Objectives:Suicidal ideation is a strong predictor of suicide deaths,which refers to the consideration or desire to give up one's own life.Left-behind children in rural China are more vulnerable to psychological p...Objectives:Suicidal ideation is a strong predictor of suicide deaths,which refers to the consideration or desire to give up one's own life.Left-behind children in rural China are more vulnerable to psychological problems and suicidal ideation compared to their non-left-behind peers.The aim of the current study was to examine two potential protective factors,negotiable fate belief and coping self-efficacy,and to test the mediating role of coping self-efficacy in the relationship between negotiable fate belief and suicidal ideation.We also analyzed gender differences in this mediation model.Methods:Across-sectional survey was conducted in rural areas ofChina.A sample of 526 left-behind children(285 males,54.18%;241 females,45.82%;Meanage=13.29 years,SD=0.97 years)was recruited to complete the Negotiable Fate Belief Scale,Coping Self-Efficacy Scale,and the Positive and Negative Suicide Ideation Inventory-Negative Scale.We used structural equation modeling to test the mediation model and multigroup analysis to test the moderation effect of gender.Results:Negotiable fate belief is negatively correlated with suicidal ideation(r=-0.13,p<0.01).Moreover,coping self-efficacy mediates the relationship between negotiable fate belief and suicidal ideation(β=-0.06,95%confidence interval(CI)[-0.12,-0.02]),accounting for 35.29%of the total effect.Finally,the mediating effect of coping self-efficacy was found to be significant only for female left-behind children(male:95%CI[-0.09,0.07];female:95%CI[-0.16,-0.01]).For female left-behind children,the mediating effect was complete,with a coefficient of-0.06,accounting for 85.71%of the total effect.Conclusions:The relationship between negotiable fate belief and suicidal ideation among rural left-behind children is mediated by coping self-efficacy,and this mediation effect was moderated by gender.This study provides a theoretical explanation for how cultivating the belief in negotiable fate and coping self-efficacy is effective for reducing suicidal ideation of rural left-behind children.展开更多
Background:Coping self-efficacy can help individuals mitigate the adverse emotional impacts of stress,anxiety,and other negative emotions,and it also influences individuals’academic performance,including school adjus...Background:Coping self-efficacy can help individuals mitigate the adverse emotional impacts of stress,anxiety,and other negative emotions,and it also influences individuals’academic performance,including school adjustment and academic burnout.It is an important factor affecting the mental health of adolescents.However,there is no measurement tool specifically designed for adolescent populations in China.Therefore,the purpose of this study is to assess the applicability of the Coping Self-Efficacy Scale(CSES)among Chinese adolescents.Methods:In September 2023,this study collected data through online questionnaires and ultimately conducted item analysis,exploratory factor analysis,confirmatory factor analysis(CFA),measurement invariance analysis,reliability analysis,and criterion-related validity analysis on a sample of 1157 adolescents.Results:The results of item analysis showed that the items of CSES were significantly different between the high and low groups.Further factor analysis results showed the existence of a factor solution that explained 59.09%of the total variation,with factor loadings ranging from 0.52–0.78.CFA supported the three-factor model of Chinese adolescent version of the CSES(CFI=0.923,TLI=0.914,IFI=0.923,RMSEA=0.068).Measurement invariance analysis indicates that the scale satisfies gender measurement invariance(ΔCFI=-0.002,-0.001>-0.01,ΔRMSEA=-0.001,0<0.02,ΔSRMR=0.005,0.007<0.01).The Chinese adolescent version of the CSES was positively correlated with the Social Support Appraisal Scale(SS-A)and the Life Orientation Test-Revised(LOT-R,r=0.670,0.673,both p<0.01),and negatively correlated with the Chinese Perceived Stress Scale(CPSS),the State-Trait Anxiety Inventory(STAI)and the Adolescent Student Burnout Inventory(ASBI,r=-0.694,-0.233,-0.680,both p<0.01).The Cronbach’sα,McDonald’sω,split-half reliability and test-retest reliability of the Chinese adolescent version of the CSES were 0.953,0.955,0.933 and 0.894,respectively.Conclusion:The results indicate that the three-factor model of the Chinese adolescent version of the CSES is acceptable and demonstrates high reliability and validity,establishing it as a precise tool for measuring and assessing coping self-efficacy among Chinese adolescents.展开更多
Introduction: This study aimed to develop valid and reliable scale with the intention of measure Coping Self-efficacy (CSES) of Iranian type 2 diabetic patients. Patients and Methods: Validity and reliability of Irani...Introduction: This study aimed to develop valid and reliable scale with the intention of measure Coping Self-efficacy (CSES) of Iranian type 2 diabetic patients. Patients and Methods: Validity and reliability of Iranian version of Coping Self-efficacy Scale (CSES) were measured by a cross-sectional study. Content validity, reliability and cultural equivalency were appraised through qualitative and quantitative study on 260 participants who have type 2 diabetes. Results: Reliability and validity of the scale and its four subscales, such as “stop unpleasant emotions and thoughts” (a = 0.92) “used problem-focused coping” (a = 0.71), Self-efficacy on diabetes problem solving (a = 0.74) and “get support from friends and family” (a = 0.67) were approved explicitly by a psychometric analysis;these show that the scale was slightly valid and reliable on the study setting. An intraclass correlation coefficient was satisfactory (p < 0.001). Criterion validity between total scale and metabolic control Index (HbA1c) of type 2 diabetic patients was significant (p < 0.001) and showed indirect correlation with the domains of the scale. Conclusion: Study findings supported the reliability and validity of the Iranian version of new Coping Self-efficacy-24 for measuring Coping Selfefficacy among Iranian type 2 diabetic patients. Based on our finding, we would like to recommend appropriate interventions in the future.展开更多
Background: Cancer diagnosis disclosure is still a challenge for patients and health care providers in Saudi Arabia which may affect the patient’s ability to cope with a cancer diagnosis and it is subsequent treatmen...Background: Cancer diagnosis disclosure is still a challenge for patients and health care providers in Saudi Arabia which may affect the patient’s ability to cope with a cancer diagnosis and it is subsequent treatments. Aim: This study is aimed to assess the effect of cancer diagnosis disclosure on patient’s coping self-efficacy at King Abdul-Aziz University Hospital, KSA-Jeddah. Methods: The data collected through a structured interview guided by coping Self-efficacy Scale (CSE) to measure the patients’ ability to perceive and cope effectively with their new diagnosis and the subsequent events related to it. It consists of 26 items subdivided into three factors. Distributed to adult patients above 18 years old who is newly diagnosed with cancer and willing to participate. Results: Among 102 participants enrolled in this study the relationship between age, marital status, educational level, income, and CSE showed no significant relationship, where p-value was higher than 0.05. Also, the relationship between diagnosis time and CSE show no significant relationship, where p-value was higher than 0.05, as no differences in CSE among patients who were diagnosed with cancer within two weeks, one month, one year ago, two years ago of interviewing them. The overall mean for their coping self-efficacy was moderate coping self-efficacy (3.86 ± 0.552). Conclusion: This study showed that the majority of cancer patients in this study had moderate coping self-efficacy and this could be explained by the strong faith, ideal living environment which involves family support, groups’ participation, reinforcement and daily activities which helped them to control their emotions and their abilities for coping with their experience of cancer diagnosis disclosure.展开更多
Objectives:Healthcare students experience significant stress due to their rigorous graduate school curricula.These levels of stress are associated with higher risks of depression,self-harm,and exhaustion.Coping interv...Objectives:Healthcare students experience significant stress due to their rigorous graduate school curricula.These levels of stress are associated with higher risks of depression,self-harm,and exhaustion.Coping interventions have been shown to help students develop healthy stress coping strategies.The purpose of this systematic review and meta-analysis was to examine the diverse array of coping interventions and what characteristics of coping interventions were most effective at decreasing stress among healthcare students.Methods:Any intervention designed to address coping for academic stress was included among medical,dental,nursing,physician assistant,allied health,veterinary,psychology,etc.students.A comprehensive literature search was completed to include multiple databases,Ancestry,and hand-searching from EBSCO and Google Scholar articles.A final total of 17 studies were included.Standardized mean difference effect sizes(ES)were synthesized across studies using a random-effects model in the Comprehensive Meta-Analysis Software for changes in coping levels in healthcare students.Moderator analyses were performed to explore the study,intervention,and participants’characteristics.The risk of bias was assessed by RoB2 and ROBINS-I.Results:Coping interventions significantly reduced stress outcomes among healthcare students(d=0.74;95%CI[0.48–1.01],95%PI[−0.41–1.90],p<0.001,Q=228.49,I^(2)=93.0%,T=0.52,T^(2)=0.28,p<0.001).Moderator analysis showed that interventions with stress education,established professional guidance,and fewer hours led to better stress management outcomes.Conclusions:This study demonstrates that coping interventions produce an overall moderate-to-large effect on stress reduction.Future research investigating coping interventions on academic and long-term outcomes would be beneficial.展开更多
