Chronic pain and disability following acute orthopedic trauma are not only physical concerns but also deeply intertwined with psychological well-being.The recent retrospective cohort study by Yang et al,published,prov...Chronic pain and disability following acute orthopedic trauma are not only physical concerns but also deeply intertwined with psychological well-being.The recent retrospective cohort study by Yang et al,published,provides compelling evidence of significant associations between depression,anxiety,and postoperative recovery.These findings align with an expanding body of literature that confirms the need for orthopedic rehabilitation to adopt a biopsychosocial perspective.This letter contextualizes Yang et al’s study within current evidence,highlighting the roles of sleep disturbance,catastrophizing,stress,neurobiological mechanisms,and coping strategies in shaping recovery.It further emphasizes the importance of integrating nursing-led and multidisciplinary interventions to address both physical and psychological domains,ultimately promoting holistic recovery.展开更多
BACKGROUND Low anterior resection syndrome(LARS)is a prevalent and debilitating complication following sphincter-preserving surgery for rectal cancer.Evidence-based interventions for the concurrent psychological burde...BACKGROUND Low anterior resection syndrome(LARS)is a prevalent and debilitating complication following sphincter-preserving surgery for rectal cancer.Evidence-based interventions for the concurrent psychological burden are limited.Electroacupuncture has been proposed as a potential adjunctive therapy,but its psychological benefits remain inadequately studied.AIM To investigate the therapeutic effect of electroacupuncture on emotional recovery and gastrointestinal function in patients with moderate to severe LARS,and to explore its potential advantages in psychologically vulnerable subgroups.METHODS We conducted a retrospective,controlled study involving 100 patients with moderate to severe LARS(LARS score≥21)treated at two tertiary hospitals in China between January 2022 and December 2024.Patients received either standard postoperative care alone(n=50)or in combination with a standardized 4-week electroacupuncture protocol(n=50).Psychological and functional outcomes were assessed using validated instruments including Hospital Anxiety and Depression Scale(HADS),Body Image Scale(BIS),General Self-Efficacy Scale,Perceived Social Support Scale(PSSS),LARS score,and European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 at four time points.The primary endpoint was emotional remission,defined as a≥3-point reduction in HADS-Anxiety subscale(HADS-A).Analyses included repeated-measures comparisons,Kaplan-Meier survival curves,Cox regression models,and subgroup-interaction testing.RESULTS At baseline,demographic,surgical,and psychosocial characteristics were comparable among groups.By week 4,patients receiving electroacupuncture demonstrated significantly greater reductions in anxiety(HADS-A:4.8±2.6 vs 7.3±3.0;P<0.001),depression,and body-image disturbance(BIS:8.7±3.6 vs 11.9±4.2;P<0.001),alongside enhanced coping capacity(Brief Coping Orientation to Problems Experienced),perceived social support(PSSS),and bowel function(LARS score).Emotional remission-defined as a≥3-point HADS-A reduction-was achieved more rapidly in the electroacupuncture group,as confirmed by Kaplan-Meier analysis(log-rank P<0.001;odds ratio=4.7).Multivariate Cox regression identified higher baseline LARS and BIS scores as independent predictors of delayed emotional recovery.Subgroup analyses revealed significantly amplified treatment benefits in patients with high baseline anxiety(HADS-A≥8),elevated body-image disturbance(BIS≥12),or low perceived social support(PSSS<60),with consistent interaction effects(P for interaction<0.05 across subgroups).CONCLUSION Electroacupuncture may accelerate emotional recovery and improve functional and psychosocial outcomes in patients with LARS.Its integration into postoperative care may offer particular benefits for psychologically vulnerable subgroups.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
Background:Weight-related self-stigma(WRSS)is prevalent among individuals with different types of weight status and is associated with a range of negative health outcomes.Social support and coping models explain how i...Background:Weight-related self-stigma(WRSS)is prevalent among individuals with different types of weight status and is associated with a range of negative health outcomes.Social support and coping models explain how individuals may use different coping methods to deal with their mental health needs.Psychological distress(e.g.,depression and stress)could lead to overuse of social media and smartphones.When using social media or smartphones,individuals are likely to be exposed to negative comments regarding weight/shape/size posted on the social media.Consequently,individuals who experience problematic social media use(PSMU)or problematic smartphone use(PSPU)may develop WRSS.Therefore,the present study examined the roles of PSMU and PSPU as mediators in the relationship between psychological