Evidence map›Paper›PMID 40259293›Full record

ArticleBMC public health2025

Adaptive versus maladaptive coping strategies: insight from Lebanese young adults navigating multiple crises.

Roni Chaaya, Michel Sfeir, Samar El Khoury, Sandrella Bou Malhab, Myriam El Khoury-Malhame

Abstract read
In one paragraph

Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Mental adjustment to cancer and its predictors in patients with non-small cell lung cancer undergoing surgery.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Coping Strategies and Health-Related Quality of Life in Breast Cancer Survivors.European journal of investigation in health, psychology and education · 2025
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Roni ChaayaDepartment of Psychology and Education, School of Arts and Sciences, Lebanese American University, Beirut, Lebanon.
Michel SfeirDepartment of Clinical Psychology, University of Mons, Mons, Belgium.
Samar El KhouryDepartment of Sociology and Anthropology, Faculty of Letters and Human Sciences, Université Saint-Joseph, Beirut, Lebanon.
Sandrella Bou MalhabInstitut National de Sante Publique d'Epidemiologie Clinique Et de Toxicologie, Liban (0INSPECT-LB), Beirut, Lebanon. sandrella.boumalhab@lau.edu.lb.
Myriam El Khoury-MalhameDepartment of Psychology and Education, School of Arts and Sciences, Lebanese American University, Beirut, Lebanon. myriam.malhame@lau.edu.lb.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCoping strategies are composites of cognitive and behavioral efforts to manage the internal and external demands of stressful situations. They have been documented to relate to general well-being and mental health. However, not all types of coping are created equal, and adaptive versus maladaptive strategies seem to have understudied differential impacts, notably with accumulated adversities.

methodsWe examined coping strategies in a sample of 489 Lebanese university students during accumulating crises, including socio-political unrest and the COVID- 19 pandemic. They were asked to fill out an online survey including standardized questionnaires of well-being (WEMWBS), depression (PHQ- 9), anxiety (HAM-A), intolerance of uncertainty (IUS), and coping (Brief COPE), in addition to demographics and questions about their attitudes and future perspectives.

resultsThe results highlight that adaptive coping strategies positively correlate with psychological well-being, whereas maladaptive ones are associated with higher levels of psychopathology. Specifically, it was shown that a positive association exists between anxiety, depression, intolerance of uncertainty, and maladaptive coping strategies while evidencing a negative association between the latter and well-being. Our multinominal regression showed that anxiety, intolerance of uncertainty and well-being were associated with low levels of adaptive coping when taking adaptive coping as a dependent variable.

conclusionOur study mainly highlights the relation between coping, uncertainty, and mental health. Although intended to help relieve tension, maladaptive strategies might worsen it instead. We emphasize previous findings to promote healthy adaptive coping strategies in times of unprecedented crises.

Indexed as

Adaptation, PsychologicalCOVID-19Stress, PsychologicalStudentsAdolescentAdultAnxietyCoping SkillsDepressionFemaleHumansLebanonMaleSurveys and QuestionnairesUncertaintyUniversitiesAdaptive copingLebanonMaladaptive copingUncertaintyWell-being

Identifiers

PMID40259293
PMCPMC12010593

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.