Background:Self-esteem,life satisfaction,resilience,and coping strategies are closely linked to depression;however,their interrelationships and relative contributions to depressive outcomes remain insufficiently under...Background:Self-esteem,life satisfaction,resilience,and coping strategies are closely linked to depression;however,their interrelationships and relative contributions to depressive outcomes remain insufficiently understood.This study aimed to examine these associations in individuals with major depressive disorder(MDD)and healthy controls and to evaluate their predictive and mediating roles in depression.Methods:This analytical cross-sectional study included 311 participants(158 patients with MDD and 153 healthy controls)recruited from the Psychiatry Outpatient Clinics of Mugla Training and Research Hospital.Psychiatric diagnoses were confirmed using the Structured Clinical Interview for DSM-5(SCID-5).Groups were balanced for age,sex,and education using propensity score matching(PSM).Participants completed the Rosenberg Self-Esteem Scale,Satisfaction with Life Scale,Brief Resilience Scale,Brief COPE Inventory,and Beck Depression Inventory.Results:Compared with healthy controls,individuals with MDD reported significantly lower life satisfaction and resilience and higher depressive symptom severity,whereas self-esteem did not differ significantly between groups.Emotion-focused coping decreased with increasing depression severity,while avoidant coping showed a modest but significant increase in severe depression.Logistic regression analyses identified life satisfaction(OR=0.95,p=0.004)and resilience(OR=0.92,p=0.002)as significant protective predictors of depression.Mediation analyses demonstrated that life satisfaction partially mediated the relationship between self-esteem and depression,whereas resilience exerted a predominantly direct effect.Conclusion:Life satisfaction and resilience emerge as key protective factors against depression.Self-esteem appears to influence depressive outcomes indirectly through life satisfaction rather than through a direct effect.These findings underscore the importance of interventions that enhance resilience and promote positive evaluations of life in individuals at risk for depression.展开更多
BACKGROUND Return to work(RTW)serves as an indication for young and middle-aged colorectal cancer(CRC)survivors to resume their normal social lives.However,these survivors encounter significant challenges during their...BACKGROUND Return to work(RTW)serves as an indication for young and middle-aged colorectal cancer(CRC)survivors to resume their normal social lives.However,these survivors encounter significant challenges during their RTW process.Hence,scientific research is necessary to explore the barriers and facilitating factors of returning to work for young and middle-aged CRC survivors.AIM To examine the current RTW status among young and middle-aged CRC survivors and to analyze the impact of RTW self-efficacy(RTW-SE),fear of progression(FoP),eHealth literacy(eHL),family resilience(FR),and financial toxicity(FT)on their RTW outcomes.METHODS A cross-sectional investigation was adopted in this study.From September 2022 to February 2023,a total of 209 participants were recruited through a convenience sampling method from the gastrointestinal surgery department of a class A tertiary hospital in Chongqing.The investigation utilized a general information questionnaire alongside scales assessing RTW-SE,FoP,eHL,FR,and FT.To analyze the factors that influence RTW outcomes among young and middle-aged CRC survivors,Cox regression modeling and Kaplan-Meier survival analysis were used.RESULTS A total of 43.54%of the participants successfully returned to work,with an average RTW time of 100 days.Cox regression univariate analysis revealed that RTW-SE,FoP,eHL,FR,and FT were significantly different between the non-RTW and RTW groups(P<0.05).Furthermore,Cox regression multivariate analysis identified per capita family monthly income,job type,RTW-SE,and FR as independent influencing factors for RTW(P<0.05).CONCLUSION The RTW rate requires further improvement.Elevated levels of RTW-SE and FR were found to significantly increase RTW among young and middle-aged CRC survivors.Health professionals should focus on modifiable factors,such as RTW-SE and FR,to design targeted RTW support programs,thereby facilitating their timely reintegration into mainstream society.展开更多
The main goal of the study was to investigate the emotional costs experienced by the organizational newcomers during the first period of reemployment and its relation to general self-efficacy CGSE} and coping. The stu...The main goal of the study was to investigate the emotional costs experienced by the organizational newcomers during the first period of reemployment and its relation to general self-efficacy CGSE} and coping. The study was conducted among 123 previous unemployed, involving 88 reemployed and 35 interns. Questionnaires battery was administered in two waves {T1 and T2~ in the first month of reemployment and after three months. In this article, the data from T2 were analyzed, which allows observing the final results and interactions between research variables. The results showed emotional costs and GSE as significant predictors of coping in the work re-entry phase. Additionally, emotional costs partially mediate the effect of GSE on coping. The differences between both groups, the reemployed and interns were also analyzed.展开更多
Objective:This study aimed to explore the mediating role of self-efficacy on the relationship between risk perception and the coping behavior of the elderly during the coronavirus disease 2019(COVID-19)pandemic.Method...Objective:This study aimed to explore the mediating role of self-efficacy on the relationship between risk perception and the coping behavior of the elderly during the coronavirus disease 2019(COVID-19)pandemic.Methods:The study employed the convenience sampling method to select a total of 550 elderly from Chongqing,Chengdu and Luohe in China.A questionnaire composed of the perception scale,self-efficacy scale,and coping behavior scale was used to collect data.Results:Risk perception exerted a significantly direct effect on positive coping behavior and avoidant coping behavior.Moreover,it positively predicted the components of self-efficacy.In turn,self-efficacy positively predicted the components of positive coping behavior,which confirm that it plays a partial mediating role in the relationship between risk perception and positive coping behavior.Moreover,self-efficacy negatively predicted the components of avoidant coping behavior,which confirms that it also plays a partial mediating role in the relationship between risk perception and avoidant coping behavior.Conclusion:A simple mediation model revealed that self-efficacy partially mediated the direct and indirect effects of risk perception on coping behavior.Based on the results,the study recommended several countermeasures and suggestions for enhancing the positive coping behavior of the elderly during the COVID-19 pandemic.展开更多
BACKGROUND Resilience is an individual’s ability and psychological rebound capacity to adapt well after experiencing adversity,trauma,etc.Patients with strong resilience can face illnesses actively.AIM To determine t...BACKGROUND Resilience is an individual’s ability and psychological rebound capacity to adapt well after experiencing adversity,trauma,etc.Patients with strong resilience can face illnesses actively.AIM To determine the association of resilience with coping styles and quality of life in patients with malignancies.METHODS This study included patients with malignant tumors who were hospitalized at Fuyang Hospital Affiliated to Anhui Medical University from March 2022 to March 2024.The Connor-Davidson Resilience Scale,Medical Coping Modes Questionnaire,Social Support Rating Scale,and the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 were utilized to assess patients’resilience,coping styles,social support,and quality of life,respectively.Pearson correlation analysis was conducted to assess the correlations.RESULTS A total of 175 patients with malignant tumors demonstrated no marked difference in terms of age,education level,employment status,monthly household income,and disease staging(P<0.05).Further,patients with malignancies demonstrated scores of 17.49±1.20,17.27±1.46,and 11.19±1.29 points in terms of coping styles in confrontation,avoidance,and resignation dimensions,respectively.Subjective support,objective support,and support utilization scores in terms of social support were 10.67±1.80,11.26±2.08,and 9.24±1.14 points,respectively.The total resilience score and tenacity,self-improvement,and optimism dimension scores were positively correlatedwith the confrontation coping style score,whereas the total resilience score and tenacity and self-improvementscores were negatively associated with avoidance and resignation coping style scores(P<0.05).The total resiliencescore and the tenacity dimension score were positively associated with physical,role,cognitive,emotional,andsocial functions,as well as global health status(P<0.05),and were inversely related to fatigue,insomnia,andeconomic difficulties(P<0.05).CONCLUSIONThe resilience of patients with malignancies is positively associated with the confrontation dimension in the copingstyle,the total and various social support domain scores,and the overall quality of life.Clinical medical staff needto pay attention to the effect of medical coping styles and social support on the resilience level of patients withmalignancies to further improve their quality of life.展开更多
Objectives:Emotional exhaustion among healthcare professionals,particularly pharmacists,significantly impacts their well-being and efficacy in patient care.Understanding the psychological mechanisms contributing to em...Objectives:Emotional exhaustion among healthcare professionals,particularly pharmacists,significantly impacts their well-being and efficacy in patient care.Understanding the psychological mechanisms contributing to emotional exhaustion is essential for developing effective interventions.The present research sought to investigate the potential mediating roles of rumination and coping strategies(adaptive and maladaptive)in the relationship between perceived stress and emotional exhaustion among pharmacists.Methods:A cross-sectional survey was carried out between September 2023 and January 2024 involving 576 pharmacists working in public hospitals in Punjab who met the inclusion criteria and actively participated in the study.We employed the Perceived Stress Scale,the Ruminative Response Scale,the Brief Coping Orientation to Problems Experienced Inventory(COPE),and the Oldenburg Burnout Inventory(OLBI)to assess the hypothesized study model.Path analysis was employed to test the hypothesized mediation model,incorporating simple and chain mediation processes.Results:The findings provided empirical evidence supporting a positive association between perceived stress and emotional exhaustion.Rumination significantlymediated this relationship.Further,both adaptive andmaladaptive coping strategieswere found tomediate this relationship,withmaladaptive coping demonstrating amore substantial impact.Conclusion:The chainmediation model demonstrated that rumination and coping strategies(both maladaptive and adaptive)significantly mediate the relationship between perceived stress and emotional exhaustion among pharmacists.Specifically,rumination was found to be a key mediator,with maladaptive coping strategies having a more substantial impact.These findings provide a deeper understanding of the psychological mechanisms contributing to emotional exhaustion in the pharmacy profession.展开更多
