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Published in: Annals of General Psychiatry 1/2020

Open Access 01-12-2020 | Primary research

Interrelation between defensive mechanisms and coping strategies in psychiatry trainees in Romania: a multicenter study

Authors: Anca-Livia Panfil, Mirela Frandes, Aurel Nirestean, Marinela Hurmuz, Diana Lungeanu, Madalina Cristanovici, Laura Lemeti, Andra Isac, Ion Papava, Cristina Bredicean

Published in: Annals of General Psychiatry | Issue 1/2020

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Abstract

Background

The challenges faced by professionals when working in the field of psychiatry require the development of adequate defensive and coping mechanisms. This study aimed to explore both coping strategies and defense mechanisms and their relationship in psychiatry trainees in Romania.

Methods

A cross-sectional study was conducted to determine and evaluate both defensive and coping mechanisms of Romanian psychiatry trainees. Defensive Style Questionnaire-60 and COPE scale were applied to psychiatry trainees from five training centers in Romania. By applying structural equation modeling, models that presumed the existence of relationships between coping strategies and defensive mechanisms were analyzed.

Results

Superior defense mechanisms and task-oriented coping strategies were the commonly used approaches by psychiatry trainees. Furthermore, significantly consistent correlations (ranging from 0.2 to 0.5) between adaptive defense mechanisms and coping strategies focused on the problem or emotion were shown. Similarly, avoidant coping strategies correlated with non-adaptive defense mechanisms (correlations between 0.3 and 0.5). Our model presented good fit indices (X2(34) = 64.324, p < 0.001; GFI = 0.93; root mean square error = 0.08). Moreover, the results indicated a weak association between the two types of adaptive processes (r = 0.07, p < 0.001).

