{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T05:11:23Z","timestamp":1784265083069,"version":"3.55.0"},"reference-count":64,"publisher":"MDPI AG","issue":"16","license":[{"start":{"date-parts":[[2022,8,9]],"date-time":"2022-08-09T00:00:00Z","timestamp":1660003200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>(1) The specificity of a nurse\u2019s work, apart from performing medical procedures, is characterized by intensive contacts with other people. Stress is an inevitable part of a nurse\u2019s job and can affect their physical and mental health. Thus, strategies for coping with stress play an important role in improving health or well-being by reducing the level of stress. (2) The aim of the study was to evaluate the impact of coping strategies in predicting the overall health of nurses. The study also assessed the impact of personality traits and emotional control (anger, depression, anxiety) on the choice of coping with stress among nurses. (3) The study included 811 nurses from the West Pomeranian Voivodeship, with an average age of 40 (SD = 9.8), working mainly in hospitals (82%). The research was carried out with a diagnostic survey method, using the Coping Inventory for Stressful Situations questionnaire, NEO-Five Factor Inventor, Courtland Emotional Control Care Scale, General Health Questionnaire 30, and a demographic questionnaire. (4) Among the surveyed nurses, the dominant style of coping with stress was the style focused on emotions (MT 0.43), followed by the style focused on avoidance (MT 0.42). There were mental problems among 46.1% of the respondents. Nurses with mental problems according to GHQ-30 were characterized by a high intensity of coping styles focused on emotions (30.2%), avoiding (18.7%), and engaging in alternative activities (32.3%) (p = 0.000). (5) Most of the surveyed nurses have a tendency to cope with stress through an emotional-focused style, which may be associated with a higher level of occupational stress.<\/jats:p>","DOI":"10.3390\/ijerph19169777","type":"journal-article","created":{"date-parts":[[2022,8,10]],"date-time":"2022-08-10T02:42:53Z","timestamp":1660099373000},"page":"9777","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":25,"title":["Analysis of Factors Related to Mental Health, Suppression of Emotions, and Personality Influencing Coping with Stress among Nurses"],"prefix":"10.3390","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6912-287X","authenticated-orcid":false,"given":"Anna Maria","family":"Cybulska","sequence":"first","affiliation":[{"name":"Department of Nursing, Pomeranian Medical University in Szczecin, 71-210 Szczecin, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2200-3766","authenticated-orcid":false,"given":"Kamila","family":"Rachubi\u0144ska","sequence":"additional","affiliation":[{"name":"Department of Nursing, Pomeranian Medical University in Szczecin, 71-210 Szczecin, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marzanna","family":"Stanis\u0142awska","sequence":"additional","affiliation":[{"name":"Department of Nursing, Pomeranian Medical University in Szczecin, 71-210 Szczecin, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0806-0564","authenticated-orcid":false,"given":"Szymon","family":"Grochans","sequence":"additional","affiliation":[{"name":"Department of Biochemistry and Medical Chemistry, Pomeranian Medical University in Szczecin, Powsta\u0144c\u00f3w Wielkopolskich 72 Street, 70-111 Szczecin, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aneta","family":"Cymbaluk-P\u0142oska","sequence":"additional","affiliation":[{"name":"Department of Gynecological Surgery and Gynecological Oncology of Adults and Adolescents, Pomeranian Medical University, 70-111 Szczecin, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3679-7002","authenticated-orcid":false,"given":"El\u017cbieta","family":"Grochans","sequence":"additional","affiliation":[{"name":"Department of Nursing, Pomeranian Medical University in Szczecin, 71-210 Szczecin, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,8,9]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1080\/01612840.2021.1949765","article-title":"Effects of Mindfulness-Based Interventions on Mental Health in Nurses: A Meta-Analysis of Randomized Controlled Trials","volume":"43","author":"Kang","year":"2022","journal-title":"Issues Ment. Health Nurs."