% CI 1.35–5.06) for high vaccine hesitancy, 2.57 (95% CI 1.17–5.65) for not receiving the COVID-19 vaccine, and 1.40 (95% CI 0.45–4.40) for younger siblings not receiving routine vaccines. A weak but significant correlation was observed between vaccine hesitancy and the use of restraint coping style among these parents (r = 0.280; p = 0.010).The study underscores the importance of targeted educational efforts and personalized communication to address vaccine hesitancy among parents of children with ASD. Enhancing vaccination coverage in this community requires further research to develop interventions tailored to their specific needs.Results: Despite no scientific evidence linking vaccines to Autism Spectrum Disorder (ASD), vaccine hesitancy persists among parents of children with ASD. This study aims to compare vaccine hesitancy and behaviors among parents of children with ASD, other Neurodevelopmental Disorders (NDD), and without NDD, and to examine the relationship between stress coping mechanisms and vaccine hesitancy, including comparing coping mechanisms between diagnostic groups as well as their association with hesitancy.In this cross-sectional study, one parent of each child with ASD, non-ASD NDD, or without NDD was included. Data were collected using a researcher-created form, the Vaccine Hesitancy Scale in Turkish, and the Coping Style Scale Brief Form. Vaccine hesitancy, parents’ COVID-19 vaccination status, and vaccination status of children’s younger siblings were analyzed through univariate and multivariate analyses, with a focus on correlations between vaccine hesitancy and coping styles.The study included one parent from each of 299 children. Parents of children with ASD showed an adjusted odds ratio of 2.66 (95% CI 1.35–5.06) for high vaccine hesitancy, 2.57 (95% CI 1.17–5.65) for not receiving the COVID-19 vaccine, and 1.40 (95% CI 0.45–4.40) for younger siblings not receiving routine vaccines. A weak but significant correlation was observed between vaccine hesitancy and the use of restraint coping style among these parents (r = 0.280; p = 0.010).The study underscores the importance of targeted educational efforts and personalized communication to address vaccine hesitancy among parents of children with ASD. Enhancing vaccination coverage in this community requires further research to develop interventions tailored to their specific needs.Conclusions: Despite no scientific evidence linking vaccines to Autism Spectrum Disorder (ASD), vaccine hesitancy persists among parents of children with ASD. This study aims to compare vaccine hesitancy and behaviors among parents of children with ASD, other Neurodevelopmental Disorders (NDD), and without NDD, and to examine the relationship between stress coping mechanisms and vaccine hesitancy, including comparing coping mechanisms between diagnostic groups as well as their association with hesitancy.In this cross-sectional study, one parent of each child with ASD, non-ASD NDD, or without NDD was included. Data were collected using a researcher-created form, the Vaccine Hesitancy Scale in Turkish, and the Coping Style Scale Brief Form. Vaccine hesitancy, parents’ COVID-19 vaccination status, and vaccination status of children’s younger siblings were analyzed through univariate and multivariate analyses, with a focus on correlations between vaccine hesitancy and coping styles.The study included one parent from each of 299 children. Parents of children with ASD showed an adjusted odds ratio of 2.66 (95% CI 1.35–5.06) for high vaccine hesitancy, 2.57 (95% CI 1.17–5.65) for not receiving the COVID-19 vaccine, and 1.40 (95% CI 0.45–4.40) for younger siblings not receiving routine vaccines. A weak but significant correlation was observed between vaccine hesitancy and the use of restraint coping style among these parents (r = 0.280; p = 0.010).The study underscores the importance of targeted educational efforts and personalized communication to address vaccine hesitancy among parents of children with ASD. Enhancing vaccination coverage in this community requires further research to develop interventions tailored to their specific needs. [ABSTRACT FROM AUTHOR]