Background:The academic community is increasingly interested in understanding the mechanisms through which gratitude influences coping strategies.In addition,the role of gratitude in fostering long-term resilience and...Background:The academic community is increasingly interested in understanding the mechanisms through which gratitude influences coping strategies.In addition,the role of gratitude in fostering long-term resilience and mental health outcomes has garnered significant attention.This study explores the mechanisms through which gratitude affects problem-focused coping strategies and emotion-focused coping strategies by constructing models involving gratitude,perceived social support,self-esteem,and problem-focused coping strategies,as well as models involving gratitude,perceived social support,self-esteem,and emotion-focused coping strategies.Methods:A longitudinal survey was conducted on 1666 Chinese university students using highly reliable and valid scales,including the Gratitude Scale,Perceived Social Support Scale,Self-Esteem Scale,and Brief Coping Strategies Scale.To examine whether perceived social support and self-esteem play a significant indirect role in the relationship between gratitude and problem-focused coping strategies,as well as between gratitude and emotion-focused coping strategies.Differences in variables based on demographic variables:We used one-way ANOVA to test the differences in gratitude,perceived social support,self-esteem,problem-focused coping strategies,and emotion-focused coping strategies among students of different grades and ages.Additionally,independent samples t-tests were used to examine the differences between students of different genders and household registrations.Results:The study found that(1)Gratitude significantly positively predicted perceived social support(β=0.661,p<0.001),self-esteem(β=0.234,p<0.001),and problemfocused coping strategies(β=0.130,p<0.001);(2)Perceived social support significantly positively predicted self-esteem(β=0.440,p<0.001;β=0.439,p<0.001),problem-focused coping strategies(β=0.443,p<0.001),and emotion-focused coping strategies(β=0.279,p<0.001);(3)Self-esteem significantly positively predicted problem-focused coping strategies(β=0.172,p<0.001)and significantly negatively predicted emotion-focused coping strategies(β=−0.205,p<0.001);(4)Gratitude can influence problem-focused coping strategies through the dual indirect effect of two mediating variables.After the inclusion of the mediating variables,the effect of problem-focused coping strategies in the indirect model was further strengthened.(5)Gratitude can influence emotion-focused coping strategies through a completely indirect effect on perceived social support and self-esteem.After inserting the mediating variables,the effect of emotionfocused coping strategies in the mediating model is enhanced.Conclusion:Gratitude can directly and positively predict problem-focused coping strategies,and it can also positively predict problem-focused coping strategies through the dual indirect effect of two mediating variables.Gratitude does not significantly predict emotion-focused coping strategies directly,but it can influence emotion-focused coping strategies via a double indirect pathway.展开更多
BACKGROUND Extended care based on self-efficacy theory to elderly patients with intertrochanteric fractures will provide data reference to optimize the care plan of these patients,reduce patients’concurrent mental di...BACKGROUND Extended care based on self-efficacy theory to elderly patients with intertrochanteric fractures will provide data reference to optimize the care plan of these patients,reduce patients’concurrent mental diseases,and improve prognosis.AIM To analyze the value of extended nursing based on the self-efficacy theory in older patients with intertrochanteric fractures.METHODS Older patients with intertrochanteric fractures(n=88)admitted to our hospital between January 2021 and December 2024 were randomly divided into two groups-the control group(n=44,routine nursing)and the observation group(n=44,extended nursing)-via balloting and treated for 12 weeks.The mental state,pain severity,limb function,and self-nursing ability of all patients before and after nursing were analyzed.RESULTS After nursing,the Hamilton Anxiety Scale and General Self-Efficacy Scale scores of patients in the two groups improved.Notably,Hamilton Anxiety Scale and General Self-Efficacy Scale scores in the observation group were lower and higher,respectively,than those in the control group(P<0.05).The pain severity in the observation group(2.64±0.22)was lower than that in the control group(2.85±0.41)(P<0.05).The recovery rate of limb function was higher in the observation group than in the control group(P<0.05).In addition,the self-nursing ability scores of the patients in both groups increased,with a significantly higher score in the observation group(P<0.05).CONCLUSION Extended nursing based on the self-efficacy theory can significantly improve mental state,relieve pain,and promote the recovery of limb function and self-nursing ability in older patients with intertrochanteric fractures.展开更多
Public participation is crucial in mitigating disasters.Stemming from the ongoing debate on benefit-and risk-driven approaches to landslide mitigation,this study seeks to uncover the factors and underlying mechanisms ...Public participation is crucial in mitigating disasters.Stemming from the ongoing debate on benefit-and risk-driven approaches to landslide mitigation,this study seeks to uncover the factors and underlying mechanisms that affect farmers'willingness to participate in landslide prevention and mitigation(WPLPM).Conducted in Heifangtai,Gansu Province,China,renowned as the"landslide natural laboratory",this research employs multiple linear regression analysis on data from 399 questionnaires to pinpoint the key determinants of farmers'WPLPM.The findings reveal:(1)the"risk perception paradox"exists—farmers have high-risk perception but low WPLPM;(2)the impact of risk perception on WPLPM is tempered by self-efficacy related to fund,learning ability,and operation ability,offering an insight into the"risk perception paradox";and(3)There are significant positive influences of farmers'benefit perception,social network,and perceived responsibility on their WPLPM.Based on these insights,the study offers targeted policy recommendations.展开更多
Background:Chinese elementary students face mental health challenges due to excessive academic pressures.Previous research has indicated that resilience is crucial for improving their mental health,which is fostered b...Background:Chinese elementary students face mental health challenges due to excessive academic pressures.Previous research has indicated that resilience is crucial for improving their mental health,which is fostered by a supportive family environment.This study,therefore,explored the impact of family organization on children’s resilience and examined whether proactive coping and mindfulness mediate this relationship.Methods:Data were collected from 702 elementary school students(grades 3–6)in 3 cities in China using a multi-stage sampling procedure.Validated scales measured family organization,proactive coping,mindfulness,and resilience.The hypothesized model was tested using Structural Equation Modeling(SEM)in Mplus.Results:Resilience was strongly correlated with family organization(r=0.655,p<0.001),proactive coping(r=0.482,p<0.001),and mindfulness(r=0.639,p<0.001).Proactive coping and mindfulness mediated the relationship between family organization and resilience,with the direct effect accounting for 42.88%of the total effect.Indirect effects were distributed through two pathways:via mindfulness(41.41%)and via the“proactive coping→mindfulness”chain mediation(10.72%).Conclusions:This study reveals that effective family organization significantly enhances resilience among Chinese elementary students.Moreover,proactive coping and mindfulness serve as pivotal mediators in this relationship.These findings underscore the importance of understanding family organization and self-regulation,and their effects on the resilience of elementary pupils within the context of Chinese culture.展开更多
