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This study examined inter- and intra-person level associations between stress and overwhelm and adaptive coping strategies used by college students during COVID-19. Participants were 55 college students (Mage = 23.31, SD = 4.49; 87% White, 85% Female), who completed a 21-day daily diary study. The common coping strategies endorsed were media use, relaxation techniques, and exercise. Variability among feelings of stress (ICC =.520) and overwhelm (ICC =.530) were similarly explained by between and within-person differences. Daily stress and overwhelm were positively associated with relaxation techniques, media, and total coping strategies. Further, daily stress was positively associated with connection with others to cope. At the between-person level, average stress was associated with avoidance strategies such as taking a break from news to cope. These findings may prove useful in the development of interventions to increase the practice of adaptive coping strategies to reduce stress and overwhelm. [ABSTRACT FROM AUTHOR]

Background: Policing is a stressful occupation. Police officers are exposed to stressors that are inherent in the organization and operations of law enforcement. Similar to their counterparts around the world, many Nigeria police officers are exposed to high levels of stress, making them vulnerable to stress-related mental health conditions and other noncommunicable diseases. Despite these risks and their consequences to the health and safety of police officers and the larger society, interventions are currently not available to address this challenge in Nigeria. This pilot study aims to assess the burden of stress from a national sample of police officers and test the feasibility of an intervention for stress prevention, management, and coping mechanisms among police officers in Nigeria. Methods: This is a three-phase study: (1) a needs assessment and situational analysis using a convergent parallel, mixed-methods approach to determine the prevalence of stress and mental health burden among 1200 police officers in four randomly selected states in four geopolitical zones of the country, (2) the development of a peer-led intervention for stress prevention, management, and coping mechanism which will be tested using a cluster randomized trial among 200 police officers, and (3) the preliminary evaluation of the intervention based on knowledge about stress management and mental disorders and psychological distress and reduction in stress levels. These measures will be obtained at baseline (T0), immediate (T1), and 6-month post-intervention (T2). Feasibility will be determined based on enrollment rate, attendance, and completion of the group sessions. Multivariable linear regression models taking into account clustering effects will be used to estimate between-group differences in outcome measures. Discussion: Findings from the study will inform policy review and the development of a pragmatic intervention on stress prevention and management among police officers. This will enhance the policing role of officers, thus contributing to the safety of the communities they serve. Trial registration: PACTR Registry: PACTR202310474721238. Registered on 6 October, 2023. https://pactr.samrc.ac.za/TrialDisplay.aspx?TrialID=25663. Protocol version number 1.0 (date: 6 October, 2023). [ABSTRACT FROM AUTHOR]

Objective: Numerous studies have highlighted the prevalence of mental health disorders among healthcare professionals during the COVID-19 pandemic, with varying indications of emotional strain. This study compares the psychological functioning of healthcare workers at the onset of the pandemic and two years later, offering a comprehensive assessment of their emotional and mental health status in the evolving context of COVID-19. Methods: This longitudinal analysis examined the relationship between stress, emotional processing, and their positive/negative impacts on medical personnel working in Polish hospitals and outpatient clinics in 2020 (n = 285) and 2022 (n = 252). The study employed the Toronto Alexithymia Scale-20 (TAS-20), Cohen's Perceived Stress Scale (PSS-10), Mini-COPE, Acceptance of Illness Scale (AIS), Emotional Processing Scale (EPS), STAI, and PANAS to assess psychological responses and coping mechanisms. Results: Findings revealed a significant increase in denial, substance use, self-blame, negative mood, and impaired psychological and somatic functioning, alongside heightened symptoms of depression and anxiety. Conversely, a marked decrease in planning, positive reinterpretation, acceptance, religious coping, and seeking social support (both emotional and instrumental) was observed over the two-year period. Conclusion: The prolonged nature of the COVID-19 pandemic has profoundly affected the psychological resilience of healthcare professionals, eroding critical emotional resources necessary for maintaining interpersonal relationships and mental well-being. These results underscore the need for targeted interventions to support the mental health of medical staff in the ongoing crisis. [ABSTRACT FROM AUTHOR]

Objective. This study aimed to explore the mental health status, coping strategies, and social support of international students in Canada. Participants. Undergraduate and graduate international students studying at one Canadian university participated in an online survey. Methods. The survey consisting of four assessments—the Mental Health Continuum-Short Form, Kessler Psychological Distress Scale, the Carver Brief-Cope Inventory, and the Multidimensional Scale of Perceived Social Support—was distributed during the winter and spring terms of 2020. Results. Of the 338 participants from 53 countries, 76% demonstrated optimal mental health without mental disorders; 86% used approach coping strategies. Those who are women, married, and Ph.D. students showed better mental health and lower psychological distress. Coping skills and social support significantly predict participants' psychological distress and subjective well-being. Conclusions. This study findings address the gaps in meeting the mental health needs of international students and raise awareness of this population's unique mental health status. [ABSTRACT FROM AUTHOR]

Aim: To evaluate midwives' level of stress and burnout during the COVID‐19 Omicron phase in Italy. Secondary aims were to explore the impact of the pandemic on midwives' personal dimensions and professional activities and potential supporting strategies. Design: A mixed‐methods study was undertaken from July to December 2022. Methods: Data were collected using a national online observational survey. Descriptive and inferential analyses were performed to evaluate stress, burnout and the impact of the pandemic on personal and professional dimensions. A deductive qualitative approach was used to analyse open‐ended responses, that were merged with quantitative data following a convergent mixed‐methods approach. Results: A total of 1944 midwives participated in the survey. The stress summary score mean was 10.34, and 562 midwives (28.91%) experienced burnout. The intention to reduce working hours was reported by 202 midwives (10.39%), with 60.40% (n = 122) of them experiencing burnout. The intention to leave clinical practice within the following 2 years was reported by 239 (12.29%), with 68.20% (n = 163) of them experiencing burnout. All the personal dimensions and professional activities considered were defined by more than half of midwives as being impacted 'Moderately' or 'To a great extent' by pandemic. Stress and burnout frequencies increased when the midwives' perception of the pandemic effects was higher. Potential supporting strategies described by midwives as the most important in increasing their ability to cope with the pandemic were 'Women's awareness of the midwives' role' (n = 1072; 55.14%) and 'Family and friends' emotional support' (n = 746; 38.38%). Conclusion: Our findings suggested strategies to support a positive and safe working environment for midwives during a pandemic emergency, with potential transferability to similar contexts when human resources are lacking. It is recommended that maternity services provide the necessary resources for a safe and supportive working environment to prevent high stress levels and chronic burnout. Impact: Studies conducted during the first COVID‐19 pandemic wave showed an increased level of stress, anxiety, burnout, post‐traumatic stress disorder and depression experienced by healthcare professionals; moreover, midwives experienced drastic changes in care pathways and policies with struggles identified when providing high‐quality woman‐centred care following pandemic restrictions. Although it is recommended, there is lack of knowledge about long‐term psychological effects of COVID‐19 for midwives. Our study highlights that during the Omicron wave midwives experienced a high level of stress and burnout with an impact on individual dimensions and professional activities. Their stress and burnout were influenced by several factors, including restrictions in place, lack of organizational acknowledgement, work overload and need for extra childcare cover. Maternity services should provide the necessary resources for a safe and supportive working environment to prevent high stress levels and chronic burnout. Recommendations on how to facilitate this are suggested. Reporting Method: During the writing process, we referred to 'The Strengthening the Reporting of Observational Studies Epidemiology Statement', the guidelines for reporting observational studies from the Equator network. Patient or Public Contribution: No patient or public contribution. What does this paper contribute to the wider global clinical community?: Work overload conditions negatively impacted on the quality of maternity services. Improving organizational aspects, reducing working hours, promoting family and friends' emotional support and improving women's awareness of midwife's role were the main strategies reported by midwives. These suggestions for ensuring a positive and safe working environment for midwives during a pandemic emergency could potentially be applied to similar situations where human resources are lacking. [ABSTRACT FROM AUTHOR]