Experiences in childhood, both positive and negative, are crucial to a child's progression. Childhood traumas and adversities are detrimental to children's development and can have long term consequences that manifest themselves in young adulthood. The purpose of this study is to inductively explore coping strategies used by young adults during their experience of childhood traumas and adversities. A sample of college students from a diverse northeastern university (N = 146) provided quantitative and qualitative survey responses. Students were asked, "What were the tools you used to cope with adversity and/or traumatic events?" Participants responded to the prompt based on their experiences from childhood. The researchers analyzed the qualitative data using a mixed-method, thematic approach to coding participant responses. Additional quantitative information is explored to explain emerging qualitative themes. Two salient themes of coping strategies emerged, providing support for Machado et al. (2020): (1) Emotion-Focused Coping and (2) Problem-Focus Coping. Minor themes built on the findings in the area of Emotion-Focused Coping, highlighting processes of (i) emotional regulation, (ii) emotional expression, and (iii) emotional avoidance. Excerpts from this study's participants suggest that individuals dealing with adversities and traumas find a variety of ways to cope. These coping strategies can be implemented into institutions' everyday practices to aid children during their time of vulnerability. The article provides recommendations for school administrators, leadership teams, and any professional specializing in school culture, curriculum, and social work. [ABSTRACT FROM AUTHOR]

The literature that examines the nexus of climate risk and armed conflict tends to be based on quantitative datasets and focuses on the causal relationship between the two issues. A limited number of studies consider the human dimensions of this nexus, but this literature has not been the subject of a synthesis. This article reviews the research examining the climate risk and armed conflict nexus, with specific emphasis on field studies and qualitative research. It aims to synthesize key findings emerging from the literature in order to shed light on the human dimensions of this nexus. Our analysis focuses on two broad themes: exposure and response. Exposure varies according to regional particularities and across locations while gender and weak political institutions are significant determinants in further increasing vulnerability. Response to the experience of the climate risk and armed conflict nexus consists primarily of various forms of migration. We also draw attention to specific directions for future research efforts to better understand the human dimensions of the climate-conflict nexus. This includes methodological considerations, attention to the anticipated aggravation of geopolitical realities through climate risk, and the identification of countries having a high climate risk index, and which are experiencing ongoing armed conflict. [ABSTRACT FROM AUTHOR]

The study aims to provide an initial depiction of youth aging out of institutional care in China. Services for children cared in state child welfare institutes have been improving in the past decades in China. Lately, there is increasing consensus about the need for further understanding and alleviating challenges faced by youth who are aging out of the institutional care and transitioning to adulthood. Programs aimed at providing transitional services and support for these youth have emerged. However, research on the wellbeing of youth aging out of institutional care in China has been virtually non-existent. The study used survey data from 65 youth in one state child welfare institute to examine the characteristics and wellbeing of aging out foster youth, including their socio-demographic characteristics, independent living skills, sources of stress, coping mechanisms, behavioral problems, and social support. The youth faced financial difficulties and challenges in career planning and employment activities. They reported future self-expectations and economic hardships as major stress sources, and often referred to withdrawal as an anti-stress coping strategy. They were also identified with prevalent problematic behaviors and viewed social welfare agencies and friends as major sources of social support. This study shed light on the profile of youth aging out of institutional care in China. The results indicated that the youth reported unmet needs that require policy and practice attention. The findings are useful in informing social policies and interventions on developing support services for the youth transition to adulthood and independent living. [ABSTRACT FROM AUTHOR]

Objective: Studies on informal caregiving for older persons in Ghana have only reported the challenges of the caregivers without providing their coping mechanisms. Considering the myriad of challenges facing informal caregivers in Ghana, we sought to explore the coping mechanisms utilised by informal caregivers in rural and urban settings of Ghana to overcome their caregiving challenges. Methods: In-depth interviews were conducted with 20 purposively selected caregivers from the Ejisu-Juaben Municipality and Kumasi Metropolis in the Ashanti Region of Ghana. The data were thematically analysed and common themes were reported as findings. Results: Six key coping mechanisms were found; faith in God, support from friends and family, borrowing from friends, acceptance and encouragement, reducing expenditure on other activities, and taking time off. Conclusion: The findings provide key strategies to policy-makers in the health sector to prevent the burnout of informal caregivers. Considerations from the coping mechanisms enumerated in the current study could guide the design and implementation of policies towards improving the informal healthcare sector in Ghana, which is crucial to the realisation of the United Nations' health-related Sustainable Development Goals. [ABSTRACT FROM AUTHOR]

