Uniwersyteckie Czasopisma NaukoweCoronavirus anxiety, fear of COVID-19, hope and resilience in healthcare workers: a moderated mediation model study
Słowa kluczowe:
coronavirus anxiety, fear of COVID-19, resilience, hope, healthcare workersAbstrakt
Background
In the era of the global health crisis, mental health and well-being of people have been severely affected because of experiencing high levels of anxiety, stress, fear, and uncertainty related to COVID-19. This study investigated a moderated mediation model in which resilience mediated the link between coronavirus anxiety and fear of COVID-19, and this mediation effect was moderated by hope.
Participants and procedure
A cross-sectional study was conducted on 168 healthcare workers (Mage = 29.19 ± 6.13 years and 63.1% women) working at a state hospital in the eastern part of Turkey. They completed measures of coronavirus anxiety, fear of COVID-19, resilience, and hope during COVID-19 pandemic.
Results
The results indicated that resilience mediated the relationship between coronavirus anxiety and fear of COVID-19. Hope moderated the mediating path from coronavirus anxiety to resilience. Coronavirus anxiety had a stronger effect on resilience under the moderate and high levels of hope condition, compared to the low level of hope condition.
Conclusions
The findings suggest that resilience is an important mechanism explaining how coronavirus anxiety is associated with fear of COVID-19 and that this relation may depend on the levels of hope. Future prevention and intervention programs should focus on increasing hope and resilience when addressing mental health problems in the face of adversity.
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Bibliografia
Ahorsu, D. K., Lin, C. Y., Imani, V., Saffari, M., Griffiths, M. D., & Pakpour, A. H. (2020). The Fear of COVID-19 Scale: Development and initial validation. International Journal of Mental Health and Addiction. https://doi.org/10.1007/s11469-020-00270-8.
American Psychiatric Association (2020, March 25). New poll: COVID-19 impacting mental well-being: Americans feeling anxious, especially for loved ones; older adults are less anxious. Retrieved from https://www.psychiatry.org/newsroom/news-releases/new-poll-covid-19-impacting-mental-wellbeing-americans-feeling-anxious-especially-forloved-ones-older-adults-are-less-anxious.
Ang, S. Y., Uthaman, T., Ayre, T. C., Mordiffi, S. Z., Ang, E., & Lopez, V. (2018). Association between demographics and resilience: a cross‐sectional study among nurses in Singapore. International Nursing Review, 65, 459–466. https://doi.org/10.1111/ inr.12441.
Arnau, R. C., Rosen, D. H., Finch, J. F., Rhudy, J. L., & Fortunato, V. J. (2007). Longitudinal effects of hope on depression and anxiety: a latent variable analysis. Journal of Personality, 75, 43–64. https:// doi.org/10.1111/j.1467-6494.2006.00432.x.
Avey, J. B., Luthans, F., Smith, R. M., & Palmer, N. F. (2010). Impact of positive psychological capital on employee well-being over time. Journal of Occupational Health Psychology, 15, 17–28. https://doi.org/10.1037/a0016998.
Avey, J. B., Wernsing, T. S., & Luthans, F. (2008). Can positive employees help positive organizational change? Impact of psychological capital and emotions on relevant attitudes and behaviors. The Journal of Applied Behavioral Science, 44, 48–70. https://doi.org/10.1177/0021886307311470.
Barari, S., Caria, S., Davola, A., Falco, P., Fetzer, T., Fiorin, S., Hensel, L., Ivchenko, A., Jachimowicz, J., King, G., Kraft-Todd, G., Ledda, A., MacLennan, M., Mutoi, L., Pagani, C., Reutskaja, E., Roth, C., & Slepoi, F. R. (2020). Evaluating COVID-19 public health messaging in Italy: Self-reported compliance and growing mental health concerns. medRxiv. https://doi.org/10.1101/2020.03.27.20042820.
Basińska, M. A., & Sołtys, M. (2020). Personal resources and flexibility in coping with stress depending on perceived stress in a group of cancer patients. Health Psychology Report, 8, 107–119. https://doi.org/10.5114/hpr.2020.93781.
Breakwell, G. M., & Jaspal, R. (2021). Identity change, uncertainty and mistrust in relation to fear and risk of COVID-19. Journal of Risk Research, 24, 335–351. https://doi.org/10.1080/13669877.2020.1864011.
Brooks, S. K., Webster, R. K., Smith, L. E., Woodland, L., Wessely, S., Greenberg, N., & Rubin, G. J. (2020). The psychological impact of quarantine and how to reduce it: Rapid review of the evidence. The Lancet, 395, 912–920. https://doi.org/10.1016/ S0140-6736(20)30460-8.
