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Article: Probable anxiety and components of psychological resilience amid COVID-19: A population-based study

TitleProbable anxiety and components of psychological resilience amid COVID-19: A population-based study
Authors
KeywordsCOVID-19
Anxiety
Psychological resilience
Stressor exposure
Issue Date2021
PublisherElsevier BV. The Journal's web site is located at http://www.elsevier.com/locate/jad
Citation
Journal of Affective Disorders, 2021, v. 282, p. 594-601 How to Cite?
AbstractBackground: This study examined the associations between components of psychological resilience and 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 could be more relevant to those who suffer heightened levels of exposure to COVID-19 stressors.
Persistent Identifierhttp://hdl.handle.net/10722/306123
ISSN
2023 Impact Factor: 4.9
2023 SCImago Journal Rankings: 2.082
PubMed Central ID
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorHou, WK-
dc.contributor.authorTong, H-
dc.contributor.authorLiang, L-
dc.contributor.authorLi, TW-
dc.contributor.authorLiu, H-
dc.contributor.authorBen-Ezra, M-
dc.contributor.authorGoodwin, R-
dc.contributor.authorLee, TMC-
dc.date.accessioned2021-10-20T10:19:07Z-
dc.date.available2021-10-20T10:19:07Z-
dc.date.issued2021-
dc.identifier.citationJournal of Affective Disorders, 2021, v. 282, p. 594-601-
dc.identifier.issn0165-0327-
dc.identifier.urihttp://hdl.handle.net/10722/306123-
dc.description.abstractBackground: This study examined the associations between components of psychological resilience and 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 could be more relevant to those who suffer heightened levels of exposure to COVID-19 stressors.-
dc.languageeng-
dc.publisherElsevier BV. The Journal's web site is located at http://www.elsevier.com/locate/jad-
dc.relation.ispartofJournal of Affective Disorders-
dc.subjectCOVID-19-
dc.subjectAnxiety-
dc.subjectPsychological resilience-
dc.subjectStressor exposure-
dc.titleProbable anxiety and components of psychological resilience amid COVID-19: A population-based study-
dc.typeArticle-
dc.identifier.emailLee, TMC: tmclee@hku.hk-
dc.identifier.authorityLee, TMC=rp00564-
dc.description.naturelink_to_OA_fulltext-
dc.identifier.doi10.1016/j.jad.2020.12.127-
dc.identifier.pmid33445081-
dc.identifier.pmcidPMC8529263-
dc.identifier.scopuseid_2-s2.0-85099245784-
dc.identifier.hkuros328008-
dc.identifier.volume282-
dc.identifier.spage594-
dc.identifier.epage601-
dc.identifier.isiWOS:000619295400080-
dc.publisher.placeNetherlands-

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