Resilience, Social Support, and Coping as Mediators between COVID‐19‐related Stressful Experiences and Acute Stress Disorder among College Students in China

Liu, Yang; Yang, Xueying; Zeng, Chengbo; Wang, Yuyan; Shen, Zijiao; Li, Xiaoming; Lin, Danhua

doi:10.1111/aphw.12211

Cited by 376 publications

(409 citation statements)

References 71 publications

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“…Another study among Chinese students showed that COVID-19-related stressful experiences and acute stress disorders could be mediated by resilience and adaptive coping strategies. 49 …”

Section: Discussionmentioning

confidence: 99%

Factors associated with the mental health status of medical students during the COVID-19 pandemic: a cross-sectional study in Japan

et al. 2020

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ObjectiveThe COVID-19 pandemic had a substantial impact on university students, including those in medical schools, with disruption in routine education causing significant psychological distress. The objective of this study was to evaluate the factors associated with psychological distress among medical students during the period of enforced home quarantine from March through May 2020.DesignA cross-sectional study.SettingOne Japanese medical school.Participants571 medical students.Primary and secondary outcome measuresSelf-administered electronic questionnaires including the K-6 scale for psychological distress, the Rosenberg Self-Esteem Scale (RSES) for self-esteem and the General Self-Efficacy Scale (GSES) for self-efficacy were distributed. To assess the determinant factor for psychological distress, variables such as sex, grade in school, living conditions, and RSES and GSES scores were evaluated in regression analysis.Results163 respondents (28.5%) scored ≥5 on the K-6 scale, indicating a significant degree of psychological distress. Logistic regression revealed that a higher score on RSES (p<0.001) and GSES (p<0.01) was an independent factor associated with lower levels of psychological distress. Multiple regression analysis focusing on students with a K-6 score ≥5 revealed that higher scores on RSES correlated with lower levels of psychological distress. By contrast, those with higher GSES scores also scored higher for indicators of psychological distress.ConclusionsThis study identified that self-efficacy and self-esteem were both influential factors for predicting psychological distress during the current COVID-19 pandemic. Medical schools should provide support for mental health and educational initiatives directed at enhancing self-esteem and self-efficacy, with a focus on improving personal resilience. In emergency situations, such as that faced in response to the COVID-19 pandemic, initial programmes might target students with higher levels of self-efficacy. By contrast, under routine situations, these efforts should be directed towards students with lower self-esteem as primary means to prevent depression.

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“…Another study among Chinese students showed that COVID-19-related stressful experiences and acute stress disorders could be mediated by resilience and adaptive coping strategies. 49 …”

Section: Discussionmentioning

confidence: 99%

Factors associated with the mental health status of medical students during the COVID-19 pandemic: a cross-sectional study in Japan

et al. 2020

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“…Furthermore, based on present findings, the vast majority (94.7%) of Kazakh students reported their fear decreased or remained unchanged since the beginning of the pandemic; and, only 5.3% reported an increase. This low rate may be a result of student coping with COVID-19 conditions over time with implications that this response may be happening elsewhere (Ye et al 2020).…”

Section: Discussionmentioning

confidence: 99%

COVID-19 Impact on Kazakhstan University Student Fear, Mental Health, and Substance Use

Konstantinov

Berdenova

Satkangulova

et al. 2020

Int J Ment Health Addiction

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“…According to Ye [81], individual strengths (e.g., effective coping strategies and resilience) may explain the underlying mechanism of the association between traumatic experiences and mental health in different contexts.…”

Section: Relationship Between Hardiness Coping and Stressmentioning

confidence: 99%

Hardiness and Coping Strategies as Mediators of Stress and Secondary Trauma in Emergency Workers during the COVID-19 Pandemic

et al. 2020

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The work environment of emergency workers is an important factor related to stress. Coping with the COVID-19 emergency is a factor that is highly related to stress, and severe stress is a risk factor for developing secondary trauma. Coping and resilience can help rescue workers to better respond in emergency situations and could protect them from secondary trauma. We aimed to explore the relationship of emergency stress, hardiness, coping strategies, and secondary trauma among emergency workers and the mediating roles of coping strategies and hardiness on the effect of stress in producing secondary trauma. The study involved 513 emergency workers from the Red Cross Committee in Veneto, one of the Italian regions most affected by the COVID-19. Participants completed questionnaires online to measure emergency stress (physical, emotional, cognitive, organizational‒relational, COVID-19, and inefficacy decisional), hardiness, coping strategies, and secondary trauma. Other variables analyzed were age, gender, weekly hours of service, and use of personal protective equipment (PPE). We performed t-tests, a correlational analysis, regressions, and a mediation analysis. Hardiness and coping strategies, in particular, which stop unpleasant emotions and thoughts and problem-focused, emerged as mediators in reducing the predicted effect of stress on secondary trauma. The mediating effects of hardiness and coping strategies were found to reduce the effect of stress on arousal by 15% and the effect on avoidance by 25%.

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Resilience, Social Support, and Coping as Mediators between COVID‐19‐related Stressful Experiences and Acute Stress Disorder among College Students in China

Cited by 376 publications

References 71 publications

Factors associated with the mental health status of medical students during the COVID-19 pandemic: a cross-sectional study in Japan

Factors associated with the mental health status of medical students during the COVID-19 pandemic: a cross-sectional study in Japan

COVID-19 Impact on Kazakhstan University Student Fear, Mental Health, and Substance Use

Hardiness and Coping Strategies as Mediators of Stress and Secondary Trauma in Emergency Workers during the COVID-19 Pandemic

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