Overcoming times of crisis: unveiling coping strategies and mental health in a transnational general population sample during and after the COVID-19 pandemic.


Journal

BMC psychology
ISSN: 2050-7283
Titre abrégé: BMC Psychol
Pays: England
ID NLM: 101627676

Informations de publication

Date de publication:
19 Sep 2024
Historique:
received: 29 05 2024
accepted: 12 09 2024
medline: 20 9 2024
pubmed: 20 9 2024
entrez: 19 9 2024
Statut: epublish

Résumé

The COVID-19 pandemic has had an unparalleled impact, precipitating not only direct threats to physical health but also widespread economic and psychological challenges. This study aims to explore the dynamics of coping behaviour and psychological distress (PD) across different phases of the pandemic within an adult general population sample, spanning Austria and Italy. An online questionnaire-based panel study was conducted between 2020 and 2023 including three measurements. We collected data on sociodemographic variables, coping responses (Brief COPE), and PD (Brief-Symptom-Checklist). Statistical analyses were conducted within a linear-mixed-model framework. Multiple imputation and sensitivity analysis were applied to validate the results obtained by complete case analysis. The study follows 824 participants and reveals a marginal decrease in overall PD from the first to the second follow-up, particularly in clinically relevant phobic anxiety (35.6% and 34.5% to 25.4%). Most coping behaviours exhibited stable mean-levels with intra-individual variability across the study period. Maladaptive coping strategies were consistently linked to increased PD, whereas adaptive strategies were associated with decreased PD. Our findings underscore the complex nature of coping behaviours and PD during and after the pandemic, suggesting that while mean-levels of PD and coping responses remained relatively stable, most coping strategies were subject to intra-individual change. Maladaptive strategies were associated with increased PD, pinpointing to the need for interventions that establish the foundation for adaptive coping mechanisms and promote their application. Further research should explore the reciprocal influences of mental health on coping behaviour, incorporating interventional designs to unravel the nuances of these relationships.

Sections du résumé

BACKGROUND BACKGROUND
The COVID-19 pandemic has had an unparalleled impact, precipitating not only direct threats to physical health but also widespread economic and psychological challenges. This study aims to explore the dynamics of coping behaviour and psychological distress (PD) across different phases of the pandemic within an adult general population sample, spanning Austria and Italy.
METHODS METHODS
An online questionnaire-based panel study was conducted between 2020 and 2023 including three measurements. We collected data on sociodemographic variables, coping responses (Brief COPE), and PD (Brief-Symptom-Checklist). Statistical analyses were conducted within a linear-mixed-model framework. Multiple imputation and sensitivity analysis were applied to validate the results obtained by complete case analysis.
RESULTS RESULTS
The study follows 824 participants and reveals a marginal decrease in overall PD from the first to the second follow-up, particularly in clinically relevant phobic anxiety (35.6% and 34.5% to 25.4%). Most coping behaviours exhibited stable mean-levels with intra-individual variability across the study period. Maladaptive coping strategies were consistently linked to increased PD, whereas adaptive strategies were associated with decreased PD.
CONCLUSION CONCLUSIONS
Our findings underscore the complex nature of coping behaviours and PD during and after the pandemic, suggesting that while mean-levels of PD and coping responses remained relatively stable, most coping strategies were subject to intra-individual change. Maladaptive strategies were associated with increased PD, pinpointing to the need for interventions that establish the foundation for adaptive coping mechanisms and promote their application. Further research should explore the reciprocal influences of mental health on coping behaviour, incorporating interventional designs to unravel the nuances of these relationships.

Identifiants

pubmed: 39300578
doi: 10.1186/s40359-024-02001-3
pii: 10.1186/s40359-024-02001-3
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

493

Informations de copyright

© 2024. The Author(s).

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Auteurs

Timo Schurr (T)

Department of Psychiatry, Psychotherapy, Psychosomatics and Medical Psychology, Division of Psychiatry I, Medical University Innsbruck, Anichstraße 35, Innsbruck, 6020, Austria. timo.schurr@i-med.ac.at.

Beatrice Frajo-Apor (B)

Department of Psychiatry, Psychotherapy, Psychosomatics and Medical Psychology, Division of Psychiatry I, Medical University Innsbruck, Anichstraße 35, Innsbruck, 6020, Austria.

Silvia Pardeller (S)

Department of Psychiatry, Psychotherapy, Psychosomatics and Medical Psychology, Division of Psychiatry I, Medical University Innsbruck, Anichstraße 35, Innsbruck, 6020, Austria.

Barbara Plattner (B)

Department of Psychiatry, Sanitary Agency of South Tyrol, General Hospital of Bolzano, Bolzano, Italy.

Franziska Tutzer (F)

Department of Psychiatry, Psychotherapy, Psychosomatics and Medical Psychology, Division of Psychiatry I, Medical University Innsbruck, Anichstraße 35, Innsbruck, 6020, Austria.

Anna Schmit (A)

Department of Psychiatry, Psychotherapy, Psychosomatics and Medical Psychology, Division of Psychiatry I, Medical University Innsbruck, Anichstraße 35, Innsbruck, 6020, Austria.

Andreas Conca (A)

Department of Psychiatry, Sanitary Agency of South Tyrol, General Hospital of Bolzano, Bolzano, Italy.

Martin Fronthaler (M)

Sanitary Agency of South Tyrol, Therapy Center Bad Bachgart, Rodengo, Italy.

Christian Haring (C)

Department of Psychiatry and Psychotherapy B, State Hospital Hall in Tyrol, Hall in Tyrol, Austria.

Bernhard Holzner (B)

Department of Psychiatry, Psychotherapy, Psychosomatics and Medical Psychology, Division of Psychiatry I, Medical University Innsbruck, Anichstraße 35, Innsbruck, 6020, Austria.

Markus Huber (M)

Department of Psychiatry, Sanitary Agency of South Tyrol, General Hospital of Brunico, Brunico, Italy.

Josef Marksteiner (J)

Department of Psychiatry and Psychotherapy A, State Hospital Hall in Tyrol, Hall in Tyrol, Austria.

Carl Miller (C)

Department of Psychiatry, County Hospital Kufstein, Kufstein, Austria.

Verena Perwanger (V)

Department of Psychiatry, Sanitary Agency of South Tyrol, General Hospital of Merano, Merano, Italy.

Roger Pycha (R)

Department of Psychiatry, Sanitary Agency of South Tyrol, General Hospital of Bressanone, Bressanone, Italy.

Martin Schmidt (M)

Department of Psychiatry, County Hospital Lienz, Lienz, Austria.

Barbara Sperner-Unterweger (B)

Department of Psychiatry, Psychosomatics and Medical Psychology, Division of Psychiatry II, Medical University Innsbruck, PsychotherapyInnsbruck, Austria.

Alex Hofer (A)

Department of Psychiatry, Psychotherapy, Psychosomatics and Medical Psychology, Division of Psychiatry I, Medical University Innsbruck, Anichstraße 35, Innsbruck, 6020, Austria.

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