Artículos de revistas: "Brief Cope"

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Rand, Kevin L., Andrea A. Cohee, Patrick O. Monahan, Lynne I. Wagner, Mackenzie L. Shanahan y Victoria L. Champion. "Coping Among Breast Cancer Survivors: A Confirmatory Factor Analysis of the Brief COPE". Journal of Nursing Measurement 27, n.º 2 (1 de agosto de 2019): 259–76. http://dx.doi.org/10.1891/1061-3749.27.2.259.

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Background and PurposeCancer survivors continue to cope with significant stressors after completing treatment. The Brief COPE (Carver, 1997) is frequently used to measure coping; however, its factor structure remains unclear. The purpose of this study was to determine the best factor conceptualization of the Brief COPE for use among breast cancer survivors.MethodsBreast cancer survivors (N = 1,127) completed the Brief COPE. We conducted confirmatory factor analyses comparing several a priori models based on research in cancer-relevant populations.ResultsOf the eight models examined, the 14-factor model of the Brief COPE showed the best fit.ConclusionsDespite efforts to simplify the structure of the Brief COPE, our results suggest coping among breast cancer survivors is best assessed using Carver's (1997) original 14-factor conceptualization.

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Nisa, Asma y Salma Siddiqui. "Urdu Translation and Adaptation of Brief COPE Scale". Pakistan Journal of Psychological Research 35, n.º 1 (20 de mayo de 2020): 1–21. http://dx.doi.org/10.33824/pjpr.2020.35.1.1.

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The phenomenon of coping has received remarkable recognition and instruments have been developed to survey diverse coping strategies. This study was aimed to translate, adapt, and validate Brief Coping Orientation of Problems Experienced (Brief COPE) inventory (Carver, 1997) in Urdu language by focusing on dispositional coping. The study includes two phases: Phase I comprised of translation and adaptation of Brief COPE in Urdu while in Phase II, psychometric analyses were carried out. The sample of 400 students (men = 200, women = 200) with age range between 19 to 25 years was taken from universities of Islamabad. The Brief COPE (Urdu), World Health Organization - Quality of Life Scale-Brief (Khan, Akhter, Ayub, Alam, & Naeem, 2003), and Aga Khan University Anxiety and Depression Scale (Ali, Reza, Khan, & Jehan, 1998) were administered. Factor analysis of Brief COPE yielded three factors namely, Problem Focused Coping, Avoidance Coping and Emotion Focused Coping that explained 33.66% of variance. The subscales demonstrated acceptable alpha reliability. Psychological distress correlated with avoidance and emotion focused coping; whereas problem focused coping correlated with better life satisfaction. Brief COPE demonstrated good preliminary evidence of internal consistency, convergent, and divergent validity for coping strategies, therefore, could be used in research and clinical settings in future in our culture.

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Morán Astorga, Consuelo, René Landero Hernández y Mónica Teresa González Ramírez. "COPE-28: un análisis psicométrico de la versión en español del brief COPE". Universitas Psychologica 9, n.º 2 (16 de junio de 2010): 543–52. http://dx.doi.org/10.11144/javeriana.upsy9-2.capv.

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El propósito del presente es analizar las propiedades psicométricas del cuestionario Brief COPE en población española, analizando la estructura y dimensiones básicas del cuestionario, llamando COPE-28 a la versión española del mismo. La muestra fue de 260 adultos. Para analizar la estructura factorial, se realizó un análisis factorial exploratorio con el método de componentes principales y rotación varimax. Posteriormente se realizó un análisis factorial de segundo orden con las subescales que forman el COPE-28. El resultado de la prueba KMO pone en duda la factibilidad de realizar un análisis factorial; el análisis no confirma la estructura factorial original del instrumento. Con base en los resultados obtenidos se afirma que la validez del COPE-28 no es concluyente.

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Yuan, Wei, Li-fang Zhang y Bing Li. "Adapting the Brief COPE for Chinese Adolescents with Visual Impairments". Journal of Visual Impairment & Blindness 111, n.º 1 (enero de 2017): 20–32. http://dx.doi.org/10.1177/0145482x1711100103.

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Introduction The present research pioneered the effort in assessing adolescents’ coping with visual impairment through adapting the Brief COPE in an eastern context. The first study preliminarily explored the applicability of the Brief COPE to Chinese adolescent students with visual impairments. Based on the results, the Brief COPE was modified and renamed, COPE-Revised. The second study tested the internal psychometric properties and the criterion-related validity of the COPE-Revised. Criterion-related validity was obtained through investigating the correlation between coping and self-esteem. Method The first study involved 176 adolescent students with visual impairments, comprising a survey using the Brief COPE and follow-up interviews. In the second study, another cohort of 170 adolescent students with visual impairments responded to the COPE-Revised together with an inventory assessing self-esteem. Results The COPE-Revised showed adequate psychometric properties. Three higher-order factors, namely self-directed, other-directed, and relinquished-control coping, were identified. The way in which self-esteem was correlated with these three dimensions of coping provided evidence for the criterion-related validity of the COPE-Revised. Discussion The findings indicate that the COPE-Revised has sound psychometric properties among adolescents with visual impairments. Limitations regarding the sample-selection bias and the means of questionnaire survey among visually impaired adolescents are noted. Implications for practitioners This research tailored a coping inventory for educators, counselors, and researchers who are interested in investigating adolescents’ ability to cope with visual impairments. The relationship between coping with visual impairment and self-esteem found in this research has reference significance for educational and counseling services for visually impaired adolescents.

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Reich, Micaela, César Daniel Costa Ball y Eduardo Remor. "Estudio de las propiedades psicométricas del Brief COPE para una muestra de mujeres uruguayas". Avances en Psicología Latinoamericana 34, n.º 3 (8 de septiembre de 2016): 615. http://dx.doi.org/10.12804/apl34.3.2016.13.

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La escala Brief COPE (Carver, 1997) es la ampliamente utilizada versión abreviada del COPE inventory (Carver, Scheier, & Weintraub, 1989), que ha demostrado ser de utilidad para evaluar las estrategias de afrontamiento en investigaciones en salud. El Brief COPE-versión en español (Perczek, Carver, Price, & Pozo-Kaderman, 2000) consta de 12 subescalas compuestas por dos ítems cada una. Se estudian las propiedades psicométricas del Brief COPE, en su versión en castellano a partir del estudio en una muestra de 203 mujeres adultas pertenecientes a la población general uruguaya. El Análisis Factorial Exploratorio, analizando los ítems, indica la existencia de 4 factores para la muestra estudiada. La agrupación resultó considerablemente coincidente con la reportada por los autores de la escala. Fiabilidad y evidencias de validez obtenidas con el Brief COPE para la presente muestra avalan su uso en el ámbito de la investigación en población del sexo femenino en Uruguay.

