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Safety literature has traditionally focused on identifying and managing risk factors that lead to safety outcomes (e.g., injuries, accidents, death) at work. The current study takes a new perspective on employee safety and proposes that safety‐related experience has more general work implications. Drawing on theories of stress coping and workplace anxiety, we test a mechanism on how employees' daily experiences of safety threats are related to their work behavior via negative emotional reactions. Specifically, we focus on employees' experiences of safety violations on the way to work and at work during the ongoing struggles with COVID‐19. Our daily diary study (Level 1 N = 778, Level 2 N = 84; office workers in South Korea) shows that experiencing safety violations during the daily commute and at work is associated with increased state health anxiety at work, which then translates into work withdrawal on that day. Furthermore, we introduce organizational safety climate as an important mitigating factor of this stress‐coping process, as such a climate can emphasize management's commitment to safety. [ABSTRACT FROM AUTHOR]

Objectives: Previous research has shown that living alone and being quarantined during the COVID-19 pandemic were associated with poorer mental health and well-being. The aim of this study was to examine whether self-compassion buffered these adverse effects. Methods: 435 German adults were surveyed in three waves over six weeks. In all three waves, participants were asked whether they lived alone and whether they were quarantined. Self-compassion, mental health, and well-being were also assessed in all three waves. Results: In linear structural equation models adjusted for age, gender, and the respective outcome measure at T1, higher self-compassion at T2 was associated with better mental health and well-being at T3. However, there was no evidence that living alone and quarantine at T1 were associated with mental health and well-being at T3, or that self-compassion moderated these effects. Conclusions: Our study spanned six weeks, and one possible explanation for our nonsignificant findings is that the mental health effects of living alone, quarantine, and self-compassion are rather short-lived. In addition, individuals living alone and individuals in quarantine may not necessarily have been socially isolated or felt lonely, which may explain why no associations with mental health were found. [ABSTRACT FROM AUTHOR]

Infertility presents a growing global concern, exerting profound physiological, psychological, and social impacts on affected individuals. To determine the effect of the social-emotional capacities of infertile individuals on their stress levels and ability to cope with infertility stress. The cross-sectional study was conducted with a total of 428 at a University Hospital Fertility Center. Data were collected with the Infertility Stress Scale, the Infertility Stress Coping Strategies Scales and the Social Emotional Capacity Measurement Tool in Infertile Individuals, and surveys gathering demographic and infertility information between 15 May 2023 and 15 January 2024. The correlation between active avoidance coping, passive avoidance coping, and helplessness shows that active avoidance coping methods and passive avoidant coping methods are associated with increased helplessness. The study model showed that while the independent variable of social-emotional capacity was associated with infertility stress, age, and years of marriage, the relationship between methods of coping with infertility stress was insignificant. The factors included in the model explain 23.2% of social-emotional capacity. Nurses are available to provide consultation services to address this issue. It is crucial that healthcare professionals, particularly nurses, understand social emotional capacities of infertile patients and their needs. Patient-centered clinical interventions should consider the potential inadequacy of promoting Problem-Solving strategies. Even Avoidance can be an efficient strategy for dealing with specific infertility-related stress dimensions. [ABSTRACT FROM AUTHOR]

There is a gap in existing knowledge of stress-triggered neurochemical and behavioral adaptations in females. This study was designed to explore the short-term consequences of a single social defeat (SD) on accumbal dopamine (DA) dynamics and related behaviors in female Wistar rats. During the SD procedure, rats demonstrated different stress-handling strategies, which were defined as active and passive coping. The "active" subjects expressed a significantly higher level of activity directed toward handling stress experience, while the "passive" ones showed an escalated freezing pattern. Remarkably, these opposite behavioral manifestations were negatively correlated. Twenty-four hours following the SD exposure, decreased immobility latency in the Porsolt test and cognitive augmentation in the new object recognition evaluation were evident, along with an increase in electrically evoked mesolimbic DA release in passive coping rats. Rats exhibiting an active pattern of responses showed insignificant changes in immobility and cognitive performance as well as in evoked mesolimbic DA response. Furthermore, the dynamics of the decline and recovery of DA efflux under the depletion protocol were significantly altered in the passive but not active female rats. Taken together, these data suggest that female rats with a passive coping strategy are more susceptible to developing behavioral and neurochemical alterations within 24 h after stress exposure. This observation may represent both maladaptive and protective responses of an organism on a short timescale. [ABSTRACT FROM AUTHOR]

This article explores the effectiveness of virtual reality (VR) interventions in reducing anxiety and stress among music students, employing a quantitative, experimental methodology. Utilizing the State-Trait Anxiety Inventory (STAI) and the Perceived Stress Scale (PSS) as measurement tools, the study engaged 120 volunteer musicians from South Ukrainian National Pedagogical University named after K.D. Ushynsky, Ukraine. These participants were randomly assigned to either a control group or an experimental group engaging in tailored VR interventions over a six-month period. The results showed a significant decrease in anxiety and perceived stress levels among the experimental group, as indicated by the STAI and PSS scores. These findings suggest that VR interventions can effectively enhance psychological well-being in music education. The study contributes to interdisciplinary knowledge, combining technology with educational methods, and recommends incorporating technology-driven approaches in curricula to address the emotional and mental health challenges faced by students. Furthermore, the article broadens the existing understanding of VR's impact on anxiety and stress reduction and offers practical insights for educators, psychologists, and policymakers, particularly advocating for the adoption of these methods across Asia. [ABSTRACT FROM AUTHOR]

Lessons learned from the effects of the COVID-19 pandemic on the well-being of teachers reveal how school administrators can promote teacher stress adaptation and thriving, even in highly disruptive work environments. In a mixed-methods study within a single school district in Canada, consisting of a survey of 65 K-12 teachers and interviews with 10 administrators and teachers, the results showed the degree to which teachers were coping, had job satisfaction, and demonstrated thriving. Interviews yielded information on the limitations of the education system response and how school district administration could provide additional key resources that would strengthen individual stress coping and resiliency, create a culture of safety and community, and lay the foundations for teacher thriving, even in challenging and disruptive conditions [ABSTRACT FROM AUTHOR]

Lessons learned from the effects of the COVID-19 pandemic on the well-being of teachers reveal how school administrators can promote teacher stress adaptation and thriving, even in highly disruptive work environments. In a mixed-methods study within a single school district in Canada, consisting of a survey of 65 K-12 teachers and interviews with 10 administrators and teachers, the results showed the degree to which teachers were coping, had job satisfaction, and demonstrated thriving. Interviews yielded information on the limitations of the education system response and how school district administration could provide additional key resources that would strengthen individual stress coping and resiliency, create a culture of safety and community, and lay the foundations for teacher thriving, even in challenging and disruptive conditions

