• Title/Summary/Keyword: Problem focused coping

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Impact of Uncertainty on the Anxiety of Hospitalized Pregnant Women Diagnosed with Preterm Labor: Focusing on Mediating Effect of Uncertainty Appraisal and Coping Style (입원한 조기진통 임부의 불확실성이 불안에 미치는 영향: 불확실성 평가와 대처양상의 매개효과를 중심으로)

  • Kim, Eun Mi;Hong, Sehoon
    • Journal of Korean Academy of Nursing
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    • v.48 no.4
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    • pp.485-496
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    • 2018
  • Purpose: This study aimed to test the mediating effect of uncertainty appraisal and coping style in the relation between uncertainty and anxiety in hospitalized pregnant women diagnosed with preterm labor. Methods: The participants were 105 pregnant women diagnosed with preterm labor in hospitals in Korea. Data were collected from July to October 2017. The measurements included the Uncertainty in Illness Scale, Uncertainty Appraisal Scale, Coping Style Scale, and State Anxiety Inventory. Data were analyzed using descriptive statistics, an independent t-test, correlation, and multiple regression following the Baron and Kenny method and Sobel test for mediation. Results: The mean score for anxiety was 2.29 out of 4.00 points and for uncertainty it was 2.46 out of 5.00 points. There were significant correlations among uncertainty, uncertainty danger appraisal, uncertainty opportunity appraisal, problem-focused coping, emotion-focused coping, and anxiety. Uncertainty danger appraisal (${\beta}=.64$, p<.001) had a complete mediating effect in the relation between uncertainty and anxiety (Z=4.54, p<.001). Uncertainty opportunity appraisal (${\beta}=-.45$, p<.001) had a complete mediating effect in the relation between uncertainty and anxiety (Z=3.28, p<.001). Emotion-focused coping (${\beta}=-.23$, p=.021) had a partial mediating effect in the relation between uncertainty and anxiety (Z=2.02, p=.044). Conclusion: Nursing intervention programs focusing on managing uncertainty appraisal and improving emotion-focused coping are highly recommended to decrease anxiety in hospitalized pregnant women diagnosed with preterm labor.

Symptom Experiences and Coping Strategies among Multi-ethnic Solid Tumor Patients Undergoing Chemotherapy in Malaysia

  • Yahaya, Nor Aziyan;Subramanian, Pathmawathi;Bustam, Anita Zarina;Taib, Nur Aishah
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.2
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    • pp.723-730
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    • 2015
  • Background: This study was performed to assess patient symptoms prevalence, frequency and severity, as well as distress and coping strategies used, and to identify the relationships between coping strategies and psychological and physical symptoms distress and demographic data of cancer patients. This cross-sectional descriptive study involved a total of 268 cancer patients with various types of cancer and chemotherapy identified in the oncology unit of an urban tertiary hospital. Materials and Methods: Data were collected using questionnaires (demographic questionnaire, Medical characteristics, Memorial Symptom Assessment Scale (MSAS) and Brief COPE scales and analyzed for demographic, and disease-related variable effects on symptom prevalence, severity, distress and coping strategies. Results: Symptom prevalence was relatively high and ranged from 14.9% for swelling of arms and legs to 88.1% for lack of energy. This latter was the highest rated symptom in the study. The level of distress was found to be low in three domains. Problem-focused coping strategies were found to be more commonly employed compared to emotion-focused strategies, demonstrating significant associations with sex, age group, educational levels and race. However, there was a positive correlation between emotion-focused strategies and physical and psychological distress, indicating that patients would choose emotion-focused strategies when symptom distress increased. Conclusions: These findings demonstrate that high symptom prevalence rates and coping strategies used render an improvement in current nursing management. Therefore development of symptoms management groups, encouraging the use of self-care diaries and enhancing the quality of psychooncology services provided are to be recommended.

Mediating Effects of Problem Focused and Emotion Focused Coping, Drinking Anticipation Between the Female Alcoholics Traumatic Experienced and Their Warning of Relapse (여성알코올중독자의 외상경험과 재발위험성의 관계에서 문제중심대처, 정서중심대처, 음주기대의 매개효과)

  • Woo, Jea-Hee
    • The Journal of the Korea Contents Association
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    • v.13 no.4
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    • pp.230-238
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    • 2013
  • This research purposes to investigate parameters which effect on the relapse of alcoholism, to understand psychological factors for stress control and drinking anticipation which lead to the relapse of female alcoholism and to seek practical ways in social welfare for alcoholism, focusing on the traumatic experiences and post traumatic stress symptoms of female alcoholics experienced physical, sexual abuses. The main results of this research can be summarized as follows. First, the characteristic related with physical, sexual traumatic experiences of subjects is that physical, sexual abuses by acquaintances under 18 is more common than that experiences over 18. Second, the 8 pathes among 10 direct pathes are statistically significant. Third, as the result of verification of indirect effects through parameters, in the model, 4 out of 6 indirect pathes parameterized as post traumatic stress symptoms, problem focused coping, and drinking anticipation are significant. Based on these results, the practical implications for the warning of relapse of female alcoholics had been discussed.