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"e20992","DOI":"10.1097\/MD.0000000000020992","article-title":"Interventions to reduce burnout of physicians and nurses: An overview of systematic reviews and meta-analyses","volume":"99","author":"Zhang","year":"2020","journal-title":"Medicine"},{"key":"ref_3","doi-asserted-by":"crossref","unstructured":"Leiter, M.P., Maslach, C., and Frame, K. (2014). Burnout. The Encyclopedia of Clinical Psychology, Wiley-Blackwell.","DOI":"10.1002\/9781118625392.wbecp142"},{"key":"ref_4","first-page":"1032","article-title":"Prevalence of burnout in mental health nurses and related factors: A systematic review and meta-analysis","volume":"28","year":"2019","journal-title":"Int. J. Ment. Health Nurs."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"05009","DOI":"10.7189\/jogh.11.05009","article-title":"Decline in the mental health of nurses across the globe during COVID-19: A systematic review and meta-analysis","volume":"11","author":"Varghese","year":"2021","journal-title":"J. Glob. Health"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"104099","DOI":"10.1016\/j.ijnurstu.2021.104099","article-title":"Burnout and depression in nurses: A systematic review and meta-analysis","volume":"124","author":"Chen","year":"2021","journal-title":"Int. J. Nurs. Stud."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"397","DOI":"10.1146\/annurev.psych.52.1.397","article-title":"Job burnout","volume":"52","author":"Maslach","year":"2001","journal-title":"Annu. Rev. Psychol."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"144","DOI":"10.1016\/j.genhosppsych.2020.03.011","article-title":"Psychological symptoms among frontline healthcare workers during COVID-19 outbreak in Wuhan","volume":"67","author":"Du","year":"2020","journal-title":"Gen. Hosp. Psychiatry"},{"key":"ref_9","first-page":"656","article-title":"Anxiety and depression in frontline health care workers during the outbreak of COVID-19","volume":"24","author":"Xing","year":"2020","journal-title":"Int. J. Soc. Psychiatry"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"e2010185","DOI":"10.1001\/jamanetworkopen.2020.10185","article-title":"Mental Health Outcomes Among Frontline and Second-Line Health Care Workers During the Coronavirus Disease 2019 (COVID-19) Pandemic in Italy","volume":"3","author":"Rossi","year":"2020","journal-title":"JAMA Netw. Open"},{"key":"ref_11","first-page":"190","article-title":"COVID-19 pandemic: Stress experience of healthcare workers\u2014A short current review","volume":"47","author":"Bohlken","year":"2020","journal-title":"Psychiatr. Prax."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1111\/jpm.12639","article-title":"COVID-19 under the SARS Cloud: Mental Health Nursing during the Pandemic in Hong Kong","volume":"28","author":"Cheung","year":"2021","journal-title":"J. Psychiatr. Ment. Health Nurs."},{"key":"ref_13","doi-asserted-by":"crossref","unstructured":"Rachubi\u0144ska, K., Cybulska, A.M., So\u0142ek-Pastuszka, J., Panczyk, M., Stanis\u0142awska, M., Ustianowski, P., and Grochans, E. (2022). Assessment of Psychosocial Functioning of Polish Nurses during COVID-19 Pandemic. Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph19031435"},{"key":"ref_14","unstructured":"World Health Organization (2022, June 07). Stress at the Workplace. Available online: https:\/\/www.who.int\/occupational_health\/publications\/pwh3rev.pdf."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"1151","DOI":"10.12740\/PP\/OnlineFirst\/99849","article-title":"The mediating role of types of coping styles in the relations between temperamental traits and staff burnout among psychiatric nurses","volume":"53","author":"Brudek","year":"2019","journal-title":"Psychiatr. Pol."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"353","DOI":"10.4103\/1735-1995.158255","article-title":"The association of personality traits and coping styles according to stress level","volume":"20","author":"Afshar","year":"2015","journal-title":"J. Res. Med. Sci."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"355","DOI":"10.1111\/j.1467-6494.1991.tb00253.x","article-title":"Personality and the problems of everyday life: The role of neuroticism in exposure and reactivity to daily stressors","volume":"59","author":"Bolger","year":"1991","journal-title":"J. Pers."