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. 2021 May 5;10:136. doi: 10.1186/s13643-021-01691-9

Table 3.

Summary of reported coping mechanisms and strategies among nursing students in Middle East and North Africa (MENA) countries

Coping mechanism (number of primary studies) Coping strategy Specific coping strategy (primary studies)
Problem-focused (n = 19) Active coping Problem solving (n = 11) [70, 72, 74, 75, 81, 85, 91, 92, 95, 97, 98]
Taking action to try to make the situation better (n = 2) [106, 107]
Problem-focused coping (n = 1) [108]
Problem understanding and solving (n = 2) [107, 109]
Solving family problems (n = 1) [110]
Self-reliance (n = 1) [110]
Did what is expected of me (n = 1) [76]
Tension reduction (n =1) [108]
Self-analysis to understand the situation better (n = 1) [76]
Unspecified (n = 1) [111]
Planning Planning strategy (n = 1) [71]
Suppression of competing activities Engaging in demanding activities (n = 1) [110]
Restraint coping Passive coping (n = 1) [94]
Seeking social support for instrumental reasons Asking others for help (n = 1) [109]
Seeking diversions (n = 1) [110]
Developing social support (n = 1) [110]
Emotion-focused (n = 20) Seeking social support for emotional reasons Unspecified (n = 1) [108]
Discuss feeling with friends or classmates (n = 1) [76]
Positive reinforcement and growth Positive reframing (n = 2) [71, 107]
Focusing on the positive (n = 1) [108]
Wishful thinking (n = 3) [73, 107, 108]
Staying optimistic (n = 11) [72, 74, 75, 81, 83, 85, 92, 95, 97, 98, 112]
Acceptance Unspecified (n = 2) [71, 111]
Accept the situation (n = 2) [69, 76]
Turning to religion Practicing religion (n = 1) [111]
Prying or mediating (n = 1) [106]
Finding comfort in religion or spiritual beliefs (n = 1) [106]
Religious related strategies come first (n = 1) [71]
Use of religion, prayer, invocation (n = 2) [69, 109]
Dysfunctional coping (n = 17) Focus on and venting of emotions Venting (n = 1) [71]
Show their feelings and express their reaction (n = 2) [107, 109]
Ventilating feelings (n = 1) [110]
Self-blaming (n = 1) [71]
Self-criticism (n = 1) [73]
Behavioral disengagement Unspecified (n = 1) [71]
Social withdrawal (n = 1) [73]
Avoidance (n = 9) [7274, 85, 92, 97, 98, 107, 112]
Mental disengagement Become involved in other activities (n = 1) [76]
Detachment (n = 1) [108]
Transference (n = 9) [72, 74, 75, 83, 92, 95, 97, 98, 112]
Physical exercise and relaxation (n = 1) [109]
Denial Unspecified (n = 1) [71]

The coping mechanisms were classified as per the COPE inventory tool [62, 113, 114]

n Number of individual primary studies