distress and WRSS.Methods:Using convenience sampling via an online survey,622 participants with a mean age of 23.70 years(SD=4.33)completed questions assessing sociodemographic variables,psychological distress,PSMU,PSPU,WRSS,and self-reported weight and height.Results:The hierarchical regression models showed that sex(β=0.08,p=0.01),BMI(β=0.39,p<0.001),depression(β=0.21,p=0.001),stress(β=0.18,p=0.01),PSMU(β=0.09,p=0.045),and PSPU(β=0.14,p=0.001)were significant factors for WRSS.Conclusion:The mediation models showed that both PSMU and PSPU were significant mediators in the relationships between depression and stress with WRSS.The present findings provide some evidence for understanding WRSS and has important implications for developing interventions to reduce its negative impact on individuals’health and well-being.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
1 Do you have a smartphone?How well do you think you'd cope if someone took it from you for three weeks?This was the challenge that 26 pupils at a school in Colchester,England,recently faced as part of an experime...1 Do you have a smartphone?How well do you think you'd cope if someone took it from you for three weeks?This was the challenge that 26 pupils at a school in Colchester,England,recently faced as part of an experiment to find out how living without a phone would affect them.展开更多
Low resilience levels in patients with cancer have been associated with anxiety,depression,and reduced quality-of-life(QoL),resilience serves as a crucial mediating variable in these pathways,constituting one of the m...Low resilience levels in patients with cancer have been associated with anxiety,depression,and reduced quality-of-life(QoL),resilience serves as a crucial mediating variable in these pathways,constituting one of the most actively investigated research domains.Recent studies on the correlation between resilience,coping styles,and QoL have offered important insights into the potential psychological mechanisms through which resilience could affect emotional well-being and overall QoL in patients with cancer.These findings suggest that low resilience constitutes a significant risk factor for cancer prognosis.This study reviews the negative impact of low resilience on cancer prognosis and highlights resilience-enhancing interventions.Promoting resilience-focused interventions may represent a promising approach to ameliorate anxiety and depression,thus improving QoL and potentially improving clinical prognosis for patients with cancer.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:With growing concerns about the abuse of prescription and over-the-counter(OTC)medications,such as medications for attention-deficit/hyperactivity disorder(ADHD),diet pills,and sleep aids,among adolescents ...Background:With growing concerns about the abuse of prescription and over-the-counter(OTC)medications,such as medications for attention-deficit/hyperactivity disorder(ADHD),diet pills,and sleep aids,among adolescents in South Korea,this study aimed to investigated how these substances affect key aspects of adolescent well-being,specifically school satisfaction,body image,and sleep quality,and their association with mental health outcomes.Methods:A two-wave longitudinal survey was conducted with Korean female high school students(Wave 1:n=494;Wave 2:n=189).Linear regression analyses were used to evaluate the effects of ADHD medications,diet pills,and sleep aids on changes in school satisfaction,body image,and sleep quality,respectively.We also examined the relationship between these outcomes and mental health indicators,including depression,anxiety,stress,and somatic symptoms.Results:In line with the Self-Medication Hypothesis,which suggests that substances may fail to alleviate stress or improve well-being,the use of ADHD medications was associated with a decrease in school satisfaction,diet pill use was not significantly associated with changes in body image,and sleep aid use was not significantly associated with changes in sleep quality.Poor school satisfaction,body image,and sleep quality were associated with negative mental health outcomes.Conclusion:These findings suggest that ADHD medications,diet pills,and sleep aids may not effectively improve school satisfaction,body image,or sleep quality,and could potentially exacerbate mental health challenges.展开更多
BACKGROUND Currently,there is limited research examining the relationship between anxiety,depression,coping styles,and illness uncertainty in patients with cervical cancer(CC)undergoing radiotherapy.Addressing this ga...BACKGROUND Currently,there is limited research examining the relationship between anxiety,depression,coping styles,and illness uncertainty in patients with cervical cancer(CC)undergoing radiotherapy.Addressing this gap could provide valuable insights and more reliable evidence for clinical practice targeting this patient population.AIM To analyze the anxiety,depression,and coping styles of patients with CC undergoing radiotherapy and explore their correlations with illness uncertainty.METHODS A total of 200 patients with CC undergoing radiotherapy at The First Affiliated