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Quansah F, Agormedah EK, Srem-Sai M, Hagan Jr JE, Schack T. Assessing the dimensionality of the sense of coherence scale (SOC-L9) using Ghanaian university students: Guarding against the method effect. Heliyon 2024; 10:e36252. [PMID: 39224295 PMCID: PMC11367501 DOI: 10.1016/j.heliyon.2024.e36252] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2023] [Revised: 07/30/2024] [Accepted: 08/13/2024] [Indexed: 09/04/2024] Open
Abstract
Background The dimensionality of the sense of coherence (SOC-L9) scale has been in contention due to the varied factor structure revealed in the literature. In this study, we assessed the dimensionality of the SOC-L9 scale using Ghanaian university students while guarding against the method effect. The study also examined the gender measurement invariance of the scale. Methods This research conveniently sampled 1062 students who responded to the SOC-L9 scale with negative items reversed to positive items. A larger proportion of the participants were male students (n = 769, 72.4 %), with 293(27.6 %) being female students. The youngest participant was 18 years old, whereas the oldest was 42 years old. Following all validation studies protocols, four distinct confirmatory factor analysis models were fitted and compared (i.e., unidimensional, three-factor first-order, three-factor second-order and bifactor models). Results The initial model comparison revealed that the bifactor CFA model [CFI = 0.958, SRMR = 0.036, AIC = 21231.35, BIC = 21370.45] was superior to the unidimensional [CFI = 0.914, SRMR = 0.046, AIC = 26280.67, BIC = 26414.8] and 3-factor models [CFI = 0.932, SRMR = 0.040, AIC = 26221.67, BIC = 26370.71]. Upon further probing, it was discovered that SOC-L9 functions best as a unidimensional scale for the university student population. Gender measurement invariance was established for configural invariance [CFI = 0.986, SRMR = 0.044], metric invariance [CFI = 0.894, SRMR = 0.051] and scalar invariance [CFI = 0.983, SRMR = 0.047]. Conclusion The SOC-L9 scale has a nested structure with the various sub-scales interacting to produce a summary total observed score. The structure of the SOC-L9 requires scholars to treat the scale as a unidimensional scale rather than a multidimensional one. This latent structure was found to be consistent with male and female university students.
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Affiliation(s)
- Frank Quansah
- Department of Educational Foundations, University of Education, Winneba, P. O. Box 25, Winneba, Ghana
| | - Edmond Kwesi Agormedah
- Department of Business & Social Sciences Education, University of Cape Coast, PMB, Cape Coast, Ghana
| | - Medina Srem-Sai
- Department of Health, Physical Education, Recreation and Sports, University of Education, WInneba, P. O. Box 25, Winneba, Ghana
| | - John Elvis Hagan Jr
- Department of Health, Physical Education and Recreation, University of Cape Coast, PMB, Cape Coast, Ghana
- Neurocognition and Action-Biomechanics-Research Group, Faculty of Psychology and Sports Science, Bielefeld University,Postfach 10 01 3133501, Bielefeld, Germany
| | - Thomas Schack
- Neurocognition and Action-Biomechanics-Research Group, Faculty of Psychology and Sports Science, Bielefeld University,Postfach 10 01 3133501, Bielefeld, Germany
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Pi Y, Wang Y, Li X, Zhang F. Reciprocal longitudinal relations between self-efficacy and coping style: The explanatory mechanism of future self-continuity. J Adolesc 2024; 96:1078-1090. [PMID: 38506257 DOI: 10.1002/jad.12318] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2023] [Revised: 03/09/2024] [Accepted: 03/11/2024] [Indexed: 03/21/2024]
Abstract
BACKGROUND It has been demonstrated that self-efficacy and coping styles are related. However, whether there is a reciprocal longitudinal relation between self-efficacy and coping styles needs to be examined. In this longitudinal study, we tested the reciprocal impacts of self-efficacy and coping styles, taking into account the role of future self-continuity (FSC) in these effects. METHODS The sample included 346 university students in central and southwestern China (48.3% female; Mage = 21.20). Three waves of questionnaire data were collected at half-year intervals. Cross-lagged models were adopted for data analysis. RESULTS Self-efficacy at Waves 1 and 2 positively predicted positive coping style at Waves 2 and 3, and positive coping style at Waves 1 and 2 positively predicted self-efficacy at Waves 2 and 3. Self-efficacy at Waves 1 and 2 negatively predicted negative coping style at Waves 2 and 3, while negative coping style at Waves 1 and 2 did not significantly predict self-efficacy at Waves 2 and 3. These results indicated the reciprocal causation of self-efficacy and coping styles. Additionally, the mediation analysis revealed that FSC at Wave 2 played a mediating role in the unidirectional association between self-efficacy at Wave 1 and negative coping style at Wave 3. CONCLUSIONS These findings suggest that self-efficacy and coping style have mutual influences over time partly explained by university students' FSC. Consequently, the results offer potential applied value for promoting positive coping strategies among university students.
