Cited by 67COVID-19 and Mental HealthResilience and Mental HealthMaternal Mental Health During Pregnancy and Postpartum

What Is the Role of Resilience and Coping Strategies on the Mental Health of the General Population during the COVID-19 Pandemic? Results from the Italian Multicentric COMET Study

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Sampogna, Gaia, Del Vecchio, Valeria, Giallonardo, Vincenzo, Luciano, Mario, Albert, Umberto, Carmassi, Claudia, Carrà, Giuseppe, Cirulli, Francesca +8 more·2021·Brain Sciences

Abstract

The effects of the COVID-19 pandemic on mental health are now well documented, however, few studies have been focused on the role of coping strategies and resilience in counterbalancing these detrimental effects. Data are derived from the COvid Mental hEalth Trial (COMET), a national multicentric trial carried out in the Italian general population. The final sample consisted of 20,720 participants, 53.1% (n = 11,000) of the sample reported low levels of resilience. Adaptive coping strategies and resilience levels did not have any significant protective impact on the levels of depressive, anxiety, and stress symptoms. Only self-distraction was a risk factor for poor mental health (Beta Coefficient, B = 0.1, 95% Confidence Interval, CI: 0.003 to 0.267 for stress symptoms; B = 0.2; 95% CI: 0.077 to 0.324 for anxiety symptoms and B = 0.2, 95% CI: 0.105 to 0.382 for depressive symptoms). High levels of resilience were predicted by adaptive coping strategies, such as acceptance (B = 1.8, CI 95% = 1.4–2.7). Exposure to the different weeks of lockdown, being infected by COVID-19, and being a healthcare professional did not influence the levels of resilience. Our findings should be carefully considered, since the low levels of resilience may represent the missing link between the pandemic and the current increase in mental health problems.

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  1. [36]Lazarus R.S. Folkman S. Stress, Appraisal, and Coping Springer New York, NY, USA 1984
  2. [73]Maslach C. Jackson S.E. MBI: Maslach Burnout Inventory Consulting Psychologists Press Palo Alto, CA, USA 1981

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Authors
Sampogna, G., Del Vecchio, V., Giallonardo, V., Luciano, M., Albert, U., Carmassi, C., Carrà, G., Cirulli, F., Dell’Osso, B., Menculini, G., Nanni, M., Pompili, M., Sani, G., Volpe, U., Bianchini, V., & Fiorillo, A.
Affiliations
  • University of Campania "Luigi Vanvitelli" (IT)
  • Department of Psychiatry, University of Campania Luigi Vanvitelli, Largo Madonna delle Grazie, 80138 Naples, Italy
  • University of Trieste (IT)
  • University of Pisa (IT)
  • University of Milano-Bicocca (IT)
  • Istituto Superiore di Sanità (IT)
  • University of Milan (IT)
  • University of Perugia (IT)
  • Department of Biomedical and Specialty Surgical Sciences, Institute of Psychiatry, University of Ferrara, 44121 Ferrara, Italy
  • Sapienza University of Rome (IT)
  • Università Cattolica del Sacro Cuore (IT)
  • Marche Polytechnic University (IT)
  • University of L'Aquila (IT)
Corresponding author
Sampogna, Gaia
Venue
Brain Sciences
Publisher
MDPI AG
Published
2021-09-17
Volume
11
Issue
9
Pages
1231
ISSN
2076-3425 (ISSN-L)
OpenAlex
W3199581237
Cited by
67
References
97
Citations by year
2026: 5 · 2025: 10 · 2024: 8 · 2023: 19 · 2022: 15 · 2021: 10
FWCI
8.85
Type
journal article
Language
en
Open access
Locations
  • Brain Sciences (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, other-oa)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • IRIS Research product catalog (Sapienza University of Rome) (submittedVersion, cc-by)
  • ArTS Archivio della ricerca di Trieste (University of Trieste https://www.units.it/) (submittedVersion, cc-by)
  • CINECA IRIS Institutial research information system (University of Pisa) (submittedVersion, other-oa)
  • BOA (University of Milano-Bicocca) (submittedVersion, cc-by)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • UCL Discovery (University College London) (submittedVersion)
  • Archivio Istituzionale della Ricerca - Università degli Studi della Campania "Luigi Vanvitelli" (submittedVersion)
  • Institutional Research Information System University of Ferrara (University of Ferrara) (submittedVersion, cc-by)
Topics
  • Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
  • Social Sciences › Psychology › Clinical Psychology › Resilience and Mental Health
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
Keywords
COVID-19 pandemic, resilience, coping strategies, mental health, depressive symptoms, anxiety symptoms, stress symptoms, self-distraction, acceptance, lockdown, healthcare workers

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