Hospital of Soochow University between June 2018 and June 2022 were enrolled.Anxiety and depression were assessed using the Hospital Anxiety and Depression Scale(HADS),comprising subscales for anxiety(HADS-A)and depression(HADS-D).Coping styles were evaluated using the Jalowiec Coping Scale(JCS-60),comprising dimensions such as confrontive,evasive,optimistic,fatalistic,emotive,palliative,supportive,and self-reliant.Illness uncertainty was measured using the Mishel Uncertainty in Illness Scale(MUIS),encompassing ambiguity,complexity,information deficit,and unpredictability.Correlations among anxiety,depression,coping styles,and illness uncertainty were analyzed.RESULTS During radiotherapy,the mean scores were 7.12±3.39 for HADS-A,6.68±3.49 for HADS-D,1.52±0.23 for JCS-60,and 93.40±7.44 for MUIS.Anxiety(HADS-A≥8)was present in 39.5%of patients,depression(HADS-D≥8)in 41.0%,and both in 14.0%.Anxiety was significantly positively correlated with ambiguity,unpredictability,and total MUIS score(P<0.05).Depression was significantly positively correlated with ambiguity,information deficit,unpredictability,and total MUIS score(P<0.05).Most patients adopted an optimistic coping style,whereas the emotive style was least utilized.Evasive,fatalistic,and emotive coping styles were significantly positively correlated with illness uncertainty,whereas the self-reliant style was significantly negatively correlated with unpredictability(P<0.05).CONCLUSION Anxiety,depression,and coping styles in patients with CC undergoing radiotherapy correlate significantly with their level of illness uncertainty.Medical staff should address patients’psychological status and coping strategies by providing targeted information to reduce negative emotions,foster adaptive coping styles,and decrease illness uncertainty.展开更多
The coronavirus disease(COVID-19)pandemic introduced significant psychosocial stressors for morticians in South Africa,yet their coping mechanisms remain underexplored.This study investigated how South African morticia...The coronavirus disease(COVID-19)pandemic introduced significant psychosocial stressors for morticians in South Africa,yet their coping mechanisms remain underexplored.This study investigated how South African morticians(N=10,Black males)coped with these stressors during the pandemic through semi-structured interviews.Interpretative phenomenological analysis(IPA)informed thematic analysis identifiedfive themes:(i)death overload distress associated with trauma and fear of exposure;(ii)insomnia due to worry,workload,and fear of infection;(iii)stigmatisation from community avoidance and negative perceptions;(iv)social isolation and anxiety related to emotional disconnection,personal protective equipment(PPE)shortages,and workload demands;and(v)adaptive coping mechanisms such as acceptance,resilience,external support,and religious faith,alongside less beneficial maladaptive strategies.Findings highlight the importance of targeted mental health services,psychoeducation,and social inclusion programmes to support morticians managing psychosocial stress during community health crises.展开更多
Sandfly fever is a viral infectious disease transmitted by sand flies that is widely prevalent in tropical and subtropical regions.Previous studies on its infection mechanism,immune response and diagnosis and treatmen...Sandfly fever is a viral infectious disease transmitted by sand flies that is widely prevalent in tropical and subtropical regions.Previous studies on its infection mechanism,immune response and diagnosis and treatment methods were lack of systematic.This study applied spatio-temporal omics technology to comprehensively explain the dynamic changes of immunity in the incubation period,exacerbation period,peak period and recovery period of Sandfl y fever,and integrated with diff erent coping strategies.To provide new research ideas for its overall research.展开更多
Objective:To investigate the efficacy of a tripartite collaborative nursing intervention in enhancing resilience among families of pediatric leukemia patients.Methods:Based on Walsh’s family resilience theory and col...Objective:To investigate the efficacy of a tripartite collaborative nursing intervention in enhancing resilience among families of pediatric leukemia patients.Methods:Based on Walsh’s family resilience theory and collaborative nursing principles,and after reviewing a large amount of literature,a tripartite intervention was constructed,which was led by the nursing team,coordinated by medical social workers,and supported by volunteers.Caregivers of pediatric hematology inpatients at a tertiary-level Class A hospital were selected as research subjects.which were divided into a control group(n=30)and an experimental group(n=30)according to a randomized block design.The control group are treated with standard nursing care,which included health education,counseling,and psychological support from nurses.The experimental group,in addition,was provided with a tripartite collaborative nursing intervention for 3 months.Results:The family resilience level,social support,and family function scores of the experimental group were higher than those of the control group,and the differences were statistically significant(P≤0.05).Conclusion:The implementation of tripartite collaborative nursing intervention improves the resilience of families of children suffered from leukemia.展开更多
