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Environmental risk issues pose a threat to human life and well-being. In order to reduce environmental risks, environmental risk response strategies have become increasingly vital. As the group most affected by environmental risks, the public environmental risk coping behaviors affect the effectiveness of environmental risk management. However, the public adoption of such behaviors mainly depends on their willingness. Therefore, the key to effective governance lies in guiding the public to voluntarily adopt appropriate environmental risk coping behaviors. The theory of environmental psychology provides relevant references for this. The internal psychological motivations of the public (including attitudes and subjective norms etc.) affect their choices of environmental risk behavior. The main purpose of this research is to explore the determinants underlying environmental risk coping behaviors using extending the theory of planned behavior by additional constructs (trust, risk perception, interaction satisfaction). The research applies a questionnaire survey method to collect data from the public living in the vicinity of two locations in China—an industrial area and a waste incineration plant in a Chinese city. The result of SEM shows that the public’s trust in governments has a positive influence on the intention to collaborate, while the public’s trust in the government and enterprises is negatively correlated with their intention to engage in confrontational behavior. Also, there is a positive correlation between confrontational intention and confrontational behavior, while the intention to cooperate may not necessarily result in collaborative behavior. Risk perception is not related to trust and the intention to collaborate, but it positively affects the intention to confront. The reason for the public to willingly take collaborative actions is not because they have perceived a high level of risk, and the public’s high trust in the government can enhance their intention to take collaborative actions. It is thus clear that government credibility plays an important guiding role in public risk responsive behavior. The research findings provide policy recommendations for guiding public environmental risk coping behavior.

Intermittent fasting has been shown to alleviate stress, anxiety, and depressive symptoms. Although noradrenaline, also known as norepinephrine (NE), is implicated in stress regulation, the dynamics of NE release and the associated neural pathways during stress coping behaviors in fasting mice remain poorly understood. In this study, we employed the forced swimming test (FST) to evaluate the effects of intermittent fasting on stress coping behavior in mice. Our results demonstrate that mice subjected to long-term intermittent fasting exhibited significantly more active coping behaviors in the FST compared to control mice. In contrast, acute fasting did not produce similar effects. Using the fluorescent GRAB-NE sensor to measure NE release with sub-second temporal resolution during the FST, we found that intermittent fasting modulates the locus coeruleus-medial prefrontal cortex (LC-mPFC) pathway, which underlies these behavioral adaptations. Moreover, chemogenetic activation of LC-mPFC projections strongly promoted active coping in the FST. These findings suggest that enhanced LC-mPFC activity mediates the increased active coping behavior observed in fasting mice. This study provides new insights into the neural mechanisms through which intermittent fasting may ameliorate depressive-like behaviors, offering potential therapeutic targets for stress-related disorders.

Mental disorders, including posttraumatic stress disorder (PTSD), constitute an important health care need of veterans, especially those recently separated from service. Treatment of Posttraumatic Stress Disorder: An Assessment of the Evidence takes a systematic look the efficacy of pharmacologic and psychological treatment modalities for PTSD on behalf of the Department of Veterans Affairs. By reviewing existing studies in order to draw conclusions about the strength of evidence on several types of treatment, the Committee on the Treatment of Posttraumatic Stress Disorder found that many of these studies were faulty in design and performance, and that relatively few of these studies have been conducted in populations of veterans, despite suggestions that civilian and veteran populations respond differently to various types of treatment. The committee also notes that the evidence is scarce on the acceptability, efficacy, or generalizability of treatment in ethnic and cultural minorities, as few studies stratified results by ethnic background. Despite challenges in the consistency, quality, and depth of research, the committee found the evidence sufficient to conclude the efficacy of exposure therapies in treating PTSD. The committee found the evidence inadequate to determine efficacy of different types of pharmacotherapies, of three different psychotherapy modalities, and of psychotherapy delivered in group formats. The committee also made eight critical recommendations, some in response to the VA's questions related to recovery and the length and timing of PTSD treatment, and others addressing research methodology, gaps in evidence and funding issues.