Conclusion

Psychiatry trainees present a profile based on two independent groups of adaptation processes, namely, adaptive defenses and problem-oriented coping scales and non-adaptive defenses and avoidant coping scales.
Literature
1.
go back to reference Maricutoiu LP, Crasovan DI. Coping and defence mechanisms: What are we assessing? Int J Psychol. 2016;51(2):83–92.PubMedCrossRef Maricutoiu LP, Crasovan DI. Coping and defence mechanisms: What are we assessing? Int J Psychol. 2016;51(2):83–92.PubMedCrossRef
2.
go back to reference Cramer P. Coping and defense mechanisms: what's the difference? J Pers. 1998;66(6):919–46.CrossRef Cramer P. Coping and defense mechanisms: what's the difference? J Pers. 1998;66(6):919–46.CrossRef
3.
go back to reference Kramer U. Coping and defence mechanisms: what’s the difference?—Second act. Psychol Psychother. 2010;83:207–21.PubMed Kramer U. Coping and defence mechanisms: what’s the difference?—Second act. Psychol Psychother. 2010;83:207–21.PubMed
4.
go back to reference Freud S. Inhibitions, symptoms and anxiety. Standard edition. 1926;20:87–187. Freud S. Inhibitions, symptoms and anxiety. Standard edition. 1926;20:87–187.
5.
go back to reference Cramer P. Defense mechanisms in psychology today Further processes for adaptation. Am Psychol. 2000;55:637–46.PubMed Cramer P. Defense mechanisms in psychology today Further processes for adaptation. Am Psychol. 2000;55:637–46.PubMed
6.
7.
go back to reference Skinner EA, Edge K, Altman J, Sherwood H. Searching for the structure of coping: A review and critiques of category systems for classifying ways of coping. Psychol Bull. 2003;129:216–69.PubMed Skinner EA, Edge K, Altman J, Sherwood H. Searching for the structure of coping: A review and critiques of category systems for classifying ways of coping. Psychol Bull. 2003;129:216–69.PubMed
8.
go back to reference Lazarus RS. Toward better research on stress and coping. Am Psychol. 2000;55(6):665–73.PubMed Lazarus RS. Toward better research on stress and coping. Am Psychol. 2000;55(6):665–73.PubMed
9.
go back to reference Vollrath M, Alnæs R, Torgersen S. Coping in DSM-IV options personality disorders. J Pers Disord. 1996;10(4):335–44. Vollrath M, Alnæs R, Torgersen S. Coping in DSM-IV options personality disorders. J Pers Disord. 1996;10(4):335–44.
10.
go back to reference Felton BJ, Revenson TA. Coping with chronic illness: a study of illness controllability and the influence of coping strategies on psychological adjustment. J Consult Clin Psychol. 1984;52:343–53.PubMed Felton BJ, Revenson TA. Coping with chronic illness: a study of illness controllability and the influence of coping strategies on psychological adjustment. J Consult Clin Psychol. 1984;52:343–53.PubMed
11.
go back to reference Nuechterlein KH, Dawson ME. A heuristic vulnerability/stress model of schizophrenic episodes. Schizophr Bull. 1984;10(2):300–12.PubMed Nuechterlein KH, Dawson ME. A heuristic vulnerability/stress model of schizophrenic episodes. Schizophr Bull. 1984;10(2):300–12.PubMed
12.
go back to reference Hankin BL, Abela JRZ. Development of psychopathology: a vulnerability-stress perspective. Thousand Oaks: Sage Publications; 2005. Hankin BL, Abela JRZ. Development of psychopathology: a vulnerability-stress perspective. Thousand Oaks: Sage Publications; 2005.
13.
go back to reference Yank GR, Bentley KJ, Hargrove DS. The vulnerability-stress model of schizophrenia: advances in psychosocial treatment. Am J Orthopsychiatry. 1993;63(1):55–69.PubMed Yank GR, Bentley KJ, Hargrove DS. The vulnerability-stress model of schizophrenia: advances in psychosocial treatment. Am J Orthopsychiatry. 1993;63(1):55–69.PubMed
14.
go back to reference Perry JC. Defense mechanism rating scales. Boston: Harvard Medical School; 1990. Perry JC. Defense mechanism rating scales. Boston: Harvard Medical School; 1990.
15.
go back to reference Carver CS, Scheier MF, Weintraub JK. Assessing coping strategies: a theoretically based approach. J Pers Soc Psychol. 1989;56:267–83.PubMed Carver CS, Scheier MF, Weintraub JK. Assessing coping strategies: a theoretically based approach. J Pers Soc Psychol. 1989;56:267–83.PubMed
16.