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Cramer, Robert J., Abby Braitman, Claire N. Bryson, Molly M. Long y Amanda C. La Guardia. "The Brief COPE: Factor Structure and Associations With Self- and Other-Directed Aggression Among Emerging Adults". Evaluation & the Health Professions 43, n.º 2 (8 de septiembre de 2019): 120–30. http://dx.doi.org/10.1177/0163278719873698.

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The Brief COPE has seen frequent use across populations despite lack of confirmatory factor-analytic examination. We further examine Brief COPE validity with respect to self- and other-directed aggression because emerging adulthood represents a distinct developmental time period in which stress, poor coping, and aggression intersect. Drawing on archival data ( n = 576) from a larger investigation of college student health, this cross-sectional survey study tested (1) four competing Brief COPE factor structures, (2) Brief COPE factor associations with aggression, and (3) stress by coping interactions predicting aggression outcomes. Prominent findings included (1) poor-to-marginal confirmatory factor-analytic support for a four-factor structure; (2) positive bivariate associations of avoidant coping with elevated stress, depression, suicide, self-injury, and aggression; (3) positive bivariate associations between adaptive coping strategies with stress and aggression; and (4) an interaction where avoidant coping has a stronger association with other-directed aggression for those low in stress. The interaction findings were significant for males only and applied specifically to hostility. Findings are contextualized within future Brief COPE research as well as emerging adulthood theory.

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Meyer, Jill M. y Susan Kashubeck-West. "Coping and Late-Deafness: An Examination of Two Measures". Rehabilitation Research, Policy, and Education 29, n.º 4 (2015): 371–90. http://dx.doi.org/10.1891/2168-6653.29.4.371.

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Purpose: To examine the psychometric properties of two measures of coping in a sample of individuals with acquired hearing loss, specifically late-deafness.Methods: Using a quantitative descriptive design, coping of participants (N = 277) with late-deafness was measured to examine the reliability and validity of the Ways of Coping Questionnaire (WCQ) and the Brief Coping with Problems Experienced (Brief COPE).Results: Internal consistency estimates were adequate. Confirmatory factor analyses indicated that the hypothesized factor structures were not supported. Exploratory factor analyses revealed that three factors best fit the WCQ data. For the Brief COPE, 6 factors best fit the data.Conclusion: This study demonstrates the utility of the Brief COPE when working with individuals with late-deafness as an appropriate measure of coping.

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Carta, Gaspare, Angela D’Alfonso, Ilaria Colagrande, Paola Catana, Massimo Casacchia y Felice Patacchiola. "Post-earthquake birth-rate evaluation using the brief cope". Journal of Maternal-Fetal & Neonatal Medicine 25, n.º 11 (25 de junio de 2012): 2411–14. http://dx.doi.org/10.3109/14767058.2012.697945.

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Nunes, Cristina, Javier Pérez-Padilla, Cátia Martins, Pedro Pechorro, Lara Ayala-Nunes y Laura I. Ferreira. "The Brief COPE: Measurement Invariance and Psychometric Properties among Community and At-Risk Portuguese Parents". International Journal of Environmental Research and Public Health 18, n.º 6 (10 de marzo de 2021): 2806. http://dx.doi.org/10.3390/ijerph18062806.

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Parenting generally brings about high internal and external demands, which can be perceived as stressful when they exceed families’ resources. When faced with such stressors, parents need to deploy several adaptive strategies to successfully overcome these challenges. One of such strategies is coping, an important cognitive and behavioural skill. In this study, we intended to examine the psychometric properties of Carver’s (1997) Brief COPE (Coping Orientation to Problems Experienced), extending its cross-cultural validity among a Portuguese sample of community and at-risk parents. The sample comprised community (n = 153) and at-risk (n = 116) parents who completed the brief COPE, the Family Adaptability and Cohesion Scales and the Parenting Stress Index—Short Form. Confirmatory factor analysis, internal consistency, cross sample invariance, convergent and discriminant validity were analysed. Data from the confirmatory factor analysis revealed that the 14-factor model obtained the best fit. The results provided evidence that the Brief COPE is a psychometrically sound instrument that shows measurement invariance across samples and good reliability. Our findings demonstrated that the Portuguese version of brief COPE is a useful, time-efficient tool for both practitioners and researchers who need to assess coping strategies, a relevant construct in family context.

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Serrano, Cristina, Yolanda Andreu, Paula Martínez y Sergio Murgui. "Improving the comparability of Brief-COPE results through examination of second-order structures: A study with Spanish adolescents". Behavioral Psychology/Psicología Conductual 29, n.º 2 (1 de septiembre de 2021): 437–54. http://dx.doi.org/10.51668/bp.8321213s.

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The Brief-Coping Orientation to Problems Experienced (Brief-COPE) is a widely used instrument, although with limitations regarding reliability and factorial structure. This study with 611 adolescents examines the Brief-COPE’s internal structure, reliability, and convergent validity. Structures tested through confirmatory factor analysis were the original 14 subscales, as well as three second-order structures derived from previous COPE research and from Connor-Smith and Flachsbart’s proposal. All the structures examined obtained a good fit. However, internal consistency and convergent validity findings only supported the use of a model in which religion and self-blame constitute independent subscales while the remaining subscales shaped three second-order factors: self-sufficient, socially supported, and disengagement coping. This hierarchical structure reflects a model emphasized by research with adolescents, makes the use of this instrument valuable, and does not prevent the exploration of original subscales with appropriate reliability levels. Consequently, our results constitute a significant step forward in the improvement of the usefulness and comparability of the coping results obtained with the Brief-COPE.

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Peters, Rosalind M., Marvin A. Solberg, Thomas N. Templin y Andrea E. Cassidy-Bushrow. "Psychometric Properties of the Brief COPE Among Pregnant African American Women". Western Journal of Nursing Research 42, n.º 11 (26 de febrero de 2020): 927–36. http://dx.doi.org/10.1177/0193945920907686.

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This paper describes the assessment of the psychometric properties of the Brief COPE in a sample of 189 pregnant African-American women. Confirmatory factor analysis (CFA) tested the original 14-factor model, and exploratory structural equation modeling (ESEM) determined whether a reduced number of factors still accounted for inter-item covariances. The CFA replicated 13 of the 14 original factors. After deleting substance use items and allowing for correlated error across the support factors, the 13-factor model achieved an acceptable fit (CMIN/ df = 1.77; RMSEA = 0.06, 95% CI = 0.05–0.07). ESEM resulted in three second-order factors: disengaged, active, and social support coping. Factor items were summed to create subscales with good internal consistency reliability (α = .74–.89). Social support coping and active coping were strongly correlated and accounted for nearly the same variance in four different psychological/affect scales, while disengaged coping was clearly distinct.

