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Introduction Since World War 1, physicians have noted the calming effects of music for military personnel experiencing "shell shock," Post Traumatic Stress Disorder (PTSD), or stress. Researchers have documented that stress or PTSD-like symptoms re-emerge for veterans at the end of life, triggered by hospital-like settings, co-occurring conditions, and debilitation. Dying veterans also face integration of their service and combat experiences into summations of their lives. In response, there has been a national movement for bedside ceremonies, often with music, to honor veterans. Materials and Methods The project elicited veterans' musical preferences for calming and for music for honor services, using non-hospitalized veterans as surrogates for veterans in hospice. Respondent-driven sampling protected confidentiality and likely resulted in participants being representative of US veterans in terms of ethnicity, gender, and military branch. Recruitment materials contained all elements of informed consent, with consent collected in the introduction to the online survey. The survey had embedded links to musical performances, as well as write-in musical choices, and allowed US veterans from the Army, Air Force, Marines, and Navy to note their preferences both for music that was calming and music to be used in honor ceremonies. Online queries also asked about stress during service, usual coping strategies for stress, and current or past symptoms of PTSD. Links to hot lines were provided. The study was approved by the University of Arizona Institutional Review Board. Results Listening to music was the most prevalent of the 20 coping mechanisms for stress in this sample of 30 veterans. Musical preferences were stable across age groups. For calming, music at resting heartbeat rhythms was chosen. Music from early adulthood or from the timelessness of the classics was selected most often. Modern music with lyrics has themes of duty, affirmation, gratitude, and relief. The nearly universal soothing effects of lullabies were recognized. For music for honor ceremonies, desires were often independent of the military branch. Patriotic songs, or songs recognizing multiple service branches, or with themes of peace and affirmation were more often chosen than music from a particular service branch. Conclusion Listening to music is a frequent coping strategy for veterans. While themes representing classical music choices are readily available in anthologies, other music chosen by this sample is not; the veterans' preferred music is rarely found in compilations of popular, movie, and TV music. Hospice and hospital intakes that document and communicate veterans' musical preferences to music therapists and therapeutic musicians may better support service men and women. Further research may examine veterans' preference for live or recorded music at end of life given the importance of meaning-making and the presence of others documented in the literature. [ABSTRACT FROM AUTHOR]

Aim: To examine the effect of listening to music and drawing on coping with dysmenorrhea complaints of nursing students. Methods: The study was a double-blind, three parallel-group randomized controlled trial conducted between August 2023 and May 2024 at Bartın University, Faculty of Health Sciences, Department of Nursing. Ninety-six dysmenorrheic nursing students with regular menstrual cycles were included in the study and randomly assigned to three groups as drawing, music and control groups. Visual Analog Scale (100mmVAS of pain), Perceived Stress Scale (PSS) and Menstrual Symptoms Scale (MSS) were applied to the students at baseline, 1st and 2nd months. The interventions were as follows: the music group listened to a 29-minute and 32-second song three days before menstruation and on the first day of menstruation in the third month composed by Juan Sebastian Martin-Saavedra, while the drawing group created art for the same duration. The pain scores, perceived stress, and menstrual symptoms were measured in all groups after the interventions. Results: Pretest, 1st and 2nd months 100mmVAS of pain score averages were 7.16 ± 1.99, 7.16 ± 1.99 and 7.50 ± 1.98 for the control group, 7.22 ± 1.64, 4.84 ± 1.80 and 2.13 ± 1.45 for the music group and 6.69 ± 1.80, 5.09 ± 1.55 and 2.91 ± 1.33 for the drawing group, respectively. Pretest, 1st and 2nd months PSS score averages were 28.75 ± 3.71, 29.09 ± 3.87 and 30.03 ± 4.16 for the control group, 29.91 ± 3.98, 14.06 ± 4.06 and 3.59 ± 3.82 for the music group and 27.38 ± 3.63, 18.13 ± 5.60 and 8.34 ± 5.46 for the drawing group, respectively. Pretest, 1st and 2nd months MSS score averages were 79.25 ± 15.41, 88.00 ± 20.08 and 90.66 ± 19.13 for the control group, 85.41 ± 10.77, 62.41 ± 15.23 and 34.00 ± 12.62 for the music group and 80.69 ± 11.07, 65.53 ± 15.37 and 47.31 ± 15.11 for the drawing group, respectively. Mean menstrual pain intensity, mean perceived stress level, and mean menstrual symptoms level in the art and music group decreased significantly at 1st and 2nd months post-intervention (p <.001). A significant increase in score levels was observed in the control group. Conclusions: Both art and music practices are effective in significantly reducing menstrual pain, perceived stress, and menstrual symptoms in nursing students with dysmenorrhea. It is important to include listening to music and drawing on women's health and disease nursing practices to control menstrual pain, perceived stress, and menstrual symptoms in dysmenorrhea. Clinical trials registration number: https://clinicaltrials.gov identifier NCT06027489; registered August 30, 2023. [ABSTRACT FROM AUTHOR]

Objective: The present study examined the moderating effect of coping flexibility on the association between the coping waiting patiently for interpersonal stressors and depression. Coping flexibility refers to devising and implementing suitable coping strategies according to the situation, coping was defined in this study as holding oneself back and not acting prematurely to address a stressful relationship. Participants: A total of 481 Japanese college students. Methods: Participants completed questionnaires to measure coping, coping flexibility, perceived stress, and depression using a longitudinal design. Results: Multiple regression analysis showed that an interaction between coping and coping flexibility was associated with depression. This result indicated that higher levels of coping was associated with lower depression 16 weeks later when coping flexibility was higher, but the association was not observed when coping flexibility was lower. Conclusions: Our findings contribute to elucidating the condition or process whereby the strategy of waiting patiently as a coping mechanism for interpersonal stressor reduces depression. [ABSTRACT FROM AUTHOR]

Background The long-term financial impact of cancer care has not been adequately addressed in young adults. As part of a remote intervention study, we describe medical financial distress and hardship among young adult survivors of blood cancer at study entry. Methods Young adults were recruited from 6 US hospitals. Using a Research Electronic Data Capture link, young adults confirmed their eligibility—namely, currently 18 to 39 years of age, blood cancer diagnosis 3 or more years ago, off active treatment, and not on parent's insurance. Following consent, the baseline assessment was sent. The primary outcome measure, the Personal Financial Wellness Scale, measured financial distress (scored as severe, 1-2; high, 3-4; average, 5-6; and low to no, 7-10). Medical financial hardship encompassed material hardship, psychological impact, and coping behaviors. Descriptive summary statistics and linear regression were used. Results Among the 126 participants, 54.5% came from minority racial or ethnic groups. Median time since diagnosis was 10 years (interquartile range = 6-16 years), with 56% having received a diagnosis when they were between 18 and 39 years of age. The overall mean (standard deviation) Personal Financial Wellness Scale score was 5.1 (2.4), but 49% reported severe or high distress. In multivariable analysis, female sex, Hispanic ethnicity, and lower income were strongly associated with worse Personal Financial Wellness Scale scores. Among participants with severe financial distress (n = 26), 72% reported 2 or more household material hardships, had worse scores across all psychological domains, and altered survivorship care because of cost (68%). Conclusions Nearly half of long-term young adult cancer survivors reported severe or high levels of financial distress. Individuals with severe or high distress also reported more medical financial hardship than other participants. This finding highlights the need for ongoing financial intervention in this vulnerable population. ClinicalTrials.gov NCT05620979 [ABSTRACT FROM AUTHOR]