Abstract Background Given the increasing stress levels among medical students due to the impact of COVID-19, it is crucial to effectively reduce their stress levels for their future development. To better understand medical students’ stress coping, this study investigated how their emotional intelligence is related to stress coping and whether this relationship is moderated by gender differences. Methods A cross-sectional study was conducted. A random sample of 744 medical students from Hebei Province, China, was investigated via an emotional intelligence scale and stress coping questionnaire from March–May 2023. The response rate was 93%. SPSS and Mplus statistical software were used for the data analysis. Results The self-emotional appraisal of medical students had a significant negative effect on avoidant coping (β = -0.173, CI 95% = [-0.243, -0.099], p

AbstractAlthough school-aged children often suffer from multiple several allergic diseases concurrently, most studies on stress coping have examined allergic diseases separately. Herein, semi-structured interviews were conducted to evaluate stress-coping patterns associated with allergic diseases among ten children aged 9–12 years, and obtained data were subjected to qualitative thematic analysis. Characteristic word contents were grouped into categories to explore themes. After the analysis, e themes—objection, support, rescue, distraction, concealment, catharsis, conversion, and positive thoughts—and 13 categories were identified. Furthermore, a thematic map was used on the following three coping domains of coping: problem-focused and behavioral coping, emotion-focused and behavioral coping, and emotion-focused and cognitive coping. Behavioral coping could be easily implemented in children. This study revealed that it is critical for children with allergic diseases to have various coping methods and functional coping strategies should be implemented. [ABSTRACT FROM AUTHOR]

Animals with different life‐history types vary in their stress‐coping styles, which can affect their fitness and survival in changing environments. We studied how chronic exposure to manganese sulfate (MnSO4), a common aquatic pollutant, affects life‐history traits, physiology, and behavior of zebrafish (Danio rerio) with two life‐history types: fast (previously selected for fast juvenile growth, early maturation, and small adult body size) and slow life histories (selected for slow juvenile growth, late maturation, and large adult body size). We found that MnSO4 had negative effects on growth and condition factors, but the magnitude of these effects depended on the life‐history type. Individuals with fast life histories were more susceptible to MnSO4 than fish with slow life histories as they had lower growth rate, condition factor and feeding probability in high MnSO4 concentrations. Our results demonstrate that MnSO4 can impair fish performance, and life‐history variation can modulate the stress‐coping ability of individuals. Animals with different life‐history types vary in their stress‐coping styles, which can affect their fitness and survival in changing environments. We found that MnSO4 had negative effects on growth and condition factors, but the magnitude of these effects depended on the life‐history type. Individuals with fast life histories were more susceptible to MnSO4 than fish with slow life histories as they had lower growth rate, condition factor and feeding probability in high MnSO4 concentrations. [ABSTRACT FROM AUTHOR]

People experiencing homelessness report increased exposure to traumatic life events and higher rates of depression, anxiety, and post‐traumatic stress disorder as compared with the general population. Heart rate variability‐biofeedback (HRV‐BF) has been shown to decrease symptoms of stress, anxiety, depression, and PTSD. However, HRV‐BF has not been tested with the most vulnerable of populations, homeless adults. The purpose of this randomized controlled trial was to compare the effectiveness of an HRV‐BF intervention versus a Health Promotion (HP) active control intervention focused on improving mental health symptoms among homeless adults. Guided by a community advisory board, homeless adults residing in Skid Row, Los Angeles (n = 40) were randomized to either the HRV‐BF or an active HP control group and received eight weekly, 30‐min sessions over two months, delivered by a nurse‐led community health worker team. Dependent variables of HRV, mental health, anxiety, depression, and PTSD were measured at baseline, the 8‐week session, and/or 2‐month follow‐up. All intervention sessions were completed by 90% (36/40) of participants. Both the HRV‐BF and HP interventions showed significant increases in HRV from baseline to 2‐month follow‐up, with no significant difference between the intervention groups. The HRV‐BF programme revealed a somewhat greater, although non‐significant, improvement in anxiety, depression, and PTSD symptoms than the HP programme. The usefulness of both interventions, focused on emotional and physical health, warrants future studies to examine the value of a combined HRV‐BF and HP intervention. [ABSTRACT FROM AUTHOR]

Background: Given the increasing stress levels among medical students due to the impact of COVID-19, it is crucial to effectively reduce their stress levels for their future development. To better understand medical students' stress coping, this study investigated how their emotional intelligence is related to stress coping and whether this relationship is moderated by gender differences. Methods: A cross-sectional study was conducted. A random sample of 744 medical students from Hebei Province, China, was investigated via an emotional intelligence scale and stress coping questionnaire from March–May 2023. The response rate was 93%. SPSS and Mplus statistical software were used for the data analysis. Results: The self-emotional appraisal of medical students had a significant negative effect on avoidant coping (β = -0.173, CI 95% = [-0.243, -0.099], p <.001). However, the other dimensions of emotional intelligence (others' emotional appraisal, use of emotion, and regulation of emotion) had a significant positive impact on the active coping of female medical students (β = 0.146, CI 95% = [0.082,0.214], p <.001; β = 0.235, CI 95% = [0.167,0.304], p <.001; β = 0.165, CI 95% = [0.084,0.247], p <.001). In contrast to those of female medical students, other dimensions of emotional intelligence had a significant positive impact on the avoidant coping of male medical students (β = -0.161, CI 95% = [-0.284, -0.062]; p < 0.01; β = 0.126, CI 95% = [0.043,0.246], p < 0.001; β = 0.159, CI 95% = [0.054,0.277], p < 0.05; β = -0.221, CI 95% = [-0.363, -0.129], p < 0.001). Moreover, the use of emotion had a significant positive impact on the active coping of male medical students (β = 0.272, CI 95% = [0.182,0.382], p <.001). Furthermore, gender differences had a moderating effect on the relationship between emotional intelligence dimensions and stress coping (β = 0.178; CI 95% = [0.068,0.292]; p < 0.05). Others' emotional appraisal has a greater impact on female students' active coping. In addition, with increasing regulation of emotion ability, female medical students reduce avoidant coping (β = 0.169, CI 95% = [0.002,0.326]; p < 0.05). Conclusions: The current study revealed that gender is a significant moderator of the relationship between medical students' emotional intelligence and stress coping. These findings may help medical colleges focus on gender differences when improving medical students' ability to cope with stress. [ABSTRACT FROM AUTHOR]

Introduction: This study aimed to determine the effectiveness of group therapy on the stress coping skills of Chinese students in Korea using a pre-test posttest control group design. Methods: Thirty participants were randomly placed into an experimental group (EG; n = 15) and a control group (CG; n = 15). The EG completed eight 120-min sessions of group art therapy. The Person-in-the-Rain (PITR) drawing test was conducted with both groups before and after the EG completed art therapy. Results: The test revealed that EG members demonstrated lower stress and significantly higher stress resources and coping abilities than the CG members after the intervention. The group art therapy program improved the EG participants' ability to deal with stress. Discussion: This study's findings may offer insights useful for determining how best to provide psychological and emotional support to international students who have left their home countries and are continuing their academic journeys abroad. [ABSTRACT FROM AUTHOR]

