Religiosity and death anxiety among cancer patients: the mediating role of religious comfort and struggle.

OBJECTIVES: Religiosity may serve as a personal source of support when people face a life-threatening illness, but it can also elicit stress. The main aim of this study is to show how various religious dimensions interplay in predicting death anxiety in patients diagnosed as having cancer. MATERIAL AND METHODS: In the cross-sectional, descriptive-analytical research, 141 Polish patients who were hospitalized due to cancer were selected using sequential convenience sampling. Data were collected using the Centrality of Religiosity Scale, Religious Comfort and Strain Scale, and the Death Anxiety and Dying Distress Scale. RESULTS: The authors' results show that the effect of the centrality of religiosity on death anxiety is non-linear. We can also confirm the mediating role of religious comfort and struggles in the relationship between the centrality of religiosity and death anxiety. CONCLUSIONS: Thus, religious struggles appear to weaken the effect of religion on death anxiety, whereas religious comfort (contrary to expectation) does not enhance it. Int J Occup Med Environ Health. 2023;36(4):450-64.

Online Gambling Practices and Related Problems in Five European Countries: Findings from the Electronic Gam(bl)ing Multinational Empirical Survey (E-GAMES) Project.

Online gambling has demonstrated a significant and growing impact on overall gambling involvement. To examine online gambling practices and associated problems, we conducted surveys with national samples of Internet users in several European countries. The objective of this paper is to provide a portrait of online gambling practices and problems in five European countries (i.e., France, Italy, Germany, Switzerland, and Poland) with different online gambling regulatory systems. This paper is the first presenting national comparisons of online gambling practices. Participants reported on their gameplay patterns, demographic characteristics, gambling-related problems, gambling frequency, average spending on different online gambling activities, and offline gambling participation over the past 12 months. The Problem Gambling Severity Index was used to assess the severity of gambling problems in relation to online gambling (Ferris & Wynne, 2001 in The Canadian Problem Gambling Index: Final report, Canadian Centre on Substance Abuse, 2001). Pairwise logistic regressions examined the association between problem gambling and sociodemographic variables as well as gambling patterns and problem gambling. In all countries except Italy, the most popular online gambling activity was lotteries with nearly three quarters of participants reporting participation. The prevalence of at-risk and problem gambling was high in all countries with Poland reporting the highest prevalence and Switzerland the lowest. Gamblers who participated in gambling activities other than lottery were more likely to experience gambling-related problems. The rates in the present study are well above the levels usually found in surveys. High online gambling frequency, high spending, and participation in multiple online gambling activities were significantly associated with experiencing gambling-related problems.

Experiencing a significant win and its sociodemographic and motivational predictors: A comparative analysis of pure-chance gamblers from Poland and France.

Research on the relationship between wins and gambling behavior often focuses on winning considerably large amounts of money. It seems, however, that it is not the amount of the win, but the significance that the player assigns to the win, that exerts a decisive influence on gambling behavior. Therefore, in this study we adopted the concept of significant win: a win perceived by gamblers as important to them. The research aimed to discover what kind of wins are experienced as significant and what factors explain experiencing wins as significant. This study, conducted in Poland (N = 3,143) and France (N = 5,692), also had a comparative goal: discovering intercultural differences in experiencing significant wins. A computer-assisted web survey was administered to gamblers who engaged in pure-chance gambling, where the participant does not influence the outcome of the gamble after the initial bet is placed-selected from representative samples in both countries. We used logistic regression models to examine predictors of significant win experience in both countries and the differences between the countries. The results demonstrated that Polish gamblers more frequently considered a win significant when it was accompanied by strong, often negative emotions and was higher in monetary value normalized in terms of average monthly personal income, than French gamblers. French gamblers more frequently associated a significant win with a positive experience. The common predictors of a significant win experience in both countries were: being in debt, experiencing the win of a close person, gambling in a game of pure chance other than lotteries, more systematic pursuit of gambling, self-enhancement motivation, and coping motivation to gamble. Age at initiation into gambling was a significant predictor only in the French sample, whereas a financial motivation was a significant predictor in the Polish one. The results confirmed that the subjective perception of gambling wins is only partially related to the amounts of wins, which has practical implications for planning prevention strategies.

Quality of life and prosocial or antisocial coping with resource deprivation: A cross-sectional study of people at risk of social exclusion.

(1) BACKGROUND: This paper presents a study based on Stevan Hobfoll's conservation of resources theory and deals specifically with resources and coping as predictors of the quality of life of persons threatened by social exclusion. They have no access to public psychosocial resources, the acquisition and accumulation of which are closely linked to the perceived quality of life. (2) METHOD: A cross-sectional self-reported questionnaire study. A sample of 1,074 individuals from various groups at risk of exclusion was surveyed using the Conservation of Resources-Evaluation Questionnaire, the Strategic Approach to Coping Scale, and the WHO Quality of Life Questionnaire. The research was done among people supported by Polish non-governmental organizations operating nationwide. Structural equation modeling was used to test mediational hypotheses in the analysis. (3) RESULTS: The significant variables that determined the relationship between resource gains and losses and the quality of life included active-passive and prosocial-antisocial coping strategies. The results were generally robust, but the level of education moderated the relationship between active antisocial coping and quality of life. (4) CONCLUSIONS: The obtained dependencies are consistent with Hobfoll's approach, confirming its usefulness. Prosocial coping mediates the effect of resource gain on the increase in quality of life and the effect of resource loss on the decline in quality of life, strengthening the former and weakening the latter.

