Psychosocial and coping responses toward 2019 coronavirus diseases (COVID-19): A cross-sectional study within the Chinese general population
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Summary: Background: The 2019 coronavirus diseases (COVID-19) led out the mental health crisis. Aim: To determine the psychological status and post-traumatic stress symptoms (PTSD) among general population (except confirmed and suspected cases, and close contacts) and their association with the coping strategy types during the COVID-19 outbreak. Design: A cross-sectional study. Methods: Participants were recruited from the community through snowball sampling with anonymous online questionnaires, using 28-item General Health Questionnaire, 22-item Impact of Events Scale-Revised and 28-item Brief Coping Inventory to measure their psychiatric disorders, PTSD level and coping strategies. Results: Of the total 1109 participants, 42.65% and 67.09% self-reported psychiatric disorders and high PTSD level, respectively. Age, occupation and education level were significantly association with psychological status. The status of psychiatric disorders was also significantly related to high PTSD level. Using both emotion and problem coping was better for psychiatric status [adjusted odds ratio (aOR) = 0.72, 95% confidence interval (CI): 0.54–0.98], and problem-focused coping was significantly associated with high PTSD level (aOR = 2.09, 95% CI: 1.25–3.51). Conclusion: Negative psychological outcomes were common among the general people during the COVID-19 outbreak, and the findings may provide references for intervention guidelines of mental health for the community population.
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Worldwide, use of positive-reframing, acceptance, and humor has been associated with better mental health during the pandemic, whereas use of passive and avoidant emotion-focused strategies (e.g., self-blame, venting, behavioral disengagement, self-distraction) has been associated with poorer mental health.
“Worldwide, the use of some problem- and emotion-focused strategies such as positive-reframing, acceptance, and humor has been associated with better mental health during the pandemic, whereas the use of passive and avoidant emotion-focused strategies (e.g., self-blame, venting, behavioral disengagement, self-distraction) has been associated with poorer mental health [32,33,34,35]”
From Gender Differences in Coping and Psychological Adaptation during the COVID-19 Pandemic (2023) · cites this paper as [33]
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Cites
1 retracted
Huang, Y., & Zhao, N. (2020) · Psychology Health & Medicine · doi:10.1080/13548506.2020.1754438 · Cited by 307 · see citing works
RetractedClinical features of patients infected with 2019 novel coronavirus in Wuhan, China
Huang, C., Wang, Y., Li, X., Ren, L., Zhao, J., Hu, Y., Zhang, L., Fan, G., Xu, J., Gu, X., et al. (2020) · The Lancet · doi:10.1016/s0140-6736(20)30183-5 · Cited by 48,884 · see citing works
The psychological impact of quarantine and how to reduce it: Rapid review of the evidence
Brooks, S. K., Webster, R. K., Smith, L. E., Woodland, L., Wessely, S., Greenberg, N., & Rubin, G. J. (2020) · The Lancet · doi:10.1016/s0140-6736(20)30460-8 · Cited by 16,378 · see citing works
Wang, C., Pan, R., Wan, X., Tan, Y., Xu, L., Ho, C. S., & Ho, R. C. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17051729 · Cited by 9,923 · see citing works
You want to measure coping but your protocol’ too long: Consider the brief cope
Carver, C. S. (1997) · International Journal of Behavioral Medicine · doi:10.1207/s15327558ijbm0401_6 · Cited by 7,361 · see citing works
An Analysis of Coping in a Middle-Aged Community Sample
Folkman, S., & Lazarus, R. S. (1980) · Journal of Health and Social Behavior · doi:10.2307/2136617 · Cited by 6,361 · see citing works
The psychological impact of the COVID-19 epidemic on college students in China
Cao, W., Fang, Z., Hou, G., Han, M., Xu, X., Dong, J., & Zheng, J. (2020) · Psychiatry Research · doi:10.1016/j.psychres.2020.112934 · Cited by 5,843 · see citing works
A scaled version of the General Health Questionnaire
Goldberg, D. P., & Hillier, V. F. (1979) · Psychological Medicine · doi:10.1017/s0033291700021644 · Cited by 5,494 · see citing works
Wang, C., Pan, R., Wan, X., Tan, Y., Xu, L., McIntyre, R. S., Choo, F. N., Tran, B., Ho, R., Sharma, V. K., et al. (2020) · Brain, Behavior, and Immunity · doi:10.1016/j.bbi.2020.04.028 · Cited by 2,571 · see citing works
Mental health care for medical staff in China during the COVID-19 outbreak
Chen, Q., Liang, M., Li, Y., Guo, J., Fei, D., Wang, L., He, L., Sheng, C., Cai, Y., Li, X., et al. (2020) · The Lancet Psychiatry · doi:10.1016/s2215-0366(20)30078-x · Cited by 2,233 · see citing works
The mental health of medical workers in Wuhan, China dealing with the 2019 novel coronavirus.
