Coping strategies among patients in a tertiary hospital: associations with quality of life and mental wellbeing
Social Determinants of Health,
Vol. 9 (2023),
1 January 2023
Background: Coping is essential for adjusting to life's stresses to optimize wellbeing. This study examined associations between coping, quality of life, and psychological wellbeing among adult patients seen in the primary care clinic of the University of Calabar Teaching Hospital.
Methods: Using a cross-sectional design, we elicited information from 230 subjects that were selected using systematic sampling. Four instruments were administered: the Hospital Anxiety and Depression Scale (HADS), the Coping Strategies Inventory – short form (CSI-SF), the World Health Organization Quality of Life-Bref (WHOQOL-Bref) and the Mini International Neuropsychiatric Interview (MINI). Pearson correlation and logistic regression were done using IBM SPSS version 23.0.
Results: Most subjects were less than 30 years old (54.3%) and female (53.0%). Problem-focused engagement positively correlated with all QOL domains and associated negatively with depression (p<0.05). Emotion-focused engagement positively correlated with the psychological and environmental domains (p<0.05). Emotion-focused disengagement negatively correlated with the physical, psychological, and social domains and positively correlated with anxiety and depression (p<0.05). Problem-focused disengagement positively correlated with the psychological domain and negatively correlated with depression (p<0.05). In logistic regression, emotion-focused disengagement was the only predictor of psychiatric diagnosis (OR: 1.05, 95%, CI: 1.01-1.09).
Conclusion: Coping strategies are linked to life quality and mental wellness. More research is advocated to explore the observed interrelationship further.
- Adaptation, Psychological
- Quality of Life
How to Cite
World Health Organization. Promoting Mental Health: Concepts, Emerging Evidence, Practice: Summary Report. World Health Organization, Department of Mental Health and Substance Abuse in collaboration with the Victorian Health Promotion Foundation (VicHealth) and the University of Melbourne. 2004.
Beckman K, Mittendorfer-Rutz E, Lichtenstein P, Larsson H, Almqvist C, Runeson B, et al. Mental illness and suicide after self-harm among young adults: long-term follow-up of self-harm patients, admitted to hospital care, in a national cohort. Psychol Med. 2016;46(16):3397–405.
Skinner EA, Zimmer-Gembeck M. Coping. In: Friedman HS, editor. Encyclopedia of Mental Health. Elsevier; 2016. p. 350–7.
Bouchard G, Guillemette A, Landry‐Léger N. Situational and dispositional coping: An examination of their relation to personality, cognitive appraisals, and psychological distress. Eur J Pers. 2004;18(3):221–38.
Bjørkløf GH, Engedal K, Selbæk G, Kouwenhoven SE, Helvik A-S. Coping and Depression in Old Age: A Literature Review. Dement Geriatr Cogn Disord [Internet]. 2013;35(3–4):121–54. Available from: https://www.karger.com/Article/FullText/346633
Fahy A. The Unbearable Fatigue of Compassion: Notes from a Substance Abuse Counselor Who Dreams of Working at Starbuck’s. Clin Soc Work J [Internet]. 2007 Aug 9 [cited 2019 May 25];35(3):199–205. Available from: http://link.springer.com/10.1007/s10615-007-0094-4
Khan SM, Iqbal MN, Rafiq M. FAMILY SUPPORT, COPING STRATEGIES AND MENTAL HEALTH ISSUES AMONG MOTHERS WITH DOWN SYNDROME CHILDREN. Jahan-e-Tahqeeq. 2021;4(3):707–13.
The Whoqol Group. The World Health Organization quality of life assessment (WHOQOL): Development and general psychometric properties. Soc Sci Med. 1998 Jun;46(12):1569–85.
Gladis MM, Gosch EA, Dishuk NM, Crits-Christoph P. Quality of life: expanding the scope of clinical significance. J Consult Clin Psychol. 1999;67(3):320.
Shermeyer L, Morrow MT, Mediate N. College students’ daily coping, mood, and quality of life: Benefits of problem‐focused engagement. Stress Heal [Internet]. 2019 Apr 29;35(2):211–6. Available from: https://onlinelibrary.wiley.com/doi/10.1002/smi.2847
Costanzo ES, Lutgendorf SK, Rothrock NE, Anderson B. Coping and quality of life among women extensively treated for gynecologic cancer. Psychooncology [Internet]. 2006 Feb;15(2):132–42. Available from: https://onlinelibrary.wiley.com/doi/10.1002/pon.930
Niihata K, Fukuma S, Akizawa T, Fukuhara S. Association of coping strategies with mortality and health-related quality of life in hemodialysis patients: The Japan Dialysis Outcomes and Practice Patterns Study. Chilcot J, editor. PLoS One. 2017 Jul 25;12(7):1–13.
Ochijele E. Further Validation Studies on the Enugu Somatization Scale. Fellowship [Dissertation]. West African College of Physicians; 2017.
Meades R AS. Anxiety measures validated in perinatal populations: a systematic review. J Affect Disord. 2011;33(1):1–5.
