Aim: The aim of this article is to investigate and describe the coping strategies of elderly widows. Theoretical base: The grieving process is well described in the literature. However, in real life, it is always necessary to respect the uniqueness of the process for each individual. Most previous studies have focused on difficulties of the bereaved and their risk of dying. More recently, the strengths of the bereaved and how they develop have also been emphasised. A dual-proces model of coping with bereavement was used. It is based on loss-oriented and restoration-oriented strategies and the oscillation between them. In the Czech context, there is a lack of research based on this dual-process model describing coping strategies after the loss of a loved one. Methods: The paper presents the results of ethically demanding research using semi-structured interviews with 15 elderly widows. The authors based the model on a questionnaire survey using a qualitative methodology because of the aspiration to describe the strategies of individual women in detail. Results: The output is a description of coping strategies, categorized into loss- and recovery-oriented approaches, used by elderly women to navigate the period following their partner's death. Conclusion: Describing how the women interviewed have coped with their challenging life situation could inspire not only other elderly women but also their relatives and aid workers who come into contact with this target group.

• MeSH
• Adaptation, Psychological MeSH
• Coping Skills * methods   MeSH
• Qualitative Research MeSH
• Humans MeSH
• Spouses psychology   MeSH
• Interviews as Topic MeSH
• Aged MeSH
• Death MeSH
• Widowhood psychology   MeSH
• Grief MeSH
• Self Report MeSH
• Bereavement * MeSH
• Check Tag
• Humans MeSH
• Aged MeSH
• Female MeSH
• Publication type
• Research Support, Non-U.S. Gov't MeSH

Publikace se zaměřuje na psychickou odolnost a možnosti zvládání stresu. Určeno odborné veřejnosti.; Publikace představuje moderní pohled na odolnost vůči stresu, tedy psychickou a fyzickou resilienci, která nám umožňuje pružně reagovat na náročné životní situace. Neustále postupující neurovědní výzkum přináší cenné a podnětné poznatky, které pomáhají naše klinické pozorování a zkušenost zakotvit v širším biologickém a teoretickém rámci. Autorka na jejich základě ukazuje, jak pomocí systematického tréninku posilovat flexibilitu myšlení, emocí i chování. Praktické návody a osvědčené postupy pomáhají nejen vyvažovat každodenní zátěž, ale také čelit traumatickým událostem s odvahou a sebevědomím. Budování resilience s sebou přináší i otázky týkající se výchovy, vzdělávání, kultury mezilidského spolubytí, politiky nebo životních hodnot a spirituality. Kniha nabízí inspiraci ke zvyšování životní spokojenosti a posílení duševního i tělesného zdraví nejen odborníkům v oblasti psychiatrie, psychologie či psychoterapie, ale i studentům těchto oborů.

• MeSH
• Coping Skills MeSH
• Mental Health MeSH
• Neurobiology MeSH
• Resilience, Psychological MeSH
• Stress, Psychological prevention & control   therapy   MeSH
• Healthy Lifestyle MeSH
• Publication type
• Monograph MeSH

• Conspectus
• Psychologie
• NML Fields
• psychologie, klinická psychologie

Cíl: Popsat strategie zvládání stresu (coping) a prožívaný stres v souvislosti s neplodností u mužů a žen podstupujících léčbu in vitro fertilizace (IVF). Zjistit, zda jsou mezi ženami a muži rozdíly v prožívání a zároveň vytipovat adaptivní a neadaptivní strategie pro zvládání neplodnosti. Soubor a metoda: Korelační studie, 162 pacientů s primární neplodností (99 žen a 63 mužů), kteří podstupovali léčbu IVF v Sanus Pardubice, vyplnilo psychologické dotazníky Fertility Problem Inventory a COPE Inventory. Výsledky: Mezi muži a ženami nebyl nalezen statisticky významný rozdíl v míře prožívaného stresu. Nejčastěji užívali muži i ženy copingové strategie pozitivní reinterpretace, plánování a akceptace, muži užívali signifikantně častěji než ženy strategii zdrženlivost, potlačení a plánování, ženy užívaly signifikantně častěji než muži strategie využívání emoční sociální opory a náboženský coping. U žen i mužů signifikantně korelovala s celkovou mírou prožívaného stresu strategie popření v pozitivním směru, strategie pozitivní reinterpretace a akceptace v negativním směru. Závěr: Nedobrovolně bezdětné ženy a muži v léčbě IVF prožívají podobný stres, užívají ale mírně odlišné copingové strategie. Pro muže i ženy se jako adaptivní copingové strategie ukazují pozitivní reinterpretace a akceptace, jako neadaptivní popření.

