Coping Strategies Adopted by Motor Vehicle Accident Survivors from a Hilly State of North India

Background: Dealing with trauma has always been challenging for people from all walks of life. Moreover, traumas like Motor Vehicle Accidents (MVA) are sudden and can be life-threatening, which further raises the concern and thus requires healthy adaptation. Considering the lack of data on the copin...

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Main Authors: Deeksha Arora, Xavier C. Belsiyal, Vikram Singh Rawat
Format: Article
Language:English
Published: SAGE Publishing 2023-01-01
Series:Indian Journal of Psychological Medicine
Online Access:https://doi.org/10.1177/02537176221102014
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author Deeksha Arora
Xavier C. Belsiyal
Vikram Singh Rawat
author_facet Deeksha Arora
Xavier C. Belsiyal
Vikram Singh Rawat
author_sort Deeksha Arora
collection DOAJ
description Background: Dealing with trauma has always been challenging for people from all walks of life. Moreover, traumas like Motor Vehicle Accidents (MVA) are sudden and can be life-threatening, which further raises the concern and thus requires healthy adaptation. Considering the lack of data on the coping strategies of accident survivors in India, this study was undertaken to assess the coping strategies adopted by MVA survivors. Methods: Cross-sectional survey was conducted at tertiary care institution in Uttarakhand (India) during 2019–2020. A total of 250 MVA survivors were selected through total enumerative sampling and assessed for posttraumatic stress disorder (Posttraumatic Stress Disorder Checklist (PCL)-5), depression (Zung self-rating depression scale), and coping strategies (Brief COPE questionnaire). Results: The mean score was highest for emotion-focused coping mechanism (32.84 ± 5.18) and lower for dysfunctional (26.18 ± 10.59) and problem-focused (18.47 ± 3.12) coping mechanisms. Religion (96.87%) and emotional support (87.25%) were among the frequently adopted coping styles, whereas denial and self-blame were the least adopted. A high correlation was found between depression and the three coping mechanisms ( r = 0.83 [emotion-focused coping], 0.68 [problem-focused coping], 0.62 [dysfunctional coping]). Among the participants, 133 crossed the threshold for PTSD and/or depression. Conclusions: A commonly adopted coping strategy among MVA survivors is emotion-focused coping mechanism. Religion and emotional support are most prevalent because of family dynamics prevalent in countries like India.
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spelling doaj.art-0f8d3e861a2d4146b60dfebc6c4e1c952023-01-03T14:35:06ZengSAGE PublishingIndian Journal of Psychological Medicine0253-71760975-15642023-01-014510.1177/02537176221102014Coping Strategies Adopted by Motor Vehicle Accident Survivors from a Hilly State of North IndiaDeeksha Arora0Xavier C. Belsiyal1Vikram Singh Rawat2 Dept. of Psychiatric Nursing, College of Nursing, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India. Dept. of Psychiatric Nursing, College of Nursing, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India. Dept. of Psychiatry, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.Background: Dealing with trauma has always been challenging for people from all walks of life. Moreover, traumas like Motor Vehicle Accidents (MVA) are sudden and can be life-threatening, which further raises the concern and thus requires healthy adaptation. Considering the lack of data on the coping strategies of accident survivors in India, this study was undertaken to assess the coping strategies adopted by MVA survivors. Methods: Cross-sectional survey was conducted at tertiary care institution in Uttarakhand (India) during 2019–2020. A total of 250 MVA survivors were selected through total enumerative sampling and assessed for posttraumatic stress disorder (Posttraumatic Stress Disorder Checklist (PCL)-5), depression (Zung self-rating depression scale), and coping strategies (Brief COPE questionnaire). Results: The mean score was highest for emotion-focused coping mechanism (32.84 ± 5.18) and lower for dysfunctional (26.18 ± 10.59) and problem-focused (18.47 ± 3.12) coping mechanisms. Religion (96.87%) and emotional support (87.25%) were among the frequently adopted coping styles, whereas denial and self-blame were the least adopted. A high correlation was found between depression and the three coping mechanisms ( r = 0.83 [emotion-focused coping], 0.68 [problem-focused coping], 0.62 [dysfunctional coping]). Among the participants, 133 crossed the threshold for PTSD and/or depression. Conclusions: A commonly adopted coping strategy among MVA survivors is emotion-focused coping mechanism. Religion and emotional support are most prevalent because of family dynamics prevalent in countries like India.https://doi.org/10.1177/02537176221102014
spellingShingle Deeksha Arora
Xavier C. Belsiyal
Vikram Singh Rawat
Coping Strategies Adopted by Motor Vehicle Accident Survivors from a Hilly State of North India
Indian Journal of Psychological Medicine
title Coping Strategies Adopted by Motor Vehicle Accident Survivors from a Hilly State of North India
title_full Coping Strategies Adopted by Motor Vehicle Accident Survivors from a Hilly State of North India
title_fullStr Coping Strategies Adopted by Motor Vehicle Accident Survivors from a Hilly State of North India
title_full_unstemmed Coping Strategies Adopted by Motor Vehicle Accident Survivors from a Hilly State of North India
title_short Coping Strategies Adopted by Motor Vehicle Accident Survivors from a Hilly State of North India
title_sort coping strategies adopted by motor vehicle accident survivors from a hilly state of north india
url https://doi.org/10.1177/02537176221102014
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