Children ingesting corrosive substances face persistent physical, psychological, and social challenges. Inadequate current support systems post-corrosive injuries highlight the necessity for robust structures to address psychosocial issues. This quasi-experimental study, with a two-group pretest-posttest design, implemented a nurse-led support group intervention in a university hospital's pediatric surgery ward. Sixty-five families participated (32 control, 33 intervention) from June 2021 and March 2022. Data, collected through pre-intervention and baseline assessments, used scales like the Hospital Anxiety and Depression Scale, Coping Styles Scale-Short Form, and Beach Center Family Quality of Life Scale. Follow-up via phone interviews at 3 and 6 months, analyzed with SPSS 24, revealed statistically significant improvements in the intervention group's hospital anxiety scores (F = 22.044, p = 0.000, η2 = 0.259), Beach Center family quality of life scores (F = 28.954, p = 0.000, η2 = 0.315), and coping styles scale sub-dimensions: problem-focused coping, instrumental social support (X2 = 18.909, p < 0.000), and planning (X2 = 7.325, p < 0.026) at both follow-ups. In conclusion, the support group effectively reduced anxiety, enhanced coping, and improved overall quality of life for families dealing with corrosive substance ingestion. Nurses are urged to implement similar interventions, using a multidisciplinary approach to address challenges faced by families with children ingesting corrosive substances. [ABSTRACT FROM AUTHOR]

Abstract Aim To examine the effect of listening to music and drawing on coping with dysmenorrhea complaints of nursing students. Methods The study was a double-blind, three parallel-group randomized controlled trial conducted between August 2023 and May 2024 at Bartın University, Faculty of Health Sciences, Department of Nursing. Ninety-six dysmenorrheic nursing students with regular menstrual cycles were included in the study and randomly assigned to three groups as drawing, music and control groups. Visual Analog Scale (100mmVAS of pain), Perceived Stress Scale (PSS) and Menstrual Symptoms Scale (MSS) were applied to the students at baseline, 1st and 2nd months. The interventions were as follows: the music group listened to a 29-minute and 32-second song three days before menstruation and on the first day of menstruation in the third month composed by Juan Sebastian Martin-Saavedra, while the drawing group created art for the same duration. The pain scores, perceived stress, and menstrual symptoms were measured in all groups after the interventions. Results Pretest, 1st and 2nd months 100mmVAS of pain score averages were 7.16 ± 1.99, 7.16 ± 1.99 and 7.50 ± 1.98 for the control group, 7.22 ± 1.64, 4.84 ± 1.80 and 2.13 ± 1.45 for the music group and 6.69 ± 1.80, 5.09 ± 1.55 and 2.91 ± 1.33 for the drawing group, respectively. Pretest, 1st and 2nd months PSS score averages were 28.75 ± 3.71, 29.09 ± 3.87 and 30.03 ± 4.16 for the control group, 29.91 ± 3.98, 14.06 ± 4.06 and 3.59 ± 3.82 for the music group and 27.38 ± 3.63, 18.13 ± 5.60 and 8.34 ± 5.46 for the drawing group, respectively. Pretest, 1st and 2nd months MSS score averages were 79.25 ± 15.41, 88.00 ± 20.08 and 90.66 ± 19.13 for the control group, 85.41 ± 10.77, 62.41 ± 15.23 and 34.00 ± 12.62 for the music group and 80.69 ± 11.07, 65.53 ± 15.37 and 47.31 ± 15.11 for the drawing group, respectively. Mean menstrual pain intensity, mean perceived stress level, and mean menstrual symptoms level in the art and music group decreased significantly at 1st and 2nd months post-intervention (p

About one-third of major depressive disorder (MDD) patients demonstrate unresponsiveness to classic antidepressants, and even the clinical efficacy of fast-acting drugs such as ketamine varies significantly among patients with treatment-resistant depression. Nevertheless, the lack of suitable animal models that mimic a possible ketamine-resistant phenotype challenges the understanding of resistance to drug treatment. In this study, we showed that PI3Kγ knock-out (KO) mice do not respond to classical doses of ketamine and classical antidepressants. PI3Kγ KO mice were unresponsive to both the rapid and sustained antidepressant-like effects of a single dose of ketamine in the forced swimming test. Additionally, they were unresponsive to the antidepressant-like effects induced by the tricyclic antidepressant imipramine and the selective serotonin reuptake inhibitor fluoxetine. However, acute pharmacological inhibition of PI3Kγ did not block the antidepressant-like effect of ketamine, showing that a chronic deficiency of the PI3Kγ-mediated pathway is necessary for the effects of classic doses of ketamine and antidepressants. Therefore, we propose that PI3Kγ participates in the antidepressant activity and is likely implicated in the neurobiology and phenotype observed in patients with MDD who demonstrate treatment resistance.

Background. The article examines the results of studying coping strategies of students taking into account their subjective locus of control. The introduction includes a detailed description of the concepts of coping behavior and coping strategies, as well as an analysis of the factors influencing the variety of coping strategies. The authors conclude that locus of control, being one of personalized resources of coping behavior, is a promising research area. The scientific novelty of the article is the establishment of connection between the area of locus of control and the level of constructiveness of coping strategies among students. Purpose. The authors advert to this issue in order to determine the influence of locus of control on the level of adaptability of behavioral strategies. Materials and methods. For solving the research tasks, the authors used a complex of theoretical and empirical methods, including the analysis of psychological and pedagogical literature, comparison, systematization, concretizing, summarizing pedagogical experience, questioning, testing, and pedagogical experiment. The instruments of diagnostics included the method of diagnosing locus of control (by E.F. Zeer, G.A. Karpova), method of diagnosing coping mechanisms by E. Heim, adapted by L.I. Vasserman, and the method of diagnosing the level of subjective control (by J. Rotter). Results. The main part of the article describes the results of diagnostics of students’ locus of control. Moreover, the authors reveal the correlation of internal and external locus of control with coping strategies, taking into account their adaptability and areas of mental activity (cognitive, emotional and behavioral). The research consisted of 3 stages: differentiation, correlation and specification, while each stage included different instruments of diagnostics. In conclusion, the authors prove the necessity of developing and introducing a program for increasing the level of general internality of students in the process of formal and informal educational activity.

Abstract Background Cardiovascular disease is a leading cause of death worldwide. Rates of cardiovascular disease vary both across the lifespan and between sexes. While multiple factors, including adverse life experiences, impact the development and progression of cardiovascular disease, the potential interactions of biological sex and stress history on the aged heart are unknown. To this end, we examined sex- and stress-specific impacts on left ventricular hypertrophy (VH) after aging. We hypothesized that early-life chronic stress exposure impacts behavioral and physiologic responses that predict cardiac remodeling in a sex-specific manner. Methods Histological analysis was conducted on hearts of male and female rats previously exposed to chronic variable stress during the late adolescent period (postnatal days 43–62). These animals were challenged with a forced swim test and a glucose tolerance test before aging to 15 months and again being challenged. Predictive analyses were then used to isolate factors that relate to cardiac remodeling among these groups. Results Early-life chronic stress impacted cardiac remodeling in a sex-specific manner. Among rats with a history of chronic stress, females had increased concentric VH. However, there were few associations within the female groups among individual behavioral and physiologic parameters and cardiac remodeling. While males as a group did not have VH after chronic stress, they exhibited multiple individual associations with cardiac susceptibility. Passive coping in young males and active coping in aged males related to VH in a stress history-dependent manner. Moreover, baseline corticosterone positively correlated with VH in unstressed males, while chronically-stressed males had positive correlations between VH and visceral adiposity. Conclusions These results indicate that females as a group are uniquely susceptible to the effects of early-life stress on cardiac remodeling later in life. Conversely, males have more individual differences in vulnerability, where susceptibility to cardiac remodeling relates to endocrine, metabolic, and behavioral measures depending on stress history. These results ultimately support a framework for assessing cardiovascular risk based on biological sex and prior adverse experiences.

