The SARS-CoV-2 pandemic is not only a threat to physical health but is also having severe impacts on mental health. Although increases in stress-related symptomatology and other adverse psycho-social outcomes, as well as their most important risk factors have been described, hardly anything is known about potential protective factors. Resilience refers to the maintenance of mental health despite adversity. To gain mechanistic insights about the relationship between described psycho-social resilience factors and resilience specifically in the current crisis, we assessed resilience factors, exposure to Corona crisis-specific and general stressors, as well as internalizing symptoms in a cross-sectional online survey conducted in 24 languages during the most intense phase of the lockdown in Europe (22 March to 19 April) in a convenience sample of N = 15,970 adults. Resilience, as an outcome, was conceptualized as good mental health despite stressor exposure and measured as the inverse resi...dual between actual and predicted symptom total score. Preregistered hypotheses (osf.io/r6btn) were tested with multiple regression models and mediation analyses. Results confirmed our primary hypothesis that positive appraisal style (PAS) is positively associated with resilience (p < 0.0001). The resilience factor PAS also partly mediated the positive association between perceived social support and resilience, and its association with resilience was in turn partly mediated by the ability to easily recover from stress (both p < 0.0001). In comparison with other resilience factors, good stress response recovery and positive appraisal specifically of the consequences of the Corona crisis were the strongest factors. Preregistered exploratory subgroup analyses (osf.io/thka9) showed that all tested resilience factors generalize across major socio-demographic categories. This research identifies modifiable protective factors that can be targeted by public mental health efforts in this and in future pandemics.
Source:
Translational Psychiatry, 2021, 11, 1
Publisher:
Springer Science and Business Media LLC
Funding / projects:
Deutsche Forschungsgemeinschaft https://doi.org/10.13039/501100001659 : CRC1193
TY - JOUR
AU - Veer, Ilya M.
AU - Riepenhausen, Antje
AU - Zerban, Matthias
AU - Wackerhagen, Carolin
AU - Puhlmann, Lara M. C.
AU - Engen, Haakon
AU - Köber, Göran
AU - Bögemann, Sophie A.
AU - Weermeijer, Jeroen
AU - Uściłko, Aleksandra
AU - Mor, Netali
AU - Marciniak, Marta A.
AU - Askelund, Adrian Dahl
AU - Al-Kamel, Abbas
AU - Ayash, Sarah
AU - Barsuola, Giulia
AU - Bartkute-Norkuniene, Vaida
AU - Battaglia, Simone
AU - Bobko, Yaryna
AU - Bölte, Sven
AU - Cardone, Paolo
AU - Chvojková, Edita
AU - Damnjanović, Kaja
AU - De Calheiros Velozo, Joana
AU - de Thurah, Lena
AU - Deza-Araujo, Yacila I.
AU - Dimitrov, Annika
AU - Farkas, Kinga
AU - Feller, Clémence
AU - Gazea, Mary
AU - Gilan, Donya
AU - Gnjidić, Vedrana
AU - Hajduk, Michal
AU - Hiekkaranta, Anu P.
AU - Hofgaard, Live S.
AU - Ilen, Laura
AU - Kasanova, Zuzana
AU - Khanpour, Mohsen
AU - Lau, Bobo Hi Po
AU - Lenferink, Dionne B.
AU - Lindhardt, Thomas B.
AU - Magas, Dávid Á.
AU - Mituniewicz, Julian
AU - Moreno-López, Laura
AU - Muzychka, Sofiia
AU - Ntafouli, Maria
AU - O’Leary, Aet
AU - Paparella, Ilenia
AU - Põldver, Nele
AU - Rintala, Aki
AU - Robak, Natalia
AU - Rosická, Anna M.
AU - Røysamb, Espen
AU - Sadeghi, Siavash
AU - Schneider, Maude
AU - Siugzdaite, Roma
AU - Stantić, Mirta
AU - Teixeira, Ana
AU - Todorovic, Ana
AU - Wan, Wendy W. N.