Aim: To describe coping strategies and infertility stress in men and women undergoing in vitro fertilization (IVF) treatment. To determine whether there are differences in coping strategies between men and women and to identify adaptive and non-adaptive coping strategies for infertility. Materials and methods: A correlational study, where 162 patients (99 women and 63 men) with primary infertility undergoing IVF treatment at Sanus Pardubice completed the Fertility Problem Inventory and COPE Inventory psychological questionnaires. Results: There were no significant differences between women and men in experiencing infertility stress. The coping strategies used most frequently by both men and women were Positive Reinterpretation, Planning, and Acceptance; men used the strategies Restraint, Suppression, and Planning significantly more frequently than women; and women used the strategies Using Emotional Social Support and Religious Coping significantly more frequently than men. For both women and men, level of Global infertility stress significantly correlated with Denial in the positive direction and with Positive Reinterpretation and Acceptance in the negative direction. Conclusion: Involuntarily childless women and men in IVF treatment experience similar infertility stress, but use slightly different coping strategies. For both men and women, Positive Reinterpretation and Acceptance emerged as adaptive strategies, while Denial emerged as non-adaptive.

• MeSH
• Coping Skills * MeSH
• Fertilization in Vitro * psychology   MeSH
• Clinical Studies as Topic MeSH
• Humans MeSH
• Stress, Psychological MeSH
• Sex Factors MeSH
• Check Tag
• Humans MeSH
• Male MeSH
• Female MeSH

Úvod: Příspěvek informuje o projektu DIPEx, v jehož rámci byla vytvořena webová stránka www.hovoryozdravi.cz. Koncept vychází z příběhů samotných pacientů v různých zdravotních kondicích. Příspěvek informuje speciálně o části projektu věnované pacientům s IBD, modul „Crohnova nemoc a ulcerózní kolitida“ a dále o vědeckých výsledcích publikovaných během aplikovaného kvalitativního výzkumu v psychologii zdraví. Soubor pacientů a metody: 36 pacientů – 19 s Crohnovou nemocí a 17 s ulcerózní kolitidou – bylo požádáno povyprávět svůj příběh s IBD, a dále byli dotazováni na otázky ohledně zdravotní péče, života s IBD, zvládání onemocnění apod. Byla použita metodologie DIPEx (Database of Personal Experiences of Health and Illness) vyvinutá v Oxfordu a standardizovaná v České republice jako inovativní nástroj kvalitativního výzkumu. Výsledky: Výsledky jsou prezentovány na webové stránce www.hovoryozdravi.cz, konkrétně modulem „Crohnova nemoc a ulcerózní kolitida“. Dalším zpracováním narativ participantů vznikly také hlubší, již publikované analýzy, a to: očekávání pacientů ve vztahu lékař–pacient a problematika intimity a plánování rodiny. Závěr: Webová stránka www.hovoryozdravi.cz je vhodná pro pacienty, jejich blízké a také k doplnění vzdělávání pracovníků ve zdravotnictví. Kvalitativní výzkum prožívání pacientů s IBD je ojedinělý svým rozsahem v oblasti psychologie zdraví.