Evidence-based practices that rely upon pain relieving medications and interventional strategies for symptom alleviation in chronic pain survivors have shown modest benefits. The recent emphasis of spiritual care as a new dimension of treatment strategy incorporated within the biopsychosocial model has inspired new hopes to mediate mental and physical health for illness coping. This study aimed to explore the factors associated with spirituality needs among chronic pain patients in a general hospital in Malaysia. An analytical cross-sectional study was conducted among 117 chronic pain patients in a general hospital in Malaysia. Clinical features and assessments were evaluated by an experienced pain physician and retrieved from patient medical records. An interviewer-administered questionnaire that consisted of items on socio-demographics, the validated 19-items spiritual needs questionnaire and the visual analog scale was utilized. Multivariate linear regression analysis was conducted to identify the factors associated with spiritual needs in chronic pain patients. Patients had higher actively giving score as compared to other spirituality need domains. Central neuropathic pain (β = 1.691, p = 0.040) predicted existential. Renal problems (β = 5.061, p = 0.019) highly predicted religiosity; followed by head pain (β = 3.774, p = 0.036), central neuropathic pain (β = 2.730, p = 0.022), heart problems (β = 1.935, p = 0.041), income (β = 0.001, p = 0.003), living arrangement (β = − 3.045, p = 0.022), face (β = − 3.223, p = 0.005) and abdominal (β = − 4.745, p = 0.0001) pains. Predictors of inner peace include renal problems (β = 3.752, p = 0.021), shoulder pain (β = 1.436, p = 0.038) and pain duration (β = − 0.012, p = 0.027). Predictors of actively giving were renal problems (β = 3.803, p = 0.001), central neuropathic pain (β = 1.448, p = 0.017), heart problems (β = 1.004, p = 0.042), income (β = 0.001, p = 0.0001), age (β = − 0.046, p = 0.004) and abdominal pain (β = − 2.617, p = 0.0001). Chronic pain patients had higher actively giving score compared to other spirituality needs. Their spirituality needs were significantly influenced by pain type, duration and site, co-existing medical conditions and socio-demographics. [ABSTRACT FROM AUTHOR]

Purpose: The coping mechanisms employed to deal with objective financial burden following a cancer diagnosis are considered mediators of financial toxicity, specifically for the relationship between increased costs and health outcomes. Using qualitative research, the aim of the study was to explore the financial adjustments experienced by cancer patients and identify key coping mechanisms.Methods: Semistructured interviews with 39 cancer patients (aged from 40 to 86 years) were conducted between May 2017 and April 2018 in Germany. Narratives were transcribed verbatim and analysed via qualitative content analysis.Results: In all, 28 participants reported that they made financial adjustments related to two major categories: (1) reducing expenditures related to basic needs, luxury needs, and health-related decisions, and (2) increasing financial resources by saving less, using savings, investing manpower, obtaining help from third parties, incurring bank debt, and making health-related decisions. Typically, cancer patients both reduced expenditures and increased financial resources, but no typical patterns of combinations of coping mechanisms could be identified. However, reducing spending on basic and luxury needs was found to occur more typically than increasing the available money through incurring bank debt, making health-related decisions, or investing manpower.Conclusions: This qualitative study provides a comprehensive understanding of the complexity of the coping mechanisms used by patients to address either higher costs or changed needs and priorities following a cancer diagnosis. With regard to understanding patients' experiences of subjective financial stress, both increasing financial resources and reducing expenditures, particularly those relating to basic needs and luxury needs as distinct categories, might be relevant and should be considered. The financial situation impacts the treatment of cancer patients since health-related decisions were reported to be made with the aim of increasing financial resources by maintaining an ability to work or reducing expenditures through non-adherence. [ABSTRACT FROM AUTHOR]

This paper argues that flood vulnerability around the Weija Dam, near Accra, the capital of Ghana, can be explained by the city's complex peri-urbanization trajectories. The dam, which was constructed 40 years ago, supplies water to many parts of the Greater Accra Metropolitan Area. To offset the impacts of potential dam failure due to seismic activities, as well as accidental and planned water spillages, about 100 m of lands around the dam and 30 m of riparian lands around River Densu were reserved. Despite planning prohibitions, these reservations have largely been encroached by homebuilders and business operators. Analyses of time-series rainfall data and hazard mapping showed that during periods of torrential rainfall, the dam and the river are overwhelmed with storm water hence exposing the Weija Township located downstream to flood hazards. Questionnaire surveys, in-depth interviews with selected homebuilders, and institutional consultations revealed that the spatial and institutional management dynamics, customary land ownership, along with the growing defiance of planning regulations were the key influences of floods in the Weija Township. The affected households have attempted to mitigate the effects of flooding by elevating structures with stones and sandbags, strengthening walls, constructing drains and pumping water out during flooding events, but with little success. However, given the lack of political will to remove the unauthorized structures constructed within the buffers and reservations, the challenge now is to minimize flood vulnerabilities by flood-proofing buildings, improving drains and channelizing portions of the river within the township. These structural measures should be complemented by flood vulnerability maps, early flood warning and evacuation systems, mandatory property insurance policies, and above all, improved institutional coordination and collaboration for flood management. The paper recommends a re-examination of Ghana's urban land use planning and management of water bodies in urban areas. [ABSTRACT FROM AUTHOR]