The construction industry is notorious for stressful jobs, particularly for ethnic minority construction workers (EM-CWs), who experience complicated issues in the host country. Despite the high-level stress of EM-CWs compared to native construction workers, the particular coping behaviors of EM-CWs is unclear. Due to their cultural differences, religious beliefs, and possible stigma related to sharing feelings, typical stress management strategies may not be effective in relieving the stress of EM-CWs. To manage the stress of EM-CWs and also to benefit organizational productivity, it is important to identify the specific coping behaviors adopted by EM-CWs in response to stress. Therefore, this study aims to explore the stress management factors of EM-CWs. Six focus group discussions were conducted, made up of five EM-CWs groups (three general worker groups and two skilled worker groups) and one group of foremen. Contextual analysis was used to analyze the focus groups’ qualitative data. The study identified 11 items of stress for EM-CWs in two major categories: emotional and physical stress. In addition to problem-focused (i.e., planned problem-solving, seeking instrumental support, and cognitive appraisal) and emotion-focused coping behaviors (i.e., seeking emotional support, emotional discharge, and escapism), the current study also explored religious-focused coping behaviors (i.e., religious practice, service, and meditation) of EM-CWs. The findings advance coping-behavior literature by addressing important features of religious coping behaviors in the construction industry. The study explored the unique stress management factors of EM-CWs, which can be used to manage the stress of EM-CWs, improve their stress management approaches, and design various stress management programs for EM-CWs. Furthermore, several recommendations were made in initiating time management training, encouraging organizations to consider mental health needs in the construction industry, acknowledging the specific cultural context of EM-CWs, striving to reduce the stigma around sharing emotions under stress, facilitating an adequate on-site environment to practice religion, and introducing mindfulness programs to relieve EM-CW stress and improve their performance.

Stress during the pandemic has had an impact on the mental health of healthcare professionals (HCPs). However, little is known about coping and “maladaptive” coping behaviours of this population. This study investigates “maladaptive” coping behaviours and their correlation with stress, anxiety and insomnia of Italian HCPs during the pandemic. It reports on a cross-sectional, descriptive and correlational study based on a survey of 1955 Italian HCPs. Overall participants reported increases in cigarette smoking, time spent online and video playing. Overall reported alcohol consumption decreased but increased in those reporting drinking more than once a week. Those reporting starting smoking during the pandemic were found to have higher SAS and PSS scores. Those reporting being online for 3 or more hours were found to have higher ISS scores. Doctors who reported playing video games were found to have higher PSS, ISS and SAS scores whilst nurses who reported playing video games were found to have higher ISS scores. Doctors who reported playing for longer than one hour had higher PSS scores. Online behaviours may be a coping behaviour of HCPs affected by the pandemic. However, this is an underexplored area for the wellbeing of HCPs. These deficits need to be addressed going forward.

This study examined the patterns of informal (unpaid) caregiving provided to people after moderate to severe traumatic brain injury (TBI), explore the self-reported burden and preparedness for the caregiving role, and identify factors predictive of caregiver burden and preparedness. A cross-sectional cohort design was used. Informal caregivers completed the Demand and Difficulty subscales of the Caregiving Burden Scale; and the Mutuality, Preparedness, and Global Strain subscales of the Family Care Inventory. Chi-square tests and logistic regression were used to examine the relationships between caregiver and care recipient variables and preparedness for caregiving. Twenty-nine informal caregivers who reported data on themselves and people with a moderate to severe TBI were recruited (referred to as a dyad). Most caregivers were female (n = 21, 72%), lived with the care recipient (n = 20, 69%), and reported high levels of burden on both scales. While most caregivers (n = 21, 72%) felt “pretty well” or “very well” prepared for caregiving, they were least prepared to get help or information from the health system, and to deal with the stress of caregiving. No significant relationships or predictors for caregiver burden or preparedness were identified. While caregivers reported the provision of care as both highly difficult and demanding, further research is required to better understand the reasons for the variability in caregiver experience, and ultimately how to best prepare caregivers for this long-term role.