Work-related stress has become an alarming reality that continues to intensify over the past decades. The pressure exerted by the work environment demands the utilization of defensive and coping strategies to deal wit...Work-related stress has become an alarming reality that continues to intensify over the past decades. The pressure exerted by the work environment demands the utilization of defensive and coping strategies to deal with it. Our study aims to explore the relationship between professional stress factors, stress symptoms, and the consumption of psychoactive substances as a defensive and coping strategy deployed to address psychological distress at work. A qualitative and quantitative study was conducted with a sample of 405 employees from a wiring manufacturing. The main professional stress factors identified were concentration, overload, long working hours, and monotony, which showed a significant correlation with PAS consumption. Women were found to be more affected by stress and tended to consume more sedatives. Among the respondents, 21.98% reported PAS consumption, with tobacco being the most commonly used (M = 2.66), followed by alcohol (M = 1.94), cannabis (M = 1.79), and sedatives (M = 1.45). There was a significant positive correlation between PAS consumption and stress symptoms {tobacco (r = 0.232*), alcohol (r = 0.305**), cannabis (r = 0.389**)}.展开更多
Objectives:This study aimed to evaluate attitudes toward caring for terminally ill patients and identify the associated factors among community nurses in Shanghai.Methods:The study was conducted among community nurses...Objectives:This study aimed to evaluate attitudes toward caring for terminally ill patients and identify the associated factors among community nurses in Shanghai.Methods:The study was conducted among community nurses using convenience sampling in Shanghai between August and November 2023.The demographic questionnaire,the Frommelt Attitude Toward Care of the Dying Scale-B(FATCOD-B),and the Coping with Death Scale(CDS)were used for data collection.Data analysis was conducted using independent sample t-test,one-way analysis of variance,and multiple linear regression analysis.Results:A total of 1,396 community nurses participated in this study.The overall FATCOD-B score among community nurses was 102.27±10.23,the attitude toward caring for the dying person’s family dimension scored the highest(4.03±0.53),whereas the attitude toward the communication dimension scored the lowest(2.86±0.52).The overall CDS score was 130.78±20.25.Multiple linear regression analysis showed that death coping ability and blended death education accounted for 13.7%of the variance in community nurses’attitudes toward caring for terminally ill patients.Conclusions:Community nurses in Shanghai exhibit moderate attitudes toward caring for terminally ill patients.Nurses with greater death coping ability and those who participated in blended death education tended to have more positive attitudes toward terminally ill patients.These findingsunderscore the potential of blended death education as a practical strategy to enhance hospice care quality in community health service centers.展开更多
1|Goalie Phenomenon The goalie phenomenon describes a group of health issues that may become apparent in children who prefer playing as goalkeepers.This preference might not only be about the excitement of the role bu...1|Goalie Phenomenon The goalie phenomenon describes a group of health issues that may become apparent in children who prefer playing as goalkeepers.This preference might not only be about the excitement of the role but also as a coping mechanism for underlying health issues that make continuous running and high physical exertion challenging.The term highlights how certain positions in sports can sometimes obscure or reveal hidden health conditions,particularly among young athletes[1–3].To our knowledge,this is the first paper to formally introduce the term“Goalie phenomenon”in the literature exploring exerciseinduced asthma and sports role preferences in children.展开更多
文摘Chronic pain and disability following acute orthopedic trauma are not only physical concerns but also deeply intertwined with psychological well-being.The recent retrospective cohort study by Yang et al,published,provides compelling evidence of significant associations between depression,anxiety,and postoperative recovery.These findings align with an expanding body of literature that confirms the need for orthopedic rehabilitation to adopt a biopsychosocial perspective.This letter contextualizes Yang et al’s study within current evidence,highlighting the roles of sleep disturbance,catastrophizing,stress,neurobiological mechanisms,and coping strategies in shaping recovery.It further emphasizes the importance of integrating nursing-led and multidisciplinary interventions to address both physical and psychological domains,ultimately promoting holistic recovery.
