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Background Antenatal depression (AD) is common in pregnant women and is associated with adverse outcomes for the mother, fetus, infant and child. The influencing factors of AD among pregnant women have been studied; however, the mechanisms of these factors remain unclear. This study was designed to examine the direct and serial mediating roles of coping styles in the relationship between perceived social support and AD among pregnant women. Methods A cross-sectional study was conducted among 1486 pregnant women who registered to give birth at a tertiary hospital. A self-developed questionnaire was administered to obtain sociodemographic and obstetric data. The Perceived Social Support Scale (PSSS), Simplified Coping Style Questionnaire (SCSQ), and Edinburgh Postnatal Depression Scale (EPDS) were administered to measure the perceived social support, coping styles, and depressive symptoms of pregnant women, respectively. Multiple linear stepwise regression analysis was used, and then, the specific relationships among influencing factors were determined through structural equation modelling (SEM). Results The prevalence of AD was 24.02%. The average scores of intrafamily support, extrafamily support, positive coping styles, negative coping styles and EPDS reported by pregnant women were 24.16 ± 3.09, 44.52 ± 6.16, 27.34 ± 4.89, 9.79 ± 3.82, and 7.44 ± 3.56, respectively. Multiple regression analysis showed that pregnant women with a higher level of intrafamily support exhibited a positive coping style and a decreased risk of AD. Compared with extrafamily support, the direct effect (-0.16 vs. -0.10, P  < 0.05) and indirect effect of intrafamily support through coping styles (-0.028 vs. -0.027, P  < 0.05) on AD were stronger. Two indirect pathways explained 17.46% of the variance in the EPDS scores. Conclusion Higher social support decreased the likelihood of AD, not only directly but also through the mediating roles of coping styles. Social support should be strengthened, and positive coping styles should be advocated in every stage of pregnancy. Specifically, intrafamily support should be given more attention for pregnant Chinese women.

Purpose To examine the relationship between self-disclosure, coping styles, and benefit finding (BF) among caregivers of cancer patients. The study also aimed to identify the factors influencing BF and the impact of coping styles on the relationship between self-disclosure and BF. Methods Convenience sampling was used to select 300 caregivers of cancer patients aged greater than 18 years from October 2022 to April 2023 in Chengdu, China. The demographic and clinical characteristics questionnaire, the Benefit Finding Scale (BFS), the Distress Disclosure Index Scale (DDI), and the Simple Coping Style Scale (SCSQ) for caregivers were included in this study. Descriptive statistics, t -tests, one-way analysis of variance, Pearson’s correlation analyses, and multiple linear regression models were used. The effect of mediation was tested by the PROCESS macro (Model 4) for SPSS 26.0 by Hayes using 5000 bootstrap samples. Results There were 292 valid questionnaires (effective response rate 97.33%). The total scores of BF, self-disclosure, negative coping style, and positive coping style of caregivers were 67.77 ± 14.78, 38.23 ± 8.59, 19.68 ± 5.98, and 9.88 ± 4.18, respectively; Pearson’s correlation analysis showed that BF was positively correlated with self-disclosure, positive coping, and negatively correlated with negative coping; multiple linear regression analysis showed that self-disclosure, positive coping, and negative coping were influential factors of BF. The results revealed that the effect of self-disclosure on BF was partly mediated by coping styles. It also confirmed that the mediation effect accounted for 54.03% of the total effect. Conclusion The BF of caregivers is at a moderate level. Self-disclosure may influence BF partly because of coping styles.

The proliferation of short-form videos on social media has become a ubiquitous aspect of contemporary life. However, the pervasive use of these videos may potentially give rise to an addiction-like phenomenon. College students, in particular, have emerged as a significant demographic engaging with short-form videos, prompting a growing interest among scholars in understanding the potential implications of this phenomenon. This study aimed to examine the relationship and mechanism of action between short-form video addiction, anxiety symptoms, coping styles, and learning burnout among college students. The sample was obtained through convenience sampling, and the study utilized data from 523 college students. All variables were measured using empirical questionnaire instruments, and all the instruments had good reliability. Regression analysis was used to test the mediating effect of anxiety symptoms between short-form video addiction and learning burnout. PROCESS macro v3.5 for SPSS (Model 5) was adopted to test the moderated mediation. Results indicated that short-form video addiction was positively and significantly associated with both learning burnout and anxiety symptoms, and that anxiety symptoms mediated the relationship between short-form video addiction and learning burnout. Furthermore, negative coping styles significantly weakened the association between short-form video addiction and learning burnout. These results suggest that educational interventions should integrate digital literacy programs with mental health services to reduce the impact of addiction and provide targeted training in positive coping strategies to prevent learning burnout.

