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Coping and Suicidal Ideations in Women with Symptoms of Postpartum Depression
S. Doucet and N. Letourneau
Clinical Medicine Insights: Reproductive Health , 2012,
Abstract: Objective: To explore the relationship between coping mechanisms and suicidal ideations among women who experience symptoms of postpartum depression. Design: This exploratory descriptive study used secondary data from a study of women who experienced symptoms of postpartum depression. Participants: Convenience and purposive sampling were used to obtain the community sample of 40 women who experienced symptoms of postpartum depression. Methods: Binary logistic regression was employed to explore emotion-focused coping, avoidance-focused coping, problem-focused coping, and religious coping as predictors of suicidal ideations. Results: Approximately 27% of the sample reported suicidal ideations within the past seven days. The results showed that lower levels of emotion-focused coping and higher levels of avoidance-focused and religious coping predicted suicidal ideations in participants. Problem-focused coping did not predict suicidal ideations. Conclusion: Overall, our findings provide support for the importance of coping mechanisms as predictors of suicidal ideations among women who experience symptoms of postpartum depression. The results illustrate the need for health professionals to conduct routine assessments on coping strategies and thoughts of suicide when caring for postpartum women, as well as the need to integrate coping approaches in the prevention and treatment of suicidal ideations.
Drugs Associated with More Suicidal Ideations Are also Associated with More Suicide Attempts  [PDF]
Henry T. Robertson, David B. Allison
PLOS ONE , 2009, DOI: 10.1371/journal.pone.0007312
Abstract: Context In randomized controlled trials (RCTs), some drugs, including CB1 antagonists for obesity treatment, have been shown to cause increased suicidal ideation. A key question is whether drugs that increase or are associated with increased suicidal ideations are also associated with suicidal behavior, or whether drug–induced suicidal ideations are unlinked epiphenomena that do not presage the more troubling and potentially irrevocable outcome of suicidal behavior. This is difficult to determine in RCTs because of the rarity of suicidal attempts and completions. Objective To determine whether drugs associated with more suicidal ideations are also associated with more suicide attempts in large spontaneous adverse event (AE) report databases. Methodology Generalized linear models with negative binomial distribution were fitted to Food and Drug Administration (FDA) Adverse Event (AE) Reporting System (AERS) data from 2004 to 2008. A total of 1,404,470 AEs from 832 drugs were analyzed as a function of reports of suicidal ideations; other non-suicidal adverse reactions; drug class; proportion of reports from males; and average age of subject for which AE was filed. Drug was treated as the unit of analysis, thus the statistical models effectively had 832 observations. Main Outcome Measures Reported suicide attempts and completed suicides per drug. Results 832 drugs, ranging from abacavir to zopiclone, were evaluated. The 832 drugs, as primary suspect drugs in a given adverse event, accounted for over 99.9% of recorded AERS. Suicidal ideations had a significant positive association with suicide attempts (p<.0001) and had an approximately 131-fold stronger magnitude of association than non-suicidal AERs, after adjusting for drug class, gender, and age. Conclusions In AE reports, drugs that are associated with increased suicidal ideations are also associated with increased suicidal attempts or completions. This association suggests that drug-induced suicidal ideations observed in RCTs plausibly represent harbingers that presage the more serious suicide attempts and completions and should be a cause for concern.
Coping Styles in Patients with Anxiety and Depression  [PDF]
Pashtoon Murtaza Kasi,Haider Ali Naqvi,Abaseen Khan Afghan,Talha Khawar,Farooq Hasan Khan,Umber Zaheer Khan,Urooj Bakht Khuwaja,Jawad Kiani,Hadi Mohammad Khan
ISRN Psychiatry , 2012, DOI: 10.5402/2012/128672
Abstract: Different individuals use different coping styles to cope with their problems. In patients with anxiety and/or depression, these have important implications. The primary objective of our study was to estimate the frequency of different coping mechanisms used by patients with symptoms of anxiety and depression. A descriptive, cross-sectional survey was conducted and patients with symptoms of anxiety and depression were identified using the Aga Khan University’s Anxiety and Depression Scale (AKUADS). Coping styles were determined by using the 28-item Brief COPE inventory. We were able to recruit 162 people. The prevalence of anxiety and depression was found to be 34%. Females were more than 2 times likely to have anxiety and depression (P value = 0 . 0 2 4 , O R = 2 . 6 2 ). In patients screening positive for AKUADS, “religion” was the most common coping mechanism identified. “Acceptance”, “Use of instrumental support”, and “Active coping” were other commonly used coping styles. Our findings suggest that religious coping is a common behavior in patients presenting with symptoms anxiety and depression in Pakistan. Knowledge of these coping styles is important in the care of such patients, as these coping methods can be identified and to some extent modified by the treating clinician/psychiatrist. 1. Introduction Different individuals use different strategies for coping with negative affective state and associated life problems [1]. Strategies are developed to identify means to reduce stress. Such coping mechanisms are important both in periods of acute stress/emergencies (such as hurricane disasters) as well as in patients suffering from chronic illnesses such as depression, breast cancer, and HIV/AIDS. The use of some of these coping styles may prove beneficial for the person. For example, in a study on the coping mechanisms and depression in elderly medically ill men, a high proportion of the respondents sought comfort in religious beliefs and practices. This in turn was inversely related to their severity of depression [2]. On the other hand, the use some of these coping styles, such as “substance use,” may be termed as “maladaptive” and may result in poorer health outcomes for the patient [3]. In chronic diseases, such as depression and anxiety, knowledge of these coping styles by the treating clinician/psychiatrist can have important implications. We, therefore, studied the frequency of these different coping styles in patients with symptoms of anxiety and depression presenting to primary health care settings of Pakistan. 2. Methods 2.1. Objectives
