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Physical activity and coping styles are factors that contribute to health status and to the reduction of stress. The aim of this research was to analyze the influence of physical activity and coping styles on recovery-stress state among Regular Physical Activity University Students (n = 67) and High-Performance University Athletes (n = 67) from a Mexican university. The results show statistically significant differences in the capacity of recovery from stress in High-Performance University Athletes. Additionally, two positive correlations emerged: one of engagement coping and recovery, and one of disengagement coping and stress. The interaction between engagement coping and physical activity predicted general well-being. In females, the engagement coping style predicts recovery from stress. We concluded that physical activity in combination with an engagement coping style contributes to the development of health in university students. [ABSTRACT FROM AUTHOR]

Background: Maladaptive illness perception and coping strategies have been linked to illness-related quality of life in patients with chronic diseases. However, the impact of illness perception and coping strategies on vision-related quality of life (VRQOL) in patients with diabetic retinopathy (DR), a significant microvascular complication of diabetes mellitus, remains unclear. This study aims to evaluate the associations among illness perception, coping styles, and VRQOL in Chinese patients with DR, and to explore the mediating role of coping styles in the relationship between illness perception and VRQOL. Methods: This cross-sectional study included 303 adult Chinese with DR recruited from a general Grade-A tertiary hospital in Hunan, China. All participants completed clinical and demographic questionnaires. The Brief Illness Perception Questionnaire (BIPQ), the National Eye Institute 25-Item Visual Function Questionnaire (NEI-VFQ-25), and the Medical Coping Modes Questionnaire were respectively adopted to assess the illness perception, VRQOL and coping styles. The BIPQ total scores were converted to logit scores using Rasch analysis. The NEI-VFQ-25 composite scores were converted to estimated person measures based on Rasch analysis and the method of successive dichotomizations. The relationships among these variables were assessed through independent-sample t-test, one-way analysis of variance, correlation analyses and multiple linear regression analysis, while SPSS Process model and the bootstrap analysis were utilized to evaluate the mediating effect. Results: Illness perception was positively correlated with resignation coping style (r = 0.33, P < 0.001) and negatively correlated with VRQOL (r = -0.43, P < 0.001). Resignation coping style was negatively correlated with VRQOL (r = -0.38, P < 0.001). Illness perception significantly predicted resignation coping style (t = 5.91, P < 0.001) and resignation coping style significantly predicted VRQOL (t = -5.30, P < 0.001). The mediating effect through resignation coping was − 0.49 (95% CI: -0.75 to -0.27), accounting for 21.08% of the total effect of illness perception on VRQOL. Conclusion: The study revealed that the resignation coping style partially mediated the relationship between illness perception and VRQOL among DR patients. Specifically, DR patients may accept their worsening circumstances without attempting to change them due to their perception that their illness is threatening and beyond control. This resignation coping strategy could, in turn, lead to poorer VRQOL. These findings suggest that interventions targeting the improvement of illness perception and coping strategies could enhance the VRQOL of DR patients. [ABSTRACT FROM AUTHOR]

Background: Kinesiophobia, an irrational fear-avoidance behaviour, can significantly impact the quality of life and prognosis of peritoneal dialysis patients. This study aimed to assess the prevalence of kinesiophobia in patients undergoing peritoneal dialysis and to analyse its influencing factors. Methods: A total of 291 patients who visited the outpatient and ward of peritoneal dialysis in 7 tertiary hospitals in Jiangsu Province from December 2023 to March 2024 were selected as research subjects via the convenience sampling method. A cross-sectional survey was conducted using a general data questionnaire, the Tampa Kinesiophobia-11 Scale, the Chinese Version of the Multidimensional Fatigue Symptom Scale, and the Simplified Coping Style Questionnaire. Results: The score obtained using the Tampa Scale for kinesiophobia in patients with peritoneal dialysis was 22.44 ± 7.46, with a prevalence rate of 69.1%. Binary logistic regression analysis revealed that no complications, daily exercise before illness, and positive coping styles were protective factors (p < 0.05), whereas fatigue and negative coping styles were risk factors for kinesiophobia in patients receiving peritoneal dialysis (p < 0.05). Conclusions: The prevalence of kinesiophobia in patients receiving peritoneal dialysis was high but at a mild level. Medical staff should combine influencing factors to identify high-risk groups as early as possible, formulate targeted interventions to reduce the occurrence of kinesiophobia and mitigate adverse effects on peritoneal dialysis patients. [ABSTRACT FROM AUTHOR]

Due to the importance of medical students in the buildup of the health system and the influence of professional identity in their study, the aim of the study is to focus on the impact of academic satisfaction and professional identity on Chinese medical students during their career transformation, taking into consideration other factors that play a role in this relationship. 735 junior and senior medical university students from two training hospital were surveyed by using a cluster sampling method. The questionnaire included academic satisfaction scale, career transition psychological scale, simple coping style questionnaire and professional identity questionnaire. Pearson correlation and process plug-in model 6 were used for chain mediation analysis. The results show that in the career transition period, there is a direct relationship between academic satisfaction and career identity, and a chain intermediary relationship between academic satisfaction and self-confidence and coping style. In addition to our findings, we also assert that academic satisfaction has a direct impact on self-confidence and positive coping style in the transition period, and is a predictor of professional identity, whether directly or through the chain intermediary of self-confidence and coping style in the transition period. The results showed that academic satisfaction was sequentially associated with increased self-confidence, and then increased positive coping styles, which resulted in higher professional identity among medical students. [ABSTRACT FROM AUTHOR]

Dairy calves routinely experience disease, pain, and nutritional stressors such as diarrhea, dehorning, and weaning early in life. These stressors lead to changes in behavioral expression that varies in magnitude between individuals, where a greater magnitude change would suggest lower resilience in individuals to a stressor. Thus, this study first aimed to quantify the individual variation in magnitude change in feeding behaviors and activity in response to a bout of diarrhea, dehorning, and weaning. The next objective was to then investigate if personality traits were related to this magnitude of behavioral response in dairy calves, and thus their resilience toward these stressors. Calves were followed with 2 precision livestock technologies (e.g., an automatic feeding system, and leg accelerometer) to track behavioral changes in response during the time when the stressors were present. The automatic feeding system provided daily measures of milk intake, drinking speed, rewarded and unrewarded visits to the milk feeding station, and calf starter intake. The leg accelerometer provided daily measures of steps, activity index, lying time, and lying bouts. At 23 ± 3 d of age, Holstein dairy calves (n = 49) were subjected to a series of standardized personality tests that exposed the calf to novelty and fear stimuli. Factors extracted from a principal component analysis on the behaviors from the personality test were interpreted as personality traits: Factor 1 (fearful), Factor 2 (active) and Factor 3 (explorative). The magnitude changes in behaviors from the precision livestock technologies were calculated relative to the behavior performed on the day the stressor occurred (i.e., day of diagnosis, day of dehorning, day weaned). Linear regression models were used to determine whether calf scores on each factor were associated with magnitude change in behavior for each of the stressor periods with day relative to the stressor included as a repeated measure. Models were run independently for the period leading up to and following each stressor. We found that calves varied in their behavioral responses to diarrhea, dehorning, and weaning stressors, despite being reared in the same environment and experiencing consistent management procedures. Additionally, personality traits measured from standardized tests were associated with both the direction and magnitude of change in behaviors around each stressor. For instance, with diarrhea, calves that were highly fearful had a greater magnitude change in milk intake and drinking speed following diagnosis than the least fearful calves. With dehorning, calves that were highly explorative had a greater magnitude change in lying time when dehorned, but a smaller magnitude change in lying bouts and drinking speed following dehorning, compared with the least explorative calves. With weaning, calves that were highly active had a smaller magnitude change in unrewarded visits leading up to and following weaning than calves that were the least active. Each of the personality traits had a significant association with change in behavior surrounding each of the stressors evaluated, although these associations depended on the type of stressor. These results have implications for how individual calves experience each stressor and therefore individual animal welfare. The list of standard abbreviations for JDS is available at adsa.org/jds-abbreviations-24. Nonstandard abbreviations are available in the Notes. [ABSTRACT FROM AUTHOR]