Introduction: The paper reports on the project DIPEx, which has created the website www.hovoryozdravi.cz. The concept is based on the stories of patients themselves in different health conditions. The paper reports specifically on the part of the project devoted to IBD patients, the module “Crohn‘s disease and ulcerative colitis, as well as on the scientific results published in the framework of applied qualitative research in health psychology. Patients and methods: 36 patients, 19 with Crohn‘s disease and 17 with ulcerative colitis, were asked to tell their story with IBD and were also asked questions about health care, living with IBD, coping with the disease, etc. The Database of Personal Experiences of Health and Illness (DIPEx) methodology, developed in Oxford and standardized in the Czech Republic as an innovative qualitative research tool, was used. Results: Further elaboration of the participants‘ narratives also led to more in-depth analyses already published, namely: patients‘ expectations in the doctor–patient relationship and issues of intimacy and family planning. Conclusion: The website www.hovoryozdravi.cz is useful for patients, their loved ones, and also for teaching healthcare professionals. Qualitative research on the experiences of IBD patients is unique in its scope in the field of health psychology.

• Keywords
• DIPEx, zkušenost pacienta,
• MeSH
• Behavioral Medicine methods   MeSH
• Crohn Disease * diagnosis   psychology   MeSH
• Quality of Life * MeSH
• Humans MeSH
• Surveys and Questionnaires MeSH
• Colitis, Ulcerative diagnosis   psychology   MeSH
• Check Tag
• Humans MeSH
• Publication type
• Evaluation Study MeSH

BACKGROUND: Hope plays a pivotal role in enhancing the quality of life and coping strategies of individuals living with advanced diseases. The nature of the relationship between hope and prognostic awareness is unclear. AIM: To explore the experiences and meanings of hope and their association with prognostic awareness among people with advanced incurable diseases. DESIGN: Qualitative phenomenological study using reflexive thematic analysis of semi-structured interviews. SETTING/PARTICIPANTS: Interviews with 24 participants aged 30-99 years with advanced incurable disease were conducted in hospices and hospitals in the Czech Republic. RESULTS: We generated four distinct approaches to hope and prognostic awareness: Technical, Spiritual, Minimalist and Pragmatic. Each approach exhibited unique cognitive, emotional and behavioural dimensions of hope and prognostic awareness. The Technical and Minimalist approaches showed fluctuating hope influenced by medical updates, while the Spiritual and Pragmatic approaches demonstrated stable hope resilient to prognostic information. CONCLUSIONS: Recognizing these diverse hope approaches can guide tailored interventions in palliative care. Healthcare providers should adapt their communication strategies based on people's predominant hope orientations to support effective coping and enhance end-of-life care outcomes. This study sheds light on how different individuals navigate hope amidst terminal illnesses, providing insights into the nuanced psychological and emotional dynamics that influence their coping mechanisms.

• MeSH
• Adaptation, Psychological * MeSH
• Adult MeSH
• Quality of Life psychology   MeSH
• Qualitative Research MeSH
• Middle Aged MeSH
• Humans MeSH
• Hope * MeSH
• Palliative Care * psychology   MeSH
• Terminal Care * psychology   MeSH
• Prognosis MeSH
• Interviews as Topic MeSH
• Aged, 80 and over MeSH
• Aged MeSH
• Terminally Ill * psychology   MeSH
• Awareness * MeSH
• Check Tag
• Adult MeSH
• Middle Aged MeSH
• Humans MeSH
• Male MeSH
• Aged, 80 and over MeSH
• Aged MeSH
• Female MeSH
• Publication type
• Journal Article MeSH
• Geographicals
• Czech Republic MeSH

Příručka, která se zaměřuje na poporodní úzkost a depresi a stres a na kognitivně-behaviorální terapii. Určeno široké veřejnosti.; Text poskytuje srozumitelné informace, které mohou lékařům i psychoterapeutům pomoci úspěšně začlenit strukturu a postupy kognitivně-behaviorální terapie do podpůrného přístupu při práci s klientkami před porodem a po něm.