Linking Fearfulness and Coping Styles in Fish  [PDF]
Catarina I. M. Martins, Patricia I. M. Silva, Luis E. C. Concei??o, Benjamin Costas, Erik H?glund, ?yvind ?verli, Johan W. Schrama
PLOS ONE , 2011, DOI: 10.1371/journal.pone.0028084
Abstract: Consistent individual differences in cognitive appraisal and emotional reactivity, including fearfulness, are important personality traits in humans, non-human mammals, and birds. Comparative studies on teleost fishes support the existence of coping styles and behavioral syndromes also in poikilothermic animals. The functionalist approach to emotions hold that emotions have evolved to ensure appropriate behavioral responses to dangerous or rewarding stimuli. Little information is however available on how evolutionary widespread these putative links between personality and the expression of emotional or affective states such as fear are. Here we disclose that individual variation in coping style predicts fear responses in Nile tilapia Oreochromis niloticus, using the principle of avoidance learning. Fish previously screened for coping style were given the possibility to escape a signalled aversive stimulus. Fearful individuals showed a range of typically reactive traits such as slow recovery of feed intake in a novel environment, neophobia, and high post-stress cortisol levels. Hence, emotional reactivity and appraisal would appear to be an essential component of animal personality in species distributed throughout the vertebrate subphylum.
Resources and coping styles utilized by Warsaw adolescents
Irena Jelonkiewicz
Polish Psychological Bulletin , 2010, DOI: 10.2478/s10059-010-0002-6
Abstract: The aim of the study was to establish relationships between perceived psychosocial resources and styles of coping with stress utilized by adolescents. A total of 1326 students (aged 15-20, mean age 17.0 years) of 16 randomly selected secondary schools were examined using a set of self-report questionnaires. Personal resources (sense of coherence and optimism), environmental resources (family affluence, family strengths, support from parents, teachers and peers), and styles of coping with stress were measured. Two groups differing significantly in their perceived resources were distinguished. The group with high resources (HR) consisted of 502, while the low-resource group (LR) - of 570 adolescents. The level of perceived resources (high vs. low) turned out to be associated with utilization of specific coping styles. High-resource adolescents as compared to their low-resource counterparts more often utilized task-oriented coping and seeking interpersonal contacts, at the same time less often using emotion- and distraction-oriented coping styles.
Study of coping styles among dialysis patients
Reza Bagherian,Gholamhossien Ahmadzadeh,Emad Yazdani
Koomesh , 2009,
Abstract: Introduction: Hemodialysis patients face with many challenges in their daily life requiring them touse coping strategies for adjustment. The purpose of this study was to determine the coping stylesamong Iranian dialysis patients.Materials and Methods: In a case-control study, one hundred consecutive hemodialysis patientsreferred to Hemodialysis center of Noor hospital, Isfahan, were selected based on the inclusive andexclusive criteria and compared to one hundred normal people randomly selected from populationvisiting inpatients and they were matched with case group. Data collected by using a demographicquestionnaire and the Jalowiec Coping Scale, and then MANCOVA and co-variance were used toanalyze the data.Results: The findings of MANCOVA showed significant difference between two groups in copingstyles (P= 0.0001). Also, the results of covariance indicated significant differences in three copingstyles including confrontive coping style (P= 0.0001), evasive coping style (P= 0.002) and palliativecoping style (P= 0.001). However, there was no significant difference in other coping styles betweentwo groups.Conclusion: Generally, the findings confirmed that the hemodialysis patients have low tendency touse confrontive coping style. The commonly used coping strategies among the hemodialysis patientsin deal with stresses are evasive and palliative coping styles. Thus, it seems that the hemodialysispatients deal with challenges due to their illness and treatment predominately by using emotionorientedcoping styles. The findings emphasis the role of hemodialysis patients` psychologicalappraisal from challenges due to their illness and treatment, or new concept called “illnessrepresentation” in coping styles.
Dispositional Coping Styles and Childhood Abuse History Among Japanese Undergraduate Students
Noriko Shikai, Masayo Uji, Masahiro Shono, Toshiaki Nagata and Toshinori Kitamura
The Open Family Studies Journal , 2008, DOI: 10.2174/1874922400801010076]
Abstract: Dispositional coping styles in adulthood may be influenced by one’s experiences as a child. Japanese university students were examined in terms of their coping styles and child abuse history. Regression analyses revealed that an emotion- oriented coping style was predicted by neglect and emotional abuse during childhood.