Background and Aim: The physical and mental health of the people in society is very important, one of the areas worthy of study is the study of the psychological aspects of cancer patients, which causes a lot of stress due to long-term treatment. Therefore, this study was conducted to determine the relationship between stress-coping approaches and mental health in patients undergoing chemotherapy. Methods: This descriptive-correlational study was conducted on 229 patients referred to the chemotherapy clinic at Baqiyatallah Hospital in Tehran, Iran. The sampling method was available. The study tools included a personal information questionnaire, a 28-item general health questionnaire, and a Billings and Moss coping strategies questionnaire. The data collected from the research units were analyzed by SPSS version 22 software and statistical regression tests. Results: In this study, the age range of chemotherapy patients was between 18 and 81 years, and their average age was 51.27 ± 13.90 years. The findings showed that 65.4% of patients undergoing chemotherapy have an unfavorable health level. According to Pearson's correlation test, there was a negative and significant relationship between general health domains and coping strategies of cognitive assessment, emotion-oriented, and physical restraint in patients undergoing chemotherapy (P = 0.001). Conclusion: The general health of chemotherapy patients is related to the coping strategies adopted by them. The results of this study can have an effective role in knowing as much as possible the effective factors in the adaptive adaptation to this disease, reducing the side effects of chemotherapy and as a result the psychological well-being of cancer patients. [ABSTRACT FROM AUTHOR]

Background: Teaching is a physically and mentally challenging profession that demands high emotional involvement, often leading to stress and anxiety. Understanding how teachers cope with these demands is essential for enhancing their well-being and effectiveness. Objectives: This study aimed to (1) investigate personal and school-based well-being initiatives that teachers use for maintaining their occupational well-being, and (2) develop a coping strategy model that enhances teachers' occupational well-being. Methods: This study utilised a qualitative phenomenological approach to explore the coping strategies of Australian primary school teachers. Results: The twenty-one participants interviewed employed ten diverse coping strategies classified into five personal and five school-based well-being-enabling initiatives. The personal strategies included setting boundaries, exercise and physical health, social support and interactions, mental health and mindfulness, and work–life balance. The school-based initiatives comprised supportive leadership, colleague support, flexibility and autonomy, resource availability, and proactive approaches to address challenges. A novel SHIELD model incorporating Support, Health, Interaction, Empathy, Leadership, and Development strategies was formulated as a holistic coping strategy for enhancing teachers' occupational well-being. Conclusions: The findings highlight the necessity of a holistic approach to teacher well-being, integrating both personal and institutional support systems. Schools can enhance teacher well-being by fostering a supportive and empathetic culture, providing necessary resources, and encouraging healthy lifestyles. The SHIELD model offers a comprehensive framework for supporting teachers and improving educational outcomes. [ABSTRACT FROM AUTHOR]

In their seminal Transactional Theory of Stress, Lazarus and Folkman described a complex adaptation mechanism that involves appraisal and coping processes that lead to the subjective experience of stress. In this study, we examined the temporal order of all components of this theory using a cross‐lagged panel analysis. A sample of 354 students (62.10% female, mean age = 20.63 y.o.) participated in a 5‐week study and completed weekly self‐reported measures of prospective appraisal, coping, core burnout, and mental health (i.e. depression, anxiety, and stress). Using cross‐lagged panel network analyses, we analyzed how each measured variable is predicted by all variables from the previous measurement moment. Convergent with the transactional stress theory, we found that threat appraisals and negative self‐perception predicted future anxiety and depression. Contrary to expectations, core burnout and somatization emerged as significant predictors of poor mental health outcomes, suggesting a self‐perpetuating spiral. Furthermore, our study highlighted the importance of recognizing the bidirectional connections between appraisals, coping strategies, and mental well‐being. [ABSTRACT FROM AUTHOR]

Background. The personality of the actor, according to various studies, is characterized by increased sensitivity and receptivity, emotional mobility, openness, rich imagination. At the same time, the profession of an actor is associated with a large number of stressful situations related to the instability of professional employment and income, high competition, actors' sensitivity to situations of uncertainty. Taken together, this determines the need to study coping strategies and behaviour of actors in stressful situations Objective. The study focuses on the identification of interrelationships between personality characteristics, coping strategies and reactions to frustration in representatives of the acting profession. Study Participants. The study involved 27 theater and film actors (18 women, 11 men), aged 22 to 57 years. The length of service in the profession ranged from 1 to 35 years. Methods. Techniques of psychodiagnostics were used in the study, including Kettell 16 PF questionnaire, Folkman and Lazarus coping strategies questionnaire adapted by T.L. Kryukova, “Frustration Reactions Test” by S. Rosenzweig. On the basis of correlation analysis, the interrelations of personal characteristics, coping strategies used by respondents and types of behaviour in frustrating situations were revealed. Results. Correlations of types of behaviour in frustrating situations and coping strategies with communicative and emotional properties of personality, as well as with anxiety were revealed. It is shown that emotional sensitivity is positively related to extrapunitive direction of reactions to frustration (r = 0.42, p = 0.05) and negatively related to turning to others to solve the problem (r = –0.53, p = 0.01). The characteristic of “suspiciousness”, peculiar to the study sample, is negatively associated with aggressive self-protective type of stress behaviour (r = –0.47, p = 0.05). Conclusions. The analysis of the set of obtained correlations revealed that specific personality traits: high emotional sensitivity and suspiciousness, determine the actors' behaviour in stress mainly as fixation on the obstacle. Comparison of the results obtained in the study with the data of similar works of previous years allowed to fix the special role of the complex of personality characteristics “suspiciousness” in the context of reactions to stressful situations. The theme of difference in the actors' management of their emotional state in situations of professional activity and everyday life is outlined.