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Affiliation(s)
- Yu Pi
- Institute of Psychology and Behavior, Henan University, Kaifeng, China
| | - Yuyang Wang
- Institute of Psychology and Behavior, Henan University, Kaifeng, China
| | - Xiaobao Li
- Institute of Psychology and Behavior, Henan University, Kaifeng, China
| | - Feng Zhang
- Institute of Psychology and Behavior, Henan University, Kaifeng, China
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Urtubia-Herrera V, Navarta-Sánchez MV, Palmar-Santos AM, Pedraz-Marcos A, García-Gomez A, Luis EO, Bermejo-Martins E. The relationship between sense of coherence and emotional intelligence as individual health assets for mental health promotion in students and healthcare professionals: a scoping review. Front Public Health 2024; 12:1304310. [PMID: 38450140 PMCID: PMC10916004 DOI: 10.3389/fpubh.2024.1304310] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2023] [Accepted: 02/07/2024] [Indexed: 03/08/2024] Open
Abstract
Introduction Workplace Mental health promotion in healthcare sector, is a global priority due to the stress associated with caregiving environments and the increase of mental health problems among health professionals and students. The role of emotional intelligence (EI) and sense of coherence (SOC) have been identified as critical health protectors. However, the relationship between them as well as the underlying mechanisms of these relationships on health benefits in this population is still unclear. Aim To synthetize the existing literature on the relationship between emotional intelligence and sense of coherence, as well as their mutual impact on healthcare workers' and student's well-being. Method A scoping review was conducted following the Joanna Briggs Institute guidelines. A systematic search was conducted in PsyCINFO, CINHAL, SCOPUS and PUBMED databases, using key-terms such as students, health professionals, emotional intelligence, and sense of coherence. Results A total of 11 articles were included, with a range of years from 2014 to 2022. Evidence was found to support the positive relationship between sense of coherence and emotional intelligence. The use of EI as a training pathway to improve SOC and health promoting behaviors is suggested. The benefits of intervening on these factors contribute to improved health professionals' and students' general well-being and motivation for a better performance, either in their studies or clinical work. Conclusion The positive relationship between emotional intelligence and a sense of coherence has direct and indirect benefits on students' and healthcare professionals' well-being. Future studies should address longitudinal and experimental analysis to confirm these findings.
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Affiliation(s)
| | - María Victoria Navarta-Sánchez
- Nursing Department, Faculty of Medicine, Autonomous University of Madrid, Madrid, Spain
- Nursing and Health Care Research Group, Puerta de Hierro-Segovia Arana Health Research Institute, Madrid, Spain
| | - Ana María Palmar-Santos
- Nursing Department, Faculty of Medicine, Autonomous University of Madrid, Madrid, Spain
- Nursing and Health Care Research Group, Puerta de Hierro-Segovia Arana Health Research Institute, Madrid, Spain
| | - Azucena Pedraz-Marcos
- Health Care and Health Services Research Unit (Investén-ISCIII), Carlos III Health Institute (ISCIII), Madrid, Spain
| | | | - Elkin O. Luis
- Psychological Processes in Education and Health Group, School of Education and Psychology, University of Navarra, Pamplona, Spain
- Navarra Institute for Health Research (IdiSNA), Pamplona, Spain
| | - Elena Bermejo-Martins
- Navarra Institute for Health Research (IdiSNA), Pamplona, Spain
- Department of Psychology, University of Copenhagen, Copenhagen, Denmark
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Lorini C, Cavallo G, Vettori V, Buscemi P, Ciardi G, Zanobini P, Okan O, Dadaczynski K, Lastrucci V, Bonaccorsi G. Predictors of well-being, future anxiety, and multiple recurrent health complaints among university students during the COVID-19 pandemic: the role of socioeconomic determinants, sense of coherence, and digital health literacy. An Italian cross-sectional study. Front Public Health 2023; 11:1210327. [PMID: 37799148 PMCID: PMC10548390 DOI: 10.3389/fpubh.2023.1210327] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2023] [Accepted: 09/05/2023] [Indexed: 10/07/2023] Open
Abstract
The pandemic deeply changed young adults' life. Lockdown period and the social restrictions dramatically affected university students' mental health. The aim of our cross-sectional study was to describe psychological well-being, future anxiety (FA), and health complaints (HCs) in a sample of 3,001 students of the University of Florence in the middle of the first two pandemic waves. We assessed the role of subjective social status, chronic diseases, sense of coherence (SoC), and digital health literacy (DHL) as predictors of psychological well-being, FA, and HCs. Students expressed high levels of FA and reported being disturbed by not being able to achieve their desired future goals. About 40% reported a low or a very low well-being and 19.1% experienced two or more subjective health complaints more than once a week. The likelihood of having a better mental health status significantly increased with increasing SoC and among males. Subjective Social Status proved to be a predictor for FA. Enhancing SoC could improve the health status of the university students during the pandemic and beyond.