Background: Cardiovascular disease is a leading cause of death worldwide. Rates of cardiovascular disease vary both across the lifespan and between sexes. While multiple factors, including adverse life experiences, impact the development and progression of cardiovascular disease, the potential interactions of biological sex and stress history on the aged heart are unknown. To this end, we examined sex- and stress-specific impacts on left ventricular hypertrophy (VH) after aging. We hypothesized that early-life chronic stress exposure impacts behavioral and physiologic responses that predict cardiac remodeling in a sex-specific manner. Methods: Histological analysis was conducted on hearts of male and female rats previously exposed to chronic variable stress during the late adolescent period (postnatal days 43–62). These animals were challenged with a forced swim test and a glucose tolerance test before aging to 15 months and again being challenged. Predictive analyses were then used to isolate factors that relate to cardiac remodeling among these groups. Results: Early-life chronic stress impacted cardiac remodeling in a sex-specific manner. Among rats with a history of chronic stress, females had increased concentric VH. However, there were few associations within the female groups among individual behavioral and physiologic parameters and cardiac remodeling. While males as a group did not have VH after chronic stress, they exhibited multiple individual associations with cardiac susceptibility. Passive coping in young males and active coping in aged males related to VH in a stress history-dependent manner. Moreover, baseline corticosterone positively correlated with VH in unstressed males, while chronically-stressed males had positive correlations between VH and visceral adiposity. Conclusions: These results indicate that females as a group are uniquely susceptible to the effects of early-life stress on cardiac remodeling later in life. Conversely, males have more individual differences in vulnerability, where susceptibility to cardiac remodeling relates to endocrine, metabolic, and behavioral measures depending on stress history. These results ultimately support a framework for assessing cardiovascular risk based on biological sex and prior adverse experiences. Plain English summary: Cardiovascular disease is the leading cause of death worldwide. Multiple factors influence the incidence and severity of cardiovascular disease including adverse life experiences, biological sex, and age. Alterations of heart structure predict negative cardiovascular health by impacting blood circulation; however, the potential interactions of stress history and biological sex on the aged heart are unknown. In this study, we examined how chronic stress exposure impacts heart structure in male and female rats after aging. Adolescent male and female rats were chronically stressed and then acutely challenged to examine behavioral, endocrine, and metabolic parameters both immediately following chronic stress and after aging. Heart morphology was quantified to examine how behavioral and physiological responses related to cardiac remodeling. Our results indicate that, as a group, female rats previously exposed to chronic stress were uniquely susceptible to inward remodeling of the heart. Subjects were further divided into sub-groups based on the level of inward remodeling of the ventricle. While male rats did not exhibit group effects on heart structure, individual variability in male heart morphology related to endocrine and metabolic parameters in a stress history-dependent manner. Here, there were interactions with multiple systems including coping behavior, stress hormones, and body composition. Moreover, males without a prior history of chronic stress had correlations between stress hormones and the degree of heart remodeling. However, males that were exposed to chronic stress had correlations between heart structure and abdominal fat. Overall, our results indicate that biological sex and stress history interact to predict cardiovascular susceptibility. Highlights: • Aged female rats had greater left ventricular hypertrophy (VH) than males after early-life chronic variable stress. • Tertile divisions based on susceptibility or resilience to concentric VH indicated interactions between VH, sex, and stress on multiple behavioral and physiological measures. • In males, VH correlated with endocrine and metabolic parameters in a stress history-dependent manner. • Prior adverse experience and biological sex interact across the lifespan to impact cardiovascular risk. [ABSTRACT FROM AUTHOR]

Employees with mental illness are often the first to be unable to cope with increasingly complex psychosocial work demands. But people without mental illness can also suffer from, for example, high workload. This study compares a short coaching to stabilize work ability for employees with and without mental illness regarding coaching topics, effects on work-related resources, goal attainment, and unwanted events. Individual coaching of three sessions (problem exploration by behavior analysis, practice of new behavior, reflection) was conducted with employees from different professional fields. A medical history was taken to determine whether participants are affected by a mental disorder. All coaching was conducted by the same behavior therapist in training (L.P.W.) under the supervision of an experienced behavior therapist (B.M.). Two hundred and three coachings with three sessions were completed. In total, 103 participants did not have a mental illness (51%), and 100 participants reported a mental disorder (49%). The coaching participants with mental illness had lower initial levels of work-related capacities (more severe impairments) and coping behavior as compared to the participants without mental illness. In the pre–post comparisons, both groups achieved significant improvements in work-related coping after the coaching. There were no differences in goal attainment between both groups. While participants without mental illness reported more unwanted events in parallel to the coaching (30% reported negative developments in life), participants with mental illness reported coaching-related unwanted events (20% felt to be dependent on the coach). Coaching with an individual focus on one topic can improve work-related resources in participants with and without mental disorders. Since participants with and without mental illness experience different unwanted events in coaching, psychotherapeutic expertise is needed in order to set the right focus. [ABSTRACT FROM AUTHOR]

Background Pediatric, adolescent, and young adult patients with cancer and their caregivers are at high risk of financial toxicity, and few evidence-based oncology financial and legal navigation programs exist to address it. We tested the feasibility, acceptability, and preliminary effectiveness of Financial and Insurance Navigation Assistance, a novel interdisciplinary financial and legal navigation intervention for pediatric, adolescent and young adult patients and their caregivers. Methods We used a single-arm feasibility and acceptability trial design in a pediatric hematology and oncology clinic and collected preintervention and postintervention surveys to assess changes in financial toxicity (3 domains: psychological response/Comprehensive Score for Financial Toxicity [COST], material conditions, and coping behaviors); health-related quality of life (Patient-Reported Outcomes Measurement Information System Physical and Mental Health, Anxiety, Depression, and Parent Proxy scales); and perceived feasibility, acceptability, and appropriateness. Results In total, 45 participants received financial navigation, 6 received legal navigation, and 10 received both. Among 15 adult patients, significant improvements in FACIT-COST (P  = .041) and physical health (P  = .036) were noted. Among 46 caregivers, significant improvements were noted for FACIT-COST (P  < .001), the total financial toxicity score (P  = .001), and the parent proxy global health score (P  = .0037). We were able to secure roughly $335 323 in financial benefits for 48 participants. The intervention was rated highly for feasibility, acceptability, and appropriateness. Conclusions Integrating financial and legal navigation through Financial and Insurance Navigation Assistance was feasible and acceptable and underscores the benefit of a multidisciplinary approach to addressing financial toxicity. ClinicalTrials.gov registration NCT05876325 [ABSTRACT FROM AUTHOR]

Abstract Background Student midwives deliver care for women under challenging job demands, which may affect their mental health– thus creating a high need for health promotion. Given the lack of research addressing this topic, the aim of this study is to examine the links between stress perception, coping behaviors, work-privacy conflict, and perception of COVID-19 pandemic impact on studies of student midwives in northern Germany. Methods Data were collected using a cross-sectional online-survey at nine midwifery study sites in northern Germany from October 2022 to January 2023. 342 student midwives (response rate: 61.3%) were surveyed on stress perception, coping behaviors, work-privacy conflict, and perceived impact of the COVID-19 pandemic on their studies. Descriptive, linear regression and moderation analyses were run to test explorative assumptions. Results Results revealed that higher levels of perceived stress were reported by 13.4% of student midwives. Social support (M = 13.76, SD = 2.19) and active stress coping (M = 10.72, SD = 2.01) were identified as most prevalent coping behaviors in the present sample. It was found that work-privacy conflict was positively associated with stress perception (ß = 0.53, p =.001) and maladaptive coping behaviors (alcohol and cigarette consumption: ß = 0.14, p =.015), and negatively associated with adaptive coping behaviors (positive thinking: ß = − 0.25, p =.001, social support: ß = − 0.23, p =.001). Students with children reported significantly lower levels of social support than students without children. 55.6% of student midwives perceived a negative impact of the COVID-19 pandemic on their studies (mostly on lectures, seminars, and contact with fellow students). Conclusions Key findings highlighted moderate stress levels among student midwives during theoretical study stage. Based on current research, prevalence of high stress levels among student midwives remains unclear. Given the overall heterogeneous, limited research on student midwives’ stress perception, coping behaviors, work-privacy conflict and perceptions of COVID-19 pandemic impact on studies, implications for research are suggested, e.g. longitudinal studies at different time points and settings and interventional studies. Findings provide a starting point for implementation of workplace health promotion in theoretical and practical stages of midwifery science study programs, e.g. training courses on stress prevention and adaptive coping, and for improvement of working conditions.

