Psychological responses to outbreak of severe acute respiratory syndrome: a prospective, multiple time-point study
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Abstract This study examined anxiety and coping responses to the outbreak of severe acute respiratory syndrome (SARS) in Hong Kong. Trait anxiety, situation‐specific coping strategies, and coping flexibility were proposed as predictors of state anxiety during the early phase of the SARS epidemic. Seven‐two Hong Kong undergraduates (31 men, 41 women) participated in a prospective, multiple time‐point study. Participants' trait anxiety and coping flexibility had been assessed in an earlier study. Five months later, they reported their anxiety and coping at each of the four time points during the outbreak. Results revealed fluctuations in state anxiety across time points. Results from hierarchical linear modeling showed that trait anxiety as well as the situation‐appropriate coping strategies of avoidance and personal hygiene practice accounted for changes in state anxiety.
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Denial may reduce the sense of powerlessness in the face of overwhelming stress and frustration, thereby enhancing coping efficacy in the context of posttraumatic morbidity.
“Denial may reduce the sense of powerlessness in the face of overwhelming stress and frustration, thus enhancing coping efficacy in the context of post traumatic morbidity [46].”
From Psychosocial and coping responses within the community health care setting towards a national outbreak of an infectious disease (2010) · cites this paper as [46]
Cites
Eysenck, H. J. (1985) · Behaviour Research and Therapy · doi:10.1016/0005-7967(85)90087-7 · Cited by 32,026 · see citing works
“Stress: appraisal and coping,”
Folkman, S. (2013) · Encyclopedia of Behavioral Medicine · doi:10.1007/978-1-4419-1005-9_215 · Cited by 27,833 · see citing works
(1970) · Cited by 24,983 · see citing works
Hierarchical Linear Models: Applications and Data Analysis Methods.
Longford, N. T., Bryk, A. S., & Raudenbush, S. W. (1993) · Contemporary Sociology A Journal of Reviews · doi:10.2307/2075823 · Cited by 18,768 · see citing works
Hierarchical Linear Models: Applications and Data Analysis Methods
Davidian, M. (2003) · Journal of the American Statistical Association · doi:10.1198/jasa.2003.s288 · Cited by 13,820 · see citing works
(1975) · Medical Entomology and Zoology · Cited by 7,245 · see citing works
Identification of a novel coronavirus in patients with severe acute respiratory syndrome
Drosten, C., Günther, S., Preiser, W., van der Werf, S., Brodt, H.-R., Becker, S., Rabenau, H., Panning, M., Kolesnikova, L., Fouchier, R. A. M., et al. (2003) · New England Journal of Medicine · doi:10.1056/nejmoa030747 · Cited by 4,574 · see citing works
A Novel Coronavirus Associated with Severe Acute Respiratory Syndrome
Tg, K., Erdman, D. D., Cs, G., Zaki, Peret, T. C. T., Emery, S. L., Tong, S., Urbani, C., Comer, J. A., Lim, W., et al. (2003) · New England Journal of Medicine · doi:10.1056/nejmoa030781 · Cited by 4,345 · see citing works
Pattern and growth in personality
Allport, G. W. (1961) · Medical Entomology and Zoology · Cited by 3,361 · see citing works
Cognitive Therapy and the Emotional Disorders
Ince, L. P. (1977) · American Journal of Psychotherapy · doi:10.1176/appi.psychotherapy.1977.31.4.633 · Cited by 2,889 · see citing works
Peiris, J., Chu, C., Cheng, V., Chan, K., Hung, I., Poon, L., Law, K., Tang, B., Hon, T., Chan, C., et al. (2003) · The Lancet · doi:10.1016/s0140-6736(03)13412-5 · Cited by 2,375 · see citing works
Coping as a mediator of emotion
Folkman, S., & Lazarus, R. S. (1988) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.54.3.466 · Cited by 2,103 · see citing works
Approach, avoidance, and coping with stress.
Roth, S., & Cohen, L. J. (1986) · American Psychologist · doi:10.1037/0003-066x.41.7.813 · Cited by 1,882 · see citing works
Anxiety: Current Trends in Theory and Research
Spielberger, C. D. (1972) · Cited by 1,640 · see citing works
The impact of daily stress on health and mood: Psychological and social resources as mediators.