To meet the requirements of the 21st century school, it would therefore seem necessary to rethink how mental health is organized and particularly within the physical learning environment. This has been done in Quebec, Canada, where 'flexible' seating allow students to choose where they sit and work during the day. Student-student and student-teacher exchanges also have an impact on the mental health of children in school. Indicators of mental health were studied among 107 students in three flexible seating group and three fixed seating group. Two models were created based on gender, and Student T-tests were used for two databases. Another database for teachers was analyzed descriptively by group. Girls in the flexible seating group had lower scores for internalizing problems, inattention/hyperactivity, school problems, and emotional symptoms compared to girls in the fixed seating group. For boys, there was a decrease in school problems alone and an increase in the other variables. For teachers, there was an upward trend in median scores in the flexible seating group. In general, classroom layout appears to have played a role in the students' school mental health and a particularly beneficial role for girls. In practice teachers should consider that some of their students may not feel comfortable in a flexible layout. More support and help from the teacher to these students could help them to cope with the changes brought by flexible seating. Beyond the students' comfort, for teachers, this would allow them to meet their students' needs through differentiated instruction and differentiated learning. [ABSTRACT FROM AUTHOR]

This study examined whether self-compassion at the beginning of the COVID-19 pandemic predicted higher subjective well-being and lower psychopathological symptoms through more functional and less dysfunctional coping. Among 430 adults, self-compassion, coping, life satisfaction, positive and negative affect, and depressive, anxiety, and stress symptoms were assessed longitudinally over 6 weeks (from 04/2020 to 07/2020). Structural equation modeling revealed that self-compassion at T1 predicted more functional and less dysfunctional coping at T2 (controlling for coping at T1) and more positive and less negative affect and lower stress symptoms at T3 (controlling for these measures at T1). More functional and less dysfunctional coping at T2 (controlling for coping at T1) predicted higher subjective well-being and lower psychopathological symptoms at T3 (controlling for these measures at T1), with the sole exception that functional coping was not significantly associated with anxiety symptoms. In addition, we found that less dysfunctional coping mediated (a) nearly one-third (30.77%) of the association between higher self-compassion and less negative affect and (b) nearly half (46.15%) of the association between higher self-compassion and lower stress symptoms. These findings support the idea that a self-compassionate attitude prevents dysfunctional thoughts (e.g., self-blame) and behaviors (e.g., substance use) during stressful times, which in turn reduces negative affect and symptoms of stress. [ABSTRACT FROM AUTHOR]

Coping with stress is crucial for social workers, given the demanding nature of their profession. This study examines the impact of emotional intelligence, interpersonal dynamics, and public service motivation on the ability of social workers in Davao Region, Philippines to manage stress. Utilizing Structural Equation Modeling, the research identifies the best-fit model for stress coping strategies among social workers. Data were collected from 300 participants through random sampling, with the analysis revealing high levels of emotional intelligence, particularly in attention to feelings, and significant public service motivation, especially in commitment to public interest. The study finds that while emotional intelligence and public service motivation positively influence stress coping, interpersonal treatment in the workplace has a negative impact. The best-fit model underscores the importance of integrating emotional intelligence and fostering supportive interpersonal relationships to enhance stress management among social workers. These findings suggest that organizational strategies should focus on emotional intelligence development and positive workplace interactions to improve social workers' resilience against stress. Furthermore, these findings can inform policy-making and organizational strategies to create a more supportive work environment, ultimately enhancing the well-being and efficiency of social workers in their roles.

BackgroundThe global COVID-19 pandemic has highlighted critical concerns surrounding mental health. Social isolation measures, such as the quarantine of incoming travelers, are essential public health strategies for the prevention and control of infectious diseases. However, quarantine can lead to adverse psychological outcomes, including feelings of confinement, boredom, perceived scarcity of supplies and information, financial hardship, and social stigma. This study aims to assess the mental states of quarantined individuals, investigate the factors affecting their mental well-being, and examine their coping mechanisms, with the objective of providing recommendations to enhance mental health in anticipation of future outbreaks, such as Disease X.MethodsWe surveyed 327 individuals in quarantine from September 22, 2020 to January 9, 2021, collecting general demographic data and information related to COVID-19. Depression and anxiety were assessed using the PHQ-9 and GAD-7 scales, respectively, while stress coping was evaluated with a simplified version of the Cope scale. We analyzed the relationships between independent variables and mental health outcomes.ResultsAmong the individuals undergoing entry quarantine, 27.8% reported symptoms of depression, and 20.5% reported symptoms of anxiety. Students were more likely to experience depression compared to those with permanent jobs or no occupation. Significant risk factors for both depression and anxiety included pre-existing health conditions, lack of medical insurance, concerns about shortages of daily necessities during quarantine, and high scores for “guilt and self-blame.” Additionally, participants who worried about the impact of the epidemic on their studies or work, and those with high scores for “denial,” were more likely to exhibit depressive symptoms. On the other hand, participants who were concerned about potential rejection or discrimination from the outside world after quarantine were more prone to anxiety symptoms.ConclusionAttention should be paid to the negative psychological reactions of the entry quarantined personnel, especially those with pre-existing health conditions, those without medical insurance, and students studying abroad. Accurate and effective epidemic dynamic information and preventive and control measures can be provided to the public to prevent fear and stigma against quarantined personnel.

Abstract Clinical depression is characterized by multiple concurrent symptoms, manifesting as a complex heterogeneous condition. Although some well-established classical behavioral assessments are widespread in rodent models, it remains uncertain whether rats also display stress-induced depression-related phenotypes in a multidimensional manner, i.e., simultaneous alterations in multiple behavioral tests. Here, we investigated multivariate patterns and profiles of depression-related behavioral traits in male Wistar rats subjected to inescapable footshocks (IS) or no-shocks (NS), followed by a comprehensive battery of behavioral tests and ethological characterization. We observed generalized stronger intra-test but weaker inter-test correlations. However, feature clustering of behavioral measures successfully delineated variables linked to resilience and susceptibility to stress. Accordingly, a noteworthy covariation pattern emerged, characterized by increased open field locomotion, reduced time in the elevated plus maze open arms, lower sucrose preference, and increased shuttle box escape failures that consistently differentiated IS from NS. Surprisingly there is little contribution from forced swim. In addition, individual clustering revealed a diversity of behavioral profiles, naturally separating NS and IS, including subpopulations entirely characterized by resilience or susceptibility. In conclusion, our study elucidates intricate relationships among classical depression-related behavioral measures, highlighting multidimensional individual variability. Our work emphasizes the importance of a multivariate framework for behavioral assessment in animal models to understand stress-related neuropsychiatric disorders.

