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Ciezar Andersen S, Campbell T, White D, King-Shier K. An Intervention to Improve Mental and Physical Health of Undergraduate Nursing Students. Can J Nurs Res 2024; 56:317-328. [PMID: 38706094 DOI: 10.1177/08445621241248308] [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: 05/07/2024] Open
Abstract
BACKGROUND Nursing students experience poorer mental and physical health relative to students in other health-related disciplines and young adults of similar age outside post-secondary school. Compromised mental and physical health has numerous negative impacts on nursing students and can result in burnout and development of chronic diseases. PURPOSE To determine whether an asynchronous online yoga intervention would improve mental and physical health of students. METHODS An asynchronous online 6-week yoga intervention was carried out between January and December 2021, using a pre/post design. Participants' symptoms of depression, anxiety, stress, and self-compassion were assessed using the Depression, Anxiety, and Stress Scale and Self-Compassion Scale and core endurance was assessed using the Mackenzie Core Endurance Test prior to commencement and at the conclusion of the program. RESULTS Of 114 participants, 68 completed the online program and pre and post measures showed that the mean depression, anxiety, stress, self-compassion and core endurance scores improved significantly (p<0.001) between baseline and study completion. CONCLUSION A six-week virtual yoga program significantly improved mental and physical health of undergraduate nursing students. Targeted modifications to the yoga program might enhance participant retention.
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Affiliation(s)
| | - Tavis Campbell
- Department of Psychology, University of Calgary, Calgary, Canada
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2
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Semerci R, Uysal G, Açikgöz A, Demirer P. The Predictive Power of Religious Coping on Care Burden, Depression, Stress, and Anxiety of Parents of Pediatric Oncology Patients in Turkey. JOURNAL OF RELIGION AND HEALTH 2024:10.1007/s10943-024-02096-3. [PMID: 39127992 DOI: 10.1007/s10943-024-02096-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 07/23/2024] [Indexed: 08/12/2024]
Abstract
This study aimed to determine the predictive power of religious coping of parents of children with cancer on caregiver burden, depression, anxiety, and stress in Turkey. It was designed as a descriptive and cross-sectional study, utilizing correlational analysis and regression models to explore associations between variables. Data were collected from 164 parents in the pediatric hematology-oncology clinics of a university hospital between November 2023 and March 2024. There was a negative correlation between caregiver burden score and negative and positive religious coping scores. Caregiver burden scores were positively correlated with depression, anxiety, and stress scores. Results indicated that caregiver burden, education level, employment status, family structure, family income, and age at diagnosis significantly predicted positive religious coping. For negative religious coping, caregiver burden, education level, family structure, and family income were significant predictors. This suggests that religious coping may help reduce caregiver burden, underscoring the importance of promoting constructive coping strategies to support caregivers' well-being.
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Affiliation(s)
| | - Gülzade Uysal
- Faculty of Health Sciences, Sakarya University of Applied Sciences, Sakarya, Turkey.
| | - Ayfer Açikgöz
- Faculty of Health Sciences, Osmangazi Eskisehir University, Eskişehir, Turkey
| | - Pınar Demirer
- Division of Pediatric Hematology and Oncology, Istanbul University, Istanbul, Turkey
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3
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Bai Y, Ben C, Xu W, Wu Y, Liu Y. Reduce negative life events to Increase satisfaction: A daily diary study on the relationship between negative life events and life satisfaction. Soc Sci Med 2024; 357:117191. [PMID: 39116698 DOI: 10.1016/j.socscimed.2024.117191] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2024] [Revised: 07/25/2024] [Accepted: 08/04/2024] [Indexed: 08/10/2024]
Abstract
Life satisfaction refers to an individual' s cognitive evaluation of the overall quality of their life considering the various aspects therein. Although the existing research has demonstrated the between-person relationship between negative life events and life satisfaction based on retrospective measures, less is known about this relationship at the within-person level. A daily diary method could examine this within-person relationship and decrease systematic recall biases. Therefore, this study investigated the link between daily negative life events and daily life satisfaction, as well as the mediating role of perceived stress and the moderating role of trait rumination in 146 young adults (Mage = 20.75, SD = 1.35) using a 14-day daily diary design. Multilevel regression analysis showed that daily negative life events had negative predictive effects on daily life satisfaction. In addition, the multilevel 1-1-1 mediation analysis indicated that daily perceived stress mediated the association between daily negative life events and daily life satisfaction. More importantly, the mediating effect of perceived stress was moderated by trait rumination, with the within-person mediating effect being stronger for individuals with higher than those with lower trait rumination tendencies. These findings contribute to the understanding of the underlying pathways in the relationship between daily negative life events and daily life satisfaction and provide a new perspective for improving individuals' life satisfaction.
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Affiliation(s)
- Youling Bai
- Faculty of Psychology, Southwest University, Chongqing, 400715, China; Mental Health Education Research Center, Southwest University, 400715, China
| | - Can Ben
- Faculty of Psychology, Southwest University, Chongqing, 400715, China; Mental Health Education Research Center, Southwest University, 400715, China
| | - Wenshuang Xu
- Faculty of Psychology, Southwest University, Chongqing, 400715, China; Mental Health Education Research Center, Southwest University, 400715, China
| | - Yu Wu
- Faculty of Psychology, Southwest University, Chongqing, 400715, China; Mental Health Education Research Center, Southwest University, 400715, China
| | - Yanling Liu
- Faculty of Psychology, Southwest University, Chongqing, 400715, China; Mental Health Education Research Center, Southwest University, 400715, China.
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4
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Chen M, Lam WWT, Yuan J, Dong M, Yang L, Chan DKC, Liao Q. Executive function, perceived stress and eating behaviours among Chinese young adults. Stress Health 2024; 40:e3397. [PMID: 38539280 DOI: 10.1002/smi.3397] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/20/2023] [Revised: 03/14/2024] [Accepted: 03/16/2024] [Indexed: 08/10/2024]
Abstract
Young adults in a transitional period may experience more stress and, hence, suffer from an increased risk of unhealthy eating. Executive function (EF) involves not only inhibitory control and mental flexibility (the 'cool' facet) to facilitate resistance to immediate temptations, but also affective decision making (the 'hot' facet) that helps to regulate emotional eating. The effects of different facets of EF and their interactions with perceived stress on eating behaviours remained underexplored. In this study, 594 young adults in their graduation year of post-secondary education were included. We used latent profile analysis to identify major patterns of eating behaviours and analysed their associations with perceived stress, and both the 'cool' and 'hot' facets of EF using multinominal logistic regression models. Latent profile analysis identified three clusters of eating patterns: non-approaching moderate eaters (N = 312, 52.5%), approaching eaters (N = 229, 38.6%), and approaching-and-avoidant eaters (N = 53, 8.9%). Logistic regression models found that the approaching-and-avoidant eating pattern was associated with higher perceived stress (OR = 3.16, p value = 0.007) and poorer affective decision-making (OR = 0.97, p value = 0.006). Stratified analysis further revealed that higher perceived stress was significantly associated with approaching-and-avoidant eating only among individuals with poorer affective decision-making. These findings suggest that individuals with poorer emotional regulation may face greater difficulties in regulating eating behaviours when experiencing higher stress. Interventions for people with a mixed pattern of approaching-and-avoidance eating should focus on providing support to regulate emotion-related eating.
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Affiliation(s)
- Meijun Chen
- Division of Behavioural Sciences, School of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China
| | - Wendy Wing Tak Lam
- Division of Behavioural Sciences, School of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China
- Jockey Club Institute of Cancer Care, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China
| | - Jiehu Yuan
- Division of Behavioural Sciences, School of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China
| | - Meihong Dong
- Hospital-Acquired Infection Control Department, Affiliated Foshan Hospital of Southern Medical University, Foshan, Guangdong, China
| | - Lin Yang
- School of Nursing, Faculty of Health and Social Sciences, The Hong Kong Polytechnic University, Hong Kong, China
| | - Derwin King Chung Chan
- Department of Early Childhood Education, The Education University of Hong Kong, Hong Kong, China
| | - Qiuyan Liao
- Division of Behavioural Sciences, School of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China
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5
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Bitter AN, McCrea SM. "The ship is sinking, yet the band plays on": COVID-19 and academia. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2024; 72:1876-1885. [PMID: 36084157 DOI: 10.1080/07448481.2022.2097010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/05/2021] [Revised: 05/04/2022] [Accepted: 06/09/2022] [Indexed: 06/15/2023]
Abstract
Objective: Researchers sought to examine experiences of stress, mental health, and work outcomes for those in higher education during the COVID-19 pandemic. Participants: Graduate students and professors completed an online survey in June 2020 (N = 1,794). Methods: Participants completed measures of stress, depression, and anxiety as well as items related to work quality, productivity, and fulfillment. Results: 70% of graduate students reported higher than normal levels of anxiety, depression, and stress according to the DASS-21. Nearly half of professors reported higher than normal levels of anxiety, depression, and stress. Multiple linear regression analyses found that higher levels of work fulfillment predicted greater productivity (f2grad = .15; f2prof = .08) and quality of work (f2grad = .10; f2prof = .12). Conclusions: Individuals in higher education are struggling with their mental health and considerations need to be made to help this group. Additionally, we discuss the implications of self-determination theory on work fulfillment.
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6
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Yetim O, Çakır R, Bülbül E, Alleil İS. Peer relationships, adolescent anxiety, and life satisfaction: a moderated mediation model in Turkish and syrian samples. Eur Child Adolesc Psychiatry 2024; 33:2831-2845. [PMID: 38300342 PMCID: PMC11272711 DOI: 10.1007/s00787-023-02366-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/26/2023] [Accepted: 12/21/2023] [Indexed: 02/02/2024]
Abstract
Prior studies comparing Syrian refugee adolescents to their native peers in the same region have found higher anxiety and lower life satisfaction. Therefore, identifying regulatory variables is crucial for implementing support programs. This study examined the mediating effect of peer relationships and the moderating effect of being a refugee or native adolescent on the relationship between adolescent anxiety and life satisfaction across different samples. Participants and setting: The study included 2,336 adolescents aged 11-19 (M = 14.79, SD = 1.04). Participants completed the Screen for Child Anxiety Related Disorders, Satisfaction with Life Scale, and Strengths and Difficulties Questionnaire. The mediation and moderation effects were analyzed with the path analysis codes written on Mplus 8.3. SPSS 26 was used for descriptive statistics and group comparisons. The findings showed that peer relationships mediate adolescent anxiety and life satisfaction, and this relationship is moderated according to whether the participants are native adolescents or refugee adolescents. This study highlights the significant associations between peer relationships, adolescent anxiety, and life satisfaction and the moderating role of the participant identity. The findings may inform psychological interventions to improve Syrian refugee adolescents' mental health and well-being. These findings may also have implications for policies and programs aimed at supporting the integration of Syrian refugee adolescents in host communities.
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Affiliation(s)
- Onat Yetim
- Psychology Department, Toros University, Bahçelievler District, Mersin, Turkey.
| | - Resul Çakır
- Psychology Department, Toros University, Bahçelievler District, Mersin, Turkey
| | - Ece Bülbül
- Psychology Department, Toros University, Bahçelievler District, Mersin, Turkey
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7
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Reid C, Beckstead J, Salinas-Miranda A. COVID-19 stress, social support, and coping in international students during the COVID-19 pandemic: a moderated analysis on anxiety and depression. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2024; 72:1617-1623. [PMID: 35728102 DOI: 10.1080/07448481.2022.2089044] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/13/2021] [Revised: 05/12/2022] [Accepted: 06/07/2022] [Indexed: 06/15/2023]
Abstract
OBJECTIVE This study examined the associations between COVID-19 stress and anxiety and depression among international college students and assessed if this relationship was moderated by coping and social support. PARTICIPANTS 219 international students at a large US university. METHODS A cross-sectional online survey utilizing validated scales was conducted from October 1 to 25, 2020. Path analyses assessed the effects of COVID-19 stress on anxiety and depression, and whether coping and social support moderated these relationships in international students. RESULTS COVID-19 stress was significantly associated with anxiety and depression in international students. Maladaptive coping moderated the relationship between COVID-19 stress and anxiety but did not moderate the relationship with depression. Neither adaptive coping or social support moderated the relationship between COVID-19 stress and anxiety or depression. CONCLUSIONS Results confirm the need for additional mental health services to reach international college students at risk of anxiety and depression during the COVID-19 pandemic.
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Affiliation(s)
- Chinyere Reid
- Chiles Center, College of Public Health, University of South Florida, Tampa, Florida, USA
| | - Jason Beckstead
- Chiles Center, College of Public Health, University of South Florida, Tampa, Florida, USA
| | - Abraham Salinas-Miranda
- Chiles Center, College of Public Health, University of South Florida, Tampa, Florida, USA
- Harrell Center for the Study of Family Violence, University of South Florida, Tampa, Florida, USA
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8
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Adu Henaku E, Sambah F, Quansah F, Agormedah EK, Srem-Sai M, Hagan JE, Ankomah F, Ankomah-Sey VR, Schack T. Stress-related experiences and intentions to quit studies among female married postgraduate distance education students in Ghana. BMC Psychol 2024; 12:348. [PMID: 38877581 PMCID: PMC11177448 DOI: 10.1186/s40359-024-01839-x] [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] [Received: 01/19/2023] [Accepted: 05/31/2024] [Indexed: 06/16/2024] Open
Abstract
BACKGROUND Although postgraduate studies have been shown to be associated with stressful experiences, students reading programmes through the distance and e-learning mode experience greater levels of stress due to several reasons. These stressful encounters might be heightened in female married postgraduates on distance education programmes due to other family-work-related engagements. This study investigated the stress-related experiences and intentions to quit studies among female married students on a distance education programme in Ghana. METHODS Using a sequential explanatory mixed-methods design, 164 married postgraduate distance education students were sampled to participate by responding to a questionnaire. Follow-up interviews were conducted with 10 participants to offer insight into the quantitative findings. Quantitative data were analysed using descriptive statistics, including frequency and percentages, while the qualitative data were thematically analysed. RESULTS Stress was prevalent among the female married distance education students, with the majority having intentions of quitting their studies. The stressors identified ranged from personal (i.e., work and family demands) to institutional ones (i.e., academic load, unresolved complaints and high financial demands from the programme). CONCLUSIONS Key findings suggest that female married postgraduate distance education students perform multiple roles as full-time employees with family and academic demands that can negatively impact their health and academic work. Implications and recommendations of the findings are discussed.