BACKGROUND Postpartum depression(PPD)represents a significant public health concern,adversely affecting both new mothers and their infants.Despite routine early screening,PPD can persist beyond the initial postpartum ...BACKGROUND Postpartum depression(PPD)represents a significant public health concern,adversely affecting both new mothers and their infants.Despite routine early screening,PPD can persist beyond the initial postpartum months,with notably high incidence rates even one year after childbirth.Persistent PPD has been associated with poor developmental outcomes in infants,highlighting the need for continued monitoring and support during this critical period.Understanding the broader impacts of persistent PPD is essential for developing effective interventions to improve maternal and infant well-being.AIM To explore the impact of persistent PPD on infant developmental behavior and maternal self-efficacy.METHODS We recruited 60 postpartum women who experienced persistent depression after childbirth in our hospital from January 2020 to December 2024 as the research subjects.The study collected basic characteristics of both infants and mothers,analyzed the self-efficacy of the mothers and the developmental behaviors of the infants,and conducted a correlation analysis to examine the relationship between postpartum persistent depression in mothers and the developmental behaviors and self-efficacy of infants.The Bootstrap method was used to verify the significance of the mediating effect.RESULTS The basic characteristics of infants and mothers show that 53.33%are male,58.33%are born via vaginal delivery,88.33%have a normal body mass index,51.67%are aged between 25 and 29 years,70%are non-agricultural workers,51.67%have a per capita household income over 4000 yuan,96.67%are full-term births,and 58.33%of the fathers are aged between 26 and 32 years.In terms of infant development behavior,the gross motor skills score is relatively low(38.44±12.15).Regarding maternal self-efficacy,the skill score(45.68±5.49)and mental activity score(46.37±3.72)are both at a low level.Correlation analysis reveals that postpartum persistent depression is significantly negatively correlated with maternal self-efficacy and infant development behavior(β=-0.439,-0.657,P<0.001),while self-efficacy is positively correlated with infant development behavior(β=0.728,P<0.001).The path coefficient and Bootstrap method test indicate that self-efficacy acts as a mediator between postpartum persistent depression and infant development behavior,accounting for 54.80%of the effect(P<0.05),while the direct effect of postpartum persistent depression on infant development behavior is 45.20%(P<0.05).CONCLUSION Persistent PPD significantly negatively impacts infant developmental outcomes,with maternal self-efficacy serving as a partial mediator.These findings suggest that interventions targeting both depressive symptoms and selfenhancement may effectively promote infant health development.展开更多
BACKGROUND Patients with gastric cancer(GC)frequently experience notable psychological distress,which often manifests as anxiety and depression.Identifying key contributing factors is essential for developing effectiv...BACKGROUND Patients with gastric cancer(GC)frequently experience notable psychological distress,which often manifests as anxiety and depression.Identifying key contributing factors is essential for developing effective interventions to improve mental health outcomes.AIM To investigate the relationships between anxiety/depression,self-efficacy,and social support in patients with GC and identified significant risk factors.METHODS We enrolled 124 patients with GC undergoing treatment at Chongqing University Cancer Hospital between May 2021 and May 2024.Information regarding the patients’anxiety and depression evaluated by the hospital anxiety and depression scale(HADS),[including a subscale for anxiety(HADS-A)and a separate subscale for depression(HADS-D)]self-efficacy,measured by the general self-efficacy scale(GSES),and social support,assessed by the perceived social support scale(PSSS),was gathered.Relationships among HADS,GSES,and PSSS scores were determined through Pearson correlation analysis.Risk factors for anxiety and depression among patients with GC were identified using univariate and multivariate analyses,specifically binary logistic regression.RESULTS The obtained data demonstrated mild psychological distress(mean HADS-A:8.74±3.70;mean HADS-D:10.26±3.84),suboptimal self-efficacy levels(GSES:17.81±5.45),and moderate social support(PSSS:56.27±11.28).Correlational analysis revealed significant inverse relationships between psychological distress(anxiety and depression)and both social support and self-efficacy(P<0.01),with self-efficacy showing a strong positive association with social support(P<0.01).Univariate analysis revealed that gender,age,clinical stage,tumor size,GSES,and PSSS were closely associated with anxiety and depression in patients with GC.Multivariate logistic regression identified three independent predictors of these mood disturbances:Advanced age(≥60),large tumor size(≥3 cm),and diminished GSES scores(<18).CONCLUSION Our findings suggest that patients with GC generally experience mild anxiety and depression,which are closely related to low self-efficacy and insufficient social support.Age,tumor size,and low self-efficacy are independent predictors of anxiety and depression.In clinical practice,psychosocial interventions should be integrated,with a focus on high-risk populations,to improve patients’mental health.展开更多
This study aimed to explore the mediating roles of self-efficacy and intrinsic motivation on the relationship between teacher autonomy and teacher job satisfaction.Data were from the Teaching and Learning International...This study aimed to explore the mediating roles of self-efficacy and intrinsic motivation on the relationship between teacher autonomy and teacher job satisfaction.Data were from the Teaching and Learning International Survey(TALIS 2018),with a sample of 3131 junior high school teachers(female=2337;male=794)from Shanghai,China.The mediating effect was analyzed using structural equation modeling.The results showed that teacher autonomy was positively associated with teacher job satisfaction,self-efficacy,and intrinsic motivation.Both self-efficacy and intrinsic motivation were associated with teacher job satisfaction.Self-efficacy was associated with teacher intrinsic motivation.Self-efficacy and intrinsic motivation not only served as independent mediators between teacher autonomy and teacher job satisfaction but also played a chain mediating role.Moreover,the separate mediating effect of self-efficacy was the most significant.Findings are consistent with the job demands-resources model by which diminished teacher autonomy ould explain lower teacher job satisfaction.展开更多
Drawing upon self-determination theory,this study examines the effects of vicarious abusive supervision on third-party’s self-efficacy and task performance within organizational contexts.Data were collected via surve...Drawing upon self-determination theory,this study examines the effects of vicarious abusive supervision on third-party’s self-efficacy and task performance within organizational contexts.Data were collected via surveys from 337 employees across diverse organizations.The results indicate that vicarious abusive supervision significantly undermines both self-efficacy and task performance among employees who are indirectly exposed to such behavior but not directly targeted.Furthermore,self-efficacy serves as a mediator between vicarious abusive supervision and task performance;however,this mediating effect is attenuated for employees with a high promotion focus.These findings provide valuable theoretical and practical insights,particularly in the domain of organizational behavior,by emphasizing the critical role of promotion focus in mitigating the negative effects of vicarious abusive supervision.This research contributes to the organizational behavior literature by shifting the focus from the traditional supervisor-subordinate dynamic to a third-party perspective,thereby enriching our understanding of how vicarious abusive supervision impacts employees within organizational settings.The study underscores the importance of self-efficacy and promotion focus as key factors in unethical leadership contexts.展开更多
BACKGROUND Global tumor incidence rises and therapies advance,driving oncology nursing specialization.Granting nurses prescriptive authority optimizes care but polarizes nurses'attitudes due to factors like risk a...BACKGROUND Global tumor incidence rises and therapies advance,driving oncology nursing specialization.Granting nurses prescriptive authority optimizes care but polarizes nurses'attitudes due to factors like risk and competence,hindering policy implementation.AIM To investigate the current status of the attitudes of oncology specialist nurses toward having prescribing authority,specifically concerning symptom management and supportive care in oncology practice,and we conducted a path analysis of their influencing factors.METHODS As participants in the survey,oncology specialist nurses working in hospitals of different grades in Jiangsu Province were selected from March 2025 to May 2025 using a stratified sampling method.The questionnaires were administered using the general information questionnaire,the beliefs and attitudes about nurses'prescriptive authority scale,the nurses'professional identity scale,and the selfefficacy scale.Pearson’s method was used to analyze the correlation between beliefs and attitudes about the prescriptive authority,professional identity,and self-efficacy of nurses.Multiple linear regression was performed to analyze the factors influencing the beliefs and attitudes of nurses’prescriptive authority.The Amos plug-in was used to construct structural equation models to analyze the influencing pathways.RESULTS A total of 329 questionnaires were distributed,and 328 valid questionnaires were returned(effective recovery rate:99.70%).The total score of the 328 oncology nurses on the beliefs and attitudes about nurses'prescriptive authority scale was 101.88±15.13,indicating a moderately high level.Univariate analysis revealed that gender and hospital grade were associated with this score(P<0.05).The Pearson correlation analysis revealed that self-efficacy was positively correlated with the scores of the beliefs and attitudes about nurses’prescriptive authority scale and the nurses’professional identity scale(r=0.4999,P<0.0001 and r=0.7048,P<0.05,respectively),whereas occupational identity was positively correlated only with the former(r=0.6209,P<0.05).Multiple linear regression analysis revealed occupational identity and self-efficacy as the factors influencing the scores of the beliefs and attitudes about nurses’prescriptive authority scale(P<0.05).The results of the path analysis revealed that selfefficacy significantly positively affected nurses’occupational identity and their beliefs and attitudes about having prescriptive authority;occupational identity played a mediating role between the two,with a mediating effect accounting for 54.46% of the total effect,and the structural equation model was well-fitted.CONCLUSION Oncology nurses have more positive attitudes toward prescriptive authority.In addition,self-efficacy positively and indirectly affects nurses’attitudes toward prescriptive authority through the mediating effect of occupational identity.This can be used as a basis for clinical practice to take targeted measures to improve nurses’self-efficacy and occupational identity,thus creating favorable conditions for effectively implementing the policy of prescriptive authority.展开更多
基金funded by the 2023Laibin City Philosophy and Social Science Research Project(No.2023LBZS035)2024Guangxi Student Innovation and Entrepreneurship Training Program Project(No.S202411546046X)2025 Research Project of Guangxi Science&Technology Normal University(No.GXKS2025YB020).