AU - van Dick, Rolf
AU - Lieb, Klaus
AU - Kleim, Birgit
AU - Hermans, Erno J.
AU - Kobylińska, Dorota
AU - Hendler, Talma
AU - Binder, Harald
AU - Myin-Germeys, Inez
AU - van Leeuwen, Judith M. C.
AU - Tüscher, Oliver
AU - Yuen, Kenneth S. L.
AU - Walter, Henrik
AU - Kalisch, Raffael
PY - 2021
UR - http://reff.f.bg.ac.rs/handle/123456789/4731
AB - The SARS-CoV-2 pandemic is not only a threat to physical health but is also having severe impacts on mental health. Although increases in stress-related symptomatology and other adverse psycho-social outcomes, as well as their most important risk factors have been described, hardly anything is known about potential protective factors. Resilience refers to the maintenance of mental health despite adversity. To gain mechanistic insights about the relationship between described psycho-social resilience factors and resilience specifically in the current crisis, we assessed resilience factors, exposure to Corona crisis-specific and general stressors, as well as internalizing symptoms in a cross-sectional online survey conducted in 24 languages during the most intense phase of the lockdown in Europe (22 March to 19 April) in a convenience sample of N = 15,970 adults. Resilience, as an outcome, was conceptualized as good mental health despite stressor exposure and measured as the inverse residual between actual and predicted symptom total score. Preregistered hypotheses (osf.io/r6btn) were tested with multiple regression models and mediation analyses. Results confirmed our primary hypothesis that positive appraisal style (PAS) is positively associated with resilience (p < 0.0001). The resilience factor PAS also partly mediated the positive association between perceived social support and resilience, and its association with resilience was in turn partly mediated by the ability to easily recover from stress (both p < 0.0001). In comparison with other resilience factors, good stress response recovery and positive appraisal specifically of the consequences of the Corona crisis were the strongest factors. Preregistered exploratory subgroup analyses (osf.io/thka9) showed that all tested resilience factors generalize across major socio-demographic categories. This research identifies modifiable protective factors that can be targeted by public mental health efforts in this and in future pandemics.
PB - Springer Science and Business Media LLC
T2 - Translational Psychiatry
T1 - Psycho-social factors associated with mental resilience in the Corona lockdown
IS - 1
VL - 11
DO - 10.1038/s41398-020-01150-4
ER -
@article{
author = "Veer, Ilya M. and Riepenhausen, Antje and Zerban, Matthias and Wackerhagen, Carolin and Puhlmann, Lara M. C. and Engen, Haakon and Köber, Göran and Bögemann, Sophie A. and Weermeijer, Jeroen and Uściłko, Aleksandra and Mor, Netali and Marciniak, Marta A. and Askelund, Adrian Dahl and Al-Kamel, Abbas and Ayash, Sarah and Barsuola, Giulia and Bartkute-Norkuniene, Vaida and Battaglia, Simone and Bobko, Yaryna and Bölte, Sven and Cardone, Paolo and Chvojková, Edita and Damnjanović, Kaja and De Calheiros Velozo, Joana and de Thurah, Lena and Deza-Araujo, Yacila I. and Dimitrov, Annika and Farkas, Kinga and Feller, Clémence and Gazea, Mary and Gilan, Donya and Gnjidić, Vedrana and Hajduk, Michal and Hiekkaranta, Anu P. and Hofgaard, Live S. and Ilen, Laura and Kasanova, Zuzana and Khanpour, Mohsen and Lau, Bobo Hi Po and Lenferink, Dionne B. and Lindhardt, Thomas B. and Magas, Dávid Á. and Mituniewicz, Julian and Moreno-López, Laura and Muzychka, Sofiia and Ntafouli, Maria and O’Leary, Aet and Paparella, Ilenia and Põldver, Nele and Rintala, Aki and Robak, Natalia and Rosická, Anna M. and Røysamb, Espen and Sadeghi, Siavash and Schneider, Maude and Siugzdaite, Roma and Stantić, Mirta and Teixeira, Ana and Todorovic, Ana and Wan, Wendy W. N. and van Dick, Rolf and Lieb, Klaus and Kleim, Birgit and Hermans, Erno J. and Kobylińska, Dorota and Hendler, Talma and Binder, Harald and Myin-Germeys, Inez and van Leeuwen, Judith M. C. and Tüscher, Oliver and Yuen, Kenneth S. L. and Walter, Henrik and Kalisch, Raffael",
