The conceptualisation of Alzheimer's disease as an illness with ‘no future’ exposes people with the condition to significant fear and stress. Therefore, exploring how people look ahead to the future in the face of Alzheimer's disease is of foremost importance. Semi-structured interviews (N = 14) explored the future outlook of people with early (N = 5) and late-onset (N = 7) Alzheimer's disease and those who support them (N = 14). Thematic analysis identified how participants managed their changing futures through focusing on positive information, and taking ‘one day at a time’. Younger and older people shared similar future outlook and subsequent coping strategies, as predicted by Carstensen's Socioemotional Selectivity Theory. Both people with Alzheimer's disease and those who support them avoided looking far ahead as a way of managing the uncertain future, and had little awareness of future planning in the context of current policies. Such avoidance suggests that policy which encourages future planning should consider its utility and explore ways of helping people to plan, whilst focusing on daily living.

Unwanted pursuit behaviours (UPBs) comprise repeated and unwanted efforts to establish intimate contact in the form of harassing, tracking, and monitoring. These are common among young adults following the breakup of a romantic relationship, typically by the rejected partner. The relational goal pursuit theory (RGPT) proposes that UPB users overestimate the importance of a relationship to higher-order goals. This study assessed how well a new coping-based approach and the RGPT model predicted UPB frequency and scope. Two hundred participants (50% female; aged 19–24) completed an anonymous online survey. Ruminating was linked to both greater frequency and scope of UPB use. Higher levels of emotion-focused coping and perceived self-efficacy to re-establish intimacy were linked to the use of a wider scope of unwanted pursuit behaviours. Insights gained from UPB users are necessary for understanding mechanisms associated with the turbulent and distressing aftermath of a romantic breakup.

Teachers are burdened by high work pressure, suggesting the need for an effective stress coping system to support them. The present study evaluated the effectiveness of coping strategies currently utilized by teachers and explored the potential contribution of group sandplay to coping. The study was led by a group of experienced therapists and sandplay practitioners. Two hundred teachers served as participants, equally divided into two groups: An experimental sandplay group (EG) and control group. Both groups received a 3-hour tutorial on the psychological pressure at work, reactions to it, and physical/mental symptoms resulting from overwhelming pressure, and were introduced to the working principles and process of sandplay. EG participants then engaged in group sandplay for three consecutive days. The Simplified Coping Style Questionnaire was used as an objective measure of participants’ coping styles. Therapists’ and practitioners’ observations were used as subjective information, including the scenes and themes created by participants, individual performance during sandplay activities, and feedback regarding changes to stress coping strategies. We compared participants’ pre-and post-test stress coping strategies. The results revealed a significant improvement in the EG sample at the shift from passive coping (pre-test M = 1.94, 95% CI [1.83–2.05]; post-test M = 0.96, 95% CI [0.92–1.00]) to active coping (pre-test M = 1.76, 95% CI [1.69–1.83]; post-test M = 2.41, 95% CI [2.29–2.53]). Overall, our findings support the conclusion that group sandplay effectively improved Chinese teachers’ overall stress coping abilities.

Informal caregivers often experience high stress levels with little support, especially in rural settings. With a mixed-methods approach, this research explored experiences of rural informal caregivers, including how social identification as a caregiver, social interactions, and formal and informal coping support related to perceived stress. Major focus group themes (n = 8) included lacking available services, balancing challenges, unmet practical needs, and strong community identity. Survey data (n = 22) revealed that perceived coping support (e.g., having someone to turn to), social interactions, and caregiver identity (e.g., perceiving the role as important to one’s self-concept) were associated with lower life upset stress, but only caregiver identity was associated with managing the personal distress and negative feelings associated with caregiving stress. Results suggest that, although available rural services may fall short, other options might alleviate caregiver stress, including facilitating access to coping support, encouraging social interactions, and enhancing caregiver social identity.