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Brasileiro, Sarah V., Mara R. C. A. Orsini, Julianna A. Cavalcante, Daniel Bartholomeu, José M. Montiel, Paulo S. S. Costa y Luciane R. Costa. "Controversies Regarding the Psychometric Properties of the Brief COPE: The Case of the Brazilian-Portuguese Version “COPE Breve”". PLOS ONE 11, n.º 3 (23 de marzo de 2016): e0152233. http://dx.doi.org/10.1371/journal.pone.0152233.

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Tang, Kristen N. S., Christian S. Chan, Janice Ng y Chun-Hei Yip. "Action Type-Based Factorial Structure of Brief COPE among Hong Kong Chinese". Journal of Psychopathology and Behavioral Assessment 38, n.º 4 (1 de junio de 2016): 631–44. http://dx.doi.org/10.1007/s10862-016-9551-0.

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Wang, Ashley Wei-Ting, Chung-Ping Cheng, Cheng-Shyong Chang, Dar-Ren Chen, Shou-Tung Chen, Vincent Shieh, Angela Lo y Wen-Yau Hsu. "Does the Factor Structure of the Brief COPE Fit Different Types of Traumatic Events?" European Journal of Psychological Assessment 34, n.º 3 (mayo de 2018): 162–73. http://dx.doi.org/10.1027/1015-5759/a000321.

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Abstract. The current study aims to explore the likelihood of there being a higher-order factorial model of the Brief COPE ( Carver, 1997 ) that is equally appropriate and valid for different traumatic groups (i.e., breast cancer patients and female flood survivors) at 3–4 months after the traumatic event. Both groups of participants include 180 survivors. Five factorial models for the Brief COPE were identified when reviewing the literature, and model comparisons were made by conducting confirmatory factor analyses (CFAs). The three dimensions of the Brief COPE posited by Litman (2006) and Gutiérrez, Peri, Torres, Caseras, and Valdés (2007) , namely self-sufficient coping, socially-supported coping, and avoidant coping, were supported in both traumatic populations. Tests of measurement invariance generally supported invariance (factor form, factor loadings, item intercepts, error variances, factor variances, and covariances) across groups, implying that groups perceive the latent factors in the same way and the higher-order coping across different traumatic groups is meaningful. Moreover, the relationship between the three higher-order coping factors and variables of psychological adjustment was examined. Generally, different relationships between the subtypes of coping and the outcomes of adaptation existed between female flood survivors and breast cancer patients. Further theoretical and practical implications for these relationships are discussed.

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Monzani, Dario, Patrizia Steca, Andrea Greco, Marco D’Addario, Erika Cappelletti y Luca Pancani. "The Situational Version of the Brief COPE: Dimensionality and Relationships With Goal-Related Variables". Europe’s Journal of Psychology 11, n.º 2 (29 de mayo de 2015): 295–310. http://dx.doi.org/10.5964/ejop.v11i2.935.

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This study is aimed at investigating the dimensionality of the situational version of the Brief COPE, a questionnaire that is frequently used to assess a broad range of coping responses to specific difficulties, by comparing five different factor models highlighted in previous studies. It also aimed at exploring the relationships among coping responses, personal goal commitment and progress. The study involved 606 adults (male = 289) ranging in age from 19 to 71. Using confirmatory factor analysis, we compared five models and assessed relationships of coping responses with goal commitment and progress. The results confirmed the theoretical factor structure of the situational Brief COPE. All the 14 dimensions showed acceptable reliability and relationships with goal commitment and progress, attesting the reliability and usefulness of this measure to evaluate coping responses to specific events.

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Snell, Deborah L., Richard J. Siegert, E. Jean C. Hay-Smith y Lois J. Surgenor. "Factor Structure of the Brief COPE in People With Mild Traumatic Brain Injury". Journal of Head Trauma Rehabilitation 26, n.º 6 (2011): 468–77. http://dx.doi.org/10.1097/htr.0b013e3181fc5e1e.

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Larsson, Andreas, Nic Hooper, Lisa A. Osborne, Paul Bennett y Louise McHugh. "Using Brief Cognitive Restructuring and Cognitive Defusion Techniques to Cope With Negative Thoughts". Behavior Modification 40, n.º 3 (18 de diciembre de 2015): 452–82. http://dx.doi.org/10.1177/0145445515621488.

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R. Marasigan, Portia. "USING BRIEF COGNITIVE RESTRUCTURING AND COGNITIVE DEFUSION TECHNIQUES TO COPE WITH NEGATIVE THOUGHTS". Social Values and Society 1, n.º 4 (1 de noviembre de 2019): 11–14. http://dx.doi.org/10.26480/svs.04.2019.11.14.

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Cooper, Claudia, Cornelius Katona y Gill Livingston. "Validity and Reliability of the Brief COPE in Carers of People With Dementia". Journal of Nervous and Mental Disease 196, n.º 11 (noviembre de 2008): 838–43. http://dx.doi.org/10.1097/nmd.0b013e31818b504c.

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Dias, Cláudia, José Fernando Cruz y António Manuel Fonseca. "Anxiety and Coping Strategies in Sport Contexts: A Look at the Psychometric Properties of Portuguese Instruments for their Assessment". Spanish journal of psychology 12, n.º 1 (mayo de 2009): 338–48. http://dx.doi.org/10.1017/s1138741600001736.

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The purpose of this study was to examine the psychometric properties of the Portuguese versions of the Sport Anxiety Scale and of the Brief COPE, as well as of the Cognitive Appraisal Scale in Sport Competition– Threat Perception, namely regarding their factor structure validity and internal consistency. Participants were 550 male and female athletes of several sports, aged 15 to 35 years old (M=19.8; SD=4.5). Exploratory and Confirmatory Factor Analysis indicated that the instruments demonstrated good psychometric properties. In general, the measurement models provided a good fit to the empirical data and with the exception of some scales of the Brief COPE, the calculated Cronbach's a coefficient of reliability indicated adequate internal consistency for the three instruments. Overall, the results of the present study provided evidence for these instruments' validity and reliability, ultimately supporting their importance for research and psychological intervention in sport contexts.

