Attachment D5
Brief Cope
Form
Approved
OMB
No. 0920-xxxx
Exp.
Date xx/xx/20xx
III. Please read each item below and indicate by marking an “X” in the appropriate box, to what extent you used it to cope with stressful situations.
1 = I have not done this at all
2 = I have done this a little bit
3 = I have done this a medium amount
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4 = I have done this a lot
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Not At All (1) |
A Little Bit (2) |
A Medium Amount (3) |
A Lot (4) |
1 |
Turned to work or other activities to take my mind off things. |
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2 |
Concentrated my efforts on doing something about the situation. |
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3 |
Said to myself "this isn't real.". |
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4 |
Used alcohol or other drugs to make myself feel better. |
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5 |
Received emotional support from others. |
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6 |
Gave up trying to deal with it. |
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7 |
Took action to try to make the situation better. |
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8 |
Refused to believe that it had happened. |
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9 |
Said things to let my unpleasant feelings escape. |
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10 |
Received help and advice from other people. |
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11 |
Used alcohol or other drugs to help me get through it. |
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12 |
Tried to see it in a different light, to make it seem more positive. |
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13 |
Criticized myself. |
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14 |
Tried to come up with a strategy about what to do. |
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15 |
Received comfort and understanding from someone. |
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16 |
Gave up the attempt to cope. |
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17 |
Looked for something good in what was happening. |
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18 |
Made jokes about it. |
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19 |
Did something to think about it less, such as going to movies, watching TV, reading, daydreaming, sleeping, or shopping. |
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20 |
Accepted the reality of the fact that it had happened. |
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21 |
Expressed my negative feelings. |
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22 |
Tried to find comfort in my religion or spiritual beliefs. |
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23 |
Tried to get advice or help from other people about what to do. |
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24 |
Learned to live with it. |
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25 |
Thought hard about what steps to take. |
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26 |
Blamed myself for things that happened. |
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27 |
Prayed or meditated. |
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28 |
Made fun of the situation. |
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File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Sawyer, Tamela (CDC/NIOSH/OD/ODDM) |
File Modified | 0000-00-00 |
File Created | 2022-05-17 |