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Affiliation(s)
- Eugene Adu Henaku
- Department of Family Life Management Education, University of Education, P. O. Box 25, Winneba, Ghana
| | - Francis Sambah
- College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, QLD, 4811, Australia
| | - Frank Quansah
- Department of Educational Foundations, University of Education, P. O. Box 25, Winneba, Ghana
| | - Edmond Kwesi Agormedah
- Department of Business & Social Sciences Education, University of Cape Coast, PMB Cape Coast, Cape Coast, Ghana
| | - Medina Srem-Sai
- Department of Health, Physical Education, Recreation and Sports, University of Education, P. O. Box 25, Winneba, Ghana
| | - John Elvis Hagan
- Department of Health, Physical Education and Recreation, University of Cape Coast, PMB Cape Coast, Cape Coast, Ghana.
- Neurocognition and Action-Biomechanics-Research Group, Faculty of Psychology and Sports Science, Bielefeld University, Postfach 10 01 31, 33501, Bielefeld, Germany.
| | - Francis Ankomah
- Department of Education and Psychology, University of Cape Coast, PMB Cape Coast, Cape Coast, Ghana
- Department of Educational Studies, Patton College of Education, Ohio University, 45701, Athens, OH, USA
| | | | - Thomas Schack
- Neurocognition and Action-Biomechanics-Research Group, Faculty of Psychology and Sports Science, Bielefeld University, Postfach 10 01 31, 33501, Bielefeld, Germany
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9
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Cleofas JV. Gender, society and mental health: The moderated mediating role of depression and gender on national resilience and life satisfaction among emerging adults. Int J Ment Health Nurs 2024; 33:660-670. [PMID: 38050873 DOI: 10.1111/inm.13272] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/12/2023] [Accepted: 11/23/2023] [Indexed: 12/07/2023]
Abstract
Recent threats to human security (i.e., COVID-19 pandemic, conflicts, climate change events) call for nurses to have an increased understanding of how sociopolitical environments induce mental health problems and impact the well-being of citizens. This study examines the relationship between national resilience and life satisfaction among Filipino emerging adults, how depression mediates this relationship, and how these correlations are moderated by gender. Drawing from an online survey sample of 1020 Filipino emerging adults (18-29 years old), this cross-sectional study utilised a moderated mediation analysis. Key constructs were measured using the short version of the National Resilience Scale (NR-13), the depression component of the Kessler Psychological Distress (K10) scale and the Satisfaction with Life Scale (SWLS). Gender was measured as sex assigned at birth. Descriptive results show that more than half of the respondents are female (64.2%) and demonstrate below-average levels of national resilience and depression, and high levels of life satisfaction. Also, findings indicate that depression has significant negative relationships with, and partially mediates the positive relationship between national resilience and life satisfaction. Moreover, moderation analysis results suggest that being female synergizes the negative relationship between depression and life satisfaction, and being male strengthens the positive relationship between national resilience and life satisfaction (p < 0.01). The results highlight how the national resilience of emerging adults neutralises their risk for depression and, ultimately, improves life satisfaction. Moreover, the findings emphasise the importance of nursing advocacy actions to ensure that social policies for improving public mental health are gender-sensitive, given that macro-social and psychological factors have varied effects on individuals' lives based on gender.
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Affiliation(s)
- Jerome Visperas Cleofas
- Department of Sociology and Behavioral Sciences, De La Salle University, Manila, Philippines
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10
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Schlesier J, Westphal A. Exploring student teachers' latent coping profiles and their relations to perceived stress and stressors. Stress Health 2024:e3422. [PMID: 38771853 DOI: 10.1002/smi.3422] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/17/2023] [Revised: 04/02/2024] [Accepted: 05/12/2024] [Indexed: 05/23/2024]
Abstract
As coping profiles can offer concrete intervention opportunities, the goal of the present study is to explore latent coping profiles in a sample of 316 student teachers at a German university, using the Brief COPE inventory (Carver, 1997). Furthermore, we aim to test the extent to which students with specific coping profiles differ in the levels of stress (PSS; Schneider et al., 2020) and stressors they perceive. Latent profile analysis (LPA) reveals that a six-profile solution shows the optimal fit, with high entropy. The six profiles include two more support-seeking coping profiles (networking and disengaged copers), withdrawn, cognitive restructuring, avoidant and repertoire-oriented copers. Both more support-seeking coping profiles used in particular strategies concerning seeking social and emotional support, and are associated with less stress. Avoidant and withdrawn copers show unfavourable perceptions of stress levels and stressors. Thus, programs to promote social-emotional support should be implemented in teacher training courses.
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Affiliation(s)
- J Schlesier
- Empirical Research on Learning and Instruction, Carl von Ossietzky University of Oldenburg, Oldenburg, Germany
| | - A Westphal
- Interdisciplinary Research on Learning and Instruction & School Development, University of Greifswald, Greifswald, Germany
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11
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Erzincanlı Y, Akbulut G, Çubukcu BB, Taş HG. Role of self-control, financial attitude, depression, anxiety, and stress in predicting consumers' online shopping addiction. Front Public Health 2024; 12:1382910. [PMID: 38765491 PMCID: PMC11099253 DOI: 10.3389/fpubh.2024.1382910] [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: 02/06/2024] [Accepted: 04/19/2024] [Indexed: 05/22/2024] Open
Abstract
Online shopping addiction is a behavior that creates serious problems and has become increasingly prevalent in modern society. When addressing online shopping addiction, the direct or indirect causes of individuals' shopping actions must be taken into consideration. The present study aims to examine the effects of self-control, financial attitude, depression, anxiety, and stress on online shopping addiction by determining online shopping addiction, self-control, and financial attitude levels of consumers. The sample of this study consists of 694 voluntarily participating consumers selected through convenience sampling methods from a city in Türkiye. Data were collected through Google Forms and uploaded to the SPSS 25.0 package program. During the research process, the relationship patterns between self-control, financial attitude, depression, anxiety, and stress on online shopping addiction were examined by using structural equation modeling. It was determined in this study that consumers have moderate levels of financial attitude and self-control, and low levels of online shopping addiction. Given the results related to the relationships and hypotheses between variables, anxiety, depression, and financial attitude were found to have statistically significant effects on online shopping addiction, whereas stress and self-control were found to not have a significant effect. Within the scope of this study, it was identified that anxiety and depression positively affect online shopping addiction, whereas financial attitude has a negative effect.
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Affiliation(s)
| | - Gönül Akbulut
- Atatürk University, Aşkale Vocational High School, Erzurum, Türkiye
| | | | - Halil Gökhan Taş
- Atatürk University, Aşkale Vocational High School, Erzurum, Türkiye
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12
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He B, Tan Z, Lai K, Qiu B, Wang S. The effect of event impact on fear of missing out: the chain mediation effect of coping styles and anxiety. Front Psychol 2024; 15:1382440. [PMID: 38699573 PMCID: PMC11063384 DOI: 10.3389/fpsyg.2024.1382440] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2024] [Accepted: 03/29/2024] [Indexed: 05/05/2024] Open
Abstract
The fear of missing out is a generalized anxiety stemming from the possibility of not being present at new events or advantageous situations of others. To explore potential mechanisms, a survey measuring the impact of event, coping style, anxiety, and fear of missing out was conducted with 1,014 college students (367 males and 647 females, aged 19-24 years). In addition, the study delved deeper into the dimensions of intrusion, avoidance, and hyperarousal concerning the impact of event, examining their roles in coping style, anxiety, and fear of missing out. Results showed that: (1) The impact of event could predict the fear of missing out positively. (2) A more positive coping style is negatively associated with anxiety. (3) A chain mediation effect of coping style and anxiety is observed in the path from hyperarousal and avoidance to the fear of missing out. (4) In contrast to the hyperarousal or avoidance, the path from intrusion to the fear of missing out is mediated by anxiety but not coping style. These findings motivate us to implement different intervention tactics for varying impacts of events.
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Affiliation(s)
- Bofeng He
- Philosophy and Social Science Laboratory of Reading and Development in Children and Adolescents (South China Normal University), Ministry of Education, Guangzhou, China
- School of Psychology, South China Normal University, Guangzhou, China
- School of Health Management, Guangzhou Medical University, Guangzhou, China
| | - Zhenjing Tan
- School of Education, South China Normal University, Guangzhou, China
- School of Public Health, Guangdong Medical University, Dongguan, China
| | - Kaiying Lai
- Guangzhou Institute of Educational Research, Guangzhou, China
| | - Boyu Qiu
- School of Health Management, Guangzhou Medical University, Guangzhou, China
| | - Suiping Wang
- Philosophy and Social Science Laboratory of Reading and Development in Children and Adolescents (South China Normal University), Ministry of Education, Guangzhou, China
- School of Psychology, South China Normal University, Guangzhou, China
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13
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Masha’al D, Rababa M, Hayajneh A, Shahrour G. The mediating role of emotional intelligence on nursing students' coping strategies and anxiety during the COVID-19 pandemic. PLoS One 2024; 19:e0300057. [PMID: 38593137 PMCID: PMC11003628 DOI: 10.1371/journal.pone.0300057] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2022] [Accepted: 02/21/2024] [Indexed: 04/11/2024] Open
Abstract
Anxiety among nursing students documented during the COVID-19 pandemic reflected their fear of contracting infections, adhering to the mandatory use of masks in public, engaging in the new experience of distance learning, having financial problems, and so on. The purpose of this study was to examine the mediating role of emotional intelligence (EI) on nursing students' coping strategies and anxiety during the pandemic. This cross-sectional correlational study was conducted in a university in Jordan. An online survey was used to obtain data from a sample of 282 nursing students who had returned to on-campus learning during the summer semester of 2019/2020. The survey held four parts: (a) questions about sociodemographics, (b) the General Anxiety Disorder-7 (GAD-7) scale, (c) the Trait Emotional Intelligence Questionnaire-Short Form (TEIQue-SF), and (d) the Brief-Coping Behavior Questionnaire (Brief-COPE). The results showed that EI had a fully mediating role in the relationship between problem-focused coping strategies and anxiety, and it partially mediated the emotion-focused and avoidant/dysfunctional coping strategies and anxiety relationships. Nursing students who used the problem-focused coping strategies had high levels of EI, and with increasing levels of EI, anxiety levels decreased. Promoting the development of EI among nursing students would enable them to manage their emotions effectively and control their anxiety, particularly in new circumstances such as those that occurred during the COVID 19 pandemic.
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Affiliation(s)
- Dina Masha’al
- Adult Health Nursing Department, Faculty of Nursing/ WHO Collaborating Center, Jordan University of Science and Technology, Ar Ramath, Irbid, Jordan
| | - Mohammad Rababa
- Adult Health Nursing Department, Faculty of Nursing/ WHO Collaborating Center, Jordan University of Science and Technology, Ar Ramath, Irbid, Jordan
| | - Audai Hayajneh
- Adult Health Nursing Department, Faculty of Nursing/ WHO Collaborating Center, Jordan University of Science and Technology, Ar Ramath, Irbid, Jordan
| | - Ghada Shahrour
- Comunity Health Nursing Department, Faculty of Nursing/ WHO Collaborating Center, Jordan University of Science and Technology, Ar Ramath, Irbid, Jordan
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14
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Özkan E, Altuntaş O. Effects of online coping skills training on stress, anxiety and social problem solving in young people: A randomised controlled study. Int J Soc Psychiatry 2024:207640241239539. [PMID: 38563408 DOI: 10.1177/00207640241239539] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 04/04/2024]
Abstract
BACKGROUND Although most young people successfully manage the transition from childhood to adulthood, the speed and magnitude of these changes can cause stress that can exceed the coping abilities of many young people. Previous studies have suggested that adolescence is a vulnerable period for the development of psychiatric disorders; therefore, an adequate coping repertoire must be developed. AIMS Our aims were to develop and implement a coping skills training for young people and to evaluate the results of the training. Therefore, the components of the coping skills training programs in the existing literature were used. METHODS Young people from Turkey participated in this cluster randomised controlled trial (n = 89; mean age, 20.06 ± 1.44 years). Ten sessions of the coping skills training were applied in the study group (SG; n = 33), and one session was applied in the control group (CG; n = 56). To assess the effects of the coping skills training, all participants completed several psychological questionnaires (for stress, anxiety, coping and social problem-solving evaluations) at the beginning and end of the training. We performed an analysis of covariance (ANCOVA). In cases where ANCOVA assumptions could not be met, the efficacy of the intervention was determined using the mixed design/split-plot analysis of variance. RESULTS Compared with the CG, the SG had significantly reduced stress and anxiety levels and increased adaptive coping skills. Social problem-solving skills remained relatively similar between the groups. CONCLUSION Complete and correct implementation of coping skills training among the youth may contribute positively to the development of adaptive coping skills by reducing their stress and anxiety levels. This online coping skills training program allowed young people to directly experience their response to stress and offered opportunities to try and develop different coping strategies. Coping skills should be considered for successful stress and anxiety management in everyday life.