文摘Objectives:Suicidal ideation is a strong predictor of suicide deaths,which refers to the consideration or desire to give up one's own life.Left-behind children in rural China are more vulnerable to psychological problems and suicidal ideation compared to their non-left-behind peers.The aim of the current study was to examine two potential protective factors,negotiable fate belief and coping self-efficacy,and to test the mediating role of coping self-efficacy in the relationship between negotiable fate belief and suicidal ideation.We also analyzed gender differences in this mediation model.Methods:Across-sectional survey was conducted in rural areas ofChina.A sample of 526 left-behind children(285 males,54.18%;241 females,45.82%;Meanage=13.29 years,SD=0.97 years)was recruited to complete the Negotiable Fate Belief Scale,Coping Self-Efficacy Scale,and the Positive and Negative Suicide Ideation Inventory-Negative Scale.We used structural equation modeling to test the mediation model and multigroup analysis to test the moderation effect of gender.Results:Negotiable fate belief is negatively correlated with suicidal ideation(r=-0.13,p<0.01).Moreover,coping self-efficacy mediates the relationship between negotiable fate belief and suicidal ideation(β=-0.06,95%confidence interval(CI)[-0.12,-0.02]),accounting for 35.29%of the total effect.Finally,the mediating effect of coping self-efficacy was found to be significant only for female left-behind children(male:95%CI[-0.09,0.07];female:95%CI[-0.16,-0.01]).For female left-behind children,the mediating effect was complete,with a coefficient of-0.06,accounting for 85.71%of the total effect.Conclusions:The relationship between negotiable fate belief and suicidal ideation among rural left-behind children is mediated by coping self-efficacy,and this mediation effect was moderated by gender.This study provides a theoretical explanation for how cultivating the belief in negotiable fate and coping self-efficacy is effective for reducing suicidal ideation of rural left-behind children.
基金supported by the National Natural Science Foundation of China,Grant No.31800913(to Kaiyun Li),Grant No.32100856(to Fanlu Jia)Youth Innovation Team of Shandong Provincial Higher Education Institutions,Grant No.2022RW019(to Fanlu Jia).
文摘Background:Coping self-efficacy can help individuals mitigate the adverse emotional impacts of stress,anxiety,and other negative emotions,and it also influences individuals’academic performance,including school adjustment and academic burnout.It is an important factor affecting the mental health of adolescents.However,there is no measurement tool specifically designed for adolescent populations in China.Therefore,the purpose of this study is to assess the applicability of the Coping Self-Efficacy Scale(CSES)among Chinese adolescents.Methods:In September 2023,this study collected data through online questionnaires and ultimately conducted item analysis,exploratory factor analysis,confirmatory factor analysis(CFA),measurement invariance analysis,reliability analysis,and criterion-related validity analysis on a sample of 1157 adolescents.Results:The results of item analysis showed that the items of CSES were significantly different between the high and low groups.Further factor analysis results showed the existence of a factor solution that explained 59.09%of the total variation,with factor loadings ranging from 0.52–0.78.CFA supported the three-factor model of Chinese adolescent version of the CSES(CFI=0.923,TLI=0.914,IFI=0.923,RMSEA=0.068).Measurement invariance analysis indicates that the scale satisfies gender measurement invariance(ΔCFI=-0.002,-0.001>-0.01,ΔRMSEA=-0.001,0<0.02,ΔSRMR=0.005,0.007<0.01).The Chinese adolescent version of the CSES was positively correlated with the Social Support Appraisal Scale(SS-A)and the Life Orientation Test-Revised(LOT-R,r=0.670,0.673,both p<0.01),and negatively correlated with the Chinese Perceived Stress Scale(CPSS),the State-Trait Anxiety Inventory(STAI)and the Adolescent Student Burnout Inventory(ASBI,r=-0.694,-0.233,-0.680,both p<0.01).The Cronbach’sα,McDonald’sω,split-half reliability and test-retest reliability of the Chinese adolescent version of the CSES were 0.953,0.955,0.933 and 0.894,respectively.Conclusion:The results indicate that the three-factor model of the Chinese adolescent version of the CSES is acceptable and demonstrates high reliability and validity,establishing it as a precise tool for measuring and assessing coping self-efficacy among Chinese adolescents.
文摘Introduction: This study aimed to develop valid and reliable scale with the intention of measure Coping Self-efficacy (CSES) of Iranian type 2 diabetic patients. Patients and Methods: Validity and reliability of Iranian version of Coping Self-efficacy Scale (CSES) were measured by a cross-sectional study. Content validity, reliability and cultural equivalency were appraised through qualitative and quantitative study on 260 participants who have type 2 diabetes. Results: Reliability and validity of the scale and its four subscales, such as “stop unpleasant emotions and thoughts” (a = 0.92) “used problem-focused coping” (a = 0.71), Self-efficacy on diabetes problem solving (a = 0.74) and “get support from friends and family” (a = 0.67) were approved explicitly by a psychometric analysis;these show that the scale was slightly valid and reliable on the study setting. An intraclass correlation coefficient was satisfactory (p < 0.001). Criterion validity between total scale and metabolic control Index (HbA1c) of type 2 diabetic patients was significant (p < 0.001) and showed indirect correlation with the domains of the scale. Conclusion: Study findings supported the reliability and validity of the Iranian version of new Coping Self-efficacy-24 for measuring Coping Selfefficacy among Iranian type 2 diabetic patients. Based on our finding, we would like to recommend appropriate interventions in the future.
文摘Background: Cancer diagnosis disclosure is still a challenge for patients and health care providers in Saudi Arabia which may affect the patient’s ability to cope with a cancer diagnosis and it is subsequent treatments. Aim: This study is aimed to assess the effect of cancer diagnosis disclosure on patient’s coping self-efficacy at King Abdul-Aziz University Hospital, KSA-Jeddah. Methods: The data collected through a structured interview guided by coping Self-efficacy Scale (CSE) to measure the patients’ ability to perceive and cope effectively with their new diagnosis and the subsequent events related to it. It consists of 26 items subdivided into three factors. Distributed to adult patients above 18 years old who is newly diagnosed with cancer and willing to participate. Results: Among 102 participants enrolled in this study the relationship between age, marital status, educational level, income, and CSE showed no significant relationship, where p-value was higher than 0.05. Also, the relationship between diagnosis time and CSE show no significant relationship, where p-value was higher than 0.05, as no differences in CSE among patients who were diagnosed with cancer within two weeks, one month, one year ago, two years ago of interviewing them. The overall mean for their coping self-efficacy was moderate coping self-efficacy (3.86 ± 0.552). Conclusion: This study showed that the majority of cancer patients in this study had moderate coping self-efficacy and this could be explained by the strong faith, ideal living environment which involves family support, groups’ participation, reinforcement and daily activities which helped them to control their emotions and their abilities for coping with their experience of cancer diagnosis disclosure.