Women experience higher rates of mental health problems compared to men, particularly anxiety, depression, and mood disorders. This study examined the coping strategies of college-going women in relation to mental health outcomes, and identified predictors of stress, anxiety, and depression. A sample of 140 women aged 18–24 years was recruited from three colleges in Kanpur, India, using stratified random sampling. Participants completed the Brief COPE and DASS-21 to assess coping styles and mental health status. Results indicated that emotion-focused coping strategies (EFCS), particularly self-blame, were most frequently used and were significantly associated with higher anxiety and depression. Avoidance-focused coping strategies (AFCS), especially self-distraction, and problem-focused coping strategies (PFCS), specifically planning, significantly predicted stress levels. These findings underscore the importance of interventions that encourage adaptive coping strategies and reduce reliance on maladaptive responses such as self-blame, with implications for gender-sensitive mental health programs in higher education. Article Highlights College-going women most frequently used emotion-focused coping strategies (EFCS), with self-blame being the most common. EFCS were significantly associated with higher levels of anxiety and depression. Avoidance-focused coping strategies (AFCS), particularly self-distraction, significantly predicted stress. Problem-focused coping strategies (PFCS), especially planning, also emerged as predictors of stress. Findings point to the need for gender-sensitive interventions to promote adaptive coping strategies in higher education settings. Reducing reliance on maladaptive coping (e.g., self-blame) may improve women’s mental health outcomes.

Purpose The aim of the study was to provide support for the hypothesis that there was a correlation between the subjective appraisal of one’s disease and the level of stress, as well as the hypothesis that coping styles may have a mediating role on the relationship between the perception of the disease and stress level in patients diagnosed with lung cancer. Methods The study involved 97 respondents diagnosed with lung cancer, including 50 men and 47 women. The following methods were used for the study: the Disease-Related Appraisals Scale, the Coping Inventory for Stressful Situations, and the Perceived Stress Scale. Socio-demographic data were also collected. Results The results show that emotion-oriented coping (EOC) acts as a mediator on the relationship between the appraisal of the disease and stress level in patients diagnosed with lung cancer. A total of 4 multiple mediation models were tested. Conclusion The research findings provide support for the hypothesis that coping style is crucial for the way patients appraise their disease and for their stress level. It is important to diagnose individual specific needs of lung cancer patients. The research results are an important source of information for those responsible for training medical staff on how to support cancer patients in their illness.

This study explored the mediating effect of coping styles in the relationship between psychological capital and learning burnout. We used a cluster sampling method to recruit 647 college students, who completed the Psychological Capital Scale, the Learning Burnout Scale, and the Chinese Trait Coping Style Questionnaire. Linear regression analysis was used to explore the role of positive coping and negative coping, and a bootstrapping analysis was used to verify the mediation effect. The results showed that there were negative correlations between learning burnout and psychological capital, and between positive coping and learning burnout, and that there was a positive correlation between negative coping and learning burnout. In sum, positive coping and negative coping were partial mediators of the relationship between psychological capital and learning burnout. Implications of the findings are discussed.

Studies of how positive and negative coping styles affect social anxiety show mixed results. Hence, our two meta-analyses determined the overall effect sizes of problem solving-focused coping (PSC) styles and emotion-focused coping (EFC) styles on social anxiety in mainland China (PSC: k  = 49 studies, N  = 34,669; EFC: k  = 52, N  = 36,531). PSC was negatively linked to social anxiety (− .198), and EFC was positively linked to social anxiety (.223). In years with more national income, PSC’s and EFC’s effect sizes were larger. PSC’s effect sizes were smaller among rural students (vs. urban students), larger among older students (university, high school, middle school), and larger in cross-sectional (vs. longitudinal) studies. When using SAD (vs. others) social anxiety measures, PSC effect sizes were larger, but EFC effect sizes were smaller. EFC effect sizes were larger in studies with convenience (vs. representative) samples. Gender, single child status, and coping style measurement showed no moderation effects. These findings suggest that using problem solving-focused coping styles rather than emotion-focused may reduce social anxiety, so future experimental studies can test this idea more rigorously.