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Affiliation(s)
- Esma Özkan
- Department of Occupational Therapy, Faculty of Health Sciences, University of Health Sciences Türkiye, Ankara, Turkey
| | - Onur Altuntaş
- Department of Occupational Therapy, Faculty of Health Sciences, Hacettepe University, Ankara, Türkiye
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15
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Albdour M, DiMambro MR, Solberg MA, Jenuwine ES, Kurzer JAMJ, Hong JS. Association of adversities and mental health among first- and second-generation Arab American young adults. Res Nurs Health 2024; 47:208-219. [PMID: 37778014 DOI: 10.1002/nur.22340] [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: 04/09/2023] [Revised: 08/11/2023] [Accepted: 09/17/2023] [Indexed: 10/03/2023]
Abstract
The prevalence of mental health problems among young adults is widely recognized. However, limited research has examined the mental health of Arab American young adults specifically. To address this gap in the literature, this study aimed to investigate the effects of multiple stressors including adverse childhood experiences (ACEs), discrimination, and bullying victimization on the mental health of first- and second-generation Arab American young adults. The participants (N = 162) were recruited from a Midwest university using online and in-person methods. They were screened and completed a demographic questionnaire and self-report measures of ACEs, discrimination, bullying victimization, and mental health. Hierarchical multiple regression analysis was conducted to examine the effect of psychosocial stressors on mental health and the moderating effect of generation (first vs. second) on that relationship. Female gender, increased perceived discrimination, and more ACEs were associated with lower mental health scores (β = -0.316, p < 0.001, β = -0.308, p < 0.001, and β = -0.230, p = 0.002, respectively). There was a significant negative relationship between victimization and mental health for first-generation Arab Americans (β = -0.356, p = 0.010). However, that association all but disappeared for second-generation participants (β = 0.006, p = 0.953). The results highlight the impact of multiple adversities on Arab American young adults' mental health and indicate important nuances related to their generation in the association between bullying victimization and mental health. Implications for practice and future research are discussed.
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Affiliation(s)
- Maha Albdour
- College of Nursing, Wayne State University, Detroit, Michigan, USA
| | | | - Marvin A Solberg
- College of Nursing, Wayne State University, Detroit, Michigan, USA
| | | | | | - Jun Sung Hong
- School of Social Work, Wayne State University, Detroit, Michigan, USA
- Department of Social Welfare, Ewha Womans University, Seoul, South Korea
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16
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Brailovskaia J, Schneider S, Margraf J. The "bubbles"-study: Validation of ultra-short scales for the assessment of depression, anxiety and stress symptoms. PLoS One 2024; 19:e0300923. [PMID: 38507342 PMCID: PMC10954120 DOI: 10.1371/journal.pone.0300923] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2023] [Accepted: 03/05/2024] [Indexed: 03/22/2024] Open
Abstract
Depression, anxiety and stress symptoms cause substantial psychological and economic burdens around the globe. To mitigate the negative consequences, the negative symptoms should be identified at an early stage. Therefore, the implementation of very brief valid screening tools in mental health prevention programs and in therapeutic settings is advantageous. In two studies on representative German population samples, we developed and validated three ultra-short scales-the "bubbles"-that consist of only one item based on the Depression Anxiety Stress 21 subscales (DASS-21) for the assessment of depression, anxiety and stress symptoms. The results of Study 1 (N = 1,001) and Study 2 (N = 894) revealed that the bubbles are valid instruments that fit the DASS-21 subscales on the factor level. Moreover, the bubbles replicated the association pattern of the DASS-21 subscales with demographic variables, and with variables that belong to the negative and the positive dimension of mental health. Thus, due to their time- and cost-efficiency, the bubbles can be used as brief screening tools in research (e.g., large-scale studies, longitudinal studies, experience sampling paradigms) and in praxis. Their shortness can prevent fatigue, motivation decrease, and participants' drop-out.
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Affiliation(s)
- Julia Brailovskaia
- Mental Health Research and Treatment Center, Department of Clinical Psychology and Psychotherapy, Ruhr-Universität Bochum, Bochum, Germany
- DZPG (German Center for Mental Health), Partner Site Bochum/Marburg, Germany
| | - Silvia Schneider
- DZPG (German Center for Mental Health), Partner Site Bochum/Marburg, Germany
- Mental Health Research and Treatment Center, Department of Clinical Child and Adolescent Psychology, Ruhr-Universität Bochum, Bochum, Germany
| | - Jürgen Margraf
- Mental Health Research and Treatment Center, Department of Clinical Psychology and Psychotherapy, Ruhr-Universität Bochum, Bochum, Germany
- DZPG (German Center for Mental Health), Partner Site Bochum/Marburg, Germany
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17
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Lightfoot CJ, Wilkinson TJ, Patel NA, Jones CR, Smith AC. Patient activation and psychological coping strategies to manage challenging circumstances during the COVID-19 pandemic in people with kidney disease. J Nephrol 2024; 37:353-364. [PMID: 38236468 PMCID: PMC11043035 DOI: 10.1007/s40620-023-01851-1] [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: 08/04/2023] [Accepted: 11/23/2023] [Indexed: 01/19/2024]
Abstract
BACKGROUND Coping with health problems requires some degree of self-management; however, an individual's ability to self-manage can be threatened during challenging times, such as the COVID-19 pandemic. Exploring differences and changes in psychological well-being and coping strategies between those with low and high patient activation may inform appropriate interventions to support psychological coping. METHODS People with chronic kidney disease (CKD) (non-dialysis and transplant) were recruited from 11 hospital sites across England between August and December 2020. Participants responded to an online survey study, including the Brief Coping Orientation to Problem Experienced (COPE) Inventory, Depression, Anxiety and Stress Scale (DASS-21), Short Health Anxiety Index (SHAI), and Patient Activation Measure (PAM-13). A follow-up survey was conducted 6-9 months later. Paired t tests assessed within-group changes, and chi-squared tests compared coping strategies utilised by low- and high-activated participants. General linear modelling was performed to determine the relationship between patient activation and coping strategies, and covariates. RESULTS Two hundred and fourteen participants were recruited (mean age: 60.7, 51% male, mean eGFR: 38.9 ml/min/1.73 m2). Low-activated participants were significantly more anxious than high-activated participants (P = 0.045). Health anxiety significantly decreased (i.e., got better) for high-activated participants (P = 0.016). Higher patient activation scores were associated with greater use of problem-focused strategies (β = 0.288, P < 0.001). Age (β = - 0.174, P = 0.012), sex (β = 0.188, P = 0.004), and education level (β = 0.159, P = 0.019) significantly predicted use of problem-focused strategies. DISCUSSION Those with higher activation had lower levels of anxiety, and more frequently used adaptive coping strategies during the pandemic. Targeted support and interventions may be required for people with CKD to enhance patient activation, encourage more positive adaptive coping strategies, and mitigate maladaptive coping strategies.
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Affiliation(s)
- Courtney Jane Lightfoot
- Leicester Kidney Lifestyle Team, Department of Health Sciences, University of Leicester, Leicester, LE1 7RH, UK.
- Leicester NIHR Biomedical Research Centre, Leicester, UK.
| | - Thomas James Wilkinson
- Leicester Kidney Lifestyle Team, Department of Health Sciences, University of Leicester, Leicester, LE1 7RH, UK
- Leicester NIHR Biomedical Research Centre, Leicester, UK
| | - Naeema Aiyub Patel
- Leicester Kidney Lifestyle Team, Department of Health Sciences, University of Leicester, Leicester, LE1 7RH, UK
- Leicester NIHR Biomedical Research Centre, Leicester, UK
| | - Ceri Rhiannon Jones
- Department of Neuroscience Psychology and Behaviour, University of Leicester, Leicester, UK
| | - Alice Caroline Smith
- Leicester Kidney Lifestyle Team, Department of Health Sciences, University of Leicester, Leicester, LE1 7RH, UK
- Leicester NIHR Biomedical Research Centre, Leicester, UK
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18
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Hussenoeder FS, Conrad I, Pabst A, Engel C, Zachariae S, Zeynalova S, Yahiaoui-Doktor M, Glaesmer H, Hinz A, Witte V, Wichmann G, Kirsten T, Löffler M, Villringer A, Riedel-Heller SG. Connecting chronic stress and anxiety: a multi-dimensional perspective. PSYCHOL HEALTH MED 2024; 29:427-441. [PMID: 36106349 DOI: 10.1080/13548506.2022.2124292] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/10/2021] [Accepted: 09/06/2022] [Indexed: 10/14/2022]
Abstract
Studies show a connection between anxiety and stress, but with little differentiation between different domains of stress. In this article, we utilize a multi-dimensional approach to better understand the relationship between different chronic stress domains and anxiety. This will allow researchers to identify and address those areas of stress that are most relevant with regard to anxiety. We used data from a sub sample of the LIFE-Adult-Study (n = 1085) to analyze the association between nine different areas of chronic stress (Trier Inventory for Chronic Stress, TICS) and anxiety (General Anxiety Disorder 7, GAD-7), controlling for sociodemographic variables, personality, and social support. There was a significant and positive association between Work Overload, Pressure to Perform, Social Tensions, Social Isolation, Chronic Worrying, and anxiety. After including the control variables, only Work Overload and Chronic Worrying remained significant. By focusing on Work Overload and Chronic Worrying researchers, practitioners, and policy makers can help to mitigate anxiety and related health problems in the population in an efficient way.
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Affiliation(s)
- Felix S Hussenoeder
- Institute of Social Medicine, Occupational Health and Public Health, Leipzig University, Leipzig, Germany
| | - Ines Conrad
- Institute of Social Medicine, Occupational Health and Public Health, Leipzig University, Leipzig, Germany
| | - Alexander Pabst
- Institute of Social Medicine, Occupational Health and Public Health, Leipzig University, Leipzig, Germany
| | - Christoph Engel
- Institute for Medical Informatics, Statistics and Epidemiology (IMISE), Leipzig University, Leipzig, Germany
- Leipzig Research Centre for Civilization Diseases, Leipzig University, Leipzig, Germany
| | - Silke Zachariae
- Institute for Medical Informatics, Statistics and Epidemiology (IMISE), Leipzig University, Leipzig, Germany
| | - Samira Zeynalova
- Institute for Medical Informatics, Statistics and Epidemiology (IMISE), Leipzig University, Leipzig, Germany
| | - Maryam Yahiaoui-Doktor
- Institute for Medical Informatics, Statistics and Epidemiology (IMISE), Leipzig University, Leipzig, Germany
- Leipzig Research Centre for Civilization Diseases, Leipzig University, Leipzig, Germany
| | - Heide Glaesmer
- Department of Medical Psychology and Medical Sociology, Leipzig University, Leipzig, Germany
| | - Andreas Hinz
- Department of Medical Psychology and Medical Sociology, Leipzig University, Leipzig, Germany
| | - Veronika Witte
- Department of Neurology, Max-Planck-Institute for Human Cognitive and Brain Sciences, Leipzig, Germany
| | - Gunnar Wichmann
- Department of Otorhinolaryngology, University of Leipzig, Leipzig, Germany
| | - Toralf Kirsten
- Institute for Medical Informatics, Statistics and Epidemiology (IMISE), Leipzig University, Leipzig, Germany
- Department for Medical Data Science, University Medical Data Center Leipzig, Leipzig, Germany
| | - Markus Löffler
- Institute for Medical Informatics, Statistics and Epidemiology (IMISE), Leipzig University, Leipzig, Germany
| | - Arno Villringer
- Department of Neurology, Max-Planck-Institute for Human Cognitive and Brain Sciences, Leipzig, Germany
| | - Steffi G Riedel-Heller
- Institute of Social Medicine, Occupational Health and Public Health, Leipzig University, Leipzig, Germany
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Li M, O'Donnell KJ, Caron J, Meaney MJ, Kobor M, D'Arcy C, Su Y, Liu A, Meng X. To what extent do social support and coping strategies mediate the relation between childhood maltreatment and major depressive disorder: A longitudinal community-based cohort. Dev Psychopathol 2024; 36:50-61. [PMID: 36102218 DOI: 10.1017/s0954579422000918] [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: 11/06/2022]
Abstract
This study aimed to articulate the roles of social support and coping strategies in the relation between childhood maltreatment (CM) and subsequent major depressive disorder (MDD) with a comprehensive exploration of potential factors in a longitudinal community-based cohort. Parallel and serial mediation analyses were applied to estimate the direct effect (DE) (from CM to MDD) and indirect effects (from CM to MDD through social support and coping strategies, simultaneously and sequentially). Sociodemographic characteristics and genetic predispositions of MDD were considered in the modeling process. A total of 902 participants were included in the analyses. CM was significantly associated with MDD (DE coefficient (β) = 0.015, 95% confidence interval (CI) = 0.002∼0.028). This relation was partially mediated by social support (indirect β = 0.004, 95% CI = 0.0001∼0.008) and negative coping (indirect β = 0.013, 95% CI = 0.008∼0.020), respectively. Social support, positive coping, and negative coping also influenced each other and collectively mediated the association between CM and MDD. This study provides robust evidence that although CM has a detrimental effect on later-on MDD, social support and coping strategies could be viable solutions to minimize the risk of MDD. Intervention and prevention programs should primarily focus on weakening negative coping strategies, then strengthening social support and positive coping strategies.