Kang, L., Li, Y., Hu, S., Chen, M., Yang, C., Yang, B. X., Wang, Y., Hu, J., Lai, J., Ma, X., et al. (2020) · The Lancet Psychiatry · doi:10.1016/s2215-0366(20)30047-x · Cited by 2,061 · see citing works
Online mental health services in China during the COVID-19 outbreak
Liu, S., Yang, L., Zhang, C., Xiang, Y.-T., Liu, Z., Hu, S., & Zhang, B. (2020) · The Lancet Psychiatry · doi:10.1016/s2215-0366(20)30077-8 · Cited by 1,992 · see citing works
SARS control and psychological effects of quarantine, Toronto, Canada
Hawryluck, L., Gold, W. L., Robinson, S., Pogorski, S., Galea, S., & Styra, R. (2004) · Emerging Infectious Diseases · doi:10.3201/eid1007.030703 · Cited by 1,929 · see citing works
Li, S., Wang, Y., Xue, J., Zhao, N., & Zhu, T. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17062032 · Cited by 1,835 · see citing works
Long-term psychiatric morbidities among SARS survivors
Mak, I. W. C., Chu, C. M., Pan, P. C., Yiu, M. G. C., & Chan, V. L. (2009) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2009.03.001 · Cited by 1,018 · see citing works
Age differences in stress and coping processes.
Folkman, S., Lazarus, R. S., Pimley, S., & Novacek, J. (1987) · Psychology and Aging · doi:10.1037/0882-7974.2.2.171 · Cited by 933 · see citing works
Mental health services for older adults in China during the COVID-19 outbreak
Yang, Y., Li, W., Zhang, Q., Zhang, L., Cheung, T., & Xiang, Y.-T. (2020) · The Lancet Psychiatry · doi:10.1016/s2215-0366(20)30079-1 · Cited by 857 · see citing works
Public Mental Health Crisis during COVID-19 Pandemic, China
Dong, L., & Bouey, J. (2020) · Emerging Infectious Diseases · doi:10.3201/eid2607.200407 · Cited by 615 · see citing works
Chew, Q. H., Wei, K., Vasoo, S. S., Chua, H., & Sim, K. (2020) · Singapore Medical Journal · doi:10.11622/smedj.2020046 · Cited by 496 · see citing works
Sim, K., Huak Chan, Y., Chong, P. N., Chua, H. C., & Wen Soon, S. (2010) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2009.04.004 · Cited by 414 · see citing works
The Role of Fear-Related Behaviors in the 2013–2016 West Africa Ebola Virus Disease Outbreak
Shultz, J. M., Cooper, J. L., Baingana, F., Oquendo, M. A., Espinel, Z., Althouse, B. M., Marcelin, L. H., Towers, S., Espinola, M., McCoy, C. B., et al. (2016) · Current Psychiatry Reports · doi:10.1007/s11920-016-0741-y · Cited by 328 · see citing works
Impact of Coronavirus disease (COVID-19) pandemic on health professionals
Sethi, B. A., Sethi, A., Ali, S., & Aamir, H. S. (2020) · Pakistan Journal of Medical Sciences · doi:10.12669/pjms.36.covid19-s4.2779 · Cited by 281 · see citing works
Population-based post-crisis psychological distress: an example from the SARS outbreak in Taiwan
Peng, E. Y.-C., Lee, M.-B., Tsai, S.-T., Yang, C.-C., Morisky, D. E., Tsai, L.-T., Weng, Y.-L., & Lyu, S.-Y. (2010) · Journal of the Formosan Medical Association · doi:10.1016/s0929-6646(10)60087-3 · Cited by 227 · see citing works
Yeung, D. Y.-L., & Fung, H. H.-L. (2007) · Aging & Mental Health · doi:10.1080/13607860601086355 · Cited by 142 · see citing works
The COVID-19 Emergency Response Should Include a Mental Health Component
Assari, S., & Habibzadeh, P. (2020) · Archives of Iranian Medicine · doi:10.34172/aim.2020.12 · Cited by 51 · see citing works
Wang, S., Se, Y.-M., Liu, Z., Lei, M.-X., Hao-BoYang, Sun, Z., Nie, S., Zeng, X.-M., & Wu, J. T. (2012) · Die Pharmazie · doi:10.31083/ph.2012.1612 · Cited by 13 · see citing works
Flagged first, then by citations
1 of the 27 references couldn’t be matched to a known paper.