Abstract Background Policing is a stressful occupation. Police officers are exposed to stressors that are inherent in the organization and operations of law enforcement. Similar to their counterparts around the world, many Nigeria police officers are exposed to high levels of stress, making them vulnerable to stress-related mental health conditions and other noncommunicable diseases. Despite these risks and their consequences to the health and safety of police officers and the larger society, interventions are currently not available to address this challenge in Nigeria. This pilot study aims to assess the burden of stress from a national sample of police officers and test the feasibility of an intervention for stress prevention, management, and coping mechanisms among police officers in Nigeria. Methods This is a three-phase study: (1) a needs assessment and situational analysis using a convergent parallel, mixed-methods approach to determine the prevalence of stress and mental health burden among 1200 police officers in four randomly selected states in four geopolitical zones of the country, (2) the development of a peer-led intervention for stress prevention, management, and coping mechanism which will be tested using a cluster randomized trial among 200 police officers, and (3) the preliminary evaluation of the intervention based on knowledge about stress management and mental disorders and psychological distress and reduction in stress levels. These measures will be obtained at baseline (T0), immediate (T1), and 6-month post-intervention (T2). Feasibility will be determined based on enrollment rate, attendance, and completion of the group sessions. Multivariable linear regression models taking into account clustering effects will be used to estimate between-group differences in outcome measures. Discussion Findings from the study will inform policy review and the development of a pragmatic intervention on stress prevention and management among police officers. This will enhance the policing role of officers, thus contributing to the safety of the communities they serve. Trial registration PACTR Registry: PACTR202310474721238. Registered on 6 October, 2023. https://pactr.samrc.ac.za/TrialDisplay.aspx?TrialID=25663 . Protocol version number 1.0 (date: 6 October, 2023).

Abstract Background The aim of the study was to identify stress level, bio-psycho-social response and coping behavior of nursing students during the practical training. Methods A cross-sectional study was carried out with the 1st, 2nd, 3rd, 4th-year nursing students (n = 1181) between September 2018-may 2019. Data was collected using by Socio-Demographic Questionnaire, The Student Nurse Stress Index, The Bio-Psycho-Social Response Scale and Coping Behavior Inventory. Results The fourth-grade nursing students’ stress level was found to be statistically significantly higher than of other graders. Nursing students have shown emotional symptoms and social-behavioral symptoms the most. To cope with stress, nursing students used the strategies transference, staying optimistic, problem-solving and avoidance, respectively. Conclusions These findings highlight the need to routinely evaluate nursing students for stress, bio-psycho-social response, and coping strategies during practical training. Thus, counseling units can be constituted by the nursing schools, and nursing students who have higher stress levels and inadequate coping strategies benefit from these units.

Background: The influencing factor is stress, which has an impact on the low motivation of People Living With HIV/AIDS (PLWHA) to recover. By knowing these factors, interventions in controlling stress can be carried out well. A coping model is needed as a basis for developing stress control intervention plans for PLWHA using a family approach. As the closest environment to PLWHA, the family is very appropriate to control stress in PLWHA. Purpose: This research aims to determine the factors that influence stress and models of coping strategies for stress in PLWHA. Methods: This is a mixed-method study with an exploratory sequential approach. This research was conducted in Padang City at the quantitative research stage. The sample in this study was 38 PLWHA and nine respondents in a quantitative study (psychologists, counselors, HIV counselors, companions of PLWHA (husband/wife/children/parents), and PLWHA). Data collection was carried out through observation and deep interviews with the respondents. Results: The statistical analyses revealed that factors influencing stress are self-control and discrimination. The results of the interviews obtained information that PLWHA needs to increase their faith in God, PLWHA does not want their status to be known by many people, and there is a lack of knowledge of PLWHA and the environment regarding HIV/AIDS transmission. The appropriate coping strategy model for PLHIV is to increase the PLWHA's faith, prevent the family from disclosing the PLWHA's disease status to the environment, and increase the knowledge of PLWHA and the social environment. Conclusion: Self-control and discrimination influence stress. The stress control coping strategy model for PLWHA is formed from three pillars: faith/belief, health status, and knowledge.

Background: Given that social media use (SMU) is an increasingly widespread activity among university students, more information is needed to evaluate its relationship with students' mental health, particularly medical students. Objective: The present study assessed the relationships between SMU and coping style with psychological distress and academic performance of medical students. Methods: An offline cross-sectional survey conducted with 398 undergraduate medical students. The survey collected data on demographics, psychological distress (DASS-21), coping strategies (Brief COPE Scale), academic performance (grade point average) and estimated average time spent on social media per day. Structural equation modeling was used to clarify relationships between the main study variables. The study also examined the mediating effect of maladaptive coping between SMU and psychological distress. Results: Students with higher levels of psychological distress were more likely to be engaged in frequent social media use. Spending more than two hours a day on social media use had a positive association with maladaptive coping (p < 0.001), particularly with substance use and behavioral disengagement both of which could negatively affect academic performance. Maladaptive coping mediated the relationship between students' SMU and psychological distress. Conclusion: The findings suggest that medical students commonly use social media as a maladaptive coping tool to deal with psychological distress. Empowering students to adopt and foster appropriate coping strategies could help them to enhance resilience against life stresses and ameliorate potential long-term mental health consequences associated with maladaptive behaviors. [ABSTRACT FROM AUTHOR]

The study examines the relationship between risk behaviors, stress, and coping strategies among Peruvian university students, highlighting the importance of these variables in their well-being. The sample consisted of 581 university students (ages 17 to 45). The instruments included: "Stress Scale for Transmissible Diseases", "Stress Coping Questionnaire", and an ad hoc questionnaire to assess risk behaviors. Results indicate that the most frequent risk behavior was not wearing a seatbelt (65%), followed by alcohol consumption (64.1%). Additionally, 25.7% reported high levels of stress, and the most used coping strategies were avoidance and seeking social support. Regression analysis shows that problem-focused coping and being employed are associated with a reduction in risk behaviors, whereas open emotional expression and being male increase the likelihood of engaging in such behaviors. In conclusion, the study underscores the need to implement specific interventions that promote effective coping strategies and reduce health risk factors. [ABSTRACT FROM AUTHOR]

