Psycho-social factors associated with mental resilience in the Corona lockdown
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Published:2021-01-21
Issue:1
Volume:11
Page:
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ISSN:2158-3188
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Container-title:Translational Psychiatry
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language:en
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Short-container-title:Transl Psychiatry
Author:
Veer Ilya M., Riepenhausen AntjeORCID, Zerban Matthias, Wackerhagen CarolinORCID, Puhlmann Lara M. C.ORCID, Engen Haakon, Köber Göran, Bögemann Sophie A., Weermeijer Jeroen, Uściłko Aleksandra, Mor Netali, Marciniak Marta A.ORCID, Askelund Adrian Dahl, Al-Kamel AbbasORCID, Ayash SarahORCID, Barsuola Giulia, Bartkute-Norkuniene Vaida, Battaglia Simone, Bobko Yaryna, Bölte SvenORCID, Cardone Paolo, Chvojková Edita, Damnjanović Kaja, De Calheiros Velozo Joana, de Thurah Lena, Deza-Araujo Yacila I., Dimitrov Annika, Farkas KingaORCID, Feller Clémence, Gazea Mary, Gilan Donya, Gnjidić VedranaORCID, Hajduk MichalORCID, Hiekkaranta Anu P., Hofgaard Live S., Ilen Laura, Kasanova Zuzana, Khanpour Mohsen, Lau Bobo Hi Po, Lenferink Dionne B., Lindhardt Thomas B., Magas Dávid Á., Mituniewicz Julian, Moreno-López Laura, Muzychka Sofiia, Ntafouli Maria, O’Leary Aet, Paparella Ilenia, Põldver NeleORCID, Rintala Aki, Robak Natalia, Rosická Anna M., Røysamb Espen, Sadeghi Siavash, Schneider Maude, Siugzdaite Roma, Stantić Mirta, Teixeira Ana, Todorovic Ana, Wan Wendy W. N., van Dick RolfORCID, Lieb Klaus, Kleim Birgit, Hermans Erno J., Kobylińska Dorota, Hendler Talma, Binder Harald, Myin-Germeys InezORCID, van Leeuwen Judith M. C., Tüscher OliverORCID, Yuen Kenneth S. L., Walter HenrikORCID, Kalisch RaffaelORCID
Abstract
AbstractThe SARS-CoV-2 pandemic is not only a threat to physical health but is also having severe impacts on mental health. Although increases in stress-related symptomatology and other adverse psycho-social outcomes, as well as their most important risk factors have been described, hardly anything is known about potential protective factors. Resilience refers to the maintenance of mental health despite adversity. To gain mechanistic insights about the relationship between described psycho-social resilience factors and resilience specifically in the current crisis, we assessed resilience factors, exposure to Corona crisis-specific and general stressors, as well as internalizing symptoms in a cross-sectional online survey conducted in 24 languages during the most intense phase of the lockdown in Europe (22 March to 19 April) in a convenience sample of N = 15,970 adults. Resilience, as an outcome, was conceptualized as good mental health despite stressor exposure and measured as the inverse residual between actual and predicted symptom total score. Preregistered hypotheses (osf.io/r6btn) were tested with multiple regression models and mediation analyses. Results confirmed our primary hypothesis that positive appraisal style (PAS) is positively associated with resilience (p < 0.0001). The resilience factor PAS also partly mediated the positive association between perceived social support and resilience, and its association with resilience was in turn partly mediated by the ability to easily recover from stress (both p < 0.0001). In comparison with other resilience factors, good stress response recovery and positive appraisal specifically of the consequences of the Corona crisis were the strongest factors. Preregistered exploratory subgroup analyses (osf.io/thka9) showed that all tested resilience factors generalize across major socio-demographic categories. This research identifies modifiable protective factors that can be targeted by public mental health efforts in this and in future pandemics.
Funder
Deutsche Forschungsgemeinschaft EC | Horizon 2020 Framework Programme State of Rhineland-Palatinate, Germany
Publisher
Springer Science and Business Media LLC
Subject
Biological Psychiatry,Cellular and Molecular Neuroscience,Psychiatry and Mental health
Reference53 articles.
1. Pfefferbaum, B. et al. The H1N1 crisis: a case study of the integration of mental and behavioral health in public health crises. Disaster Med. Public Health Prep. 6, 67–71 (2012). 2. Lee, A. M. et al. Stress and psychological distress among SARS survivors 1 year after the outbreak. Can. J. Psychiatry 52, 233–240 (2007). 3. Reissman, D. B., Watson, P. J., Klomp, R. W., Tanielian, T. L., Prior, S. D. Pandemic influenza preparedness: adaptive responses to an evolving challenge. J. Homel. Sec. Emerg. Manag. 3, https://www.degruyter.com/view/journals/jhsem/3/2/article-jhsem.2006.3.2.1233.xml (2006). 4. Yang, H. & Ma, J. How an epidemic outbreak impacts happiness: factors that worsen (vs. protect) emotional well-being during the coronavirus pandemic. Psychiatry Res. 289, 113045 (2020). 5. Mazza, C. et al. A sationwide survey of psychological distress among Italian people during the COVID-19 pandemic: immediate psychological responses and associated factors. Int. J. Environ. Res. Publ. Health 17, 3165 (2020).
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