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Affiliation(s)
- Chiara Lorini
- Department of Health Science, University of Florence, Florence, Italy
- Health Literacy Laboratory, Department of Health Science, University of Florence, Florence, Italy
| | - Giuseppe Cavallo
- Department of Health Science, University of Florence, Florence, Italy
- Health Literacy Laboratory, Department of Health Science, University of Florence, Florence, Italy
| | - Virginia Vettori
- Department of Health Science, University of Florence, Florence, Italy
- Health Literacy Laboratory, Department of Health Science, University of Florence, Florence, Italy
| | - Primo Buscemi
- School of Specialization in Public Health, University of Florence, Florence, Italy
| | - Giulia Ciardi
- School of Specialization in Public Health, University of Florence, Florence, Italy
| | - Patrizio Zanobini
- Department of Health Science, University of Florence, Florence, Italy
- Health Literacy Laboratory, Department of Health Science, University of Florence, Florence, Italy
| | - Orkan Okan
- Department of Sport and Health Sciences, Technical University Munich, Uptown München-Campus D, Munich, Germany
| | - Kevin Dadaczynski
- Department of Health Science, Fulda University of Applied Sciences, Fulda, Germany
- Center for Applied Health Sciences, Leuphana Universitat Lüneburg, Lüneburg, Germany
| | - Vieri Lastrucci
- Department of Health Science, University of Florence, Florence, Italy
- Epidemiology Unit, Meyer Children’s University Hospital, Florence, Italy
| | - Guglielmo Bonaccorsi
- Department of Health Science, University of Florence, Florence, Italy
- Health Literacy Laboratory, Department of Health Science, University of Florence, Florence, Italy
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Kayi I, Uzunköprü G, Dadaczynski K, Soylar P, Otludil B, Dündar P, Bakırcı N, Okan O, Sakarya S. Gender differences in sense of coherence among university students during the COVID-19 pandemic in Turkey. Health Promot Int 2023; 38:daad048. [PMID: 37279469 PMCID: PMC10243759 DOI: 10.1093/heapro/daad048] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/08/2023] Open
Abstract
Non-pharmaceutical interventions (NPIs) implemented to mitigate the COVID-19 pandemic halted everyday life in higher education along with social and psychological impacts. The objective of our study was to explore the factors related to sense of coherence (SoC) from a gender perspective among university students in Turkey. This is a cross-sectional survey conducted online with a convenience sampling method as part of the international COVID-Health Literacy (COVID-HL) Consortium. SoC was measured by a nine-item questionnaire that was adapted to the Turkish language, including socio-demographic information and health status, including psychological well-being, psychosomatic complaints, and future anxiety (FA). 1595 students from four universities, of whom 72% were female, participated in the study. Cronbach's alpha for the SoC scale was 0.75. Based on the median split of the individual scores, levels of SoC showed no statistically significant difference according to gender. Logistic regression analysis indicated that higher SoC was associated with medium and high subjective social status, studying in private universities, high psychological well-being, low FA, and none/one psychosomatic complaint. While results were similar among female students, type of university and psychological well-being showed no statistically significant association with SoC among males. Our results indicate that structural (subjective social status) and contextual (type of university) factors, along with gender-based variations, are associated with SoC among university students in Turkey.