Background: The aim of the study was to identify stress level, bio-psycho-social response and coping behavior of nursing students during the practical training. Methods: A cross-sectional study was carried out with the 1st, 2nd, 3rd, 4th-year nursing students (n = 1181) between September 2018-may 2019. Data was collected using by Socio-Demographic Questionnaire, The Student Nurse Stress Index, The Bio-Psycho-Social Response Scale and Coping Behavior Inventory. Results: The fourth-grade nursing students' stress level was found to be statistically significantly higher than of other graders. Nursing students have shown emotional symptoms and social-behavioral symptoms the most. To cope with stress, nursing students used the strategies transference, staying optimistic, problem-solving and avoidance, respectively. Conclusions: These findings highlight the need to routinely evaluate nursing students for stress, bio-psycho-social response, and coping strategies during practical training. Thus, counseling units can be constituted by the nursing schools, and nursing students who have higher stress levels and inadequate coping strategies benefit from these units. [ABSTRACT FROM AUTHOR]

Background: Emotional attention refers to the capacity to recognize and properly respond to one's and others' emotional states. On another note, family is a primary source of socialization that influences the development of various social skills. In another line, adolescence is a complex stage that has been associated with emotional difficulties that could be related to competences such as prosociability and inclusion. It is inferred that through the family context and the attention that is processed, a series of competencies are transmitted to the youngsters, but this relationship is still unclear. For this reason, the study's purpose was to examine the relationship between the emotional attention of mothers and fathers and the social and prosocial competencies of their children. Methods: To accomplish this, a cross-sectional study and ex post facto design were conducted. The Trait-Meta Mood Scale (TMMS-24)-to assess emotional attention-, the Strengths and Difficulties Questionnaire (SDQ)-to determine the prosociality dimension-, and the Test on Passing Developmental Tasks in Adolescence (TCS-A)-to measure social inclusion-were administered. The participants were N = 228 families composed of n = 114 mothers/fathers (67.5% females) and n = 114 daughters/sons (38.5% females) selected through non-probabilistic sampling using a convenience sample in the Bari region of Italy. A descriptive and inferential analysis-Student's test and Pearson's correlation-was performed with the statistic package SPSS version 28 (significance level p < 0.05). Results: The findings showed that the families possessed an adequate background in emotional attention and that their daughters and sons were also generally well-adjusted in social inclusion and prosociality. It also found certain signs that the prosocial competence of the children could be related to the behavior of their mothers and fathers. Conclusion: In conclusion, social inclusion is related to prosocial behavior, and maybe primarily cultivated within families where parents' emotional self-regulation serves as a model for children although further research is necessary. Comparative studies between different cultures are also proposed. [ABSTRACT FROM AUTHOR]

The present study examines the direct and indirect effects of trait emotional intelligence (trait EI) on levels of stress, anxiety and depression, and whether these are moderated by coping strategies. To this end, the Wong and Law Emotional Intelligence Scale, Coping Strategies Inventory and Depression Anxiety Stress Scales were administered to 567 university students. The findings point to a direct relationship between EI and the levels of anxiety, depression and stress. EI directly explained the university students' levels of anxiety, depression and stress, and it indirectly explained such levels through coping strategies. The article concludes by pointing out practical implications for university education and the improvement of students' socio-emotional well-being. [ABSTRACT FROM AUTHOR]

Teaching is a high-demand profession where teachers encounter work-related and distinct emotional turmoil of differing intensities while instructing and interacting with students. Teachers’ occupational wellness is compromised because of these experiences, which frequently lead to high levels of stress that exacerbate burnout. This empirical study is novel in addressing the positive psychology mediating and moderating effect between perceived stress and occupational well-being among teachers. Adopting a quantitative research design, a sample of 388 teachers was drawn and analyzed using Smart PLS 4. The findings uncovered that teachers experience multifarious challenges and stressors that negatively impact their occupational well-being. Further, psychological capital partially mediated the relationship; however, coping strategy did not mediate between perceived stress and occupational well-being. Coping strategies partially mediated the relationship between psychological capital and occupational well-being. Lastly, psychological capital significantly moderated the relationship between stress and occupational well-being positively. These results aid the organizations in choosing an approach to practice positive psychology, which in turn creates satisfied teachers with exceptional performance.

The COVID-19 pandemic caused a worldwide health- and societal crisis. Youth were exposed to enduring stressors. We examined types and load of stressors faced by youth, and their use of coping strategies. A population-based sample within Bergen municipality, Norway (N = 1031, 11–19 years) completed the Response to Stress Questionnaire 9 months into the pandemic. Social stressors were most frequent, with secondary control engagement being the most used coping strategy. Stress and coping strategies differed depending on sex, age, and socioeconomic status. Heightened stress were associated with primary and secondary control engagement, and disengagement. Thus, youth employed a range of coping strategies to an increasing degree with heightened levels of COVID-19 stress. The frequency of secondary control engagement aligns with the enduring uncontrollable nature of the outbreak. For future health crises, authorities should focus on social stressors experienced by youth, especially among girls, older youth, and youth with low socioeconomic status.

Throughout the cancer trajectory, parents of childhood cancer survivors (CCSs) may experience mental and social challenges requiring continual adaptation to cancer-induced stress. Using Lazarus and Folkman's Transactional Model of Stress and Coping framework, this qualitative study aimed to describe Hispanic parents' psychological health and explore their coping strategies. Purposive sampling was used to recruit 15 Hispanic caregivers from a safety-net hospital in Los Angeles County. To be eligible, participants had to be: the primary caregiver of a CCS who had completed active treatment, the primary caregiver or child self-identified as Hispanic, and proficient in English or Spanish. The interviews lasted approximately 60 min, were audio-recorded (in English and Spanish), and professionally transcribed. Data were analyzed following a thematic content analysis with deductive and inductive approaches on Dedoose. Participants described high levels of stress and fear when their child was diagnosed with cancer. They also shared experiencing symptoms of social anxiety, post-traumatic stress disorder, and depression. Participants' coping strategies were encompassed by three major themes: problem-focused, emotion-focused, and avoidant coping strategies. Problem-focused coping strategies included self-efficacy, behavioral change, and social support. Emotion-focused coping strategies included religious practices and positive reframing. Avoidant coping strategies included denial and self-distraction. Despite the evident disparities in psychological health for Hispanic parents of CCSs, gaps remain in designing a culturally tailored program to help alleviate the caregiver burden. This study provides insights regarding coping strategies that Hispanic caregivers use to deal with the psychological impact of their child's cancer diagnosis. Our findings also delve into the contextual and cultural factors that impact psychological adjustment.