Determinants of Quality of Life in the COVID-19 Pandemic Situation among Persons Using Psychological Help at Various Stages of the Pandemic.

This article presents the results of three surveys conducted during the initial stage of the COVID-19 pandemic, in March 2020 and in late June/early July 2020, when pandemic restrictions were in force. The surveys covered patients who had used psychological assistance before the pandemic. two were cross-sectional and one was longitudinal. The first survey involved 270 people (age: M = 29.59, SD = 10.74, women 79.3%), and the second one covered 117 subjects (age: M = 29.40, SD = 11.49, women 85.5%). The third, longitudinal, survey covered 83 subjects (age: M = 26.61, SD = 7.17, women 89.2%). In our research we used the Conservation of Resources Evaluation questionnaire, the abbreviated version of the Coping Orientation to Problems Experienced, the WHO Quality of Life Scale, and a questionnaire for collecting sociodemographic information. Our analysis of the quality-of-life correlates in the two cross-sectional studies leads to an observation that for people using psychological help, the constant determinants of quality of life during a pandemic are high gain in resources and little loss of resources. In the first phase of the pandemic, active strategies were not linked to the sense of quality of life. This sense, however, was diminished by a number of negative strategies, such as denial, venting, substance use, restraint, and self-blame. After 3 months of the ongoing pandemic, perceived quality of life was positively correlated with strategies related to seeking instrumental support and active coping. this most likely points to a process of adapting to a difficult situation. The results of our longitudinal surveys demonstrate increasing escapism. Our attempt at explaining which factors determined the quality of life after 3 months of the ongoing pandemic showed that the crucial factors are: a sense of quality of life before the occurrence of the pandemic, changes in the distribution of resilience-oriented resources, changed frequency of using passive strategies, and active ways of coping-but only after 3 months into the pandemic. The results thus obtained can be used both in prevention and in work with persons affected by the negative consequences of the COVID-19 pandemic.

The quality of life, resources, and coping during the first weeks of the COVID­19 pandemic in people seeking psychological counselling before the pandemic.

OBJECTIVES: This study aimed to understand the relationship between resource gains and losses, coping, and the quality of life during the growth phase of the COVID­19 pandemic. MATERIAL AND METHODS: The Internet-based survey covered 353 individuals who had participated in a psychological support project operated by one of the non-governmental organizations in Lublin, Poland, in the 12 months prior to the outbreak of the pandemic. The questionnaire used in the study contained questions to collect sociodemographic data and psychometric scales to measure resource gains and losses (the Conservation of Resources - Evaluation questionnaire), the quality of life (the World Health Organization Quality of Life-BREF), and strategies of coping with the pandemic situation (a modified Brief Coping Orientation to Problems Experienced questionnaire). RESULTS: A higher global quality of life occurred with higher gains and minor losses, as well as with coping through planning, positive reframing, emotional support seeking, a reduced substance use tendency, low self-blame, avoidance, and disengagement. Moreover, helplessness-based coping strategies were found to mediate both the relationships between resource gains and the quality of life, and between resource losses and the quality of life. CONCLUSIONS: Factors that may reduce people's quality of life during the COVID­19 pandemic are an increase in losses and limited gains, experienced over the 6 months preceding the pandemic, as well as not using active, meaning-oriented, and support-seeking coping strategies, but using avoidance behaviors instead. Coping strategies specific to people experiencing helplessness are a mediating mechanism between losses and limited gains of resources, and the quality of life. Int J Occup Med Environ Health. 2021;34(2):275-87.

The Prevalence of E-Gambling and of Problem E-Gambling in Poland.

This study estimated the levels of involvement in e-gambling and problem e-gambling in Poland and identified selected sociodemographic variables associated with e-gambling activities. The study was conducted using a representative sample of the adult inhabitants of Poland (n = 2000). The survey contained questions measuring three aspects of gambling (involvement in e-gambling, types of e-gambling activity, and problematic e-gambling). Results suggested that 4.1% of respondents were involved in e-gambling and 26.8% of them could be classified as problem gamblers. The most popular e-gambling games were lotteries and sports betting. Gender, age, size of city of residence, level of education, and income were identified as significant predictors of involvement in e-gambling. The results indicated that men, younger people, and people who earnt less were more often involved in e-gambling. Having children, playing online scratch cards, and online sport betting-but not online lotteries-turned out to be typical for problem online gamblers. The prevalence of problem gambling among Polish e-gamblers suggests that extended research in this area is needed.