Stress, coping strategies and social support in patients with primary Sjögren’s syndrome prior to disease onset: a retrospective case–control study

2008 ◽  
Vol 68 (1) ◽  
pp. 40-46 ◽  
Author(s):  
D Karaiskos ◽  
C P Mavragani ◽  
S Makaroni ◽  
E Zinzaras ◽  
M Voulgarelis ◽  
...  
Keyword(s):  
Social Support ◽  
Coping Strategies ◽  
Psychological Stress ◽  
Life Events ◽  
Stressful Life Events ◽  
Disease Onset ◽  
Primary Sjögren’S Syndrome ◽  
Stressful Life ◽  
Primary Sjogren’S Syndrome

Objectives:Previous evidence suggests the role of psychological stress in triggering the onset of autoimmunity. We aimed to investigate whether stress following major and minor life events could precede the onset of primary Sjögren’s syndrome (pSS). The role of coping strategies and social support, as compensating buffering mechanisms, was also explored.Methods:47 patients with pSS were compared with two control groups: 35 patients with lymphoma (disease controls, DC) and 120 healthy controls (HC) with disease onset within the previous year. All subjects completed questionnaires assessing the occurrence of major and minor stressful events, coping strategies and social support prior to disease onset. Data analysis was performed by univariate and multivariate logistic regression models.Results:A higher number of patients with pSS reported the occurrence of negative stressful life events prior to disease onset compared with patients with lymphoma and HC, while the number and impact of daily hassles did not differ between the three groups. Coping strategies were defective and the overall social support was lower in patients with pSS compared with DC and HC groups. In the multivariate model, pSS status was associated with maladaptive coping and lower overall social support relative to DC and HC, as well as with an increased number of negative stressful life events compared with HC but not DC.Conclusions:Prior to disease onset, patients with pSS experience high psychological stress following major negative life events, without developing satisfactory adaptive coping strategies to confront their stressful life changes. Lack of social support may contribute to the relative risk of disease development.

Direct and indirect determinants of prenatal depression among Arab-Bedouin Women in Israel: The role of stressful life events and social support

Midwifery ◽  
2021 ◽  
pp. 102937
Author(s):  
Samira Alfayumi-Zeadna ◽  
Miron Froimovici ◽  
Norm O’ Rourke ◽  
Zoya Azbarga ◽  
Rania Okby-Cronin ◽  
...  
Keyword(s):  
Social Support ◽  
Life Events ◽  
Stressful Life Events ◽  
Prenatal Depression ◽  
Stressful Life

The role of social support and stressful life events in the effectiveness of collaborative care for depression: A rural-urban comparison.

2007 ◽  
Vol 31 (4) ◽  
pp. 6-27
Author(s):  
Karen Albright ◽  
John C. Fortney ◽  
Scott J. Adams ◽  
Fran Dong ◽  
Stanley Xu
Keyword(s):  
Social Support ◽  
Life Events ◽  
Collaborative Care ◽  
Stressful Life Events ◽  
Stressful Life

scholarly journals The Role of Perceived Social Support in the Association Between Stressful Life Events and Suicidal Behavior

2021 ◽  
Vol 12 ◽  
Author(s):  
Balpreet Panesar ◽  
Tea Rosic ◽  
Myanca Rodrigues ◽  
Nitika Sanger ◽  
Natasha Baptist-Mohseni ◽  
...  
Keyword(s):  
Social Support ◽  
Life Events ◽  
Suicidal Behavior ◽  
Stressful Life Events ◽  
Suicide Attempts ◽  
Perceived Social Support ◽  
Stressful Life ◽  
Suicide Intent ◽  
The Relationship

Background: Suicide is a serious public health concern for which there have been well-established protective and risk factors reported in literature. There is a lack of evidence on the indirect effects of other variables on these factors. Specifically, the association between stressful life events and suicidal behavior may be affected by perceived social support, but its role in this association is largely uninvestigated.Objectives: Thus, this paper aims to explore the role of perceived social support in the association between stressful life events and suicidal behavior. Perceived social support will be explored as a mediator and as a moderator in this association.Methods: Data were obtained from the Determinants of Suicidal Behavior Conventional and Emergent Risk (DISCOVER), a study conducted to identify risk factors of suicidal behavior. The study participants are individuals with suicide attempts admitted to hospital. Participants (n = 343) were recruited from hospital setting. Suicidal behavior was measured using two outcomes (1) the occurrence of a suicide attempt (2) level of suicide intent as measured by the Pierce Suicide Intent Scale. Perceived social support was measured using the Sarason Social Support Questionnaire.Results: Stressful life events were significantly associated with suicide attempts (OR 1.440, 95% CI 1.440, 1.682, p < 0.001) and perceived social support (B −0.785, 95% CI −1.501, −0.068, p = 0.032). There was no significant mediation effect by perceived social support in the association between stressful life events and suicide attempts (Sobel's test statistic 1.64, p = 0.100). Perceived social support did not moderate the relationship between stressful life events and suicide attempts [(OR 1.007, 95% CI 0.987, 1.027, p = 0.514] or the relationship between stressful life events and level of suicidal intent (B −0.043, 95% CI −0.132, 0.046, p = 0.343).Conclusion: Stressful life events are associated with increased risk of suicide attempts. The study also identified an inverse relationship between stressful life events and perceived social support. These associations were independent of perceived social support. This study highlights the effects of stressful life events on suicide risk is not affected by perceived social support, requiring further investigation into measures to reduce the impact of social stressors on people with risk of suicide.