Motivation and coping are two of the most relevant factors associated to well-being. One of our objectives was to describe the motivation to pursue the personal goals, the coping strategies used to pursue them, and the levels of well-being experienced, in a group of people serving prison sentences (n = 175: 143 males and 32 females). We mainly wanted to study the joint contribution of motivation and coping on their well-being. The results have shown that motivation and coping contribute to the different dimensions of well-being. Specifically, we have found that autonomous motivation (AM) as well as problem solving (PS) and positive cognitive restructuring (PCR) coping positively predict self-acceptance (β = .12, p = .06; β = .17, p < .05; β = .24, p < .01 respectively), purpose in life (β = .12, p = .06; β = .35, p < .001 and β = .24, p < .001 respectively) and positive affect (β = .13, p = .06; β = .29, p < .001 and β = .28, p < .001 respectively). Personal growth was positively predicted by AM (β = .21, p < .01) and PCR coping (β = .21, p < .01), and negatively by avoidance coping (β = –.16, p < .05). Negative affect was positively predicted by social support (β = .16, p < .05) and avoidance (β = .42, p < .001) coping. None of the variables analyzed predicted life satisfaction. The results suggest that well-being promotion programs in prison settings should encourage the pursuit of goals by AM and the use of PS and PCR coping to achieve these goals.

Background: Guilt is commonly associated with distress and psychopathology. However, there is a lack of validated measures that assess how people cope with this aversive emotional and cognitive experience. Aims: We therefore developed and validated a self-report measure that assesses how people manage their guilt: the Guilt Management Scale (GMS). Method: The GMS was administered to a non-clinical (n = 339) and clinical (n = 67) sample, alongside other validated measures of guilt severity, coping, thought control and psychological distress. Results from a principal component analysis (PCA) and assessments of test–retest reliability and internal consistency are presented. Results: The PCA yielded a six subscale solution (Self-Punishment, Reparation, People-Focused, Spirituality, Avoidance and Metacognition), accounting for 56.14% of variance. Test–retest reliability and internal consistency was found to be good–excellent for the majority of subscales. Across samples, Self-Punishment was related to higher levels of guilt and distress whilst Metacognition and Reparation were related to less guilt and distress in the non-clinical sample only. Conclusions: This paper provides preliminary evidence for the psychometric properties of the GMS in a non-clinical sample. With development and validation in clinical samples, the GMS could be used to inform psychological formulations of guilt and assess therapy outcomes.

Rural households in developing countries depend on crops, forest extraction and other income sources for their livelihoods, but these livelihood contributions are sensitive to climate change. Combining socioeconomic data from about 8,000 smallholder households across the tropics with gridded precipitation and temperature data, we find that households have the highest crop income at 21°C temperature and 2,000 mm precipitation. Forest incomes increase on both sides of this agricultural maximum. We further find indications that crop income declines in response to weather shocks while forest income increases, suggesting that households may cope by reallocating inputs from agriculture to forests. Forest production may thus be less sensitive than crop production to climatic fluctuations, gaining comparative advantage in extreme climates and under weather anomalies. This suggests that well-managed forests might help poor rural households to cope with and adapt to future climate change.

The present study explored the component structure of coping in preschoolers as measured by the Children's Coping Scale — Revised (CCS-R) through principal component analysis (PCA). The study also examined the relationship between different coping patterns and mental health (as measured by the Strengths and Difficulties Questionnaire; SDQ) in preschoolers. One hundred and thirty-two parents of preschoolers enrolled at a university-affiliated Early Learning Centre in Melbourne, Australia completed the CCS-R and the SDQ as part of a larger project. The PCAs found that a three-component structure of coping in preschoolers best fit the data for all general and situation-specific forms of the CCS-R. The majority of the forms, for both mothers and fathers, resulted in the components of: (1) Positive Coping, (2) Negative Coping — Emotional Inhibition, and (3) Negative Coping — Emotional Expression. The Situation Specific Coping forms resulted in the most reliable components, and the items that loaded on each component were the most consistent with previous research, underscoring a need to focus on situation-specific, as opposed to general, coping in preschoolers. Results for the relationship between the CCS-R and the SDQ found associations between positive coping and positive mental health, and negative coping was associated with some aspects of poor mental health. The patterns of associations provide evidence of construct validity for the component structure of the CCS-R and also highlight opportunities for intervention for this age group. Understanding the processes involved in managing and adapting to stress provides the opportunity to develop prevention and intervention approaches targeted at healthy adaption. Coping in preschoolers, and the degree to which preschoolers’ coping is associated with mental health, is largely under-studied in comparison to other life stages. The present study contributes to this small body of research in an effort to help inform teaching and therapeutic approaches for preschoolers.