• MeSH
• Coping Skills MeSH
• Cognitive Behavioral Therapy MeSH
• Depression, Postpartum * therapy   MeSH
• Parturition MeSH
• Stress, Psychological MeSH
• Pregnant People psychology   MeSH
• Anxiety therapy   MeSH
• Publication type
• Popular Work MeSH
• Handbook MeSH

• Conspectus
• Fyzioterapie. Psychoterapie. Alternativní lékařství
• NML Fields
• psychoterapie
• gynekologie a porodnictví
• zdravotní výchova

Problematika individuálních strategií zvládání zátěže pacientů patří k výzkumným zájmům v rámci celosvětového trendu rozvoje psychoonkologie a psychosociální podpory v onkologii. Implementace poznatků do ošetřovatelské péče může podpořit efektivnější plánování a naplňování potřeb pacienta v duchu holistického přístupu, který tvoří pilíř moderní péče orientované na člověka. Článek představuje výsledky pilotního výzkumu zaměřeného na strategie zvládání zátěže a obtížných životních situací v období léčby a rekonvalescence u onkologických pacientů zapojených do pacientských skupin zasazené do kontextu ošetřovatelství v onkologii.

The research of individual patient coping strategies is a topic of interest in the current global trend of developing psycho-oncology and psychosocial support in oncology. Implementing knowledge in nursing care can support more effective planning and meeting patient needs in line with a holistic approach, which is central to modern person-centered care. This article presents the findings of a pilot study focused on coping strategies for difficult life situations during treatment and recovery among oncology patients engaged in patient groups within the context of nursing in oncology.

• MeSH
• Coping Skills * methods   MeSH
• Adult MeSH
• Quality of Life MeSH
• Middle Aged MeSH
• Humans MeSH
• Neoplasms psychology   MeSH
• Psycho-Oncology * methods   MeSH
• Psychosocial Support Systems MeSH
• Interviews as Topic MeSH
• Aged MeSH
• Self-Help Groups MeSH
• Professional-Patient Relations MeSH
• Check Tag
• Adult MeSH
• Middle Aged MeSH
• Humans MeSH
• Male MeSH
• Aged MeSH
• Female MeSH
• Publication type
• Research Support, Non-U.S. Gov't MeSH

ABSTRACTBackground: European health care workers recently experienced serious challenges to their mental health. Following the extremely stressful experience of the COVID-19 pandemic, the war in Ukraine caused a humanitarian influx of refugees in need of social and healthcare. We aimed to explore: (1) how working with refugees has affected the mental well-being of health care workers in the context of the COVID-19 pandemic, and (2) the nature of health care workers' emotional strain related to the refugee situation and the war in Ukraine.Methods: We used a combination of quantitative regression analyses and qualitative content analysis to assess data collected by an online questionnaire in 2022. The study included 1121 health care workers from the Czech arm of the international HEROES Study.Results: Quantitative findings did not indicate that working with Ukrainian refugees was reliably associated with a greater occurrence of symptoms of depression, anxiety, distress, or burnout. Qualitative analysis revealed five categories of emotional strain: impacts on working conditions, emotional reactions to refugees and the war, comparisons with the COVID-19 pandemic, and coping strategies.Conclusions: This study highlights the resilience of health care workers but also points to the need for ongoing support to address the complex emotional challenges they face during health crises.

• MeSH
• Adaptation, Psychological MeSH
• COVID-19 * psychology   MeSH
• Depression psychology   epidemiology   MeSH
• Adult MeSH
• Mental Health * MeSH
• Middle Aged MeSH
• Humans MeSH
• Pandemics MeSH
• Burnout, Professional psychology   MeSH
• Surveys and Questionnaires MeSH
• Stress, Psychological psychology   MeSH
• SARS-CoV-2 MeSH
• Refugees * psychology   statistics & numerical data   MeSH
• Anxiety psychology   MeSH
• Health Personnel * psychology   statistics & numerical data   MeSH
• Check Tag
• Adult MeSH
• Middle Aged MeSH
• Humans MeSH
• Male MeSH
• Female MeSH
• Publication type
• Journal Article MeSH
• Geographicals
• Czech Republic MeSH
• Ukraine MeSH

