Document Type : Original Article

Authors

Department of Psychology, Psychosocial Injuries Research Center, Ilam University of Medical Sciences, Ilam, Ilam Province, Iran

Abstract

BACKGROUND: As shown in previous persons that used the effective coping strategies are more
aware to recent stressful life events in their live, this study conducted to investigate the main stressful
life events and common coping styles in adult’s population.
MATERIALS AND METHODS: This cross‑sectional study was conducted in 2018. In overall, 345
persons aged 18 years and more by stratified cluster sampling were enrolled in the study. The valid
questionnaires including the coping inventory for stressful situations‑21, the Holmes‑Rahe Stress
Inventory, and 28‑item General Health Questionnaire (GHQ‑28) were used to interview. The analysis
of variance and t‑student (t‑test) was used to determine the association between the two variables.
The statistical significance level was considered <0.05.
RESULTS: The top three importance events among 43 stressful items in our study were change
in financial state, gain of a new family member, and death of close family member. We found that
task‑oriented coping (P < 0.001) and avoidance‑oriented coping (P = 0.021) significantly more used
in males compered to females. According to Holmes‑Rahe life stress inventory instructions only 4.7%
of participants are prone to getting ill in next 2 years.
CONCLUSION: The results of this study showed a positive relationship between coping styles and
lower risk of mental health problems and stressful life events. Hence, activities and training programs
aiming to enhance personal approach coping skills is important to reduce of side effects of stressful
life events especially those recently exposed to negative life events and stresses.