The Impact of Perceived IT Threat on Convergence Information System Performance (지각된 IT위협이 융합 정보시스템 성과에 미치는 영향)

  • Park, Hyeon-Ho;Nho, Hee-Ock;Kim, Yong-Ho
    • Journal of the Korea Convergence Society
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    • v.6 no.3
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    • pp.65-71
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    • 2015
  • Based on Technology Threat Avoidance Theory, this study explains the process that the users cope with IT Threat and accomplish IS outcome. To empirically test the proposed model, data were collected through a survey of respondents who have the experience of using IS, and analyzed by using structural equations modelling. The result shows IT Threat had negative effects on Problem-Focused Coping and IS Appropriation. Also Problem-Focused Coping had significant effects on IS Appropriation and IS Appropriation had positive relation on IS Performance. In conclusion the study proposed that IT users improve Convergence Information System Performance by Problem-Focused Coping when they perceive IT Threat.

Comparative Study on Self-Care Behavior, Diabetes-related Stress, and Stress Coping among Good, Inadequate, and Poor Glycemic Control Groups (혈당 조절 양호, 불충분, 불량 군 간의 자가간호행위, 당뇨관련 스트레스, 스트레스 대처의 비교)

  • Kang, Hye-Yeon;Gu, Mee-Ock
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.19 no.2
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    • pp.168-178
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    • 2012
  • Purpose: The purpose of this study was to compare self-care behavior, diabetes-related stress and stress coping style among 3 blood glucose control groups (good, inadequate, and poor blood glucose control groups). Methods: Participants were 102 type 2 diabetic patients (good group: 41, inadequate group: 31, poor group: 30). Data were collected from Feb 19 to Mar 24, 2010 and were analyzed using Chi-square, Fisher's exact test and ANCOVA with SPSS/WIN 12.0. Results: Using ANCOVA with frequency of admission, and illness duration as covariates, significant differences were found among the 3 groups in self-care behavior (total score) and the exercise subscale. Using ANCOVA significant differences were found among 3 groups in diabetes-related stress (total score), emotional burden subscale and regimen distress subscale. Using ANCOVA no difference in stress coping was found among the 3 groups, but there was a significant difference in the problem-oriented coping subscale. Conclusions: Self-care behavior, diabetes-related stress, and stress coping style are factors influencing blood glucose control. The results of this study suggest that for improving blood glucose control, self care education program focused on diet and exercise in addition to stress management program for promoting problem oriented coping capability are recommended.

The Effect of Infant Teacher's Stress Coping Strategies and Directors' Emotional Leadership on Intention to Change Jobs (영아교사의 스트레스 대처방안과 원장의 감성리더십이 이직의도에 미치는 영향)

  • Kim, Jung Hee;Shin, See Yeoun
    • Korean Journal of Childcare and Education
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    • v.11 no.3
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    • pp.45-62
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    • 2015
  • The purpose of this study was to identify the influence of infant teachers' stress coping strategies and directors' emotional leadership on intention to change jobs. The subjects in this study were 156 infant teachers working in child care centers in Gangwon-do province. A Stress coping strategies questionnaire and intention to change jobs questionnaire, and directors' emotional leadership questionnaire were used for this study. For the research analysis, frequency, Cronbach's ${\alpha}$ coefficient, and Pearson's correlation were calculated and regression analysis were conducted. The results are as follows. Firstly, it was revealed that the scale of intention to change jobs decreases as the scales of problem-focused coping strategies and directors' emotional leadership increase. As the scales of directors' emotional leadership also increase, the scales of problem-focused and social support seeking coping strategies increases. Secondly, it is revealed that infant teachers' problem-focused coping strategies have a statistically meaningful negative influence on intention to change jobs. Thirdly, directors' emotional leadership is also shown to have a statistically meaningful negative influence on infant teachers' intention to change jobs. In order to reduce infant teachers' intention to change jobs, this study can provide a basic guideline to develop programs that enhance directors' emotional leadership and infant teachers' stress coping attitudes.

Self-efficacy and stress coping method of students in the department of dental hygiene in some areas (일부지역 치위생과 학생들의 자기효능감 및 스트레스 대처방식)

  • Lee, So-Young;Lee, Myeong-Ju;Kwon, Sun-Hwa
    • Journal of Korean society of Dental Hygiene
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    • v.14 no.1
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    • pp.67-74
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    • 2014
  • Objectives : The purpose of the study was to investigate the effective coping management of stress towards self-efficacy in students of dental hygiene department. Methods : A self-reported questionnaire was filled out by the students of dental hygiene department in Daegu from April to May, 2013. Descriptive statistics and frequency analysis, t-test, ANOVA and correlation analysis were analyzed using SAS (version 9.2) for statistics. Results : The overall stress coping score was 2.54. Problem-focused coping was 2.50, and social support-seeking coping was 2.60 in active coping. Emotional coping was 2.29, and hopeful thinking coping was 2.76 in passive coping. The level of self-efficacy according to general characteristics varied significantly depending on grade, satisfaction with major, subjective health status and smoking status. The stress coping methods according to general characteristics varied significantly depending on academic achievement and satisfaction with major. The results showed that the level of self-efficacy was associated with stress-coping methods. Conclusions : Self-efficacy of students of dental hygiene department was associated with stress coping methods. It is necessary to develop the programs for stress coping to increase self-efficacy.