Brown, T. A. (2015). Confirmatory factor analysis for applied research (2nd ed.). Guilford Publications. Center for Systems Science and Engineering (2021). Coronavirus COVID-19 global cases at Johns Hopkins University. Retrieved from https://coronavirus.jhu.edu/map.html.
Ciarrochi, J., Heaven, P. C., & Davies, F. (2007). The impact of hope, self-esteem, and attributional style on adolescents’ school grades and emotional wellbeing: a longitudinal study. Journal of Research in Personality, 41, 1161–1178. https://doi.org/10.1016/j.jrp.2007.02.001.
Connor, K. M., & Davidson, J. R. (2003). Development of a new resilience scale: The Connor‐Davidson Resilience Scale (CD‐RISC). Depression and Anxiety, 18, 76–82. https://doi.org/10.1002/da.10113.
D’Agostino, R. B., Belanger, A., & D’Agostino, R. B. (1990). A suggestion for using powerful and informative tests of normality. The American Statistician, 44, 316–321. https://doi.org/10.2307/2684359.
Dausch, B. M., Compas, B. E., Beckjord, E., Luecken, L., Anderson-Hanley, C., Sherman, M., & Grossman, C. (2004). Rates and correlates of DSM-IV diagnoses in women newly diagnosed with breast cancer. Journal of Clinical Psychology in Medical Settings, 11, 159–169. https://doi.org/10.1023/ B:JOCS.0000037610.60644.d6.
Doğan, T. (2015). Adaptation of the Brief Resilience Scale into Turkish: a validity and reliability study. The Journal of Happiness & Well-Being, 3, 93–102.
Easterling, D. V., & Leventhal, H. (1989). Contribution of concrete cognition to emotion: Neutral symptoms as elicitors of worry about cancer. Journal of Applied Psychology, 74, 787–796. https://doi.org/10.1037/0021-9010.74.5.787.
Farnsworth, J. K., & Sewell, K. W. (2011). Fear of emotion as a moderator between PTSD and firefighter social interactions. Journal of Traumatic Stress, 24, 444–450. https://doi.org/10.1002/jts.20657.
Fredrickson, B. L. (2005). The broaden-and-build theory of positive emotions. In F. A. Huppert, N. Baylis, & B. Keverne (Eds.), The science of well-being (pp. 217–238). Oxford University Press.
Fritz, M. S., & MacKinnon, D. P. (2007). Required sample size to detect the mediated effect. Psychological Science, 18, 233–239. https://doi.org/10.1111/j.1467- 9280.2007.01882.x.
Gong, Y., Han, T., Chen, W., Dib, H. H., Yang, G., Zhuang, R., Chen, Y., Tong, X., Yin, X., & Lu, Z. (2014). Prevalence of anxiety and depressive symptoms and related risk factors among physicians in China: a cross‐sectional study. PLoS One, 9, e103242. https://doi.org/10.1371/journal.pone.0103242.
Goyal, K., Chauhan, P., Chhikara, K., Gupta, P., & Singh, M. P. (2020). Fear of COVID 2019: First suicidal case in India! Asia Journal of Psychiatry, 49, 101989. https://doi.org/10.1016/j.ajp.2020.101989.
Hawro, T., Maurer, M., Hawro, M., Kaszuba, A., Cierpiałkowska, L., Królikowska, M., & Zalewska, A. (2014). In psoriasis, levels of hope and quality of life are linked. Archives of Dermatological Research, 306, 661–666. https://doi.org/10.1007/s00403-014-1455-9.
Hayes, A. F. (2018). Introduction to mediation, moderation, and conditional process analysis: a regression-based approach. Guilford Press.
Janoff-Bulman, R. (2010). Shattered assumptions. Simon and Schuster.
Kenny, D. A., Kaniskan, B., & McCoach, D. B. (2015). The performance of RMSEA in models with small degrees of freedom. Sociological Methods & Research, 44, 486–507. https://doi.org/10.1177/ 0049124114543236.
Kline, R. B. (2015). Principles and practice of structural equation modeling. Guilford Press. Lai, J., Ma, S., Wang, Y., Cai, Z., Hu, J., Wei, N., Wu, J., Du, H., Chen, T., Li, R., Tan, H., Kang, L., Yao, L., Huang, M., Wang, H., Wang, G., Liu, Z., & Hu, S. (2020). Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA Network Open, 3, e203976. https://doi.org/10.1001/jamanetworkopen.2020.3976.
Lee, S. A., Jobe, M. C., & Mathis, A. A. (2020). Mental health characteristics associated with dysfunctional coronavirus anxiety. Psychological Medicine. https://doi.org/10.1017/S003329172000121X.
