{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T16:23:27Z","timestamp":1773332607988,"version":"3.50.1"},"reference-count":39,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2023,3,5]],"date-time":"2023-03-05T00:00:00Z","timestamp":1677974400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100009619","name":"Japan Agency for Medical Research and Development","doi-asserted-by":"publisher","award":["JP19dk0307083"],"award-info":[{"award-number":["JP19dk0307083"]}],"id":[{"id":"10.13039\/100009619","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100009619","name":"Japan Agency for Medical Research and Development","doi-asserted-by":"publisher","award":["JP20dk0307081"],"award-info":[{"award-number":["JP20dk0307081"]}],"id":[{"id":"10.13039\/100009619","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001691","name":"Japan Society for the Promotion of Science","doi-asserted-by":"publisher","award":["20K07134"],"award-info":[{"award-number":["20K07134"]}],"id":[{"id":"10.13039\/501100001691","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001691","name":"Japan Society for the Promotion of Science","doi-asserted-by":"publisher","award":["21K07486"],"award-info":[{"award-number":["21K07486"]}],"id":[{"id":"10.13039\/501100001691","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neuropsychopharm Rep"],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>This study examined the collective characteristics of nurses and their stress coping style.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted a cluster analysis of the stress coping strategies of 841 nurses belonging to Dokkyo Medical University Hospital, as measured by the Brief COPE (Coping Orientation to Problems Experienced). We also conducted multivariate analyses of each cluster's sociodemographic characteristics, personality traits, depressive symptoms, work attitudes, sense of fairness, and turnover intention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The results of cluster analysis using the standardized z scores of the Brief COPE demonstrated that the study participants were classified into three clusters. The \u201cemotional\u2010response type\u201d tended to favor the use of emotional support, venting, and self\u2010blame. The \u201creality\u2010escape type\u201d tended to prefer alcohol and substance use, behavioral resignation, use of instrumental support, and lack of acceptance. The \u201cproblem\u2010solving type\u201d tended to prefer planning, positive reframing, and acceptance and to dislike \u201calcohol and substance use\u201d and behavioral disengagement. A multinomial logistic regression analysis revealed that compared to the problem\u2010solving type, the emotional\u2010response type had a lower job title, a higher \u201cneuroticism\u201d score on the TIPI\u2010J, and a higher K6 score. However, compared to the problem\u2010solving type, the reality\u2010escape type was younger, consumed more alcohol and substances, and had a higher K6 score.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Stress coping styles were found to be associated with substance use, depressive symptoms, and personality traits among nurses in higher education institutions. Thus, the results suggest that nurses who choose maladaptive stress coping styles require mental support and early identification of depressive symptoms and alcohol problems.<\/jats:p><\/jats:sec>","DOI":"10.1002\/npr2.12324","type":"journal-article","created":{"date-parts":[[2023,3,6]],"date-time":"2023-03-06T00:44:20Z","timestamp":1678063460000},"page":"482-495","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["The relationship of stress coping styles on substance use, depressive symptoms, and personality traits of nurses in higher education institution"],"prefix":"10.1002","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6747-4348","authenticated-orcid":false,"given":"Keita","family":"Tokumitsu","sequence":"first","affiliation":[{"name":"Department of Psychiatry, School of Medicine Dokkyo Medical University  Mibu 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