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Affiliation(s)
- Ilker Kayi
- Department of Public Health, Koç University School of Medicine, İstanbul, Turkey
| | | | - Kevin Dadaczynski
- Department of Health Science, Fulda University of Applied Sciences, Fulda, Germany
- Center for Applied Health Sciences, Leuphana University, Lueneburg, Germany
| | - Pınar Soylar
- Department of Health Sciences, Nursing School, Fırat University, Elazığ, Turkey
| | | | - Pınar Dündar
- Department of Public Health, Celal Bayar University School of Medicine, Manisa, Turkey
| | - Nadi Bakırcı
- Acıbadem University School of Medicine, Dean, İstanbul, Turkey
| | - Orkan Okan
- Technical University Munich, TUM Department of Sports and Health Science, Munich, Germany
| | - Sibel Sakarya
- Department of Public Health, Koç University School of Medicine, İstanbul, Turkey
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Lelek‐Kratiuk M, Szczygieł M. Stress appraisal as a mediator between the sense of coherence and the frequency of stress coping strategies in women and men during COVID-19 lockdown. Scand J Psychol 2022; 63:365-375. [PMID: 35358336 PMCID: PMC9115402 DOI: 10.1111/sjop.12813] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2021] [Revised: 02/21/2022] [Accepted: 03/01/2022] [Indexed: 01/07/2023]
Abstract
The COVID-19 lockdown experience is a unique and unexpected stressful life situation. In our research project, we explored gender differences in the mean level of stress appraisal (SAQ), the frequency of stress coping strategies (COPE), and the sense of coherence (SOC), as well as gender differences in the strength of the relationships between SAQ, COPE, and SOC during the COVID-19 lockdown. Finally, we tested if stressor appraisal (as a threat, harm/loss, or challenge) mediates the relationship between SOC and COPE in women and men respectively. Data were collected during the first wave of the COVID-19 lockdown in Poland in 2020. An online survey was conducted among 326 adults aged between 18 and 72. We observed gender differences in the level of SAQ, COPE, and SOC and gender differences in the significance and strength of the correlations between these variables. SOC had a twofold effect on COPE in men: direct and indirect through SOC-threat and SOC-harm/loss. In women, SOC did not directly predict COPE frequency but affected COPE in an indirect way through SAQ. SAQ is an important factor that modifies the strength of the SOC effect on COPE in women and men during the lockdown.
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Affiliation(s)
- Marzena Lelek‐Kratiuk
- Department of Pedagogy and Psychology, Institute of PsychologyPedagogical University of KrakowKrakówPoland
| | - Monika Szczygieł
- Department of Pedagogy and Psychology, Institute of PsychologyPedagogical University of KrakowKrakówPoland
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Dadaczynski K, Okan O, Messer M, Rathmann K. University students' sense of coherence, future worries and mental health: findings from the German COVID-HL-survey. Health Promot Int 2021; 37:6313221. [PMID: 34214156 PMCID: PMC8851400 DOI: 10.1093/heapro/daab070] [Citation(s) in RCA: 24] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
Early-on in the COVID-19 pandemic when universities were closed as part of the nation-wide public health response to the COVID-19 outbreak, studying and student life significantly changed. Based on limited evidence the aim of this study was to explore the relationship between sense of coherence (SoC), future worries and mental health outcomes among German university students during the early phase of the pandemic. A cross-sectional online survey with n = 14 916 participants was carried out by inviting all private and public universities in Germany. All data were analysed using univariate, bivariate and multivariate statistics. Findings indicate a low and very low wellbeing for 38% of university students. Moreover, 29% reported being affected by at least two health complaints more than once week. Both health outcomes follow a social gradient and could be more frequently observed for respondents with lower subjective social status and female students. Regression analysis revealed significant association between the SoC dimensions and wellbeing (OR: 1.2−2.03) as well as health complaints (OR: 1.58−1.71). A high level of future worries was associated with low/very low wellbeing (OR: 2.83) and multiple health complaints (OR: 2.84). Based on the results, the public health response to the pandemic and university health promotion should therefore consider student mental health as an important target within their policy and action frameworks.
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Affiliation(s)
- Kevin Dadaczynski
- Department of Nursing and Health Science, Fulda University of Applied Sciences, Germany.,Centre for Applied Health Science, Leuphana University, Lueneburg, Germany
| | - Orkan Okan
- Interdisciplinary Centre for Health Literacy Research, Bielefeld University, Germany
| | - Melanie Messer
- Nursing Science with focus on Clinical Nursing across the Lifespan, Trier University, Germany
| | - Katharina Rathmann
- Department of Nursing and Health Science, Fulda University of Applied Sciences, Germany
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KATO YOSHIKO, SHIMOMURA YUKARI, TAKADA YOSHIHIRO, FURUYASHIKI TOMOYUKI. Correlation Between Lactic Acid Bacteria Beverage Intake and Stress Resilience. THE KOBE JOURNAL OF MEDICAL SCIENCES 2021; 67:E1-E6. [PMID: 34344851 PMCID: PMC8622256] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 12/15/2020] [Accepted: 02/01/2021] [Indexed: 06/13/2023]
Abstract
We investigated the effect of lactic acid bacteria-containing beverage intake on the level of resilience against stress in male university students. Forty male university students were recruited into the study and randomly assigned into two groups. They were instructed to consume lactic acid bacteria-containing beverage or water twice a day for 28 days. The level of stress resilience, stress reaction, and anxiety were evaluated by a series of questionnaires conducted at three time points (T1: day 0, T2: day 14, and T3: day 28). The stress response was also assessed by measuring their salivary amylase levels. The variance analysis of each group showed a significant increase in stress resilience at T3 compared with T1 in the group of participants who consumed the lactic acid bacteria-containing beverage. Our results suggest that lactic acid bacteria-containing beverage intake could affect resilience against stress positively.