go back to reference Trufelli DC, Bensi CG, Garcia JB, Narahara JL, Abrão MN, Diniz RW, Da Costa MV, Soares HP, Del Giglio A. Burnout in cancer professionals: a systematic review and meta-analysis. Eur J Cancer Care. 2008;17(6):524–31. Trufelli DC, Bensi CG, Garcia JB, Narahara JL, Abrão MN, Diniz RW, Da Costa MV, Soares HP, Del Giglio A. Burnout in cancer professionals: a systematic review and meta-analysis. Eur J Cancer Care. 2008;17(6):524–31.
17.
go back to reference Frajermana A, Morvanb Y, Krebsa MO, Gorwoodb P, Chaumette B. Burnout in medical students before residency: a systematic review and meta-analysis. Eur Psychiatry. 2020;55:36–42. Frajermana A, Morvanb Y, Krebsa MO, Gorwoodb P, Chaumette B. Burnout in medical students before residency: a systematic review and meta-analysis. Eur Psychiatry. 2020;55:36–42.
18.
go back to reference Rotenstein LS, Ramos MA, Torre M, Segal JB, Peluso MJ, Guille C, Sen S, Mata DA. Prevalence of depression, depressive symptoms, and suicidal ideation among medical students. A systematic review and meta-analysis. JAMA. 2016;316(21):2214–36.PubMedPubMedCentral Rotenstein LS, Ramos MA, Torre M, Segal JB, Peluso MJ, Guille C, Sen S, Mata DA. Prevalence of depression, depressive symptoms, and suicidal ideation among medical students. A systematic review and meta-analysis. JAMA. 2016;316(21):2214–36.PubMedPubMedCentral
19.
go back to reference Mata DA, Ramos MA, Bansal N, Khan R, Guille C, Di Angelantonio E, Sen S. Prevalence of depression and depressive symptoms among resident physicians. A systematic review and meta-analysis. JAMA. 2015;314(22):2373–83.PubMedPubMedCentral Mata DA, Ramos MA, Bansal N, Khan R, Guille C, Di Angelantonio E, Sen S. Prevalence of depression and depressive symptoms among resident physicians. A systematic review and meta-analysis. JAMA. 2015;314(22):2373–83.PubMedPubMedCentral
20.
go back to reference Guthrie E, Tattan T, Williams E, Black D, Bacliocotti H. Sources of stress, psychological distress and burnout in psychiatrists. B J Psych Bull. 1999;23(4):207–12. Guthrie E, Tattan T, Williams E, Black D, Bacliocotti H. Sources of stress, psychological distress and burnout in psychiatrists. B J Psych Bull. 1999;23(4):207–12.
21.
go back to reference Fothergill A, Edwards D, Burnard P. Stress, burnout, coping and stress management in psychiatrists: findings from a systematic review. Int J Soc Psychiatry. 2004;50(1):54–655.PubMed Fothergill A, Edwards D, Burnard P. Stress, burnout, coping and stress management in psychiatrists: findings from a systematic review. Int J Soc Psychiatry. 2004;50(1):54–655.PubMed
22.
go back to reference Thomsen S, Soares J, Nolan P, Dallender J, Arnetz B. Feelings of professional fulfilment and exhaustion in mental health personnel: the importance of organisational and individual factors. Psychother Psychosom. 1999;68(3):157–64.PubMed Thomsen S, Soares J, Nolan P, Dallender J, Arnetz B. Feelings of professional fulfilment and exhaustion in mental health personnel: the importance of organisational and individual factors. Psychother Psychosom. 1999;68(3):157–64.PubMed
23.
go back to reference Chemtob CM, Hamada RS, Bauer G, Kinney B, Torigoe RY. Patients' suicides: frequency and impact on psychiatrists. Am J Psychiatry. 1988;145(2):224–8.PubMed Chemtob CM, Hamada RS, Bauer G, Kinney B, Torigoe RY. Patients' suicides: frequency and impact on psychiatrists. Am J Psychiatry. 1988;145(2):224–8.PubMed
24.
go back to reference Baum N. Secondary traumatization in mental health professionals A systematic review of gender findings. Trauma Violence Abuse. 2016;17(2):221–35.PubMed Baum N. Secondary traumatization in mental health professionals A systematic review of gender findings. Trauma Violence Abuse. 2016;17(2):221–35.PubMed
25.
go back to reference Prosser D, Johnson S, Kuipers E, Szmukler G, Bebbington P, Thornicroft G. Perceived sources of work stress and satisfaction among hospital and community mental health staff, and their relation to mental health, burnout and job satisfaction. J Psychosom Res. 1997;43(1):51–9.PubMed Prosser D, Johnson S, Kuipers E, Szmukler G, Bebbington P, Thornicroft G. Perceived sources of work stress and satisfaction among hospital and community mental health staff, and their relation to mental health, burnout and job satisfaction. J Psychosom Res. 1997;43(1):51–9.PubMed
26.
go back to reference Dallender J, Nolan P, Soares J, Thomsen S, Arnetz B. A comparative study of the perceptions of British mental health nurses and psychiatrists of their work environment. J Adv Nurs. 1999;29(1):36–433.PubMed Dallender J, Nolan P, Soares J, Thomsen S, Arnetz B. A comparative study of the perceptions of British mental health nurses and psychiatrists of their work environment. J Adv Nurs. 1999;29(1):36–433.PubMed
