The Moderating Effect of Resilience on Mental Health Deterioration among COVID-19 Survivors in a Mexican Sample

Pérez-Gómez, Héctor Raúl; González-Díaz, Esteban; Herrero, Marta; Santos-Ávila, Fabiola de; Vázquez-Castellanos, José Luís; Juárez-Rodríguez, Pedro; Moreno‐Jiménez, Bernardo; Meda-Lara, Rosa Martha

doi:10.3390/healthcare10020305

Cited by 10 publications

(7 citation statements)

References 64 publications

(81 reference statements)

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“…Despite the increased challenges PLWH experience, resilient coping strategies help ease the impact of the COVID-19 pandemic on mental health ( Baum et al, 2022 ; Guaraldi et al, 2022 ; Parisi et al, 2022 ). Similar findings have been identified among Latino PLWH in Argentina and Mexico ( Ballivian et al, 2020 ; Pérez-Gómez et al, 2022 ).…”

Section: Introductionsupporting

confidence: 85%

Addressing COVID-19 Misinformation and Resiliency Among Latinos Living With HIV: Formative Research Guiding the Latinos Unidos Microgame Intervention

Dunleavy

Ahn

Mayo

et al. 2022

American Behavioral Scientist

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Besides the risk of coronavirus disease 2019 (COVID-19) itself, the indirect and unprecedented effects of mitigation strategies including shelter-in-place orders and social distancing combined with the widespread COVID “infodemic” disseminated by media interacted synergistically to worsen already compromised mental health outcomes of Latino people living with HIV (PLWH). This funded project directly addresses the sources of health disparity in Miami Dade County: mental health and misinformation by developing a culturally tailored resilience and media literacy intervention for Latinos living with HIV. Extant research on resilience strategies and media literacy skills have documented their effectiveness in assisting individuals make realistic appraisals and informed decisions that could benefit their health outcomes and improve health-related challenges. We utilized a community-based approach by collaborating with two local community partners (Open Arms and Borinquen) and conducting 27 qualitative interviews with Latino PLWH, infectious disease providers, and community health workers who directly informed content of the Latino Unidos microgame intervention. This article describes the formative research process guiding the Latinos Unidos microgame intervention—a three-module gamified intervention. Study outcomes provide the foundation for media and educational strategies that increase adherence to health guidance and enhance mental health responses to adversity as a response to the COVID-19 pandemic.

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Section: Introductionsupporting

confidence: 85%

Addressing COVID-19 Misinformation and Resiliency Among Latinos Living With HIV: Formative Research Guiding the Latinos Unidos Microgame Intervention

Dunleavy

Ahn

Mayo

et al. 2022

American Behavioral Scientist

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“…At the same time, individuals who have recovered from COVID-19 are resourceful agents as they navigate the sociocultural context that define and shape responses and ultimately their psychological and emotional states. However, only a few studies have focused on resilience and PTG among COVID-19 survivors [ 17 , 18 , 19 , 20 , 32 ]. Among Chinese participants, resilience has been found to correlate significantly and negatively with anxiety, depression, and PTSD [ 18 ], and mediated the associations between stigma and sleep quality [ 19 ].…”

Section: Covid-19 Pandemic Resilience and Post-traumatic Growthmentioning

confidence: 99%

“…Among Chinese participants, resilience has been found to correlate significantly and negatively with anxiety, depression, and PTSD [ 18 ], and mediated the associations between stigma and sleep quality [ 19 ]. Among Mexican samples, resilience was found to significantly moderate the expression of psychopathological behaviors such that higher resilience buffered individuals from expressing high symptoms of depression, anxiety and stress [ 32 ]. Relating to PTG, a study involving Chinese COVID-19 survivors found that PTG was facilitated by a reassessment of life priorities, goals, and values and appreciation of life [ 17 ].…”

Section: Covid-19 Pandemic Resilience and Post-traumatic Growthmentioning

confidence: 99%

Post-Traumatic Growth and Resilience among Hospitalized COVID-19 Survivors: A Gendered Analysis