Keywords

1. Yaribeygi H, Panahi Y, Sahraei H, Johnston TP, Sahebkar A.
The impact of stress on body function: A review. EXCLI J
2017;16:1057‑72.
2. McInnis KC, Ramey LN. High‑risk stress fractures: Diagnosis and
management. PM R 2016;8:S113‑24.
3. Ekpenyong CE, Daniel NE, Aribo EO. Associations between
academic stressors, reaction to stress, coping strategies and
musculoskeletal disorders among college students. Ethiop J
Health Sci 2013;23:98‑112.
4. Crego A, Carrillo‑Diaz M, Armfield JM, Romero M. Stress and
academic performance in dental students: The role of coping
strategies and examination‑related self‑efficacy. J Dent Educ
2016;80:165‑72.
5. Zvauya R, Oyebode F, Day EJ, Thomas CP, Jones LA.
A comparison of stress levels, coping styles and psychological
morbidity between graduate‑entry and traditional undergraduate
medical students during the first 2 years at a UK medical school.
BMC Res Notes 2017;10:93.
6. Sadeghian E, Heidarian Pour A. Stressors and mental health status
among students of Hamadan University of Medical Sciences.
Hayat 2009;15:71‑80.
7. Schoenmakers EC, van Tilburg TG, Fokkema T. Problem‑focused
and emotion‑focused coping options and loneliness: How are they
related? Eur J Ageing 2015;12:153‑61.
8. DeasyC, CoughlanB, PironomJ, JourdanD, Mannix‑McNamaraP.
Psychological distress and coping amongst higher education
students: A mixed method enquiry. PLoS One 2014;9:e115193.
9. Orzechowska A, Zajączkowska M, Talarowska M, Gałecki P.
Depression and ways of coping with stress: A preliminary study.
Med Sci Monit 2013;19:1050‑6.
10. McCarthy B, Trace A, O’Donovan M, Brady‑Nevin C, Murphy M,
O’Shea M, et al. Nursing and midwifery students’ stress and
coping during their undergraduate education programmes: An
integrative review. Nurse Educ Today 2018;61:197‑209.
11. Hanna LA, Wilson M, Hall M, Hanna A. A questionnaire study
to investigate stress among future pharmacists by gender and
year Group. Pharmacy (Basel) 2018;6:1‑9.
12. Ystgaard, M. Life stress, social support and psychological
distress in late adolescence. Social Psychiatry and Psychiatric
Epidemiology 1997; 32:277‑283.
13. Moradpour F, Hajebi A, Salehi M, Solaymani‑Dodaran M,
Rahimi‑Movaghar A, Sharifi V, et al. Province‑level prevalence
of psychiatric disorders: Application of small‑area methodology
to the Iranian Mental Health Survey (IranMHS). Iran J Psychiatry
2019;14:16‑32.
14. Noorbala AA, Bagheri Yazdi SA, Hafezi M. Trends in change of
mental health status in the population of Tehran between 1998
and 2007. Arch Iran Med 2012; 15:201‑4.
15. Veisani Y, Mohamadian F, Delpisheh A. Prevalence and
comorbidity of common mental disorders and associations with
suicidal ideation in the adult population. Epidemiol Health
2017;39:e2017031.
16. Parker JD, Endler NS. Coping with coping assessment: A critical
review. Europ J Personality 1992;6:321‑44.
17. Ebrahimifar M, Hosseinian S, Tosi S, Abedi MR. Psychometric
properties of the Persian version of the infertility self‑efficacy scale.
Pejouhesh dar Pezeshki (Research in Medicine) 2018; 42:100‑5.
18. Mohammadi MR, Davidian H, Noorbala AA, Malekafzali H,
Naghavi HR, Pouretemad HR, et al. An epidemiological survey
of psychiatric disorders in Iran. Clin Pract Epidemiol Ment Health
2005;1:16.
19. Hatef B, Mohammadi A, Yaribeygi H, Meftahi G. Intensity and
prevalence of source of stress in Iran. Health Res J 2016;1:43‑57.
20. Nock MK, Borges G, Bromet EJ, Cha CB, KesslerRC, Lee S. Suicide and suicidal behavior. Epidemiol Rev 2008;30:133‑54.
21. Hagnell O, Rorsman B. Suicide in the Lundby study:
A controlled prospective investigation of stressful life events.
Neuropsychobiology 1980;6:319‑32.
22. Kumar PN, George B. Life events, social support, coping
strategies, and quality of life in attempted suicide: A case‑control
study. Indian J Psychiatry 2013;55:46‑51.
23. Hajian S, Kasaeinia S, Ahmadi Doulabi M. The effect of resilience
and stress coping styles on suicide attempts in females reporting
spouse‑related abuse. Iran J Psychiatry Behav Sci 2018;12:e13091.
24. Li Z, Zhang J. Coping skills, mental disorders, and suicide among
rural youths in China. J Nerv Ment Dis 2012;200:885‑90.
25. Nagase Y, Uchiyama M, Kaneita Y, Li L, Kaji T, Takahashi S,
et al. Coping strategies and their correlates with depression in
the Japanese general population. Psychiatry Res 2009;168:57‑66.
26. Veisani Y, Delpisheh A, Moradi G, Hassanzadeh J, Sayehmiri K.
Inequality in addiction and mental disorders in 6818 suicide
attempts: Determine of positive contribution of determinants by
decomposition method. Iran J Public Health 2017;46:796‑803.
27. Fortgang RG, Hultman CM, Cannon TD. Coping styles in twins
discordant for schizophrenia, bipolar disorder, and depression.
Clin Psychol Sci 2016;4:216‑28.
28. Pu S, Nakagome K, Yamada T, Yokoyama K, Matsumura H,
Mitani H, et al. The relationship between the prefrontal activation
during a verbal fluency task and stress‑coping style in major
depressive disorder: A near‑infrared spectroscopy study.
J Psychiatr Res 2012;46:1427‑34.
29. Zhang X, Wang H, Xia Y, Liu X, Jung E. Stress, coping and suicide
ideation in Chinese college students. J Adolesc 2012;35:683‑90.
30. Zong JG, Cao XY, Cao Y, Shi YF, Wang YN, Yan C, et al. Coping
flexibility in college students with depressive symptoms. Health
Qual Life Outcomes 2010;8:66.
31. Alonso J, Buron A, Bruffaerts R, He Y, Posada‑Villa J, Lepine JP,
et al. Association of perceived stigma and mood and anxiety
disorders: Results from the World Mental Health Surveys. Acta
Psychiatr Scand 2008;118:305‑14.