Abstract Background The COVID-19 pandemic has presented multiple psychological challenges for healthcare workers, such as anxiety, depression, burnout, and substance use disorders. In this research, we investigate the different ways Romanian physicians dealt with the difficult period of the COVID-19 pandemic. We also analyze how positive and negative stress-reducing strategies, as well as demographic variables, affect their psychological resilience and quality of life. Our goal is to provide a comprehensive overview of how physicians coped with the unprecedented global health challenges. Methods We carried out a national cross-sectional study of 265 physicians in Romania between January 2021 and January 2022 using a web-based questionnaire. The study employed a web-based questionnaire to assess coping mechanisms using the COPE inventory, resilience through the Connor-Davidson Resilience Scale 25 (CD-RISC 25), and quality of life via the WHOQOL-BREF scale. The COPE inventory, consisting of 60 items across 15 subscales, categorizes coping strategies into problem-focused, emotion-focused, and dysfunctional types, with each item rated on a 4-point scale. The CD-RISC 25 measures resilience on a 5-point Likert scale, with total scores ranging from 0 to 100. WHOQOL-BREF assesses quality of life through 26 items in 4 domains: physical, mental, social relations, and environmental, scored from 1 to 5 and converted to a 0–100 scale for domain scores. Univariate and multivariate linear regression models were employed to discern the intricate relationships between coping strategies, resilience levels, quality of life dimensions, and pertinent demographic factors. Results The average CD-RISC score among participants was 66.2. The mean scores for the values for the QOL subscales were 64.0 for physical well-being, 61.7 for psychological well-being, 61.2 for social relationships, and 64.7 for environment. Individuals tend to use problem-focused and emotion-focused coping more than dysfunctional mechanisms, according to the COPE inventory. Problem-focused and emotion-focused coping are positively correlated with resilience, while dysfunctional coping is negatively correlated. Resilience is significantly influenced by gender and professional status, with males and senior specialists reporting higher levels while younger physicians and residents reporting lower levels. Conclusions Our data points to specific protective characteristics and some detrimental factors on physicians' resilience and quality of life during the pandemic.

ABSTRACTBackground: Illness perceptions (IPs) and avoidance behavior both predict quality of life (QoL) in people with irritable bowel syndrome (IBS). This study examined whether the effects of IPs on QoL are mediated by avoidance behaviors, and whether this mediation is moderated by participant treatment-seeking status.Methods: People with self-reported IBS (n = 253) answered a survey assessing QoL, IPs, avoidance behaviors, and treatment-seeking status. Moderated-mediation analyses investigated the paths from IPs through avoidance behaviors to QoL, with treatment-seeking status entered as a moderator.Results: The final moderated mediation model included the IPs consequences, timeline and emotional representations as independent variables and avoidance behavior and depressive reactions as mediators. This model explained 68.6% of the variance in QoL. Among treatment-seeking participants five significant mediation effects were found, whereas only one significant mediation effect was found among participants who did not report seeking treatment.Conclusions: IPs seem to drive avoidant behavioral responses to IBS symptoms, which in turn predict reductions in QoL. These relationships seem more pronounced among people who seek treatment for their symptoms. In practice, health care practitioners might help improve the QoL of people with IBS by preventing or remedying the development of negative IPs and avoidance behaviors.

Background: The COVID-19 pandemic has presented multiple psychological challenges for healthcare workers, such as anxiety, depression, burnout, and substance use disorders. In this research, we investigate the different ways Romanian physicians dealt with the difficult period of the COVID-19 pandemic. We also analyze how positive and negative stress-reducing strategies, as well as demographic variables, affect their psychological resilience and quality of life. Our goal is to provide a comprehensive overview of how physicians coped with the unprecedented global health challenges. Methods: We carried out a national cross-sectional study of 265 physicians in Romania between January 2021 and January 2022 using a web-based questionnaire. The study employed a web-based questionnaire to assess coping mechanisms using the COPE inventory, resilience through the Connor-Davidson Resilience Scale 25 (CD-RISC 25), and quality of life via the WHOQOL-BREF scale. The COPE inventory, consisting of 60 items across 15 subscales, categorizes coping strategies into problem-focused, emotion-focused, and dysfunctional types, with each item rated on a 4-point scale. The CD-RISC 25 measures resilience on a 5-point Likert scale, with total scores ranging from 0 to 100. WHOQOL-BREF assesses quality of life through 26 items in 4 domains: physical, mental, social relations, and environmental, scored from 1 to 5 and converted to a 0–100 scale for domain scores. Univariate and multivariate linear regression models were employed to discern the intricate relationships between coping strategies, resilience levels, quality of life dimensions, and pertinent demographic factors. Results: The average CD-RISC score among participants was 66.2. The mean scores for the values for the QOL subscales were 64.0 for physical well-being, 61.7 for psychological well-being, 61.2 for social relationships, and 64.7 for environment. Individuals tend to use problem-focused and emotion-focused coping more than dysfunctional mechanisms, according to the COPE inventory. Problem-focused and emotion-focused coping are positively correlated with resilience, while dysfunctional coping is negatively correlated. Resilience is significantly influenced by gender and professional status, with males and senior specialists reporting higher levels while younger physicians and residents reporting lower levels. Conclusions: Our data points to specific protective characteristics and some detrimental factors on physicians' resilience and quality of life during the pandemic. [ABSTRACT FROM AUTHOR]

The present experience sampling study investigated the effect of age on emotion regulation patterns (i.e., emotion regulation strategy effectiveness, variability, and differentiation) in daily life. The study further explored the implications of potential age differences in emotion regulation patterns for well‐being. A sample of 406 adults (age range: 18–81, 62.8% female) were prompted five times a day for seven days to rate momentary emotions, emotion regulation strategy use, and emotion regulation strategy effectiveness. Based on these ratings, indicators of emotion regulation variability and differentiation were calculated. Well‐being outcomes included daily positive and negative emotions, and symptoms of depression and anxiety assessed at baseline. The findings revealed reduced emotion regulation variability with age and a negative association between emotion regulation variability and well‐being. There were no associations between age and emotion regulation effectiveness or differentiation. Emotion regulation effectiveness was associated with more positive and less negative daily emotions, and these associations were stronger for younger adults compared to older adults. Drawing on prominent lifespan theories, the findings may indicate that as people age, they select and apply a few strategies that they know will be effective given the context and their resources which leads to reduced emotion regulation variability but ultimately more well‐being. Concerning emotion regulation effectiveness, the findings suggest that effectiveness is less important for emotional well‐being in daily life in older adulthood possibly because well‐being is determined by other factors (e.g., less frequent and more predictable stressors) with age. [ABSTRACT FROM AUTHOR]

There is extensive evidence that when people are experiencing health stressors, they are also coping with communication stressors. Although the literature tends to loosely classify these experiences as "communication challenges," we propose a more defined way of theorizing how people encounter and manage communicative demands. To that end, this article introduces an Integrative Theory of Communication Work. We first surface and summarize the underlying theoretical principles that support communication work logic. We present the primary assumptions of the theory and a typology of communication work tasks, positioning them in conversation with established scholarship and demonstrating how they are supported by emerging empirical evidence on communication work. Finally, we suggest opportunities to extend research by investigating factors that make communication more or less work. [ABSTRACT FROM AUTHOR]