文摘Objectives:Healthcare students experience significant stress due to their rigorous graduate school curricula.These levels of stress are associated with higher risks of depression,self-harm,and exhaustion.Coping interventions have been shown to help students develop healthy stress coping strategies.The purpose of this systematic review and meta-analysis was to examine the diverse array of coping interventions and what characteristics of coping interventions were most effective at decreasing stress among healthcare students.Methods:Any intervention designed to address coping for academic stress was included among medical,dental,nursing,physician assistant,allied health,veterinary,psychology,etc.students.A comprehensive literature search was completed to include multiple databases,Ancestry,and hand-searching from EBSCO and Google Scholar articles.A final total of 17 studies were included.Standardized mean difference effect sizes(ES)were synthesized across studies using a random-effects model in the Comprehensive Meta-Analysis Software for changes in coping levels in healthcare students.Moderator analyses were performed to explore the study,intervention,and participants’characteristics.The risk of bias was assessed by RoB2 and ROBINS-I.Results:Coping interventions significantly reduced stress outcomes among healthcare students(d=0.74;95%CI[0.48–1.01],95%PI[−0.41–1.90],p<0.001,Q=228.49,I^(2)=93.0%,T=0.52,T^(2)=0.28,p<0.001).Moderator analysis showed that interventions with stress education,established professional guidance,and fewer hours led to better stress management outcomes.Conclusions:This study demonstrates that coping interventions produce an overall moderate-to-large effect on stress reduction.Future research investigating coping interventions on academic and long-term outcomes would be beneficial.
文摘Background:Self-esteem,life satisfaction,resilience,and coping strategies are closely linked to depression;however,their interrelationships and relative contributions to depressive outcomes remain insufficiently understood.This study aimed to examine these associations in individuals with major depressive disorder(MDD)and healthy controls and to evaluate their predictive and mediating roles in depression.Methods:This analytical cross-sectional study included 311 participants(158 patients with MDD and 153 healthy controls)recruited from the Psychiatry Outpatient Clinics of Mugla Training and Research Hospital.Psychiatric diagnoses were confirmed using the Structured Clinical Interview for DSM-5(SCID-5).Groups were balanced for age,sex,and education using propensity score matching(PSM).Participants completed the Rosenberg Self-Esteem Scale,Satisfaction with Life Scale,Brief Resilience Scale,Brief COPE Inventory,and Beck Depression Inventory.Results:Compared with healthy controls,individuals with MDD reported significantly lower life satisfaction and resilience and higher depressive symptom severity,whereas self-esteem did not differ significantly between groups.Emotion-focused coping decreased with increasing depression severity,while avoidant coping showed a modest but significant increase in severe depression.Logistic regression analyses identified life satisfaction(OR=0.95,p=0.004)and resilience(OR=0.92,p=0.002)as significant protective predictors of depression.Mediation analyses demonstrated that life satisfaction partially mediated the relationship between self-esteem and depression,whereas resilience exerted a predominantly direct effect.Conclusion:Life satisfaction and resilience emerge as key protective factors against depression.Self-esteem appears to influence depressive outcomes indirectly through life satisfaction rather than through a direct effect.These findings underscore the importance of interventions that enhance resilience and promote positive evaluations of life in individuals at risk for depression.
基金Supported by the Chongqing Medical University Program for Youth Innovation in Future Medicine,No.W0019Chongqing Municipal Education Commission’s 14th Five-Year Key Discipline Support Project,No.20240101 and No.20240102。
文摘BACKGROUND Return to work(RTW)serves as an indication for young and middle-aged colorectal cancer(CRC)survivors to resume their normal social lives.However,these survivors encounter significant challenges during their RTW process.Hence,scientific research is necessary to explore the barriers and facilitating factors of returning to work for young and middle-aged CRC survivors.AIM To examine the current RTW status among young and middle-aged CRC survivors and to analyze the impact of RTW self-efficacy(RTW-SE),fear of progression(FoP),eHealth literacy(eHL),family resilience(FR),and financial toxicity(FT)on their RTW outcomes.METHODS A cross-sectional investigation was adopted in this study.From September 2022 to February 2023,a total of 209 participants were recruited through a convenience sampling method from the gastrointestinal surgery department of a class A tertiary hospital in Chongqing.The investigation utilized a general information questionnaire alongside scales assessing RTW-SE,FoP,eHL,FR,and FT.To analyze the factors that influence RTW outcomes among young and middle-aged CRC survivors,Cox regression modeling and Kaplan-Meier survival analysis were used.RESULTS A total of 43.54%of the participants successfully returned to work,with an average RTW time of 100 days.Cox regression univariate analysis revealed that RTW-SE,FoP,eHL,FR,and FT were significantly different between the non-RTW and RTW groups(P<0.05).Furthermore,Cox regression multivariate analysis identified per capita family monthly income,job type,RTW-SE,and FR as independent influencing factors for RTW(P<0.05).CONCLUSION The RTW rate requires further improvement.Elevated levels of RTW-SE and FR were found to significantly increase RTW among young and middle-aged CRC survivors.Health professionals should focus on modifiable factors,such as RTW-SE and FR,to design targeted RTW support programs,thereby facilitating their timely reintegration into mainstream society.
文摘The main goal of the study was to investigate the emotional costs experienced by the organizational newcomers during the first period of reemployment and its relation to general self-efficacy CGSE} and coping. The study was conducted among 123 previous unemployed, involving 88 reemployed and 35 interns. Questionnaires battery was administered in two waves {T1 and T2~ in the first month of reemployment and after three months. In this article, the data from T2 were analyzed, which allows observing the final results and interactions between research variables. The results showed emotional costs and GSE as significant predictors of coping in the work re-entry phase. Additionally, emotional costs partially mediate the effect of GSE on coping. The differences between both groups, the reemployed and interns were also analyzed.
基金the Ethics Committee of the Sichuan Institute of Industrial Technology(Decision No:GYKJ2020/058).the Sichuan Research Center for Mental Health Education Program(XLJKJY2004B)+2 种基金the Sichuan Research Center for Applied Psychology Program(CSXL-202A01)the Primary Health Development Research Center of Sichuan Province Program(SWFZ20-Q-041)the College Students’Innovation and Entrepreneurship Training Program of Sichuan Province(S202013816298).
文摘Objective:This study aimed to explore the mediating role of self-efficacy on the relationship between risk perception and the coping behavior of the elderly during the coronavirus disease 2019(COVID-19)pandemic.Methods:The study employed the convenience sampling method to select a total of 550 elderly from Chongqing,Chengdu and Luohe in China.A questionnaire composed of the perception scale,self-efficacy scale,and coping behavior scale was used to collect data.Results:Risk perception exerted a significantly direct effect on positive coping behavior and avoidant coping behavior.Moreover,it positively predicted the components of self-efficacy.In turn,self-efficacy positively predicted the components of positive coping behavior,which confirm that it plays a partial mediating role in the relationship between risk perception and positive coping behavior.Moreover,self-efficacy negatively predicted the components of avoidant coping behavior,which confirms that it also plays a partial mediating role in the relationship between risk perception and avoidant coping behavior.Conclusion:A simple mediation model revealed that self-efficacy partially mediated the direct and indirect effects of risk perception on coping behavior.Based on the results,the study recommended several countermeasures and suggestions for enhancing the positive coping behavior of the elderly during the COVID-19 pandemic.
文摘BACKGROUND Resilience is an individual’s ability and psychological rebound capacity to adapt well after experiencing adversity,trauma,etc.Patients with strong resilience can face illnesses actively.AIM To determine the association of resilience with coping styles and quality of life in patients with malignancies.METHODS This study included patients with malignant tumors who were hospitalized at Fuyang Hospital Affiliated to Anhui Medical University from March 2022 to March 2024.The Connor-Davidson Resilience Scale,Medical Coping Modes Questionnaire,Social Support Rating Scale,and the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 were utilized to assess patients’resilience,coping styles,social support,and quality of life,respectively.Pearson correlation analysis was conducted to assess the correlations.RESULTS A total of 175 patients with malignant tumors demonstrated no marked difference in terms of age,education level,employment status,monthly household income,and disease staging(P<0.05).Further,patients with malignancies demonstrated scores of 17.49±1.20,17.27±1.46,and 11.19±1.29 points in terms of coping styles in confrontation,avoidance,and resignation dimensions,respectively.Subjective support,objective support,and support utilization scores in terms of social support were 10.67±1.80,11.26±2.08,and 9.24±1.14 points,respectively.The total resilience score and tenacity,self-improvement,and optimism dimension scores were positively correlatedwith the confrontation coping style score,whereas the total resilience score and tenacity and self-improvementscores were negatively associated with avoidance and resignation coping style scores(P<0.05).The total resiliencescore and the tenacity dimension score were positively associated with physical,role,cognitive,emotional,andsocial functions,as well as global health status(P<0.05),and were inversely related to fatigue,insomnia,andeconomic difficulties(P<0.05).CONCLUSIONThe resilience of patients with malignancies is positively associated with the confrontation dimension in the copingstyle,the total and various social support domain scores,and the overall quality of life.Clinical medical staff needto pay attention to the effect of medical coping styles and social support on the resilience level of patients withmalignancies to further improve their quality of life.
