Authors:	Veer, Ilya M. Riepenhausen, Antje Zerban, Matthias Wackerhagen, Carolin Puhlmann, Lara M. C. Engen, Haakon Köber, Göran Bögemann, Sophie A. Weermeijer, Jeroen Uściłko, Aleksandra Mor, Netali Marciniak, Marta A. Dahl Askelund, Adrian Al-Kamel, Abbas Ayash, Sarah Barsuola, Giulia Bartkute-Norkuniene, Vaida Battaglia, Simone Bobko, Yaryna Bölte, Sven Cardone, Paolo Chvojková, Edita Damnjanović, Kaja De Calheiros Velozo, Joana de Thurah, Lena Deza-Araujo, Yacila I. Dimitrov, Annika Farkas, Kinga Feller, Clémence Gazea, Mary Gilan, Donya Gnjidić, Vedrana Hajduk, Michal Hiekkaranta, Anu P. Hofgaard, Live S. Ilen, Laura Kasanova, Zuzana Khanpour, Mohsen Lau, Bobo Hi Po Lenferink, Dionne B. Lindhardt, Thomas B. Magas, Dávid Á. Mituniewicz, Julian Moreno-López, Laura Muzychka, Sofiia Ntafouli, Maria O´Leary, Aet Paparella, Ilenia Põldver, Nele Rintala, Aki Robak, Natalia Rosická, Anna M. Røysamb, Espen Sadeghi, Siavash Schneider, Maude Siugzdaite, Roma Stantić, Mirta Teixeira, Ana Todorovic, Ana Wan, Wendy W. N. Dick, Rolf van Lieb, Klaus Kleim, Birgit Hermans, Erno J. Kobylińska, Dorota Hendler, Talma Binder, Harald Myin-Germeys, Inez Leeuwen, Judith M. C. van Tüscher, Oliver Yuen, Kenneth S. L. Walter, Henrik Raffael, Kalisch
Title:	Psycho-social factors associated with mental resilience in the Corona lockdown
Online publication date:	18-Aug-2021
Year of first publication:	2021
Language:	english
Abstract:	The SARS-CoV-2 pandemic is not only a threat to physical health but is also having severe impacts on mental health. Although increases in stress-related symptomatology and other adverse psycho-social outcomes, as well as their most important risk factors have been described, hardly anything is known about potential protective factors. Resilience refers to the maintenance of mental health despite adversity. To gain mechanistic insights about the relationship between described psycho-social resilience factors and resilience specifically in the current crisis, we assessed resilience factors, exposure to Corona crisis-specific and general stressors, as well as internalizing symptoms in a cross-sectional online survey conducted in 24 languages during the most intense phase of the lockdown in Europe (22 March to 19 April) in a convenience sample of N = 15,970 adults. Resilience, as an outcome, was conceptualized as good mental health despite stressor exposure and measured as the inverse residual between actual and predicted symptom total score. Preregistered hypotheses (osf.io/r6btn) were tested with multiple regression models and mediation analyses. Results confirmed our primary hypothesis that positive appraisal style (PAS) is positively associated with resilience (p < 0.0001). The resilience factor PAS also partly mediated the positive association between perceived social support and resilience, and its association with resilience was in turn partly mediated by the ability to easily recover from stress (both p < 0.0001). In comparison with other resilience factors, good stress response recovery and positive appraisal specifically of the consequences of the Corona crisis were the strongest factors. Preregistered exploratory subgroup analyses (osf.io/thka9) showed that all tested resilience factors generalize across major socio-demographic categories. This research identifies modifiable protective factors that can be targeted by public mental health efforts in this and in future pandemics.
DDC:	610 Medizin 610 Medical sciences
Institution:	Johannes Gutenberg-Universität Mainz
Department:	FB 04 Medizin
Place:	Mainz
ROR:	https://ror.org/023b0x485
DOI:	http://doi.org/10.25358/openscience-6290
Version:	Published version
Publication type:	Zeitschriftenaufsatz
License:	CC BY
Information on rights of use:	https://creativecommons.org/licenses/by/4.0/
Journal:	Translational Psychiatry 11
Pages or article number:	67
Publisher:	Nature Publishing Group
Publisher place:	London
Issue date:	2021
ISSN:	2158-3188
Publisher URL:	https://doi.org/10.1038/s41398-020-01150-4
Publisher DOI:	10.1038/s41398-020-01150-4
Appears in collections:	JGU-Publikationen