year = "2021",
abstract = "The SARS-CoV-2 pandemic is not only a threat to physical health but is also having severe impacts on mental health. Although increases in stress-related symptomatology and other adverse psycho-social outcomes, as well as their most important risk factors have been described, hardly anything is known about potential protective factors. Resilience refers to the maintenance of mental health despite adversity. To gain mechanistic insights about the relationship between described psycho-social resilience factors and resilience specifically in the current crisis, we assessed resilience factors, exposure to Corona crisis-specific and general stressors, as well as internalizing symptoms in a cross-sectional online survey conducted in 24 languages during the most intense phase of the lockdown in Europe (22 March to 19 April) in a convenience sample of N = 15,970 adults. Resilience, as an outcome, was conceptualized as good mental health despite stressor exposure and measured as the inverse residual between actual and predicted symptom total score. Preregistered hypotheses (osf.io/r6btn) were tested with multiple regression models and mediation analyses. Results confirmed our primary hypothesis that positive appraisal style (PAS) is positively associated with resilience (p < 0.0001). The resilience factor PAS also partly mediated the positive association between perceived social support and resilience, and its association with resilience was in turn partly mediated by the ability to easily recover from stress (both p < 0.0001). In comparison with other resilience factors, good stress response recovery and positive appraisal specifically of the consequences of the Corona crisis were the strongest factors. Preregistered exploratory subgroup analyses (osf.io/thka9) showed that all tested resilience factors generalize across major socio-demographic categories. This research identifies modifiable protective factors that can be targeted by public mental health efforts in this and in future pandemics.",
publisher = "Springer Science and Business Media LLC",
journal = "Translational Psychiatry",
title = "Psycho-social factors associated with mental resilience in the Corona lockdown",
number = "1",
volume = "11",
doi = "10.1038/s41398-020-01150-4"
}
Veer, I. M., Riepenhausen, A., Zerban, M., Wackerhagen, C., Puhlmann, L. M. C., Engen, H., Köber, G., Bögemann, S. A., Weermeijer, J., Uściłko, A., Mor, N., Marciniak, M. A., Askelund, A. D., Al-Kamel, A., Ayash, S., Barsuola, G., Bartkute-Norkuniene, V., Battaglia, S., Bobko, Y., Bölte, S., Cardone, P., Chvojková, E., Damnjanović, K., De Calheiros Velozo, J., de Thurah, L., Deza-Araujo, Y. I., Dimitrov, A., Farkas, K., Feller, C., Gazea, M., Gilan, D., Gnjidić, V., Hajduk, M., Hiekkaranta, A. P., Hofgaard, L. S., Ilen, L., Kasanova, Z., Khanpour, M., Lau, B. H. P., Lenferink, D. B., Lindhardt, T. B., Magas, D. Á., Mituniewicz, J., Moreno-López, L., Muzychka, S., Ntafouli, M., O’Leary, A., Paparella, I., Põldver, N., Rintala, A., Robak, N., Rosická, A. M., Røysamb, E., Sadeghi, S., Schneider, M., Siugzdaite, R., Stantić, M., Teixeira, A., Todorovic, A., Wan, W. W. N., van Dick, R., Lieb, K., Kleim, B., Hermans, E. J., Kobylińska, D., Hendler, T., Binder, H., Myin-Germeys, I., van Leeuwen, J. M. C., Tüscher, O., Yuen, K. S. L., Walter, H.,& Kalisch, R.. (2021). Psycho-social factors associated with mental resilience in the Corona lockdown. in Translational Psychiatry
Springer Science and Business Media LLC., 11(1).
