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. 2020 Dec;12(4):1074-1094.
doi: 10.1111/aphw.12211. Epub 2020 Jul 15.

Resilience, Social Support, and Coping as Mediators between COVID-19-related Stressful Experiences and Acute Stress Disorder among College Students in China

Affiliations

Resilience, Social Support, and Coping as Mediators between COVID-19-related Stressful Experiences and Acute Stress Disorder among College Students in China

Zhi Ye et al. Appl Psychol Health Well Being. 2020 Dec.

Erratum in

  • Erratum.
    [No authors listed] [No authors listed] Appl Psychol Health Well Being. 2023 Feb;15(1):447. doi: 10.1111/aphw.12258. Epub 2022 Dec 5. Appl Psychol Health Well Being. 2023. PMID: 36468402 Free PMC article. No abstract available.

Abstract

Background: The COVID-19 pandemic outbreak might induce acute stress disorder (ASD) to people living in the epidemic regions. The current study aims to investigate the association of COVID-19-related stressful experiences with ASD and possible psychological mechanisms of the association among college students.

Methods: Data were collected from 7,800 college students via an online survey during the initial stage of the COVID-19 outbreak in China (from 31 January to 11 February 2020). Existing scales were adapted to measure stressful experiences, resilience, coping, social support, and ASD symptoms. Path analysis was employed to examine the research hypotheses.

Results: Among the 7,800 college students, 61.53% were women and their mean age was 20.54 years. Both direct and indirect effects from COVID-19-related stressful experiences to ASD symptoms were significant. The relationship between COVID-19-related stressful experiences and ASD could be mediated by resilience (β = 0.01, p < .001), adaptive coping strategies (β = 0.02, p < .001), and social support (β = 0.01, p < .001); while not being significantly mediated by maladaptive coping strategies.

Conclusion: The findings presented the ASD symptoms related to the COVID-19 outbreak and the mediating role of interpersonal and intrapersonal factors in the association. Identifying the risk and protective factors is important to reduce acute psychological responses.

Keywords: COVID-19; acute stress disorder; coping strategies; resilience; social support.

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Figures

FIGURE 1
FIGURE 1
Hypothetical mediation model.
FIGURE 2
FIGURE 2
The multiple mediation model of stressful experiences on ASD. Note: * p < .05, ** p < .01, *** p < .001. ASD: Acute stress disorder. All of the parameter coefficients are standardised results.

References

    1. American Psychiatric Association (1994). Diagnostic and statistical manual of mental disorders (4th edn, Washington, DC: American Psychiatric Association.
    1. Bao, Y. , Sun, Y. , Meng, S. , Shi, J. , & Lu, L. (2020). 2019‐nCoV epidemic: Address mental health care to empower society. The Lancet, 395(10224), e37–e38. 10.1016/S0140-6736(20)30309-3 - DOI - PMC - PubMed
    1. Benson, P.L. (2003). Developmental assets and asset‐building community: Conceptual and empirical foundations. In Lerner R.M., & Benson P. (Eds.), Developmental assets and asset‐building communities: Implications for research, policy, and programs (pp. 19–46). New York: Kluwer Academic.
    1. Borja, S.E. , Callahan, J.L. , & Rambo, P.L. (2009). Understanding negative outcomes following traumatic exposure: The roles of neuroticism and social support. Psychological Trauma‐Theory Research Practice and Policy, 1(2), 118–129.
    1. Brewin, C.R. , Andrews, B. , & Valentine, J.D. (2000). Meta‐analysis of risk factors for posttraumatic stress disorder in trauma‐exposed adults. Journal of Consulting and Clinical Psychology, 68(5), 748–766. - PubMed

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