| Literature DB >> 33479211 |
Ilya M Veer1, Antje Riepenhausen1,2, Matthias Zerban3, Carolin Wackerhagen1, Lara M C Puhlmann4,5, Judith M C van Leeuwen6, Oliver Tüscher4,7, Kenneth S L Yuen3,4, Henrik Walter1,2, Raffael Kalisch8,9, Haakon Engen3,10, Göran Köber11,12, Sophie A Bögemann6, Jeroen Weermeijer13, Aleksandra Uściłko14, Netali Mor15,16, Marta A Marciniak17,18, Adrian Dahl Askelund10, Abbas Al-Kamel19, Sarah Ayash4, Giulia Barsuola20, Vaida Bartkute-Norkuniene21, Simone Battaglia22, Yaryna Bobko23, Sven Bölte24,25,26, Paolo Cardone4, Edita Chvojková27, Kaja Damnjanović28, Joana De Calheiros Velozo13, Lena de Thurah13, Yacila I Deza-Araujo29,30, Annika Dimitrov1, Kinga Farkas31,32, Clémence Feller33, Mary Gazea34, Donya Gilan4,7, Vedrana Gnjidić35, Michal Hajduk36,37,38, Anu P Hiekkaranta13, Live S Hofgaard39, Laura Ilen33, Zuzana Kasanova40, Mohsen Khanpour41, Bobo Hi Po Lau42, Dionne B Lenferink6, Thomas B Lindhardt43, Dávid Á Magas32, Julian Mituniewicz14, Laura Moreno-López44, Sofiia Muzychka23, Maria Ntafouli45, Aet O'Leary46,47, Ilenia Paparella48, Nele Põldver47, Aki Rintala13,49, Natalia Robak50, Anna M Rosická51, Espen Røysamb39, Siavash Sadeghi52, Maude Schneider33, Roma Siugzdaite20,53, Mirta Stantić54, Ana Teixeira13, Ana Todorovic54, Wendy W N Wan55, Rolf van Dick56, Klaus Lieb4,7, Birgit Kleim17,18, Erno J Hermans6, Dorota Kobylińska14, Talma Hendler15,16,57,58, Harald Binder11,12, Inez Myin-Germeys13.
Abstract
The 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.Entities:
Mesh：
Year: 2021 PMID： 33479211 PMCID： PMC7817958 DOI： 10.1038/s41398-020-01150-4
Source DB: PubMed Journal: Transl Psychiatry ISSN： 2158-3188 Impact factor: 6.222