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Stewart, Sherry H., Simon B. Sherry, M. Nancy Comeau, Christopher J. Mushquash, Pamela Collins y Hendricus Van Wilgenburg. "Hopelessness and Excessive Drinking among Aboriginal Adolescents: The Mediating Roles of Depressive Symptoms and Drinking to Cope". Depression Research and Treatment 2011 (2011): 1–11. http://dx.doi.org/10.1155/2011/970169.

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Canadian Aboriginal youth show high rates of excessive drinking, hopelessness, and depressive symptoms. We propose that Aboriginal adolescents with higher levels of hopelessness are more susceptible to depressive symptoms, which in turn predispose them to drinking to cope—which ultimately puts them at risk for excessive drinking. Adolescent drinkers (n=551; 52% boys; mean age=15.9years) from 10 Canadian schools completed a survey consisting of the substance use risk profile scale (hopelessness), the brief symptom inventory (depressive symptoms), the drinking motives questionnaire—revised (drinking to cope), and quantity, frequency, and binge measures of excessive drinking. Structural equation modeling demonstrated the excellent fit of a model linking hopelessness to excessive drinking indirectly via depressive symptoms and drinking to cope. Bootstrapping indicated that this indirect effect was significant. Both depressive symptoms and drinking to cope should be intervention targets to prevent/decrease excessive drinking among Aboriginal youth high in hopelessness.

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Lucas, C., M. Lantéri-Minet, H. Massiou, F. Nachit-Ouinekh, A. Pradalier, F. Mercier, A. El Hasnaoui y F. Radat. "The GRIM2005 Study of Migraine Consultation in France II. Psychological Factors Associated with Treatment Response to Acute Headache Therapy and Satisfaction in Migraine". Cephalalgia 27, n.º 12 (diciembre de 2007): 1398–407. http://dx.doi.org/10.1111/j.1468-2982.2007.01446.x.

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The objective of this analysis was to identify variables associated with treatment response in subjects with migraine. Data were collected from a sample of 10 000 subjects. A battery of questionnaires assessing clinical and psychological variables was completed. Migraine diagnosis was attributed using an algorithm based on the IHS criteria and treatment response using the ANAES criteria. We identified 1534 subjects, of whom 1443 were treated. For 54.2%, at least one ANAES criterion for treatment response was unfulfilled. Non-response was associated with female gender, high HIT-6 impact scores and high HAD psychological distress scores. The strongest associations with non-response were identified for four psychological variables: elevated scores on the CSQ catastrophization subscale and the ‘Consequences’ and ‘Acceptance’ dimensions of the Brief COPE, and low scores on the ‘Positive Reinterpretation’ Brief COPE dimension. In conclusion, many individuals with migraine respond inadequately to treatment. Behavioural interventions aimed at modifying coping strategies may improve outcome.

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Nydegger, Rudy, Liesl Nydegger y Frank Basile. "Post-Traumatic Stress Disorder And Coping Among Career Professional Firefighters". American Journal of Health Sciences (AJHS) 2, n.º 1 (23 de mayo de 2011): 11–20. http://dx.doi.org/10.19030/ajhs.v2i1.4365.

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This study explores the relationship between years of service for professional firefighters and the prevalence of post-traumatic stress disorder (PTSD). Further, the study examines the specific coping mechanisms that the firefighters use to deal with the stress of their jobs. In order to assess the presence of PTSD symptoms, the Post-Traumatic Stress Disorder Checklist—Civilian Version (PCL—CV) was employed, and the Brief COPE Survey was also used to assess the different types of coping strategies that were reported by firefighters. The subjects were 91 paid, career firefighters from two different communities in Upstate New York. Results clearly showed that firefighters who have more years of service also demonstrated a higher frequency of symptoms suggestive of PTSD. Further, results of the Brief COPE survey demonstrated that firefighters who have more years on the job tend to utilize more negative and inefficient coping approaches. The implications of these results and suggestions for helping fire departments deal with these issues are discussed.

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Krägeloh, Christian U. "A Systematic Review of Studies Using the Brief COPE: Religious Coping in Factor Analyses". Religions 2, n.º 3 (4 de julio de 2011): 216–46. http://dx.doi.org/10.3390/rel2030216.

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Adler, Caroline, Melanie Hessenauer, Johanna Lipp, Silke Kunze, Carina Geigenberger, Andrea Hörning, Martina Schaudeck, Steffen Berweck y Martin Staudt. "Learning to cope with mirror movements in unilateral spastic cerebral palsy: a brief report". Developmental Neurorehabilitation 22, n.º 2 (22 de mayo de 2018): 141–46. http://dx.doi.org/10.1080/17518423.2018.1474501.

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Carver, Charles S. "You want to measure coping but your protocol’ too long: Consider the brief cope". International Journal of Behavioral Medicine 4, n.º 1 (marzo de 1997): 92–100. http://dx.doi.org/10.1207/s15327558ijbm0401_6.

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Kimemia, Muthoni, Kimberly K. Asner-Self y Andrew P. Daire. "An Exploratory Factor Analysis of the Brief COPE with a Sample of Kenyan Caregivers". International Journal for the Advancement of Counselling 33, n.º 3 (24 de mayo de 2011): 149–60. http://dx.doi.org/10.1007/s10447-011-9122-8.

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Doumit, Rita, Chant Kazandjian y Lisa K. Militello. "COPE for Adolescent Syrian Refugees in Lebanon: A Brief Cognitive–Behavioral Skill-Building Intervention to Improve Quality of Life and Promote Positive Mental Health". Clinical Nursing Research 29, n.º 4 (26 de noviembre de 2018): 226–34. http://dx.doi.org/10.1177/1054773818808114.

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Lebanon has the highest per-capita concentration of refugees worldwide. There is an urgent need to offer psychosocial interventions to vulnerable groups such as Syrian refugee adolescents. To assess the feasibility, acceptability, and preliminary effects of a cognitive–behavioral intervention (Creating Opportunities for Patient Empowerment [COPE]) on depression, anxiety, and quality of life (QOL) in a sample of adolescent refugees (13-17 years) living in Lebanon. A preexperimental study design was used. COPE 7-Session was delivered to 31 adolescent Syrian refugees. Participants were assessed for depression (Personal Health Questionnaire–9), anxiety (General Anxiety Disorders Scale), and QOL (Pediatric Quality of Life Inventory). Feasibility and acceptability findings indicated that the COPE program was a positive experience for teens. Significant decreases in depression and anxiety, and increases in QOL were also reported. COPE is an effective cognitive–behavioral intervention that can be delivered in an Arabic/Middle-Eastern setting for teen refugees to improve mental health and QOL.

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Wu, Jinn-Wen y Rong-Fong Fung. "On Stability of Time-Varying Multidimensional Linear Systems". Journal of Vibration and Acoustics 121, n.º 4 (1 de octubre de 1999): 509–11. http://dx.doi.org/10.1115/1.2894012.

