Patterns of psychological responses among the public during the early phase of covid-19: A cross-regional analysis

Yuen Yu Chong (Coresponding Author), Wai Tong Chien, Ho Yu Cheng, Jeļena Ļubenko, Demetris Lamnisos, Giovambattista Presti, Valeria Squatrito, Marios Constantinou, Christiana Nicolaou, Savvas Papacostas, Gökçen Aydin, Francisco J. Ruiz, Maria B. Garcia-Martin, Diana P. Obando-Posada, Miguel A. Segura-Vargas, Vasilis S. Vasiliou, Louise McHugh, Stefan Höfer, Adriana Baban, David Dias NetoAna Nunes da Silva, Jean Louis Monestès, Javier Alvarez-Galvez, Marisa Paez Blarrina, Francisco Montesinos, Sonsoles Valdivia Salas, Dorottya Őri, Bartosz Kleszcz, Raimo Lappalainen, Iva Ivanović, David Gosar, Frederick Dionne, Rhonda M. Merwin, Andrew T. Gloster, Maria Karekla, Angelos P. Kassianos

Research output: Contribution to journalArticlepeer-review

5 Citations (Scopus)

Abstract

This study aimed to compare the mediation of psychological flexibility, prosociality and coping in the impacts of illness perceptions toward COVID-19 on mental health among seven regions. Convenience sampled online survey was conducted between April and June 2020 from 9130 citizens in 21 countries. Illness perceptions toward COVID-19, psychological flexibility, prosociality, coping and mental health, socio-demographics, lockdown-related variables and COVID-19 status were assessed. Results showed that psychological flexibility was the only significant mediator in the relationship between illness perceptions toward COVID-19 and mental health across all regions (all ps = 0.001–0.021). Seeking social support was the significant mediator across subgroups (all ps range = <0.001–0.005) except from the Hong Kong sample (p = 0.06) and the North and South American sample (p = 0.53). No mediation was found for problem-solving (except from the Northern European sample, p = 0.009). Prosociality was the significant mediator in the Hong Kong sample (p =0.016) and the Eastern European sample (p = 0.008). These findings indicate that fostering psychological flexibility may help to mitigate the adverse mental impacts of COVID-19 across regions. Roles of seeking social support, problem-solving and prosociality vary across regions.

Original languageEnglish
Article number4143
Number of pages19
JournalInternational journal of environmental research and public health
Volume18
Issue number8
DOIs
Publication statusPublished - 14 Apr 2021

Keywords*

  • COVID-19
  • Mental health
  • Prosociality
  • Psychological flexibility
  • Survey

Field of Science*

  • 3.3 Health sciences
  • 5.1 Psychology

Publication Type*

  • 1.1. Scientific article indexed in Web of Science and/or Scopus database

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