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. 2021 Dec 1:295:771-780.
doi: 10.1016/j.jad.2021.08.144. Epub 2021 Sep 2.

Resilience and mental health during the COVID-19 pandemic: Findings from Minnesota and Hong Kong

Athena C Y Chan  1 , Timothy F Piehler  2 , Grace W K Ho  3
Affiliations

Resilience and mental health during the COVID-19 pandemic: Findings from Minnesota and Hong Kong

Athena C Y Chan et al. J Affect Disord. .

Abstract

Background: Previous COVID-19 pandemic research has focused on assessing the severity of psychological responses to pandemic-related stressors. Little is understood about (a) resilience as a mental health protective factor during these stressors, and (b) whether families from Eastern and Western cultures cope differently. This study examines how individual resilience and family resilience moderate the associations between pandemic-related stressors and symptoms of depression, anxiety, and stress in two culturally distinct regions.

Methods: A total of 1,039 adults (442 from Minnesota, United States, and 597 from Hong Kong) living with at least one family member completed an online survey about COVID-19-related experiences, mental health, individual resilience and family resilience from May 20 to June 30, 2020. Predictors of depression, anxiety, and stress symptoms were examined separately using hierarchical regression analyses.

Results: In both regions, pandemic-related stressors predicted higher symptoms of depression, anxiety, and stress. Individual resilience and two domains of family resilience were associated with positive mental health. In Minnesota, higher levels of individual resilience buffered the negative relationship between pandemic-related stressors and depressive symptoms; higher levels of family communication and problem solving also buffered the negative relationship between pandemic-related stressors and stress symptoms. In Hong Kong, higher family-level positive outlook magnified the negative relationship between pandemic-related stressors and anxiety symptoms.

Conclusions: Individual and family resilience is protective against the adverse psychological effects of pandemic stressors, but they vary across cultures and as exposure to pandemic-related stressors increases.

Keywords: COVID-19; Family resilience; Individual resilience; Mental health.

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Conflict of interest statement

The authors declare that there is no conflict of interest.

Figures

Fig. 1
Fig. 1
Pandemic-related stressors predicting (a) depression severity by individual resilience; or (b) stress severity by family communication and problem solving in Minnesota Note.. Pandemic-related stressors (yes/no): currently practicing social distancing or quarantining, family members inside/outside the home experiencing or suspected of having symptoms of COVID, family members inside the home working in healthcare or other high risk jobs for contracting COVID-19, family members working from home in response to COVID-19, and family members experiencing reduced employment.
Fig. 2
Fig. 2
Pandemic-related stressors predicting anxiety severity by family positive outlook in Hong Kong Note.. Pandemic-related stressors (yes/no): currently practicing social distancing or quarantining, family members inside/outside the home experiencing or suspected of having symptoms of COVID, family members inside the home working in healthcare or other high risk jobs for contracting COVID-19, family members working from home in response to COVID-19, and family members experiencing reduced employment.
See this image and copyright information in PMC

References

    1. Amerio A., Bianchi D., Santi F., Costantini L., Odone A., Signorelli C., Costanza A., Serafini G., Amore M., Aguglia A. Covid-19 pandemic impact on mental health: a web-based cross-sectional survey on a sample of Italian general practitioners. Acta bio-medica: Atenei Parmensis. 2020;91(2):83–88. doi: 10.23750/abm.v91i2.9619. - DOI - PMC - PubMed
    1. Bonanno G.A., Ho S.M.Y., Chan J.C.K., Kwong R.S.Y., Cheung C.K.Y., Wong C.P.Y., Wong V.C.W. Psychological resilience and dysfunction among hospitalized survivors of the SARS epidemic in Hong Kong: A latent class approach. Health Psychology. 2008;27(5):659–667. doi: 10.1037/0278-6133.27.5.659. - DOI - PubMed
    1. Bronfenbrenner U. Harvard University Press; 1979. The Ecology of Human Development.
    1. Cheng S.K.W., Wong C.W., Tsang J., Wong K.C. Psychological distress and negative appraisals in survivors of severe acute respiratory syndrome (SARS) Psychol Med. 2004;34(7):1187–1195. doi: 10.1017/S0033291704002272. - DOI - PubMed
    1. Chow K.M., Tang W.K.F., Chan W.H.C., Sit W.H.J., Choi K.C., Chan S. Resilience and well-being of university nursing students in Hong Kong: a cross-sectional study. BMC Med Educ. 2018;18(1):13. doi: 10.1186/s12909-018-1119-0. - DOI - PMC - PubMed

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