27.
go back to reference Arendt M, Elklit A. Effectiveness of psychological debriefing. Acta Psychiatr Scand. 2001;104:423–37.PubMed Arendt M, Elklit A. Effectiveness of psychological debriefing. Acta Psychiatr Scand. 2001;104:423–37.PubMed
28.
go back to reference Wessely S, Deahl M. Psychological debriefing is a waste of time. Br J Psychiatry. 2003;183(1):12–4.PubMed Wessely S, Deahl M. Psychological debriefing is a waste of time. Br J Psychiatry. 2003;183(1):12–4.PubMed
29.
go back to reference van Emmerik AAP, Kamphuis JH, Hulsbosch AM, Emmelkamp PMG. Single session debriefing after psychological trauma: a meta-analysis. Lancet. 2002;360(9335):766–71.PubMed van Emmerik AAP, Kamphuis JH, Hulsbosch AM, Emmelkamp PMG. Single session debriefing after psychological trauma: a meta-analysis. Lancet. 2002;360(9335):766–71.PubMed
30.
go back to reference Adams RE, Boscarino JA, Figley CR. Compassion fatigue and psychological distress among social workers: a validation study. Am J Orthopsych. 2006;1(76):103–8.CrossRef Adams RE, Boscarino JA, Figley CR. Compassion fatigue and psychological distress among social workers: a validation study. Am J Orthopsych. 2006;1(76):103–8.CrossRef
31.
go back to reference Bride BE, Robinson MM, Yegidis B, Figley CR. Development and validation of the Secondary Traumatic Stress Scale. Res Soc Work Pract. 2004;14:27–35.CrossRef Bride BE, Robinson MM, Yegidis B, Figley CR. Development and validation of the Secondary Traumatic Stress Scale. Res Soc Work Pract. 2004;14:27–35.CrossRef
32.
go back to reference McCann IL, Pearlman LA. Vicarious traumatization: A framework for understanding the psychological effects of working with victims. J Trauma Stress. 1990;3:131–49.CrossRef McCann IL, Pearlman LA. Vicarious traumatization: A framework for understanding the psychological effects of working with victims. J Trauma Stress. 1990;3:131–49.CrossRef
33.
go back to reference Figley CR. Compassion fatigue: psychologists’ chronic lack of self-care. J Clin Psychol. 2002;58:1433–41.PubMedCrossRef Figley CR. Compassion fatigue: psychologists’ chronic lack of self-care. J Clin Psychol. 2002;58:1433–41.PubMedCrossRef
34.
go back to reference Manning-Jones S, Terte I, Stephens C. Secondary traumatic stress, vicarious posttraumatic growth, and coping among health professionals; a comparison study. N Z J Psychol. 2016;45(1):20–9. Manning-Jones S, Terte I, Stephens C. Secondary traumatic stress, vicarious posttraumatic growth, and coping among health professionals; a comparison study. N Z J Psychol. 2016;45(1):20–9.
35.
go back to reference Popescu AL, Dehelean L, Papava I, Bredicean C, Crasovan D, Hurmuz M, Stefan ED, Manea M, Barbulescu A. Defensive and coping styles for residents in psychiatry. Procedia Soc Behav Sci. 2014;191(2):611–5. Popescu AL, Dehelean L, Papava I, Bredicean C, Crasovan D, Hurmuz M, Stefan ED, Manea M, Barbulescu A. Defensive and coping styles for residents in psychiatry. Procedia Soc Behav Sci. 2014;191(2):611–5.
36.
go back to reference Boncea IJ. Brain drain in Romania: factors influencing physicians’ emigration. JCPP. 2014;1:64–74. Boncea IJ. Brain drain in Romania: factors influencing physicians’ emigration. JCPP. 2014;1:64–74.
37.
go back to reference Thygesen KL, Drapeau M, Trijsburg RW, Lecours S, de Roten Y. Assessing defense styles: Factor structure and psychometric properties of the new Defense Style Questionnaire 60 (DSQ-60). IJP&PT. 2008;8:171–81. Thygesen KL, Drapeau M, Trijsburg RW, Lecours S, de Roten Y. Assessing defense styles: Factor structure and psychometric properties of the new Defense Style Questionnaire 60 (DSQ-60). IJP&PT. 2008;8:171–81.
38.
go back to reference American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 4th ed. Washington, DC: Author; 1994. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 4th ed. Washington, DC: Author; 1994.
39.
go back to reference Crașovan DI, Maricuțoiu LP. Adaptation of the Defensive Style Questionnaire 60 (DSQ-60) within a Romanian sample. Cogn Brain Behav. 2012;16(4):509–28. Crașovan DI, Maricuțoiu LP. Adaptation of the Defensive Style Questionnaire 60 (DSQ-60) within a Romanian sample. Cogn Brain Behav. 2012;16(4):509–28.
40.
