Purpose: This study aimed to assess possible interactive effects of coping styles and psychological stress on depression and anxiety symptoms in Chinese women shortly after diagnosis of breast cancer. Methods: Four hundred and one patients with breast cancer were face-to-face interviewed by trained research staff according to a standardized questionnaire including information on socio-demographic characteristics, psychological stress, coping styles, and anxiety and depressive symptoms. Interactive effects were assessed by hierarchical multiple regression analyses. Results: There were significant associations of the four domains of psychological stress with anxiety and depressive symptoms except for the relationship between "worrying about health being harmed" and depressive symptoms. "Abreaction coping behavior" and "escaping coping behavior" significantly increased the level of both anxiety and depressive symptoms; whereas an "active coping style" reswulted in significant decrease. The interaction of "active coping behavior" with "worrying about health being harmed" significantly increased the risk of the anxiety symptoms, while adopting "self-relaxing coping behavior" was associated with significant decrease. The interaction of "worry about daily life and social relationship being restricted" with "escaping coping behavior" significantly increased the risk of the depressive symptoms. Conclusions: The results of this study suggest that certain coping styles might moderate the association of psychological stress with anxiety and depressive symptoms in Chinese women with breast cancer.
The Journal of Korean Academic Society of Nursing Education
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v.16
no.1
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pp.14-23
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2010
Purpose: The purpose of this study was to investigate the relationship among stress, depression, coping styles and satisfaction of clinical practice in nursing students. Method: Two hundred fifty-eight nursing college students in 1 city were selected by convenient sample. A questionnaire measured the level of stress, depression, coping styles and satisfaction of clinical practice. The data were analyzed using descriptive statistics, t-test, ANOVA, and Pearson's correlation coefficient. Result: The mean score of stress was 2.82 (${\pm}.39$), depression was 19.23 (${\pm}7.70$), coping styles was 2.42 (${\pm}.42$), and satisfaction of clinical practice was 2.81 (${\pm}.41$). There were significant differences on four variables according to the satisfaction of a nursing major. Stress had a significant positive correlation with depression, and a negative correlation with problem focused coping and satisfaction of clinical practice. Depression had a significant negative correlation with satisfaction of clinical practice. Emotional focused coping had a significant positive correlation with depression, and problem focused coping had a significant negative correlation with depression. Conclusion: From the studies reviewed, one can expect a positive effect on decreasing stress and depression among nursing students when the nursing educators use counseling and instruction for clinical practice.
The present study aims to investigate the mediating effects of social support in regard of the impacts of stress-coping styles on depression in children from multi-cultural families. In a nutshell, the findings in this study are as follows: First, the stress-coping styles of children from multi-cultural families and depression were found to be negatively related, while social support and depression were negatively correlated. Second, as for the effects of stress-coping styles in children from multi-cultural families on depression, the more passive and active stress-coping styles of children from multi-cultural families, the less their depression, behavior disorder, loss of interest, self-abasement and physical symptoms. Third, high levels of teachers' support partially mediated the relation between stress-coping styles and depression in children from multi-cultural families. This finding implies that children from multi-cultural families, who perceive high levels of peer support, cope with stress better and thus reduce depression.