基金supported by Social Policy Grant through Nazarbayev University,Kazakhstan.
文摘Objectives:Emotional exhaustion among healthcare professionals,particularly pharmacists,significantly impacts their well-being and efficacy in patient care.Understanding the psychological mechanisms contributing to emotional exhaustion is essential for developing effective interventions.The present research sought to investigate the potential mediating roles of rumination and coping strategies(adaptive and maladaptive)in the relationship between perceived stress and emotional exhaustion among pharmacists.Methods:A cross-sectional survey was carried out between September 2023 and January 2024 involving 576 pharmacists working in public hospitals in Punjab who met the inclusion criteria and actively participated in the study.We employed the Perceived Stress Scale,the Ruminative Response Scale,the Brief Coping Orientation to Problems Experienced Inventory(COPE),and the Oldenburg Burnout Inventory(OLBI)to assess the hypothesized study model.Path analysis was employed to test the hypothesized mediation model,incorporating simple and chain mediation processes.Results:The findings provided empirical evidence supporting a positive association between perceived stress and emotional exhaustion.Rumination significantlymediated this relationship.Further,both adaptive andmaladaptive coping strategieswere found tomediate this relationship,withmaladaptive coping demonstrating amore substantial impact.Conclusion:The chainmediation model demonstrated that rumination and coping strategies(both maladaptive and adaptive)significantly mediate the relationship between perceived stress and emotional exhaustion among pharmacists.Specifically,rumination was found to be a key mediator,with maladaptive coping strategies having a more substantial impact.These findings provide a deeper understanding of the psychological mechanisms contributing to emotional exhaustion in the pharmacy profession.
基金Tourism College of Zhejiang Fund provided financial support for this research(Project Number:2023CGYB05).
文摘Background:The academic community is increasingly interested in understanding the mechanisms through which gratitude influences coping strategies.In addition,the role of gratitude in fostering long-term resilience and mental health outcomes has garnered significant attention.This study explores the mechanisms through which gratitude affects problem-focused coping strategies and emotion-focused coping strategies by constructing models involving gratitude,perceived social support,self-esteem,and problem-focused coping strategies,as well as models involving gratitude,perceived social support,self-esteem,and emotion-focused coping strategies.Methods:A longitudinal survey was conducted on 1666 Chinese university students using highly reliable and valid scales,including the Gratitude Scale,Perceived Social Support Scale,Self-Esteem Scale,and Brief Coping Strategies Scale.To examine whether perceived social support and self-esteem play a significant indirect role in the relationship between gratitude and problem-focused coping strategies,as well as between gratitude and emotion-focused coping strategies.Differences in variables based on demographic variables:We used one-way ANOVA to test the differences in gratitude,perceived social support,self-esteem,problem-focused coping strategies,and emotion-focused coping strategies among students of different grades and ages.Additionally,independent samples t-tests were used to examine the differences between students of different genders and household registrations.Results:The study found that(1)Gratitude significantly positively predicted perceived social support(β=0.661,p<0.001),self-esteem(β=0.234,p<0.001),and problemfocused coping strategies(β=0.130,p<0.001);(2)Perceived social support significantly positively predicted self-esteem(β=0.440,p<0.001;β=0.439,p<0.001),problem-focused coping strategies(β=0.443,p<0.001),and emotion-focused coping strategies(β=0.279,p<0.001);(3)Self-esteem significantly positively predicted problem-focused coping strategies(β=0.172,p<0.001)and significantly negatively predicted emotion-focused coping strategies(β=−0.205,p<0.001);(4)Gratitude can influence problem-focused coping strategies through the dual indirect effect of two mediating variables.After the inclusion of the mediating variables,the effect of problem-focused coping strategies in the indirect model was further strengthened.(5)Gratitude can influence emotion-focused coping strategies through a completely indirect effect on perceived social support and self-esteem.After inserting the mediating variables,the effect of emotionfocused coping strategies in the mediating model is enhanced.Conclusion:Gratitude can directly and positively predict problem-focused coping strategies,and it can also positively predict problem-focused coping strategies through the dual indirect effect of two mediating variables.Gratitude does not significantly predict emotion-focused coping strategies directly,but it can influence emotion-focused coping strategies via a double indirect pathway.
文摘BACKGROUND Extended care based on self-efficacy theory to elderly patients with intertrochanteric fractures will provide data reference to optimize the care plan of these patients,reduce patients’concurrent mental diseases,and improve prognosis.AIM To analyze the value of extended nursing based on the self-efficacy theory in older patients with intertrochanteric fractures.METHODS Older patients with intertrochanteric fractures(n=88)admitted to our hospital between January 2021 and December 2024 were randomly divided into two groups-the control group(n=44,routine nursing)and the observation group(n=44,extended nursing)-via balloting and treated for 12 weeks.The mental state,pain severity,limb function,and self-nursing ability of all patients before and after nursing were analyzed.RESULTS After nursing,the Hamilton Anxiety Scale and General Self-Efficacy Scale scores of patients in the two groups improved.Notably,Hamilton Anxiety Scale and General Self-Efficacy Scale scores in the observation group were lower and higher,respectively,than those in the control group(P<0.05).The pain severity in the observation group(2.64±0.22)was lower than that in the control group(2.85±0.41)(P<0.05).The recovery rate of limb function was higher in the observation group than in the control group(P<0.05).In addition,the self-nursing ability scores of the patients in both groups increased,with a significantly higher score in the observation group(P<0.05).CONCLUSION Extended nursing based on the self-efficacy theory can significantly improve mental state,relieve pain,and promote the recovery of limb function and self-nursing ability in older patients with intertrochanteric fractures.
基金funded by National Social Science Foundation of China(Grant Number 24&ZD164)。
文摘Public participation is crucial in mitigating disasters.Stemming from the ongoing debate on benefit-and risk-driven approaches to landslide mitigation,this study seeks to uncover the factors and underlying mechanisms that affect farmers'willingness to participate in landslide prevention and mitigation(WPLPM).Conducted in Heifangtai,Gansu Province,China,renowned as the"landslide natural laboratory",this research employs multiple linear regression analysis on data from 399 questionnaires to pinpoint the key determinants of farmers'WPLPM.The findings reveal:(1)the"risk perception paradox"exists—farmers have high-risk perception but low WPLPM;(2)the impact of risk perception on WPLPM is tempered by self-efficacy related to fund,learning ability,and operation ability,offering an insight into the"risk perception paradox";and(3)There are significant positive influences of farmers'benefit perception,social network,and perceived responsibility on their WPLPM.Based on these insights,the study offers targeted policy recommendations.
基金supported by Foundation of Ministry of Education of China(22YJAZH109).
文摘Background:Chinese elementary students face mental health challenges due to excessive academic pressures.Previous research has indicated that resilience is crucial for improving their mental health,which is fostered by a supportive family environment.This study,therefore,explored the impact of family organization on children’s resilience and examined whether proactive coping and mindfulness mediate this relationship.Methods:Data were collected from 702 elementary school students(grades 3–6)in 3 cities in China using a multi-stage sampling procedure.Validated scales measured family organization,proactive coping,mindfulness,and resilience.The hypothesized model was tested using Structural Equation Modeling(SEM)in Mplus.Results:Resilience was strongly correlated with family organization(r=0.655,p<0.001),proactive coping(r=0.482,p<0.001),and mindfulness(r=0.639,p<0.001).Proactive coping and mindfulness mediated the relationship between family organization and resilience,with the direct effect accounting for 42.88%of the total effect.Indirect effects were distributed through two pathways:via mindfulness(41.41%)and via the“proactive coping→mindfulness”chain mediation(10.72%).Conclusions:This study reveals that effective family organization significantly enhances resilience among Chinese elementary students.Moreover,proactive coping and mindfulness serve as pivotal mediators in this relationship.These findings underscore the importance of understanding family organization and self-regulation,and their effects on the resilience of elementary pupils within the context of Chinese culture.
基金Supported by the Key Medical Research Project of Hebei Province in 2020,No.20201360.