DeLongis, A., Folkman, S., & Lazarus, R. S. (1988) · Journal of Personality and Social Psychology · doi:10.1037//0022-3514.54.3.486 · Cited by 1,621 · see citing works
(2000) · Cited by 1,369 · see citing works
Spielberger, C. D. (1972) · Anxiety · doi:10.1016/b978-0-12-657401-2.50009-5 · Cited by 1,102 · see citing works
The Scientific Analysis of Personality.
Goslin, D. A., & Cattell, R. B. (1966) · American Sociological Review · doi:10.2307/2091310 · Cited by 1,053 · see citing works
Induced emotional interpretation bias and anxiety.
Mathews, A., & Mackintosh, B. (2000) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.109.4.602 · Cited by 739 · cited 2× · see citing works
“A number of studies (e.g., Calvo, Eysenck, & Castillo, 1997; Hadwin, Frost, French, & Richards, 1997; MacLeod & Cohen, 1993; Mathews & Mackintosh, 2000) have provided support to this postulation by showing that individuals with heightened trait anxiety tend to endorse a threatening interpretation of an ambiguous situa…”
Statistical power and optimal design for multisite randomized trials.
Raudenbush, S. W., & Liu, X. (2000) · Psychological Methods · doi:10.1037/1082-989x.5.2.199 · Cited by 593 · see citing works
Verbal Conditioning: Method, Process, or Principle?
Spielberger, C. D. (1970) · Contemporary Psychology · doi:10.1037/013734 · Cited by 580 · see citing works
Situational Determinants of Coping and Coping Effectiveness
Mattlin, J. A., Wethington, E., & Kessler, R. C. (1990) · Journal of Health and Social Behavior · doi:10.2307/2137048 · Cited by 488 · see citing works
Assessing coping flexibility in real-life and laboratory settings: A multimethod approach
Cheng, C. (2001) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.80.5.814 · Cited by 463 · see citing works
Self-citationA comparison of coping assessed by ecological momentary assessment and retrospective recall.
Stone, A. A., Schwartz, J. E., Neale, J. M., Shiffman, S. M., Marco, C. A., Hickcox, M., Paty, J. A., Porter, L. S., & Cruise, L. J. (1998) · Journal of Personality and Social Psychology · doi:10.1037//0022-3514.74.6.1670 · Cited by 446 · see citing works
Test anxiety: Theory, assessment, and treatment
Vasey, M. W. (1996) · Journal of Anxiety Disorders · doi:10.1016/0887-6185(96)00013-8 · Cited by 327 · see citing works
Development of a standard treatment protocol for severe acute respiratory syndrome
So, L. K.-Y., Lau, A. C., YAM, L. Y., CHEUNG, T. M., Poon, E., Yung, R. W., & Yuen, K. (2003) · The Lancet · doi:10.1016/s0140-6736(03)13265-5 · Cited by 316 · see citing works
The Mismeasure of Coping by Checklist
Coyne, J. C., & Gottlieb, B. H. (1996) · Journal of Personality · doi:10.1111/j.1467-6494.1996.tb00950.x · Cited by 279 · see citing works
Test anxiety: Theory, assessment, and treatment.
Spielberger, C. D., & Vagg, P. R. (1995) · Taylor & Francis eBooks · Cited by 276 · see citing works
Reliability and factorial structure of the Chinese version of the state-trait anxiety inventory.
Shek, D. T. L. (1988) · Journal of Psychopathology and Behavioral Assessment · doi:10.1007/bf00960624 · Cited by 272 · see citing works
Impaired positive inferential bias in social phobia.
Hirsch, C. R., & Mathews, A. (2000) · Journal of Abnormal Psychology · doi:10.1037//0021-843x.109.4.705 · Cited by 267 · see citing works
Anxiety and the interpretation of ambiguity: A text comprehension study.
MacLeod, C., & Cohen, I. L. (1993) · Journal of Abnormal Psychology · doi:10.1037//0021-843x.102.2.238 · Cited by 234 · see citing works
Anxiety and the interpretation of ambiguity: A text comprehension study.