Objectives Prospective associations between coping and all-cause mortality risk are understudied, particularly among nonmedical samples. We assessed independent and joint associations of multiple components of the transactional stress and coping model with all-cause mortality in a cohort of community-dwelling men. We were particularly interested in how coping effort related to mortality. Methods Participants included 743 men from the Veterans Affairs Normative Aging Study who completed 1+ stress and coping assessment in 1993–2002 (baseline age: M = 68.4, standard deviation [ SD ] = 7.1) and had mortality follow-up through 2020. The Brief California Coping Inventory assessed coping with a past-month stressor. Cox regression evaluated associations of problem stressfulness, coping strategies, total coping effort, and coping efficiency with all-cause mortality risk. Results Over a mean follow-up of 16.7 years (SD = 7.1), 473 (64%) men died. Problem stressfulness was not associated with mortality risk (hazard ratio [HR]: 1.07, 95% confidence interval [CI]: 0.98–1.17), adjusted for demographics and health conditions. When examining coping via specific strategies, only social coping was associated with higher mortality risk (HR: 1.15, 95% CI: 1.05–1.26) after Bonferroni correction. Total coping effort was associated with 14% greater risk of all-cause mortality (95% CI: 1.04–1.26), independent of problem stressfulness, demographics, and health conditions. Coping efficiency, a benefit–cost ratio of coping efficacy to total coping effort, was not associated with mortality risk in adjusted models. Discussion Total coping effort may be an important indicator for longevity among aging men, above and beyond problem stressfulness and specific coping strategies, which have been the foci in prior research. [ABSTRACT FROM AUTHOR]

Understanding how visitors respond to crowding is crucial for ensuring the success, safety, and overall enjoyment of large-scale exhibitions. However, despite its significance, limited research has explored this issue. To address this gap, we conducted a questionnaire survey in 2022 and 2023 for visitors to exhibitions held at the Tokyo Big Sight Convention Center. Our research aims to explore the level of consistency between perceived and actual crowding, levels of discomfort in crowded situations, tolerance levels for crowding, and behaviors to avoid crowded situations. The results revealed significant changes in visitor perceptions across the two-year period. Notably, the acceptable crowd density in 2023 increased by 13% compared to 2022. This change in level of tolerance for crowding might have been influenced by the COVID-19 pandemic and other contextual factors that altered visitors' perceptions toward crowding. Interestingly, despite these perceptual changes, behaviors to avoid crowded situations remained consistent across both years. The most common response was that no special action was taken to avoid crowded situations. These findings underscore that perceptions and behaviors related to crowding in the context of large-scale exhibitions are not uniform. Our findings offer several implications and insights for crowd management, which event organizers can use to devise strategies aimed at enhancing visitors' experiences and effectively managing crowding in large-scale exhibitions. [ABSTRACT FROM AUTHOR]

Black Americans' witnessing of online anti-Black police brutality is related to negative psychological outcomes, including stress and depressive symptoms. This study examined the degree to which grief disenfranchisement, social support, and coping style predicted stress, depressive symptoms, and prolonged grief among 189 Black undergraduate students grieving police murders of Black Americans. The students experienced moderate stress, elevated depressive symptoms, and low levels of prolonged grief, and coping style emerged as the most robust predictor of mental health outcomes. Specifically, planning, behavioral disengagement, and ritual-centered coping predicted variance in perceived stress. Additionally, behavioral disengagement explained variance in depressive symptoms; and disenfranchised grief, changes in goals, and collective-centered coping accounted for variance in prolonged grief. These findings may contribute to the development of interventions to support Black undergraduate students as they grieve police murders of Black Americans. [ABSTRACT FROM AUTHOR]

Introduction: Nurses are expected to experience chronic stress and be involved in unhealthy actions more frequently due to the rising demands of medical care, which impact every aspect of their individual and professional lives. Individuals with higher emotional intelligence could cope and adjust to environmental changes and social constraints better than those with lower emotional intelligence. Objective: The objective of this study was to assess the relationship between the emotional intelligence and coping behaviors of nurses in the intensive care units (ICUs) in the West Bank. Methods: The study was a cross-sectional method done on convenience sample of 266 ICU nurses. Data collection was performed by "Schutte Self Report Emotional Intelligence Test" (SSEIT) and the "Coping Behavior Inventory". Statistical analysis was completed using SPSS version 23. Pearson correlation was used to measure the relationship between the emotional intelligence and coping behaviors. Results: The analysis indicated that emotional intelligence was high (mean ± SD = 150.8 ± 2.1, range 33–165). Also, the analysis indicated that coping behavior of the participants was moderate (mean ± SD = 29.3 ± 15.2, range 0–76). Furthermore, the analysis indicated that there was a moderate positive relationship between nurses' emotional intelligence and their coping behaviors. Conclusion: Coping behavior was indicated to have a moderately positive relationship with emotional intelligence. However, social skills or managing others' emotions indicated low positive relationship and emotional intelligence. There is a negligible correlation between emotional intelligence and perception of emotions, managing emotions in the self, and utilizing emotions. Training in emotional intelligence is essential for nurses since it improves both their personal and professional life and coping mechanisms. [ABSTRACT FROM AUTHOR]

COVID-19 has had a devastating impact on people's lives since its initial outbreak and global spread in 2020. While the U.S. government and public health officials have recommended best practices such as social distancing, wearing a mask, and avoiding large public gatherings, these orders have been met with varying levels of acceptance from the public. Given the disparate compliance, this study builds on Social Cognitive Theory (SCT) to explore individual differences and personal motivation factors in order to better understand what may influence one's likelihood to adhere to COVID-19 protective measures. A U.S. national survey (N = 2,049) was conducted April–May 2020, roughly one month after stay-at-home orders were issued in some states. Participants were asked to report their likelihood of taking individual and community protective measures. Multivariate hierarchical linear regressions were run to analyze the extent to which participants' concerns about COVID-19's impact, individual and collective self-efficacy, coping behaviors, and personality traits influenced the dependent variables. Findings showed that COVID-19-related health concerns, collective efficacy, and proactive coping strategies were positively related to participants' likelihood of taking protective measures. Those with greater concerns about their general well-being and the economy, adverse coping strategies like denial and joking, as well as sensation-seeking personalities, were less likely to take protective measures. The discussion considers how individual differences fit into broader global efforts to stem COVID-19. Practical implications for public health messaging are that communication may focus on facilitating efficacy in order to boost compliance with protective measures. [ABSTRACT FROM AUTHOR]

Исследуется эмоциональное состояние специалистов, работающих в приграничном с зоной СВО регионе. Целью исследования явилось выявление особенностей эмоционального состояния, степени нервно-психического напряжения и механизмов совладающего поведения сотрудников предприятий, работающих в приграничном с зоной специальной военной операции регионе. Использовались следующие методики: «Актуальное состояние» (Л. В. Куликов), «Определение нервно-психического напряжения» (Т. А. Немчин), «Способы совладающего поведения» (Р. Лазарус). В исследовании приняли участие 50 работников ОГБУ «Управление капитального строительства Белгородской области» в возрасте от 22–45 лет со стажем работы от 3 лет до 25 лет, а также 30 человек – сотрудники строительного предприятия из другого региона (Липецкая обл.). В работе произведен анализ связей и закономерностей влияния совладающего поведения на текущее эмоциональное состояние и степень нервно-психического напряжения. Сделан вывод о том, что специалисты, работающие на приграничных территориях, сталкиваются с факторами, вызывающими существенное и умеренное нервно-психическое напряжение; преобладание неадаптивных стратегий совладания с повседневными стрессовыми ситуациями приводит к повышению уровня негативных эмоций. Поскольку актуальное психическое состояние, копинг-стратегии и уровень нервно-психического напряжения связаны между собой, формируя адаптивные копинг-стратегии, можно оказывать положительное влияние на актуальное психическое состояние и уровень нервно-психического напряжения у специалистов.

Проведен анализ исследования психологического благополучия обучающихся и воспринимаемой ими социальной поддержки как ресурсов совладающего поведения в ситуациях стресса. Выборку составили 107 учащихся старших классов школы в возрасте 16–17 лет (52 юноши и 55 девушек). Методики: Шкала воспринимаемого стресса (ШВС-10), «Юношеская копинг-шкала» (ACS); Шкалы психологического благополучия К. Рифф; Опросник воспринимаемой социальной поддержки Г. Зоммера и Т. Фюдрика. Сделан анализ описательных статистик в группах, разделенных по признаку пола, корреляционный и регрессионный анализ. Показаны общие факторы воспринимаемого стресса, совладающего поведения, психологического благополучия и социальной поддержки, а также гендерные особенности и различия. Юноши чаще демонстрируют автономность, компетентность и более высокий уровень самопринятия. При этом все старшеклассники отмечают наличие социальной поддержки. Девушки более напряженно переживают стрессы, и им приходится прилагать больше усилий для совладания с ними по сравнению с их сверстниками юношами. Девушки чаще прибегают к эмоционально напряженным стратегиям совладания, тогда как юноши чаще используют проблемно-ориентированные и внешние социальные ресурсы. Представлена позитивная роль психологического благополучия и социальной поддержки для возможности продуктивного совладания со стрессами, а также обнаружены мишени психологического воздействия и коррекции при выборе старшеклассниками непродуктивных стратегий копинга. Инструментальная поддержка, проявляющаяся в советах, действенной или материальной помощи, как предоставление готового решения, не требующего усилий самого учащегося, может приводить к укреплению использования непродуктивных способов совладания.