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Affiliation(s)
- Muzi Li
- Department of Psychiatry, Faculty of Medicine and Health Sciences, McGill University, Montreal, Quebec, Canada
- Douglas Research Centre, Montreal, Quebec, Canada
| | - Kieran J O'Donnell
- Department of Psychiatry, Faculty of Medicine and Health Sciences, McGill University, Montreal, Quebec, Canada
- Douglas Research Centre, Montreal, Quebec, Canada
- Yale Child Study Center, Department of Obstetrics, Gynecology, and Reproductive Sciences, Yale School of Medicine, Yale University, New Haven, CT, USA
- Child & Brain Development Program, CIFAR, Toronto, Ontario, Canada
| | - Jean Caron
- Department of Psychiatry, Faculty of Medicine and Health Sciences, McGill University, Montreal, Quebec, Canada
- Douglas Research Centre, Montreal, Quebec, Canada
| | - Michael J Meaney
- Department of Psychiatry, Faculty of Medicine and Health Sciences, McGill University, Montreal, Quebec, Canada
- Douglas Research Centre, Montreal, Quebec, Canada
| | - Michael Kobor
- Centre for Molecular Medicine and Therapeutics, BC Children's Hospital Research Institute (BCCHR), Vancouver, British Columbia, Canada
- Department of Medical Genetics, University of British Columbia, Vancouver, British Columbia, Canada
| | - Carl D'Arcy
- Department of Psychiatry, College of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Canada
- School of Public Health, University of Saskatchewan, Saskatoon, Saskatchewan, Canada
| | - Yingying Su
- Department of Psychiatry, Faculty of Medicine and Health Sciences, McGill University, Montreal, Quebec, Canada
- Douglas Research Centre, Montreal, Quebec, Canada
| | - Aihua Liu
- Douglas Research Centre, Montreal, Quebec, Canada
| | - Xiangfei Meng
- Department of Psychiatry, Faculty of Medicine and Health Sciences, McGill University, Montreal, Quebec, Canada
- Douglas Research Centre, Montreal, Quebec, Canada
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20
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Ay A, Semerci R, Erkul M. Prediction of family-centered care on the unmet care needs of parents of pediatric oncology patients and their psychosocial problems. Pediatr Blood Cancer 2024; 71:e30795. [PMID: 38038401 DOI: 10.1002/pbc.30795] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/22/2023] [Revised: 11/14/2023] [Accepted: 11/19/2023] [Indexed: 12/02/2023]
Abstract
BACKGROUND/OBJECTIVES It was aimed to determine the predictive power of family-centered care of parents of children with cancer on their unmet care needs and psychosocial problems (anxiety, depression, stress). This study was conducted as a descriptive, correlational, and cross-sectional study. DESIGN/METHODS The study was conducted on 136 parents at a university hospital between January and September 2023, involving parents of children receiving care at the pediatric oncology clinic. Data collection instruments included an Information Form, Family Inventory of Needs Pediatric II (FINPED-II), Family-Centered Care Scale (FCCS), and Depression Anxiety Stress Scale (DASS-21). Data were analyzed using IBM SPSS 28, employing Pearson correlation analysis and linear regression to assess the relationships between variables. RESULTS The study revealed significant positive correlations between Family-Centered Care and Met Needs (r = .676, p < .001) and significant negative correlations between Met Needs and Stress scores (r = -.256, p < .001). Additionally, there were positive correlations between Anxiety and Depression scores (r = .700, p < .001), Anxiety and Stress scores (r = .768, p < .001), and Depression and Stress scores (r = .835, p < .001). Family-centered care significantly predicted Met Needs (p < .001) and accounted for 47% of the variation in Anxiety, Depression, Stress, and Family Inventory of Needs scores. CONCLUSION The findings highlight that family-centered care significantly predicts Met Needs, emphasizing its pivotal role in supporting parents of children with cancer. These findings underscore the importance of family-centered care in pediatric oncology, but also point to the need for further studies to address identified limitations and provide a comprehensive understanding of this complex healthcare dynamic.
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Affiliation(s)
- Ayşe Ay
- Nursing Department, Faculty of Health Sciences, Başkent University, Ankara, Turkey
| | - Remziye Semerci
- Child and Disease Nursing Department, Nursing Faculty, Koç University, İstanbul, Turkey
| | - Münevver Erkul
- Nursing Department, Faculty of Health Sciences, Antalya Science University, Antalya, Turkey
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21
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Zafar M, Alhelali AYS, Alfuwis MSM, Alshammari WZAL. Relationship between attention deficit hyperactive disorders with life satisfaction among medical students in city of Hail, KSA. JOURNAL OF EDUCATION AND HEALTH PROMOTION 2024; 12:437. [PMID: 38464643 PMCID: PMC10920718 DOI: 10.4103/jehp.jehp_334_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/09/2023] [Accepted: 05/30/2023] [Indexed: 03/12/2024]
Abstract
BACKGROUND Attention deficit hyperactive disorder (ADHD) begins in childhood, and its symptoms persist into adulthood. Students with ADHD symptoms will be at increased risk of antisocial behavior, depression, and loss of inhibition. This study determines the relationship between ADHD and life satisfaction level among medical students in the city of Hail, KSA. MATERIALS AND METHODS This is a cross-sectional study that was conducted in a public-sector medical college. A total of 200 students were recruited through stratified cluster sampling. Validated, structured scales of ADHD and life satisfaction were used, and known psychiatric disorders among students were excluded from the study. Correlation and linear regression analyses were used to determine the relationship between ADHD and life satisfaction and identify the determinants of ADHD. P value < 0.05 was considered statistically significant. RESULT The prevalence rate of ADHD among medical students was 33.3%. Female gender, third-year academic year student, and 21-26-year-old age group were the high-risk groups of ADHD. Inattention (r = -0.263, P value -0.000) and hyperactivity (r = -0.260, P value 0.000) were significantly correlated with life satisfaction level, with 92% of the variability in life satisfaction determined by inattention and hyperactivity. CONCLUSION The burden of ADHD is high among medical students, and it negatively correlates with life satisfaction level. Students' academic and social functioning was affected due to ADHD. There is a need to address this issue with early diagnosis and management of this disorder.
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Affiliation(s)
- Mubashir Zafar
- Department of Family and Community Medicine, College of Medicine, University of Hail, Hail, KSA
| | - Alaa Y. S. Alhelali
- Department of Family and Community Medicine, College of Medicine, University of Hail, Hail, KSA
| | - Mohamed S. M. Alfuwis
- Department of Family and Community Medicine, College of Medicine, University of Hail, Hail, KSA
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22
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Zhang J, Zheng S, Hu Z, Wang J. Effects of mindfulness on depression in college students: mediating role of psychological resilience and moderating role of gender. BMC Psychol 2024; 12:27. [PMID: 38229195 PMCID: PMC10790462 DOI: 10.1186/s40359-023-01468-w] [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: 07/24/2023] [Accepted: 11/27/2023] [Indexed: 01/18/2024] Open
Abstract
OBJECTIVE A questionnaire was administered to 936 college students to investigate the mediating effect of psychological resilience in the association between mindfulness and college student depression, as well as the moderating role of gender. METHODS For this study, data was collected between 20 April and 1 May 2023 at three universities in Jiangxi Province using a random sampling method. 963 Chinese university students were surveyed using the Adolescent Mindfulness Scale, the Psychological Resilience Scale, and the Depression Self-Rating Scale.SPSS24.0 software was used for correlation analysis and linear regression analysis, and PROCESS v3.4 model 7 was used to analyze this mediated model with moderating effects. RESULTS In the mediated effects model, the direct effect of mindfulness on college depression levels was significant (95% CI -0.43, -0.31); the indirect effect of mindfulness on college depression through psychological resilience was also significant (95% CI -0.34, -0.23); the interaction effect of mindfulness and gender was also found to be significant (95% CI 0.03, 0.16) in the mediated model with moderation. CONCLUSION Mindfulness not only affect depression directly, but also indirectly through the mediating effect of psychological resilience. At the same time, the prediction of psychological resilience by mindfulness was also moderated by gender, with girls' psychological resilience being more affected by the level of mindfulness compared to boys.
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Affiliation(s)
- Junliang Zhang
- Science and Technology College, Nanchang Hangkong University, Jiujiang, China.
| | - Shuang Zheng
- Science and Technology College, Nanchang Hangkong University, Jiujiang, China
| | - Zhongzheng Hu
- Science and Technology College, Nanchang Hangkong University, Jiujiang, China
| | - Jingming Wang
- Science and Technology College, Nanchang Hangkong University, Jiujiang, China
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23
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Iskender MD, Gülsoy A, Özcan E, Uyan Y. The effect of fear of contagion/being contagious on depression, anxiety and stress levels of university students during the COVID-19 pandemic. J Clin Nurs 2024; 33:192-202. [PMID: 36536514 PMCID: PMC9877842 DOI: 10.1111/jocn.16602] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2022] [Revised: 10/28/2022] [Accepted: 11/28/2022] [Indexed: 12/24/2022]
Abstract
BACKGROUND University students are generally quite active in social life. It is thought that their fear of contagion/being contagious will affect their depression, anxiety and stress levels due to the removal of restrictions and the increase in individual responsibilities. This study aims to determine the effect of fear of contagion/being contagious on depression, anxiety and stress levels of university students during the COVID-19 pandemic. METHODS This study, descriptive and cross-sectional. Quantitative data were collected using the Demographic Information Form, the Fear of Contagion/Transmission Scale and the Depression-Anxiety-Stress Scale. The sample included 3500 participants. Descriptive statistics were used for the presentation of the results. The STROBE checklist for cross-sectional studies was used in this study. RESULTS This study revealed that the depression, anxiety and stress levels of university students were above normal, and these results were mostly associated with females, those with a chronic disease and high fear of contagion/being contagious. CONCLUSION The findings of this study may be useful for precautionary plans to support the psychological health of university students after the COVID-19 pandemic and in the fight against possible new pandemics. Considering the findings of our study, educational programs should be planned for youth in general and university students in particular to deal with depression, anxiety, stress and fears. RELEVANCE TO CLINICAL PRACTICE The depression, anxiety and stress levels of university students were above normal. As the fear of contamination and contagion increases, the level of depression, anxiety and stress increases. Those with chronic diseases have high levels of depression, anxiety and stress. PATIENT OR PUBLIC CONTRIBUTION Research data were collected through an online questionnaire. Data collection tools were prepared on Google Forms, and then, links were shared with student groups over social media. Students shared the link on their social platforms, allowing it to reach wider audiences.
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Affiliation(s)
| | - Ahmet Gülsoy
- Department of First and Emergency Aid, Taşköprü Vocational SchoolKastamonu UniversityKastamonuTurkey
| | - Ebru Özcan
- Department of First and Emergency Aid, Taşköprü Vocational SchoolKastamonu UniversityKastamonuTurkey
| | - Yusuf Uyan
- Department of First and Emergency Aid, Taşköprü Vocational SchoolKastamonu UniversityKastamonuTurkey
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Li R, Karukivi M, Lindblom J, Korja R, Karlsson L, Karlsson H, Nolvi S. Trajectories of COVID-19 pandemic-related depressive symptoms and potential predictors: the FinnBrain Birth Cohort Study. Soc Psychiatry Psychiatr Epidemiol 2024; 59:151-163. [PMID: 37668674 PMCID: PMC10799828 DOI: 10.1007/s00127-023-02559-0] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/02/2022] [Accepted: 08/21/2023] [Indexed: 09/06/2023]
Abstract
PURPOSE In the context of the COVID-19 pandemic, mental health problems have been reported, and parents of young children may be more vulnerable to psychological distress due to increased caregiving responsibilities. However, research on the heterogeneity of the longitudinal course of psychological symptoms during the pandemic and the predispositions linked with these courses is still scarce. This study aimed to identify differential trajectories of depressive symptoms among the parents of young children and investigate the role of temperament traits, alexithymia, and coping styles in the heterogeneity of the symptom trajectories. METHODS The sample consists of 844 parents from the FinnBrain Birth Cohort Study. Latent growth mixture modeling was utilized to identify trajectories of depressive symptoms from pre-pandemic between 2014 and 2019 (T0, the closest available measurement was used) to May/June 2020 (T1) and December 2020 (T2) during the pandemic. Multinomial logistic regression was used to examine temperament, alexithymia, and coping as predictors of symptom trajectories, controlling for various background factors. RESULTS Four trajectories of depressive symptoms were identified. Most parents experienced low and stable depressive symptoms. Negative affect, effortful control, alexithymia, emotion-diverting coping (self-distraction and venting), and avoidant coping (denial and behavioral disengagement) were predictors for subclinical stable depressive symptoms. Constructive coping (positive reframing, acceptance, and humor) protected the cohort parents from increasing or moderately high depressive symptoms. CONCLUSIONS The findings have implications for identifying vulnerable individuals with specific traits and strengthening of constructive coping strategies as possible foci in interventions for depression during global crises.
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Affiliation(s)
- Ru Li
- Department of Psychiatry, University of Turku and Turku University Hospital, Medisiina A, Kiinamyllynkatu 8-10, Turku, Finland.
- FinnBrain Birth Cohort Study, Department of Clinical Medicine, University of Turku, Turku, Finland.
| | - Max Karukivi
- FinnBrain Birth Cohort Study, Department of Clinical Medicine, University of Turku, Turku, Finland
- Department of Adolescent Psychiatry, University of Turku and Turku University Hospital, Turku, Finland
| | - Jallu Lindblom
- FinnBrain Birth Cohort Study, Department of Clinical Medicine, University of Turku, Turku, Finland
- Faculty of Social Sciences, Tampere University, Tampere, Finland
| | - Riikka Korja
- FinnBrain Birth Cohort Study, Department of Clinical Medicine, University of Turku, Turku, Finland
- Department of Psychology and Speech-Language Pathology, University of Turku, Turku, Finland
| | - Linnea Karlsson
- Department of Psychiatry, University of Turku and Turku University Hospital, Medisiina A, Kiinamyllynkatu 8-10, Turku, Finland
- FinnBrain Birth Cohort Study, Department of Clinical Medicine, University of Turku, Turku, Finland
- Centre for Population Health Research, University of Turku and Turku University Hospital, Turku, Finland
- Department of Pediatrics and Adolescent Medicine, University of Turku and Turku University Hospital, Turku, Finland
| | - Hasse Karlsson
- Department of Psychiatry, University of Turku and Turku University Hospital, Medisiina A, Kiinamyllynkatu 8-10, Turku, Finland
- FinnBrain Birth Cohort Study, Department of Clinical Medicine, University of Turku, Turku, Finland
- Centre for Population Health Research, University of Turku and Turku University Hospital, Turku, Finland
| | - Saara Nolvi
- FinnBrain Birth Cohort Study, Department of Clinical Medicine, University of Turku, Turku, Finland
- Turku Institute for Advanced Studies, University of Turku, Turku, Finland
- Department of Medical Psychology, Charité Universitätsmedizin, Berlin, Germany
- Department of Psychology and Speech-Language Pathology, University of Turku, Turku, Finland
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Kaimal A, Hooversmith JM, Cherry AD, Garrity JT, Al Mansi MH, Martin NM, Buechter H, Holmes PV, MohanKumar PS, MohanKumar SMJ. Prenatal exposure to bisphenol A and/or diethylhexyl phthalate alters stress responses in rat offspring in a sex- and dose-dependent manner. FRONTIERS IN TOXICOLOGY 2023; 5:1264238. [PMID: 38152552 PMCID: PMC10751317 DOI: 10.3389/ftox.2023.1264238] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2023] [Accepted: 11/29/2023] [Indexed: 12/29/2023] Open
Abstract
Background: Prenatal exposures to endocrine disrupting chemicals (EDCs) are correlated with adverse behavioral outcomes, but the effects of combinations of these chemicals are unclear. The aim of this study was to determine the dose-dependent effects of prenatal exposure to EDCs on male and female behavior. Methods: Pregnant Sprague-Dawley rats were orally dosed with vehicle, bisphenol A (BPA) (5 μg/kg body weight (BW)/day), low-dose (LD) diethylhexyl phthalate (DEHP) (5 μg/kg BW/day), high-dose (HD) DEHP (7.5 mg/kg BW/day), a combination of BPA and LD-DEHP (B + D (LD)), or a combination of BPA and HD-DEHP (B + D (HD)) on gestational days 6-21. Adult offspring were subjected to the Open Field Test (OFT), Elevated Plus Maze (EPM), and Shock Probe Defensive Burying test (SPDB) in adulthood. Body, adrenal gland, and pituitary gland weights were collected at sacrifice. Corticosterone (CORT) was measured in the serum. Results: Female EDC-exposed offspring showed anxiolytic effects in the OFT, while male offspring were unaffected. DEHP (HD) male offspring demonstrated a feminization of behavior in the EPM. Most EDC-exposed male offspring buried less in the SPDB, while their female counterparts showed reduced shock reactivity, indicating sex-specific maladaptive alterations in defensive behaviors. Additionally, DEHP (LD) males and females and B + D (LD) females displayed increased immobility in this test. DEHP (LD) alone and in combination with BPA led to lower adrenal gland weights, but only in male offspring. Finally, females treated with a mixture of B + D (HD) had elevated CORT levels. Conclusion: Prenatal exposure to BPA, DEHP, or a mixture of the two, affects behavior, CORT levels, and adrenal gland weights in a sex- and dose-dependent manner.