AbstractThis study aims to investigate the mechanism of relapse tendency in male drug abusers and provide empirical evidence for reducing relapse tendency of drug abusers. A survey was conducted on 310 male individuals with drug addiction using Chinese Perceived Stress Scale (CPSS), Simple Coping Style Questionnaire (SCSQ), the Regulatory Emotional Self-Efficacy Scale, and the Relapse Tendency Scale (RTS). (1) Stress is significantly positively correlated with the relapse tendency of individuals with drug addiction; (2) Stress indirectly affects relapse tendency through regulatory emotional self-efficacy; (3) Regulatory emotional self-efficacy can directly and negatively predict relapse tendency, and can also indirectly and negatively predict relapse tendency through coping style. Stress coping theory, tension elimination theory, and the self-administration hypothesis are applicable to explain the tendency to relapse due to stress among compulsory isolated drug abusers in China; Regulatory emotional self-efficacy and coping style play a chain mediating role between stress and relapse tendency of male individuals with drug addiction. [ABSTRACT FROM AUTHOR]

AbstractThe pathways between personality traits and older adults’ quality of life (QOL) have been well studied. However, perceived social support and positive coping styles should not be ignored by older adults’ QOL. Hence, this study examines the chain mediating role of perceived social support and positive coping styles between personality traits and older adults’ QOL. In total, 230 older individuals (Meanage = 69.43, SDage = 7.23, age range from 60 to 93) participated in this study. All older people provided a rating of QOL and perceived social support, the Chinese Big Five personality, and positive coping styles. (1a) the five personality traits of older adults were significantly associated with QOL; (2b) perceived social support mediated the relationship between three personality traits (neuroticism, extraversion, and agreeableness) and QOL; (3c) positive coping styles played a mediator role in the personality traits (neuroticism, extraversion, and agreeableness) and QOL; (4d) perceived social support and positive coping styles had a significant chain mediating effect on the three dimensions of personality traits (neuroticism, extraversion, and agreeableness) and QOL. As mediating influences, social support and positive coping styles can be applied to efforts to promote QOL for older adults who share the personality traits of neuroticism, extraversion, and agreeableness. [ABSTRACT FROM AUTHOR]

Background: Relatives of patients with mental illnesses such as schizophrenia and depression experience significant levels of anxiety. Accurately predicting their anxiety levels is crucial for the development of effective anti-anxiety interventions aimed at mitigating associated adverse outcomes. Methods: In this cross-sectional study, 238 relatives of patients with mental illness were recruited, and their responses were collected using the generalised anxiety disorder-7 (GAD-7) and simplified coping style questionnaire (SCSQ) scales. One-way analysis of variance and t-test were used to assess the mean scores of GAD-7 and SCSQ among relatives with varying characteristics. Pearson's correlations were used to examine the correlation between anxiety levels and coping style. Multi-level regression analyses were used to identify the impact of the independent variables on anxiety. Results: Among all relatives of patients with mental illness who participated in this survey, 238 completed the questionnaire. Females exhibited a higher mean GAD-7 score (9.72 ± 0.25) compared to males. Among participants aged 18–25 years, the GAD-7 (8.12 ± 0.17) score was the highest. Additionally, relatives of patients experiencing their first episode or with a disease duration of < 1 year, as well as relatives of patients with schizophrenia and depression, displayed higher GAD-7 scores. Correlation analysis revealed a positive correlation between anxiety and SCSQ (negative coping styles) (r = 0.476, p < 0.01). Multi-level regression analyses demonstrated that demographic variables (R2 = 0.474, F = 21.402, p < 0.01) and SCSQ (R2 change = 0.638, F = 37.526, p < 0.01) were significantly and positively associated with anxiety among relatives of patients with mental illness. Conclusions: Most relatives of patients with mental illness experience varying levels of anxiety, which are influenced by their coping styles. [ABSTRACT FROM AUTHOR]

Objective: To explore the relationship between family cohesion and suicide tendency among graduate student and the role of resilience and coping style between them. Methods: A total of 3 945 graduate students were assessed with the Adolescents' Suicide Tendency (AST), Family Environment Scale (FES), Connor-Davidson Resilience Scale (CD-RISC), and Trait Coping Style Questionnaire (TCSQ). The mediating effect of resilience and the moderating effect of positive coping style were examined by using latent moderate structural equations. Results: The degree of AST was negatively associated with the family cohesion scores (β = 0.22). The scores of CD-RISC played a partial mediating role between the scores of family cohesion and AST, and the mediating effect was 3.92 (95% CI: 4.44 3.41), the mediating effect accounted for 43.41% of the total effect. The scores of positive coping style played a moderating role in the relationship between the scores of graduate student' AST and family cohesion (β = 0.06). Conclusion: The suicide tendency of graduate students may be related to family cohesion, resilience and positive coping style. [ABSTRACT FROM AUTHOR]

Aim: To understand the status of internalized stigma in patients with rheumatoid arthritis (RA) and explore its relationship with self‐esteem, social support, and coping style. Methods: This cross‐sectional study selected patients with RA who visited the Rheumatology and Immunology Department of a tertiary hospital from May 2022 to May 2023. The Chinese versions of the Internalized Stigma of Mental Illness Scale‐Rheumatoid Arthritis (ISMI‐RA), Social Support Rating Scale, Rosenberg Self‐Esteem Scale, and Medical Coping Style Questionnaire were administered to assess the internalized stigma, social support, self‐esteem, and coping styles, respectively. The Pearson correlation test or Spearman rank correlation was then used to analyze the correlation between these measures. Results: Overall, 69.5% participants reported high level of internalized stigma. The average age of the 174 participants was 52.67 ± 12.24 years, with 87.36 per cent female patients. The mean ISMI‐RA score was 54.49 ± 9.62, and the ISMI‐RA subscale with the highest average score was alienation. The Pearson's correlations show that internalized stigma was positively associated with the coping styles of avoidance (r =.212, p <.01) and acceptance (r =.560, p <.01), and that internalized stigma was negatively associated with the coping styles of confrontation (r = −.479, p <.01), social support (r = −.570, p <.01), and self‐esteem(r = −.512, p <.05). Conclusion: The high level of internalized stigma in RA patients suggests that we should develop interventions to improve patients' self‐esteem, encourage them to adopt positive coping styles, and gain more social support for them, so as to alleviate their internalized stigma. [ABSTRACT FROM AUTHOR]

Future self-continuity refers to individuals' perceived degree of continuity and coherence between present and future selves. Recent studies have documented the negative associations between future self-continuity and various aspects of negative emotional states including stress, anxiety, and depression. Although the reduced future self-continuity is typically assumed to cause negative emotional states, the reverse path is also possible. This study aimed to investigate the reciprocal associations between future self-continuity and negative emotional states, exploring the mediating effects of coping style. We collected 3 waves of data at 6-month intervals from Chinese students in higher education (N = 402, M = 21.16 years old, SD = 1.81, 47% females). Cross-lagged panel models showed that future self-continuity at Time 2 negatively predicted negative emotional states at Time 3, while all cross-lagged effects of negative emotional states on future self-continuity were negative and significant. Moreover, coping style mediated the reciprocal relations between future self-continuity and negative emotional states. These results indicated that future self-continuity and negative emotional states appear to be bidirectionally associated, highlighting the mediating role of coping style. Such findings have potential implications for promoting future self-continuity and reducing negative emotional states of students in higher education. [ABSTRACT FROM AUTHOR]

AbstractObjectiveMethodsResultsConclusionThe primary goal for clinical healthcare professionals is to enhance the quality of life (QOL) of patients with amyotrophic lateral sclerosis (ALS). This study aimed to explore the correlation between social support, coping style, advance care planning (ACP) readiness, and QOL in patients with ALS. We also sought to analyze the mediating effect of coping style and ACP readiness between social support and QOL, and to provide insights for developing targeted interventions to improve patients’ QOL.A cross-sectional design was used, with participants recruited through convenience sampling in Tianjin, China. Statistical analysis included the t-test, analysis of variance, correlation analysis, and mediating effect analysis.The study included 215 participants. The QOL of patients with ALS was at a medium level, with significant correlations between social support, coping style, ACP readiness, and QOL (all p < 0.01). The direct effect of social support on QOL was 0.403 (p = 0.018), accounting for 41.85% of the total effect. The total indirect effect of social support on QOL through coping style and ACP readiness was 0.560 (p < 0.001), accounting for 58.15% of the total effect. The chain mediating effect involving facing, avoiding, and ACP readiness accounted for 16.72%.Social support directly influenced QOL and had an indirect impact through coping style and ACP readiness. Healthcare professionals can improve the QOL of patients with ALS by enhancing social support, disease-coping ability, and ACP readiness in clinical practice. [ABSTRACT FROM AUTHOR]