Background: To investigate if symptoms of depression, anxiety, and stress-coping capacity have an impact on the effect of telephone follow-up (TFU) on trajectories of six recovery measures after hysterectomy and influence the occurrence of unplanned telephone contacts (uTCs) and unplanned visits (uVs) to health care providers. Material and Methods: A post hoc nonrandomized analysis of participants enrolled in a randomized, four-armed, single-blinded, controlled multicenter intervention study comprising 487 women where the women were allocated 1:1:1:1 to one of four TFU models. The Swedish Postoperative Symptom Questionnaire (SPSQ) and two health-related quality of life questionnaires, the EuroQoL-5 dimension with three levels (EQ-5 D-3?L) and the Short-Form-Health Survey (SF-36) assessed the recovery measures. The six recovery measures consisted of the EQ-5D-3L health index, the SF-36 physical component summary (PCS) and mental component summary (MCS), and the maximum and average pain intensity, and symptom sum score obtained from the SPSQ. Psychological distress was evaluated by the psychometric forms, the Hospital Anxiety and Depression Scale and the Stress Coping Inventory. The occurrence of uTC and uV within the 6 weeks of follow-up was registered. Results: Preoperative anxiety, depression, and stress-coping capacity did not modify the effects of the TFU models on the trajectories of the recovery measures, although anxiety and depression were strongly associated with all six recovery measures. uTCs, but not uVs occurred more often in the women with anxiety. Conclusions: Preoperative anxiety, depression, and stress-coping capacity did not appear to influence the effects of TFU contacts on the recovery measures after hysterectomy. Preoperative anxiety seemed to increase the occurrence of uTC. Clinical Trials Registration: ClinicalTrials.gov (NCT01526668).

Clinical depression is characterized by multiple concurrent symptoms, manifesting as a complex heterogeneous condition. Although some well-established classical behavioral assessments are widespread in rodent models, it remains uncertain whether rats also display stress-induced depression-related phenotypes in a multidimensional manner, i.e., simultaneous alterations in multiple behavioral tests. Here, we investigated multivariate patterns and profiles of depression-related behavioral traits in male Wistar rats subjected to inescapable footshocks (IS) or no-shocks (NS), followed by a comprehensive battery of behavioral tests and ethological characterization. We observed generalized stronger intra-test but weaker inter-test correlations. However, feature clustering of behavioral measures successfully delineated variables linked to resilience and susceptibility to stress. Accordingly, a noteworthy covariation pattern emerged, characterized by increased open field locomotion, reduced time in the elevated plus maze open arms, lower sucrose preference, and increased shuttle box escape failures that consistently differentiated IS from NS. Surprisingly there is little contribution from forced swim. In addition, individual clustering revealed a diversity of behavioral profiles, naturally separating NS and IS, including subpopulations entirely characterized by resilience or susceptibility. In conclusion, our study elucidates intricate relationships among classical depression-related behavioral measures, highlighting multidimensional individual variability. Our work emphasizes the importance of a multivariate framework for behavioral assessment in animal models to understand stress-related neuropsychiatric disorders. [ABSTRACT FROM AUTHOR]

As a global health crisis, COVID-19 has led to a rise in overall stress levels. Concurrently, conspiracy beliefs regarding the origin and spread of the disease have become widespread. Engaging in such beliefs can be explained as a form of coping in order to deal with elevated levels of stress. The present study investigated the indirect effects of coping strategies in the association between perceived chronic stress and COVID-related conspiracy beliefs. We report data from an online survey (N = 1,354 individuals: 807 female; 508 male; 8 diverse; 6 not specified; mean age 39.14 years) in German-speaking countries collected between January and March 2021. Our results indicate that people who felt more stressed were more prone to conspiracy beliefs. Coping via acceptance and self-blame was associated with decreased tendencies towards COVID-related conspiracy beliefs, while people who used denial as a strategy were more prone to these beliefs. These findings emphasize the need for stress management interventions and effective coping strategies during times of crisis in order to reduce chronic perceived stress, promote adaptive coping, and ultimately reduce conspiracy beliefs. [ABSTRACT FROM AUTHOR]

The migration of older adults is receiving increasing academic attention. Existing research, however, gives little attention to accompanying migrants who migrate for the purpose of intergenerational caring, which is particularly typical in China, and its impact on older adult immigrants' well-being. Based on the leisure stress coping model, this study explores the leisure stress coping mechanisms of accompanying migrants in the Chinese cultural context. Data were collected through 42 in-depth interviews with Chinese accompanying migrants. The findings revealed that accompanying migrants perceived three dimensions of stress: adaptation stress, obligation stress, and role stress. Under the influence of leisure coping beliefs, migrants adopted coping strategies including seeking support, shifting focus, and self-adjustment. Consequently, the stress-coping process was realised through leisure activities such as exercise, social events, and sightseeing. Theoretical and practical implications of the results are discussed. [ABSTRACT FROM AUTHOR]

Introduction: Researchers have traditionally tested the benefits of social support, showing that it promotes positive health outcomes. There is a lack of research assessing the deleterious impact of poor social support. Low familial support can serve as a stressor in the lives of adolescents, ultimately fostering negative emotions and maladaptive coping, such as attempted suicide. Methods: Guided by general strain theory, this study uses two waves of data from the National Study of Adolescence to Adult Health (N = 13,827; n = 7105 for females, n = 6722 for males) to test the effect of low familial support on depressive symptomatology and whether the latter mediates the effect of low familial support on suicide attempt for both males and females. Results: The analyses reveal that low familial support is positively and significantly associated with depressive symptomatology for male and female adolescents. Regarding suicide attempt, adolescents with lower levels of familial support and higher depressive symptomatology were likely to report attempting suicide. Contrary to theoretical expectations, depressive symptomatology did not mediate the relationship between low familial support and suicide attempt. Conclusions: Overall, the results provide justification for efforts to provide resources to adolescents who lack familial support. [ABSTRACT FROM AUTHOR]

Psychological flexibility is the ability to connect in the present with emotions, thoughts, feelings, bodily sensations, to face difficult situations; while coping with stress is a set of cognitive and behavioral efforts to resolve stressful situations. The main objective of the present study was to determine the relationship between psychological flexibility and stress coping in university students. The research was carried out by means of a descriptive correlational methodology, non-experimental design, longitudinal scope, quantitative type and with a cross-sectional cut. It was carried out in 98 university students with an age range of 18 to 28 years. The stress coping questionnaire (CAE) was applied, which was used to evaluate coping styles to stress and to evaluate psychological flexibility, the Acceptance Action Questionnaire II (AAQ-II) was used. The results showed a slight positive relationship between psychological flexibility and four stress coping styles: religion (RLG) (Rho=0.358 p<0.001) and search for social support (BAS) (Rho=0.522 p<0.001). It was concluded that the greater the psychological flexibility, the greater the variety of coping styles used. [ABSTRACT FROM AUTHOR]