文摘BACKGROUND Postpartum depression(PPD)represents a significant public health concern,adversely affecting both new mothers and their infants.Despite routine early screening,PPD can persist beyond the initial postpartum months,with notably high incidence rates even one year after childbirth.Persistent PPD has been associated with poor developmental outcomes in infants,highlighting the need for continued monitoring and support during this critical period.Understanding the broader impacts of persistent PPD is essential for developing effective interventions to improve maternal and infant well-being.AIM To explore the impact of persistent PPD on infant developmental behavior and maternal self-efficacy.METHODS We recruited 60 postpartum women who experienced persistent depression after childbirth in our hospital from January 2020 to December 2024 as the research subjects.The study collected basic characteristics of both infants and mothers,analyzed the self-efficacy of the mothers and the developmental behaviors of the infants,and conducted a correlation analysis to examine the relationship between postpartum persistent depression in mothers and the developmental behaviors and self-efficacy of infants.The Bootstrap method was used to verify the significance of the mediating effect.RESULTS The basic characteristics of infants and mothers show that 53.33%are male,58.33%are born via vaginal delivery,88.33%have a normal body mass index,51.67%are aged between 25 and 29 years,70%are non-agricultural workers,51.67%have a per capita household income over 4000 yuan,96.67%are full-term births,and 58.33%of the fathers are aged between 26 and 32 years.In terms of infant development behavior,the gross motor skills score is relatively low(38.44±12.15).Regarding maternal self-efficacy,the skill score(45.68±5.49)and mental activity score(46.37±3.72)are both at a low level.Correlation analysis reveals that postpartum persistent depression is significantly negatively correlated with maternal self-efficacy and infant development behavior(β=-0.439,-0.657,P<0.001),while self-efficacy is positively correlated with infant development behavior(β=0.728,P<0.001).The path coefficient and Bootstrap method test indicate that self-efficacy acts as a mediator between postpartum persistent depression and infant development behavior,accounting for 54.80%of the effect(P<0.05),while the direct effect of postpartum persistent depression on infant development behavior is 45.20%(P<0.05).CONCLUSION Persistent PPD significantly negatively impacts infant developmental outcomes,with maternal self-efficacy serving as a partial mediator.These findings suggest that interventions targeting both depressive symptoms and selfenhancement may effectively promote infant health development.
文摘BACKGROUND Patients with gastric cancer(GC)frequently experience notable psychological distress,which often manifests as anxiety and depression.Identifying key contributing factors is essential for developing effective interventions to improve mental health outcomes.AIM To investigate the relationships between anxiety/depression,self-efficacy,and social support in patients with GC and identified significant risk factors.METHODS We enrolled 124 patients with GC undergoing treatment at Chongqing University Cancer Hospital between May 2021 and May 2024.Information regarding the patients’anxiety and depression evaluated by the hospital anxiety and depression scale(HADS),[including a subscale for anxiety(HADS-A)and a separate subscale for depression(HADS-D)]self-efficacy,measured by the general self-efficacy scale(GSES),and social support,assessed by the perceived social support scale(PSSS),was gathered.Relationships among HADS,GSES,and PSSS scores were determined through Pearson correlation analysis.Risk factors for anxiety and depression among patients with GC were identified using univariate and multivariate analyses,specifically binary logistic regression.RESULTS The obtained data demonstrated mild psychological distress(mean HADS-A:8.74±3.70;mean HADS-D:10.26±3.84),suboptimal self-efficacy levels(GSES:17.81±5.45),and moderate social support(PSSS:56.27±11.28).Correlational analysis revealed significant inverse relationships between psychological distress(anxiety and depression)and both social support and self-efficacy(P<0.01),with self-efficacy showing a strong positive association with social support(P<0.01).Univariate analysis revealed that gender,age,clinical stage,tumor size,GSES,and PSSS were closely associated with anxiety and depression in patients with GC.Multivariate logistic regression identified three independent predictors of these mood disturbances:Advanced age(≥60),large tumor size(≥3 cm),and diminished GSES scores(<18).CONCLUSION Our findings suggest that patients with GC generally experience mild anxiety and depression,which are closely related to low self-efficacy and insufficient social support.Age,tumor size,and low self-efficacy are independent predictors of anxiety and depression.In clinical practice,psychosocial interventions should be integrated,with a focus on high-risk populations,to improve patients’mental health.
文摘This study aimed to explore the mediating roles of self-efficacy and intrinsic motivation on the relationship between teacher autonomy and teacher job satisfaction.Data were from the Teaching and Learning International Survey(TALIS 2018),with a sample of 3131 junior high school teachers(female=2337;male=794)from Shanghai,China.The mediating effect was analyzed using structural equation modeling.The results showed that teacher autonomy was positively associated with teacher job satisfaction,self-efficacy,and intrinsic motivation.Both self-efficacy and intrinsic motivation were associated with teacher job satisfaction.Self-efficacy was associated with teacher intrinsic motivation.Self-efficacy and intrinsic motivation not only served as independent mediators between teacher autonomy and teacher job satisfaction but also played a chain mediating role.Moreover,the separate mediating effect of self-efficacy was the most significant.Findings are consistent with the job demands-resources model by which diminished teacher autonomy ould explain lower teacher job satisfaction.
文摘Drawing upon self-determination theory,this study examines the effects of vicarious abusive supervision on third-party’s self-efficacy and task performance within organizational contexts.Data were collected via surveys from 337 employees across diverse organizations.The results indicate that vicarious abusive supervision significantly undermines both self-efficacy and task performance among employees who are indirectly exposed to such behavior but not directly targeted.Furthermore,self-efficacy serves as a mediator between vicarious abusive supervision and task performance;however,this mediating effect is attenuated for employees with a high promotion focus.These findings provide valuable theoretical and practical insights,particularly in the domain of organizational behavior,by emphasizing the critical role of promotion focus in mitigating the negative effects of vicarious abusive supervision.This research contributes to the organizational behavior literature by shifting the focus from the traditional supervisor-subordinate dynamic to a third-party perspective,thereby enriching our understanding of how vicarious abusive supervision impacts employees within organizational settings.The study underscores the importance of self-efficacy and promotion focus as key factors in unethical leadership contexts.
文摘BACKGROUND Global tumor incidence rises and therapies advance,driving oncology nursing specialization.Granting nurses prescriptive authority optimizes care but polarizes nurses'attitudes due to factors like risk and competence,hindering policy implementation.AIM To investigate the current status of the attitudes of oncology specialist nurses toward having prescribing authority,specifically concerning symptom management and supportive care in oncology practice,and we conducted a path analysis of their influencing factors.METHODS As participants in the survey,oncology specialist nurses working in hospitals of different grades in Jiangsu Province were selected from March 2025 to May 2025 using a stratified sampling method.The questionnaires were administered using the general information questionnaire,the beliefs and attitudes about nurses'prescriptive authority scale,the nurses'professional identity scale,and the selfefficacy scale.Pearson’s method was used to analyze the correlation between beliefs and attitudes about the prescriptive authority,professional identity,and self-efficacy of nurses.Multiple linear regression was performed to analyze the factors influencing the beliefs and attitudes of nurses’prescriptive authority.The Amos plug-in was used to construct structural equation models to analyze the influencing pathways.RESULTS A total of 329 questionnaires were distributed,and 328 valid questionnaires were returned(effective recovery rate:99.70%).The total score of the 328 oncology nurses on the beliefs and attitudes about nurses'prescriptive authority scale was 101.88±15.13,indicating a moderately high level.Univariate analysis revealed that gender and hospital grade were associated with this score(P<0.05).The Pearson correlation analysis revealed that self-efficacy was positively correlated with the scores of the beliefs and attitudes about nurses’prescriptive authority scale and the nurses’professional identity scale(r=0.4999,P<0.0001 and r=0.7048,P<0.05,respectively),whereas occupational identity was positively correlated only with the former(r=0.6209,P<0.05).Multiple linear regression analysis revealed occupational identity and self-efficacy as the factors influencing the scores of the beliefs and attitudes about nurses’prescriptive authority scale(P<0.05).The results of the path analysis revealed that selfefficacy significantly positively affected nurses’occupational identity and their beliefs and attitudes about having prescriptive authority;occupational identity played a mediating role between the two,with a mediating effect accounting for 54.46% of the total effect,and the structural equation model was well-fitted.CONCLUSION Oncology nurses have more positive attitudes toward prescriptive authority.In addition,self-efficacy positively and indirectly affects nurses’attitudes toward prescriptive authority through the mediating effect of occupational identity.This can be used as a basis for clinical practice to take targeted measures to improve nurses’self-efficacy and occupational identity,thus creating favorable conditions for effectively implementing the policy of prescriptive authority.