The Coexistence of Coping Resources and Specific Coping Styles in Stress: Evidence from Full Information Item Bifactor Analysis  [PDF]
Jiaxi Zhang, Meng Cui, Wei Wang, Huijie Lu, Qing Wu, Xia Zhu, Danmin Miao, Yan Zhang, Xi Feng, Wei Xiao
PLOS ONE , 2014, DOI: 10.1371/journal.pone.0096451
Abstract: Background Knowledge of coping styles is useful in clinical diagnosis and suggesting specific therapeutic interventions. However, the latent structures and relationships between different aspects of coping styles have not been fully clarified. A full information item bifactor model will be beneficial to future research. Objective One goal of this study is identification of the best fit statistical model of coping styles. A second goal is entails extended analyses of latent relationships among different coping styles. In general, such research should offer greater understanding of the mechanisms of coping styles and provide insights into coping with stress. Methods Coping Styles Questionnaire (CSQ) and Generalized Self-Efficacy Scale (GSES) were administrated to officers suffering from military stress. Confirmatory Factor Analyses was performed to indentify the best fit model. A hierarchical item response model (bifactor model) was adopted to analyze the data. Additionally, correlations among coping styles and self-efficacy were compared using both original and bifactor models. Results Results showed a bifactor model best fit the data. Item loadings on general and specific factors varied among different coping styles. All items loaded significantly on the general factor, and most items also had moderate to large loadings on specific factors. The correlation between coping styles and self-efficacy and the correlation among different coping styles changed significantly after extracting the general factor of coping stress using bifactor analysis. This was seen in changes from positive (r = 0.714, p<0.01) correlation to negative (r = ?0.335, p<0.01) and also from negative (r = ?0.296, p<0.01) to positive (r = 0.331, p<0.01). Conclusion Our results reveal that coping styles have a bifactor structure. They also provide direct evidence of coexisting coping resources and styles. This further clarifies that dimensions of coping styles should include coping resources and specific coping styles. This finding has implications for measurement of coping mechanisms, health maintenance, and stress reduction.
Stress Coping Styles among Nursing Students
Mehrnoosh Inanloo,Robabe Baha,Naiemeh Seyedfatemi,Agha Fatemeh Hosseini
Hayat Journal of Faculty of Nursing & Midwifery , 2012,
Abstract: Background & Objective: Nursing students usually experience various types of stress. Lack of stress coping strategies result in more stress, incompatibility, manifestation of disorders, and mental health problems. This study carried out to assess the methods of coping with stress among nursing students. Methods & Materials: In this cross-sectional study, 358 male and female bachelor of nursing students studying at Tehran University of Medical Sciences during the first semester of 2011-2012 were selected. Data were collected using the Coping Inventory for Stressful Situation and a demographic questionnaire. The data was analyzed using descriptive and inferential statistics in the SPSS-14. Results: There were 66.2% female and 33.8% male students in the study. The age of the students ranged 17-29 years. Most of the students aged 20-22 years (45%), were single (90.8%), were habitants of Tehran (53.1%), had an average economic status (72.1%), and were employed (20.9%). Of all, 19.3% had experienced stressful events in the last three months. A small number of the students (4.7%) suffered from chronic diseases. The nursing students mostly used problem-oriented coping style (56%). The emotion-oriented method was used among 45.99% of the students and the avoidance-oriented style was used among 39.34% of the students. There were no statistically significant relationship between the coping styles and the demographic characteristics. Conclusion: The problem-oriented, emotion-oriented, and avoidance-oriented styles were the most frequent styles used by the students, respectively. The mental health, particularly among nursing students who deal with patients and have important role in the health system, is important and requires special attention. The stress coping styles should be inserted in the educational curriculum of the nursing schools.
The Styles of Coping with Stress in Team and Individual Athletes Based On Gender and Championship Level  [cached]
Zahra Tasaddoghi
Annals of Applied Sport Science , 2013,
Abstract: The purpose of this research is Prioritization coping with stress styles in individual and team athletes with an emphasis on gender and the level of championship. The population is 1092 athletes participate in team sports (volleyball, basketball, footsall and handball) and individual sports (ping pong, badminton, track & field, physical fitness, taekwondo and karate) with at least one year championship background. The sampling was selected by considering the lost subject 380 person one by one. For data collection in this research, has been used a 32 items questionnaire of Coping Scale Korea Atletes (CSKA) related to coping with stress styles. Questionnaires were distributed in pilot studies and their reliability was estimated α = 0.81. Data has been analyzed by using Mann Whitney U and in the level of P ≤ 0.05. The results of this research indicated that problem focused coping and emotional coping style were higher priority than avoidance coping style and intuitive coping style. Male use the avoidance coping more than female and individual athletes apply problem focused coping more than group athletes. There is significant difference among athletes with different levels of sport achievement only in avoidance coping. The athletes according to background, genus, and kind of sport, education and levels of sport achievement use different coping style which this subject should be considered by coaches.
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