Objective: This research aimed to investigate the effectiveness of Acceptance and Commitment Therapy (ACT) on psychological flexibility, emotional self-regulation, and stress coping styles in mothers of children with specific learning disorders. Materials and Methods: This quasi-experimental study employed a pre-test, post-test, and a three-month follow-up design. The study population included all mothers of children with specific learning disorders enrolled in the fifth grade of primary schools in District 17 of Tehran during the 2021-2022 academic year, from whom 40 participants meeting the inclusion criteria were selected through purposive sampling and randomly assigned into two groups of 20. Data collection was conducted using the Cognitive Flexibility Inventory (Dennis & Vander Wal, 2010), the Emotional Self-Regulation Questionnaire (Larsen & Prizmic-Larsen, 2004), and the Coping with Stressful Situations Questionnaire (Parker & Endler, 1994). Data analysis was performed using mixed ANOVA with SPSS version 25. Findings: Results indicated that Acceptance and Commitment Therapy is effective in improving scores of psychological flexibility, emotional self-regulation, and stress coping styles (P<0.001). Conclusion: Given the effectiveness of Acceptance and Commitment Therapy in mothers of children with specific learning disorders, psychologists and counselors working in this field are advised to utilize these educational and therapeutic methods to enhance psychological flexibility, emotional self-regulation, and stress coping styles in this population. [ABSTRACT FROM AUTHOR]

During the coronavirus pandemic, self-care practice was more than ever underscored for social work students as they have encountered increasing stress in their personal life, schoolwork, and professional practice. These stressors have been interweaved with social problems, further increasing the pressure on them. For social work educators, this situation highlights the necessity of developing students' self-care competency. This brief note reflects upon the challenges we face in integrating self-care components in social policy courses since the outbreak of the pandemic and suggests that social work self-care education can be broadened in terms of purpose, scope, and content in the future. [ABSTRACT FROM AUTHOR]

Abstract Animals with different life‐history types vary in their stress‐coping styles, which can affect their fitness and survival in changing environments. We studied how chronic exposure to manganese sulfate (MnSO4), a common aquatic pollutant, affects life‐history traits, physiology, and behavior of zebrafish (Danio rerio) with two life‐history types: fast (previously selected for fast juvenile growth, early maturation, and small adult body size) and slow life histories (selected for slow juvenile growth, late maturation, and large adult body size). We found that MnSO4 had negative effects on growth and condition factors, but the magnitude of these effects depended on the life‐history type. Individuals with fast life histories were more susceptible to MnSO4 than fish with slow life histories as they had lower growth rate, condition factor and feeding probability in high MnSO4 concentrations. Our results demonstrate that MnSO4 can impair fish performance, and life‐history variation can modulate the stress‐coping ability of individuals.

Final year students often face significant academic and emotional challenges, especially when completing their theses, which can impact their academic performance. The aim of this research is to find out how coping with stress affects the academic achievement index of final year students. The sample of the study was 175 final year students who are doing their thesis of Universitas Islam Negeri Sultan Maulana Hasanuddin Banten. Data was collected through the Coping Stress questionnaire, the questionnaire revealed two aspects, namely problem-focused coping or coping focused on problems and emotion-focused coping or coping focused on emotions. The data analysis technique used in this research is linear regression. The results of the research show that stress coping for final year students has a significant effect on academic achievement. Besides that, there is a strong relationship between final year students' stress coping and academic achievement. Apart from that, coping stress in final year students has an effect on academic achievement by 36,1%. This study's findings highlight the importance of paying close attention to students' living situations, particularly those who reside with their parents. The emotional health and academic success of students can be improved when schools and parents work together to provide a nurturing atmosphere for them. The research show that stress coping for final year students has a significant effect on academic achievement.

Abstract Kinship care represents the most prevalent form of foster care in Poland. Most commonly, the role of kinship carers is taken on by grandparents, who may struggle with various problems, needs and deficits in this role. The aim of this study was to investigate the problem of patience in kinship carers aged 60 + and its impact on deficits in the performance of roles and duties. Methods Seventy-five foster grandparents (63 female, 84%) aged from 61 to 97 years (M = 69,12; SD = 6.22) were investigated in north-western Poland in 2018 and 2019. The study was based on the diagnostic survey method. Results Psychological disposition, functioning, health problems and parental needs and deficits were assessed using standardised psychometric scales and tools self-constructed for this research study. A lack of patience with foster children was reported by 46.7% (n = 35) of the respondents. Patience deficits corresponded with a significantly lower sense of coherence, especially in the manageability domain (p

There is a gap in existing knowledge of stress-triggered neurochemical and behavioral adaptations in females. This study was designed to explore the short-term consequences of a single social defeat (SD) on accumbal dopamine (DA) dynamics and related behaviors in female Wistar rats. During the SD procedure, rats demonstrated different stress-handling strategies, which were defined as active and passive coping. The “active” subjects expressed a significantly higher level of activity directed toward handling stress experience, while the “passive” ones showed an escalated freezing pattern. Remarkably, these opposite behavioral manifestations were negatively correlated. Twenty-four hours following the SD exposure, decreased immobility latency in the Porsolt test and cognitive augmentation in the new object recognition evaluation were evident, along with an increase in electrically evoked mesolimbic DA release in passive coping rats. Rats exhibiting an active pattern of responses showed insignificant changes in immobility and cognitive performance as well as in evoked mesolimbic DA response. Furthermore, the dynamics of the decline and recovery of DA efflux under the depletion protocol were significantly altered in the passive but not active female rats. Taken together, these data suggest that female rats with a passive coping strategy are more susceptible to developing behavioral and neurochemical alterations within 24 h after stress exposure. This observation may represent both maladaptive and protective responses of an organism on a short timescale.

Resilience resources refer to factors that protect against the physical and mental health effects of stress exposure. This study used a cross‐sectional design to test whether three individual‐level resilience resources—mastery, self‐esteem, and perceived social support—moderated associations between prenatal major life stressors and postpartum depressive symptoms at approximately 8 weeks postpartum. Participants were 2510 low‐ and middle‐income women enrolled after the birth of a baby in a multi‐site study of five communities in the United States. At approximately 8 weeks postpartum, participants were interviewed in their homes to assess the three resilience resources, symptoms of depression, and major life stressors that had occurred during the pregnancy. The results of path analyses revealed that mastery and self‐esteem moderated the positive association between prenatal life stressors and postpartum depressive symptoms adjusting for race/ethnicity, partner status, years of education, and household income. Perceived social support was associated with fewer postpartum depressive symptoms but did not moderate the association between life stressors and depressive symptoms. Higher levels of two personal resilience resources, mastery and self‐esteem, attenuated the association between prenatal life stressors and early postpartum depressive symptoms in a large, predominantly low‐income multi‐site community sample. These findings highlight the protective nature of individual‐level resilience resources in the early postpartum period when maternal adjustment shapes parent and child health outcomes. [ABSTRACT FROM AUTHOR]