MacLeod, C., & Cohen, I. L. (1993) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.102.2.238 · Cited by 234 · see citing works
Cognitive and motivational processes underlying coping flexibility: A dual-process model
Cheng, C. (2003) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.84.2.425 · Cited by 208 · cited 1× · see citing works
“Because the environment is ever changing, the construct of coping flexibility (see e.g., Cheng, 2003; Watanabe, Iwanaga, & Ozeki, 2002) was proposed to reflect situation-appropriate coping in changing times.”
Self-citationPark, C. L., Folkman, S., & Bostrom, A. (2001) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.69.3.481 · Cited by 187 · see citing works
Zakowski, S. G., Hall, M. H., Klein, L. C., & Baum, A. (2001) · Annals of Behavioral Medicine · doi:10.1207/s15324796abm2303_3 · Cited by 157 · see citing works
Hadwin, J. A., Frost, S., French, C. C., & Richards, A. (1997) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.106.3.486 · Cited by 134 · see citing works
Park, C. L., Folkman, S., & Bostrom, A. (2001) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.69.3.481 · Cited by 129 · see citing works
The Nature and Measurement of Anxiety
Cattell, R. B. (1963) · Scientific American · doi:10.1038/scientificamerican0363-96 · Cited by 101 · see citing works
Psychosocial Factors Predicting SARS‐Preventive Behaviors in Four Major SARS‐Affected Regions
Cheng, C., & Ng, A. (2006) · Journal of Applied Social Psychology · doi:10.1111/j.0021-9029.2006.00059.x · Cited by 96 · see citing works
Self-citationInterpretation Bias in Test Anxiety: The Time Course of Predictive Inferences
Calvo, M. G., Eysenck, M. W., & Castillo, M. D. (1997) · Cognition & Emotion · doi:10.1080/026999397380023 · Cited by 83 · see citing works
Lester, N., Smart, L. S., & Baum, A. E. (1994) · Psychology and Health · doi:10.1080/08870449408407468 · Cited by 72 · see citing works
Cheng, C. C. (2004) · Asian perspective · doi:10.1353/apr.2004.0034 · Cited by 70 · see citing works
Self-citationCoping in Children With Cancer: Examining the Goodness-of-Fit Hypothesis
Sorgen, K., & Manne, S. L. (2002) · Children s Health Care · doi:10.1207/s15326888chc3103_2 · Cited by 69 · see citing works
Cheng, C., & Tang, C. S. (2004) · Asian Journal Of Social Psychology · doi:10.1111/j.1467-839x.2004.00130.x · Cited by 64 · see citing works
Self-citationMaxwell, S. E. (1998) · Psychological Methods · doi:10.1037/1082-989x.3.3.275 · Cited by 61 · see citing works
Kaluza, G. (2000) · Psychology and Health · doi:10.1080/08870440008402003 · Cited by 55 · see citing works
Advances in clinical diagnosis and treatment of severe acute respiratory syndrome
Nie, Q. (2003) · World Journal of Gastroenterology · doi:10.3748/wjg.v9.i6.1139 · Cited by 38 · see citing works
Tate, R. L., & Hokanson, J. E. (1993) · Journal of Personality · doi:10.1111/j.1467-6494.1993.tb01031.x · Cited by 38 · see citing works
Coping with Stress Dispositions, Strategies, and the Problem of Measurement
Krohne, H. W. (1986) · Cited by 38 · see citing works
Self-Reported Coping Behavior in Health and Disease: Assessment With a Card Sort Game
Schwartz, C. E., Peng, C., Lester, N., Daltroy, L. H., & Goldberger, A. L. (1998) · Behavioral Medicine · doi:10.1080/08964289809596380 · Cited by 36 · see citing works
Learning from unreliability: the importance of inconsistency in coping dynamics
Schwartz, C. E., & Daltroy, L. H. (1999) · Social Science & Medicine · doi:10.1016/s0277-9536(98)00353-0 · Cited by 33 · see citing works
Perceived control, personal effectiveness, and emotional states.