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Affiliation(s)
- Amrita Kaimal
- Neuroendocrine Research Laboratory, University of Georgia, Athens, GA, United States
- Biomedical and Translational Sciences Institute, Neuroscience Division, University of Georgia, Athens, GA, United States
| | - Jessica M. Hooversmith
- Behavioral Neuropharmacology Laboratory, University of Georgia, Athens, GA, United States
| | - Ariana D. Cherry
- Neuroendocrine Research Laboratory, University of Georgia, Athens, GA, United States
| | - Jillian T. Garrity
- Neuroendocrine Research Laboratory, University of Georgia, Athens, GA, United States
| | - Maryam H. Al Mansi
- Neuroendocrine Research Laboratory, University of Georgia, Athens, GA, United States
| | - Nicholas M. Martin
- Neuroendocrine Research Laboratory, University of Georgia, Athens, GA, United States
| | - Hannah Buechter
- Neuroendocrine Research Laboratory, University of Georgia, Athens, GA, United States
| | - Philip V. Holmes
- Biomedical and Translational Sciences Institute, Neuroscience Division, University of Georgia, Athens, GA, United States
- Behavioral Neuropharmacology Laboratory, University of Georgia, Athens, GA, United States
| | - Puliyur S. MohanKumar
- Neuroendocrine Research Laboratory, University of Georgia, Athens, GA, United States
- Biomedical and Translational Sciences Institute, Neuroscience Division, University of Georgia, Athens, GA, United States
| | - Sheba M. J. MohanKumar
- Neuroendocrine Research Laboratory, University of Georgia, Athens, GA, United States
- Biomedical and Translational Sciences Institute, Neuroscience Division, University of Georgia, Athens, GA, United States
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Vidic Z. Multi-year investigation of a relaxation course with a mindfulness meditation component on college students' stress, resilience, coping and mindfulness. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2023; 71:2711-2716. [PMID: 34670109 DOI: 10.1080/07448481.2021.1987918] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/19/2021] [Revised: 09/10/2021] [Accepted: 09/26/2021] [Indexed: 06/13/2023]
Abstract
Examine the effects of a relaxation course with a mindfulness meditation component in a two-group pre-test and post-test non-randomized study design. Participants included 219 undergraduate students (experimental group: n = 103; control group: n = 116), 18-43 years old. Completion of measures of stress, resilience, coping and mindfulness at the beginning and end of the intervention. The independent sample t-test analysis revealed a statistically significant decrease in stress and maladaptive coping, and an increase in resilience in the experimental group compared to the control group. Benefits were observed following the intervention by positively impacting factors associated with increased functioning in life. Classroom-based interventions could be considered beneficial for students.
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Affiliation(s)
- Zeljka Vidic
- Department of Human Performance and Health Education, Western Michigan University, Kalamazoo, Michigan, USA
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Tokumitsu K, Sugawara N, Okayasu H, Kawamata Y, Shinozaki M, Sato Y, Sato A, Uchibori Y, Komatsu T, Yasui‐Furukori N, Shimoda K. The relationship of stress coping styles on substance use, depressive symptoms, and personality traits of nurses in higher education institution. Neuropsychopharmacol Rep 2023; 43:482-495. [PMID: 36871953 PMCID: PMC10739130 DOI: 10.1002/npr2.12324] [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: 09/10/2022] [Revised: 01/27/2023] [Accepted: 01/27/2023] [Indexed: 03/07/2023] Open
Abstract
AIM This study examined the collective characteristics of nurses and their stress coping style. METHODS We conducted a cluster analysis of the stress coping strategies of 841 nurses belonging to Dokkyo Medical University Hospital, as measured by the Brief COPE (Coping Orientation to Problems Experienced). We also conducted multivariate analyses of each cluster's sociodemographic characteristics, personality traits, depressive symptoms, work attitudes, sense of fairness, and turnover intention. RESULTS The results of cluster analysis using the standardized z scores of the Brief COPE demonstrated that the study participants were classified into three clusters. The "emotional-response type" tended to favor the use of emotional support, venting, and self-blame. The "reality-escape type" tended to prefer alcohol and substance use, behavioral resignation, use of instrumental support, and lack of acceptance. The "problem-solving type" tended to prefer planning, positive reframing, and acceptance and to dislike "alcohol and substance use" and behavioral disengagement. A multinomial logistic regression analysis revealed that compared to the problem-solving type, the emotional-response type had a lower job title, a higher "neuroticism" score on the TIPI-J, and a higher K6 score. However, compared to the problem-solving type, the reality-escape type was younger, consumed more alcohol and substances, and had a higher K6 score. CONCLUSIONS Stress coping styles were found to be associated with substance use, depressive symptoms, and personality traits among nurses in higher education institutions. Thus, the results suggest that nurses who choose maladaptive stress coping styles require mental support and early identification of depressive symptoms and alcohol problems.
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Affiliation(s)
- Keita Tokumitsu
- Department of Psychiatry, School of MedicineDokkyo Medical UniversityMibuJapan
| | - Norio Sugawara
- Department of Psychiatry, School of MedicineDokkyo Medical UniversityMibuJapan
- Health Services Center for Students and StaffDokkyo Medical UniversityMibuJapan
| | - Hiroaki Okayasu
- Department of Psychiatry, School of MedicineDokkyo Medical UniversityMibuJapan
| | - Yasushi Kawamata
- Department of Psychiatry, School of MedicineDokkyo Medical UniversityMibuJapan
| | - Masataka Shinozaki
- Department of Psychiatry, School of MedicineDokkyo Medical UniversityMibuJapan
| | - Yoshiteru Sato
- Department of Psychiatry, School of MedicineDokkyo Medical UniversityMibuJapan
| | - Aoi Sato
- Department of Psychiatry, School of MedicineDokkyo Medical UniversityMibuJapan
| | - Yumiko Uchibori
- Department of NursingDokkyo Medical University HospitalMibuJapan
| | - Tomie Komatsu
- Department of NursingDokkyo Medical University HospitalMibuJapan
| | | | - Kazutaka Shimoda
- Department of Psychiatry, School of MedicineDokkyo Medical UniversityMibuJapan
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28
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Voss C, Shorter P, Weatrowski G, Mueller-Coyne J, Turner K. A comparison of anxiety levels before and during the COVID-19 pandemic. Psychol Rep 2023; 126:2669-2689. [PMID: 35503814 PMCID: PMC9086220 DOI: 10.1177/00332941221093250] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Abstract
The COVID-19 Pandemic upended the lives of nearly everyone worldwide, and recent studies have reported higher rates of anxiety, depression, and other mental health problems. Using a repeated crosssectional design, the current study compares anxiety levels from a representative sample of college students prior-to and during the COVID-19 Pandemic. Additionally, differences in anxiety prior to and following U.S. approval for use of the Pfizer-BioNTtech COVID-19 vaccine were also compared. Findings indicate that state-anxiety levels did not differ significantly prior to and during the Pandemic as well as before the vaccine and during and after the vaccine (M = 43.01, 44.10, 44.77, respectively). Surprisingly, trait anxiety levels were significantly higher during the Pandemic than before (p = .003), and anxiety levels trend down after the approval of the vaccine, but not significantly (M = 45.10, 48.85, 47.58, respectively). Future research should continue to investigate and compare anxiety levels during the COVID-19 Pandemic.
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Affiliation(s)
- Claire Voss
- Department of Psychology, San Diego State University, San Diego, CA, USA
| | - Phoebe Shorter
- Department of Psychology, San Diego State University, San Diego, CA, USA
| | - Grace Weatrowski
- Department of Psychology, San Diego State University, San Diego, CA, USA
| | | | - Katherine Turner
- Department of Psychology, San Diego State University, San Diego, CA, USA
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29
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Reid Ms MP, Dautovich PhD ND. The motivation behind better sleep: self-determination as a framework for examining sleep outcomes in college students. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2023; 71:2538-2549. [PMID: 34788563 DOI: 10.1080/07448481.2021.1978460] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/04/2020] [Revised: 07/13/2021] [Accepted: 09/05/2021] [Indexed: 06/13/2023]
Abstract
OBJECTIVE To examine sleep health within a self-determination framework across a diverse college sample. PARTICIPANTS A nonclinical sample of undergraduate students (n = 399) from a large, urban, public university in the Mid-Atlantic United States in Spring 2020. METHODS Participants were recruited via an online research participation portal and received extra credit for participation. All measures were administered via an online survey. RESULTS Basic psychological need satisfaction was associated with sleep health. This association was partially mediated by sleep hygiene but not by regulatory style. There were no racial/ethnic differences in sleep health, sleep hygiene, basic need satisfaction, or regulatory style. Men reported more maladaptive motivational styles for sleep health, and non-binary/transgender students reported worse sleep hygiene. CONCLUSION Basic psychological need satisfaction and sleep hygiene are critical targets for intervention across diverse college student populations. Motivation may be less critical for nonclinical interventions.
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Affiliation(s)
- Morgan P Reid Ms
- Psychology Department, Virginia Commonwealth University, Richmond, Virginia, USA
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30
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Cedillo YE, Kelly T, Davis E, Durham L, Smith DL, Kennedy RE, Fernández JR. Evaluation of food security status, psychological well-being, and stress on BMI and diet-related behaviors among a sample of college students. Public Health 2023; 224:32-40. [PMID: 37708714 DOI: 10.1016/j.puhe.2023.08.015] [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] [Received: 02/28/2023] [Revised: 06/05/2023] [Accepted: 08/08/2023] [Indexed: 09/16/2023]
Abstract
OBJECTIVES The purpose of this study was to evaluate food insecurity on body mass index (BMI) and diet-related behaviors among college students and whether psychological well-being (PWB) and stress levels mediate this relationship. STUDY DESIGN This was a cross-sectional study. METHODS Data from 1439 students from the American College Health Association National College Health Assessment III (Fall 2020) were used. Food security status was evaluated by the USDA Six-Item Short Form. PWB was measured using the Diener Flourishing Scale. Diet-related behaviors included the average servings of fruits, vegetables, and sugar-sweetened beverages consumed per day. Stress was measured by self-reported levels. Regression model analysis evaluated the influence of food security status, PWB, and stress levels on BMI. PWB and stress were also tested as mediators in the relationship between food insecurity and BMI. RESULTS Among our sample of college students, 44.54% (n = 641) were food insecure, and 55.46% (n = 798) were food secure. Multiple regression analysis showed that higher food insecurity, older age, full-time enrollment status, and fifth-year student status were positively associated with a higher BMI score (P < 0.05). Results from mediation models revealed that PWB, but not stress, mediated the relationship between food security and BMI among Black/African American students. Regarding diet-related behaviors, high stress levels mediated the relationship between food insecurity and sugar-sweetened beverage intake among students. CONCLUSIONS Food insecurity appears to influence BMI in college students. This relationship seems to be mediated by disrupted PWB and a higher intake of sugar-sweetened beverages due to stress.
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Affiliation(s)
- Y E Cedillo
- Department of Nutrition Sciences, School of Health Professions, University of Alabama at Birmingham, Webb Building, 1675 University Blvd, Birmingham, AL 35294-3360, USA.
| | - T Kelly
- Department of Nutrition Sciences, School of Health Professions, University of Alabama at Birmingham, Webb Building, 1675 University Blvd, Birmingham, AL 35294-3360, USA
| | - E Davis
- Department of Nutrition Sciences, School of Health Professions, University of Alabama at Birmingham, Webb Building, 1675 University Blvd, Birmingham, AL 35294-3360, USA
| | - L Durham
- Department of Nutrition Sciences, School of Health Professions, University of Alabama at Birmingham, Webb Building, 1675 University Blvd, Birmingham, AL 35294-3360, USA
| | - D L Smith
- Department of Nutrition Sciences, School of Health Professions, University of Alabama at Birmingham, Webb Building, 1675 University Blvd, Birmingham, AL 35294-3360, USA
| | - R E Kennedy
- Assistant Vice President for Student Health and Wellbeing, Division of Student Affairs, Department of Psychology, University of Alabama at Birmingham, USA
| | - J R Fernández
- Department of Nutrition Sciences, School of Health Professions, University of Alabama at Birmingham, Webb Building, 1675 University Blvd, Birmingham, AL 35294-3360, USA
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Zheng Z, Zhao W, Zhou Q, Yang Y, Chen S, Hu J, Jiang W, Zhang W, Cai J, Qiu J. Sex differences in depression, anxiety and health-promoting lifestyles among community residents: A network approach. J Affect Disord 2023; 340:369-378. [PMID: 37499917 DOI: 10.1016/j.jad.2023.07.107] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/27/2023] [Revised: 07/14/2023] [Accepted: 07/23/2023] [Indexed: 07/29/2023]
Abstract
BACKGROUND Researchers have studied sex differences in typical depressive and anxiety symptoms and their cooccurrence. The World Health Organization (WHO) proposed a mental health promotion objective that suggests considering protective health-promoting factors when developing strategies for preventing mental disorders between sexes. From a network perspective, psychopathology is viewed as a result of interacting symptoms and influential factors. This study adopted network approach to investigate sex differences in health-promoting lifestyles (HPL) and the cooccurrence symptoms of communities in Shanghai. The aim is to provide health-promoting suggestions on better enhancing the life quality for community members. METHODS Depression, anxiety symptoms, and HPL were assessed with PHQ-9, GAD-7 and HPLP-II scales in 2420 adults (1411 females). Networks were constructed by Gaussian Graphical Models and the networks of two sexes using the Network Comparison Test. RESULTS Females scored significantly higher on PHQ-9 (p < 0.001) and GAD-7 (p < 0.001), and no differences were found between the two sexes in HPL scores. Restlessness and low energy yielded the highest strength centrality in the female network, while suicide ideation and restlessness were central in male network. Regarding protective HPL, physical activity and stress management were identified as the central mental health-promoting behaviours in female and male network, respectively. However, stress management was positively related to suicide ideation in the male network. CONCLUSION Communities should be aware of suicide ideation in males because of its high relationships with other symptoms and also provide stress management courses, especially for males. As for women, chronic energy deficiency deserves more attention for its high probability of cooccurrence with other symptoms in the network. Also, advocating physical activities may be particularly beneficial for the overall mental health among women. Future study should collect time-series data and analyze intraindividual networks to specify personalized health promoting strategies for each individual.
