Zhuang Xiaoyu, Li Qin, Liu Susu, Mo Jieming
Department of Social Work, Hong Kong Baptist University, Hong Kong, China.
Sociology Research Center, School of Humanities, Jinan University, Guangzhou, China.
Psychiatry Investig. 2024 Dec;21(12):1349-1359. doi: 10.30773/pi.2024.0162. Epub 2024 Nov 22.
This study is the first to adopt a cultural and contextual coping model to examine the impact of forbearance coping on compliance and psychological health and unravel the psychosocial mediator and moderator among community-dwelling residents in the post-pandemic era in China.
A multistage cluster convenience sampling strategy was conducted to recruit 402 community-dwelling residents of ten cities in Guangdong province who completed an online survey measuring forbearance coping, anti-pandemic compliance behaviours, family resilience, community resilience and psychological distress.
The study results showed an unexpected negative influence of forbearance coping on psychological distress. Nevertheless, forbearance coping facilitated personal compliance with coronavirus disease-2019 mitigation measures and improved psychological health. More importantly, meaning-making of adversity within families partially mediated the negative effect of forbearance on mental health only when respondents perceived higher levels of community resilience.
This study is the first to apply the cultural and contextual model of coping to Chinese individuals during a significant public health crisis. It expands the model by uncovering mechanisms like behavioural compliance and family meaning-making, and highlights the moderating role of community resilience. The findings emphasize the importance of building resilient communities and supporting mental health, providing evidence for future policy interventions and pandemic/disaster prevention measures in China.
本研究首次采用文化与情境应对模型，以考察忍耐应对方式对依从性和心理健康的影响，并揭示中国疫情后时代社区居民心理社会中介因素和调节因素。
采用多阶段整群便利抽样策略，招募了广东省十个城市的402名社区居民，他们完成了一项在线调查，该调查测量了忍耐应对方式、抗疫依从行为、家庭复原力、社区复原力和心理困扰。
研究结果显示，忍耐应对方式对心理困扰产生了意想不到的负面影响。然而，忍耐应对方式促进了个人对2019冠状病毒病缓解措施的依从性，并改善了心理健康。更重要的是，只有当受访者感受到较高水平的社区复原力时，家庭内部对逆境的意义建构才部分中介了忍耐对心理健康的负面影响。
本研究首次在重大公共卫生危机期间将文化与情境应对模型应用于中国个体。它通过揭示行为依从性和家庭意义建构等机制扩展了该模型，并突出了社区复原力的调节作用。研究结果强调了建设有复原力的社区和支持心理健康的重要性，为中国未来的政策干预和疫情/灾害预防措施提供了证据。