ABSTRACT Background Objective Design Methods Results Conclusions Relevance to Clinical Practice In China, caregiving for cancer patients is primarily the responsibility of family members. This role often exposes family caregivers to the contemplation of mortality. Death anxiety among family caregivers may influence the care they offer to cancer patients.This study aims to evaluate the prevailing level of death anxiety among Chinese family caregivers of cancer patients and identify its influencing factors.This cross‐sectional study followed the STROBE statement.A total of 220 family caregivers of cancer patients were recruited from a prominent tertiary hospital in southern China. The survey included a general information questionnaire, the Collett–Lester Fear of Death Scale, the Social Support Rating Scale and the Simple Coping Style Questionnaire. In addition to descriptive statistics, ANOVA, mean differences, correlations and regression analyses were computed.The average score for death anxiety among family caregivers of cancer patients was 104.27 ± 21.02. Death anxiety was negatively correlated with a positive coping style and social support. Multiple linear regression analysis revealed that marital status, death education, patients' fear of death and coping style accounted for 41.0% of the variance in death anxiety among family caregivers.Family caregivers of cancer patients experienced a moderate level of death anxiety. Individuals who were unmarried or divorced, lacked death education, had negative coping styles or cared for patients with fear of death tended to have high levels of death anxiety.Healthcare providers should act as credible educators to reduce caregivers' death anxiety by imparting positive coping styles and accurate knowledge and values about death so caregivers can provide high‐quality care to patients. [ABSTRACT FROM AUTHOR]

We aimed to examine whether positive and negative coping styles mediated the influences of childhood trauma on NSSI or depressive severity in adolescents with major depressive disorder (MDD). The Children's Depression Inventory (CDI), the Ottawa Self-Injury Inventory Chinese Revised Edition (OSIC), the short-form Childhood Trauma Questionnaire (CTQ-SF), and the Simplified Coping Style Questionnaire (SCSQ) were evaluated in 313 adolescents with MDD. MDD adolescents with NSSI had higher CTQ-SF total score, emotional and sexual abuse subscale scores, but lower CDI total and subscale scores compared to the patients without NSSI. The multiple linear regression analysis revealed that emotional abuse (β = 0.075, 95 % CI: 0.042–0.107) and ineffectiveness (β = −0.084, 95 % CI: −0.160 ∼ −0.009) were significantly associated with the frequency of NSSI in adolescents with MDD, but emotional abuse (β = 0.884, 95 % CI: 0.570–1.197), sexual abuse (β = 0.825, 95 % CI: 0.527–1.124) and negative coping style (β = 0.370, 95 % CI: 0.036–0.704) were independently associated with the depressive severity in these adolescents. Furthermore, the mediation analysis demonstrated that positive coping style partially mediates the effect of childhood trauma on NSSI (Indirect effect = 0.002, 95 % bootCI: 0.001–0.004), while the negative coping style partially mediates the relationship between childhood trauma and depressive severity (Indirect effect = 0.024, 95 % bootCI: 0.005–0.051) in adolescents with MDD. A cross-sectional design, the retrospective self-reported data, the small sample size. Our findings suggest that coping styles may serve as mediators on the path from childhood trauma to NSSI or depressive severity in MDD adolescents. • Adolescent depressive patients with nonsuicidal self-injury (NSSI) had higher level of childhood maltreatment compared to patients without. • Childhood maltreatment is positively correlated to the NSSI and depressive severity in adolescents with major depressive disorder. • The coping style can mediate the effect of childhood trauma on NSSI and depressive severity in depressive adolescents. [ABSTRACT FROM AUTHOR]

Abstract Background Kinesiophobia, an irrational fear-avoidance behaviour, can significantly impact the quality of life and prognosis of peritoneal dialysis patients. This study aimed to assess the prevalence of kinesiophobia in patients undergoing peritoneal dialysis and to analyse its influencing factors. Methods A total of 291 patients who visited the outpatient and ward of peritoneal dialysis in 7 tertiary hospitals in Jiangsu Province from December 2023 to March 2024 were selected as research subjects via the convenience sampling method. A cross-sectional survey was conducted using a general data questionnaire, the Tampa Kinesiophobia-11 Scale, the Chinese Version of the Multidimensional Fatigue Symptom Scale, and the Simplified Coping Style Questionnaire. Results The score obtained using the Tampa Scale for kinesiophobia in patients with peritoneal dialysis was 22.44 ± 7.46, with a prevalence rate of 69.1%. Binary logistic regression analysis revealed that no complications, daily exercise before illness, and positive coping styles were protective factors (p

Abstract Background Maladaptive illness perception and coping strategies have been linked to illness-related quality of life in patients with chronic diseases. However, the impact of illness perception and coping strategies on vision-related quality of life (VRQOL) in patients with diabetic retinopathy (DR), a significant microvascular complication of diabetes mellitus, remains unclear. This study aims to evaluate the associations among illness perception, coping styles, and VRQOL in Chinese patients with DR, and to explore the mediating role of coping styles in the relationship between illness perception and VRQOL. Methods This cross-sectional study included 303 adult Chinese with DR recruited from a general Grade-A tertiary hospital in Hunan, China. All participants completed clinical and demographic questionnaires. The Brief Illness Perception Questionnaire (BIPQ), the National Eye Institute 25-Item Visual Function Questionnaire (NEI-VFQ-25), and the Medical Coping Modes Questionnaire were respectively adopted to assess the illness perception, VRQOL and coping styles. The BIPQ total scores were converted to logit scores using Rasch analysis. The NEI-VFQ-25 composite scores were converted to estimated person measures based on Rasch analysis and the method of successive dichotomizations. The relationships among these variables were assessed through independent-sample t-test, one-way analysis of variance, correlation analyses and multiple linear regression analysis, while SPSS Process model and the bootstrap analysis were utilized to evaluate the mediating effect. Results Illness perception was positively correlated with resignation coping style (r = 0.33, P

Abstract Due to the importance of medical students in the buildup of the health system and the influence of professional identity in their study, the aim of the study is to focus on the impact of academic satisfaction and professional identity on Chinese medical students during their career transformation, taking into consideration other factors that play a role in this relationship. 735 junior and senior medical university students from two training hospital were surveyed by using a cluster sampling method. The questionnaire included academic satisfaction scale, career transition psychological scale, simple coping style questionnaire and professional identity questionnaire. Pearson correlation and process plug-in model 6 were used for chain mediation analysis. The results show that in the career transition period, there is a direct relationship between academic satisfaction and career identity, and a chain intermediary relationship between academic satisfaction and self-confidence and coping style. In addition to our findings, we also assert that academic satisfaction has a direct impact on self-confidence and positive coping style in the transition period, and is a predictor of professional identity, whether directly or through the chain intermediary of self-confidence and coping style in the transition period. The results showed that academic satisfaction was sequentially associated with increased self-confidence, and then increased positive coping styles, which resulted in higher professional identity among medical students.