Kinship care represents the most prevalent form of foster care in Poland. Most commonly, the role of kinship carers is taken on by grandparents, who may struggle with various problems, needs and deficits in this role. The aim of this study was to investigate the problem of patience in kinship carers aged 60 + and its impact on deficits in the performance of roles and duties. Methods Seventy-five foster grandparents (63 female, 84%) aged from 61 to 97 years (M = 69,12; SD = 6.22) were investigated in north-western Poland in 2018 and 2019. The study was based on the diagnostic survey method. Results Psychological disposition, functioning, health problems and parental needs and deficits were assessed using standardised psychometric scales and tools self-constructed for this research study. A lack of patience with foster children was reported by 46.7% (n = 35) of the respondents. Patience deficits corresponded with a significantly lower sense of coherence, especially in the manageability domain (p < 0.001) and such stress coping strategies as lower positive reappraisal (p = 0.016) and seeking of emotional support (p = 0.025), as well as a greater tendency for suppression of activities (p = 0.014) and venting of emotions (p = 0.035). Relatively permanent personality traits and general self-efficacy were not differentiated by patience with children. Conclusions The results suggest that patience – so important for biological and foster parents – is related to psychological competencies that can be improved through psychoeducation and skills-training, which may be beneficial for improving foster carers' effectiveness. [ABSTRACT FROM AUTHOR]

Introduction: Teaching is a profession that involves challenges to emotional health. Teachers experience high levels of work-related stress, which causes symptoms such as anxiety, depression and burnout. Teachers' mental health affects not only their own well-being, but also the quality of education and student achievement. Coping strategies can effectively improve teachers' emotional health. The aim of this study is to assess the relationship between teachers' emotional health and stress coping. Methods: The sample consisted of 385 teachers from Lithuania, with an average age of 50.2 (±9.62) years and 24.9 (±11.8) years of school experience. The WHO-5, the Kessler Psychological Distress Scale (K6), the Spanish Burnout Inventory, Educational Version (SBI-Ed) and the Coping Strategies Scale were used in the study. Results: The study results show that teachers' age, seniority, size of residence, and marital status do not affect their emotional health, but their financial situation and hobbies have a positive impact on enthusiasm. Effective coping strategies such as problem solving, exercise, and hobbies improve emotional well-being, whereas negative coping methods such as self-isolation and alcohol consumption lead to psychological distress and lower enthusiasm at work. [ABSTRACT FROM AUTHOR]

Jun Wang,1,&ast; Hongmei Chen,2,&ast; Lin Yang,2 Xiuli Yu,3 Dandan Zhang,3 Qinghua Zhao,1 Mingzhao Xiao4 1Department of Nursing, The First Affiliated Hospital of Chongqing Medical University, Chongqing, People’s Republic of China; 2Department of Gynecology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, People’s Republic of China; 3Qinggang Senior Care Center, The First Affiliated Hospital of Chongqing Medical University, Chongqing, People’s Republic of China; 4Department of Urology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, People’s Republic of China&ast;These authors contributed equally to this workCorrespondence: Mingzhao Xiao, Department of Urology, The First Affiliated Hospital of Chongqing Medical University, 1 Youyi Road, Chongqing, 400016, People’s Republic of China, Tel +8613608399433, Fax +86-23-89012206, Email mingzhaoxiao@cqmu.edu.cnAbstract: This paper aims to describe a randomized controlled trial protocol evaluating the effectiveness, cost, and process of a stress process model-based program in dementia caregiving (DeCare-SPM) for family caregivers. Family caregivers of individuals with dementia will be recruited from memory clinics and community settings and randomly assigned to either DeCare-SPM or usual care. DeCare-SPM comprises three face-to-face sessions (ie, problem-based coping, emotion-based coping, meaning-based coping), and a fourth session (ie, social support) including weekly telephone-based consultation for four weeks and then monthly face-to-face boosters. Outcomes will be measured at baseline (T0), and at one (T1), three (T2), and six months (T3). The primary outcome is positive aspects of caregiving and secondary outcomes are caregiving (ie, sense of competence, caregiver burden, social support, anxiety, depression, and quality of life), dementia-related (ie, care dependency, neuropsychiatric symptoms, and quality of life), and stress-related biomarkers of blood and saliva. In addition, process and economic evaluations will be performed. Mixed-effects models will be used to assess intervention effects. Content analysis will be performed on the qualitative data. This paper described the protocol for comprehensive evaluation of the effectiveness, cost, and process of the theory-driven DeCare-SPM to inform how and why interventions work. It highlights the need to reduce challenges and enhance the positive aspects of dementia care. The DeCare-SPM will provide evidence-based insights into how to support and empower family caregivers in their important roles, thereby, leading to improved dementia care.Keywords: Alzheimer’s disease, stress coping, informal caregivers, community, psychosocial

Since the history humanity, living conditions have been struggling with harsh environmental and social conditions. Stressors included extreme cold, extreme heat, heavy rain, droughts, famines and vector borne infectious diseases, wars and predators. In contemporary world some of these stressors significantly reduced their impact on the quality of life while new ones emerged including social, economic and political stressors. The complex relationship between continued exposure to these stressors, normal human biochemical and mental processes and the counteraction of the innate human defense mechanisms lead either to the suppression of the effect of these stressors or the failure to do so that cumulatively develop into physiological or mental impairments. This paper aims at the conceptualization of mental illnesses and associated somatic illnesses that result from the failure of the body’s coping mechanisms to chronic stressors embedded in contemporary political systems. These diseases have been collectively called Social Distress Coping Disorders (SDCDs) and include Alcoholism (SDCD-A), Prostitution (SDCD-P), Drug abuse (SDCD-D), Alcoholism and Drugs abuse (SDCD-AD), Anxiety disorders (SDCD-X), Hypertension (SDCD-H), Mood disorders (SDCD-M), Sleep disorders (SDCD- S), Social media addiction (SDCD-SM), Gambling disorder (SDCD-G), and Psychosomatic disorders (SDCD-PS). The current approaches to these conditions undermine the politically driven chronic socio-economic stressful conditions that are triggers of the network of symptoms that maintain these mental and somatic illnesses and the fact that most of them co-occur with others as a complex multiple mental disorder (MMD). Looking at their global ever increasing prevalence, the shortcomings of the current biopsychosocial model are addressed by interventional approach as proposed by the biopsychopolitical mode

The article describes the empirical research of the features of stress coping behavior in patients with newly diagnosed oncopathology. The author's attention is directed to the analysis of the chronic social stress impact on the psychological state of women with cancer due to its relevance in modern social conditions. The article highlights the hypothesis that the effectiveness of stress coping behavior and the general psychological state of patients are closely related to the quality and specificity of provided psychological support. Particular attention is paid to the study of the connection between individual strategies for stress coping and social factors, in particular, family support, dealing with friends and medical personnel. The research is based on an interdisciplinary approach, including knowledge from medicine, psychology, sociology, and other fields for a deeper understanding of the mechanisms of stress coping behavior in patients with oncology and the development of a comprehensive support strategy considering a wide range of factors: from individual characteristics to social living conditions. The conclusions of the empirical study are important for the practice of medical psychology and further research in the field of psycho-oncology.

