Regulation strategies during COVID-19 quarantine: The mediating effect of worry on the links between coping strategies and anxiety

Clizia Cincidda , Silvia Francesca Maria Pizzoli , Serena Oliveri , Gabriella Pravettoni
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引用次数: 22

Abstract

Introduction

The COVID-19 outbreak forced Italian citizens into a generalized quarantine from March to May 2020. The quarantine is a successful measure to reduce the virus's spread through physical and social distancing, but it can also have negative psychological consequences on the population. People experience high levels of worry and anxiety and have to cope with the consequences of the health emergency. The aim of this study was to preliminarily assess the causal relations among coping, worry and state anxiety at the time of COVID-19 first wave, and the mediation role of worry between coping and state anxiety.

Methods

During March 2020, 1273 Italian citizens completed an ad hoc online survey composed of sociodemographic and preoccupation-related questions, and standardized self-report questionnaire (Brief COPE, Penn State Worry Questionnaire and State-Trait Anxiety Inventory-State form). Three separate mediation models were performed.

Results

The relationship between coping strategies (i.e.: problem-focused coping, emotion-focused coping and dysfunctional coping) and state anxiety resulted to be mediated by worry. Dysfunctional and problem-focused coping had a negative effect on anxiety scores and this effect was amplified by high levels of worry. Emotion-focused coping reduced state anxiety scores through its effect on reducing the levels of worry, which in turn was related to a reduction in anxiety.

Conclusion

The present study offers first evidence for the mediation role of worry in the relation between coping and anxiety during quarantine caused by COVID-19 pandemic. It supports the clinical importance of investigating people's coping strategies along with the levels of (cognitive) worry and their long-term effects on the psychological well-being during the outbreak, in order to deliver adequate personalized interventions. Psychological support should enhance emotion-focused coping strategies that have a protective effect on both worry and anxiety.

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COVID-19隔离期间的调节策略:担忧对应对策略与焦虑关系的中介作用
新冠肺炎疫情迫使意大利公民从2020年3月至5月进行全面隔离。隔离是通过身体和社会距离减少病毒传播的一项成功措施,但它也可能对人群产生负面的心理影响。人们经历了高度的担忧和焦虑,不得不应对突发卫生事件的后果。本研究旨在初步评估新冠肺炎第一波疫情时应对、担忧和状态焦虑三者之间的因果关系,以及担忧在应对和状态焦虑之间的中介作用。方法2020年3月,1273名意大利公民完成了一项特别在线调查,该调查由社会人口学和关注相关问题以及标准化自我报告问卷(Brief COPE,宾夕法尼亚州立大学担忧问卷和状态-特质焦虑量表-状态表)组成。执行了三个独立的中介模型。结果学生应对策略(即问题关注型应对、情绪关注型应对和功能失调型应对)与状态焦虑之间存在担忧介导的关系。功能失调和以问题为中心的应对方式会对焦虑得分产生负面影响,而这种影响会被高度担忧放大。以情绪为中心的应对方式通过降低担忧程度来降低状态焦虑得分,而担忧程度反过来又与焦虑程度的降低有关。结论本研究首次证实了担忧在COVID-19大流行隔离期间应对与焦虑之间的中介作用。它支持在暴发期间调查人们的应对策略以及(认知)担忧水平及其对心理健康的长期影响的临床重要性,以便提供适当的个性化干预措施。心理支持应加强以情绪为中心的应对策略,对担忧和焦虑都有保护作用。
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来源期刊
CiteScore
2.20
自引率
20.00%
发文量
38
期刊介绍: The aim of the Revue européenne de Psychologie appliquée / European Review of Applied Psychology is to promote high-quality applications of psychology to all areas of specialization, and to foster exchange among researchers and professionals. Its policy is to attract a wide range of contributions, including empirical research, overviews of target issues, case studies, descriptions of instruments for research and diagnosis, and theoretical work related to applied psychology. In all cases, authors will refer to published and verificable facts, whether established in the study being reported or in earlier publications.
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