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Affiliation(s)
- Ziwei Zheng
- Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
| | - Wenqing Zhao
- Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Qing Zhou
- Shanghai Xuhui Mental Health Center, Shanghai, China
| | - Yang Yang
- Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Shuangyi Chen
- Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Jun Hu
- Shanghai Xuhui Mental Health Center, Shanghai, China
| | - Wenhui Jiang
- Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Weibo Zhang
- Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Jun Cai
- Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Jianyin Qiu
- Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
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Andriacchi M, Hopper C, Stein A, Nye R, Taylor K. Animal-Assisted Interventions on a College Campus to Improve Wellness: Adventures With the Northern Michigan University Wildpups. J Nurs Educ 2023; 62:631-637. [PMID: 37934682 DOI: 10.3928/01484834-20230906-05] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2023]
Abstract
BACKGROUND The prevalence of anxiety and stress among university students has been well established. However, limited studies document the effects of animal-assisted interventions (AAI) on college campuses. METHOD An AAI program was created and implemented during the 2021-2022 academic year to study the effects on students' stress and anxiety. Five faculty dog and handler teams, called the "Wildpups," participated in events that allowed individuals to interact with registered therapy dogs. Nursing students assessed vital signs including heart rate, respiratory rate, and blood pressure before and after events. The State-Trait Anxiety Inventory survey was used to assess pre- and postperceived anxiety, and a visual analog scale was used to assess pre- and postperceived stress. RESULTS Participants' blood pressure, heart and respiratory rates, and perceived stress and anxiety decreased significantly after events. CONCLUSION Embedded AAI programs on college campuses positively affect the life and mental well-being of individuals. [J Nurs Educ. 2023;62(11):631-637.].
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Lian Y, Yan Y, Ping W, Dou Z, Wang X, Yang H. Knowledge and coping style about depression in medical students: A cross-sectional study in China. PLoS One 2023; 18:e0293511. [PMID: 37889924 PMCID: PMC10610079 DOI: 10.1371/journal.pone.0293511] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2022] [Accepted: 10/15/2023] [Indexed: 10/29/2023] Open
Abstract
OBJECTIVES The current study aimed at ascertaining the depression levels of medical students and their knowledge levels of depression, and exploring the relationship between the level of knowledge and coping styles of the medical students on depression. METHODS An online-based survey was developed in Changzhi Medical College. The questionnaire included demographic and socioeconomic data, questions about depression knowledge and copying styles of depression, and the Zung Self-Rating Depression Scale (SDS). A total of 1931 questionnaires were returned by respondents. RESULTS The medical students produced a mean SDS score of 44.29 (SD = 11.67). The prevalence of depression was 29.7%. Sophomore, female, and poor family relationships were parameters associated with a higher SDS score. The total correct rate for knowledge of depression was 64.14%. There were statistical differences between with depression students and non-depression students on the rate of the correct answers in the following questions:"Female has more probability", "Depression can be adjusted by oneself", "Associated with one's character", "Know cure method of depression", "Know drug use of depression", "Know depression influence for health", and "Know prevention method of depression". Depression students were more likely to have a lower rate of correct answer for above questions. Asking for help from psychological consultation was the primary coping mechanism among the medical students. The logistic regression analysis results found that depressed students who chose the coping way of no ways of coping were more likely to be females OR = 1.470 (1.078, 2.005), residents in rural area OR = 1.496 (1.038, 2.156), in poor family relationships OR = 2.428 (1.790, 3.293), and have lower cognitive level of depression knowledge OR = 1.920 (1.426, 3.226). CONCLUSIONS It is necessary to focus on mental health of medical students, especially in female, residents in rural area, in poor family relationships, and having lower cognitive level of depression knowledge. Medical students were insufficient on depression knowledge and coping styles, and efforts that train students know risk of impaired mental health could also improve diagnosis and treatment.
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Affiliation(s)
- Yajun Lian
- Department of General Medicine, Heping Hospital Affiliated to Changzhi Medical College, Changzhi, China
| | - Yumeng Yan
- School of Public Health, Shanxi Medical University, Taiyuan, China
| | - Weiwei Ping
- Department of Public Health and Preventive Medicine, Changzhi Medical College, Changzhi, China
| | - Zhiyong Dou
- Department of Physical Examination Center, Heping Hospital Affiliated to Changzhi Medical College, Changzhi, China
| | - Xiaoyan Wang
- Department of Ultrasound B, Heping Hospital Affiliated to Changzhi Medical College, Changzhi, China
| | - Hui Yang
- Department of Public Health and Preventive Medicine, Changzhi Medical College, Changzhi, China
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Ramachandran S, Soheilipour S, Ford NL, Brondani MA. Exploring stressors and coping strategies among dental students during COVID-19 pandemic in British Columbia. J Dent Educ 2023; 87:1427-1436. [PMID: 37429731 DOI: 10.1002/jdd.13312] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2022] [Revised: 04/25/2023] [Accepted: 06/22/2023] [Indexed: 07/12/2023]
Abstract
OBJECTIVE The COVID-19 pandemic has caused stress among undergraduate dental students; coping mechanisms might be employed to deal with such stress. A cross-sectional study was conducted to explore the coping strategies employed by dental students at the University of British Columbia (UBC) in response to their self-perceived stressors during the pandemic. METHODS An anonymous 35-item survey was distributed to all four cohorts of UBC undergraduate dental students enrolled in the 2021-2022 academic year, 229 students in total. The survey gathered sociodemographic information, self-perceived COVID-19-related stressor, and coping strategies via the Brief Cope Inventory. Adaptive and maladaptive coping were compared among the years of study, self-perceived stressors, sex, ethnicity, and living situations. RESULTS Of the 229 eligible students, 182 (79.5%) responded to the survey. Of the 171 students that reported a major self-perceived stressor, 99 (57.9%) of them were stressed about clinical skill deficit due to the pandemic; fear of contraction was reported by 27 (15.8%). Acceptance, self-distraction, and positive reframing were the most used coping strategies among all students. The one-way ANOVA test revealed a significant difference in the adaptive coping scores among the four student cohorts (p = 0.001). Living alone was found to be a significant predictor for maladaptive coping (p < 0.001). CONCLUSION The main cause of stress related to the COVID-19 pandemic for dental students at UBC is their clinical skills being negatively affected. Coping strategies including acceptance and self-distraction were identified. Continued mitigation efforts should be made to address students' mental health concerns and create a supportive learning environment.
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Affiliation(s)
- Swathi Ramachandran
- Department of Oral Health Sciences, Faculty of Dentistry, University of British Columbia, Vancouver, Canada
- British Columbia Centre for Disease Control, Vancouver, Canada
| | - Shimae Soheilipour
- Department of Oral Health Sciences, Faculty of Dentistry, University of British Columbia, Vancouver, Canada
- Dental Research Institute and Department of Dental Public Health, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Nancy L Ford
- Department of Oral Biological and Medical Sciences, Faculty of Dentistry, University of British Columbia, Vancouver, Canada
| | - Mario A Brondani
- Department of Oral Health Sciences, Faculty of Dentistry, University of British Columbia, Vancouver, Canada
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Yüksel E, Yüksel Ö. Determining Hopelessness Levels and Related Factors in Veterinary Students. Behav Sci (Basel) 2023; 13:798. [PMID: 37887448 PMCID: PMC10604062 DOI: 10.3390/bs13100798] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2023] [Revised: 09/17/2023] [Accepted: 09/25/2023] [Indexed: 10/28/2023] Open
Abstract
This study addresses the level of hopelessness experienced by last-year students at a faculty of veterinary medicine. Moreover, it identifies the factors behind this emotion. A face-to-face questionnaire was administered to 238 last-year students from 2017 to 2021. The questionnaire included questions about sociodemographic and other characteristics, along with the Beck Hopelessness Scale. Data analysis included descriptive statistics, factor analysis, and chi-square tests. The findings suggested that nearly 60% of the respondents experienced hopelessness. The analysis also revealed a significant relation between hopelessness levels and variables such as year, gender, expected time of first employment, and psychological status. The results suggested that the current state of mental health is worrying for the veterinary faculty students and therefore for the future veterinarians. For this reason, it can be argued that steps to be taken towards a solution in the veterinary education periods are required.
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Affiliation(s)
- Erhan Yüksel
- Department of Veterinary History and Deontology, Veterinary Faculty, Sivas Cumhuriyet University, Sivas 58140, Turkey;
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Brito AD, Soares AB. Well-being, character strengths, and depression in emerging adults. Front Psychol 2023; 14:1238105. [PMID: 37809290 PMCID: PMC10552671 DOI: 10.3389/fpsyg.2023.1238105] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2023] [Accepted: 09/01/2023] [Indexed: 10/10/2023] Open
Abstract
Introduction Emerging adulthood is a period of transition between adolescence and adulthood, during which individuals explore different roles and possibilities. This period is often characterized by high levels of stress and uncertainty, which can increase the risk of depression. The aim of this study was to investigate the associations between emerging adulthood dimensions, well-being, character strengths and depression, as well as to verify the differences in the levels of these elements among different groups of depressive symptomatology. Methods Participants were 1,060 individuals (741 females, 305 males) between the ages of 18 and 30 years (M = 22.3, SD = 3.72). Spearman's correlation, linear regression, and Kruskal- Wallis with pairwise post-hoc analyses were used to analyze the data. Results There were significant positive correlations between emerging adulthood dimensions, well-being, and character strengths, and negative correlations between these variables and depression. There were also significant differences in the means of the evaluated constructs among the symptomm groups. Discussion The findings suggest that emerging adulthood dimensions, well-being, and character strengths are all associated with depression in emerging adults and have important implications for the provision of interventions in health and education for emerging adults. The study provides a deeper understanding of the factors influencing depression during emerging adulthood and emphasize the importance of promoting positive psychology elements and developing personalized interventions for emerging adults. This also suggest that public policies related to mental health and education should take into account the unique needs of emerging adults.
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Affiliation(s)
- Almir Diego Brito
- Department of Psychology, Salgado de Oliveira University, Niterói, Brazil
| | - Adriana B. Soares
- Department of Psychology, Salgado de Oliveira University, Niterói, Brazil
- Department of Psychology, Rio de Janeiro State University, Rio de Janeiro, Brazil
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Prokeš M. Sleep quality and sleep routines as mediators of stressors and life satisfaction in Czech university students: a structural equation model. Front Psychol 2023; 14:1231773. [PMID: 37727748 PMCID: PMC10505808 DOI: 10.3389/fpsyg.2023.1231773] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2023] [Accepted: 08/08/2023] [Indexed: 09/21/2023] Open
Abstract
Introduction Sleep is especially important to overall well-being. Some aspects of sleep have been well documented, for example sleep quantity and its effect on well-being, but the value of a consistent sleep routine remains poorly studied. University students are a population group especially susceptible to stress, mental health problems and poor sleep quality and experience changing daily schedules. Investigating the protective power of sleep in this population group is therefore an important avenue of research. Methods Applying a structural equation model, the current study surveyed a large sample of Czech university students during the COVID-19 pandemic in late spring, 2021, and observed the mediation effects of sleep on this group. Results and Discussion The study found that working, maintaining social contact and attending lectures in person had a strong effect on satisfaction with life. Increased personal study time indirectly supported consistent sleep routines and mediated perceptions of life satisfaction. As expected, the results indicated the importance of high-quality sleep. The results also verified partial mediation, directly and indirectly, through sleep quality, highlighting the significance of a consistent sleep routine in students on their self-reported satisfaction with life.
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Park GN, Kim JO, Oh JW, Lee S. Depressive symptoms in younger adults before and during the COVID-19 pandemic: A nationally representative cross-sectional data analysis. J Psychosom Res 2023; 172:111439. [PMID: 37454414 DOI: 10.1016/j.jpsychores.2023.111439] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/08/2023] [Revised: 07/03/2023] [Accepted: 07/08/2023] [Indexed: 07/18/2023]
Abstract
OBJECTIVE Several studies have reported an increased prevalence of depressive symptoms during the coronavirus disease 2019 (COVID-19) pandemic. However, the prevalence of significant depressive symptoms and its associated factors in younger adults remain uncertain. We aimed to investigate this association during the COVID-19 pandemic and make a comparison with the pre-pandemic period. METHODS Cross-sectional data from the 2018 and 2020 Korea National Health and Nutrition Examination Surveys were analyzed, and 3281 respondents aged 19-40 years were included. We defined a Patient Health Questionnaire-9 score ≥ 10 as significant depressive symptoms and the categories of depressive symptoms were also classified as none, mild, moderate, and severe. RESULTS The prevalence of significant depressive symptoms was higher in the pandemic group (7.4% vs. 4.7%). Furthermore, the prevalence in the pandemic group was higher for all degrees: mild, moderate, and severe depressive symptoms. A multivariable logistic regression indicated that significant depressive symptoms during the pandemic was significantly associated with female sex, low educational attainment, unemployment, chronic medical disease, and being overweight. CONCLUSIONS Our findings suggest an increase in depressive symptoms in younger adults during the pandemic. It is necessary to develop policies to provide younger adults with resources to cope with depressive symptoms related to COVID-19 and potential global outbreak of infectious disease.