scholarly journals The association between stressful life events and perceived quality of life among women attending infertility treatments: the moderating role of coping strategies and perceived couple’s dyadic adjustment

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Maria Clelia Zurlo ◽  
Maria Francesca Cattaneo Della Volta ◽  
Federica Vallone
Keyword(s):  
Quality Of Life ◽  
Coping Strategies ◽  
Life Events ◽  
Stressful Life Events ◽  
Stressful Events ◽  
Dyadic Adjustment ◽  
Stressful Life ◽  
Infertility Treatments

Abstract Background Research highlighted that Stressful Life Events have high incidence among infertile patients and significant impact on physical and medical parameters related to reproductive functions, but their potential role among factors influencing the infertile patients’ perception of fertility-related Quality of Life (QoL) has not been explored. The present study aims to investigate the associations of Stressful Life Events (Stressful events in the family of origin, In family pre-existing pregnancy difficulties, Health problems in childhood) with perceived fertility-related QoL in women attending infertility treatments, examining the potential moderating role of adopted coping strategies and perceived couple’s dyadic adjustment. Methods A questionnaire consisting of Socio-demographics and Infertility-related characteristics, Stress-inducing events in the couples’ lives Questionnaire (FLS), Coping Orientations to Problem Experienced (COPE), Dyadic Adjustment Scale (DAS), and Core and Treatment subscales of Fertility Quality of Life (FertiQoL) was administered to 266 women attending infertility treatments. A descriptive correlational design with cross-sectional comparison was used. Results Logistic Regression Analyses after adjusting for socio-demographic and infertility-related characteristics revealed that women who reported Stressful events in the family of origin and In family pre-existing pregnancy difficulties were more likely to report lower levels of perceived Core QoL, while women who reported Health problems in childhood were more likely to report lower levels of perceived Treatment QoL. Couple’s dyadic adjustment and specific coping strategies were significantly associated with perceived Core and Treatment QoL and they also significantly moderated the associations between stressful life events and perceived QoL. Conclusions Data provided original evidence on the strong association between stressful life events and perceived fertility-related QoL also highlighting individual and couples’ resources to define counselling interventions with women attending infertility treatments.

scholarly journals Stressful Life Events and Subjective Well-Being in Vocational School Female Adolescents: The Mediating Role of Depression and the Moderating Role of Perceived Social Support

2021 ◽  
Vol 11 ◽  
Author(s):  
Mingkun Ouyang ◽  
Danni Gui ◽  
Xiao Cai ◽  
Yulong Yin ◽  
Xiaoling Mao ◽  
...  
Keyword(s):  
Social Support ◽  
Life Events ◽  
Stressful Life Events ◽  
Perceived Social Support ◽  
Well Being ◽  
Vocational School ◽  
Stressful Life ◽  
Female Adolescents ◽  
Subjective Well Being

Stressful life events and subjective well-being are negatively related, but there is little research in the current literature exploring the mediating and moderating mechanisms underlying this association, especially for female adolescents in vocational schools who are subjected to undesirable life events. In the present study, we examined the mediating role of depression in the association between stressful life events and female adolescents’ subjective well-being, as well as the moderating role of perceived social support in the direct and indirect relations involved. The participants were 1,096 vocational school female adolescents, who completed the questionnaires regarding stressful life events, subjective well-being, depression, and perceived social support. The results showed that depression partially mediated the relation between stressful life events and subjective well-being. Importantly, perceived social support moderated the direct link between stressful life events and subjective well-being, and the indirect link between stressful life events and depression, but not the indirect link between depression and subjective well-being. Especially, female adolescents high in perceived social support displayed higher levels of subjective well-being and lower levels of depression in facing with stressful life events than those low in perceived social support. These findings highlight the mechanisms underlying the relationship between stressful life events and subjective well-being in vocational school female adolescents.

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