Adjorlolo

Andoh–Arthur

et al. 2022

IJERPH

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The literature on behavioral outcomes associated with the COVID-19 pandemic is inundated with mental health burdens such as depression and stress disorders. The current study investigated gender invariance on resilience and post-traumatic growth (PTG) as positive psychological changes associated with the COVID-19 pandemic. A total of 381 survivors of the COVID-19 infection completed measurements of resilience, PTG, violence and stigma experience, and mental health problems like post-traumatic stress disorder (PTSD). The data were analyzed using descriptive statistics, correlation, multivariate regression, and a latent profile analysis. The results revealed that more than half of the participants had high scores on resilience (53.6%) and PTG (60.9%). The positive psychological changes, although independent of each other, were moderated by gender, and influenced by the negative experiences of participants such as stigma, violence, and PTSD. Latent profile analyses revealed three classes of participants, two of which were characterized by high scores on mental health problems and PTG. The clusters were invariant across gender. Surviving COVID-19 contributed to resilience and PTG. These can be targeted for intervention programs to mitigate the mental health burden occasioned by the pandemic.

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“…Moreover, secondary consequences such as an impending economic crisis and recession are feared ( 3 , 4 ). Different systematic reviews showed that the COVID-19 pandemic evoked significant increases in depression, anxiety, and posttraumatic stress symptoms in the general population during ( 5 , 6 ) and after the first ( 3 , 7 ) and subsequent COVID waves ( 8 , 9 ). In the general population, studies also showed slightly higher levels of psychological distress compared to pre-pandemic data ( 3 , 10 , 11 ).…”

Section: Introductionmentioning

confidence: 99%

“…Thereby, those with chronical illness or poorer health ( 7 , 9 , 17 ) or a relative or acquaintance infected with COVID-19 ( 17 , 18 ) as well as women ( 3 , 11 , 19 – 23 ) were identified as particularly vulnerable. Further risk factors were catastrophizing thinking, the personality trait neuroticism, and the need for instrumental support ( 2 ).…”

Section: Introductionmentioning

confidence: 99%

Effects of general and corona-specific stressors on mental burden during the SARS-CoV-2 pandemic in Germany

Hubenschmid

Helmreich

Köber

et al. 2022

Front. Public Health

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The SARS-CoV-2 pandemic turned out to be a serious threat to mental and physical health. However, the relative contribution of corona-specific (DHs) and general stressors (DHg) on mental burden, and specific protective and risk factors for mental health are still not well understood. In a representative sample (N = 3,055) of the German adult population, mental health, potential risk, and protective factors as well as DHs and DHg exposure were assessed online during the SARS-CoV-2 pandemic (June and July 2020). The impact of these factors on mental health was analyzed using descriptive statistics, data visualizations, multiple regressions, and moderation analyses. The most burdensome DHg were financial and sleeping problems, respectively, and DHs corona-media reports and exclusion from recreational activities/important social events. 31 and 24% of total mental health was explained by DHg and DHs, respectively. Both predictors combined explained 36%, resulting in an increase in variance due to DHs of only 5% (R2 adjusted). Being female, older and a lower educational level were identified as general risk factors, somatic diseases as a corona-specific risk factor, and self-efficacy and locus of control (LOC) proved to be corona-specific protective factors. Further analyses showed that older age and being diagnosed with a somatic illness attenuated the positive influence of LOC, self-efficacy, and social support on resilience. Although the data showed that after the first easing restrictions, the stressor load was comparable to pre-pandemic data (with DHs not making a significant contribution), different risk and protective factors could be identified for general and corona-specific stressors. In line with observations from network analysis from other groups, the positive impact of resilience factors was especially diminished in the most vulnerable groups (elderly and somatically ill). This highlights the need to especially target these vulnerable groups to foster their resilience in upcoming waves of the corona pandemic.

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The Moderating Effect of Resilience on Mental Health Deterioration among COVID-19 Survivors in a Mexican Sample

Cited by 10 publications

References 64 publications

Addressing COVID-19 Misinformation and Resiliency Among Latinos Living With HIV: Formative Research Guiding the Latinos Unidos Microgame Intervention

Addressing COVID-19 Misinformation and Resiliency Among Latinos Living With HIV: Formative Research Guiding the Latinos Unidos Microgame Intervention

Post-Traumatic Growth and Resilience among Hospitalized COVID-19 Survivors: A Gendered Analysis

Effects of general and corona-specific stressors on mental burden during the SARS-CoV-2 pandemic in Germany

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