Research works printed but not linked: 3
- Li S, Wang Y, Yang Y, Lei X, Yang Y. Investigation on the influ- encing factors for anxiety related emotional disorders of chil- dren and adolescents with home quarantine during teh prevalence of coronavirus diseases 2019. Chin J Child Health Care 2020; 28:407-10.
- Wang Y, Yang Y, Li S, Lei X, Yang Y. Investigation on the sta- tus and influencing factors for depression symptom of chil- dren and adolescents with home quarantine during the prevalence of novel coronavirus pneumonia. Chin J Child Health Care 2020; 28:277-80.
- Weiss D, Marmar C. Assessing Psychological Trauma and PTSD: A Practitioner's Handbook. New York, Cuilford Press, 1997.
Cited by
Sorted by citations
Impact of the COVID-19 Pandemic on Older Adults: Rapid Review
Lebrasseur, A., Fortin-Bédard, N., Lettre, J., Raymond, É., Bussières, È.-L., Lapierre, N., Faieta, J. M., Vincent, C., Duchesne, L., Ouellet, M., et al. (2021) · JMIR Aging · doi:10.2196/26474 · Cited by 397 · see citing works
Yuan, K., Gong, Y.-M., Liu, L., Sun, Y., Tian, S.-S., Wang, Y.-J., Zhong, Y., Zhang, A.-Y., Su, S.-Z., Liu, X.-X., et al. (2021) · Molecular Psychiatry · doi:10.1038/s41380-021-01036-x · Cited by 304 · see citing works
Fukase, Y., Ichikura, K., Murase, H., & Tagaya, H. (2021) · BMC Psychiatry · doi:10.1186/s12888-021-03047-y · Cited by 146 · see citing works
Gender Differences in Coping and Psychological Adaptation during the COVID-19 Pandemic
Cholankeril, R., Xiang, E., & Badr, H. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20020993 · Cited by 91 · see citing works
COVID-19: Neurological Considerations in Neonates and Children
Stafstrom, C. E., & Jantzie, L. L. (2020) · Children · doi:10.3390/children7090133 · Cited by 90 · see citing works
Zhang, L., Pan, R., Cai, Y., & Pan, J. (2021) · Psychiatry Investigation · doi:10.30773/pi.2020.0458 · Cited by 85 · see citing works
Psychosocial Impacts of the COVID-19 Quarantine: A Study of Gender Differences in 59 Countries
Kolakowsky‐Hayner, S. A., Goldin, Y., Kingsley, K., Alzueta, E., Arango‐Lasprilla, J. C., Perrin, P. B., Baker, F. C., Ramos‐Usuga, D., & Constantinidou, F. (2021) · Medicina · doi:10.3390/medicina57080789 · Cited by 85 · see citing works
Depression, anxiety, and stress symptoms in pregnant women before and during the COVID-19 pandemic
Mei, H., Li, N., Li, J., Zhang, D., Cao, Z.-Q., Zhou, Y.-J., Cao, J.-X., & Zhou, A.-F. (2021) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2021.110586 · Cited by 39 · see citing works
Qiu, D., Li, Y., Li, L., He, J., Ouyang, F., & Xiao, S. (2021) · European Psychiatry · doi:10.1192/j.eurpsy.2021.24 · Cited by 50 · see citing works
North, C. S., Surís, A., & Pollio, D. E. (2021) · Behavioral Sciences · doi:10.3390/bs11010007 · Cited by 46 · see citing works
Psychological Effects of the COVID-19 Pandemic on Hungarian Adults
Szabó, C., Pukánszky, J., & Kemény, L. V. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17249565 · Cited by 37 · see citing works
Culture Related Factors May Shape Coping During Pandemics
Shekriladze, I., Javakhishvili, N., & Chkhaidze, N. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.634078 · Cited by 36 · see citing works
Ochnik, D., Rogowska, A. M., Kuśnierz, C., Jakubiak, M., Wierzbik-Strońska, M., Schütz, A., Held, M. J., Arzenšek, A., Павлова, Ю., Korchagina, E. V., et al. (2021) · Journal of Clinical Medicine · doi:10.3390/jcm10235564 · Cited by 30 · see citing works
Cincidda, C., Pizzoli, S. F. M., Oliveri, S., & Pravettoni, G. (2021) · European Review of Applied Psychology · doi:10.1016/j.erap.2021.100671 · Cited by 27 · see citing works
Firouzbakht, M., Rahmani, N., Nia, H. S., & Omidvar, S. (2022) · BMC Psychiatry · doi:10.1186/s12888-022-03792-8 · Cited by 27 · see citing works
Cucu-Ciuhan, G., Nicolau, R. G., & Iliescu, D. (2022) · Psychology in the Schools · doi:10.1002/pits.22728 · Cited by 22 · see citing works