Background: Children with long‐term conditions are vulnerable due to the treatments required for their conditions. Since the start of the coronavirus disease 2019 (COVID‐19) pandemic, Western Australians experienced restrictions that changed daily life activities but were able to return to some of their previous routines due to the restrictions. Aim: The study explored the stress experiences of parents caring for children with long‐term conditions during COVID‐19 in Western Australia. Design and Participants: The study was codesigned with a parent representative caring for children with long‐term conditions to ensure essential questions were targeted. Twelve parents of children with various long‐term conditions were recruited. Ten parents completed the qualitative proforma, and two parents were interviewed in November 2020. Interviews were audio‐recorded and transcribed verbatim. Data were anonymised and analysed using reflexive thematic analysis. Findings: Two themes were produced: (1) 'Keep my child safe' describes the children's vulnerabilities due to their long‐term conditions, the adjustments parents' made to keep their children safe and the various consequences faced. (2) 'COVID‐19's silver lining' covers the positives of the COVID‐19 pandemic, including their children having fewer infections, the availability of telehealth appointments, relationship improvements and the parent's hopes for a new normal where behaviours prevent transmission of infectious (e.g., hand sanitising). Conclusion: Western Australia provided a unique context for the COVID‐19 pandemic due to no transmission of the virus severe acute respiratory syndrome coronavirus 2 at the time of the study. The tend and befriend theory aids in explaining the parents' stress experiences, and the application highlights a unique aspect of this theory. Parents tended to their children during COVID‐19, but many could no longer rely on others for connection, support and respite, and became further isolated in attempting to protect their children due to COVID‐19 consequences. The findings highlight that some parents of children with long‐term conditions need specific attention during times of pandemics. Further review is recommended to support parents through the impact of COVID‐19 and similar crises. Patient or Public Contribution: This study was codesigned with an experienced parent representative who was part of the research team and involved throughout the research process to ensure meaningful end‐user engagement and ensure essential questions and priorities were addressed. [ABSTRACT FROM AUTHOR]

Abstract Purpose This study aimed to examine the effects of participant role (patient vs. partner), race (white vs. non‐white), and place (less vs. more neighborhood deprivation) on health outcomes (quality of life [QOL] and symptoms) and stress‐coping‐related psychosocial factors (appraisals of illness and coping resources). Methods This descriptive study included 273 patients and their partners (dyads) who transitioned from PCa treatment to self‐management. We used established, psychometrically sound measures to assess health outcomes and psychosocial factors and conducted multilevel modeling analyses. Results Compared to partners, patients reported worse physical QOL; less frequent anxiety; less pain and fatigue; less bothersome hormonal problems; more bothersome urinary and sexual problems; greater self‐efficacy; and more instrumental support. Compared to their white counterparts, non‐white dyads reported better overall, emotional, and functional QOL; less depression; more positive appraisals, and greater self‐efficacy. Compared to dyads in low ADI neighborhoods, dyads in high ADI (more deprived) neighborhoods reported worse social QOL; more bothersome urinary, sexual, and hormonal symptoms; and less interpersonal support. White patients reported the highest emotional support among all groups, while white partners reported the lowest emotional support. Conclusion Our findings underscore the need to consider social determinants of health at multiple levels when investigating PCa disparities. Considering neighborhood‐level socioeconomic factors, in addition to race and role, improves our understanding of the PCa disparities in QOL, symptoms, and psychosocial factors among patients and partners. Targeted multilevel supportive care interventions should tailor to the needs of racially diverse PCa patients and partners residing in deprived neighborhoods are needed.

Abstract Background Causes and consequences of chronic stress levels in the context of healthcare work are well examined. Nevertheless, the implementation and evaluation of high-quality interventions to reduce stress of healthcare workers is still missing. Internet and app-based interventions are a promising venue for providing interventions for stress reduction to a population that is otherwise difficult to reach due to shift work and time constraints in general. To do so, we developed the internet and app-based intervention (fitcor), a digital coaching of individual stress coping for health care workers. Methods We applied the SPIRIT (Standard Protocol Items: Recommendations for Interventional Trials) statement as a guideline for the present protocol. A randomized controlled trial will be conducted. There are five different intervention groups and one waiting control group. To achieve the sample sizes required by power analysis (G*Power) (β-error 80%; effect size 0.25), the sample sizes of the respective scenarios will be at best as follows: 336 care workers from hospitals, 192 administrative health personnel, 145 care workers from stationary elderly care homes, and 145 care workers from ambulatory care providers in Germany. Participants will randomly be assigned to one of five different intervention groups. A crossover design with a waiting control group is planned. Interventions will be accompanied by three measurement points, first a baseline measure, second a post-intervention measure directly after completion of the intervention, and a follow-up measure 6 weeks after completion of the intervention. At all three measurement points, perceived team conflict, work-related experience patterns, personality, satisfaction with internet-based training, and back pain will be assessed using questionnaires, as well as heart rate variability, sleep quality, and daily movement will be recorded using an advanced sensor. Discussion Workers in the health care sector increasingly face high job demands and stress levels. Traditional health interventions fail to reach the respective population due to organizational constraints. Implementation of digital health interventions has been found to improve stress coping behavior; however, the evidence in health care settings has not been established. To the best of our knowledge, fitcor is the first internet and app-based intervention to reduce stress among nursing and administrative health care personnel. Trial registration The trial was registered at DRKS.de on 12 July 2021, registration number: DRKS00024605.

IntroductionTeaching is a profession that involves challenges to emotional health. Teachers experience high levels of work-related stress, which causes symptoms such as anxiety, depression and burnout. Teachers’ mental health affects not only their own well-being, but also the quality of education and student achievement. Coping strategies can effectively improve teachers’ emotional health. The aim of this study is to assess the relationship between teachers’ emotional health and stress coping.MethodsThe sample consisted of 385 teachers from Lithuania, with an average age of 50.2 (±9.62) years and 24.9 (±11.8) years of school experience. The WHO-5, the Kessler Psychological Distress Scale (K6), the Spanish Burnout Inventory, Educational Version (SBI-Ed) and the Coping Strategies Scale were used in the study.ResultsThe study results show that teachers’ age, seniority, size of residence, and marital status do not affect their emotional health, but their financial situation and hobbies have a positive impact on enthusiasm. Effective coping strategies such as problem solving, exercise, and hobbies improve emotional well-being, whereas negative coping methods such as self-isolation and alcohol consumption lead to psychological distress and lower enthusiasm at work.

