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Probable anxiety and components of psychological resilience amid COVID-19 : a population-based study
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Hou, Wai Kai, Tong, Horace, Liang, Li, Li, Tsz Wai, Liu, Huinan, Ben-Ezra, Menachem, Goodwin, Robin and Mei-chun Lee, Tatia (2021) Probable anxiety and components of psychological resilience amid COVID-19 : a population-based study. Journal of Affective Disorders, 282 . pp. 594-601. doi:10.1016/j.jad.2020.12.127
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Official URL: https://doi.org/10.1016/j.jad.2020.12.127
Abstract
Background
This study examined the associations between components of psychological resilience with mental health at different levels of exposure to COVID-19 stressors.
Methods
A population-representative sample of 4,021 respondents were recruited and assessed between February 25th and March 19th, 2020. Respondents reported current anxiety symptoms (7-item Generalized Anxiety Disorder scale [GAD-7]), cognitive components (perceived ability to adapt to change, tendency to bounce back after adversities) and behavioral components (regularity of primary and secondary daily routines) of resilience, worry about COVID-19 infection, and sociodemographics.
Results
Logistic regression revealed that cognitive and behavioral components of resilience were not correlated with probable anxiety (GAD-7≥10) among those reporting no worry. Among respondents who were worried, all resilient components were inversely associated with probable anxiety. Specifically, propensity to bounce back and regular primary routines were more strongly related to lower odds of probable anxiety among those reporting lower levels of worry.
Limitations
The cross-sectional design limits causal inference. Second, other resilient components and some key daily routines that could be related to better mental health were not assessed. Third, generalizability of the findings to other similar major cities is uncertain because cases and deaths due to COVID-19 in Hong Kong have been comparatively lower.
Conclusions
To foster mental health, cultivation of confidence in one's ability to adapt to change and a propensity to bounce back from hardship should be coupled with sustainment of regular daily routines. Such assessment and intervention protocols are more relevant to those who suffer heightened levels of exposure to COVID-19 stressors.
| Item Type: | Journal Article | ||||||||
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| Subjects: | B Philosophy. Psychology. Religion > BF Psychology R Medicine > RA Public aspects of medicine |
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| Divisions: | Faculty of Science, Engineering and Medicine > Science > Psychology | ||||||||
| SWORD Depositor: | Library Publications Router | ||||||||
| Library of Congress Subject Headings (LCSH): | COVID-19 (Disease) , COVID-19 (Disease) -- Psychological aspects , Anxiety, Resilience (Personality trait) | ||||||||
| Journal or Publication Title: | Journal of Affective Disorders | ||||||||
| Publisher: | Elsevier | ||||||||
| ISSN: | 0165-0327 | ||||||||
| Official Date: | 1 March 2021 | ||||||||
| Dates: |
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| Volume: | 282 | ||||||||
| Page Range: | pp. 594-601 | ||||||||
| DOI: | 10.1016/j.jad.2020.12.127 | ||||||||
| Status: | Peer Reviewed | ||||||||
| Publication Status: | Published | ||||||||
| Access rights to Published version: | Restricted or Subscription Access | ||||||||
| RIOXX Funder/Project Grant: |
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