Abstract Background Relatives of patients with mental illnesses such as schizophrenia and depression experience significant levels of anxiety. Accurately predicting their anxiety levels is crucial for the development of effective anti-anxiety interventions aimed at mitigating associated adverse outcomes. Methods In this cross-sectional study, 238 relatives of patients with mental illness were recruited, and their responses were collected using the generalised anxiety disorder-7 (GAD-7) and simplified coping style questionnaire (SCSQ) scales. One-way analysis of variance and t-test were used to assess the mean scores of GAD-7 and SCSQ among relatives with varying characteristics. Pearson’s correlations were used to examine the correlation between anxiety levels and coping style. Multi-level regression analyses were used to identify the impact of the independent variables on anxiety. Results Among all relatives of patients with mental illness who participated in this survey, 238 completed the questionnaire. Females exhibited a higher mean GAD-7 score (9.72 ± 0.25) compared to males. Among participants aged 18–25 years, the GAD-7 (8.12 ± 0.17) score was the highest. Additionally, relatives of patients experiencing their first episode or with a disease duration of

Shuoshuo Li,1 Zhongtao Zhou,1 Ling Cheng,1 Weina Du,1 Zhengqun Pan,2 Jing Zhang3 1School of Nursing, Bengbu Medical University, Bengbu, People’s Republic of China; 2Forest Heights LTC, Kitchener, Ontario, Canada; 3School of Mental Health, Bengbu Medical University, Bengbu, People’s Republic of ChinaCorrespondence: Jing Zhang, School of Mental Health, Bengbu Medical University, Bengbu, 233030, People’s Republic of China, Email mini0217@126.comObjective: Fear of recurrence and reproductive concerns are great public health concerns among breast cancer patients in childbearing age. The purpose of this study was to explore whether psychological resilience and coping styles play mediating roles in fear of recurrence and reproductive concerns among Chinese breast cancer patients in childbearing age.Methods: A total of 1267 breast cancer patients of childbearing age completed the questionnaires, including a brief demographic questionnaire survey. The Chinese version of the Fear of Cancer Recurrence Scale and the Chinese version of the Reproductive Concerns Scale were used to assess the fear of recurrence and reproductive concerns, respectively. And the psychological resilience scale and the simple coping style questionnaire were used to evaluate breast cancer patients’ psychological resilience and coping style during childbearing age. Mediation analyses were conducted by using PROCESS macro in the SPSS software.Results: Fear of recurrence had both direct and indirect effects on Reproductive Concerns. psychological resilience and coping style were not only independent mediators in the relationship between fear of recurrence and Reproductive Concerns but also chain mediators.Conclusion: The results of the current study highlight the crucial role of early intervention for Reproductive Concerns with a focus on fear of recurrence of breast cancer patients of childbearing age, more especially, on those with poorer psychological resilience and coping style.Keywords: childbearing age, breast cancer, fear of recurrence, reproductive concerns, psychological resilience, coping style

Man Zhang,1,2,&ast; Siman Nie,3,&ast; Ziwei Hai,2 Yixin Du,2 Menghan Jiang,4 Chunfeng Cai2 1Department of Oncology, The First Medical Centre, Chinese PLA General Hospital, Beijing, People’s Republic of China; 2Wuhan University School of Nursing, Wuhan, Hubei, People’s Republic of China; 3Beijing Tsinghua Changgung Hospital, Beijing, People’s Republic of China; 4Shandong University of Traditional Chinese Medicine College of Health Sciences, Jinan, Shandong, People’s Republic of China&ast;These authors contributed equally to this workCorrespondence: Chunfeng Cai, Faculty of Wuhan University School of Nursing, Wuhan, Hubei, People’s Republic of China, Email 1660433132@qq.comAim: Chronic disease self-management is critical to disease prognosis and patient quality of life. Several psychological factors influence this process of self-management. In this background, the present study investigated the impact of illness perceptions and coping style on self-management in people with peritoneal dialysis (PD).Methods: The study is a cross-sectional study. From May 2022 to January 2023, a convenience sampling method was used to recruit 246 peritoneal dialysis patients. General information questionnaire, brief illness perception questionnaire, medical coping style modes questionnaire and the self-management scale for peritoneal dialysis patients were used in this study. We used SPSS 24.0 to analyze the data, and the statistical methods included descriptive analysis, single factor analysis, Pearson correlation analysis and multiple linear regression analysis.Results: A total of 246 patients were included in this study (93.89% response rate). Cognitive representations and emotional representations were 30.40, 14.18, respectively. However, illness comprehensibility was 2.87. Illness perceptions were negative significantly correlated with self-management. With regard to coping style, our patients were more likely to adopt avoidance and resignation coping style. Confrontation and avoidance were positively related to self-management, while acceptance-resignation was negatively related.Conclusion: Self-management of peritoneal dialysis patients needs to be improved. Age, female sex, monthly income, illness perceptions and coping style were independently associated with self-management.Impact: These findings suggest that interventions that improve illness perceptions and coping style should be explored to ultimately improve their self-management. For example, patients can be provided with psychological counseling so that they can face the disease correctly, and we should pay attention to the positive role of social support.Keywords: peritoneal dialysis, illness perception, coping style, self-management

Objective·To assess the levels of pregnancy-related stress, pre-pregnancy health care behaviors, and coping styles among pregnant women,analyze the influencing factors of pregnancy stress and provide insights for the management of pregnancy health in expectant mothers.Methods·A total of 265 pregnant women receiving treatment at the Obstetrics Clinic of the Affiliated Hospital of Zunyi Medical University from April to August 2022 were included as participants. General information questionnaires, pre-pregnancy health care behavior questionnaires, pregnancy stress scales and simple coping style questionnaires were utilized for data collection. After obtaining the consent of the patients, assessments on pregnancy stress levels, pre-pregnancy health care behaviors, and coping styles were conducted.Results·The overall average score for pregnancy stress among pregnant women was 1.05±0.41. Multiple linear regression analysis revealed that age, number of pregnancies, history of threatened abortion, fetal gender expectations, attending prenatal education classes or reviewing relevant manuals significantly influenced pregnancy-related stresses (P

Rina Sa,1 Jingjing Zhang,1 Haiyang Xu2 1Department of Ophthalmology, The First Hospital of Jilin University, Changchun, People’s Republic of China; 2Department of Anesthesia, The First Hospital of Jilin University, Changchun, People’s Republic of ChinaCorrespondence: Haiyang Xu, Department of Anesthesia, The First Hospital of Jilin University, 1 Xinmin Dajie, Chaoyang District, Changchun City, Jilin Province, People’s Republic of China, Tel +8615804303312, Fax +0431-81875567, Email xu_hy@jlu.edu.cnPurpose: To investigate the influencing factors of self-management of diabetic retinopathy (DR) by constructing a structural equation model (SEM) to analyze the relationships among self-management behavior, perceived social support, and trait coping style as well as to determine the influencing path in order to provide a theoretical reference for exploring a multipath health management model that can be used to improve the quality of life of DR patients.Patients and Methods: A total of 388 patients with DR were enrolled in this cross-sectional study conducted from January 2020 to January 2023. All subjects completed a general questionnaire and were assessed by the Self-management Scale for Patients with Diabetic Retinopathy, the Perceived Social Support Scale, and the Trait Coping Style Scale. Structural equation modeling was employed to examine the relationship between self-management and its influencing factors. The bootstrap method was used to examine the path relationships among self-management, perceived social support, and trait coping styles in DR patients.Results: A total of 346 valid questionnaires were collected in this study, with a response rate of 89% (346/388). The average score of self-management of DR patients was 69.50± 18.32, and it was significantly positively correlated with perceived social support and positive coping (r=0.624, r=0.578, both P< 0.01). The total effect of perceived social support on DR self-management was 1.439, with a direct effect of 1.056 and an indirect effect of 0.384. Positive coping played a mediating role in perceived social support and self-management.Conclusion: The self-management of DR was at an intermediate level. Perceived social support and trait coping styles were important influencing factors for self-management behavior in DR patients. Therefore, improving perceived social support and trait coping styles can promote the self-management behavior of DR patients, reduce their psychological burden, and improve their compliance and quality of life.Keywords: diabetic retinopathy, self-management, social support, coping style, structural equation model

Abstract Objective The aim of this study is to examine the impact of a nursing intervention based on stress system theory, coupled with painting therapy, on children experiencing post-traumatic stress disorder (PTSD) subsequent to an accidental injury. Methods The clinical data of 100 children diagnosed with PTSD following accidental injuries were retrospectively analyzed for the period spanning April 2021 to May 2023. There were 48 children who received standard nursing care between April 2021 and April 2022 in the control group, and 52 children who received nursing intervention based on stress system theory combined with painting therapy between May 2022 and May 2023 in the observation group. Scores of PTSD Self-evaluation Scale (PTSD-SS), post-traumatic growth, coping style, quality of life, and family satisfaction were compared between the two groups. Results Prior to nursing care, the scores of each dimension in the PTSD-SS, post-traumatic growth, coping style, and quality of life were similar between the two groups (P > 0.05). Following nursing intervention, the observation group exhibited lower scores in each dimension of the PTSD-SS compared to the control group. Moreover, the scores in each dimension of the children’s version of the Post-Traumatic Growth Inventory (PTGI) were higher in the observation group than in the control group. Additionally, the Confrontation scores in the Medical Coping Modes Questionnaire (MCMQ) were higher in the observation group than in the control group, while the scores of Avoidance and Resignation were lower in the observation group than in the control group. The scores of each dimension in the Pediatric Quality of Life Inventory Measurement Models (PedsQL4.0) were higher than those in the control group (P