This study was twofold: 1) to assess parental reactions to childhood cancer throughout the oncological experience and 2) to explore associations between parents’ reactions during treatment and cancer-related distress at survival. A cross-sectional descriptive study collecting data (at survival) from retrospective (perceived social support, optimism, distress, coping in the worst situation) and current variables (general stress, distress regarding cancer, benefit finding) was carried out. Forty-one parents of childhood cancer survivors were assessed. High levels of distress (M = 9.5, SD = 1.32, range 4-10) and self-reported efforts to overcome difficulties occurring during the hospitalization (M = 7.48, SD = 3.01, range 0-10) were found. However, parents received high social support from very different sources. This could explain the satisfactory levels of optimism found (43.9% of the sample, M ≥ 16, range 9 – 24). Most parents reported to use engagement (M = 2.57, SD = 0.41, range 1-4) and help-seeking (M = 2.52, SD = 0.53, range 1-4) coping strategies to overcome difficulties. Some parents recognized to use psychological defenses when coping with the distress of cancer. However, this disengagement style was less preferred (M = 1.62, SD = 0.37, range 1-4). Finally, 22% of parents reported positive consequences and 60% reported positive and negative consequences too. When exploring how treatment experiences can influence cancer-related distress in survivorship, we observed that those who received less social support used more disengagement coping and referred higher efforts to overcome difficulties during treatment, displayed persistent distress at survival. These same parents showed higher scores on general stress. Besides, these results were not influenced by child’s sequelae at survival. These findings support the hypothesis that “the end of treatment is not the end”. Consequently, special attention should be placed in screening parents experiences throughout different milestones of cancer to design tailored interventions aimed at reducing persistent distress at survival.

Background: Hearing voices can be a common and distressing experience. Psychological treatment in the form of cognitive behavioural therapy for psychosis (CBTp) is effective, but is rarely available to patients. The barriers to increasing access include a lack of time for clinicians to deliver therapy. Emerging evidence suggests that CBTp delivered in brief forms can be effective and offer one solution to increasing access. Aims: We adapted an existing form of CBTp, coping strategy enhancement (CSE), to focus specifically on distressing voices in a brief format. This intervention was evaluated within an uncontrolled study conducted in routine clinical practice. Method: This was a service evaluation comparing pre–post outcomes in patients who had completed CSE over four sessions within a specialist out-patient service within NHS Mental Health Services. The primary outcome was the distress scale of the Psychotic Symptoms Rating Scale – Auditory Hallucinations (PSYRATS-AH). Results: Data were available from 101 patients who had completed therapy. A reduction approaching clinical importance was found on the PSYRATS distress scale post-therapy when compared with the baseline. Conclusions: The findings from this study suggest that CSE, as a focused and brief form of CBTp, can be effective in the treatment of distressing voices within routine clinical practice. Within the context of the limitations of this study, brief CSE may best be viewed as the beginning of a therapeutic conversation and a low-intensity intervention in a stepped approach to the treatment of distressing voices.

The literature about the care givers of patients with Disorders of Consciousness (DOCs) has highlighted the impact on both mental and physical dimensions of quality of life. This study aimed to: (1) describe emotional burden, quality of life, and coping styles in care givers of hospitalized patients with DOCs, compared to Italian normative data; (2) explore the relationships between these variables and their associations with socio-demographic features; and (3) describe their changes over time.

Fifteen care givers of patients with DOCs, mostly middle-aged women, were assessed using the Family Strain Questionnaire, the SF-36 Health Survey, and the Coping Orientation to Problems Experienced – Nuova Versione Italiana. Eleven subjects were also assessed after 6 and 12 months. Data were analysed through descriptive statistics, correlations, and nonparametric tests of group differences.

Compared to the Italian normative data, our sample showed a worse outcome in mental health, social functioning, global mental component, and emotional role functioning. Furthermore, subjects with high emotional burden had more thoughts of death compared to subjects with low emotional burden. Follow-up analyses revealed no variables changed over time.

These results highlight the need for psychological interventions and support, since care givers represent an important part of an all-embracing support and care network for patients with DOCs.