Psychological Distress and Coping Styles in Young Adult Women: A Community-Based Correlational Study from Pakistan
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With the increasing social, cultural and environmental demands, women are especially sensitive to psychological distress and thus, the concept of coping should be accompanied by the knowledge of how coping supports mental health and general well-being. It was a comparative cross-sectional study and aimed to establish the level of psychological distress and coping strategies among Pakistani women who were using to cope with the distress It used convenience sampling to recruit 249 women (aged 20-39 years). The Depression Anxiety Stress Scale (DASS-21) was used to measure psychological distress, including depression, anxiety, and stress, whereas the Brief COPE measured coping strategies, including problem-focused, emotion-focused, and avoidant coping. The results showed that a significant percentage of the women had moderate to high levels of psychological distress, and extremely severe anxiety. Results further indicate that maladaptive coping styles, i.e., avoidance coping, plays a significant role in expanding psychological distress among young adult women. Boosting adaptive coping style may therefore be critical for lowering level of distress symptoms. These findings would be useful for policymakers, clinicians, and mental health practitioners to develop relevant interventions that could improve the psychological well-being of women in Pakistan.
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Ain, Q.-U., & Gul, A. (2023). Illness perception, coping strategies, and psychological distress among women with polycystic ovary syndrome. Pakistan Journal of Medical and Health Sciences, 17(2), 261–264. https://doi.org/10.53350/pjmhs2023172261
Albert, P. (2015). Why is depression more prevalent in women? Journal of Psychiatry & Neuroscience, 40(4), 219–221. https://doi.org/10.1503/jpn.150205
Algorani, E. B., & Gupta, V. (2023). Coping mechanisms. StatPearls Publishing.
Alkheyr, Z., Murad, M., Das, P., Aljenaee, K., Kamel, C., Ali Hajji, S., Flood, J., Atkin, S. L., & Ali, K. F. (2024). Self-esteem and body image satisfaction in women with PCOS in the Middle East: A cross-sectional social media study. PLOS ONE, 19(4), Article e0301707. https://doi.org/10.1371/journal.pone.0301707
Alur-Gupta, S., Chemerinski, A., Liu, C., Lipson, J., Allison, K., Sammel, M. D., & Dokras, A. (2019). Body-image distress in women with polycystic ovary syndrome and its association with depression and anxiety. Fertility and Sterility, 112(5), 930–938. https://doi.org/10.1016/j.fertnstert.2019.06.018
Boer, S. F. de, Buwalda, B., & Koolhaas, J. M. (2017). Untangling the neurobiology of coping styles: Neural mechanisms underlying individual differences in disease susceptibility. Neuroscience & Biobehavioral Reviews, 74, 401–422. https://doi.org/10.1016/j.neubiorev.2016.07.008
Bozdag, G., Mumusoglu, S., Zengin, D., Karabulut, E., & Yildiz, B. O. (2016). The prevalence and phenotypic features of polycystic ovary syndrome: A systematic review and meta-analysis. Human Reproduction, 31(12), 2841–2855. https://doi.org/10.1093/humrep/dew218
Brandt, L., Liu, S., Heim, C., & Heinz, A. (2022). The effects of social isolation stress and discrimination on mental health. Translational Psychiatry, 12(1), 1–11. https://doi.org/10.1038/s41398-022-02178-4
Carron, R., Kooienga, S., Boyle, D. K., & Alvero, R. (2017). Coping in women with polycystic ovary syndrome: Implications for practitioners. The Journal for Nurse Practitioners, 13(10), 700–707. https://doi.org/10.1016/j.nurpra.2017.08.004
Cooney, L. G., Lee, I., Sammel, M. D., & Dokras, A. (2017). High prevalence of moderate and severe depressive and anxiety symptoms in polycystic ovary syndrome: A systematic review and meta-analysis. Human Reproduction, 32(5), 1075–1091. https://doi.org/10.1093/humrep/dex044
Cooper, S., Hutchings, P., Butterworth, J., Joseph, S., Kebede, A., Parker, A., Terefe, B., & Van Koppen, B. (2019). Environmental associated emotional distress and the dangers of climate change for pastoralist mental health. Global Environmental Change, 59, Article e101994. https://doi.org/10.1016/j.gloenvcha.2019.101994
Dewani, D., Karwade, P., & Mahajan, K. S. (2023). The invisible struggle: The psychosocial aspects of polycystic ovary syndrome. Cureus, 15(12), Article e51321. https://doi.org/10.7759/cureus.51321
Fischer, R., Scheunemann, J., & Moritz, S. (2021). Coping strategies and subjective well-being: Context matters. Journal of Happiness Studies, 22, 3413–3434. https://doi.org/10.1007/s10902-021-00372-7
Frydenberg, E. (2014). Coping research: Historical background, links with emotion, and new research directions. Australian Journal of Psychology, 66(2), 82–92. https://doi.org/10.1111/ajpy.12051
Hopkins, C. S., Kimble, L. P., Hodges, H. F., Koci, A. F., & Mills, B. B. (2019). Coping and depression in adolescent girls with polycystic ovary syndrome: A mixed-methods study. Journal of the American Association of Nurse Practitioners, 31(3), 189–197. https://doi.org/10.1097/JXX.0000000000000125
Lawrance, E. L., Thompson, R., Newberry Le Vay, J., Page, L., & Jennings, N. (2022). The impact of climate change on mental health and emotional wellbeing: A narrative review. International Review of Psychiatry, 34(5), 443–498. https://doi.org/10.1080/09540261.2022.2128725
Light, R. S., Chilcot, J., & McBride, E. (2021). Psychological distress in women living with polycystic ovary syndrome: The role of illness perceptions. Women’s Health Issues, 31(2), 177–184. https://doi.org/10.1016/j.whi.2020.11.003
Ligocka, N., Chmaj-Wierzchowska, K., Wszołek, K., Wilczak, M., & Tomczyk, K. (2024). Quality of life of women with polycystic ovary syndrome. Medicina, 60(2), Article e294. https://doi.org/10.3390/medicina60020294
Macahilig, M. (2024). Psychological distress and coping styles of women living with polycystic ovarian syndrome. Journal of Pregnancy and Child Health. Advance online publication. https://doi.org/10.4172/2376-127x
Matthews, G. (2007). Distress. In G. Fink (Ed.), Encyclopedia of stress (pp. 838–843). Academic Press.
Obrenovic, B., Jianguo, D., Khudaykulov, A., & Khan, M. A. S. (2020). Work–family conflict and psychological well-being. Frontiers in Psychology, 11, 475. https://doi.org/10.3389/fpsyg.2020.00475/
Remes, O. (2021). Biological, psychological, and social determinants of depression: A review. Brain Sciences, 11(12), 1633. https://doi.org/10.3390/brainsci11121633
Schaffner, A. K. (2023, September 19). Unhealthy coping mechanisms. PositivePsychology.com. https://positivepsychology.com/unhealthy-coping-mechanisms/
Tang, R., Luo, M., Li, J., Peng, Y., Wang, Y., Liu, B., Liu, G., Wang, Y., Lin, S., & Chen, R. (2019). Anxiety and depression among women transitioning through menopause. Fertility and Sterility, 112(6), 1160–1171. https://doi.org/10.1016/j.fertnstert.2019.08.005
Tindle, R., Hemi, A., & Moustafa, A. A. (2022). Social support, psychological flexibility, and coping in psychological distress. Scientific Reports, 12(1), 1–12. https://doi.org/10.1038/s41598-022-12262-w
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