For most parents their child's illness and hospitalization is strssful. Internal stress and over anxiousness leads to uncertainty. Parents have a variety of ways of coping when faced with such stress factors, especialy when the child has cancer. The purpose of this study was to examine the relationship between uncertainty in illness and mastery and coping styles in parents of pediatric cancer patients, and further to identify differences between three groups of subjects. A cross-sectional descriptive correlational design was used in this study to investigate the relationship among the three groups. The sample was composed of 59 parents of children with cancer in pediatric wards in three hospitals in Seoul : 21 in Group 4 with a child newly diagnosed with cancer : 25 in Group B, with a child under treatment and rehospitalized with a relapse : and 13 in Group C, with a child with a terminal cancer, A formalized questionnaire which included demegrapic information and consisted of 75 items was used in this study ; The Parent Perception of Uncertainty Scale(PPUS) adapted form Mishel’s Uncertainty in Illness Scale, Pearlin & Schooler's Mastery Scale(MS) and Folkman & Lazarus’s Ways of Coping Checklist(WCC) were used to measure the variables : uncertainty in illness, mastery, and coping styles. A pretest was conducted on the questionnaire items for reliability. The results gathered were analyzed using SPSS /PC/sup +/. Data analysis included descriptive correltional statistics such as ANOVA, Pearson Correlation Coefficient, amd chi square test. The conclusions of this analysis are summarized as follows : 1. A higher level of uncertainty was seen among parents of children with terminal cancer. 2. The first hypothesis that uncertainty in illness would differ among the three groups was supported(F=4.182, P=.020). The second and third hypotheses that mastery and coping styles would differ among the three groups were not supported. There was a correlation between uncertainty, mastery, and coping styles which was positive, also there was a positive correlation between mastery and coping style(r=.3744, P<.001) but a negative correlation between uncertainty md mastery(r=-.4749, P<.01). From the above results, it can be concluded that prediciting and controlling uncertainty in illness by considering coping styles and mastery are necessary for improved, efficient nursing interventions.
Purpose: The purpose of this descriptive survey study was designed to identify the stress coping types of married immigrant pregnant women and find out the differences in maternal-fetal attachment and maternal identity based on each types. Methods: 151 married immigrant women who visited 3 women's hospitals located in J-do for pre-pregnancy checkup were selected as study objects. Data were analyzed by dsecriptive statistics, cluster analysis, t-test, ANOVA, and $Scheff{\acute{e}}$ multiple comparison test. Results: Cluster analysis revealed 4 distinct stress coping styles; low stress-coping involvement social support-oriented type, high stress-coping involvement hopeful thinking type, low stress-coping involvement type, effective stress coping types. Women frequently using effective stress coping type among the four types reported higher maternal-fetal attachment. The group of active coping styles got significantly higher score on maternal identity. Conclusion: Proper stress coping of married immigrant pregnant women regarding pregnancies proved to result in high levels of maternal-fetal attachment and maternal identity. Studies measuring the stress coping styles that affect pregnancies should be continuously conducted.
Purpose: To determine effects of job-seeking stress on perimenstrual symptoms of female college students with health and non-health related majors and mediating effects of stress coping styles. Methods: Data were collected from 189 female college students who were juniors or seniors. This study was conducted using questionnaires on job-seeking stress, perimenstrual symptoms, and stress coping styles. Data analysis included descriptive statistics, Pearson correlation analysis, and multiple regression analysis using SPSS, version 23.0. Mediation analysis was performed according to the Baron and Kenny method and Sobel test. Results: Job-seeking stress was significantly and positively correlated with perimenstrual symptoms in non-health college students. Passive stress coping styles demonstrated a complete mediating effect on the relationship between job-seeking stress and perimenstrual symptoms of those with non-health related majors (${\beta}=0.31$, p=.002). Such effect was significant (Sobel test; Z=2.06, p=.039). Conclusion: Effects of job-seeking stress on perimenstrual symptoms were mediated by passive stress coping styles of non-health related major students. Based on findings of this study, effective stress cope strategies should be developed considering characteristics of majors to manage perimenstrual symptoms of female college students with high job-seeking stress.
Kim, Young Im;Lee, En Hee;Jeon, Ga Eul;Choi, Sook Ja
Research in Community and Public Health Nursing
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v.24
no.3
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pp.264-272
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2013
Purpose: The aim of this study was to investigate coping styles for dysmenorrhea and explore factors related with their coping styles according to different health loci of control in middle schoolers. Methods: Data were collected by using a structured questionnaire for 572 students from three middle schools in Seoul from March 22 to April 2, 2010. The measurement included menstrual distress, coping method questionnaire and health locus of control. The data were analyzed by using t-test, ANOVA, Pearson's correlation coefficients, and multiple regression analysis. Results: Middle school students used the active behavioral coping style more often than the avoidance style. There was a significant difference in means within each coping style including levels of stress, levels of health, and regular exercise. There were also significant correlations between each coping style and health locus of control. Regression analyses indicated that the health locus of control factor is the most powerful factor in each coping style. Conclusion: We observed that various coping methods are used for dysmenorrhea in middle school students. However, the active behavioral coping style is dominant in such a condition. Based on these results, we need to develop a health locus of control to improve coping styles for dysmenorrhea.