BackgroundStroke patients commonly experience varying degrees of psychological distress. Previous studies have shown that the psychological distress of stroke patients is closely related to their coping styles and resourcefulness. However， the path of wisdom in coping style and psychological pain of stroke patients is still unclear.ObjectiveTo explore the path of resourcefulness between coping styles and psychological distress in stroke patients， so as to provide insights for interventions targeting psychological distress.MethodsA total of 350 patients who met the diagnostic criteria for stroke according to the Diagnostic Criteria of Cerebrovascular Diseases in China （version 2019） and were admitted to the neurology departments of two tertiary grade-A hospitals in Luzhou City from January to May 2023 were selected as the research subjects. Basic information was collected using a self-designed questionnaire， and Resourcefulness Scale （RS）， Medical Coping Mode Questionnaire （MCMQ） and Distress Thermometer （DT） were used for assessment. Pearson correlation analysis was conducted to examine the correlation between the scores of each scale. Model 4 of the Process 3.4.1 program was employed to analyze the path of resourcefulness between coping styles and psychological distress， and the Bootstrap method was used to test the mediation effects.ResultsThe DT score showed a negative correlation with the confrontation and RS scores （r=-0.581， -0.716， P

Abstract Background According to previous studies, unpredictability in childhood could significantly increase the risk of depression in adulthood. Only a few studies have explored the relationship between these two variables in China. This paper aims to explore the relationship between unpredictability in childhood and depression and examine the mediating roles of coping styles and resilience. Methods We investigated 601 college students, who had an average age of 19.09 (SD = 2.78) years. Participants completed questionnaires regarding unpredictability in childhood, coping style, resilience, and depression. We analyzed survey data using the bias-corrected bootstrap method. Results The findings revealed a significant positive association between unpredictability in childhood and depression among college students. Mature coping style, immature coping style, and resilience were found to mediate this relationship independently. Furthermore, the study unveiled a serial mediation process, wherein both mature and immature coping styles, followed by resilience, sequentially mediate the relationship between unpredictability in childhood and depression, underscoring the complex interplay between these variables. Conclusions The results indicated that the risk of depression among college students who have experienced unpredictable childhood should be valued. Attention to coping styles and resilience should be paid to decrease depression among college students who have experienced unpredictable childhood.

Objective To investigate the influence of social support, self - efficacy and coping style on job burnout of telecommunication employees, and to provide practical guidance for reducing job burnout of telecommunication employees. Methods This study used stratified random sampling to conduct a questionnaire survey among 8073 telecommunication employees, using Social Support Scale, Coping Style Scale, General Self - Efficacy Scale and Job Burnout Scale. Pearson correlation analysis and SPSS PROCESS model 6 were used to construct a chain mediating effect model to study the mediating path of social support on job burnout of telecommunication employees. Results Self - efficacy and coping style had a significant mediating effect on social support and job burnout, and the effect sizes were - 0. 072 (95% Cl: - 0. 08 - - 0. 608) and - 0. 204 (95% CI: - 0.221 - - 0. 189), respectively. Self - efficacy and coping style played a significant chain mediating role in the effect of social support on job burnout of telecommunication employees, and the effect size was - 0. 034 (95% CI: - 0. 039 - - 0. 029). Conclusion Social support, self - efficacy and coping style are important factors affecting job burnout of telecommunication employees. Self - efficacy and coping style play a chain mediating role between social support and job burnout. The results of this study suggest that increasing social support for telecommunication employees, promoting them to form positive coping styles and improving their self - efficacy are important ways to alleviate their job burnout. [ABSTRACT FROM AUTHOR]

Objective To explore the post-traumatic growth level and related influencing factors of liver cancer patients after surgery. Methods A total of 80 liver cancer patients who underwent surgical treatment in the hospital from September 2019 to August 2023 were selected. The questionnaire survey was conducted by the posttraumatic growth assessment scale (PTGI), general information questionnaire, simplified coping style questionnaire (SCSQ), and perceived social support scale(PSSS). The post-traumatic growth level and related influencing factors of liver cancer patients after surgery were analyzed. Results The total postoperative PTGI score of 80 liver cancer patients was(61.58±10. 32) points. There was statistically significant difference in PTGI scores among patients from different families based on their per capita monthly income, marital status, educational level, social support, and coping styles(P<0.05). Low per capita monthly income, divorce or widowhood, low education level, low social support level, and negative coping were high-risk factors for posttraumatic growth of liver cancer patients after surgery (P<0.05). Conclusion The post-traumatic growth level of liver cancer patients after surgery is at a moderate level. Low per capita monthly income, divorce or widowhood, low education level, low social support level, and negative coping are high-risk factors that affect the posttraumatic growth level of liver cancer patients after surgery. [ABSTRACT FROM AUTHOR]

Objectives: Patients with Somatic Symptom and Related Disorders (SSRD) report subjective cognitive concerns, and research indicates that they show objective cognitive impairment. This study explored the value of subjective concerns flagging objective impairment. Furthermore, we investigated whether coping moderated this relationship, and the role of depressive symptomatology. Method: In a cross-sectional design, objective impairment was measured with an extensive neuropsychological assessment; subjective concerns with the Cognitive Failure Questionnaire; coping styles with the Coping Inventory of Stressful Situations; and symptoms of depression with the Patient Health Questionnaire- 9. Results: The results show that subjective concerns are of limited value in signaling objective impairment in patients with SSRD. Regression analyses performed on data from 225 patients showed that symptoms of depression (β =.32) were the main predictor of subjective concerns, which were unrelated to objective impairment. Coping was not a moderator, but patients with emotion-oriented coping styles had more subjective concerns (β=.40), and conversely, patients with avoidance- and/or task-oriented coping styles had less (respectively, β=-.27 and β=-.24). Conclusions: These results align with the Somatosensory Amplification Theory; patients with SSRD may amplify benign cognitive failures and experience them as intrusive, noxious, and more intense. In patients with SSRD, subjective cognitive concerns are more related to psychological constructs (symptoms of depression and coping styles) than to objective impairment. [ABSTRACT FROM AUTHOR]

Introduction: Amidst the rising number of cancer survivors and personnel shortages, optimisation of follow-up strategies is imperative, especially since intensive follow-up does not lead to survival benefits. Understanding patient preferences and identifying the associated patient profiles is crucial. Coping style may be a key determinant in achieving this. Our study aims to evaluate preferences, identify coping styles and their associated factors, and explore the association between coping style and patients’ preferences in colorectal cancer (CRC) follow-up. Methods: In a prospective multicentre implementation study, patients completed the Threatening Medical Situations Inventory (TMSI) to determine their coping style. Simultaneously patients choose their follow-up preferences for the CRC trajectory regarding frequency of tumour marker determination, location of blood sampling, and manner of contact. Results: A total of 188 patients completed the TMSI questionnaire after inclusion. A more intensive follow-up was preferred by 71.5% of patients. Of all patients, 52.0% had a coping style classified as ‘blunting’ and 34.0% as ‘monitoring’. Variables such as a younger age, female gender, higher educational level, and lower ASA scores were associated with having higher monitoring scores. However, there were no significant associations between follow-up preferences and patients’ coping styles. Conclusion: This study suggests that none of the provided options in a patient-led follow-up are unsuitable for patients who underwent curative surgery for primary CRC, based on coping style determined at baseline. Low-intensity surveillance after curative resection of CRC may, therefore, be suitable for a wide range of patients independent of coping styles. [ABSTRACT FROM AUTHOR]