Li, H., Liu, L., Zhang, D., Xu, J., Dai, H., Tang, N., Su, X., & Cao, B. (2020). SARS-CoV-2 and viral sepsis: Observations and hypotheses. The Lancet, 395, 1517–1520. https://doi.org/10.1016/S0140-6736(20) 30920-X.
Li, M. Y., Yang, Y. L., Liu, L., & Wang, L. (2016). Effects of social support, hope, and resilience on quality of life among Chinese bladder cancer patients: a crosssectional study. Health and Quality of Life Outcomes, 14, 73. https://doi.org/10.1186/s12955-016-0481-z.
Luthans, F., Avey, J. B., Avolio, B. J., & Peterson, S. J. (2010). The development and resulting performance impact of positive psychological capital. Human Resource Development Quarterly, 21, 41–67. https://doi.org/10.1002/hrdq.20034.
Maulik, P., Eaton, W., & Bradshaw, C. (2011). The effect of social networks and social support on mental health services use, following a life event, among the Baltimore epidemiologic catchment area cohort. The Journal of Behavioral Health Services & Research, 38, 29–50. https://doi.org/10.1007/s11414-009-9205-z.
Petzold, M. B., Bendau, A., Plag, J., Pyrkosch, L., Mascarell Maricic, L., Betzler, F., Rogoll, J., Große, J., & Ströhle, A. (2020). Risk, resilience, psychological distress, and anxiety at the beginning of the COVID‐19 pandemic in Germany. Brain and Behavior, 10, e01745. https://doi.org/10.1002/brb3.1745.
Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40, 879–891. https://doi.org/10.3758/BRM.40.3.879.
Republic of Turkey Ministry of Health (2021). Turkey Covid-19 Patient Table. Retrieved from https://covid19.saglik.gov.tr/?_Dil=2.
Salehi, L., Rahimzadeh, M., Molaei, E., Zaheri, H., & Esmaelzadeh‐Saeieh, S. (2020). The relationship among fear and anxiety of COVID‐19, pregnancy experience, and mental health disorder in pregnant women: a structural equation model. Brain and Behavior, 10, e01835. https://doi.org/10.1002/brb3.1835.
Schneider S. L. (2001). In search of realistic optimism. Meaning, knowledge, and warm fuzziness. The American Psychologist, 56, 250–263. https://doi.org/ 10.1037//0003-066x.56.3.250.
Seabrook, E. M., Kern, M. L., & Rickard, N. S. (2016). Social networking sites, depression, and anxiety: a systematic review. JMIR Mental Health, 3, e50 https://doi.org/10.2196/mental.5842.
Skalski, S., Uram, P., Dobrakowski, P., & Kwiatkowska, A. (2020). Thinking too much about the novel coronavirus. The link between persistent thinking about COVID-19, SARS-CoV-2 anxiety and trauma effects. Current Issues in Personality Psychology, 8, 169–174. https://doi.org/10.5114/cipp.2020.100094.
Smith, B. W., Dalen, J., Wiggins, K., Tooley, E., Christopher, P., & Bernard, J. (2008). The Brief Resilience Scale: Assessing the ability to bounce back. International Journal of Behavioral Medicine, 15, 194– 200. https://doi.org/10.1080/10705500802222972.
Snyder, C. R. (2000). Hypothesis: There is hope. In C. R. Snyder (Ed.), Handbook of hope theory, measures and applications (pp. 3–21). Academic Press.
Snyder, C. R. (2002). Hope theory: Rainbows in the mind. Psychological Inquiry, 13, 249–275. https:// doi.org/10.1207/S15327965PLI1304_01.
Snyder, C. R., Harris, C., Anderson, J. R., Holleran, S. A., Irving, L. M., Sigmon, S. T., Yoshinobu, L., Gibb, J., Langelle, C., & Harney, P. (1991). The will and the ways: Development and validation of an individual-differences measure of hope. Journal of Personality and Social Psychology, 60, 570–585. https://doi.org/10.1037//0022-3514.60.4.570.
Stremikis, K. (2020, April 10). In COVID-19 tracking poll, Californians report worsening mental health, cost worries. California Health Care Foundation. Retrieved from https://www.chcf.org/blog/covid19-tracking-poll-californians-report-worseningmental-health-cost-worries/.
Taylor, S. (2020). The psychology of pandemics: Preparing for the next global outbreak of infectious disease. Cambridge Scholars Publishing.