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In this Technical Brief, a sufficient condition to guarantee the exponential stability for a time-varying system X¨ + DX˙ + K(t)X = 0 is obtained. We mainly made up the condition by estimating the minimum amount of the damping to cope with a time-varying stiffness matrix K(t).

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Jackson, H., P. McGorry, J. Edwards, C. Hulbert, L. Henry, S. Francey, D. Maude et al. "Cognitively-oriented psychotherapy for early psychosis (COPE): Preliminary results". British Journal of Psychiatry 172, S33 (junio de 1998): 93–100. http://dx.doi.org/10.1192/s0007125000297730.

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Background The present study describes the results of the pilottesting of a therapy we have developed for people with first-episode psychosis. Cognitively-oriented psychotherapy for early psychosis (COPE) is aimed at facilitating the adjustment of the person, and at preventing or alleviating secondary morbidity in the wake of the first psychotic episode.Method Eighty people formed three groups: those who were offered and accepted COPE (COPE subjects); those who refused COPE (refusal subjects); and those who were offered neither COPE nor any other continuing treatment from our service (control subjects). The individuals were assessed prior to, and at the end of, COPE treatment (a 12-month period) on the Integration/Sealing Over, Explanatory Model, Scale for the Assessment of Negative Symptoms, Brief Psychiatric Rating Scale, Quality of Life, SCL–90–R, and Beck Depression Inventory measures.Results People who received COPE obtained significantly superior scores (P < 0.05) to the control group on four of the seven measures but only significantly out-performed the refusal group on one of the seven measures (P<0.05). The COPE group performed significantly worse on the BDI than the refusal group (P < 0.05). Effect sizes are also provided for each measure.Conclusions There seems to be a place for psychological therapy in this group of people butour results need to be replicated in a more definitive randomised controlled trial and such a study is now in progress.

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Allen, M. Todd. "Explorations of avoidance and approach coping and perceived stress with a computer-based avatar task: detrimental effects of resignation and withdrawal". PeerJ 9 (15 de abril de 2021): e11265. http://dx.doi.org/10.7717/peerj.11265.

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Background Individuals differ in how they react to stress or trauma through different coping styles in which they may deal directly with a stressor by adopting approach coping styles or disengage with a stressor by utilizing avoidant coping styles. Avoidant coping styles have been linked to adverse outcomes including psychological distress, anxiety disorders, and post-traumatic stress disorder (PTSD). Recently, avoidance coping styles as measured by a subset of items on the Brief COPE were found to have a weak positive relationship with performance on a computer-based avatar task which is related to avoidant personality temperaments. This avatar task was developed as an alternative for paper and pencil self-report inventories for measuring avoidant tendencies based on possible response biases of avoidant individuals. In the current study, avoidance and approach coping styles as measured by the Brief Approach/Avoidance Coping Questionnaire (BACQ) were compared to avoidant coping as measured by the Brief COPE and performance on the avatar task. In addition to approach and avoidance coping, the BACQ also measures active avoidance coping (i.e., diversion) and passive avoidance coping (i.e., resignation and withdrawal). The relationships between approach and avoidance coping and performance on the avatar task were also analyzed with the outcome of perceived stress as measured by the Perceived Stress Scale (PSS). Methods One hundred undergraduates voluntarily completed the BACQ, the Brief COPE, and the PSS. Participants also completed a computer-based task in which they guided an avatar through a series of social situations where they indicated how they would interact with or avoid interacting with strangers. Results Approach coping had a weak negative relationship to avoidance coping as measured by the BACQ and the Brief COPE. Performance on the avatar task had a moderate positive relationship with avoidance coping (diversion as well as resignation and withdrawal) as measured by the BACQ and a moderate negative relationship with approach coping as measured by the BACQ. A model including only approach, diversion, and resignation and withdrawal coping best predicted performance on the avatar task in a linear regression model. While resignation and withdrawal coping and diversion coping had moderate positive relationships to avatar task scores, only resignation and withdrawal had a strong positive relationship to perceived stress. A model than included only resignation and withdrawal coping best predicted perceived stress in a linear regression model. Overall, passive avoidant coping styles (i.e., resignation and withdrawal), but not active avoidant coping style (i.e., diversion), were related to perceived stress. These results support the continued study of multiple aspects of avoidant coping styles as well as the avatar task to increase our understanding of the maladaptive effects of excessive avoidance in the face of stress.

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Durrani, Sania, Jennifer Contreras, Smitha Mallaiah, Lorenzo Cohen y Kathrin Milbury. "The Effects of Yoga in Helping Cancer Patients and Caregivers Manage the Stress of a Natural Disaster: A Brief Report on Hurricane Harvey". Integrative Cancer Therapies 18 (enero de 2019): 153473541986692. http://dx.doi.org/10.1177/1534735419866923.

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Background: This small qualitative study reports on the experiences of patients and family caregivers who participated in a dyadic yoga pilot trial while undergoing cancer treatment in the midst of Hurricane Harvey. Our primary purpose was to determine if participants implemented components of the program to cope with the stressors associated with Hurricane Harvey and if they perceived benefits from the yoga practices. Methods: We administered brief semistructured interviews to the dyads participating in a dyadic yoga pilot trial. Participants (n = 5 dyads) were asked to discuss their experience with Hurricane Harvey, including factors that helped them cope with the event while receiving treatment. Result: Patients had a mean age of 55.6 years, were mostly non-Hispanic White, male, and had advance stage head and neck cancer. Caregivers had a mean age of 58 years and were mainly non-Hispanic White and female. Analyses of the interviews revealed 2 overarching themes: (1) the storm’s negative impact and (2) the use of yoga to cope with the hurricane-related stressors. Conclusions: Patient-caregiver dyads experienced psychological distress during the storm and/or its aftermath. Dyads used yoga techniques to cope with these psychological stressors. Yoga served as a means of social support as dyads either participated in these activities together or with other family members.

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Templeton, Lorna y Ed Sipler. "Helping children with the Steps to Cope intervention". Drugs and Alcohol Today 14, n.º 3 (26 de agosto de 2014): 126–36. http://dx.doi.org/10.1108/dat-03-2014-0015.