Stress-coping strategies have been implicated in depression. The control of stress coping may improve the symptom and higher prevalence of depression during the postpartum period in women. However, the neuronal mechanisms underlying stress coping remain to be fully elucidated in postpartum women. In this study, we examined how locus coeruleus-noradrenergic (LC-NA) neurons, which have been associated with both stress coping and depression, regulate changes in coping style induced by subchronic exposure to unfamiliar male mice as a social threat in postpartum female mice. In contrast to virgin females, dams exposed to unfamiliar males daily for four consecutive days showed reduced immobility duration in the forced swim test, indicating that exposure to unfamiliar males decreased passive stress coping in dams. Exposure to unfamiliar males also decreased sucrose palatability in the sucrose preference test and suppressed the crouching behavior in the maternal care test but did not affect anxiety-like behavior in the hole-board test in dams. In fiber photometry analyses, LC-NA neurons showed differential activity between dams and virgin females in response to unfamiliar males. Chemogenetic inhibition of LC-NA neurons during exposure to unfamiliar males prevented the social threat-induced decrease in immobility duration in the forced swim test in dams. Furthermore, inhibition or activation of LC-NA neurons exacerbated crouching behavior in dams. These results indicate that LC-NA neurons regulate the social threat-induced decrease in passive stress coping and relieve social threat-induced inhibition of maternal care in postpartum female mice. [ABSTRACT FROM AUTHOR]

Introduction: The number of young adults with eating disorders or subthreshold eating disorders has increased recently. Although disordered eating behaviors persist once they appear, there have been relatively few studies on factors that might cause disordered eating behaviors. The purpose of this study was to investigate how the eating attitudes of young adults change over time and the risk factors that increase disordered eating behaviors. Methods: A total of 1,141 college students, 639 males and 502 females, participated. We investigated changes in eating attitudes (using EAT-26 and BITE), depressive symptoms (using BDI-II), and stress coping (using CISS, which has three subscales) between 2 time points: at college entrance and in the fourth year of college. We divided the students into three groups (clinical, subthreshold, and healthy) based on EAT-26 scores and compared their BDI-II and CISS scores. Next, we identified students who developed disordered eating behaviors, both clinical and subthreshold, during their time at college (exacerbated students) and compared depressive symptoms and stress coping styles between exacerbated students and healthy students (unchanged students). Results: The students in the subthreshold group (both males and females) scored significantly higher on the BDI-II and emotion-oriented coping (CISS-E) than the students in the healthy group at college entrance. Additionally, the exacerbated students (both males and females) scored significantly higher on the CISS-E in the fourth year than unchanged students. The female exacerbated students scored significantly higher on the BDI-II than female unchanged students at both time points. Conclusions: Our results show that depressive symptoms and nonadaptive stress coping are associated with an increased risk of disordered eating behaviors. This study suggests that early intervention may be necessary for both the clinical and subthreshold groups. The key to early intervention may be to manage not only eating behaviors but also depressive symptoms and stress coping. [ABSTRACT FROM AUTHOR]

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Drawing upon the stress buffering model of social support, this study investigated how perceived social support (PSS), defined as the amount of support individuals think they can mobilize from their network, and received social support (RSS), defined as the level of support individuals have received, moderated the direct and indirect relationships between COVID-19 news exposure (i.e., stressor) and stress via social trust. An online survey from six major cities in China (N = 636) revealed that PSS rather than RSS moderated the direct relationship between COVID-19 news exposure and stress such that this relationship was stronger at a low level of PSS than a high level. Additionally, RSS rather than PSS moderated the relationship between COVID-19 news exposure and social trust such that this relationship was stronger at a low level of RSS than a high level. These findings reveal the differential mechanisms by which PSS and RSS function to buffer against stress. [ABSTRACT FROM AUTHOR]

Abstract Background The COVID‐19 pandemic has affected the mental health of health care workers. This study aimed to investigate the stress factors that cause burnout in Japanese physicians and their coping methods during the COVID‐19 pandemic. Methods We conducted a sequential explanatory mixed‐method study to investigate the psychological responses of physicians in the early stages of the pandemic. A cross‐sectional, web‐based, anonymous survey was conducted among members of the American College of Physicians Japan Chapter to quantitatively investigate the stress factors and prevalence of burnout. An open‐ended questionnaire with questions about stress factors and coping methods was additionally administered. The qualitative data were analyzed using qualitative content analysis. Results Among the 1173 physicians surveyed, 214 (18.2%) responded. Among the participants, 107 (50.0%) responded “yes” to the question “I feel or have felt very stressed at work during the COVID‐19 pandemic,” and 68 (31.8%) reported burnout symptoms. Those who reported feeling stress (117 respondents) were asked to select 12 items of the stress factors related to COVID‐19. The most significant stress factor related to COVID‐19 was “Perceived risk of spreading COVID‐19 to family members” (n = 47). Content analysis identified 12 categories for the stress factors and 7 for stress‐coping methods corresponding to COVID‐19 (Cohen's kappa = 0.84 and 0.95, respectively). Conclusion Several distinct stressors existed during the COVID‐19 pandemic, which might be related to burnout among physicians. Practicing stress‐coping strategies, as identified in the present study, may help reduce work‐related stress and prevent burnout.

Purpose: This study aimed to examine the effects of participant role (patient vs. partner), race (white vs. non‐white), and place (less vs. more neighborhood deprivation) on health outcomes (quality of life [QOL] and symptoms) and stress‐coping‐related psychosocial factors (appraisals of illness and coping resources). Methods: This descriptive study included 273 patients and their partners (dyads) who transitioned from PCa treatment to self‐management. We used established, psychometrically sound measures to assess health outcomes and psychosocial factors and conducted multilevel modeling analyses. Results: Compared to partners, patients reported worse physical QOL; less frequent anxiety; less pain and fatigue; less bothersome hormonal problems; more bothersome urinary and sexual problems; greater self‐efficacy; and more instrumental support. Compared to their white counterparts, non‐white dyads reported better overall, emotional, and functional QOL; less depression; more positive appraisals, and greater self‐efficacy. Compared to dyads in low ADI neighborhoods, dyads in high ADI (more deprived) neighborhoods reported worse social QOL; more bothersome urinary, sexual, and hormonal symptoms; and less interpersonal support. White patients reported the highest emotional support among all groups, while white partners reported the lowest emotional support. Conclusion: Our findings underscore the need to consider social determinants of health at multiple levels when investigating PCa disparities. Considering neighborhood‐level socioeconomic factors, in addition to race and role, improves our understanding of the PCa disparities in QOL, symptoms, and psychosocial factors among patients and partners. Targeted multilevel supportive care interventions should tailor to the needs of racially diverse PCa patients and partners residing in deprived neighborhoods are needed. [ABSTRACT FROM AUTHOR]