Journal of Korean Academy of Nursing Administration
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v.18
no.4
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pp.383-393
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2012
Purpose: The aim of this study was to investigate the effects of occupational stress and coping styles on burnout of clinical nurses. Methods: The participants in this study were 397 nurses, working at the hospitals in Seoul, Gangwon, and Gyongbuk provinces. Data were collected using a structured questionnaire from November, 2009 to January, 2010. The SPSS WIN 13.0 version program was used for data analysis. Results: The most significant predictors of burnout were positive reappraisal and work load. Work load, resource inadequacy, role ambiguity, and indifference coping style positively correlated with burnout. Positive reappraisal and problem-focused coping styles negatively correlated with burnout. Conclusion: The study results indicate that it is important to reduce work load, resource inadequacy, and role ambiguity in nurses and to strengthen their positive reappraisal and problem-focused coping styles to prevent burnout. This could be achieved with job redesign, modification of shift work systems, and by offering burnout prevention program.
Purpose: The purpose of this study is to identify the relationship between school adjustment and stress-coping styles among adolescents. Methods: This is a descriptive correlation survey using a convenience sample of 701 middle school students in Seoul, Gyeonggi, Incheon, Jeonbuk, and Gangwon province, Korea. The study's questionnaire included a scale of school adjustment and a scale of stress-coping style. The data analysis, using the SPSS 19.0 program, involved frequency, the mean and standard deviation, the t-test, ANOVA, the scheffe test, and the Pearson correlation coefficient. Results: Positive correlations were identified between positive stress-coping styles and the adjustment to school life of adolescents. The degree of school adjustment varied significantly according to the region, grade, attending private educational institutes after school or not, academic performance, daily study hours after school, and the hours students spend on gaming and Internet use a day. With regard to the behaviors to cope with stress, teenagers with a higher sense of life-satisfaction tended to show active coping behaviors, and female students were more likely to show positive or negative coping behaviors than mystic coping behaviors. Since adolescents' stress-coping styles showed connection with their adjustment to school, it is necessary to develop stress management programs to help middle school students adjust to school life. Conclusion: Based on the study's findings, it is important to develop programs which can help students adjust to school and learn how to cope with stress positively.
Journal of the Korea Academia-Industrial cooperation Society
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v.19
no.3
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pp.291-300
/
2018
This descriptive study was conducted to determine the influence of stress coping styles of nursing students on problem solving ability. Data were collected from 142 nursing students in the M-area from September 20, 2016, to November 30 and analyzed using SPSS WIN 21.0. The average degree of stress coping styles was $3.36{\pm}.30$ (5 point-scale), problem solving abilities was $3.42{\pm}.38$ (5 point-scale). Among the subdomains of stress coping styles, problem focusing was highest, with a score of $3.60{\pm}.42$. Additionally, among the subdomains of problem solving ability, clarification was highest, with a score of $3.50{\pm}.51$. The problem solving abilities of nursing students showed a positive correlation with stress coping styles (r=0.53, p<.001) and was positively correlated with problem focusing (r=0.66, p<.001), positive point of view (r=0.53, p<.001), and social support navigation (r=0.42, p<.001). In addition, the factor with the greatest effect among subdomains of stress coping styles was problem focusing (${\beta}=0.416$, p<.001) and positive point of view (${\beta}=0.257$, p=.002). These two factors were found to explain 54.3% of the variance in problem solving ability. Therefore, the results of this study indicate that application of teaching-learning methods has the potential to improve students' problem-solving ability through problem-oriented and positive stress coping behavior.
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