文摘BACKGROUND Low anterior resection syndrome(LARS)is a prevalent and debilitating complication following sphincter-preserving surgery for rectal cancer.Evidence-based interventions for the concurrent psychological burden are limited.Electroacupuncture has been proposed as a potential adjunctive therapy,but its psychological benefits remain inadequately studied.AIM To investigate the therapeutic effect of electroacupuncture on emotional recovery and gastrointestinal function in patients with moderate to severe LARS,and to explore its potential advantages in psychologically vulnerable subgroups.METHODS We conducted a retrospective,controlled study involving 100 patients with moderate to severe LARS(LARS score≥21)treated at two tertiary hospitals in China between January 2022 and December 2024.Patients received either standard postoperative care alone(n=50)or in combination with a standardized 4-week electroacupuncture protocol(n=50).Psychological and functional outcomes were assessed using validated instruments including Hospital Anxiety and Depression Scale(HADS),Body Image Scale(BIS),General Self-Efficacy Scale,Perceived Social Support Scale(PSSS),LARS score,and European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 at four time points.The primary endpoint was emotional remission,defined as a≥3-point reduction in HADS-Anxiety subscale(HADS-A).Analyses included repeated-measures comparisons,Kaplan-Meier survival curves,Cox regression models,and subgroup-interaction testing.RESULTS At baseline,demographic,surgical,and psychosocial characteristics were comparable among groups.By week 4,patients receiving electroacupuncture demonstrated significantly greater reductions in anxiety(HADS-A:4.8±2.6 vs 7.3±3.0;P<0.001),depression,and body-image disturbance(BIS:8.7±3.6 vs 11.9±4.2;P<0.001),alongside enhanced coping capacity(Brief Coping Orientation to Problems Experienced),perceived social support(PSSS),and bowel function(LARS score).Emotional remission-defined as a≥3-point HADS-A reduction-was achieved more rapidly in the electroacupuncture group,as confirmed by Kaplan-Meier analysis(log-rank P<0.001;odds ratio=4.7).Multivariate Cox regression identified higher baseline LARS and BIS scores as independent predictors of delayed emotional recovery.Subgroup analyses revealed significantly amplified treatment benefits in patients with high baseline anxiety(HADS-A≥8),elevated body-image disturbance(BIS≥12),or low perceived social support(PSSS<60),with consistent interaction effects(P for interaction<0.05 across subgroups).CONCLUSION Electroacupuncture may accelerate emotional recovery and improve functional and psychosocial outcomes in patients with LARS.Its integration into postoperative care may offer particular benefits for psychologically vulnerable subgroups.
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 in part by(received funding from)the Ministry of Science and Technology,Taiwan(MOST 110-2410-H-006-115,MOST 111-2410-H-006-100)the National Science and Technology Council,Taiwan(NSTC 112-2410-H-006-089-SS2)+1 种基金the Higher Education Sprout Project,the Ministry of Education at the Headquarters of University Advancement at the National Cheng Kung University(NCKU)the 2021 Southeast and South Asia and Taiwan Universities Joint Research Scheme(NCKU 31).