https://doi.org/10.1038/s41398-020-01150-4
Veer IM, Riepenhausen A, Zerban M, Wackerhagen C, Puhlmann LMC, Engen H, Köber G, Bögemann SA, Weermeijer J, Uściłko A, Mor N, Marciniak MA, Askelund AD, Al-Kamel A, Ayash S, Barsuola G, Bartkute-Norkuniene V, Battaglia S, Bobko Y, Bölte S, Cardone P, Chvojková E, Damnjanović K, De Calheiros Velozo J, de Thurah L, Deza-Araujo YI, Dimitrov A, Farkas K, Feller C, Gazea M, Gilan D, Gnjidić V, Hajduk M, Hiekkaranta AP, Hofgaard LS, Ilen L, Kasanova Z, Khanpour M, Lau BHP, Lenferink DB, Lindhardt TB, Magas DÁ, Mituniewicz J, Moreno-López L, Muzychka S, Ntafouli M, O’Leary A, Paparella I, Põldver N, Rintala A, Robak N, Rosická AM, Røysamb E, Sadeghi S, Schneider M, Siugzdaite R, Stantić M, Teixeira A, Todorovic A, Wan WWN, van Dick R, Lieb K, Kleim B, Hermans EJ, Kobylińska D, Hendler T, Binder H, Myin-Germeys I, van Leeuwen JMC, Tüscher O, Yuen KSL, Walter H, Kalisch R. Psycho-social factors associated with mental resilience in the Corona lockdown. in Translational Psychiatry. 2021;11(1).
doi:10.1038/s41398-020-01150-4 .
Veer, Ilya M., Riepenhausen, Antje, Zerban, Matthias, Wackerhagen, Carolin, Puhlmann, Lara M. C., Engen, Haakon, Köber, Göran, Bögemann, Sophie A., Weermeijer, Jeroen, Uściłko, Aleksandra, Mor, Netali, Marciniak, Marta A., Askelund, Adrian Dahl, Al-Kamel, Abbas, Ayash, Sarah, Barsuola, Giulia, Bartkute-Norkuniene, Vaida, Battaglia, Simone, Bobko, Yaryna, Bölte, Sven, Cardone, Paolo, Chvojková, Edita, Damnjanović, Kaja, De Calheiros Velozo, Joana, de Thurah, Lena, Deza-Araujo, Yacila I., Dimitrov, Annika, Farkas, Kinga, Feller, Clémence, Gazea, Mary, Gilan, Donya, Gnjidić, Vedrana, Hajduk, Michal, Hiekkaranta, Anu P., Hofgaard, Live S., Ilen, Laura, Kasanova, Zuzana, Khanpour, Mohsen, Lau, Bobo Hi Po, Lenferink, Dionne B., Lindhardt, Thomas B., Magas, Dávid Á., Mituniewicz, Julian, Moreno-López, Laura, Muzychka, Sofiia, Ntafouli, Maria, O’Leary, Aet, Paparella, Ilenia, Põldver, Nele, Rintala, Aki, Robak, Natalia, Rosická, Anna M., Røysamb, Espen, Sadeghi, Siavash, Schneider, Maude, Siugzdaite, Roma, Stantić, Mirta, Teixeira, Ana, Todorovic, Ana, Wan, Wendy W. N., van Dick, Rolf, Lieb, Klaus, Kleim, Birgit, Hermans, Erno J., Kobylińska, Dorota, Hendler, Talma, Binder, Harald, Myin-Germeys, Inez, van Leeuwen, Judith M. C., Tüscher, Oliver, Yuen, Kenneth S. L., Walter, Henrik, Kalisch, Raffael, "Psycho-social factors associated with mental resilience in the Corona lockdown" in Translational Psychiatry, 11, no. 1 (2021),
https://doi.org/10.1038/s41398-020-01150-4 . .
