جستجوی مقالات مرتبط با کلیدواژه « Coping with stress » در نشریات گروه « پزشکی »

Objectives :

This study aims to assess the structural relationship of decision-making and stress coping styles with suicidal ideation among second-year high school students, mediated by varieties of inner speech. 

Methods:

 This study uses the structural equation modeling (path analysis). The study population includes all high school students in Saqqez county, Iran in 2020-2021. Of these, 423 were selected by multi-stage cluster sampling method. The Beck Scale for Suicide Thought, Scott and Bruce’s General Decision-Making Questionnaire, Lazarus and Folkman’s way of coping Questionnaire, and the varieties of inner speech questionnaire-revised  were used to collect data. Data were analyzed using path analysis in SPSS software, vesion 19.

Results:

 The results showed that 22% of the variance in suicidal ideation was predicted by independent variables (F=9.15; P≤0.01; R2=0.22). The results of regression analysis showed that among the decision-making styles, dependent (r=0.150, P≤0.01), avoidant (r=0.289, P≤0.01), and spontaneous (r=0.259, P≤0.01) styles had a direct relationship with suicidal ideation, while the rational style (r=-0.151, P≤0.01) had an indirect relationship. Among the stress coping styles, the confrontative (r=0.189, P≤0.01) and escape-avoidance (r=0.449, P≤0.01) styles had a direct relationship with suicidal ideation, while the problem-based styles of re-appraisal (r=-0.178, P≤0.01) and social support (r=-0.131, P≤0.05) had an indirect relationship. Among the varieties of inner speech, the presence of other people (r=0.238, P≤0.001) and evaluative/critical (r=0.247, P≤0.001) had a direct relationship with suicidal ideation, while  positive/regulatory (r=-0.165, P≤0.01) had an indirect relationship.

Conclusion:

 The relationship of decision-making and stress coping styles with suicidal ideation among high school students can be mediated by inner speech styles. The present study has important implications for the study and prevention of suicide. Psychologists and clinicians should teach decision-making and stress-coping techniques to adolescents and consider their inner speech varieties.

Divorced women who are independent from their families, compared to divorced women who are dependent on their families, may show strategies to deal with tension, adapt to divorce, and feel lonely. The present study aimed to compare divorce adjustment, coping with stress and loneliness feeling in independent and family-dependent divorced women. 

The method of present research is descriptive-comparative. The statistical population of this research included all the divorced women covered by the Imam Khomeini Relief Foundation in Qom in 2019, from which 35 independent women and 35 women dependent on the family were selected through non-random and convenience sampling method. The research instruments included demographic questionnaire, "Fisher Divorce Adjustment Scale", "Coping Inventory for Stressful Situations" and "Loneliness Scale". Content validity of the instruments were measured by qualitative method and reliability by internal consistency method by calculating Cronbach's alpha coefficient. The data was analyzed in SPSS. 24.

The results of the multivariate analysis of variance showed that there was a significant difference between divorce adjustment (P=0.001, F=88.09), task-oriented coping (P=0.015, F=6.22), emotion-oriented coping (P=0.001, F=72.9), avoidant-distracted coping (P=0.001, F=11.7) and loneliness feeling (P=0.001, F=46.5) between independent and family-dependent divorced women.

Family-independent divorced women showed a higher score in task-oriented coping and a lower score in emotion-oriented and avoidant-distracted coping compared to family-dependent divorced women. Family-independent divorced women showed a higher score in the total score of divorce adjustment and a lower score in the total score of loneliness feeling compared to family-dependent divorced women. Therefore, it is suggested to the officials of the Imam Khomeini Relief Foundation to implement training courses on coping strategies to reduce the feeling of loneliness and increase adaptation to divorce and the independence of divorced women dependent on the family.

Stress is an undeniable fact and a factor in the evolution of human life and is known as one of the most important causes of diseases one of the groups that are exposed to various stresses is adolescents. One of the factors that makes some people less affected by different pressures and less injured is the use of coping skills against stressors. Spiritual intelligence, as one of the new concepts of intelligence, includes a kind of adaptation and problem-solving behavior that is important in terms of coping with stress. This study was conducted to investigate the relationship between spiritual intelligence and coping styles in adolescent girls in Gonabad in 2018.

This cross-sectional study was performed on 300 adolescent girls aged 12 to 16 years in Gonabad by stratified sampling. Data were collected through the Demographic Information Questionnaire, King Spiritual Intelligence Questionnaire, and endler parker's coping strategies Questionnaire among adolescent girls.

the average age of students, and parents were 14.25, 46.05, and 41.75 years, respectively. The results showed that the average score of spiritual intelligence was81.04±14.99. The highest average for stress coping style is related to the emotional area of 52.70±11.85. there is a significant relationship between spiritual intelligence and coping styles (P<0.001).

There is a significant relationship between spiritual intelligence and coping styles; spiritual intelligence and coping styles in adolescent girls can affect their physical and mental health.