go back to reference Crasovan DI, Sava FA. Translation, adaptation and validation on Romanian population of COPE Questionnaire for coping mechanisms analysis. Cogn Brain Behav. 2013;17(1):61–766. Crasovan DI, Sava FA. Translation, adaptation and validation on Romanian population of COPE Questionnaire for coping mechanisms analysis. Cogn Brain Behav. 2013;17(1):61–766.
41.
go back to reference Jovic E, Wallace JE, Lemaire J. The generation and gender shifts in medicine: an exploratory survey of internal medicine physicians. BMC Health Serv Res. 2006;6:55.PubMedPubMedCentral Jovic E, Wallace JE, Lemaire J. The generation and gender shifts in medicine: an exploratory survey of internal medicine physicians. BMC Health Serv Res. 2006;6:55.PubMedPubMedCentral
42.
go back to reference Levinson W, Lurie N. When most doctors are women: what lies ahead? Ann Intern Med. 2004;141(6):471–4.PubMed Levinson W, Lurie N. When most doctors are women: what lies ahead? Ann Intern Med. 2004;141(6):471–4.PubMed
43.
go back to reference Dalla C, Antoniou K, Drossopoulou G, Xagoraris M, Kokras N, Sfikakis A, Papadopoulou-Daifoti Z. Chronic mild stress impact: Are females more vulnerable? Neuroscience. 2005;135(3):703–14.PubMed Dalla C, Antoniou K, Drossopoulou G, Xagoraris M, Kokras N, Sfikakis A, Papadopoulou-Daifoti Z. Chronic mild stress impact: Are females more vulnerable? Neuroscience. 2005;135(3):703–14.PubMed
44.
go back to reference Vahtera J, Kivimäki M, Väänänen A, Linna A, Pentti J, Helenius H, Elovainio M. Sex differences in health effects of family death or illness: are women more vulnerable than men? Psychosom Med. 2006;68(2):283–91.PubMed Vahtera J, Kivimäki M, Väänänen A, Linna A, Pentti J, Helenius H, Elovainio M. Sex differences in health effects of family death or illness: are women more vulnerable than men? Psychosom Med. 2006;68(2):283–91.PubMed
45.
go back to reference Umberson D, Williams K. Family status and mental health. In: Aneshensel CS, Phelan JC, editors. Handbook of the sociology of mental health. Handbooks of sociology and social research. Springer: Boston; 1999. p. 225–253. Umberson D, Williams K. Family status and mental health. In: Aneshensel CS, Phelan JC, editors. Handbook of the sociology of mental health. Handbooks of sociology and social research. Springer: Boston; 1999. p. 225–253.
46.
go back to reference Gjerberg E. Women doctors in Norway: the challenging balance between career and family life. Soc Sci Med. 2003;57(7):1327–41.PubMed Gjerberg E. Women doctors in Norway: the challenging balance between career and family life. Soc Sci Med. 2003;57(7):1327–41.PubMed
47.
go back to reference Kramer U, Despland JN, Michel L, Drapeau M, DeRoten Y. Change in defense mechanisms and coping over the course of short-term dynamic psychotherapy for adjustment disorder. J Clin Psychol. 2010;66(12):1232–41.PubMed Kramer U, Despland JN, Michel L, Drapeau M, DeRoten Y. Change in defense mechanisms and coping over the course of short-term dynamic psychotherapy for adjustment disorder. J Clin Psychol. 2010;66(12):1232–41.PubMed
48.
go back to reference Kramer U, De Roten Y, Michel L, Despland JN. Early change in defence mechanisms and coping in short-term dynamic psychotherapy: Relations with symptoms and alliance. Clin Psychol Psychother. 2009;16:408–17.PubMed Kramer U, De Roten Y, Michel L, Despland JN. Early change in defence mechanisms and coping in short-term dynamic psychotherapy: Relations with symptoms and alliance. Clin Psychol Psychother. 2009;16:408–17.PubMed
49.
go back to reference Perry JC, Bond M. Change in defense mechanisms during long-term dynamic psychotherapy and five-year outcome. Am J Psychiatry. 2012;169(9):916–25.PubMed Perry JC, Bond M. Change in defense mechanisms during long-term dynamic psychotherapy and five-year outcome. Am J Psychiatry. 2012;169(9):916–25.PubMed
50.
go back to reference Whitty MT. Coping and defending: age differences in maturity of defence mechanisms and coping strategies. Aging Ment. 2003;7(2):123–32. Whitty MT. Coping and defending: age differences in maturity of defence mechanisms and coping strategies. Aging Ment. 2003;7(2):123–32.
51.
go back to reference Rathod S, Roy L, Ramsay M, Das M, Birtwistle J, Kingdon D. A survey of stress in psychiatrists working in the Wessex Region. Psych Bull. 2000;24(4):133–6. Rathod S, Roy L, Ramsay M, Das M, Birtwistle J, Kingdon D. A survey of stress in psychiatrists working in the Wessex Region. Psych Bull. 2000;24(4):133–6.