The research of the structure of the phenomenon of self-realization among specialists in the digital sphere in the context of information and computer activities is presented. The authors analyzed the hierarchy and components of self-realization among IT workers with different sets of individual psychological characteristics, which, through clustering, were divided into three subtypes: (1) introverted-confident; (2) extroverted-active; and (3) extroverted-prosocial. The study involved 154 people, including 42 women and 112 men aged 22-44 (mean age = 32.09 ± 5.71); all of them were employees of leading Russian IT companies in Moscow. Following psychodiagnostic techniques were applied: Individual-Typological Questionnaire (ITQ) by L.N. Sobchik, Eysenck Personality Inventory (EPI) - introversion - extroversion scale, Strategic Approach to Coping Scale (SACS) questionnaire by S. Hobfoll, and Multidimensional Personality Self-Realization Inventory (MPSI) by S.I. Kudinov. The results showed that the structure of self-realization had its own specific features depending on the personality type of the IT employees. For the respondents of cluster I (introverted-confident personality type), the main variables of the self-realization process were optimism, internality and constructiveness, which led to success and a positive assessment of the self-realization process. For the respondents with extroverted-active characteristics in the hierarchy of personal self-realization, the key components of self-realization were social and corporate attitudes, egocentric motivation, internality, conservatism, and destructiveness. The respondents with extroverted-prosocial traits had pronounced subjective personal attitudes, internality, creativity, destructiveness, and social barriers, with predominant limiting factors of self-realization. The results of the study can be considered in the context of psychological support for the IT specialists based on their individual psychological traits.

Background. In today's rapidly changing world, it is extremely important to maintain one's own trajectory in relation to life goals, the image of the future at different stages of professionalization. In this regard, it is relevant to determine personal regulators that allow for conscious and purposeful influencing the achievement of the expected future and their change in the process of professionalization. Objective. The study had its purpose to investigate the image of the future, its characteristics (completeness, clarity, time perspective), functions and personal regulators (self-regulation, coping behavior and life orientations) at different stages of professionalization. Methods. The study implemented quantitative methods: a basic questionnaire by V.I. Morosanova "Style of self-regulation of behavior - SSPM", 2015; “Time Perspective Questionnaire” (F. Zimbardo, 1997) adapted by A. Syrtsova, 2007; "Test of Life-Meaning Orientations" (Crumbaugh, Maholick, 1964) adapted by D.A. Leontiev, 2000; methodology "WCQ – Ways of Coping Questionnaire" (R. Lazarus and S. Folkman, 1985) adapted by T.L. Kryukova, E.V. Kuftyak, M.S. Zamyshlyaeva, 2004. And qualitative methods: the method “Unfinished Sentences” (Sachs, Levy, 1950) modified by the authors and metaphorical associative maps “Roads” (G. Salpeter, 2014) for which the author’s semi-standardized interview was developed (S.I. Konzhin, M.V. Saporovskaya, 2021). Sample. The study involved 184 people - men and women from 16 to 40 years old (M = 23.2; SD = 7.43) who gave informed consent to participate in it. The respondents were divided into three empirical groups: respondents at the stage of professional self-determination (aged 16-17); respondents at the stage of obtaining professional education (aged 18-25); respondents engaged in professional activities (aged 26-40). Results. The study revealed significant differences in the influence of self-regulation, coping behavior and life-meaning orientations on the time perspective of the future at different stages of professionalization. Content-analysis allowed to establish the structure, clarity, and completeness of the image of the future. Regression analysis indicated that “Locus of control-Self”, the coping strategy “Planning to solve a problem” and the regulatory-cognitive competence “Planning” make the greatest contribution to the regulation of the Future image of the respondents. Focus on the Future, the relevance of planning the Future image have certain differences and specifics at the different stages of professionalization. Conclusions. Locus of control, strategies of coping behavior and regulatory competencies can be considered as personal regulators of creating an image of the future at different stages of professionalization.

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.

The article presents the results of a study of the characteristics of professional stress in civil aviation pilots, its relationship with strategies for coping with stress. It was found that what is truly characteristic of the pilot profession is a high level of stress, which manifests itself in the perception of the activity as extremely stressful and complex. Against the background of a decrease in the fullness of the individual’s internal resources and due to the increased significance of negative experience at the time of strong feelings, this can lead to an increase in general psycho-emotional stress and the emergence of professional risks. The results of the empirical study indicate the need to organize targeted work to optimize professional stress among civil aviation pilots, as well as to develop constructive coping strategies.

Muhammad Younas,1 Yan Dong,1 Rashid Menhas,2 Xinyi Li,1 Yu Wang,1 Uzma Noor3 1School of Educational Technology, Faculty of Education, Beijing Normal University, Beijing, People’s Republic of China; 2Research Center of Sport and Social Sciences, Soochow University, Suzhou, Jiangsu Province, People’s Republic of China; 3School of Education, Soochow University, Suzhou, Jiangsu Province, People’s Republic of ChinaCorrespondence: Yan Dong, School of Educational Technology, Faculty of Education, Beijing Normal University, Beijing, People’s Republic of China, Email yan.dong@bnu.edu.cnBackground: Public health procedures under the COVID-19 pandemic lockdown policy negatively affect people’s health. Students’ physical issues have been increased due to restrictions which further impact their psychological and overall well-being.Objective: The research looks at the influence of coping behavior in mitigating the impact of the COVID-19 epidemic on students’ physical/psychological health and general well-being.Methods: The study’s participants were chosen from a pool of 2200 people using convenience sampling. Using an anonymous online poll, the main data were gathered. The collected data were analyzed by using Smart-PLS.Results: From eight direct correlations, seven were found to be true, except the route pandemic -> overall wellbeing, which was not true. Furthermore, it was shown that the mediating effect of coping behavior was statistically significant in the routes of mediation.Conclusion: Coping strategies have a significant role in how a person responds to trying circumstances. Our study’s results suggest that coping strategies had a statistically significant mediation role in reducing the effects of the COVID-19 pandemic. It is concluded that appropriate coping strategies are an effective adaptation of a protective barrier against the damaging effects of COVID-19 on health.Keywords: coping behavior, pandemic, students, physical health, psychological health

Introduction Of youth experiencing homelessness (YEH; 14–24 years old), 70%+ smoke combustible, commercial tobacco. Though many have tried to quit, most use ineffective methods. Drop-in centers for YEH are opportune places to link YEH to evidence-based treatment. Using the Phase-Based Model (PBM) for Cessation Research, the aim of this study was to identify "Motivation" phase-specific challenges impacting YEH's willingness to make a quit attempt—the goal of this cessation phase. Aims and Methods Surveys were interview administered with 96 past-week combusted tobacco users accessing drop-in services. Regression models were fit to confirm hypothesized challenges impacting YEH's willingness to quit. Results Moderate nicotine dependence was noted—a key Motivation phase cessation mechanism targeted—and was associated with population challenges including, but not limited to, replacing food with tobacco, accidental oxygen-deprivation events, and smoking to socialize. While 67.1% of participants made a past-year quit attempt, 45.8% expressed 30-day quit interest. Dimensions of coping with housing were associated with quit attempts and quit interest. Quit attempts were also associated with nicotine dependence, working, and smoking to socialize. Whereas, quit interest was associated with less endorsement of smoking to regulate affect and more endorsement to avoid danger. Conclusions Though common challenges targeted in Motivation phase cessation exist among YEH, other challenges may also need to be addressed to promote quitting. Implications Future research in optimizing evidence-based cessation access for YEH through drop-in centers may consider addressing the challenges of housing, food security, social context, violence, and neurotrauma sequela to bolster YEH willingness to make a quit attempt. [ABSTRACT FROM AUTHOR]

