Coping behaviors and mental health during the COVID-19 pandemic: situational and habitual effects on mental distress with hybrid model analysis.

BACKGROUND

The COVID-19 pandemic brought about widespread mental health challenges. Yet, its mental health impacts vary depending on the coping strategies people adopt to manage stress. The COVID-19 pandemic, with its rapidly changing circumstances, provides an opportune context to examine how different coping behaviors are linked to mental distress. This study explores four coping approaches-social connection, substance use, social media use, and relaxation techniques-to assess how they relate to mental distress over time during the pandemic at both situational (within-person) and habitual (between-person) levels.

METHODS

Using a hybrid model, this study analyzed longitudinal data from the Understanding American Study (UAS), spanning from April 2020 to June 2021. This approach allowed for differentiating between within-person (how changes in an individual's coping behaviors related to their own mental health over time) and between-person effects (how individuals with different coping behaviors, on average, compare in terms of mental health outcomes).

RESULTS

Adaptive coping behaviors like social connection and relaxation coping were linked to lower mental distress at both within-person and between-person levels, with stronger between-person effects. Substance use and social media use were associated with increased mental distress, suggesting potential risks in their use, especially when these behaviors become habitual. Roughly 20-52.39% of the between-person effects of coping behaviors were explained by sociodemographic characteristics.

CONCLUSION

By recognizing the value of stable, adaptive coping habits-while also accounting for how situational changes impact well-being-policymakers and practitioners can craft more effective interventions to foster mental resilience during public health crises.