Individuals' responses to their chronic illness or disability (CID) vary widely.Some are positive and productive, some negative and self-defeating, and some have elements of both.

Objective This study investigates the relationship between financial toxicity and medical cost‐coping behaviors (MCCB) in Chinese patients with lung cancer, with a particular focus on the moderating role of health insurance. Methods We surveyed 218 patients with lung cancer and assessed their Comprehensive Score for Financial Toxicity (COST) and self‐reported MCCB. Patients were categorized into Urban Employee's Basic Medical Insurance (UEBMI) group and Urban–Rural Resident Basic Medical Insurance Scheme (URRBMI) groups by their medical insurance, and matched for socioeconomic, demographic, and disease characteristics via propensity score. Results Significant different characteristics were noted between UEBMI patients and URRBMI patients. Patients with UEBMI had higher COST scores but lower levels of MCCB compared to URRBMI patients in the original dataset. After data matching, multivariate logit regression analysis showed that better financial toxicity was associated with lower levels of MCCB (OR = 0.95, 95% CI: 0.92–0.99). Health insurance type did not have a direct association with cost‐coping behaviors, but an interaction was observed between health insurance type and financial toxicity. Among patients with URRBMI, better financial toxicity was associated with lower levels of cost‐coping behaviors (OR = 0.89, 95% CI: 0.83–0.95). Patients with UEBMI had a lower probability of engaging in any cost‐coping behaviors in situations of worse financial toxicity compared to patients with URRBMI. Conclusion The findings suggest that financial toxicity is correlated with MCCB in Chinese patients with lung cancer. The type of health insurance, specifically UEBMI and URRBMI, plays a moderating role in this relationship. Understanding these dynamics is essential for developing targeted interventions and policies to mitigate financial toxicity and improve patients' management of medical costs.

The Handbook For Working With Children & Youth: Pathways To Resilience Across Cultures and Contexts examines lives lived well despite adversity. Calling upon some of the most progressive thinkers in the field, it presents a groundbreaking collection of original writing on the theories, methods of study, and interventions to promote resilience. Unlike other works that have left largely unquestioned their own culture-bound interpretations of the ways children and youth survive and thrive, this volume explores the multiple paths children follow to health and well-being in diverse national and international settings. It demonstrates the connection between social and political health resources and addresses the more immediate concerns of how those who care for children create the physical, emotional, and spiritual environments in which resilience is nurtured.

The first Chinese Housing Earthquake Insurance (HEI) program was launched in Dali in 2015. Dali is an ethnic minority autonomous prefecture in southwest China, and is severely vulnerable to seismic hazards. This paper aims to understand household-level seismic risk-coping behavior, namely willingness to pay for HEI and structural retrofit, in rural ethnic minority communities (EMC) in Dali, and then to identify factors that could significantly affect their behavior to increase their possibility of successful disaster response. The seismic risk-coping behavior among rural households of EMC in Dali is surveyed and the relationship between their behavior and the affecting factors are measured by the Binary Logit Model. The results indicate that both HEI and structural retrofit are not widely adopted by households; contrarily, most prefer relying on fiscal subsidies to cope with seismic risk instead of taking precautionary action. Their behavior has been found to be positively influenced by risk perception, and negatively affected by fiscal subsidies. Moreover, HEI uptake shows a positive relationship with insurance experience and household income, but a negative correlation with migrant-worker ratios. In addition, households with buildings having higher anti-seismic capacity are more reluctant toward structural retrofit. However, ethnicity, religious belief, age, education and gender have no significant impact on behavior. Results of this work may add to further acquisition of household-level seismic risk-coping behavior adoption among these communities in need, along with providing implications for implementing seismic risk reduction in rural EMC.