Lefcourt, H. M. (1992) · Cited by 29 · see citing works
Effects of controllability and desire for control on coping and stress responses
Watanabe, S., Iwanaga, M., & Ozeki, Y. (2002) · The Japanese Journal of Health Psychology · doi:10.11560/jahp.15.1_32 · Cited by 22 · see citing works
Discriminative Facility in Perceptions of Control and Its Relation to Psychological Distress
Roussi, P. (2002) · Anxiety Stress & Coping · doi:10.1080/10615800290028477 · Cited by 15 · see citing works
WHO issues global alert on respiratory syndrome
Parry, J. (2003) · BMJ · doi:10.1136/bmj.326.7390.615 · Cited by 5 · see citing works
The individual and the situation in the traditional measurement model.
Magnusson, D. (1974) · PsycEXTRA Dataset · doi:10.1037/e449462004-001 · Cited by 3 · see citing works
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Usher, K., Durkin, J., & Bhullar, N. (2020) · International Journal of Mental Health Nursing · doi:10.1111/inm.12726 · Cited by 674 · 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
Flesia, L., Monaro, M., Mazza, C., Fietta, V., Colicino, E., Segatto, B., & Roma, P. (2020) · Journal of Clinical Medicine · doi:10.3390/jcm9103350 · Cited by 291 · see citing works
Smith, B. M., Twohy, A. J., & Smith, G. S. (2020) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2020.09.005 · Cited by 194 · see citing works
Kämpfen, F., Kohler, I. V., Ciancio, A., Bruine de Bruin, W., Maurer, J., & Kohler, H.-P. (2020) · PLOS ONE · doi:10.1371/journal.pone.0241895 · Cited by 173 · see citing works
Coping during the COVID-19 pandemic: Relations with mental health and quality of life.
Shamblaw, A. L., Rumas, R. L., & Best, M. W. (2021) · Canadian Psychology / Psychologie canadienne · doi:10.1037/cap0000263 · Cited by 156 · see citing works
Brand, J., McKay, D., Wheaton, M. G., & Abramowitz, J. S. (2013) · Journal of Obsessive-Compulsive and Related Disorders · doi:10.1016/j.jocrd.2013.01.007 · Cited by 88 · see citing works
Fiksenbaum, L., Marjanovic, Z., Greenglass, E. R., & Coffey, S. (2006) · Canadian Journal of Community Mental Health · doi:10.7870/cjcmh-2006-0015 · Cited by 79 · see citing works
Anxiety linked to COVID-19: A systematic review comparing anxiety rates in different populations
Saeed, H., Eslami, A., Nassif, N. T., Simpson, A. M., & Lal, S. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19042189 · Cited by 76 · see citing works
“This has, in turn, drastically affected mental health, with reports of heightened anxiety found in frontline healthcare staff across many countries [18,141].”
BackgroundLau, J. T. F., Lau, M., Kim, J. H., & Tsui, H. Y. (2006) · Journal of Epidemiology and Community Health · doi:10.1136/jech.2005.041897 · Cited by 52 · see citing works
- Authors
- Cheng, C., & Cheung, M. W. L.
- Affiliations
- Hong Kong University of Science and Technology (HK)
- University of Hong Kong (HK)
- Corresponding author
- Cheng, Cecilia
- Venue
- Journal of Personality
- Publisher
- Wiley
- Published
- 2004-12-14
- Volume
- 73
- Issue
- 1
- Pages
- 261-285
- ISSN
- 0022-3506 (ISSN-L)
- 1467-6494
- PMC
- PMC7167099
- OpenAlex
- W2119059351
- Cited by
- 130
- References
- 56
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 7 · 2023: 10 · 2022: 14 · 2021: 48 · 2020: 27 · 2019: 2 · 2018: 1 · 2015: 2 · 2014: 2 · 2013: 1 · 2012: 2
- FWCI
- 1.61
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Personality (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- The HKU Scholars Hub (University of Hong Kong) (submittedVersion)
- Funders
- Hong Kong University of Science and Technology
- Topics
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Social Sciences › Psychology › Developmental and Educational Psychology › Student Stress and Coping
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- SARS, SARS epidemic, state anxiety, trait anxiety, coping strategies, coping flexibility, avoidance coping, personal hygiene
- MeSH terms
- Adaptation, Psychological, Adult, Anxiety, Disease Outbreaks, Female, Humans, Male, Models, Biological, Prospective Studies, Surveys and Questionnaires, Severe Acute Respiratory Syndrome
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