Tham, S. G., Ibrahim, S., Hunt, I. M., Kapur, N., & Gooding, P. (2020). Examining the mechanisms by which adverse life events affect having a history of self‐harm, and the protective effect of social support. Journal of Affective Disorders, 263, 621–628. https://doi.org/10.1016/j.jad.2019.11.037.
Tomás, J. M., Sancho, P., Melendez, J. C., & Mayordomo, T. (2012). Resilience and coping as predictors of general well-being in the elderly: a structural equation modeling approach. Aging & Mental Health, 16, 317–326. https://doi.org/10.1080/136078 63.2011.615737.
Valle, M. F., Huebner, E. S., & Suldo, S. M. (2006). An analysis of hope as a psychological strength. Journal of School Psychology, 44, 393–406. https://doi. org/10.1016/j.jsp.2006.03.005.
Woods, D. D. (2006). Essential characteristics of resilience. In E. Hollnagel, D. D. Woods, & N. Levenson (Eds.), Resilience engineering (pp. 21–34). Ashgate Publishing.
Wu, Y., Kwakkenbos, L., Henry, R. S., Carrier, M. E., Gagarine, M., Harb, S., Bourgeault, A., Tao, L., Carboni-Jiménez, A., Negeri, Z., Patten, S., Bartlett, S. J., Mouthon, L., Varga, J., Benedetti, A., Thombs, B. D., SPIN Patient Advisors, & SPIN Investigators (2021). Factors associated with fears due to COVID-19: a Scleroderma Patient-centered Intervention Network (SPIN) COVID-19 cohort study. Journal of Psychosomatic Research, 140, 110314. https://doi. org/10.1016/j.jpsychores.2020.110314.
Yildirim, M. (2019). Mediating role of resilience in the relationships between fear of happiness and affect balance, satisfaction with life, and flourishing. Europe’s Journal of Psychology, 15, 183–198. https:// doi.org/10.5964/ejop.v15i2.1640.
Yıldırım, M., & Arslan, G. (2020). Exploring the associations between resilience, dispositional hope, preventive behaviours, subjective well-being, and psychological health among adults during early stage of COVID-19. Current Psychology. https:// doi.org/10.1007/s12144-020-01177-2.
Yıldırım, M., Arslan, G., & Wong, P. T. (2021a). Meaningful living, resilience, affective balance, and psychological health problems among Turkish young adults during coronavirus pandemic. Current Psychology. https://doi.org/10.1007/s12144-020-01244-8.
Yıldırım, M., & Güler, A. (2020). COVID-19 severity, self-efficacy, knowledge, preventive behaviors, and mental health in Turkey. Death Studies. https://doi. org/10.1080/07481187.2020.1793434.
Yıldırım, M., & Güler, A. (2021). Positivity explains how COVID-19 perceived risk increases death distress and reduces happiness. Personality and Individual Differences, 168, 110347. https://doi.org/10.1016/j. paid.2020.110347.
Yıldırım, M., Arslan, G., & Özaslan, A. (2020). Perceived risk and mental health problems among healthcare professionals during COVID-19 pandemic: Exploring the mediating effects of resilience and coronavirus fear. International Journal of Mental Health and Addiction. https://doi. org/10.1007/s11469-020-00424-8.
Yıldırım, M., Özaslan, A., & Arslan, G. (2021b). Perceived risk and parental coronavirus anxiety in healthcare workers: a moderated mediation role of coronavirus fear and mental well-being. Psychology, Health & Medicine. https://doi.org/10.1080/ 13548506.2021.1871771.
Yıldırım, M., & Solmaz, F. (2020). COVID-19 burnout, COVID-19 stress and resilience: Initial psychometric properties of COVID-19 Burnout Scale. Death Studies. https://doi.org/10.1080/07481187.2020.181 8885.
Ying, L., Wu, X., Lin, C., & Jiang, L. (2014). Traumatic severity and trait resilience as predictors of posttraumatic stress disorder and depressive symptoms among adolescent survivors of the Wenchuan earthquake. PLoS One, 9, e89401. https:// doi.org/10.1371/journal.pone.0089401.
Zhang, J., Yang, Z., Wang, X., Li, J., Dong, L., Wang, F., Li, Y., Wei, R., & Zhang, J. (2020). The relationship between resilience, anxiety and depression among patients with mild symptoms of COVID-19 in China: a cross-sectional study. Journal of Clinical Nursing, 29, 4020–4029. https://doi.org/10.1111/ jocn.15425.
Zhou, X., Wu, X., & An, Y. (2016). Understanding the relationship between trauma exposure and depression among adolescents after earthquake: The roles of fear and resilience. Frontiers in Psychology, 7, 2044. https://doi.org/10.3389/fpsyg.2016.02044.