Patients with symptoms of gastrointestinal disorders and ulcers constitute a large number of patients referred to general and internal clinics and preliminary studies of gastric ulcer have shown the role of psychological factors in the production of susceptible gastric ulcer. The aim of this study was to determine the effectiveness of cognitive-behavioral therapy on pain intensity and stress coping styles in patients with gastric ulcer.

The present study was an intervention with a pre-test, post-test and follow-up design with a control group. The statistical population was all patients with gastric ulcer referred to public health centers in Tehran in the winter of 2018. Among the volunteers participating in the study, 30 patients with gastric ulcer were selected by convenience sampling method and randomly assigned to the experimental group and the control group (15 people in each group). Measurement tools included McGill (2000) Pain Intensity Questionnaire and Andler & Parker (1990) coping styles. Subjects in the first experimental group participated in 8 sessions of 90-minute cognitive-behavioral therapy. The subjects in the control group did not receive psychological treatment during this period. For data analysis, mixed analysis of variance with repeated measures and post hoc tests were used.

Ethical considerations:

This study with the ID IR.IAU.K.REC.1397.85 has been approved by the Research Ethics Committee of the Islamic Azad University, Karaj Branch.

The results showed that cognitive-behavioral therapy led to an increase in problem-oriented coping style (P<0.01) and a decrease in emotion-focused coping styles (P<0.01) and avoidance (P<0.01). Also, the mean scores of pain intensity decreased compared to the control group (P<0.01).

It can be concluded that cognitive-behavioral therapy was effective on pain intensity and stress coping styles in patients with gastric ulcer.

Many different factors are considered as effective factor that cause and have effect on endurance of low back pain. Life style is one of these factors consisted of subsets that are related to life pattern. The relation between these factors and low back pain is not well studied thus the present study by purpose of studying coping with stress as a basic factor in relation with components of low back pain have been done.

from Social Welfare and Rehabilitation Sciences University of Tehran and Ferdowsi University of Mashhad of Iran 68 college students have participated in the study. All participants completed two questionnaires of Nordic musculoskeletal and Cassidi and Long problem-solving style. Analysis of data was conducted by SPSS v21 and Spearman correlation tests.

The results show that there is a positive correlation between age, education level and duration of low back pain with an efficient problem-solving style. On the other hand there is a negative correlation between inefficient problem-solving style and education level. In addition, results illustrate that there is a positive correlation between work absence and inefficient problem-solving style (p<0.05).

According to the results coping with stress style is an efficient factor in duration of low back pain and work absence. However, the effectiveness of this factor as a basic factor for the appearance of low back pain has not been shown in a proper manner.

How to cope with life stressors affects the quality of life of female headed households. Therefore, this study aimed to evaluate the effectiveness of the Stress immunization program on coping with stress, emotion regulation and mental health in female-headed households were covered by welfare organization.

This quasi-experimental research with pretest – posttest and control group design. 48 women covered city Khomeini Welfare Organization, which of these, randomly into two experimental and control groups were replaced. Data collected using of coping strategies, emotion regulation and General Health (GHQ-28) questionnaires, and the results were analyzed using Multivariate and analysis of covariance.

The results showed that Stress immunization program makes greater use of positive coping strategies such as problem-focused coping and emotion-focused coping is used less as a short-term strategies. Also, reassessment strategy at posttest in the experimental group was significantly higher than the scores of the control group and the strategy of repression in the posttest in the experimental group showed negative, also, results showing reduce symptoms of somatic, anxiety and insomnia, social dysfunction and depression in household women.

Based on the findings, it can be said that Stress immunization program is a multi-dimensional program and affect thoughts, emotions and behaviors in people and with factors such as cognitive restructuring, search for meaning, relaxation exercises and positive thinking, can have a significant impact on improving people mental health.

Diabetes is one of the most important internal disorders that human beings face. Diabetes, like other chronic and debilitating illnesses, causes problems for the person and affects all aspects of his/her life. Herein, we aimed to determine the effect of training spiritual/religious coping skills on level of anxiety and stress coping strategies of diabetic patients.

This was a quasi-experimental study with pretest-posttest design with control and test groups. A total of 30 women with type II diabetes were selected from among the diabetic patients by examining all the medical records in a trusted doctor’s office in Behshahr, Mazandaran, Iran. The samples were chosen through convenience sampling. The subjects were randomly assigned to control and test groups. The applied instruments were Kettle’s anxiety questionnaire and the Billings and Mouse's coping strategies questionnaire . The test group received the protocol of training spiritual/religious coping skills, while the test group received the routine treatment, and after the pre-test were included in the waiting list. Analysis of covariance was used to analyze the hypothesis.

The results showed that the spiritual/religious coping skills in the post-test lowered the level of anxiety and promoted stress coping strategy in the diabetic patients.

According to the results, spiritual/religious skills can be used as an effective and useful method for improving anxiety and stress coping strategies of diabetic patients.