Introduction: Non-adherence to treatment recommendations is a significant problem, as it contributes to the progression of the disease and to the exacerbation of distressing symptoms. Failure to cope with the disease and elevated levels of stress, in turn, influence the choice of strategy for coping with a difficult situation, and thus adherence to recommendations. Objectives: The purpose of our study was to evaluate the impact of the subjects' stress coping styles on therapeutic adherence, life satisfaction, disease acceptance and quality of life (QoL) in people with mood disorders. Methods: This survey-based study included 102 respondents diagnosed with mood disorders, living in the West Pomeranian Voivodeship. It was performed using the sociodemographic questionnaire and standardized tools: The Coping Inventory for Stressful Situations (CISS), The Satisfaction with Life Scale (SWLS), The Short Form-36 (SF-36) Health Survey, The Adherence to Refills and Medication Scale (ARMS), and The Acceptance of Illness Scale (AIS). Results: Some 47.06% of the respondents suffered from depressive disorders, while 34.31% had depression or mixed anxiety disorder. Patients who made greater use of an emotion-focused style were found to have significantly lower life satisfaction than other patients. Moreover, this style was related to such SF-36 domains as general health, social functioning, role emotional, vitality, and mental health, as well as to physical component summary (PCS) and mental component summary (MCS). Conclusion: Treatment non-adherence is a serious challenge in the treatment of patients with mood disorders. Individuals who do not adequately follow treatment recommendations often resort to alternative activities as a mechanism for coping with difficult situations. Patients who predominantly adopt an emotion-oriented coping style tend to experience lower life satisfaction and greater difficulty accepting their condition compared to their peers. Conversely, patients who adopt a task-oriented coping style report better quality of life than those who rely on emotion-oriented coping or alternative activities. [ABSTRACT FROM AUTHOR]

Stress cannot be avoided even by a teenager in high school. Some people use coping strategies to reduce stress. Coping strategies allow for more targeted and effective psychological interventions and will increase a person's ability to manage stress. The aim of this research is to analyze adolescents' coping strategies and stress. This research is a type of qualitative research using phenomenological methods. Research location High school. Determining research topics is inherently a snowball. The informants for this research were high school adolescents, teachers, and parents. The primary data collection technique involves conducting in-depth interviews using multiple informant interview guidelines. The process of data analysis includes: data reduction, data categorization, synthesis and ends with the development of a working hypothesis. Research findings revealed that adolescents are always stressed because stressors are always present in their lives. Internal and external sources of stress in adolescents have been found. Internal drivers of adolescent stress such as temperament, attachment, mastery, and selfdetermination processes. External factors observed in adolescents are social conditions, parental models and school processes. Several types of adolescent coping strategies have been shown to be adaptive and maladaptive. Adaptive coping strategies include reflection and self-reflection. Maladaptive coping strategies have been found to involve avoiding problems. Socialize to adolescents, parents and schools how to know adolescents better and help them in the developmental phase of searching for their own identity. The help of parents and stakeholders such as the school community is very important in this matter. [ABSTRACT FROM AUTHOR]

This paper aims to identify the level of stress and the coping strategies used by local police officers within their service activities. We seek to explore how stress affects workers' functioning and which coping strategies are predominant. The main objective of this study is to identify and analyze the stress levels of employees and the coping strategies used in stressful situations. The research hypotheses presume significant correlations between stress levels and social interaction, avoidance, and the seeking of social support. Data analysis was performed using the SACS questionnaire for behavioral coping strategies and the Stress Perception Scale developed by Levenstein et al. (1993). The high level of stress was negatively correlated with social interaction and positively with avoidance and seeking social support. Increased stress levels lead to lower social interaction and higher levels of avoidance and seeking social support. The results of this research highlight the importance of the relationship between perceived stress levels and the coping strategies adopted by local police officers. It was found that stress levels are negatively correlated with the quality of social relationships and positively with the tendency to avoid problems and seek social support. These results underline the need to develop and implement effective stress management strategies within the organization to optimize employee performance and well-being. [ABSTRACT FROM AUTHOR]

Celiac disease is a chronic autoimmune gastrointestinal condition with a global spread of 0.5 to 1%. It is characterized by inflammation of the small intestine triggered by the consumptionof a protein called gluten found in wheat, rye, and barley. Exposure to gluten results in enteropathy, causing damage to the mucosal surface and leading to nutrient malabsorption. Elimination of gluten from the diet is the only effective way to treat celiac disease. Stress, a ubiquitous condition, both the physical and psychological wellness of an individual is affected by stress. An adaptive reaction especially in the gastrointestinal tract and immune system is produced in response to stress, to ensure the survival of an individual. Upon diagnosis and transition to a gluten-free healthier lifestyle, people suffering from celiac disease often experience heightened levels of emotional imbalance and stigmatization. Addressing these aspects is crucial for both medical and psychological communities. This review aims to explore the association between celiac disease and stress, examining how stress influences the physical and psychosocial life of individuals with this condition. Drawing on numerous reputable papers from diverse authors worldwide, the findings suggest a robust link between celiac disease and stress, leading to anxiety, depression, and stigmatization, directly impacting the standard of living for affected individuals. This article will also explore coping strategies for those dealing with both celiac disease and stress. [ABSTRACT FROM AUTHOR]

Background: The shifting reproductive age of women is reflected in European populations. Pregnancy in women older than 35 years is considered high-risk and can be an additional source of stress. The aim of this study was to assess the perceived stress of women experiencing late motherhood and the coping strategies used. Methods: The study was conducted in Poland by means of a diagnostic survey, using the COPE (Coping Orientation to Problems Experienced) Inventory, the Perceived Stress Scale (PSS), the Berlin Social Support Scales (BSSS), and a self-administered questionnaire. The study included 310 women who gave birth to their first child after the age of 35 and 313 respondents in a control group who gave birth before this age. Results: Based on the results, there were no statistically significant differences in feelings of stress among women who gave birth to their first child after the age of 35 (M = 18.33) compared to the control group (M = 18.14). However, statistically significant differences were observed regarding stress coping strategies. Conclusions: Women giving birth after the age of 35 were more likely to use strategies including active coping, planning, positive reformulation, acceptance, turning to religion, and seeking instrumental support. [ABSTRACT FROM AUTHOR]

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Background: Polycystic Ovarian Syndrome, was previously thought to be an endocrine condition. Research has now demonstrated that polycystic ovarian syndrome affects a patient's quality of life and is a metabolic, hormonal and psychosocial condition. Women's joys are disrupted by PCOS because the stigma attached to hyperandrogenism is strongly felt and may harm women's psychological development. Methods: The aim of the study was to comprehend the psychosocial problems experienced by women in Kashmir and to obtain a thorough understanding of the coping mechanisms employed by women with PCOS. The research design was both qualitative and quantitative in nature. Thematic analysis was used to derive themes from the data. Sampling was purposeful in nature. Results: The study underscores that women with PCOS encounter numerous difficulties encompassing social and psychological aspects. Psychological issues like mood swings, stress, anxiety and sleeping disorders are prevalent among women with PCOS. Furthermore, the research has revealed that menstrual disorders significantly contribute to depression in women. The study also highlights a connection between infertility and psychological problems. Conclusion: In conclusion, the research underscores the multifaceted challenges faced by individuals with PCOS. Therefore, understanding these issues is crucial for developing effective coping mechanisms and improving the quality of life for women dealing with PCOS.