Objective To assess the levels of pregnancy-related stress, pre-pregnancy health care behaviors, and coping styles among pregnant women, analyze the influencing factors of pregnancy stress and provide insights for the management of pregnancy health in expectant mothers. Methods • A total of 265 pregnant women receiving treatment at the Obstetrics Clinic of the Affiliated Hospital of Zunyi Medical University from April to August 2022 were included as participants. General information questionnaires, pre-pregnancy health care behavior questionnaires, pregnancy stress scales and simple coping style questionnaires were utilized for data collection. After obtaining the consent of the patients, assessments on pregnancy stress levels, pre-pregnancy health care behaviors, and coping styles were conducted. Results • The overall average score for pregnancy stress among pregnant women was 1.05±0.41. Multiple linear regression analysis revealed that age, number of pregnancies, history of threatened abortion, fetal gender expectations, attending prenatal education classes or reviewing relevant manuals significantly influenced pregnancy-related stresses (P<0.05). The score of pre-pregnancy health care behavior was 10.09±2.63 with proportions indicating high-level, medium-level, and low-level adherence at 17.36%, 54.34%,and 28.30%. In pregnant women, the total score for coping styles was 27.22±9.68, with a positive coping dimension score of 17.79±9.84 and a negative coping dimension score of 9.42±7.39. Pearson correlation analyses demonstrated a negative association between pregnancy-related stresses and pre-pregnancy health care behaviors (r= - 0.313, P< 0.01), and a negative correlation between pregnancy-related stresses and coping styles (r= - 0.163, P<0.01), while a positive relationship existed between pre-pregnancy health care behaviors and coping styles (r=0.220, F<0.01). Conclusion* Pregnant women experience moderate levels of pressure during their pregnancies and have suboptimal engagement in preconceptional healthcare practices. Nursing staff should intensify efforts towards disseminating knowledge on preconceptional healthcare practices, thereby empowering women of childbearing age to actively acquire pertinent reproductive-health knowledge prior to conception so that minimizing adverse maternal-infant outcomes, optimizing maternal-infant healthcare strategies, and enhancing overall well-being can be achieved through these measures. [ABSTRACT FROM AUTHOR]

Objective: This study explored the effects of social support, illness perception, coping style, and vision-related quality of life (VRQOL) in older patients with dry eye disease (DED) using a chain mediation model. Methods: A total of 407 patients with DED from a tertiary hospital in Wuxi, Jiangsu Province, China, between June and December 2023 were selected as participants. A demographic questionnaire, the Social Support Rating Scale, the Brief Illness Perception Questionnaire, the Medical Coping Modes Questionnaire, and the National Eye Institute Visual Functioning questionnaire-25 were all given to them to complete. IBM SPSS (version 27.0) was used for data analysis, and Model 6 of the PROCESS Macro was used to test the predicted chain mediation model. Results: The positive association between social support and VRQOL demonstrated the mediation role of illness perception and coping style. Social support affected VRQOL via three pathways: illness perception (effect = 0.190), confrontational coping style (effect = 0.103), and a combination of illness perception and confrontational coping style (effect = 0.067), accounted for 23.60%, 12.80%, and 8.32% of the total effect, respectively. Conclusion: Social support in older patients with DED can significantly and positively predict the VRQOL. In addition to the independent mediating effect of illness perception and confrontational coping style, a chain-mediating effect exists between social support and VRQOL. The study serves as a valuable strategy for healthcare professionals to prevent and intervene in VRQOL for older patients with DED in the future. [ABSTRACT FROM AUTHOR]

Background Aims Methods Results Discussion Individuals with schizophrenia tend to have negative coping styles and low levels of self‐esteem, but it is unclear whether coping styles and self‐esteem levels are altered in people in the prodromal phase of psychosis.The study was designed to assess the role of coping style and self‐esteem in the context of different phases of schizophrenia.Recurrent Schizophrenia (ReSch), first‐episode schizophrenia patients (FEP), genetic‐high risk for psychosis (GHR) patients, and healthy controls (HC) (40 per group) were subjected to in‐person clinical interviews. The results of these interviews were then used to gauge coping style and self‐esteem using the Coping Styles Questionnaire (CSQ) and the Rosenberg's Self‐Esteem Scale (RSES). Data were analyzed through ANCOVAs and logistic regression analyses.The results found that positive coping style (CSQ problem‐solving and CSQ seeking for help) generally decline with progression through the HC, GHR, and FEP groups, while negative coping style (CSQ fantasy, CSQ repression and CSQ self‐blame) generally increase with progression through the HC, GHR, and FEP groups (except that GHR group was slightly lower than HC group in CSQ self‐blame). Results for members of ReSch group were in line with those of members of the FEP group in coping style. At the level of self‐esteem, the GHR group was similar to the HC group and significantly higher than the FEP group and the ReSch group. Logistic regression analyses indicated that GHR group patients exhibited increased negative coping styles (CSQ fantasy) relative to members of the HC group, but had greater Positive coping style (CSQ problem‐solving) than did members of the FEP group.These findings suggest that both GHR individuals experience impaired negative coping styles which expands the understanding of the psychological characteristics of the prodromal group. Further explorations are warranted to develop optimal psychosocial interventions. [ABSTRACT FROM AUTHOR]

Time perspectives are the vital personality traits contributing to problematic internet use (PIU), which can be classified as the protective time perspective (future orientation) and the risky time perspective (present and past orientations). The future time perspective diminished the risk of developing PIU whereas present and past time perspectives made individuals vulnerable to PIU. Nevertheless, the systematic examination of the dual effects of time perspectives on PIU and the longitudinal relation between them is still an unsolved issue. Based on the interaction of person-affect-cognition-execution (I-PACE) model, the current study employed a three-wave longitudinal study, aiming to examine the potential dual pathways from time perspectives to PIU and the mediating role of coping styles among 539 Chinese adolescents (46.38% females, M = 15.35, SD = 1.36). Results indicated that the risky time perspective positively predicted PIU, while the protective time perspective negatively predicted PIU. In addition, the risky time perspective indirectly affected PIU by facilitating negative coping styles and reducing positive coping styles, whereas the protective time perspective indirectly influenced PIU by increasing positive coping styles. Findings support the I-PACE model and provide both theoretical significance and practical implications on intervening PIU among Chinese adolescents. [ABSTRACT FROM AUTHOR]

Benefit finding (BF), as a positive psychological response, has the potential to alleviate caregiving stress for informal caregivers. However, the impact of coping style and caregiving capability on the perception of BF throughout the caregiving process still needs to be explored, particularly in light of the changing caregiving situation. This study aimed (1) to explore the correlation among coping style, caregiving capability, and BF; (2) to determine whether caregiving capability mediates the relationship between coping style and BF; and (3) to determine whether this mediating effect varies with the caregiving situation. A cross-sectional study was conducted. 272 participants completed the Sociodemographic Questionnaire, Simplified Coping Style Questionnaire, Family Caregiver Task Inventory, and Benefit Finding Scale. Correlation analysis and multiple stepwise regression were used for data analysis; Hayes' PROCESS macro was used to determine the significance of the moderated mediation analysis. The results showed that (1) Coping style and BF were positively correlated, while caregiving capability was negatively correlated with coping style and BF. (2) Caregiving capability partially mediated the relationship between coping styles and BF. (3) Co-caregivers moderated the direct path of the relationship between coping style and BF, showing a substitution relationship. Improving the caregiving capability may be a novel approach to enhancing BF. Nursing staff should start with a positive coping style and caregiving capability and consider the factors of caregiving situations (co-caregivers) to maximize the intervention effect. [ABSTRACT FROM AUTHOR]