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"367","DOI":"10.1016\/S0191-8869(99)00199-3","article-title":"Personality types and coping","volume":"29","author":"Vollrath","year":"2000","journal-title":"Personal. Individ. Differ."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"1387","DOI":"10.1002\/jclp.10229","article-title":"Dispositional and contextual perspectives on coping: Toward an integrative framework","volume":"59","author":"Moos","year":"2003","journal-title":"J. Clin. Psychol."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"658","DOI":"10.1037\/0022-006X.73.4.658","article-title":"Stress generation, avoidance coping, and depressive symptoms: A 10-year model","volume":"73","author":"Holahan","year":"2005","journal-title":"J. Consult. Clin. Psychol."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"1215","DOI":"10.1016\/S0191-8869(01)00087-3","article-title":"Associations among the Big five, emotional responses, and coping with acute stress","volume":"32","author":"Penley","year":"2002","journal-title":"Personal. Individ. Differ."},{"key":"ref_22","first-page":"240","article-title":"Psychologiczna ocena styl\u00f3w radzenia sobie ze stresem a cechy osobowo\u015bci student\u00f3w Gda\u0144skiego Uniwersytetu Medycznego","volume":"20","author":"Majkowicz","year":"2012","journal-title":"Nurs. Top."},{"key":"ref_23","unstructured":"Szczepaniak, P., Strelau, J., and Wrze\u015bniewski, K. (2005). Kwestionariusz Radzenia Sobie w Sytuacjach Stresowych CISS: Podr\u0119cznik do Polskiej Normalizacji, Pracownia Test\u00f3w Psychologicznych Polskiego Towarzystwa Psychologicznego."},{"key":"ref_24","unstructured":"Zawadzki, B., Strelau, J., Szczepaniak, P., and \u015aliwi\u0144ska, M. (2007). Inwentarz Osobowo\u015bci NEO\u2014FFI Paula T. Costy Jr i Roberta R. McCrea. Adaptacja Polska, Podr\u0119cznik Pracownia Test\u00f3w Psychologicznych."},{"key":"ref_25","unstructured":"Makowska, Z., and Merecz, D. (2001). Polska adaptacja kwestionariuszy og\u00f3lnego stanu zdrowia D. Goldberga. Ocena Zdrowia Psychicznego na Podstawie Bada\u0144 Kwestionariuszami D. Goldberga, Instytut Medycyny Pracy w \u0141odzi."},{"key":"ref_26","unstructured":"Juczy\u0144ski, Z. (2001). Skala Kontroli Emocji CECS, Podr\u0119cznik Pracownia Test\u00f3w Psychologicznych."},{"key":"ref_27","unstructured":"Balicki, A. (2009). Statystyczna Analiza Wielowymiarowa i Jej Zastosowania Spo\u0142eczno- Ekonomiczna, Wyd. Uniwersytetu Gda\u0144skiego."},{"key":"ref_28","first-page":"248","article-title":"\u015amier\u0107 a emocje piel\u0119gniarek\u2014Doniesienia wst\u0119pne","volume":"16","author":"Nyklewicz","year":"2008","journal-title":"Probl. Piel."},{"key":"ref_29","first-page":"223","article-title":"Difficult situations and ways of managing them in paediatric nurses\u2019 practise","volume":"15","author":"Perek","year":"2007","journal-title":"Probl. Piel."},{"key":"ref_30","first-page":"431","article-title":"Poziom stresu i style radzenia sobie z nim u piel\u0119gniarek psychiatrycznych","volume":"58","year":"2003","journal-title":"Ann. UMCS"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"38","DOI":"10.12968\/bjon.2019.28.1.38","article-title":"Strategies used to cope with stress by emergency and critical care nurses","volume":"28","author":"Isa","year":"2019","journal-title":"Br. J. Nurs."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"276","DOI":"10.1097\/ANC.0000000000000514","article-title":"Nurse stressors and satisfiers in the NICU","volume":"18","author":"Fiske","year":"2018","journal-title":"Adv. Neonatal Care"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"1354","DOI":"10.1016\/j.ijnurstu.2006.06.003","article-title":"A survey of role stress, coping and health in Australian and New Zealand hospital nurses","volume":"44","author":"Chang","year":"2007","journal-title":"Int. J. Nurs. Stud."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"681","DOI":"10.1046\/j.1365-2648.2000.01323.x","article-title":"Nursing stress: The effects of coping strategies and job satisfaction in a sample of Australian nurses","volume":"31","author":"Healy","year":"2000","journal-title":"J. Adv. Nurs."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1016\/j.sbspro.2014.12.369","article-title":"Stress Coping Mechanisms and Professional Burnout among Latvian Nurses","volume":"159","author":"Deklava","year":"2014","journal-title":"Procedia\u2013Soc. Behav. Sci."