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Affiliation(s)
- YOSHIKO KATO
- Graduate School of Human Development and Environment Kobe University, Kobe, Japan
| | | | - YOSHIHIRO TAKADA
- Graduate School of Human Development and Environment Kobe University, Kobe, Japan
| | - TOMOYUKI FURUYASHIKI
- Graduate School of Medicine, Kobe University, Kobe, Japan
- Japan Agency for Medical Research and Development, Tokyo, Japan
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Tanaka K, Tahara M, Mashizume Y, Takahashi K. Effects of Lifestyle Changes on the Mental Health of Healthcare Workers with Different Sense of Coherence Levels in the Era of COVID-19 Pandemic. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:2801. [PMID: 33801912 PMCID: PMC8001724 DOI: 10.3390/ijerph18062801] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 02/12/2021] [Revised: 03/05/2021] [Accepted: 03/05/2021] [Indexed: 12/13/2022]
Abstract
Sense of coherence (SOC) is a psychological factor that contributes to mental health maintenance under stressful environment. Likewise, level of SOC might affect mental health among healthcare workers during the COVID-19 pandemic differently. In this study, we investigated the relationships between lifestyle changes and mental health (General Health Questionnaire-12: GHQ-12) among different level of SOC (weak, moderate, or strong by SOC-13). The data of 898 healthcare workers from cross-sectional survey dataset were extracted and analyzed. As results, based on GHQ-12 score, 86.1% of 244 participants with weak SOC, 60.1% of 606 participants with moderate SOC, and 31.3% of 48 participants with strong SOC had poor mental health. Both SOC levels and lifestyle changes (except alcohol consumption) had significant main effects on the GHQ-12 score. Analysis on the association between lifestyle changes and mental health status stratified by SOC level reveled that among participants with weak SOC, those who increased their leisure and activity time had reduced odds of poor mental health than those who made no changes (OR: 0.08, CI: 0.01 to 0.64). Healthcare workers with weak SOC were at risk of poor mental health during the COVID-19 pandemic, and lifestyle changes may improve their mental health.
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Affiliation(s)
- Kento Tanaka
- Graduate School of Medical Sciences, Kitasato University, Kanagawa 252-0373, Japan; (M.T.); (Y.M.)
| | - Masatoshi Tahara
- Graduate School of Medical Sciences, Kitasato University, Kanagawa 252-0373, Japan; (M.T.); (Y.M.)
- Department of Rehabilitation Therapist, Saiseikai Higashikanagawa Rehabilitation Hospital, Kanagawa 221-0822, Japan
| | - Yuki Mashizume
- Graduate School of Medical Sciences, Kitasato University, Kanagawa 252-0373, Japan; (M.T.); (Y.M.)
| | - Kayoko Takahashi
- Graduate School of Medical Sciences, Kitasato University, Kanagawa 252-0373, Japan; (M.T.); (Y.M.)
- Department of Occupational Therapy, School of Allied Health Sciences, Kitasato University, Kanagawa 252-0373, Japan
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Resilience, sense of coherence and self-efficacy as predictors of stress coping style among university students. CURRENT PSYCHOLOGY 2019. [DOI: 10.1007/s12144-019-00363-1] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
AbstractThe purpose of this study was to identify the personality predictors of individuals with a stress coping style. In the study, we have attempted to establish which traits play a crucial role in the prediction of tendencies applicable to a specific style of stress coping. In this study, all personality predictors were included in one model. The study was conducted with a group of 632 students. The results demonstrate a positive relationship between both self-efficacy and resilience with a task-oriented style of coping. Both traits related to a task-oriented style to a similar extent. The relationship between participants’ sense of coherence and task-oriented style was non-significant. Participants’ emotion-oriented style was negatively related with not just the sense of coherence variable, but also with self-efficacy and resilience. Significant predictors of avoidance-oriented styles were the sense of coherence and resilience variables. Further analysis of the two forms of avoidance-oriented styles demonstrate that the sense of coherence variable was a significant predictor of both engaging in substitute activities and seeking contact with other people. Resilience was a significant predictor solely with regard to seeking contact with other people.
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