文摘Background:Weight-related self-stigma(WRSS)is prevalent among individuals with different types of weight status and is associated with a range of negative health outcomes.Social support and coping models explain how individuals may use different coping methods to deal with their mental health needs.Psychological distress(e.g.,depression and stress)could lead to overuse of social media and smartphones.When using social media or smartphones,individuals are likely to be exposed to negative comments regarding weight/shape/size posted on the social media.Consequently,individuals who experience problematic social media use(PSMU)or problematic smartphone use(PSPU)may develop WRSS.Therefore,the present study examined the roles of PSMU and PSPU as mediators in the relationship between psychological distress and WRSS.Methods:Using convenience sampling via an online survey,622 participants with a mean age of 23.70 years(SD=4.33)completed questions assessing sociodemographic variables,psychological distress,PSMU,PSPU,WRSS,and self-reported weight and height.Results:The hierarchical regression models showed that sex(β=0.08,p=0.01),BMI(β=0.39,p<0.001),depression(β=0.21,p=0.001),stress(β=0.18,p=0.01),PSMU(β=0.09,p=0.045),and PSPU(β=0.14,p=0.001)were significant factors for WRSS.Conclusion:The mediation models showed that both PSMU and PSPU were significant mediators in the relationships between depression and stress with WRSS.The present findings provide some evidence for understanding WRSS and has important implications for developing interventions to reduce its negative impact on individuals’health and well-being.
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1 Do you have a smartphone?How well do you think you'd cope if someone took it from you for three weeks?This was the challenge that 26 pupils at a school in Colchester,England,recently faced as part of an experiment to find out how living without a phone would affect them.
文摘Low resilience levels in patients with cancer have been associated with anxiety,depression,and reduced quality-of-life(QoL),resilience serves as a crucial mediating variable in these pathways,constituting one of the most actively investigated research domains.Recent studies on the correlation between resilience,coping styles,and QoL have offered important insights into the potential psychological mechanisms through which resilience could affect emotional well-being and overall QoL in patients with cancer.These findings suggest that low resilience constitutes a significant risk factor for cancer prognosis.This study reviews the negative impact of low resilience on cancer prognosis and highlights resilience-enhancing interventions.Promoting resilience-focused interventions may represent a promising approach to ameliorate anxiety and depression,thus improving QoL and potentially improving clinical prognosis for patients with cancer.
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 Ministry of Education of the Republic of Korea and the National Research Foundation of Korea(NRF-2024S1A5A2A03040479)。
文摘Background:With growing concerns about the abuse of prescription and over-the-counter(OTC)medications,such as medications for attention-deficit/hyperactivity disorder(ADHD),diet pills,and sleep aids,among adolescents in South Korea,this study aimed to investigated how these substances affect key aspects of adolescent well-being,specifically school satisfaction,body image,and sleep quality,and their association with mental health outcomes.Methods:A two-wave longitudinal survey was conducted with Korean female high school students(Wave 1:n=494;Wave 2:n=189).Linear regression analyses were used to evaluate the effects of ADHD medications,diet pills,and sleep aids on changes in school satisfaction,body image,and sleep quality,respectively.We also examined the relationship between these outcomes and mental health indicators,including depression,anxiety,stress,and somatic symptoms.Results:In line with the Self-Medication Hypothesis,which suggests that substances may fail to alleviate stress or improve well-being,the use of ADHD medications was associated with a decrease in school satisfaction,diet pill use was not significantly associated with changes in body image,and sleep aid use was not significantly associated with changes in sleep quality.Poor school satisfaction,body image,and sleep quality were associated with negative mental health outcomes.Conclusion:These findings suggest that ADHD medications,diet pills,and sleep aids may not effectively improve school satisfaction,body image,or sleep quality,and could potentially exacerbate mental health challenges.
基金Supported by National Natural Science Foundation of China,No.81602792The Natural Science Foundation of the Jiangsu Higher Education Institutions of China,No.23KJB310023+5 种基金Jiangsu Provincial Medical Key Discipline,No.ZDXK202235The Maternal and Child Health Research Project of Jiangsu Province,No.F202210The Project of State Key Laboratory of Radiation Medicine and Protection,Soochow University,No.GZK1202101Suzhou Science and Technology Development Plan Project,No.KJXW2020008BOXI Natural Science Cultivation Foundation of China of The First Affiliated Hospital of Soochow University,No.BXQN202107Clinical Diagnosis and Treatment Technology Innovation Project Youth Characteristic Technology Project of The First Affiliated Hospital of Soochow University,No.2100201.