INTRODUCTION: Threats to our survival are often posed by the environment in which humans have evolved or live today. Animal and human ancestors developed complex physiological and behavioral response systems to cope with two types of threats: immediate physical harm from predators or conspecifics, triggering fear, and the risk of infections from parasites and pathogens leading to the evolution of the behavioral immune system (BIS) with disgust as the key emotion. Here we ask whether the BIS has adapted to protect us from pandemic risks or poisoning by modern toxic substances. METHODS: We have developed a survey comprised of 60 vignettes describing threats evoking fear and disgust belonging to one of the three main categories of threats: (1) ancestral, (2) modern, and (3) pandemic of airborne disease. Each vignette was evaluated on a 7-point Likert scale based on fear, disgust, and anger. Respondents also completed an assessment battery. RESULTS: The results show that the strongest fear is triggered by modern threats (electricity, car accidents), while the highest disgust is evoked by ancient threats (body waste products, worms). Disgust does not respond to modern threat stimuli such as toxic substances or radioactivity as these evoke mainly fear and anger. A discriminant factor analysis classified nine out of 10 pandemic disgust vignettes into the ancestral disgust category, convincingly assigning the pandemic disgust threats to the ancestral type. Gender, age, and type of education were significant moderators of emotional responses across all threat categories. DISCUSSION: Our study reveals that while fear is more context-dependent, particularly triggered by modern threats, disgust operates on an evolutionarily hardwired basis, making it less effective against contemporary risks. Furthermore, disgust experienced during a pandemic outbreak is more closely aligned with ancestral disgust-related threats tapping into evolutionary ancient survival circuits of the BIS. However, as disgust declines with age, the brain must adaptatively shift the emotional processing from disgust to fear to protect older adults from contamination risks. Finally, our study reveals that pandemic fear is better predicted by specific behaviors rather than general anxiety, suggesting a need for new assessments.

• Publication type
• Journal Article MeSH

BACKGROUND: Using the perspective of the recent COVID-19 pandemic, which represents a public health challenge that also affects education and the psychological well-being of students, this paper aims to assess the vulnerability to anxiety and stress of the Romanian students from the Faculty of Administration and Business of the University of Bucharest pursuing their degrees in administration and business. METHODS: Our study is based on the results of the survey that was administered to a sample of 422 students (39.6% females and 60.4% males) selected from the pool of 2000 recruited respondents. We employed the ANOVA/linear Dependent Dirichlet Process mixture model to explain the causes of stress and anxiety after various grouping variables represented by gender, specialisation, as well as labour market status. RESULTS: Our results revealed that more than 80% of the students in the sample yielded medium and high vulnerability to stress, while 64% of the respondents were affected by severe anxiety (high frequency of psychological, social, and physical problems that were difficult for them to control). The most important stressors were the fear of getting infected and social distancing, while self-control was considered the most effective coping strategy by 62.6% of employed students. CONCLUSIONS: These results allow us to provide practical recommendations for effectively coping with stress and anxiety among students in Romania and beyond and to help stakeholders and policymakers design strategies for strengthening students' resilience, mental health, and well-being in case of future pandemics or other extreme contexts.

• MeSH
• Adaptation, Psychological * MeSH
• Coping Skills MeSH
• COVID-19 * epidemiology   psychology   MeSH
• Adult MeSH
• Humans MeSH
• Young Adult MeSH
• Pandemics MeSH
• Surveys and Questionnaires MeSH
• Stress, Psychological * epidemiology   psychology   MeSH
• SARS-CoV-2 MeSH
• Students * psychology   statistics & numerical data   MeSH
• Universities MeSH
• Anxiety * epidemiology   psychology   MeSH
• Check Tag
• Adult MeSH
• Humans MeSH
• Young Adult MeSH
• Male MeSH
• Female MeSH
• Publication type
• Journal Article MeSH
• Geographicals
• Romania MeSH