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Affiliation(s)
- Gyu Nam Park
- Republic of Korea Navy, Republic of Korea; Department of Psychiatry and Institute of Behavioral Science in Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea
| | - Joo O Kim
- Department of Psychiatry and Institute of Behavioral Science in Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea
| | - Jae Won Oh
- Department of Psychology, University of Utah Asia Campus, Incheon, Republic of Korea; Department of Psychiatry, Yongin Severance Hospital, Yonsei University College of Medicine, Yongin, Republic of Korea; Mind Health Clinic, Yongin Severance Hospital, Yonsei University College of Medicine, Yongin, Republic of Korea
| | - San Lee
- Department of Psychiatry and Institute of Behavioral Science in Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea; Department of Psychiatry, Yongin Severance Hospital, Yonsei University College of Medicine, Yongin, Republic of Korea; Mind Health Clinic, Yongin Severance Hospital, Yonsei University College of Medicine, Yongin, Republic of Korea.
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Grzesik ER, Ghosh A. Hope, proactive personality, coping styles, and satisfaction with life among veterans during COVID-19. MILITARY PSYCHOLOGY 2023; 35:440-450. [PMID: 37615554 PMCID: PMC10453974 DOI: 10.1080/08995605.2023.2204060] [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] [Received: 01/19/2022] [Accepted: 03/20/2023] [Indexed: 08/25/2023]
Abstract
Veterans of the U.S. Armed Forces are an at-risk population given their increased mental health concerns resulting from their military service. However, there has been limited research conducted with this population during the novel coronavirus (COVID-19) pandemic. The purpose of this exploratory study was to examine aspects of positive psychological functioning with 132 U.S. veterans during COVID-19 using Lazarus and Folkman's (1984) transactional model of stress and coping. Specifically, we examined the personal resources of hope and proactive personality, two coping styles, and satisfaction with life. We performed correlation analyses to determine how these constructs related to each other. We also conducted a regression analysis to examine if the two dimensions of hope, proactive personality, adaptive coping, and maladaptive coping predicted veterans' satisfaction with life. Lastly, we utilized a mediation analysis to investigate whether two coping styles mediated the relationships among personal resources and satisfaction with life. Findings from the regression analysis suggested hope pathways and proactive personality were significant predictors of satisfaction with life. Results from the mediation analysis suggested that adaptive and maladaptive coping did not mediate the relationships among personal resources and satisfaction with life.
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Affiliation(s)
- Elizabeth R. Grzesik
- Department of Educational Psychology, The University of Kansas, Lawrence, Kansas
| | - Arpita Ghosh
- Department of Educational Psychology, The University of Kansas, Lawrence, Kansas
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Zhou H, Zhu Z, Feng X, Zhang R. Low mindfulness is related to poor sleep quality from middle adolescents to emerging adults: a process model involving resilience and emotional dysfunction. BMC Psychiatry 2023; 23:626. [PMID: 37641001 PMCID: PMC10463593 DOI: 10.1186/s12888-023-05092-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/22/2023] [Accepted: 08/08/2023] [Indexed: 08/31/2023] Open
Abstract
OBJECTIVES Transitions from middle adolescence into merging adulthood, a life stage between age 15-25, has a high prevalence of sleep problems. Mindfulness is a trait defined as being attentive to the present moment which positively relates to sleep quality. In this study, we aimed to investigate how resilience and emotional dysfunction may influence the relationship between trait mindfulness and sleep quality. METHODS The Five Facet Mindfulness Questionnaire, Connor-Davidson Resilience Scale, Pittsburgh Sleep Quality Index and Depression Anxiety Stress Scales were used to measure the key variables through an online survey of 497 participants between middle adolescence and emerging adults (317 females, mean age 18.27 ± 0.76 years). A process model was built to investigate the mediating roles of resilience and emotional dysfunction in the impact of trait mindfulness on sleep quality, together with the relationships between their specific components. RESULTS We found a positive association between mindfulness and sleep quality through resilience and through emotional dysfunction, and through the sequential pathway from resilience to emotional dysfunction. Of note, acting with awareness (mindfulness facet) showed significant indirect effects on sleep quality, mediated by resilience and emotional dysfunction. CONCLUSIONS Our findings may unveil the underlying mechanisms of how low mindfulness induces poor sleep quality. The findings indicate that conceiving mindfulness as a multifaceted construct facilitates comprehension of its components, relationships with other variables, and underscores its potential clinical significance given its critical implications for mental health.
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Affiliation(s)
- Huaiyuan Zhou
- Cognitive Control and Brain Healthy Laboratory, Department of Psychology, School of Public Health, Southern Medical University, Guangzhou, China
| | - Ziqing Zhu
- Cognitive Control and Brain Healthy Laboratory, Department of Psychology, School of Public Health, Southern Medical University, Guangzhou, China
| | - Xiangang Feng
- Cognitive Control and Brain Healthy Laboratory, Department of Psychology, School of Public Health, Southern Medical University, Guangzhou, China.
- Department of Psychiatry, Zhujiang Hospital, Southern Medical University, Guangzhou, China.
| | - Ruibin Zhang
- Cognitive Control and Brain Healthy Laboratory, Department of Psychology, School of Public Health, Southern Medical University, Guangzhou, China.
- Department of Psychiatry, Zhujiang Hospital, Southern Medical University, Guangzhou, China.
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Atik E, Stricker J, Schückes M, Pittig A. Efficacy of a Brief Blended Cognitive Behavioral Therapy Program for the Treatment of Depression and Anxiety in University Students: Uncontrolled Intervention Study. JMIR Ment Health 2023; 10:e44742. [PMID: 37624631 PMCID: PMC10492172 DOI: 10.2196/44742] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/01/2022] [Revised: 05/25/2023] [Accepted: 06/25/2023] [Indexed: 08/26/2023] Open
Abstract
BACKGROUND Blended cognitive behavioral therapy (bCBT)-the combination of cognitive behavioral therapy and digital mental health applications-has been increasingly used to treat depression and anxiety disorders. As a resource-efficient treatment approach, bCBT appears promising for addressing the growing need for mental health care services, for example, as an early intervention before the chronification of symptoms. However, further research on the efficacy and feasibility of integrated bCBT interventions is needed. OBJECTIVE This study aimed to evaluate the efficacy of a novel bCBT program comprising short (25 min), weekly face-to-face therapy sessions combined with a smartphone-based digital health app for treating mild to moderate symptoms of depression or anxiety. METHODS This prospective uncontrolled trial comprised 2 measurement points (before and after treatment) and 2 intervention groups. We recruited university students with mild to moderate symptoms of depression or anxiety. On the basis of the primary symptoms, participants were assigned to either a depression intervention group (n=67 completers) or an anxiety intervention group (n=33 completers). Participants in each group received 6 weekly individual psychotherapy sessions via videoconference and completed modules tailored to their respective symptoms in the smartphone-based digital health app. RESULTS The depression group displayed medium to large improvements in the symptoms of depression (Cohen d=-0.70 to -0.90; P<.001). The anxiety group experienced significant improvements in the symptoms of generalized anxiety assessed with the Generalized Anxiety Disorder-7 scale with a large effect size (Cohen d=-0.80; P<.001) but not in symptoms of anxiety assessed with the Beck Anxiety Inventory (Cohen d=-0.35; P=.06). In addition, both groups experienced significant improvements in their perceived self-efficacy (Cohen d=0.50; P<.001 in the depression group and Cohen d=0.71; P<.001 in the anxiety group) and quality of life related to psychological health (Cohen d=0.87; P<.001 in the depression group and Cohen d=0.40; P=.03 in the anxiety group). Work and social adjustment of patients improved significantly in the depression group (Cohen d=-0.49; P<.001) but not in the anxiety group (Cohen d=-0.06; P=.72). Patients' mental health literacy improved in the anxiety group (Cohen d=0.45; P=.02) but not in the depression group (Cohen d=0.21; P=.10). Patient satisfaction with the bCBT program and ratings of the usability of the digital app were high in both treatment groups. CONCLUSIONS This study provides preliminary evidence for the feasibility and efficacy of a novel brief bCBT intervention. The intervention effects were generalized across a broad spectrum of patient-reported outcomes. Hence, the newly developed bCBT intervention appears promising for treating mild to moderate depression and anxiety in young adults.
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Affiliation(s)
- Ece Atik
- Translational Psychotherapy, Institute of Psychology, University of Goettingen, Goettingen, Germany
| | - Johannes Stricker
- Clinical Psychology Research Group, Department of Experimental Psychology, Heinrich Heine University Düsseldorf, Düsseldorf, Germany
| | | | - Andre Pittig
- Translational Psychotherapy, Institute of Psychology, University of Goettingen, Goettingen, Germany
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Shi Y, Zhou JX, Shi JL, Pan JF, Dai JY, Gao Q. Association between proactive personality and professional identity of nursing undergraduates: The mediating role of resilience and irrational belief. Nurse Educ Pract 2023; 71:103729. [PMID: 37506426 DOI: 10.1016/j.nepr.2023.103729] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2022] [Revised: 07/10/2023] [Accepted: 07/16/2023] [Indexed: 07/30/2023]
Abstract
AIM To examine the relationship between proactive personality and professional identity of undergraduate nursing students, including the role of psychological resilience and irrational belief as mediators. BACKGROUND Personality has been shown to play a crucial role in determining professional identity. However, the influence of proactive personality on professional identity in the nursing field is poorly understood and requires further investigation. DESIGN We conducted a cross-sectional study in China. Between July and December of 2021, 860 nursing undergraduates participated in an online questionnaire survey. METHODS Four main variables (proactive personality, psychological resilience, irrational belief and professional identity) and two covariates (willingness to choose nursing profession and family attitude towards nursing) were assessed. The assessment tools chosen are both valid and reliable. To test the proposed multi-mediation model, linear regression analysis by Hayes's SPSS macro-PROCESS was used. RESULTS The results revealed that PP, PR and PI were positively connected with one another, but negatively with IB. PP positively predicted PI through direct and indirect paths, after controlling for two covariates. The percentage of indirect path (78.72%) outweighed the direct path (21.28%). The indirect effect of PR (72.51%) was higher than that of PR and IB (6.21%). PI was also positively predicted by students' "Yes" willingness and families' "supportive" attitude towards nursing. CONCLUSION This study stated that nursing educators should take nursing students' PP seriously, which would allow for activities to be taken to improve their PR and decrease their IB, hence continuously enhancing their PI. In addition, respecting students' professional aspirations and improving family support may also be valuable ways to boost their PI.
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Affiliation(s)
- Ya Shi
- School of Health Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK; School of Nursing & School of Public Health, Yangzhou University, Yangzhou, Jiangsu province, China.
| | - Jing-Xin Zhou
- School of Nursing & School of Public Health, Yangzhou University, Yangzhou, Jiangsu province, China.
| | - Jiang-Lin Shi
- School of Nursing & School of Public Health, Yangzhou University, Yangzhou, Jiangsu province, China.
| | - Jo-Fan Pan
- School of Health Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK.
| | - Jia-Yang Dai
- School of Nursing & School of Public Health, Yangzhou University, Yangzhou, Jiangsu province, China.
| | - Qiang Gao
- School of Nursing & School of Public Health, Yangzhou University, Yangzhou, Jiangsu province, China.
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Graupensperger S, Walukevich-Dienst K, Patrick ME, Lee CM. The Protective Role of Perceived Control on Associations Between Job Loss, Financial Difficulties, and Substance Use Among Young Adults Early in the COVID-19 Pandemic. PREVENTION SCIENCE : THE OFFICIAL JOURNAL OF THE SOCIETY FOR PREVENTION RESEARCH 2023; 24:1239-1248. [PMID: 37355479 PMCID: PMC10789195 DOI: 10.1007/s11121-023-01565-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/08/2023] [Indexed: 06/26/2023]
Abstract
Adverse life events that threaten normative transitions are associated with increased alcohol and cannabis use among young adults. However, few studies have tested the extent to which specific negative events impact substance use behaviors nor identified relevant risk or protective factors (e.g., perceived control). During the COVID-19 pandemic, young adults experienced economic adversities (i.e., job loss and financial strain) at disproportionally high rates. This provided a unique opportunity to test associations between job loss/financial difficulties and substance use outcomes and whether perceived control in work and finance domains moderated these associations. Young adults completed self-report surveys at two time points-prior to the COVID-19 pandemic (January 2020) and in the acute phase of the pandemic (April/May 2020). Participants (N = 519; Mage = 25.4 years; 62.8% female) were recruited in and around Seattle, WA, as part of an ongoing longitudinal cohort study. Pandemic-related job loss (18.9%) and financial difficulty (49.7%) were relatively common in this sample. Job loss was associated with increased number of drinks on the heaviest past-month drinking occasion (from January 2020 to April/May 2020). Financial difficulty was associated with increased drinking frequency and number of drinks on the heaviest drinking occasion. The effect of job loss and financial difficulty on alcohol and cannabis use was generally moderated by participants' perceived control of these domains. For those with low perceived control, job loss/financial difficulty was associated with increased alcohol/cannabis use, but for those high in perceived control, job loss/financial difficulty was associated with decreased alcohol use frequency. Findings give advance understanding of how economic adversities relate to young adults' alcohol and cannabis use. Notably, perceived control over these domains may be modifiable through prevention efforts aiming to foster self-efficacy among young people and policy to provide available agency to those in need.