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Purpose – The purpose of this paper is to summarise the findings from two projects in Northern Ireland which investigated the feasibility of adapting an existing adult intervention, the 5-Step Method, for children affected by parental substance misuse and/or parental mental illness. The structured brief psychosocial intervention is called Steps to Cope and can be delivered as an individual or group intervention. Design/methodology/approach – The two projects recruited and trained 57 practitioners from across Northern Ireland, 20 of whom went on to use the Steps to Cope intervention with a total of 43 children. Findings – It appears possible to adapt the intervention for children; to train practitioners, some of whom are able to use the intervention with one or more children; and for the intervention to benefit children in line with the five steps of the intervention targeting areas such as health, feelings, information, coping, support, and resilience. However, there are organisational and practical barriers to delivery which need to be overcome for the intervention to be more widely implemented. Originality/value – Steps to Cope is a unique intervention for this population and the findings discussed here suggest that the model has potential in an area where support for children in their own right is lacking.

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Cabib, Simona, Paolo Campus, David Conversi, Cristina Orsini y Stefano Puglisi-Allegra. "Functional and Dysfunctional Neuroplasticity in Learning to Cope with Stress". Brain Sciences 10, n.º 2 (24 de febrero de 2020): 127. http://dx.doi.org/10.3390/brainsci10020127.

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In this brief review, we present evidence of the primary role of learning-associated plasticity in the development of either adaptive or maladaptive coping strategies. Successful interactions with novel stressors foster plasticity within the neural circuits supporting acquisition, consolidation, retrieval, and extinction of instrumental learning leading to development of a rich repertoire of flexible and context-specific adaptive coping responses, whereas prolonged or repeated exposure to inescapable/uncontrollable stressors fosters dysfunctional plasticity within the learning circuits leading to perseverant and inflexible maladaptive coping strategies. Finally, the results collected using an animal model of genotype-specific coping styles indicate the engagement of different molecular networks and the opposite direction of stress effects (reduced vs. enhanced gene expression) in stressed animals, as well as different behavioral alterations, in line with differences in the symptoms profile associated with post-traumatic stress disorder.

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SOLANO-ZAVALETA, ISRAEL, NELSON MARTÍN CERÓN DE LA LUZ y ADAM G. CLAUSE. "Solving a 50-year Mystery: Rediscovery of Mesaspis antauges (Squamata: Anguidae)". Zootaxa 4303, n.º 4 (11 de agosto de 2017): 559. http://dx.doi.org/10.11646/zootaxa.4303.4.7.

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Vertebrate rediscoveries occur frequently, but must be properly documented for scientific credibility. Ongoing rediscoveries suggest a need for greater caution in declaring species extinct. Here, we report a rediscovery of the mysterious Mexican anguid lizard Mesaspis antauges (Cope 1866), a species last recorded by scientists in 1964. Our comparison of newly-collected material against previous specimens, all of which apparently originate from a single isolated volcanic peak, confirms the taxonomic validity of this species and the relegation of the binomen M. modestus (Cope 1878) to the status of a junior synonym. We include a brief discussion of the natural history of M. antauges, and explore the conservation implications of our rediscovery.

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Mohanraj, Rani, Visalakshi Jeyaseelan, Shuba Kumar, Thenmozhi Mani, Deepa Rao, Katherine R. Murray y Lisa E. Manhart. "Cultural Adaptation of the Brief COPE for Persons Living with HIV/AIDS in Southern India". AIDS and Behavior 19, n.º 2 (6 de agosto de 2014): 341–51. http://dx.doi.org/10.1007/s10461-014-0872-2.

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Muniandy, Melanie, Amanda L. Richdale, Samuel R. C. Arnold, Julian N. Trollor y Lauren P. Lawson. "Factor structure and psychometric properties of the Brief COPE in autistic older adolescents and adults". Research in Autism Spectrum Disorders 84 (junio de 2021): 101764. http://dx.doi.org/10.1016/j.rasd.2021.101764.

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Cheong, Jia Qi. "Helping Small Business cope during COVID-19: A brief survey of measures implemented across countries". 12th GLOBAL CONFERENCE ON BUSINESS AND SOCIAL SCIENCES 12, n.º 1 (8 de octubre de 2021): 33. http://dx.doi.org/10.35609/gcbssproceeding.2021.12(33).

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This paper offers a brief review of current studies with regards to the impact of COVID-19 on small businesses across countries. This survey of experiences elsewhere might provide insights to policy makers in countries that are struggling to cope with the problem on the initiatives to consider and the additional initiatives that might be necessary to make them effective in their individual country contexts. Given limitations of space, we survey only a limited sample of countries from Asia and Europe, along the US and Canada. Hopefully, their experiences will provide a broad enough spectrum of initiatives for policy makers elsewhere to consider and evaluate. Keywords: Small Business, COVID-19, Impact, Literature Review

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Algristian, Hafid. "Expressive Writing as Brief Psychotherapy". Open Access Macedonian Journal of Medical Sciences 7, n.º 16 (29 de agosto de 2019): 2602–6. http://dx.doi.org/10.3889/oamjms.2019.402.

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AIM: To analyse the effect of expressive writing in three selected cases. METHODS: Case studies presented from three psychiatric patients in a hospital-based outpatient clinic in Surabaya, Indonesia, between May 2017 and July 2018. Clinical changes have been observed and reported. Three patients were selected based on the possibility of whether they were able to or not to participate in similar cognitive therapy. These three cases were considered to represent a diagnosis for the psychotic and non-psychotic spectrum. The first case was a male with suicidal depression, the second was a woman with Suicidal Depression, and the third was schizophrenic woman elderly with auditory hallucinations. Expressive writing was formulated from literature studies and then implemented in these patients. Clinical changes were observed both associated with a reduction in symptoms as well as new symptoms. These non-directive measures allowed the author to observe the therapeutic effects and side effects of the intervention given. RESULTS: Three cases were analysed. Targets were determined by patients themselves without author's intervention. Each patient underwent 10 sessions in minimum and 32 sessions in maximum, from once per week to once per two weeks, and was stopped after it was considered reaching or approaching the desired target, or if unwanted side effects appeared. Main changes were “father hunger” symptom decreased in the first patient, self-esteem increased in the second patient, and cope with auditory hallucination in the third patient. Few adverse events also have been recorded such as masturbation as an obsession ritual of the first patient, possibly provoked double-identity symptom in the second patient and mental fatigue in the elderly in the third patient. CONCLUSION: Over six months of implementation, expressive writing show desirable results, yet some side effects in patients still need to be aware of.

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Delicato, C., E. Gattoni, S. Di Marco, C. Vecchi, A. Venesia, P. Zeppegno y C. Gramaglia. "Resilience and Psychological Correlates in a Group of Patients Affected by Dual Diagnosis". European Psychiatry 41, S1 (abril de 2017): S202. http://dx.doi.org/10.1016/j.eurpsy.2017.01.2153.