},{"key":"ref_36","first-page":"193","article-title":"Stress and coping in nurse managers: Two decades of research","volume":"24","author":"Shirey","year":"2006","journal-title":"Nurs. Econ."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"551","DOI":"10.1023\/A:1020641400589","article-title":"The association of coping to physical and psychological health outcomes: A meta-analytic review","volume":"25","author":"Penley","year":"2002","journal-title":"J. Behav. Med."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"238","DOI":"10.1016\/j.apnr.2009.09.003","article-title":"Relationship between job stress level and coping strategies used by Hong Kong nurses working in an acute surgical unit","volume":"24","author":"Wang","year":"2011","journal-title":"Appl. Nurs. Res."},{"key":"ref_39","doi-asserted-by":"crossref","unstructured":"Betke, K., Basi\u0144ska, M.A., and Andruszkiewicz, A. (2021). Sense of coherence and strategies for coping with stress among nurses. BMC Nurs., 20.","DOI":"10.1186\/s12912-021-00631-1"},{"key":"ref_40","doi-asserted-by":"crossref","unstructured":"Kupcewicz, E., and J\u00f3\u017awik, M. (2019). Positive Orientation and Strategies for Coping with Stress as Predictors of Professional Burnout among Polish Nurses. Int. J. Environ. Res. Public Health, 16.","DOI":"10.3390\/ijerph16214264"},{"key":"ref_41","doi-asserted-by":"crossref","unstructured":"de la Cruz, S.P., Cebrino, J., Herruzo, J., and Vaquero-Abell\u00e1n, M. (2020). A Multicenter Study into Burnout, Perceived Stress, Job Satisfaction, Coping Strategies, and General Health among Emergency Department Nursing Staff. J. Clin. Med., 9.","DOI":"10.3390\/jcm9041007"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"722","DOI":"10.1136\/emermed-2014-203750","article-title":"Burnout in emergency department healthcare professionals is associated with coping style: A cross-sectional survey","volume":"32","author":"Howlett","year":"2015","journal-title":"Emerg. Med. J."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"375","DOI":"10.1111\/1742-6723.12895","article-title":"Morale, stress and coping strategies of staff working in the emergency department: A comparison of two different-sized departments","volume":"30","author":"Abraham","year":"2018","journal-title":"Emerg. Med. Australas."},{"key":"ref_44","doi-asserted-by":"crossref","unstructured":"Kerai, S.M., Khan, U.R., Islam, M., Asad, N., Razzak, J., and Pasha, O. (2017). Post-traumatic stress disorder and its predictors in emergency medical service personnel: A cross-sectional study from Karachi, Pakistan. BMC Emerg. Med., 17.","DOI":"10.1186\/s12873-017-0140-7"},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"195","DOI":"10.15171\/hpp.2018.26","article-title":"Relationships between dimensions of fatigue and psychological distress among public hospital nurses","volume":"8","author":"Bazazan","year":"2018","journal-title":"Health Promot. Perspect."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"423","DOI":"10.1002\/smi.1261","article-title":"Mental health and quality of life among doctors, nurses and other hospital staff","volume":"25","author":"Su","year":"2009","journal-title":"Stress Health"},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"448","DOI":"10.1539\/joh.46.448","article-title":"Mental health status, shift work, and occupational accidents among hospital nurses in Japan","volume":"46","author":"Suzuki","year":"2004","journal-title":"J. Occup. Health"},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"e018766","DOI":"10.1136\/bmjopen-2017-018766","article-title":"Prevalence, causes and mental health impact of workplace bullying in the Neonatal Intensive Care Unit environment","volume":"8","author":"Chatziioannidis","year":"2018","journal-title":"BMJ Open"},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"724","DOI":"10.1016\/S0140-6736(96)90077-X","article-title":"Mental health of hospital consultants: The effects of stress and satisfaction at work","volume":"347","author":"Ramirez","year":"1996","journal-title":"Lancet"},{"key":"ref_50","first-page":"e3144","article-title":"Factors related to the probability of suffering mental health problems in emergency care professionals","volume":"27","author":"Portero","year":"2019","journal-title":"Rev. Lat. Am. Enfermagem."