Introduction: Perceived stress at work has been linked to several adverse outcomes in workers, including increased risk of burnout and aggression (e.g., anger and irritability). However, much remains unknown about factors that might mitigate the negative influences of perceived stress on workers' wellbeing. This study focusses on coping as a possible protective factor against perceived stress and its consequences in forensic mental healthcare workers. We aimed to identify which higher-order coping factors were present in this worker sample and to investigate whether these coping factors modify the associations between perceived stress and burnout or aggression. Methods: For this observational survey study, 116 forensic mental healthcare workers completed questionnaires assessing changes in work situation since the start of COVID-19, perceived stress, coping, burnout symptoms, and aggression. Results: Results from principal component analysis indicated that four higherorder coping factors could be distinguished: social support and emotional coping, positive cognitive restructuring, problem-focused coping, and passive coping. Higher perceived stress levels were associated with higher levels of both burnout and aggression in workers. Problem-focused coping was associated with less burnout symptoms in workers. Furthermore, positive cognitive restructuring was associated with less aggression in workers. Discussion: In conclusion, problem-focused coping and positive cognitive restructuring may protect workers against burnout symptoms and aggression and these results may inform future studies on preventive interventions aimed at promoting worker's well-being. [ABSTRACT FROM AUTHOR]

Context collapse occurs on social media platforms when different groups are mixed into one audience. To advance the understanding of the extensive and complex coping strategies people use to address context collapse, this study makes a conceptual distinction between passively adapting by sharing context-free, general information (context adaptation) and rebuilding contexts to satisfy the diverse needs of impression management (context restoration). This study in-depth interviewed 51 WeChat users (30 working professionals and 21 college students) in urban China. The results identified strategies for context restoration through reconstructing contextual boundaries on psychological, relational, spatial, and temporal dimensions. These findings highlight individual (effort minimization, self-consciousness, and privacy concerns) and audience factors (the heterogeneity and activeness of the audience) in determining the adoption of specific strategies. This study emphasizes the subjectivity and agency of users in relation to the social media ecosystem and develops a theoretical spectrum systematically situating users' coping behaviors for mitigating context collapse. [ABSTRACT FROM AUTHOR]

While food can function as a component product of tourism, there remains a need for food tourism to become more sustainable. This study sought to discover what risk dimensions tourists perceive in food tourism and to enhance understanding of what actions and coping behaviors tourists take to lower levels of perceived risk in a food tourism setting. Data were collected in March 2023 for two weeks from Chinese tourists who considered traveling to Jeju Island, South Korea. A total of 303 responses were analyzed using exploratory factor analysis, confirmatory factor analysis, and structural equation modeling to test 13 hypotheses. Results identified physical risk, communication risk, and food-related risk as concerns for tourists, and the results confirmed support for 11 of the hypotheses tested. This study has theoretical implications for supplementing insufficient prior research by examining the risk factors perceived by tourists when participating in food tourism. Practical implications from this study include ways to reduce the level of perceived risk dimensions for sustainable food tourism experiences. [ABSTRACT FROM AUTHOR]

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This study aims to describe public risk perception regarding COVID‐19 and corresponding self‐protection behavior using samples in China. An online survey was operated to investigate the perception of the COVID‐19 pandemic and their coping behavior (n = 1144). Structural equation models were applied to analyze data. Empirical results indicate that intention to adopt self‐protection behaviors and public risk perception are high. Risk perception, perception of governmental COVID‐19 prevention, and systematic processing positively influence coping behavioral intentions. Perception of governmental COVID‐19 prevention, knowledge regarding COVID‐19, and systematic processing positively impact risk perception. Knowledge regarding COVID‐19 positively influences systematic processing. Information acquisition positively affects perception of governmental COVID‐19 prevention and knowledge regarding COVID‐19. The epidemic prevention and control efforts of the government could trigger public coping behavioral intentions. Improving the information processing capability of the public helps maintain a high level of risk perception. [ABSTRACT FROM AUTHOR]

Abstract Background Postpartum depression is a frequent mental health issue that affects many women due to this stressful phase. The aim of the study is to gain insight into the coping strategies employed by postpartum women and to explore how these strategies are influenced by various demographic and maternity factors. Methods The study adopted a quantitative, cross-sectional design. Data were collected from 239 postpartum women receiving care at a Gynecology and Obstetrics Clinic using self-reported tools, which include the Brief COPE survey and the socio-demographics and obstetric/maternal history form from October 2022 to April 2023. Results The study findings indicate that individuals aged over 40 tend to use more emotional-focused coping compared to those aged 21–30 (p = 0.002) and 31–40. Additionally, both genders of children were associated with more emotional-focused coping (p = 0.007) compared to only having boys. Cesarean section delivery (p = 0.001) was associated with more avoidant-focused coping than normal vaginal delivery. Avoidant-focused coping was significantly predicted by problem-focused coping (p

Background: Infertility is recognized as a stressful and critical experience worldwide and across cultures and disrupts individual, marital, family, and social stability. Religion serves as a source of support in dealing with health-related problems. This study investigates the relationship between religious coping mechanisms and health-promoting lifestyle (HPL) among Iranian infertile women. Methods: A cross-sectional correlational study was conducted on 177 infertile women referring to the Sarem Sub-specialized Infertility Treatment and Research Center in Tehran City, Iran, 2019. The subjects were recruited by continuous sampling. The data in this study were collected using a demographic information form, the Iranian religious coping scale (IRCS), and the health-promoting lifestyle profile-II (HPLP-II). Statistical analyses, including the independent t-test, one-way ANOVA, and Pearson correlation coefficient, were performed using SPSS software, version 22. The significance level was set at P

In the modern world, the growing uncertainty becomes a challenge for coping behavior as the current global changes bring about adaptive transformations in people. One’s coping strategies depend on one’s attitude towards uncertainty, which expresses itself via the construct of tolerance / intolerance to ambiguity. Coping strategies, in their turn, define the way one’s psychological adaptation unfolds under stress. The research objective was to determine the relationship between the coping pattern and the level of ambiguity tolerance in young people. The study involved 81 people aged 17–39 (22.48 ± 5.34 y.o.). Such coping strategies as accepting responsibility, avoidance, planful problem solving, and positive reassessment demonstrated a correlation between the coping behavior pattern and the ambiguity tolerance. In some cases, the strategy of accepting responsibility lost its adaptive focus. Adaptive and maladaptive coping strategies were used to describe the relationships between the level of frustration and subjective well-being. The research revealed a strong connection between ambiguity tolerance and frustration, as well as between ambiguity tolerance and subjective well-being. The article also introduces an analysis of self-reports made by the respondents regarding their emotional and subjective assessment of ambiguity tolerance.

This paper presents a comparative analysis of cognitive functioning in women and men after COVID-19. A comprehensive assessment covered coping behavior and life purpose orientation in their connection with cognitive functions. It involved 65 former COVID-19 patients (26 men and 39 women). The general cognitive state was assessed with the help of the Mini-Mental State Examination (MMSE) Scale while the Frontal Assessment Batter (FAB) Test made it possible to determine the level of self-control in planning behavior. The coping behavior was evaluated using R. Lazarus’s Ways of Coping Questionnaire (WCQ). The semantic orientation of behavior was carried out using the Life Purpose Orientation technique developed by D. A. Leontiev. The research revealed some gender-related differences. The men demonstrated no connection between their coping behavior and the cognitive state. They had a lower sense of purpose and were mostly past-oriented. The women, on the contrary, showed a strong relationship between coping behavior, cognitive state, and life purpose orientation. In women, the restoration of cognitive functions led to a decrease in productive and unproductive behavioral responses to stressful situations, as well as to a greater sense of purpose and retrospective analysis.