Qiu, D., Li, Y., Li, L., He, J., Ouyang, F., & Xiao, S. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.668784 · Cited by 21 · see citing works
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Lei, L., Zhu, H., Li, Y., Dai, T., Zhao, S., Zhang, X., Muchu, X., & Su, S. (2021) · BMC Psychiatry · doi:10.1186/s12888-021-03527-1 · Cited by 14 · see citing works
Metin, B., Somer, E., Abu‐Rayya, H. M., Schimmenti, A., & göçmen, B. S. (2021) · International Journal of Mental Health and Addiction · doi:10.1007/s11469-021-00678-w · Cited by 14 · see citing works
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Sunjaya, D. K., Sumintono, B., Gunawan, E., Herawati, D., & Hidayat, T. (2022) · Psychology Research and Behavior Management · doi:10.2147/prbm.s347386 · Cited by 13 · see citing works
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Urairak, B. (2022) · SSRN Electronic Journal · doi:10.2139/ssrn.4066236 · Cited by 4 · see citing works
Guttmann-Ducke, C., Klinger, S., Ziesche, R., Otzelberger, B., Idzko, M., Ponocny, A., Prantl, S. G., & Ponocny‐Seliger, E. (2023) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2023.1129794 · Cited by 3 · see citing works
Kleanthous, E., Evangelou, E., Georgiadou, A., Galanis, P., Andreadaki, E., Tzavara, C., Καϊτελίδου, Δ., & Kallergis, G. (2022) · European Journal of Trauma & Dissociation · doi:10.1016/j.ejtd.2022.100306 · Cited by 3 · see citing works
Priyadarsini, H. M., Jesudoss, I., & Rani, A. J. (2022) · Asian Journal of Nursing Education and Research · doi:10.52711/2349-2996.2022.00077 · Cited by 1 · see citing works
Mora-Grimón, A. I., Gallego, C. M.-P., Cruz-Santana, V., & García, P. J. C. (2024) · Revista Iberoamericana de Psicología · doi:10.33881/2027-1786.rip.16206 · Cited by 1 · see citing works
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Putri, Y. R., Suwandayani, B. I., & Muzakki, A. (2021) · ELSE (Elementary School Education Journal) Jurnal Pendidikan dan Pembelajaran Sekolah Dasar · doi:10.30651/else.v5i2.7691 · Cited by 1 · see citing works
Burnside, K. E., Wildermuth, C. D. M. E. S., & Wildermuth, M. (2022) · Frontiers The Interdisciplinary Journal of Study Abroad · doi:10.36366/frontiers.v34i2.671 · Cited by 1 · see citing works
Sunjaya, D. K., Sumintono, B., Gunawan, E., Herawati, D. M. D., & Hidayat, T. (2021) · Research Square · doi:10.21203/rs.3.rs-140796/v1 · Cited by 1 · see citing works
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Herge, W. M., Gale, E. B., Stapleton, E. J., Ofori, A., Poppino, K. F., Cerza, S. P., & Sucato, D. J. (2024) · SAGE Open · doi:10.1177/21582440231221323
- Authors
- Li, Q.
- Affiliations
- Guangxi Medical University (CN)
- Corresponding author
- Li, Q
- ORCID
- Li, Q
- Venue
- QJM: An International Journal of Medicine
- Publisher
- Oxford University Press (OUP)
- Published
- 2020-07-17
- Volume
- 113
- Issue
- 10
- Pages
- 731-738
- ISSN
- 0033-5622 (ISSN-L)
- 1460-2725
- 1460-2393
- PMC
- PMC7454924
- OpenAlex
- W3042858558
- Cited by
- 43
- References
- 27
- Citations by year
- 2025: 1 · 2024: 5 · 2023: 6 · 2022: 7 · 2021: 21 · 2020: 3
- FWCI
- 3.70
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model (vor)
- Locations
- QJM (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Keywords
- COVID-19 pandemic, posttraumatic stress symptoms, coping strategies, mental illness, mental health, general population, problem-focused coping, emotion-focused coping, psychological distress, Chinese population
- MeSH terms
- Betacoronavirus, Psychological Distress, COVID-19, SARS-CoV-2, Adaptation, Psychological, Adult, China, Community Mental Health Services, Cross-Sectional Studies, Female, Health Services Needs and Demand, Humans, Male, Mental Health, Middle Aged, Pneumonia, Viral, Psychiatric Status Rating Scales, Socioeconomic Factors, Stress Disorders, Post-Traumatic, Coronavirus Infections, Qualitative Research, Pandemics
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