Bisexual individuals experience unique discrimination related to their sexual orientation, which may increase their risk of adverse health outcomes. The study goal was to investigate how bisexual and other non-monosexual individuals experience discrimination, understand how they perceive discrimination to affect their health, and examine the ways in which they cope with discrimination by analyzing responses to open-ended survey questions. The sample included 442 bisexual and other non-monosexual adults, ages 18-68 years (M = 28.97, SD = 10.30), who either reported a bisexual identity or reported attractions to more than one gender. Gender identities included women (n = 347), men (n = 42), and transgender/non-binary individuals (n = 53); 29% of participants were currently located outside of the U.S. Participants completed an online survey, including three open-ended questions regarding their experiences with discrimination, how discrimination affects their health, and methods used to cope with discrimination. Themes related to perceived discrimination included: double discrimination of bisexuals and other non-monosexual individuals by heterosexuals, lesbian and gay individuals; bisexual invalidation and erasure; and sexual victimization. Themes related to the perceived effects of discrimination on health included: impact on mental health; impact on physical health; and effect of discrimination in healthcare. Themes related to coping with discrimination included: social support; resilience; and identity-specific media consumption. Findings demonstrate that bisexual and other non-monosexual individuals' experiences of discrimination can be additive, based on other marginalized facets of identity, including race/ethnicity, gender, and socioeconomic status. Our findings have implications for advancing bisexual health research from an intersectionality framework. [ABSTRACT FROM AUTHOR]

To identify and investigate coping mechanisms and other factors which may impact upon the psychosomatic symptoms of aging German Roman Catholic priests. A cross-sectional study was conducted among 499 aging German Roman Catholic priests with standardized questionnaires: Brief Symptom Inventory, Coping Inventory Stressful Situations, and Religious Coping Scale. Task-Oriented Coping exhibited a significant difference between the two groups. Multiple regression analyses indicated that psychosomatic symptoms could be best predicted by means of Task-Oriented Coping mechanisms, identification with priesthood, and by a low Negative Religious Coping. The success of adaptive coping processes for older clergy may depend on how they employ strategies, strengthen their spiritual dimensions, and manage important psychosocial aspects of aging. In our sample, Depression and Somatization are explained best by Emotion-Oriented Coping. It is desirable for aging priests to be aware of protective factors like Role Identification, Task-Oriented Coping, and low Negative Religious Coping, which may be helpful in improving their psychological well-being. [ABSTRACT FROM AUTHOR]

Background The Florida Maternal, Infant, and Early Childhood Home Visiting (MIECHV) program delivers evidence-based home visiting services to over 1400 families each year. Home visitors are integral in providing resources for families to promote healthy pregnancy, child development, family wellness, and self-sufficiency. Due to the nature of this work, home visitors experience work-related pressures and stressors that can impact staff well-being and retention. Objectives The purpose of this study was to understand primary sources of work-related stress experienced by home visitors, subsequent effects on their engagement with program participants, and to learn of coping mechanisms used to manage stress. Methods In 2015, Florida MIECHV program evaluators conducted ten focus groups with 49 home visitors during which they ranked and discussed their top sources of work-related stress. Qualitative analysis was conducted to identify emergent themes in work-related stressors and coping/supports. Results Across all sites, the burden of paperwork and data entry were the highest ranked work-related stressors perceived as interfering with home visitors’ engagement with participants. The second-highest ranked stressors included caseload management, followed by a lack of resources for families, and dangerous environments. Home visitors reported gratification in their helping relationships families, and relied on coworkers or supervisors as primary sources of workplace support along with self-care (e.g. mini-vacations, recreation, and counseling). Conclusions for practice Florida MIECHV home visitors across all ten focus groups shared similar work-related stressors that they felt diminished engagement with program participants and could impact participant and staff retention. In response, Florida MIECHV increased resources to support home visitor compensation and reduce caseloads, and obtained a competitive award from HRSA to implement a mindfulness-based stress reduction training statewide. [ABSTRACT FROM AUTHOR]