The relevance of the study is due to the poor development of the problem of professional self-realization of IT specialists. The specifi city of the professional activity of this category of employees imposes special requirements on their individual psychological characteristics, which ensure the success of self-realization of specialists engaged in information and computer activities. Purpose: to identify the specifi cs of self-realization of IT professionals with diff erent individual typological features. Hypothesis: a set of certain individual-personal characteristics forms diff erent individual-psychological types of IT specialists, which act as a prerequisite for professional self-realization of the subject of this profession. Participants: employees of leading Russian IT companies (Moscow) (N = 154) – 42 women and 112 men aged 22 to 44 (average age 32.09±5.71). Methods (tools). To study the individual and personal characteristics of IT specialists, the following were involved: “IndividualTypological Questionnaire – ITQ” (L. N. Sobchik), “Personality Questionnaire – EPI” (G. Eysenck), questionnaire “Strategies for Coping with Stressful Situations - SACS” (S. Hobfall). When identifying the specifi cs of self-realization of IT specialists with diff erent individual typological features, the “Multidimensional Questionnaire of Personal Self-Realization” (S. I. Kudinov) was used. Results: it was found that such characteristics as “anxiety”, “sthenicity”, “extraversion” and “lability” are leading ones in the structure of individual traits of IT-specialists. The dominant coping strategies of IT-specialists are “entering into social contact”, “search for social support”, “cautious actions”. As a result of cluster analysis, three types of individuality of IT-specialists were identifi ed and characterized: “introverted-confi dent”, “extroverted-active”, “extraverted-prosocial”. According to the results of a comparative analysis the data on the confi guration of the types of self-realization in each cluster are presented. It has been established that specialists of the “introverted-confi dent” type demonstrate the highest rates in all types of self-realization: personal, social and professional. This allows us to consider this type of personality as the main predictor of eff ective self-realization of IT specialist’s personality. Main conclusions: 1) there is a certain specifi city in the manifestation of self-realization of IT specialists with diff erent individual typological features; 2) the practical signifi cance of the study is emphasized in the context of psychological support for the professional self-realization of IT specialists, taking into account their personal characteristics.

Abstract Background Following external situation reports, individuals perceive risks, experience different emotional reactions, and further change their behaviors. Therefor people’s psychology will also be affected by adjustment of COVID-19 epidemic prevention and control policy, but it remains unknown what kind of coping behaviors will be produced due to psychology. This study defines coping behavior as “medical behavior and irrational consumption behavior after the adjustment of COVID-19 epidemic prevention and control policy in China”, assesses the prevalence of negative emotions in the Chinese population after policy adjustments, and explores how negative emotions affect people’s coping behaviors, conducts baseline research, provides references and suggestions for policy formulation. Methods A cross-sectional online survey was conducted during 21–28 December 2022, included sociodemographic characteristics, COVID-19 infection and irrational purchase behavior, psychological assessment, and opinion polling. Depression and anxiety status are assessed by PHQ-9 and GAD-7. The relationship between anxiety, depression and coping behavior was analyzed by Pearson χ2 test, Fisher’s exact test and logistic regression. Results A total of 3995 infected participants were included in this study, of which 2363(59.1%) and 1194(29.9%) had depression and anxiety. There was a significant difference in clinical treatment and irrational purchase behavior between different level of depression and anxiety. Depression was a risk factor for self- medication (OR = 1.254), seeking professional treatment (OR = 1.215), using online services of medical institutions (OR = 1.320), large-scale purchases of medicines (OR = 1.154) and masks (OR = 1.096). Anxiety was a risk factor for seeking professional treatment (OR = 1.285) and large-scale purchases of masks (OR = 1.168). Conclusion After the adjustment of COVID-19 epidemic prevention and control policy, patient risk perception can increase depression and anxiety. We found that associated with depression, COVID-19 patients are more likely to have medical behaviors such as self- medication, seeking professional treatment, using online services of medical institutions, and storage behaviors of medicines and masks; and anxiety associated with the coping behavior of patients to seek professional treatment and store masks in large quantities. We should improve people’s mental health, and on the other hand, we should give people effective psychological education during the epidemic. Therefore, we should set up psychological outpatient clinics in community health institutions, expanding mental health screening and guidance; relying on the psychological outpatient clinic, establish groups of people with depression or anxiety to carry out COVID-19 health education and peer education, to reduce adverse drug reactions, avoid panic seeking professional treatment and irrational purchase behavior, and protect public mental health. Trial registration This study has been approved by the Medical Ethics Committee of Capital Medical University (2023SY086), and informed consent was obtained from the study subjects before the investigation.

Introduction. This paper addresses health issues of the modern young generation and introduces new experimental designs to examine the relationship between health and the most preferred coping strategies of young people, which can enable a broader study of the issue of health protection through the development of conscious and rational behaviors, including in stressful situations. The paper presents an analysis of the concept of health from the interdisciplinary perspective. The focus is on the necessity of considering a single sociopsychological aspect of health, including its somatic, social, and personal levels. Stress affects human health and stress resistance helps maintain mental and physical health. Methods. The experimental study aimed to identify the characteristics of coping behaviors of young men and women with different health levels. The study sample comprised male and female students of Bunin Yelets State University (N = 540, mean age of 20 ± 2.3 years). The study used (a) the questionnaire to identify the level of health and (b) the Ways of Coping Questionnaire by R. Lazarus modified by T. L. Kryukova, E. V. Kuftyak, and M. S. Zamyshlyaeva. The statistical analysis of the results was carried out using descriptive statistics (frequency analysis, analysis of ingroup mean values and standard deviations), Pearson’s chi-square test, and non-parametric Mann-Whitney U test. Results. The results of the study indicated that young men and women with different health levels use different coping forms. Young women with health problems use productive coping more often than young men. The higher the level of health of young men, the more likely they are to use productive coping. Discussion. The study shows that the negative experiences of young women associated with the symptoms of chronic diseases enabled female respondents to adapt better to stressful situations associated with health losses. At the same time, health losses as stress factors affect the level of constructiveness in choosing models of behavior for young men and women.

IntroductionPerceived stress at work has been linked to several adverse outcomes in workers, including increased risk of burnout and aggression (e.g., anger and irritability). However, much remains unknown about factors that might mitigate the negative influences of perceived stress on workers’ well-being. This study focusses on coping as a possible protective factor against perceived stress and its consequences in forensic mental healthcare workers. We aimed to identify which higher-order coping factors were present in this worker sample and to investigate whether these coping factors modify the associations between perceived stress and burnout or aggression.MethodsFor this observational survey study, 116 forensic mental healthcare workers completed questionnaires assessing changes in work situation since the start of COVID-19, perceived stress, coping, burnout symptoms, and aggression.ResultsResults from principal component analysis indicated that four higher-order coping factors could be distinguished: social support and emotional coping, positive cognitive restructuring, problem-focused coping, and passive coping. Higher perceived stress levels were associated with higher levels of both burnout and aggression in workers. Problem-focused coping was associated with less burnout symptoms in workers. Furthermore, positive cognitive restructuring was associated with less aggression in workers.DiscussionIn conclusion, problem-focused coping and positive cognitive restructuring may protect workers against burnout symptoms and aggression and these results may inform future studies on preventive interventions aimed at promoting worker’s well-being.

The goal of this study was to empirically evaluate the association between perceived threat and anxiety on coping behaviors (protective action, seeking help, avoidance) of Kebumen district e-banking users. By disseminating surveys via a Google form, 121 study samples were acquired. Purposive sampling was utilized in this study, with the criteria of respondents obtained by e-banking. In this work, structural equation modeling is used to evaluate hypotheses using the WarpPLS version 7.0 program. The findings of hypothesis testing demonstrate that perceived threats and anxiety have an influence on coping behavior; however, there is no evidence that perceived threats lead to avoidance. According to the findings of this study, threats have no effect on respondents' usage of e-banking because it has become a daily requirement.