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IntroductionAlthough several authors found a strong association between childhood trauma and substance abuse disorder, many other suggest that specific personological aspects and resilience may contribute to the development of this disease.ObjectivesTo compare the characteristics of psychiatric patients with and without dual diagnosis assessing differences in psychological correlates, such as resilience, coping strategies, self-esteem, temperament, character traits and childhood trauma.MethodsFrom November 2015 to May 2016, we recruited all patients aged between 18 to 65 years referred to the Psychiatry Ward of “Maggiore della Carità” Hospital in Novara, Italy. Diagnosis of psychiatric disorder was made according to DSM-5 diagnostic criteria. Exclusion criteria were: inability to express a valid inform consent, a personality disorder or mental retardation diagnosis. We administered to each patient: Resilience Scale for Adult (RSA), Brief Cope, Rosenberg Self-esteem Scale (RSES), Childhood Trauma Questionnaire (CTQ), Temperament and Character Inventory (TCI). Patients were subdivided for the analysis into two groups: dual diagnosis and no dual diagnosis (or single diagnosis) group.ResultsData show that dual-diagnosis patients (n = 40) had lower global levels of resilience (RSA) and cooperativeness (TCI). Higher novelty seeking and reward dependence traits (TCI) were found as well. Moreover, the lower Cope-Avoidance (Brief Cope) was statistically different among patients with dual diagnosis compared to single diagnosis ones.ConclusionsIdentified differences between these two groups could suggest targets to manage during the treatments in order to optimise dual diagnosis patients’ outcomes.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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Tang, Winnie Pui Yin, Carmen W. H. Chan y K. C. Choi. "Factor Structure of the Brief Coping Orientation to Problems Experienced Inventory in Chinese (Brief-COPE-C) in Caregivers of Children with Chronic Illnesses". Journal of Pediatric Nursing 59 (julio de 2021): 63–69. http://dx.doi.org/10.1016/j.pedn.2021.01.002.

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Varescon, Isabelle, Shirley Leignel, Xavier Poulain y Caroline Gerard. "Coping Strategies and Perceived Stress in Pregnant Smokers Seeking Help for Cessation". Journal of Smoking Cessation 6, n.º 2 (1 de diciembre de 2011): 126–32. http://dx.doi.org/10.1375/jsc.6.2.126.

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AbstractDespite substantial efforts to decrease its prevalence, it is estimated that more than 20% of French women continue to smoke during pregnancy. The aim of this study was to assess the perceived stress and coping strategies used by pregnant smokers when they seek help to stop smoking. Eighty pregnant women were involved. Pregnant women who stated their intention to quit smoking (n= 40) were compared with pregnant nonsmokers (n= 40). All participants filled out the Brief Cope (BC), the Perceived Stress Scale (PSS) and the Hospital Anxiety Depression Scale (HADS). In addition to these self-report scales, pregnant smokers completed the Fagerström Tolerance Questionnaire (FTQ). The results show that pregnant women who smoked used less active coping, planning, and positive framing, considered a good adaptive strength, and had significantly elevated scores on perceived stress and anxiety scales than nonsmokers. This research is the first to provide Brief Cope results for pregnant smokers seeking help to stop smoking linked to perceived stress. The results obtained contribute to the well-known psychosocial factors in maintaining smoking during pregnancy and will be used in the implementation of more effective intervention programs among pregnant women.

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Ng, Louisa, Bhasker Amatya y Fary Khan. "Outcomes of a Peer Support Program in Multiple Sclerosis in an Australian Community Cohort: A Prospective Study". Journal of Neurodegenerative Diseases 2013 (5 de diciembre de 2013): 1–7. http://dx.doi.org/10.1155/2013/429171.

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Background/Objectives. This pilot study evaluated the impact of a peer support program on improving multiple sclerosis (MS) related psychological functions (depression, anxiety, and stress) and enhancing quality of life. Methodology. Participants (n=33) were recruited prospectively and received an 8-week group face-to-face peer support program. Assessments were at baseline (T1), 6 weeks after program (T2), and 12 months after program (T3), using validated questionnaires: Depression Anxiety Stress Scale (DASS), McGill Quality of Life (MQOL), and Brief COPE. Results. Participants’ mean age was 52; the majority were female (64%) and married (64%). Median time since MS diagnosis was 16 years. At T2, participants reported improved psychological functioning (DASS “depression,” “anxiety,” and “stress” subscales, z values −2.36, −2.22, and −2.54, moderate effect sizes (r) 0.29, 0.28, and 0.32, resp.) and quality of life (MQOL SIS z score −2.07, r=0.26) and were less likely to use “self-blame” as a coping mechanism (Brief COPE z score −2.37, r=0.29). At T3, the positive improvements in stress (DASS stress subscale z score −2.41, r=0.31) and quality of life were maintained (MQOL SIS, z score −2.30, r=0.29). There were no adverse effects reported.

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Sucharitha, Sree T., Balaji Sivaram Mahendran, Chakrapani Chatla, Aravind Manoharan y Pradeep R. "Coping Methods among Medicos during COVID-19 Pandemic in India - A Cross-Sectional Study among Medical Undergraduates in a Tertiary Care Teaching Hospital in Chennai". Journal of Evidence Based Medicine and Healthcare 8, n.º 19 (10 de mayo de 2021): 1341–46. http://dx.doi.org/10.18410/jebmh/2021/256.

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BACKGROUND Severe acute respiratory syndrome (SARS-CoV-19) popularly known as COVID-19 is an emerging pandemic which resulted in varying degrees of lockdown in India. Medical undergraduates remain affected due to lockdown-imposed disruptions in medical education, an unprecedented event, which can cause significant academic stress in addition to psychological stress. Understanding the coping methods is essential to develop interventions and to minimise the adverse effects of stress during pandemics. We wanted to determine the major coping methods using French version of the Brief Coping Orientation to Problems Experienced (COPE), a novel 4 - factor structure among medical undergraduates of a private tertiary teaching institution during COVID-19 lockdown period and describe the selfmanagement of the stress as verbatim narrative statements. METHODS A cross-sectional, web-based survey based on French version of the Brief COPE, a novel 4-factor structure was used to assess the major coping methods among medical undergraduates of a private, tertiary care teaching medical institution in Chennai, South India. Self-management of stress was documented verbatim as narrative statements. After obtaining approval from institutional ethical committee and informed consent, the web-survey data from Google forms was collected from 223 medical undergraduate students and analysed using STATA (V 12.0) statistical package. The strategies for self-management of stress were identified and classified into themes. RESULTS Among total 223 respondents, 132 (59.2 %) were female medicos and 88 (39. 5 %) males, and mean age was 20.36 (SD +_1. 43) years. Major coping method adopted was positive thinking (115, 51.6 %), followed by avoidance (44, 19.7 %), seeking social support (37, 16.6 %) and problem solving (19, 8.5 %). Students with positive thinking had high levels of managing stress very well (33 %) followed by avoidance (10 %) compared to other methods but there was no significant difference in the self-rating of coping between different coping methods. CONCLUSIONS The coping mechanism of medical undergraduates reveals positive outlook while experiencing COVID-19 pandemic related extended lockdowns. KEYWORDS SARS-Cov-19, Medical Undergraduates, Coping, Cope Brief Inventory - 4 Scale, Positive Thinking