Objective To examine acceptance of disability, coping style, perceived social support, and quality of life and to explore the relationships between acceptance of disability, coping style, perceived social support, and quality of life among Chinese patients with chronic lymphedema. Methods Chronic lymphedema patients were recruited from five tertiary hospitals between May and July 2020 in China. Recruited patients were assessed for quality of life (QOL), acceptance of disability (AOD), coping styles, perceived social support (PSS), and sociodemographic and disease-related factors. Multivariate linear regression models were conducted to examine the multivariate effect of AOD, coping style, PSS, and sociodemographic and disease-related factors on QOL. Results A total of 163 chronic lymphedema patients were recruited. The mean score of QOL was 2.23 (SD = 0.68). AOD, number of symptoms, acceptance-resignation, avoidance, degree of pain, PSS, and educational level were found to be significant predictors of QOL. Conclusion Chinese patients with chronic lymphedema had moderate levels of QOL. The QOL and specific domains of patients were affected by different factors. Special attention and targeted interventions should be given to improve patients’ QOL.

Background Psychological birth trauma represents a significant global public health concern, with an estimated 45% of new mothers reporting such an experience. Researchers mostly focus on the impacts of postpartum mental health issues, such as postpartum post-traumatic stress disorder, minimal attention has been given to the antecedents of psychological birth trauma. This study seeks to investigate the correlation between fear of childbirth and psychological birth trauma among Chinese women who have undergone natural childbirth, as well as the mediating role of coping styles in the association between fear of childbirth and psychological birth trauma. Methods This cross-sectional study was conducted among 420 women who underwent natural childbirth between June and December 2021 in Shandong Province, China. Data were gathered using the Wijma Delivery Experience Questionnaire, Trait Coping Style Questionnaire, and Impact of Event Scale-Revised. The structural equation model (SEM) was employed to examine the relationships between variables and to develop the final model. Results The prevalence of psychological birth trauma among women who had experienced natural childbirth was recorded at 10.27%. The mean score and standard deviation of psychological birth trauma, fear of birth, positive coping (PC), and negative coping (NC) among these women were 19.7 ± 12.5, 76.9 ± 21.3, 35.66 ± 7.05, and 28.20 ± 7.99, respectively. Findings indicated that women’s fear of childbirth was directly (B = 0.340, p  = 0.001) and indirectly (B = 0.124, p  = 0.001) linked to women’s psychological birth trauma. Additionally, women’s PC was negatively associated with psychological birth trauma (B= -0.352, p  = 0.001), while NC was positively associated with psychological birth trauma (B = 0.199, p  = 0.001). Conclusions Chinese women who experienced natural childbirth encountered a moderate level of psychological birth trauma. Women’s coping style plays a pivotal mediating role in the connection between fear of childbirth and psychological birth trauma. Consequently, interventions aimed at diminishing women’s fear of childbirth and enhancing PC skills should be devised and implemented to alleviate women’s psychological birth trauma.

AimThis study aimed to identify the latent profiles of professional identity among nursing students and explore the factors associated with different profiles.BackgroundNursing students’ professional identity is easily influenced by various factors. However, current studies mainly focused on the overall level of professional identity and its related factors, ignoring the population heterogeneity of nursing students’ professional identity.DesignA cross-sectional study.MethodsA convenient sampling was used to collect data from 384 nursing students who were undergoing their clinical practicum in the affiliated hospitals of a medical university in China between January and April 2021. Data were collected using the demographic questionnaire, the nursing student internship stress scale, the simplified coping style questionnaire, and the professional identity scale for nursing students. A latent profile analysis was used to identify the latent profiles of professional identity. Kruskal-Wallis H test, analysis of variance and ordinal logistic regression were used to determine factors that were associated with different profiles of professional identity.ResultNursing students’ professional identity could be classified into four profiles: low professional identity, relatively low professional identity, relatively high professional identity and high professional identity. These four profiles showed unique relationships with choosing nursing voluntarily, willing to be a clinical nursing staff, stress in conflict between study and work, and positive coping styles.ConclusionThe majority of the nursing students were classified into profile 1 (low professional identity) and 2 ( relatively low professional identity). Nursing students’ lower professional identity need to be further enhanced by improving social recognition of nurses to increase the willingness of high school graduates to choose nursing voluntarily, allocating nursing workforce rationally to increase the willingness of nursing student to be a clinical nursing staff, reducing nursing students’ stress in conflict between study and work and encouraging them to adopt positive coping styles.