文摘BACKGROUND Currently,there is limited research examining the relationship between anxiety,depression,coping styles,and illness uncertainty in patients with cervical cancer(CC)undergoing radiotherapy.Addressing this gap could provide valuable insights and more reliable evidence for clinical practice targeting this patient population.AIM To analyze the anxiety,depression,and coping styles of patients with CC undergoing radiotherapy and explore their correlations with illness uncertainty.METHODS A total of 200 patients with CC undergoing radiotherapy at The First Affiliated Hospital of Soochow University between June 2018 and June 2022 were enrolled.Anxiety and depression were assessed using the Hospital Anxiety and Depression Scale(HADS),comprising subscales for anxiety(HADS-A)and depression(HADS-D).Coping styles were evaluated using the Jalowiec Coping Scale(JCS-60),comprising dimensions such as confrontive,evasive,optimistic,fatalistic,emotive,palliative,supportive,and self-reliant.Illness uncertainty was measured using the Mishel Uncertainty in Illness Scale(MUIS),encompassing ambiguity,complexity,information deficit,and unpredictability.Correlations among anxiety,depression,coping styles,and illness uncertainty were analyzed.RESULTS During radiotherapy,the mean scores were 7.12±3.39 for HADS-A,6.68±3.49 for HADS-D,1.52±0.23 for JCS-60,and 93.40±7.44 for MUIS.Anxiety(HADS-A≥8)was present in 39.5%of patients,depression(HADS-D≥8)in 41.0%,and both in 14.0%.Anxiety was significantly positively correlated with ambiguity,unpredictability,and total MUIS score(P<0.05).Depression was significantly positively correlated with ambiguity,information deficit,unpredictability,and total MUIS score(P<0.05).Most patients adopted an optimistic coping style,whereas the emotive style was least utilized.Evasive,fatalistic,and emotive coping styles were significantly positively correlated with illness uncertainty,whereas the self-reliant style was significantly negatively correlated with unpredictability(P<0.05).CONCLUSION Anxiety,depression,and coping styles in patients with CC undergoing radiotherapy correlate significantly with their level of illness uncertainty.Medical staff should address patients’psychological status and coping strategies by providing targeted information to reduce negative emotions,foster adaptive coping styles,and decrease illness uncertainty.
文摘The coronavirus disease(COVID-19)pandemic introduced significant psychosocial stressors for morticians in South Africa,yet their coping mechanisms remain underexplored.This study investigated how South African morticians(N=10,Black males)coped with these stressors during the pandemic through semi-structured interviews.Interpretative phenomenological analysis(IPA)informed thematic analysis identifiedfive themes:(i)death overload distress associated with trauma and fear of exposure;(ii)insomnia due to worry,workload,and fear of infection;(iii)stigmatisation from community avoidance and negative perceptions;(iv)social isolation and anxiety related to emotional disconnection,personal protective equipment(PPE)shortages,and workload demands;and(v)adaptive coping mechanisms such as acceptance,resilience,external support,and religious faith,alongside less beneficial maladaptive strategies.Findings highlight the importance of targeted mental health services,psychoeducation,and social inclusion programmes to support morticians managing psychosocial stress during community health crises.
基金College Students Innovation and Entrepreneurship Training Program(X202511049398)College Students Innovation and Entrepreneurship Training Program(X202511049201)+1 种基金College Students Innovation and Entrepreneurship Training Program(X202511258005S)University-Level Research Funding Program of Hainan Science and Technology Vocational University(HKKY2024-87)。
文摘Sandfly fever is a viral infectious disease transmitted by sand flies that is widely prevalent in tropical and subtropical regions.Previous studies on its infection mechanism,immune response and diagnosis and treatment methods were lack of systematic.This study applied spatio-temporal omics technology to comprehensively explain the dynamic changes of immunity in the incubation period,exacerbation period,peak period and recovery period of Sandfl y fever,and integrated with diff erent coping strategies.To provide new research ideas for its overall research.
