Fino Edita, Mema Denis, Treska Valbona
Department of Experimental, Diagnostic and Specialty Medicine, School of Medicine, Alma Mater Studiorum-Bologna University, 40138 Bologna, Italy.
Deutsche Gesellschaft für Internationale Zusammenarbeit (GIZ), 1000 Tirana, Albania.
Healthcare (Basel). 2022 Jan 27;10(2):247. doi: 10.3390/healthcare10020247.
(1) Background: Current COVID-19 research has mainly focused on negative outcomes associated with fear of the pandemic with the examination of potentially positive outcomes remaining underexplored. Based on the dual-factor model of mental health, which postulates positive and negative dimensions, we assessed the influence of COVID-19 fear on both negative and positive mental health outcomes and examined the mediational role of coping strategies. (2) Methods: A convenience sample of 231 respondents participated in an online survey reporting on measures of pandemic fear (SFS), distress (HADS), post-traumatic growth (PTGI) and individual differences in terms of coping strategies (CSI-SF). (3) Results: Respondents' main concerns related with the pandemic highlighted the interpersonal and social dimensions implicated in fear of COVID-19. As expected, fear of the pandemic was associated not just with negative but also positive outcomes, while different coping strategies played a role in determining such effects. More specifically, disengagement coping mediated the effects of fear on anxiety and depression, whereas engagement coping was the only mediator of the relationship between COVID-19 fear and post-traumatic growth. (4) Conclusions: Approaches to promote psychological wellbeing in the context of the COVID-19 pandemic should on the one hand be sensitive to the needs of the more vulnerable population groups, while on the other leverage existing resources to harness the potential for growth. Strengthening engagement coping in the context of fears triggered by the pandemic may constitute a valuable target to protect against negative and optimize positive mental health outcomes in the general population.
(1)背景:当前关于新冠肺炎的研究主要集中在与对疫情的恐惧相关的负面结果上,而对潜在积极结果的研究仍未充分展开。基于心理健康的双因素模型,该模型假定了积极和消极两个维度,我们评估了对新冠肺炎的恐惧对负面和正面心理健康结果的影响,并考察了应对策略的中介作用。(2)方法:231名受访者的便利样本参与了一项在线调查,报告了疫情恐惧量表(SFS)、痛苦量表(HADS)、创伤后成长量表(PTGI)以及应对策略的个体差异量表(CSI-SF)的测量结果。(3)结果:受访者对疫情的主要担忧突出了新冠肺炎恐惧所涉及的人际和社会维度。正如预期的那样,对疫情的恐惧不仅与负面结果相关,也与正面结果相关,同时不同的应对策略在决定这些影响方面发挥了作用。更具体地说,脱离应对介导了恐惧对焦虑和抑郁的影响,而参与应对是新冠肺炎恐惧与创伤后成长之间关系的唯一中介。(4)结论:在新冠肺炎疫情背景下促进心理健康的方法,一方面应关注更脆弱人群的需求,另一方面应利用现有资源挖掘成长潜力。在疫情引发的恐惧背景下加强参与应对,可能是保护普通人群免受负面影响并优化正面心理健康结果的一个有价值的目标。