Researchers are beginning to collect empiric data about coping mechanisms of health science students. Yet, there is an important aspect of coping with stress that is only partially addressed in health sciences curricula: students' spiritual well-being. In this essay, we describe a course in spirituality and health care that we offered to fourth-year medical students, as well as a small empirical study we conducted to assess students' spiritual needs and practices. We then offer reflections on the broad applicability of this work to students in the health sciences more generally, including suggestions for curriculum interventions that may ensure students' success. [ABSTRACT FROM AUTHOR]

What role does childhood abuse have on the coping choices made by a battered woman? Ancillary to a depression study (Bailey, 1996) in 79 battered women from a Houston area women's shelter were compared for past abuse experiences and how the women were coping with abuse in adulthood. This study compared coping styles between two groups of battered women: those who experienced childhood physically abuse (CPA) (n=35), and those who did not experience childhood physically abuse (NCPA) in childhood (n=44). All of the women filled out a battery of questionnaires including The Brief Symptom Inventory (BSI), and a scale for learned helplessness. A t-test conducted on obsessive-compulsive tendencies (OCT) scale of the BSI found that women who were NPPA had significantly lower BSI-OCT scores t(77)=−2.05, p < .05 than women who were PPA. No statistically significant differences were found between groups for learned helplessness. Out of the 35 battered women who reported physical abuse in childhood were more likely to report sexual abuse as girls than battered women who were not physically abused, t(77)=−3.40, p < .001. Battered women who had been physically and sexually abused in childhood were more severely depressed. Battered women who were not abused in childhood had more obsessive compulsive tendencies. The ramifications of these findings for therapeutic treatment are discussed. [ABSTRACT FROM AUTHOR]

This paper will focus on the writer’s experience as a native New Yorker relocating to Montgomery, Alabama. The writer will share how he adjusted and coped with overt discrimination and racism in the context of the high school in which he attended there-a majority white high school on the “other” side of town. The writer will share how he employed the following coping mechanisms as methods of adjusting to his new environment: translating emotional experiences into words (relaxation and talk therapy), involvement with other black positive peers, careful assessment before acting, withdrawal and avoidance, and consuming African-American literature. [ABSTRACT FROM AUTHOR]

Surgical procedures and in particular laryngectomy can become a life-saving treatment for patients with laryngeal or hypopharyngeal cancer, but can result in permanent damage. Clinical observation suggests that patients vary considerably in their ways of dealing with this new situation and in their ability to cope. The aim of our interdisciplinary group was to investigate the quality of life of laryngectomy patients and learn about their perceptions, situation and coping mechanisms. The development of an appropriate study design and a measurement strategy is presented. We investigated 29 laryngectomized patients who had joined the local self-help group. The patients were free from tumour disease and were mostly married with children, retired from work and had not graduated from high school. Assessment of the quality of life was performed with the European Organization for Research on Treatment of Cancer questionnaires QLQ-C30 and H+N35 and additional open questions. Analysis of the acquired data showed that family support was judged most important for overcoming the problems of disease and treatment. Deficits in this area were highly correlated with a low overall quality of life. Financial problems resulted because of the high percentage of retirement before or after therapy. We suggest that perioperative support taking these facts into consideration can result in an improved coping process. Further prospective studies are needed to reveal the effect of such measures. [ABSTRACT FROM AUTHOR]

This paper explores the relationship between the forestry enterprises (leskhozi) and the inhabitants of forestry villages in the northern rayony of Perm oblast, Russian Federation in the context of the ‘new regional geography’. These relationships are compared with those identified between peasant farmers and collective and state farms post-1991, and a theory of the cultivation of these relationships as a coping mechanism for both households and enterprises facing difficult economic circumstances is advanced. The situation in the northern rayony is contextualised through discussion of the settlement and development history of the region, which was a recipient of forced and voluntary labour migration during the Soviet period. The paper concludes that in accordance with recent theories of post-communist regional development, the experience of transition in the northern rayony of Perm oblast is determined at least in part by its social and economic context. [ABSTRACT FROM AUTHOR]