},{"key":"ref_51","first-page":"e29603","article-title":"Women are more at risk of poor mental health: Mental health of spanish nurses measured by the GHQ-12","volume":"3","author":"Dresch","year":"2016","journal-title":"Women Health Bull."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"74","DOI":"10.4103\/jehp.jehp_355_18","article-title":"Survey of stress and coping strategies to predict the general health of nursing staff","volume":"8","author":"Darvishpour","year":"2019","journal-title":"J. Educ. Health Promot."},{"key":"ref_53","first-page":"45","article-title":"Evaluation of the relationship between occupational stress and general health condition in nurses working in Isfahan university hospitals 2005","volume":"5","author":"Noorian","year":"2010","journal-title":"J. Community Health"},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1111\/j.1466-7657.2007.00582.x","article-title":"Burnout in hospital nurses: A comparison of internal, surgery, psychiatry and burns wards","volume":"55","author":"Sahraian","year":"2008","journal-title":"Int. Nurs. Rev."},{"key":"ref_55","first-page":"63","article-title":"General health and related factors in employed nurses in medical-educational centers in rasht","volume":"25","author":"Maghsoudi","year":"2015","journal-title":"J. Holist. Nurs. Midwifery"},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"3403","DOI":"10.1002\/nop2.886","article-title":"Nurses\u2019 sense of coherence and stress management strategies against the types of health status","volume":"8","author":"Betke","year":"2021","journal-title":"Nurs. Open"},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"87","DOI":"10.15207\/JKCS.2016.7.3.087","article-title":"The convergence study of interpersonal caring behaviors on anger, job stress and social support in nurses","volume":"7","author":"Han","year":"2016","journal-title":"J. Korean Converg. Soc."},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"872","DOI":"10.1080\/07399330490493412","article-title":"Who me, angry? Patterns of anger diversion in women","volume":"25","author":"Cox","year":"2004","journal-title":"Health Care Women Int."},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"253","DOI":"10.1007\/s10608-010-9304-4","article-title":"Rumination in clinical depression: A type of emotional suppression?","volume":"35","author":"Liverant","year":"2010","journal-title":"Cogn. Res."},{"key":"ref_60","doi-asserted-by":"crossref","unstructured":"Kim, J.E., Park, J.H., and Park, S.H. (2019). Anger Suppression and Rumination Sequentially Mediates the Effect of Emotional Labor in Korean Nurses. Int. J. Environ. Res. Public Health, 16.","DOI":"10.3390\/ijerph16050799"},{"key":"ref_61","first-page":"54","article-title":"Assessment of the relationship between coping styles with stress and mental health based on demographic variables in gilan\u2019s drug addiction treatment","volume":"2","author":"Akbari","year":"2012","journal-title":"Soc. Psychol. Res."},{"key":"ref_62","first-page":"93","article-title":"The relationship between general health with coping strategies and identity styles","volume":"8","author":"Livarjani","year":"2015","journal-title":"Woman Fam. Stud."},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"72","DOI":"10.4081\/ecj.2014.3788","article-title":"Stress and coping strategies in the emergency room","volume":"10","author":"Iannello","year":"2014","journal-title":"Emerg. Care J."},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"1715","DOI":"10.1016\/j.ajem.2016.06.019","article-title":"Health and wellness among emergency physicians: Results of the 2014 ABEM longitudinal study","volume":"34","author":"Marco","year":"2016","journal-title":"Am. J. Emerg. Med."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/16\/9777\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T00:06:01Z","timestamp":1760141161000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/16\/9777"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,8,9]]},"references-count":64,"journal-issue":{"issue":"16","published-online":{"date-parts":[[2022,8]]}},"alternative-id":["ijerph19169777"],"URL":"https:\/\/doi.org\/10.3390\/ijerph19169777","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,8,9]]}}}