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Cited by 361Student Stress and CopingCOVID-19 and Mental HealthResilience and Mental Health

Relations of SARS-related stressors and coping to Chinese college students’ psychological adjustment during the 2003 Beijing SARS epidemic

Main, Alexandra, Zhou, Qing, Ma, Yue, Luecken, Linda J., Liu, Xin·2011·Journal of Counseling Psychology
DOI 10.1037/a0023632
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Abstract

This study examined the main and interactive relations of stressors and coping related to severe acute respiratory syndrome (SARS) with Chinese college students' psychological adjustment (psychological symptoms, perceived general health, and life satisfaction) during the 2003 Beijing SARS epidemic. All the constructs were assessed by self-report in an anonymous survey during the final period of the outbreak. Results showed that the relations of stressors and coping to psychological adjustment varied by domain of adjustment. Regression analyses suggested that the number of stressors and use of avoidant coping strategies positively predicted psychological symptoms. Active coping positively predicted life satisfaction when controlling for stressors. Moreover, all types of coping served as a buffer against the negative impact of stressors on perceived general health. These findings hold implications for university counseling services during times of acute, large-scale stressors. In particular, effective screening procedures should be developed to identify students who experience a large number of stressors and thus are at high risk for developing mental health problems. Intervention efforts that target coping should be adapted to take account of the uncontrollability of stressors and clients' cultural preferences for certain coping strategies. A multidimensional battery of psychological adjustment should be used to monitor clients' psychological adjustment to stressors and evaluate the efficacy of intervention.

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  • Self-perceived health is a strong predictor of morbidity and is used in most health surveys, COVID-19 studies, and previous pandemic studies.

    “Self-perceived health was collected through an item of 5 possible responses ranging from very bad to very good, which is known to be a great predictor of morbidity (Eriksson et al., 2001) and is included in most health surveys, in studies on COVID-19 (Wang et al., 2020), and on previous pandemics (Main et al., 2011)”

    From Health-related factors of psychological distress during the COVID-19 pandemic among non-health workers in Spain (2021) · cites this paper as Main et al., 2011

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Authors
Main, A., Zhou, Q., Ma, Y., Luecken, L. J., & Liu, X.
Affiliations
University of California, Berkeley (US)
ORCID
Venue
Journal of Counseling Psychology
Publisher
American Psychological Association (APA)
Published
2011-07
Volume
58
Issue
3
Pages
410-423
ISSN
  • 0022-0167 (ISSN-L)
  • 1939-2168
DOI
10.1037/a0023632
OpenAlex
W2158739899
Cited by
361
References
75
Citations by year
2026: 3 · 2025: 12 · 2024: 34 · 2023: 47 · 2022: 81 · 2021: 114 · 2020: 67 · 2016: 1 · 2015: 1
FWCI
0.00
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Counseling Psychology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Developmental and Educational Psychology › Student Stress and Coping
  • Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
  • Social Sciences › Psychology › Clinical Psychology › Resilience and Mental Health
Keywords
SARS, psychological adjustment, university students, stressors, coping strategies, avoidance coping, active coping, psychological symptoms, general health perception, life satisfaction, university counseling services, mental health screening
MeSH terms
Adaptation, Psychological, Adolescent, Adult, Attitude to Health, China, Culture, Female, Humans, Life Change Events, Male, Personal Satisfaction, Surveys and Questionnaires, Risk Factors, Social Support, Stress, Psychological, Students, Causality, Sex Distribution, Severe Acute Respiratory Syndrome, Young Adult, Epidemics

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