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Affiliation(s)
- Scott Graupensperger
- Dept. of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA, USA.
| | | | - Megan E Patrick
- Institute for Social Research, University of Michigan, Ann Arbor, MI, USA
| | - Christine M Lee
- Dept. of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA, USA
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Saeedi M, Abedini Z, Latif M, Piruzhashemi M. Correlation between COVID-19-related health anxiety and coping styles among frontline nurses. BMC Nurs 2023; 22:238. [PMID: 37430210 DOI: 10.1186/s12912-023-01344-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/24/2022] [Accepted: 05/17/2023] [Indexed: 07/12/2023] Open
Abstract
BACKGROUND The long-term epidemic of COVID-19 and its recurrence has exposed frontline nurses to mental disorders such as stress and health anxiety. High levels of health anxiety associated with COVID-19 may lead to maladaptive behaviors. There is no agreement on which coping styles are most effective against stress. Therefore, more evidence is required to find better adaptive behaviors. The present study was conducted to investigate the correlation between the level of health anxiety and the type of coping strategies used by frontline nurses fighting COVID-19. METHODS This is a cross-sectional study that was performed on a convenience sample of 386 nurses who are working in the COVID department from October to December 2020, coinciding with the outbreak of the third COVID-19 peak in Iran. Data were collected through a demographic questionnaire, the short version of the health anxiety questionnaire, and coping inventory for stressful situations. Data were analyzed using independent T-test, U-Mann-Whitney, and Kruskal-Wallis statistical tests with SPSS version 23 software. RESULTS The mean score of nurses' health anxiety was 17.61 ± 9.26 which was more than the cut-off point for health anxiety and 59.1% of nurses had COVID-19-related health anxiety. The mean score of problem coping style (26.85 ± 5.19), was higher than emotion (18.48 ± 5.63) and avoidance (19.64 ± 5.88) coping styles and nurses mostly used problem-coping strategies to deal with anxiety caused by COVID-19. There was a positive significant correlation between the scores of health anxiety and emotion coping style (r = 0.54; P < 0.001). CONCLUSION Based on the findings of this study, COVID-19-related health anxiety was high in front-line nurses and those with high health anxiety were more likely to use emotion-based coping strategies, which are ineffective. Therefore, considering strategies to reduce nurses' health anxiety and holding training programs on effective coping methods in epidemic conditions are recommended.
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Affiliation(s)
| | - Zahra Abedini
- Department of Nursing, School of Nursing and Midwifery, Qom University of Medical Sciences, Qom, Iran.
| | | | - Masoumeh Piruzhashemi
- Department of Hefdah Shahrivar and Shahid Modares Hospital, Saveh University of Medical Sciences, Saveh, Iran
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Nurius PS, Sefidgar YS, Kuehn KS, Jung J, Zhang H, Figueira O, Riskin EA, Dey AK, Mankoff JC. Distress among undergraduates: Marginality, stressors and resilience resources. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2023; 71:1445-1453. [PMID: 34232850 DOI: 10.1080/07448481.2021.1935969] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/03/2020] [Revised: 02/18/2021] [Accepted: 04/25/2021] [Indexed: 06/13/2023]
Abstract
Objective: This study addresses mental health concerns among university students, examining cumulative stress exposure as well as resilience resources. Participants: Participants were 253 first- and second-year undergraduate students (age = 18.76; 49.80% male, 69% students of color) enrolled at a large western US university. Methods: Data were obtained from a cross-sectional online survey examining marginalized statuses and multiple stressors alongside coping responses, adaptive self-concept, and social support as predictors of stress, anxiety, and depression. Results: Multivariate regressions demonstrated significant associations between stress exposures and lower levels of resilience resources with each mental health indicator (with substantial R2 of.49-.60). Although stressor exposures accounted for significant increases in mental health concerns, their exploratory power was attenuated by resilience resources (e.g., beta decreases from.25 to.16). Conclusions: Better understanding cumulative adversity/resilience resource profiles, particularly among marginalized students, can help universities in prioritizing institutional support responses toward prevention and mitigating psychological distress.
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Affiliation(s)
- Paula S Nurius
- School of Social Work, University of Washington, Seattle, Washington, USA
| | - Yasaman S Sefidgar
- Paul Allen School of Computer Science & Engineering, University of Washington, Seattle, Washington, USA
| | - Kevin S Kuehn
- Department of Psychology, University of Washington, Seattle, Washington, USA
| | - Jake Jung
- Paul Allen School of Computer Science & Engineering, University of Washington, Seattle, Washington, USA
| | - Han Zhang
- Paul Allen School of Computer Science & Engineering, University of Washington, Seattle, Washington, USA
| | - Olivia Figueira
- Grainger College of Engineering Computer Science, Santa Clara University, Santa Clara, California, USA
| | - Eve A Riskin
- Department of Electrical & Computer Engineering, University of Washington, Seattle, WashingtonUSA
| | - Anind K Dey
- Information School, University of Washington, Seattle, Washington, USA
| | - Jennifer C Mankoff
- Paul Allen School of Computer Science & Engineering, University of Washington, Seattle, Washington, USA
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Futch W, Gordon NS, Gerdes AC. Student wellness: Interest and program ideas & pilot of a student wellness program. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2023:1-9. [PMID: 37289966 DOI: 10.1080/07448481.2023.2214241] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/15/2022] [Revised: 03/30/2023] [Accepted: 05/03/2023] [Indexed: 06/10/2023]
Abstract
Objective: To increase our knowledge related to student wellness programs, the current studies examined interest in wellness and wellness programs among university students and piloted a newly developed wellness program targeting students in higher education. Participants/Methods: In Study 1, 93 undergraduate students answered questions related to their wellness and mental health (e.g. psychological wellbeing, satisfaction with life, optimism, and stress) and to wellness programs (e.g. interest, barriers, duration, and topics). In Study 2, 13 undergraduate and graduate students participated in a 9-week pilot wellness program focused on specific wellness topics (e.g. relaxation, yoga, gratitude and self-compassion, and emotion regulation). Results/Conclusions: Study 1 results support a strong interest in wellness and wellness programs among undergraduate students. Study 2 results suggest that students who participated in an on-campus wellness program reported higher levels of overall psychological wellbeing and optimism and lower levels of mental health issues relative to baseline.
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Affiliation(s)
- Will Futch
- Psychology Department, Marquette University, Milwaukee, Wisconsin, USA
| | - Nakia S Gordon
- Psychology Department, Marquette University, Milwaukee, Wisconsin, USA
| | - Alyson C Gerdes
- Psychology Department, Marquette University, Milwaukee, Wisconsin, USA
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Slaughter L, Sie L, Breakey N, Macionis N, Zhang J. Can we buffer them? Supporting healthy levels of stress and anxiety in first year international students. JOURNAL OF HOSPITALITY, LEISURE, SPORT & TOURISM EDUCATION 2023; 32:100438. [PMID: 37124878 PMCID: PMC10122559 DOI: 10.1016/j.jhlste.2023.100438] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/12/2022] [Revised: 04/02/2023] [Accepted: 04/06/2023] [Indexed: 05/03/2023]
Abstract
First-year international tertiary students face numerous challenges, with the COVID-19 pandemic shifting many to online learning. These challenges can lead to higher than ideal stress and anxiety, negatively impacting mental health. Applying a 'writing across curriculum' approach this study examines whether a 'writing in discipline' intervention influences stress/anxiety for such students studying Tourism, Hospitality and Events in Australia. A modified DASS was administered to four cohorts during 2020 and 2021, and pre-post-tests conducted. The intervention helped buffer significant increases in stress, promoted skill development, and enhanced academic confidence. This scaffolded-learning approach is applicable at course/subject, degree, and university levels.
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Affiliation(s)
- Lee Slaughter
- Tourism Discipline, UQ Business School, University of Queensland, Australia
| | - Lintje Sie
- Department of Tourism, Sport and Hotel Management, Griffith University, Australia
| | - Noreen Breakey
- Tourism Discipline, UQ Business School, University of Queensland, Australia
| | - Niki Macionis
- Tourism Discipline, UQ Business School, University of Queensland, Australia
| | - Jingru Zhang
- Tourism Discipline, UQ Business School, University of Queensland, Australia
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Atalağ O, Gotshalk L. Travel related changes in performance and physiological markers: the effects of eastward travel on female basketball players. J Phys Ther Sci 2023; 35:399-407. [PMID: 37266356 PMCID: PMC10231977 DOI: 10.1589/jpts.35.399] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2023] [Accepted: 02/23/2023] [Indexed: 06/03/2023] Open
Abstract
[Purpose] Purpose of this study is to measure the changes in various physiological markers and performance criteria for women basketball players over the course of a travel heavy season. [Participants and Methods] Fifty one Division-II female basketball players and a control group of 54 females joined this study. Measurements began at the beginning of the competitive season and concluded with final measurements at the end of the competitive season. [Results] The female basketball players showed noticeable increases in resting salivary cortisol, visceral trunk fat, resting heart rate, and resting blood pressure. These athletes also showed diminishment in isokinetic force of leg muscles, particularly in knee flexion strength. Vertical jump measurements also indicated a slight diminishment. In contrast, the control group experienced none of the same changes. [Conclusion] Over the course of a grueling flight schedule in combination with a full-length basketball season, the female athletes in this study showed significant declinations in many indicators of overall health. It is concluded that resulting prolonged intermittent stress of a travel-heavy season can lead to significant changes in certain physiological markers with notable decreases in isokinetic force of leg muscle.
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Affiliation(s)
- Ozan Atalağ
- Department of Kinesiology and Exercise Sciences, University
of Hawaii at Hilo: 200W Kawili Street, Hilo, Hawaii 96720, USA
| | - Lincoln Gotshalk
- Department of Kinesiology and Exercise Sciences, University
of Hawaii at Hilo: 200W Kawili Street, Hilo, Hawaii 96720, USA
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Saeedi M, Abedini Z, Taleb S. Stress coping strategies of Iranian healthcare staff during the COVID-19 pandemic: A cross-sectional study. Heliyon 2023; 9:e17178. [PMID: 37325457 PMCID: PMC10257513 DOI: 10.1016/j.heliyon.2023.e17178] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2022] [Revised: 06/05/2023] [Accepted: 06/09/2023] [Indexed: 06/17/2023] Open
Abstract
The COVID-19 pandemic has exposed healthcare staff to mental distress. Given the importance of applying effective strategies to cope with stress caused by COVID-19, this study aimed to assess the stress-coping strategies of Iranian healthcare providers. This cross-sectional study was performed through a web-based survey. Data collection was done online using a demographic data questionnaire and the short form of Endler and Parker's coping inventory. The mean scores of task-oriented strategies (27.06 ± 5.13) were higher than avoidance-oriented (19.42 ± 5.77) and emotion-oriented strategies (18.45 ± 5.76), and the healthcare workers mainly used task-oriented styles to cope with COVID-19-related stress. There was a significant difference between the score of task-oriented strategy in terms of age groups (P < 0.001), work experience (P = 0.018), level of education (P < 0.001), having children (P = 0.002), and type of hospital (P = 0.028). The score of task-oriented strategies was lower in employees who were in the age group of 20-30 years and had less than 10 years of work experience, and it was higher in employees who had children, worked in private hospitals, and had a master's degree or higher. The score of emotion-oriented strategies in the age group of 51-60 years was significantly lower than other age groups (P < 0.01) and was significantly higher in employees with a bachelor's degree than those with a master's degree or higher (P = 0.017). There was no significant difference between the scores of avoidance-oriented strategies and any socio-demographic variables. According to the findings of this study, young and less experienced employees were more inclined to utilize emotion-oriented coping styles. Therefore, considering appropriate training programs for these employees to apply effective coping strategies is extremely important.
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Affiliation(s)
| | - Zahra Abedini
- Department of Nursing, School of Nursing and Midwifery, Qom University of Medical Sciences, Qom, Iran
| | - Sahar Taleb
- Saveh University of Medical Sciences, Saveh, Iran
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Zhou L, Wei L, Chu Y, Xie Q. College Graduates' Negative Life Experiences, Coping Strategies and Enlightenment During the COVID-19 Pandemic: A Qualitative Study in China. Psychol Res Behav Manag 2023; 16:1811-1829. [PMID: 37215701 PMCID: PMC10199699 DOI: 10.2147/prbm.s406987] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2023] [Accepted: 04/22/2023] [Indexed: 05/24/2023] Open
Abstract
Objective The current study aimed to explore comprehensively college graduates' negative life experiences, coping strategies, and enlightenment in a qualitative way. Methods This was a qualitative study. Purposeful sampling was used to select 31 college graduates majoring in various subjects from a Chinese University. The one-on-one semi-structured interviews were conducted online through Tencent QQ/WeChat and were recorded and transcribed verbatim. A phenomenological approach was used to guide this research in the data collection and analysis. Thematic analysis was used to identify themes across interviews around their negative life experiences, coping strategies, and enlightenment. Results College graduates' negative life experiences were mainly focused on three aspects: negative work experience (eg, lack of adaptation, busy schedule, low salary), negative personal life experience (eg, multiple pressure, psychological problems, the hardship of life), and negative social life experience (eg, the incomprehension of those around you, complex interpersonal relationship, social complexity). The coping strategies they used can be classified into two categories: emotion-focused strategies (eg, accepting reality, self-persuasion, keeping a positive attitude), and problem-focused strategies (eg, goal-setting, asking for help to solve the problem, persistence). As for life enlightenment, six themes emerged: accept life, strive to life, love life, cherish life, recognize life, and learn to live. Conclusion College graduates' negative experiences came from multiple levels, and they use multiple coping strategies to deal with the challenges. Our results provide important guidance for researchers and policymakers to design effective and targeted intervention programs to improve college graduates' coping abilities in response to negative life experiences and help them better transition from school to work. Specifically, future research and intervention to promote college graduates' mental health should target various social-ecological levels, focus on promoting coping from an ecological perspective, as well as facilitate post-traumatic growth to help them grow from negative life experiences and cope positively.
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Affiliation(s)
- Li Zhou
- Department of Health Management, School of Management, Zunyi Medical University, Zunyi, People’s Republic of China
| | - Lai Wei
- Department of Health Management, School of Management, Zunyi Medical University, Zunyi, People’s Republic of China
| | - Yalin Chu
- Department of Health Management, School of Management, Zunyi Medical University, Zunyi, People’s Republic of China
| | - Qinhong Xie
- Center for Mental Health Research, School of Management, Zunyi Medical University, Zunyi, People’s Republic of China
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