Abstract Background As the number of people living with dementia rapidly increases worldwide, the support provided by their informal caregivers remains key to the sustainability of most healthcare systems, this voluntary contribution representing 40% of the costs of dementia worldwide. Informal caregiving in dementia, however, is linked to long periods of chronic stress with frequent and serious negative consequences on the health and quality of life of the caregiver. A psycho-educational group intervention focusing on coping with the daily stress of dementia caregiving (“Learning to feel better… to help better”), developed in French-speaking Canada and showing broad effects on quality of life, was selected with the aim of 1) adapting it to a new cultural context (French-speaking Switzerland) based on identified facilitators and barriers, using a participative approach; and 2) conducting a feasibility study to evaluate whether the adapted programme showed similar or improved feasibility and effects compared to the original Canadian programme. Methods A mixed-methods concurrent nested design was used to evaluate the feasibility and the effects on five quantitative core outcomes. Additional qualitative data helped document in depth the acceptability and impact of the intervention. Results We shortened the programme from 30 to 21 h in total, which resulted in increased accessibility, in terms of facilitated recruitment of participants and inclusion of a broader range of informal caregivers. There were significant reductions in subjective burden (effect size: d = -0.32) and psychological distress (d = -0.48), as well as decreases in the stress reactions of informal caregivers related to the behaviour problems of the persons with dementia (d = -0.57). The qualitative results emphasized the usefulness of providing informal caregivers with structured procedures for efficiently tackling everyday challenges, and of enabling learning through a variety of channels and activities. Conclusions Substantial improvements are associated with this 21-h group intervention, organised in 7 sessions of 3 h each, focused on learning more efficient strategies to cope with the daily stress of dementia caregiving. This intervention empowered informal caregivers to master their daily challenges with more confidence, satisfaction and calm. Trial registration ISRCTN13512408 (registration date 17.05.2021, retrospectively registered).

Objective: Numerous studies have highlighted the prevalence of mental health disorders among healthcare professionals during the COVID-19 pandemic, with varying indications of emotional strain. This study compares the psychological functioning of healthcare workers at the onset of the pandemic and two years later, offering a comprehensive assessment of their emotional and mental health status in the evolving context of COVID-19. Methods: This longitudinal analysis examined the relationship between stress, emotional processing, and their positive/negative impacts on medical personnel working in Polish hospitals and outpatient clinics in 2020 (n = 285) and 2022 (n = 252). The study employed the Toronto Alexithymia Scale-20 (TAS-20), Cohen’s Perceived Stress Scale (PSS-10), Mini-COPE, Acceptance of Illness Scale (AIS), Emotional Processing Scale (EPS), STAI, and PANAS to assess psychological responses and coping mechanisms. Results: Findings revealed a significant increase in denial, substance use, self-blame, negative mood, and impaired psychological and somatic functioning, alongside heightened symptoms of depression and anxiety. Conversely, a marked decrease in planning, positive reinterpretation, acceptance, religious coping, and seeking social support (both emotional and instrumental) was observed over the two-year period. Conclusion: The prolonged nature of the COVID-19 pandemic has profoundly affected the psychological resilience of healthcare professionals, eroding critical emotional resources necessary for maintaining interpersonal relationships and mental well-being. These results underscore the need for targeted interventions to support the mental health of medical staff in the ongoing crisis.

Background: Teaching is a physically and mentally challenging profession that demands high emotional involvement, often leading to stress and anxiety. Understanding how teachers cope with these demands is essential for enhancing their well-being and effectiveness. Objectives: This study aimed to (1) investigate personal and school-based well-being initiatives that teachers use for maintaining their occupational well-being, and (2) develop a coping strategy model that enhances teachers’ occupational well-being. Methods: This study utilised a qualitative phenomenological approach to explore the coping strategies of Australian primary school teachers. Results: The twenty-one participants interviewed employed ten diverse coping strategies classified into five personal and five school-based well-being-enabling initiatives. The personal strategies included setting boundaries, exercise and physical health, social support and interactions, mental health and mindfulness, and work–life balance. The school-based initiatives comprised supportive leadership, colleague support, flexibility and autonomy, resource availability, and proactive approaches to address challenges. A novel SHIELD model incorporating Support, Health, Interaction, Empathy, Leadership, and Development strategies was formulated as a holistic coping strategy for enhancing teachers’ occupational well-being. Conclusions: The findings highlight the necessity of a holistic approach to teacher well-being, integrating both personal and institutional support systems. Schools can enhance teacher well-being by fostering a supportive and empathetic culture, providing necessary resources, and encouraging healthy lifestyles. The SHIELD model offers a comprehensive framework for supporting teachers and improving educational outcomes.

Migrants often encounter numerous stressors that can significantly impact their mental health. Understanding the coping strategies employed by migrants and assessing their mental health status is crucial for developing effective support systems. The main aim of this study was to examine the most common coping skills and strategies of young adult migrants in order to generate ideas for creating a comprehensive CBT support program. The study explored the frequency of different coping strategies employed by migrants in correlation with their levels of depression, anxiety, and stress. This study utilized a quantitative approach and recruited a sample of 184 male migrants from 14 different countries facing stressful situations. The findings revealed that religion was the most commonly used coping strategy, followed by planning for the next steps and actively coping with the situation. Substance use was identified as the least utilized coping strategy. The mental health scores of male migrants reflected moderate levels of depression, anxiety, and mild manifestations of stress symptoms. These results underscore the importance of understanding and addressing the coping mechanisms and mental health needs of migrants to provide appropriate support and interventions. [ABSTRACT FROM AUTHOR]