Relationships of High School Seniors' Coping Strategies Used to Handle Examination Stress with Levels of Depression -In Relationships of Additional Life Event Stress- (고3 청소년의 시험스트레스에 대한 대처전략과 우울증 수준과의 관계 -복합적 스트레스와의 관계를 중심으로-)

  • 이미리
    • Journal of the Korean Home Economics Association
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    • v.33 no.5
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    • pp.89.2-98
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    • 1995
  • This study examined whether specific coping strategies for the university entrance examination stress are related to high school seniors' depression and whether these strategies moderate the relationship between additional life event stress and depression. A sample of 358 high school seniors reported their level of additional life event stress, coping strategies they were using to handle examination stress, and their levels of depression. Problem-focused coping strategies and affective-regulation coping strategies were found to be related to reduction in depression. And, coping with examination stress was found to be related to depression independent of the level of additional life event stress.

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A Qualitative Study on Coping strategies of Older adults with Depression: Focused on the Experience of Coping with Depression in Older Adults Living in Seoul (노인의 우울 대처 전략에 관한 질적 연구: 서울시 거주 도시 노인의 우울 대처 경험을 중심으로)

  • Eo, Yugyeong;Ko, Jung Eun;Kim, Soon Eun
    • 한국노년학
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    • v.37 no.3
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    • pp.583-600
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    • 2017
  • The purpose of this study is to explore qualitatively what kind of coping strategy the Korean older adults use when they are depressed and why. Participants were users, older than 60, of an elderly welfare center in Seoul, and answers of 34 respondents who experienced depression were included in the analysis. The collected data were analyzed through content analysis. The results of the analysis showed that strategies to cope with depression used by participants were composed of 6 domains and 11 sub-domains: health behavior (medical approach / exercise and diet), family and social contact (social interaction / going out and going on a trip / communication with family), Religious activities (Religious activities), lifelong education (hobbies / educational activities), productive activities (labor), health risk behaviors (drinking and gambling / resignation). The depression coping strategies of the older adults and their characteristics are as follows. First, older adults used diverse problem-focused coping strategies to cope with depression. Second, older adults considered various coping strategies together and used them simultaneously. Third, the facility space for older adults functions as a shelter. Fourth, although there were cases where medical approach was used, the intention to reuse was very low. Through this study, the following suggestions were made to help older adults cope with depression more successfully. First, access to various coping strategies should be promoted. Second, more places where older adults can spend their time comfortably need to be provided. Third, resistance to mental health care should be resolved.

The Effects of MMORPG User's Stress Coping Strategies on Continued Use Intention Through Self-Control and Behavioral Adaptation (MMORPG 이용자의 스트레스 대처전략이 자기통제감과 행동적 적응을 통해 지속적인 게임 이용의도에 미치는 영향)

  • Lee, Ji-Hyeon;Kim, Han-Ku
    • The Journal of Information Systems
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    • v.29 no.3
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    • pp.53-75
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    • 2020
  • Purpose Despite the continued rise in the popularity of mobile MMORPGs, the previous studies mainly focused on negative results of playing MMORPG such as violence and game addiction. In addition, previous studies that verified game play motives were not enough to explain user's fundamental motives for MMORPG play. To verify the positive role of playing MMORPG, this study focused on stress coping strategies on continued play MMORPG, and divided factors into two dimensions: escapism and coping with system. The purpose of this study is to comprehensively identify the discriminatory effects of each factor on users' self-control, and the effect of self-constrol and behavioral adapatation on continued use intention for MMORPG. Design/methodology/approach This study was designed to examine the structural relationships among MMORPG users' escapism, system coping, self-control, behavioral adaptation and continued use intention for MMORPG. Findings The results from this study are as follow. First, the participants' effect-based escapism had a positive impact on self-control, whereas cause-based escapism had a negative impact on self-control. Next, proactive coping and reactive coping for system problem had a positive impact on self-control. In addition, Self-control had a positive impact on behavioral adaptation and continued use intention for MMORPG. Lastly, the behavioral adaptation to MMORPG had a positive impact continued use intention. The results of our study can suggest the positive effects of coping strategy on users' self-control and behavioral adaptation by applying the theory of both escapism and coping with system. Based on our results, game companies should develop contents that can gratify users' coping motives and enhance self-control and behavioral adaptation.