Background: It has been demonstrated that self‐efficacy and coping styles are related. However, whether there is a reciprocal longitudinal relation between self‐efficacy and coping styles needs to be examined. In this longitudinal study, we tested the reciprocal impacts of self‐efficacy and coping styles, taking into account the role of future self‐continuity (FSC) in these effects. Methods: The sample included 346 university students in central and southwestern China (48.3% female; Mage = 21.20). Three waves of questionnaire data were collected at half‐year intervals. Cross‐lagged models were adopted for data analysis. Results: Self‐efficacy at Waves 1 and 2 positively predicted positive coping style at Waves 2 and 3, and positive coping style at Waves 1 and 2 positively predicted self‐efficacy at Waves 2 and 3. Self‐efficacy at Waves 1 and 2 negatively predicted negative coping style at Waves 2 and 3, while negative coping style at Waves 1 and 2 did not significantly predict self‐efficacy at Waves 2 and 3. These results indicated the reciprocal causation of self‐efficacy and coping styles. Additionally, the mediation analysis revealed that FSC at Wave 2 played a mediating role in the unidirectional association between self‐efficacy at Wave 1 and negative coping style at Wave 3. Conclusions: These findings suggest that self‐efficacy and coping style have mutual influences over time partly explained by university students' FSC. Consequently, the results offer potential applied value for promoting positive coping strategies among university students. [ABSTRACT FROM AUTHOR]

To estigate the relationship between social support, self-efficacy, coping style, and self-perceived burden and the mechanisms that underlie the action in Chinese OSA patients. Between October 2022 and June 2023,316 OSA patients from two hospitals were surveyed. Data were collected using the General Demographic Characteristics Questionnaire, Social Support Rating Scale (SSRS), Self-Efficacy for Chronic Disease Scale (SECD6), and Simple Coping Style Questionnaire (SCSQ). Correlation analysis was performed using Pearson correlation. Regression analysis was performed using multiple linear regression analysis. The mediation effect analysis was performed using the Process macro (version 3.4.1) in SPSS. (1)This study confirmed that social support, self-efficacy, and coping styles had significant negative predictions regarding self-perceived burden. (2)The influence of social support on self-perceived burden in OSA patients is mainly through three indirect effects: single mediation effect of self-efficacy and coping style and interlocking mediation effect of self-efficacy→coping style. Social support can indirectly predict self-efficacy in OSA patients through the single mediation effect of self-efficacy and coping style and indirectly predict the self-perception burden in OSA patients through the linked mediation effects of self-efficacy and coping style. • Self-perceived burden was common among OSA patients and was overall moderate. • There was a significant negative relationship between self-perceived burden and social support, self-efficacy, and positive coping in OSA patients. • Self-efficacy and positive response in OSA patients play a mediation effect between social support and self-perceived burden, respectively, while self-efficacy and positive coping also play a chain mediation effect between social support and self-perceived burden. [ABSTRACT FROM AUTHOR]

Family is of paramount importance in individual growth and has significant impact on individual academic burnout. Despite of the importance of family functioning, the impact mechanism of overall family functioning on students academic burnout remains unclear. Therefore, this paper examined the mediating role of core self-evaluation and coping style between family functioning and academic burnout. In this study, 314 Chinese college students from different universities were investigated with the family functioning evaluation scale, core self-evaluations scale, simplified coping style scale, and academic burnout scale. The findings showed that family functioning, core self-evaluation, and coping style were significantly and positively correlated with each other. All three variables were significantly and negatively correlated with academic burnout. As expected, core self-evaluation and coping style play a full mediating role between family functioning and academic burnout. This research reveals the impact mechanism between family functioning and academic burnout among Chinese college students, providing effective intervention strategies focusing on students' core self-evaluation and coping style. [ABSTRACT FROM AUTHOR]

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Background: The prevalence of sleep quality problems and depression in the college student population has attracted widespread attention. However, the factors influencing this are still unclear. The objective of this study was to investigate the associations between self-compassion (S-C), sleep quality (SQ), and depression (DEP) among college students and examine the mediating effects of coping style (CS) between the variables. Methods: A total of 1,038 Chinese university students were recruited for the study. The study used the Self-Compassion Scale (SCS), Simplified Coping Style Questionnaire (SCSQ), Depression Anxiety Stress Scale 21 (DASS-21), and Pittsburgh Sleep Quality Index (PSQI) to conduct the survey. Results: The self-compassion and coping style showed significant negative correlations with sleep quality and depression. Coping style partially mediated the relationship between self-compassion and sleep quality. The coping style also fully mediated the relationship between self-compassion and depression. Conclusion: This study reveals the associations between self-compassion and sleep quality and depression, and the mediating role of coping style among college students. This study provides valuable insights for improving sleep quality and alleviating depression problems among college students. It emphasizes the importance of self-compassion and positive coping style. [ABSTRACT FROM AUTHOR]

Objective Methods Results Conclusion This study aimed to explore the relationship between coping styles, social support and quality of life among disabled older adults and to examine the mediating role of coping styles in the relationship between social support and quality of life.Using a purposive sampling method, three investigators conducted a face‐to‐face questionnaire survey of eligible participants in the geriatric department of a tertiary care hospital in one of the largest cities in southern China between August 2021 and March 2022. A total of 187 questionnaires were collected, of which 176 were valid, with an effective response rate of 94.1%.Social support and positive coping were positively related to disabled older adults' quality of life, while negative coping was negatively related to both social support and disabled older adults' quality of life. According to the mediating effect analysis after covariate adjustment, positive coping completely mediated the relationship between social support and older adults' quality of life (p < 0.01), with the mediating effect size accounting for 76.9% of the total effect. Negative coping had some mediating effect on the relationship between social support and older adults' quality of life (p < 0.01), with the mediating effect size accounting for 13.0% of the total effect.The quality of life of disabled older adults is low, which is closely related to their social support and coping styles. Therefore, it is important to recognize and emphasize the key role that social support systems play in improving the quality of life of this population, broaden their access to social support and guide them to adopt positive coping styles. [ABSTRACT FROM AUTHOR]

Motor impulsivity may be a predictor for generalized and specific problematic Internet uses in university students. The possible mediating role of coping style needs to be further researched. Among a sample of 726 Spanish university students, the present study examined the direct and indirect associations of motor impulsivity with generalized problematic internet use (GPIU), problematic social media use (PSMU), and problematic online gaming (POG), and the potential mediational role of coping styles. Results reported that motor impulsivity was directly associated with GPIU, PSMU, and POG, and indirectly associated with these problematic behaviours via the disengagement coping style. However, the engagement coping style did not play a mediating role. These findings suggest that disengagement coping style may, in part, explain the association between motor impulsivity and university students´ GPIU, PSMU, and POG, and provide empirical evidence for the theoretical hypothesis that different types of online problem behaviours share some aetiological mechanisms. [ABSTRACT FROM AUTHOR]

Background: According to previous studies, unpredictability in childhood could significantly increase the risk of depression in adulthood. Only a few studies have explored the relationship between these two variables in China. This paper aims to explore the relationship between unpredictability in childhood and depression and examine the mediating roles of coping styles and resilience. Methods: We investigated 601 college students, who had an average age of 19.09 (SD = 2.78) years. Participants completed questionnaires regarding unpredictability in childhood, coping style, resilience, and depression. We analyzed survey data using the bias-corrected bootstrap method. Results: The findings revealed a significant positive association between unpredictability in childhood and depression among college students. Mature coping style, immature coping style, and resilience were found to mediate this relationship independently. Furthermore, the study unveiled a serial mediation process, wherein both mature and immature coping styles, followed by resilience, sequentially mediate the relationship between unpredictability in childhood and depression, underscoring the complex interplay between these variables. Conclusions: The results indicated that the risk of depression among college students who have experienced unpredictable childhood should be valued. Attention to coping styles and resilience should be paid to decrease depression among college students who have experienced unpredictable childhood. [ABSTRACT FROM AUTHOR]

ObjectivesMethodsResultsConclusionsClinical ImplicationsAlthough the association between sleep disorders and frailty has been well established, little is known about the cognitive appraisal mechanisms underlying this association. Building on the transactional theory of stress and coping, this study explores the role of self-efficacy and coping style in the association between sleep quality and frailty among community-dwelling older adults.In this cross-sectional study, 585 community-dwelling older adults were investigated using the Pittsburgh Sleep Quality Index, Tilburg Frailty Indicator, General Self-Efficacy Scale, and Simplified Coping Style Questionnaire. Descriptive statistics and hierarchical regression were performed. A moderated mediation model was established using the PROCESS macro.Poor sleep quality affects frailty directly (B = 0.193, p < .01) and indirectly via self-efficacy (B = 0.063, p < .01). The negative impact of poor sleep on frailty through self-efficacy was moderated by both positive and negative coping style (index =  −0.007). The moderating effect was stronger when participants’ negative coping tendencies increased.Poor sleep quality indirectly influences frailty by modifying self-efficacy. Effective coping strategies can help attenuate this association.Timely sleep assessment and tailored strategies such as psychoeducational programs and targeted coping skills training may be beneficial for preventing frailty in older adults. [ABSTRACT FROM AUTHOR]