Lecrubier Y, Sheehan D V., Weiller E, Amorim P, Bonora I, Sheehan KH, et al. The Mini International Neuropsychiatric Interview (MINI). A short diagnostic structured interview: Reliability and validity according to the CIDI. Eur Psychiatry. 1997;12(5):224–31.
Tobin D, Holroyd K, Reynolds R, Wigal J. The Hierarchical structure of coping. Cogn Ther Res. 1989;13(4):343–61.
Tobin DL. User manual for the Coping Strategies Inventory. 2001.
World HealthOrganization. Programme on mental health: WHOQOL user manual [Internet]. World Health Organization; 1998 [cited 2021 Oct 28]. Available from: https://apps.who.int/iris/bitstream/handle/10665/77932/WHO_HIS_HSI_Rev.2?sequence=1
Dubow EF, Rubinlicht M. Coping. In: Brown BB, Prinstein MJBT-E of A, editors. San Diego: Academic Press; 2011. p. 109–18.
Völlink T, Bolman CAW, Eppingbroek A, Dehue F. Emotion-Focused Coping Worsens Depressive Feelings and Health Complaints in Cyberbullied Children. J Criminol. 2013;2013(January):1–10.
Chou P-C, Chao Y-MY, Yang H-J, Yeh G-L, Lee TS-H. Relationships between stress, coping and depressive symptoms among overseas university preparatory Chinese students: a cross-sectional study. BMC Public Health. 2011;11(1):352.
Penley JA, Tomaka J, Wiebe JS. The association of coping to physical and psychological health outcomes: A meta-analytic review. J Behav Med. 2002;25(6):551–603.
Ames-Guerrero RJ, Barreda-Parra VA, Huamani-Cahua JC, Banaszak-Holl J. Self-reported psychological problems and coping strategies: a web-based study in Peruvian population during COVID-19 pandemic. BMC Psychiatry. 2021;21(1):351.
Meyer B. Coping with severe mental illness: Relations of the Brief COPE with symptoms, functioning, and well-being. J Psychopathol Behav Assess. 2001;23(4):265–77.
Gattino S, Rollero C, De Piccoli N. The Influence of Coping Strategies on Quality of Life from a Gender Perspective. Appl Res Qual Life. 2015;10(4):689–701.
Trevizan FB, Miyazaki MC de OS, Silva YLW, Roque CMW. Quality of Life, Depression, Anxiety and Coping Strategies after Heart Transplantation. Brazilian J Cardiovasc Surg [Internet]. 2017; Available from: https://bjcvs.org/pdf/2667/v32n3a05.pdf
Budimir S, Probst T, Pieh C. Coping strategies and mental health during COVID-19 lockdown. J Ment Heal [Internet]. 2021 Mar 4;30(2):156–63. Available from: https://www.tandfonline.com/doi/full/10.1080/09638237.2021.1875412
Zengin O, Erbay E, Yıldırım B, Altındağ Ö. Quality of Life, Coping, and Social Support in Patients with Multiple Sclerosis: A Pilot Study. Turkish J Neurol. 2017;23(4):211–8.
Maleknia N, Kahrazei F. The prediction of Quality of Life Dimensions on Stress coping Strategies in patients with Cancer. J Midwifery Reprod Heal. 2015;3(4):472–8.
Rodríguez-Pérez M, Abreu-Sánchez A, Rojas-Ocaña MJ, Del-Pino-Casado R. Coping strategies and quality of life in caregivers of dependent elderly relatives. Health Qual Life Outcomes [Internet]. 2017 Jan 14;15(1):71. Available from: http://hqlo.biomedcentral.com/articles/10.1186/s12955-017-0634-8
Dardas LA, Ahmad MM. Coping Strategies as Mediators and Moderators between Stress and Quality of Life among Parents of Children with Autistic Disorder. Stress Heal [Internet]. 2015 Feb;31(1):5–12. Available from: https://onlinelibrary.wiley.com/doi/10.1002/smi.2513
Motaharian E, Rad ARM, Ziaee M, Care J. Investigating the relationship between coping strategies and quality of life among the principal caregivers of children with hemophilia. Mod Care J. 2015;12(2):68–73.
Tseng M-H, Chen K-L, Shieh J-Y, Lu L, Huang C-Y, Simeonsson RJ. Child characteristics, caregiver characteristics, and environmental factors affecting the quality of life of caregivers of children with cerebral palsy. Disabil Rehabil [Internet]. 2016 Nov 19;38(24):2374–82. Available from: https://www.tandfonline.com/doi/full/10.3109/09638288.2015.1129451
Ritsner M, Ben-Avi I, Ponizovsky A, Timinsky I, Bistrov E, Modai I. Quality of life and coping with schizophrenia symptoms. Qual life Res. 2003;12(1):1–9.
Nielsen MB, Knardahl S. Coping strategies: A prospective study of patterns, stability, and relationships with psychological distress. Scand J Psychol [Internet]. 2014 Apr;55(2):142–50. Available from: https://onlinelibrary.wiley.com/doi/10.1111/sjop.12103
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