RESEARCH ARTICLE


Stress Coping Styles in Family and Relatives of Coronavirus Disease 2019 (COVID-19) Patients in the South of Iran: Application of Lazarus and Folkman’s Theory of Stress Coping



Reza Faryabi1, Tahereh Rahimi2, Salman Daneshi3, Ehsan Movahed1, *, Ali Reza Yusefi1, Mohadeseh Shojaei Shahrokhabadi4, Ding-Geng (Din) Chen5, Saeedeh Azaraeen6, Cain C. T. Clark7
1 Department of Public Health, School of Public Health, Jiroft University of Medical Sciences, Jiroft, Iran
2 Department of Public Health, School of Public Health, Jahrom University of Medical Sciences, Jahrom, Iran
3Department of Public Health, School of Health, Jiroft University of Medical Sciences, ‎Jiroft, Iran
4 Department of Statistics, University of Pretoria, Pretoria, South Africa
5 Department of Biostatistics, Gillings School of Global Public Health, University of North Carolina-Chapel Hill, North Carolina, USA
6 Researcher of Jiroft University of Medical Sciences, Jiroft, Iran
7 Centre for Intelligent Healthcare, Coventry University, Coventry, CV15FBUK


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Creative Commons License
© 2022 Faryabi et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the Department of Public Health, School of Public Health, Jiroft University of Medical Sciences, Jiroft, Iran; Tel: 0989133908319; E-mail: ehsanmovahed89@yahoo.com


Abstract

Background:

The ongoing outbreak of Coronavirus disease 2019 (COVID-19) is a major challenge for mental health care systems and causes and exacerbates mental anxiety.

Objective:

This study sought to investigate the coping styles of stress in families and relatives of COVID-19 patients in the south of Iran, according to Lazarus and Folkman’s Transactional theory ‎of Stress coping ‎model.

Methods:

The present cross-sectional study was performed in the period from March 5 to July 5, 2020. Data collection was done electronically using a standard questionnaire on Lazarus and Folkman’s coping methods. Finally, the output data of the electronic questionnaire were analyzed using descriptive and inferential statistics.

Results:

A total of 276 people participated in the present study. There was a statistically significant difference between age and all emotion-oriented coping style domains (P <0.05), except planful problem solving (P = 0.817) and positive reappraisal (P = 0.153). The results of the present study showed that from the emotion-oriented coping, the domain of self-controlling (%55.9) received an unfavorable score, but in the problem-oriented coping (60.02%), the two domains of social support (%71.27) and positive reappraisal (70%) obtained scores above 50%.

Conclusion:

Families and relatives need help to improve coping with stress in the area of self-controlling. The results of the present study showed that emotion-oriented coping (self-controlling) had less effect on family stress than problem-oriented coping (domains of social support and positive reappraisal). Also, with domains of social support and positive reappraisal, the stress in the families was reduced. Factors influencing coping styles were age, literacy, source of information, and underlying disease. Since the COVID-19 pandemic condition is a unique stressful situation, it is necessary to implement psychological and educational interventions to gain the ability to control stress, especially in relatives with COVID-19.

Keywords: Psychological distress, Coronavirus disease 201 ‎, Family, Psychologic theory, Folkman’s coping methods, Covid 19.