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Coping strategies and associated factors among people with physical disabilities for psychological distress in Ethiopia

BACKGROUND: Coping strategies are frequently used among individuals with physical disabilities when they face adversities. Low- and middle-income countries are not investigated coping styles among psychological distress persons with disabilities despite the high prevalence of psychological distress....

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Autores principales: Desalegn, Getachew Tesfaw, Zeleke, Tadele Amare, Shumet, Shegaye, Mirkena, Yohannes, Kassew, Tilahun, Angaw, Dessie Abebaw, Salelew, Endalamaw
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9811711/
https://www.ncbi.nlm.nih.gov/pubmed/36600278
http://dx.doi.org/10.1186/s12889-022-14877-0
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author Desalegn, Getachew Tesfaw
Zeleke, Tadele Amare
Shumet, Shegaye
Mirkena, Yohannes
Kassew, Tilahun
Angaw, Dessie Abebaw
Salelew, Endalamaw
author_facet Desalegn, Getachew Tesfaw
Zeleke, Tadele Amare
Shumet, Shegaye
Mirkena, Yohannes
Kassew, Tilahun
Angaw, Dessie Abebaw
Salelew, Endalamaw
author_sort Desalegn, Getachew Tesfaw
collection PubMed
description BACKGROUND: Coping strategies are frequently used among individuals with physical disabilities when they face adversities. Low- and middle-income countries are not investigated coping styles among psychological distress persons with disabilities despite the high prevalence of psychological distress. The aim of this study was to identify coping strategies among people with physical disabilities for their psychological distress in Ethiopia has a crucial role to improve the health status of persons with physical disabilities. METHODS: An institution-based cross-sectional study was employed among individuals living with physical disabilities at the University of Gondar staff and students from May to June 2021. All staff and students with physical disabilities were screened for psychological distress (n = 269). The census sampling technique was used to select the study participants for psychological distress. The Brief Cope with Problems Experienced (COPE-28) was used to assess coping strategies. Bivariate and multivariate linear regression analyses were used to identify factors associated with coping strategies. An odd ratio (OR) with a 95% confidence interval (CI) at P < 0.05 was computed to assess the strength of the association. RESULTS: The emotional-focused coping strategy was the most frequently used when dealing with psychological distress among participants with physical disabilities. The most commonly used emotional-focused coping strategy was spirituality. In the multivariate analyses; urban residence (β = 3.05, 95% CI: 0.98, 5.12), and stigma (β = 3.10, 95% CI: 0.61, 2.83) were factors positively associated with emotion-focused coping strategy, and World Health Organization Quality of Life (WHO QOL) (β = 0.18, 95% CI: 0.13, 0.22), and stigma (β = 1.11, 95% CI: 0.61, 2.83) were factors significantly associated with problem-focused coping. Urban residence (β= -0.96, 95% CI: -1.69, -0.22) was negatively associated with dysfunctional coping strategy, but WHO QOL (β = 0.35, 95% CI: 0.32, 0.38) was positively correlated with dysfunctional coping. CONCLUSION: In this study revealed that spirituality is the most frequently used coping strategy among the study participants. Urban residents, stigma, and WHO QOL significantly correlated with coping strategies among such patients. The Ministry of Health, Ministry of Education, and other concerned organizations may find the present findings useful to strengthen the coping styles to minimize psychological distress among people with physical disabilities.
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spelling pubmed-98117112023-01-05 Coping strategies and associated factors among people with physical disabilities for psychological distress in Ethiopia Desalegn, Getachew Tesfaw Zeleke, Tadele Amare Shumet, Shegaye Mirkena, Yohannes Kassew, Tilahun Angaw, Dessie Abebaw Salelew, Endalamaw BMC Public Health Research BACKGROUND: Coping strategies are frequently used among individuals with physical disabilities when they face adversities. Low- and middle-income countries are not investigated coping styles among psychological distress persons with disabilities despite the high prevalence of psychological distress. The aim of this study was to identify coping strategies among people with physical disabilities for their psychological distress in Ethiopia has a crucial role to improve the health status of persons with physical disabilities. METHODS: An institution-based cross-sectional study was employed among individuals living with physical disabilities at the University of Gondar staff and students from May to June 2021. All staff and students with physical disabilities were screened for psychological distress (n = 269). The census sampling technique was used to select the study participants for psychological distress. The Brief Cope with Problems Experienced (COPE-28) was used to assess coping strategies. Bivariate and multivariate linear regression analyses were used to identify factors associated with coping strategies. An odd ratio (OR) with a 95% confidence interval (CI) at P < 0.05 was computed to assess the strength of the association. RESULTS: The emotional-focused coping strategy was the most frequently used when dealing with psychological distress among participants with physical disabilities. The most commonly used emotional-focused coping strategy was spirituality. In the multivariate analyses; urban residence (β = 3.05, 95% CI: 0.98, 5.12), and stigma (β = 3.10, 95% CI: 0.61, 2.83) were factors positively associated with emotion-focused coping strategy, and World Health Organization Quality of Life (WHO QOL) (β = 0.18, 95% CI: 0.13, 0.22), and stigma (β = 1.11, 95% CI: 0.61, 2.83) were factors significantly associated with problem-focused coping. Urban residence (β= -0.96, 95% CI: -1.69, -0.22) was negatively associated with dysfunctional coping strategy, but WHO QOL (β = 0.35, 95% CI: 0.32, 0.38) was positively correlated with dysfunctional coping. CONCLUSION: In this study revealed that spirituality is the most frequently used coping strategy among the study participants. Urban residents, stigma, and WHO QOL significantly correlated with coping strategies among such patients. The Ministry of Health, Ministry of Education, and other concerned organizations may find the present findings useful to strengthen the coping styles to minimize psychological distress among people with physical disabilities. BioMed Central 2023-01-04 /pmc/articles/PMC9811711/ /pubmed/36600278 http://dx.doi.org/10.1186/s12889-022-14877-0 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Desalegn, Getachew Tesfaw
Zeleke, Tadele Amare
Shumet, Shegaye
Mirkena, Yohannes
Kassew, Tilahun
Angaw, Dessie Abebaw
Salelew, Endalamaw
Coping strategies and associated factors among people with physical disabilities for psychological distress in Ethiopia
title Coping strategies and associated factors among people with physical disabilities for psychological distress in Ethiopia
title_full Coping strategies and associated factors among people with physical disabilities for psychological distress in Ethiopia
title_fullStr Coping strategies and associated factors among people with physical disabilities for psychological distress in Ethiopia
title_full_unstemmed Coping strategies and associated factors among people with physical disabilities for psychological distress in Ethiopia
title_short Coping strategies and associated factors among people with physical disabilities for psychological distress in Ethiopia
title_sort coping strategies and associated factors among people with physical disabilities for psychological distress in ethiopia
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9811711/
https://www.ncbi.nlm.nih.gov/pubmed/36600278
http://dx.doi.org/10.1186/s12889-022-14877-0
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