TY - JOUR
T1 - 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
AU - Sampogna, Gaia
AU - Del Vecchio, Valeria
AU - Giallonardo, Vincenzo
AU - Luciano, Mario
AU - Albert, Umberto
AU - Carmassi, Claudia
AU - Carrà, Giuseppe
AU - Cirulli, Francesca
AU - Dell’osso, Bernardo
AU - Menculini, Giulia
AU - Nanni, Mariagiulia
AU - Pompili, Maurizio
AU - Sani, Gabriele
AU - Volpe, Umberto
AU - Bianchini, Valeria
AU - Fiorillo, Andrea
N1 - Publisher Copyright:
© 2021 by the authors. Licensee MDPI, Basel, Switzerland.
PY - 2021/9
Y1 - 2021/9
N2 - The effects of the COVID-19 pandemic on mental health are now well documented, how-ever, 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.
AB - The effects of the COVID-19 pandemic on mental health are now well documented, how-ever, 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.
KW - Coping strategies
KW - Mental health
KW - Pandemic
KW - Resilience
KW - Trauma
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U2 - 10.3390/brainsci11091231
DO - 10.3390/brainsci11091231
M3 - Article
AN - SCOPUS:85115390248
VL - 11
JO - Brain Sciences
JF - Brain Sciences
SN - 2076-3425
IS - 9
M1 - 1231
ER -