52.
go back to reference Diehl M, Coyle N, Labouvie-Vief G. Age and sex differences in strategies of coping and defense acrossthe life span. Psychol Aging. 1996;11(1):127–39.PubMed Diehl M, Coyle N, Labouvie-Vief G. Age and sex differences in strategies of coping and defense acrossthe life span. Psychol Aging. 1996;11(1):127–39.PubMed
54.
go back to reference Araujo K, Ryst E, Steiner H. Adolescent defense style and life stressors. Child Psychiatry Hum Dev. 1999;30(1):19–28.PubMed Araujo K, Ryst E, Steiner H. Adolescent defense style and life stressors. Child Psychiatry Hum Dev. 1999;30(1):19–28.PubMed
55.
go back to reference Steinhardt M, Dolbier C. Evaluation of a resilience intervention to enhance coping strategies and protective factors and decrease symptomatology. J Am Coll Health. 2008;56(4):445–53.PubMed Steinhardt M, Dolbier C. Evaluation of a resilience intervention to enhance coping strategies and protective factors and decrease symptomatology. J Am Coll Health. 2008;56(4):445–53.PubMed
56.
go back to reference Dolbier CL, Jaggars SS, Steinhardt MA. Stress-related growth: pre-intervention correlates and change following a resilience intervention. Stress Health. 2010;26(2):135–47. Dolbier CL, Jaggars SS, Steinhardt MA. Stress-related growth: pre-intervention correlates and change following a resilience intervention. Stress Health. 2010;26(2):135–47.
57.
go back to reference Parkes K. Coping, negative affectivity, and the work environment: Additive and interactive predictors of mental health. J App Psychol. 1990;75:399–409. Parkes K. Coping, negative affectivity, and the work environment: Additive and interactive predictors of mental health. J App Psychol. 1990;75:399–409.
58.
go back to reference Koeske GF, Kirk SA, Koeske RD. Coping with job stress: which strategies work best? JOOP. 1993;66:319–35. Koeske GF, Kirk SA, Koeske RD. Coping with job stress: which strategies work best? JOOP. 1993;66:319–35.
59.
go back to reference Pines A, Aronson E, Kafry D. Burnout: from tedium to personal growth. New York: FreePress; 1981. Pines A, Aronson E, Kafry D. Burnout: from tedium to personal growth. New York: FreePress; 1981.
60.
go back to reference Etzion D, Pines A. Sex and culture in burnout and coping among human service professionals: a social psychological perspective. J Cross Cult Psychol. 1986;17:191–209. Etzion D, Pines A. Sex and culture in burnout and coping among human service professionals: a social psychological perspective. J Cross Cult Psychol. 1986;17:191–209.
61.
go back to reference Jex SM, Bliese PD, Buzzell S, Primeau J. The impact of self-efficacy on stressor–strain relations: coping style as an exploratory mechanism. J App Psychol. 2001;86:401–9. Jex SM, Bliese PD, Buzzell S, Primeau J. The impact of self-efficacy on stressor–strain relations: coping style as an exploratory mechanism. J App Psychol. 2001;86:401–9.
62.
go back to reference Kinicki AJ, McKee FM, Wade KJ. Annual review 1991–1995: occupational Health. J Vocat Behav. 1996;49:190–220. Kinicki AJ, McKee FM, Wade KJ. Annual review 1991–1995: occupational Health. J Vocat Behav. 1996;49:190–220.
63.
go back to reference Boyda NG, Lewinb JE, Sager JK. A model of stress and coping and their influence on individual and organizational outcomes. J Vocat Behav. 2009;75(2):197–21111. Boyda NG, Lewinb JE, Sager JK. A model of stress and coping and their influence on individual and organizational outcomes. J Vocat Behav. 2009;75(2):197–21111.
64.
go back to reference Folkman S, Lazarus RS. An analysis of coping in a middle-aged community sample. J Health Soc Behav. 1980;21(3):219–39.PubMed Folkman S, Lazarus RS. An analysis of coping in a middle-aged community sample. J Health Soc Behav. 1980;21(3):219–39.PubMed
Metadata
Title
Interrelation between defensive mechanisms and coping strategies in psychiatry trainees in Romania: a multicenter study
Authors
Anca-Livia Panfil
Mirela Frandes
Aurel Nirestean
Marinela Hurmuz
Diana Lungeanu
Madalina Cristanovici
Laura Lemeti
Andra Isac
Ion Papava
Cristina Bredicean
Publication date
01-12-2020
Publisher
BioMed Central
Published in
Annals of General Psychiatry / Issue 1/2020
Electronic ISSN: 1744-859X
DOI
https://doi.org/10.1186/s12991-020-00307-1

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