Doctoral researchers report higher levels of stress and are at an elevated risk of mental ill health compared with undergraduate students and whole population normative data. Evaluating their reported coping strategies is essential for universities to develop interventions to address this. Content analysis was used to code 182 reported reactions to stress gathered via a qualitative survey. A framework based on a model of occupational stress in academic settings and additional inductively driven categories were used to code the data. It was also coded into maladaptive and adaptive responses. The most common adaptive strategies included 'cognitive coping', 'social support' and 'active leisure'. Maladaptive strategies included 'rumination', 'overworking' and reports of having 'no strategy' to cope. Sub-group analyses showed some differentiation in coping strategies by gender and whether DRs were academic staff whilst frequencies of reported categories revealed different strategies were adopted at different stages of programmes. Based on these findings, the authors acknowledge that coping is a multi-dimensional process. The implications in terms of developing supportive interventions and mitigating less adaptive coping strategies are discussed. [ABSTRACT FROM AUTHOR]

Aim. To investigate the moderating role of the completed year of study on the relationship between coping strategies and self-esteem among undergraduate nursing students. Material and methods. Data collection was carried out in June-December 2020. A convenience sample has been used. A number of 182 questionnaires have been included for the analysis. A questionnaire consists of two scales (Rosenberg Self-Esteem Scale and Brief COPE) and a metric. Results. The lowest self-esteem presented nursing students who completed their second year of education (M=24.74; SD=4.97). A moderation effect of the completed year of education on the relationship between self-esteem and the self-blame coping strategy and between the level of self-esteem and use of emotional support coping strategy was found. Conclusions. The alarming results for students who completed the second year of study indicate the need for special attention and intervention among this group. Moreover, study-life balance should be promoted to deal with stress more effectively and to support students' self-esteem. [ABSTRACT FROM AUTHOR]

The COVID-19 pandemic created a host of difficulties for college students. There is research noting the unique vulnerability of this population's DASS symptoms and further connections of coping strategies. The current study aims to provide a snapshot of this unique time in higher education by examining the relationship between perceived difficulty, retrospectively, in the Spring 2020 semester and DASS symptoms in the Fall 2020 semester, and moderators of coping strategies in a sample of USA university students (n = 248; Mage = 21.08, SD = 4.63; 79.3% = Female). The results yielded a clear predictor relationship between perceived difficulty and symptoms of DASS. However, only problem-solving coping strategy proved a significant moderator for stress; surprisingly, problem-solving coping appeared to exacerbate the relationship. Implications for clinicians and higher education are discussed. [ABSTRACT FROM AUTHOR]

Teaching is a high-demand profession where teachers encounter work-related and distinct emotional turmoil of differing intensities while instructing and interacting with students. Teachers' occupational wellness is compromised because of these experiences, which frequently lead to high levels of stress that exacerbate burnout. This empirical study is novel in addressing the positive psychology mediating and moderating effect between perceived stress and occupational well-being among teachers. Adopting a quantitative research design, a sample of 388 teachers was drawn and analyzed using Smart PLS 4. The findings uncovered that teachers experience multifarious challenges and stressors that negatively impact their occupational well-being. Further, psychological capital partially mediated the relationship; however, coping strategy did not mediate between perceived stress and occupational well-being. Coping strategies partially mediated the relationship between psychological capital and occupational well-being. Lastly, psychological capital significantly moderated the relationship between stress and occupational well-being positively. These results aid the organizations in choosing an approach to practice positive psychology, which in turn creates satisfied teachers with exceptional performance. [ABSTRACT FROM AUTHOR]

Mental health conditions were seen to rise during the COVID-19 pandemic as individuals lost loved ones due to the pandemic, lost jobs, and in many cases had to care for elderly and other loved ones. For students, the pandemic also brought the additional challenge of having to transition to online learning. In this study, we investigated the depression and anxiety levels of students in a Hispanic-serving institution and the coping strategies they used to deal with the stress during the pandemic, and the relationship of students' depression and anxiety levels to their preference of learning and their other demographic characteristics. A survey was administered online via Qualtrics to the students. The depression and anxiety faced by the students in this study could have been attributed to them being majority Latino and economically disadvantaged, which studies have shown to be more disproportionately affected by the pandemic. Students who have taken online courses before were associated with lower depression levels, which may indicate that those who have not taken online courses may have been experiencing more stress with this transition. Students employed approach-based coping strategies instead of avoidance strategies which are known as more positive forms of coping. [ABSTRACT FROM AUTHOR]

Copyright of Diversitas Journal is the property of Diversitas Journal and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Aim: This study aims to compare the level of stress and coping strategies among introvert and extrovert Nursing students in selected colleges of Nursing, Delhi and NCR. Design and Settings: A comparative survey design was adopted. Samples were Nursing students of Holy Family College of Nursing and Rufaida College of Nursing enrolled in B.Sc. Nursing, GNM and P.B.B.Sc. Nursing. Material and Methods: Tool was administered to 728 Nursing students through total enumeration, 200 introvert and 200 extrovert Nursing students were randomly selected through lottery method. Demographic profile, Modified Questionnaire Based on Eysenck Personality Questionnaire, Perceived Stress Scale, Brief-COPE Inventory were used to collect the data. Data was analysed with descriptive and inferential statistics. Results: Findings revealed, out of 728 Nursing students, 64.56% were introverts and 35.44% were extroverts. Mean stress score was 22.2 for introverts and 20.57 for extroverts. Among extrovert Nursing students, majority of them adopted (67.55%) problem-focused coping strategies. Whereas, 44% of introvert Nursing students adopted emotion-focused coping strategies, 40.5% adopted problem-focused coping strategies and 15.5% adopted avoidant coping strategies. The t-test value=3.102 (<0.01) for stress and coping strategies among introvert Nursing students and t-test value=3.856 (P<0.01) for stress and coping strategies among extrovert Nursing students. Hence, stress level was more among introvert Nursing students and coping strategies were more adopted by extrovert Nursing students. The correlation between stress and coping strategies among introvert Nursing students were r=0.147 (P<0.05) and r=0.246 (P<0.01) for extrovert Nursing students. Hence, it can be concluded that there is a significant difference in level of stress and coping strategies among Nursing students having introvert and extrovert personalities. [ABSTRACT FROM AUTHOR]

Objectives: Basic hope is important for successfully coping with, and adapting to, difficult situations. The aim of the study was to determine the level of stress and basic hope and identify the associated coping processes in women after miscarriage during hospitalization and three months after discharge. Material and methods: A total of 161 women hospitalized due to miscarriage were included. To evaluate the level of stress, basic hope and coping strategies, the following standardized questionnaires were used: the Perceived Stress Scale (PSS-10), the Inventory to Measure Coping Strategies with Stress (Mini-COPE) and the Basic Hope Inventory (BHI-12). Results: 110 patients declared high levels of stress during hospitalization and 80 claimed the same three months after discharge. The level of stress decreased after three months (p < 0.001). Adaptive stress-coping strategies were employed more frequently than maladaptive stress-coping strategies. During hospitalization, the most frequently used strategies were acceptance and seeking emotional support; with planning, acceptance, seeking emotional and instrumental support being used three months after discharge. The sense of basic hope increased after three months (p < 0.001). The level of the sense of basic hope correlates significantly (p < 0.001) and negatively (r < 0) with the severity of stress symptoms during and after the hospital stay. Conclusions: The sense of basic hope increased significantly after three months in relation to the level experienced during the hospitalization period, and the intensity of stress decreased. Preventive women-oriented interventions are needed to minimize the risk of post-traumatic stress disorder. [ABSTRACT FROM AUTHOR]