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Ashktorab, Tahereh, Nayereh Baghcheghi, Naimeh Seyedfatemi y Ahmadreza Baghestani. "Psychometric parameters of the Persian version of the Brief COPE among wives of patients under hemodialysis". Medical Journal of the Islamic Republic Of Iran 31, n.º 1 (1 de enero de 2017): 113–18. http://dx.doi.org/10.18869/mjiri.31.20.

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Hagan, Teresa L., Joel N. Fishbein, Ryan D. Nipp, Jamie M. Jacobs, Lara Traeger, Kelly E. Irwin, William F. Pirl et al. "Coping in Patients With Incurable Lung and Gastrointestinal Cancers: A Validation Study of the Brief COPE". Journal of Pain and Symptom Management 53, n.º 1 (enero de 2017): 131–38. http://dx.doi.org/10.1016/j.jpainsymman.2016.06.005.

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Erlich, Kimberly J., Jinnan Li, Ellis Dillon, Martina Li y Daniel F. Becker. "Outcomes of a Brief Cognitive Skills-Based Intervention (COPE) for Adolescents in the Primary Care Setting". Journal of Pediatric Health Care 33, n.º 4 (julio de 2019): 415–24. http://dx.doi.org/10.1016/j.pedhc.2018.12.001.

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Navarro Carrascal, Oscar, Diego Alveiro Restrepo-Ochoa, Delphine Rommel, Jean-Michel Ghalaret y Ghozlane Fleury-Bahi. "Validación de una versión breve de la Escala de Dificultades en la Regulación Emocional con población hispanohablante (DERS-S SF)". CES Psicología 14, n.º 2 (3 de febrero de 2021): 71–88. http://dx.doi.org/10.21615/cesp.5360.

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Emotion regulation refers to all the processes involved in adapting to relatively strong emotional episodes, and specifically to identifying, differentiating and monitoring intense emotional states in order to cope with stressful situations. Difficulties in regulating emotions are associated with problems such as depression, anxiety and maladaptive behaviors. The DERS (Difficulties in Emotion Regulation Scale) is the most complete tool for measuring difficulties with emotion regulation. Several brief versions of this scale in English are described in the literature, but no a brief Spanish version has been found. The purpose of this study is to validate a brief version of the DERS in Spanish. The DERS tool was used with a Spanish speaking population (n=351, inhabitants of Cartagena, Colombia, 56% were woman, Mage 39 years, SD = 14.98) who responded the 5-point Likert scale. The brief version (18 items) was validated using confirmatory factor analysis (X2 / df = 1.19, CFI= .99, TLI = .99, RMSEA=.02). However, neither the reliability nor the stability of the awareness dimension was confirmed. This point and other results are examined on the light of extant literature.

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VINOLA-LOPEZ, LAZARO W. y PHILIPPE BOUCHET. "The current status of Pogonodon Cope, 1880 (Carnivora: Nimravidae) and a substitution name for its junior homonym Pogonodon Bouchet, 1997 (Caenogastropoda: Triphoridae)". Zootaxa 4809, n.º 2 (7 de julio de 2020): 390–92. http://dx.doi.org/10.11646/zootaxa.4809.2.10.

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This nomenclatural note addresses the problem regarding the taxonomic status of the extinct large nimravid Pogonodon Cope, 1880 (Chordata. Mammalia, Nimravidae), from the Oligocene of North America and its junior homonym, the recent triphorid marine snail Pogonodon Bouchet, 1997 (Mollusca, ) from the Mediterranean. Here we propose Ionthoglossa nov. gen. as a substitute name for the latter and provide a brief history of the two taxa from the literature available.

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Phelps, A. C., P. K. Maciejewski, M. Nilsson, T. A. Balboni, A. A. Wright, E. Trice, S. D. Block y H. G. Prigerson. "Coping with cancer: Associations between coping methods and use of intensive life-prolonging care near death". Journal of Clinical Oncology 27, n.º 15_suppl (20 de mayo de 2009): 9575. http://dx.doi.org/10.1200/jco.2009.27.15_suppl.9575.

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9575 Background: Cancer patients cope with advanced illness in a variety of ways, including relying on their religious beliefs. Religious coping has been associated with preference for aggressive care near death, yet little is known about how religious and other coping mechanisms effect the use of intensive life-prolonging care at the end-of-life (EOL). We sought to determine how patient coping mechanisms affect the use of intensive life-prolonging EOL care among advanced cancer patients. Methods: The Coping with Cancer Study is a US multi-site, prospective, longitudinal cohort of 345 advanced cancer patients enrolled January, 2003 -August, 2007. The Brief COPE assessed active coping (e.g., problem solving), emotional-support based coping (e.g., getting comfort from others), and behavioral disengagement (e.g., giving up the attempt to cope). The Brief RCOPE assessed positive religious coping (e.g., seeking a strength and guidance from God) and negative religious coping (e.g., believing illness is God's punishment). Patients were followed until death, a median of 122 days after baseline assessment. The main outcome was receipt of intensive life-prolonging care, defined as receipt of ventilation or resuscitation in the last week of life. Results: Greater use of positive religious coping prospectively predicted receipt of intensive life-prolonging care (AOR, 5.43; p<0.001), ventilation (AOR, 4.40; p<0.01), resuscitation (AOR, 5.19; p<0.05), and death in the intensive care unit (AOR, 2.76; p<0.05) in the last week of life, controlling for confounding factors and other examined coping styles. In analyses that adjusted for significant confounding influences, behavioral disengagement was associated with DNR order completion (AOR, 2.80; p<0.01), and prospectively predicted lower rates of intensive life-prolonging care (AOR, 0.20; p<0.05), and ventilation (AOR 0.13, p<0.05). Conclusions: The manner in which patients cope with advanced cancer predicts receipt of intensive life-prolonging care at the EOL. Specifically, positive religious coping predicts the receipt of aggressive medical care near death. No significant financial relationships to disclose.

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