This study evaluated the growth and physiological response of proactive and reactive Colossoma macropomum juveniles in a recirculating aquaculture system (RAS). In Phase 1 of the experiment (50 days of cultivation), juveniles, weighing 2.16 ± 0.52 g, were stocked in 12 28-L tanks to test the following treatments: proactive (PT), reactive (RT) and mixed (MT) composed of reactive (MRT) and proactive (MPT) animals. In Phase 2 of the experiment (40 days of cultivation), the animals were transferred to 175-L tanks with the same treatments as Phase 1. The animals were fed twice a day with commercial diet during both phases. After Phase 1, MPT animals showed higher growth than MRT animals (P < 0.05), and higher weight gain and daily weight than PT animals (P < 0.05). After Phase 2, PT animals showed higher weight gain and daily weight gain than RT and MT animals (P < 0.05), as did MPT animals compared to PT animals. Performance for RT animals was superior (P < 0.05) to that of MRT animals. Glucose (P < 0.04) and cholesterol (P < 0.01) were higher for RT animals compared to PT animals. Cholesterol was higher for MPT animals compared to MRT animals (P < 0.01), while plasma protein was lower (P < 0.001). Glucose (P < 0.001) and cholesterol (P < 0.01) were higher for MPT animals compared to PT animals and for MRT animals compared to RT animals (glucose P < 0.02, cholesterol P < 0.01). After 90 days of cultivation, proactive animals cultivated separately presented better performance. When cultivated together, reactive animals experienced a decrease in performance and both stress coping styles showed more signs of stress. [ABSTRACT FROM AUTHOR]

Animals often experience changes in their environment that can be perceived as stressful. Previous evidence indicates that different individuals may have distinct stress responses. The role of serotonin (5-HT) in stress adaptation is well established, but its relationship with different defense strategies and the persistence of physiological and behavioral responses in different individuals during repeated acute stress remain unclear. In this study, using olive flounder (Paralichthys olivaceus) as a model, we analyzed the relationship between boldness and neurotransmitter 5-HT activity. We found that 5-HT suppression with 5-HT synthesis inhibitor p-chlorophenylalanine (pCPA) and 5-HT receptor subtype 1A (5-HT1A) antagonist WAY-100635 increased their oxygen consumption rates and the boldness of shy individuals. We determined the metabolic and behavioral changes in bold and shy individuals to repeated acute stress. The results suggest that bold individuals switch on passive "energy-saving" personality by changing their defense behavior from "fight-flight" to "freeze-hide" during a threat encounter, which manifests high behavioral plasticity. Both behavioral types decreased their spontaneous activity levels, which were also strengthened by limiting metabolic rate. Interestingly, treatment with pCPA and WAY-100635 before stress procedure attenuated stress and increased the boldness across diverse behavioral types. This study provides the initial empirical evidence of how perception of stress impacts both individual defense behavior and personality in this species. These findings can enhance our comprehension of individual variability and behavioral plasticity in animals, thereby improving our ability to develop effective adaptive management strategies. [ABSTRACT FROM AUTHOR]

Background: Increased job stress and burnout are common among clinical nurses in China, reducing their work efficiency and nursing quality. Multiple studies have been conducted on brief interventions to reduce job stress and burnout among nurses. However, research has been hampered by a lack of psychological knowledge among nursing staff. Aim: To assess a solution-focused brief therapy for enhancing nurses' coping styles and mitigating job stress and burnout based on interdisciplinary cooperation. Design: This randomised controlled trial. Settings: We randomly allocated 60 nurses working at a tertiary general hospital in a city in China to an experimental (n = 30) or a control group (n = 30). Methods: A collaborative research team comprising psychology and nursing specialists was established to conduct this study. The control group received routine psychological intervention, whereas the intervention group received a solution-focused brief therapy based on interdisciplinary cooperation. Chinese nurses’ job stressors, Maslach Burnout Inventory, and simplified coping style questionnaire were used to evaluate both groups before and after the intervention. Results: A comparison of the scores for job burnout, total job stress, and positive coping before and after the interventions revealed significant improvements in the experimental group, whereas the scores for emotional exhaustion, depersonalisation, and total job stress in the control group demonstrated statistically significant differences. No significant differences were observed in the scores for negative coping, personal accomplishment, and coping style between the test and control groups before and after the intervention. Conclusions: Solution-focused brief therapy implemented through interdisciplinary collaboration effectively enhances clinical nurses' active coping style, alleviates job stress and burnout, and offers valuable guidance for nursing management practices.

BackgroundChinese adolescents are at higher risk of depression, especially the mental health problems of financially disadvantaged medical students, which are significantly higher than those in other age groups, which brings great challenges to the mental health workers in universities.Methods1,280 medical students with a family poverty background in China completed a questionnaire on hardiness personality, coping style and mental health. After descriptive statistics and Pearson correlation analysis between hardiness personality, coping style and mental health levels, we tested the mediation of coping style and the moderating effects of gender.ResultsHardiness personality significantly positively affected the financially-struggling medical student’s mental health level. Positive coping style had a significant positive impact on hardiness personality and mental health level, while negative coping style had a significant negative effect on mental health level. Positive coping and negative coping are the mediators between financially-struggling medical students’ hardy personalities and mental health levels. In medical students with a family poverty background, gender plays a regulatory role in coping style and mental health levels. In medical students with a family poverty background, gender plays a moderate role in coping style and mental health levels.ConclusionThis study adds some knowledge about the effects of hardiness personality on individual mental health. It makes new recommendations for improving the mental health status of vulnerable groups, while it can support future investigations by scholars and educators on how to improve the mental health of students under learning and financial-related stress.

Background: During the COVID-19 pandemic, numerous studies focused on mental health, but few considered both positive and negative aspects within the dual-factor model of psychological well-being. In China, a highly populous country, limited evidence exists regarding mental health and its associated factors following the surge and decline of COVID-19 cases after the loosening of COVID-19 control measures. This study aims to investigate the mental health status of Chinese residents in the aftermath of the pandemic and factors influencing positive and negative indicators using the System-Based Model of Stress. Methods: A cross-sectional online survey of 1,026 participants was conducted in China from March 2–31, 2023, using quota sampling. Structural equation modeling (SEM) was performed to test the conceptual model, where social support, perceived susceptibility, perceived severity, pandemic-related events, coping style, and concern about COVID-19 were considered as predictors, and psychological distress and subjective well-being as outcomes. Results: The results revealed high prevalence rates of psychological distress (23 %) with either of anxiety (15 %) or depression (20 %), and poor subjective well-being (23 %) among Chinese residents after the COVID-19 pandemic. Social support was negatively correlated with psychological distress, and negative coping style, pandemic-related events, and concern about COVID-19 were positively correlated with psychological distress. Moreover, social support was positively correlated with subjective well-being, and negative coping style and pandemic-related events were negatively correlated with subjective well-being. Conclusions: These findings enhance our understanding of the differing correlates of positive and negative mental health, suggesting targeted psychological interventions for post-pandemic and future public health events.

Objective To explore the impacts of health empowerment model combined with binary coping intervention on neurological function,coping style,and hope level in elderly stroke patients. Methods A total of 144 elderly stroke patients admitted to Handan Central Hospital from October 2020 to October 2022 were selected as the research subjects,they were randomly separated into a reference group and an observation group,with 72 cases in each group.The reference group received routine nursing intervention,while observation group received health empowerment combined with binary coping intervention,The neurological function [National Institutes of Health Stroke Scale(NIHSS)] ,coping style [Simplified coping style questionnaire(SCSQ)] ,and hope level [Herth hope index(HHI)] of both groups were evaluated before and after intervention. Results There was no statistically significant difference in NIHSS scores,SCSQ scores,and HHI scores between the two groups before intervention(P>0.05).After intervention,the NIHSS scores of the observation group were lower than those in the control group(P