The study was conducted in Ukraine during the onset of COVID-19 pandemic. The sample contained 232 individuals. The aim was to study emotional experiences and their connection with coping strategies in the context of gender differences. The research was based on the concept of differential emotions, and on the understanding of the accumulation strategies as a dynamic process, which is determined by personal prepositions and situational factors. Measures used in the study were the Differential Emotions Scale and the Ways of Coping Questionnaire. The growth of negative experiences and stress at the beginning of the pandemic among men and women was confirmed. We described the differences regarding emotions and coping strategies. Women use emotion-focused strategies of social support, strategies of positive reappraisal of the situation, and avoidance, the acceptance of responsibility among women is associated with negative emotions. We found that women more frequently use two or more coping strategies compared to men. A different emotional basis of coping strategies, expressed at high levels of tension among men and women, was revealed. The defined features of coping behavior among men and women may help to determine the main goals for the development of preventive and psychotherapeutic interventions. [ABSTRACT FROM AUTHOR]

IntroductionNon-adherence to treatment recommendations is a significant problem, as it contributes to the progression of the disease and to the exacerbation of distressing symptoms. Failure to cope with the disease and elevated levels of stress, in turn, influence the choice of strategy for coping with a difficult situation, and thus adherence to recommendations.ObjectivesThe purpose of our study was to evaluate the impact of the subjects’ stress coping styles on therapeutic adherence, life satisfaction, disease acceptance and quality of life (QoL) in people with mood disorders.MethodsThis survey-based study included 102 respondents diagnosed with mood disorders, living in the West Pomeranian Voivodeship. It was performed using the sociodemographic questionnaire and standardized tools: The Coping Inventory for Stressful Situations (CISS), The Satisfaction with Life Scale (SWLS), The Short Form-36 (SF-36) Health Survey, The Adherence to Refills and Medication Scale (ARMS), and The Acceptance of Illness Scale (AIS).ResultsSome 47.06% of the respondents suffered from depressive disorders, while 34.31% had depression or mixed anxiety disorder. Patients who made greater use of an emotion-focused style were found to have significantly lower life satisfaction than other patients. Moreover, this style was related to such SF-36 domains as general health, social functioning, role emotional, vitality, and mental health, as well as to physical component summary (PCS) and mental component summary (MCS).ConclusionTreatment non-adherence is a serious challenge in the treatment of patients with mood disorders. Individuals who do not adequately follow treatment recommendations often resort to alternative activities as a mechanism for coping with difficult situations. Patients who predominantly adopt an emotion-oriented coping style tend to experience lower life satisfaction and greater difficulty accepting their condition compared to their peers. Conversely, patients who adopt a task-oriented coping style report better quality of life than those who rely on emotion-oriented coping or alternative activities.

Background. Today, the development of adaptive coping behavior is extremely relevant. Some studies show that humor is an indicator of psychological adaptation. However, the relation between different styles of humor and different styles of coping behavior has not been studied. Objective. The study aims to identify the relationship between the stylistic characteristics of humor and the types of coping behavior among students. Methods. The study was conducted with the use of two diagnostic methods. The first is a questionnaire of humor styles by R. Martin (adapted in Russian by Ivanov et al., 2013). The second one is a coping test by R. Lazarus (adapted in Russian by Kryukov, Kuftyak, 2007). Sample. The study involved 120 students of Moscow universities aged from 17 to 30 years (78.3% are female). Results. Exploratory factor analysis revealed 3 groups of coping behavior strategies among students. These were strategies focused on the person (1), on interacting with society (2), on changing the situation (3) in stress. It was found that the strategy groups (1) and (2) correlated with the affiliation style of humor. Group (3) correlated with a self-supporting style of humor (Ro-Spearman, p < 0,05). Clustering by K-means method identified 3 groups of respondents. In each group, respondents used different coping strategies. We compare the groups (ANOVA) and got that the affiliation style of humor is less expressed among students who often use coping strategies focused on changing the situation (p < 0.001). Conclusion. Coping behavior among students is rather associated with supportive humor styles than with destructive humor styles. These results are of scientific significance, complementing the current knowledge about coping behavior. They can also be used in psychological trainings for students.

Background: Operating room is a stressful workplace. Therefore, the present study aimed to examine the structural model of the relationship between psychological well-being and critical thinking with strategies to deal with stressful situations in operating room personnel, considering the mediating role of family process and content.Materials and Methods: The present research is a descriptive and correlational study. The statistical population included all operating room personnel in Mashhad, Iran as of 2023 winter; 200 operating room personnel were selected as the study sample. To measure the variables, the Family Process and Content Questionnaires, Psychological Well-Being Scale, Critical Thinking Questionnaire and Index Questionnaire for Dealing with Stressful Situations were adminsitered. Data analysis was done using structural equation modeling with Amos22 and SPSS 22 software.Results: The results of the structural equation model showed that the family process played a mediating role in the relationship between critical thinking and problem-oriented and avoidance-oriented strategies. Also, family content played a mediating role in the relationship between critical thinking and avoidance coping strategy (p 0.05).Conclusion: According to the results obtained from the research, it is suggested to use family therapy workshops for operating room personnel.

Abstract Aim This study aimed to assess chronic stress and coping mechanisms among nurses in Lango sub‐region, northern Uganda, conducted between May and June 2022. Design Institutional‐based cross‐sectional design conducted between May and June 2022. Methods The study included 498 participants recruited from six health facilities. A 12‐Item Short Form Survey tool was used to collect data on chronic stress, while a researcher‐developed questionnaire was used to collect data on coping strategies. Descriptive statistics, binary logistic regression and multiple regression were conducted for data analysis. A p‐value of 0.05 was considered statistically significant. Results Out of 498 participants, 153 (30.7%) were aged between 31 and 40 years, 341 (68.5%) were female, 288 (57.8%) were married, and 266 (53.4%) had less than Diploma. Of the 498 participants, 351 (70.5%) experienced chronic stress. The protective factors against chronic stress were being married (AOR: 0.132; 95% CI: 0.043–0.408; p