基金Hubei Provincial Department of Education Humanities and Social Sciences Youth Project(Project No.:19Q137)Hubei Provincial Department of Education Humanities and Social Sciences Youth Project(Project No.:23Q183)。
文摘Objective:To investigate the efficacy of a tripartite collaborative nursing intervention in enhancing resilience among families of pediatric leukemia patients.Methods:Based on Walsh’s family resilience theory and collaborative nursing principles,and after reviewing a large amount of literature,a tripartite intervention was constructed,which was led by the nursing team,coordinated by medical social workers,and supported by volunteers.Caregivers of pediatric hematology inpatients at a tertiary-level Class A hospital were selected as research subjects.which were divided into a control group(n=30)and an experimental group(n=30)according to a randomized block design.The control group are treated with standard nursing care,which included health education,counseling,and psychological support from nurses.The experimental group,in addition,was provided with a tripartite collaborative nursing intervention for 3 months.Results:The family resilience level,social support,and family function scores of the experimental group were higher than those of the control group,and the differences were statistically significant(P≤0.05).Conclusion:The implementation of tripartite collaborative nursing intervention improves the resilience of families of children suffered from leukemia.
文摘Work-related stress has become an alarming reality that continues to intensify over the past decades. The pressure exerted by the work environment demands the utilization of defensive and coping strategies to deal with it. Our study aims to explore the relationship between professional stress factors, stress symptoms, and the consumption of psychoactive substances as a defensive and coping strategy deployed to address psychological distress at work. A qualitative and quantitative study was conducted with a sample of 405 employees from a wiring manufacturing. The main professional stress factors identified were concentration, overload, long working hours, and monotony, which showed a significant correlation with PAS consumption. Women were found to be more affected by stress and tended to consume more sedatives. Among the respondents, 21.98% reported PAS consumption, with tobacco being the most commonly used (M = 2.66), followed by alcohol (M = 1.94), cannabis (M = 1.79), and sedatives (M = 1.45). There was a significant positive correlation between PAS consumption and stress symptoms {tobacco (r = 0.232*), alcohol (r = 0.305**), cannabis (r = 0.389**)}.
基金supported by the“Climbing Plan”for Outstanding Young Teachers at Shanghai University of Medicine&Health Sciences(A3-0200-21-311008)Ministry of Education of Humanities and Social Science Project(23YJC630002).
文摘Objectives:This study aimed to evaluate attitudes toward caring for terminally ill patients and identify the associated factors among community nurses in Shanghai.Methods:The study was conducted among community nurses using convenience sampling in Shanghai between August and November 2023.The demographic questionnaire,the Frommelt Attitude Toward Care of the Dying Scale-B(FATCOD-B),and the Coping with Death Scale(CDS)were used for data collection.Data analysis was conducted using independent sample t-test,one-way analysis of variance,and multiple linear regression analysis.Results:A total of 1,396 community nurses participated in this study.The overall FATCOD-B score among community nurses was 102.27±10.23,the attitude toward caring for the dying person’s family dimension scored the highest(4.03±0.53),whereas the attitude toward the communication dimension scored the lowest(2.86±0.52).The overall CDS score was 130.78±20.25.Multiple linear regression analysis showed that death coping ability and blended death education accounted for 13.7%of the variance in community nurses’attitudes toward caring for terminally ill patients.Conclusions:Community nurses in Shanghai exhibit moderate attitudes toward caring for terminally ill patients.Nurses with greater death coping ability and those who participated in blended death education tended to have more positive attitudes toward terminally ill patients.These findingsunderscore the potential of blended death education as a practical strategy to enhance hospice care quality in community health service centers.
文摘1|Goalie Phenomenon The goalie phenomenon describes a group of health issues that may become apparent in children who prefer playing as goalkeepers.This preference might not only be about the excitement of the role but also as a coping mechanism for underlying health issues that make continuous running and high physical exertion challenging.The term highlights how certain positions in sports can sometimes obscure or reveal hidden health conditions,particularly among young athletes[1–3].To our knowledge,this is the first paper to formally introduce the term“Goalie phenomenon”in the literature exploring exerciseinduced asthma and sports role preferences in children.
