A chain mediation model on COVID-19 symptoms and mental health outcomes in Americans, Asians and Europeans
Abstract The novel Coronavirus-2019 (COVID-19) was declared a pandemic by the World Health Organization (WHO) in March 2020, impacting the lifestyles, economy, physical and mental health of individuals globally. This study aimed to test the model triggered by physical symptoms resembling COVID-19 in...
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2021
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oai:doaj.org-article:8ac47b2295654e01a6cb6d122999eb972021-12-02T13:18:08ZA chain mediation model on COVID-19 symptoms and mental health outcomes in Americans, Asians and Europeans10.1038/s41598-021-85943-72045-2322https://doaj.org/article/8ac47b2295654e01a6cb6d122999eb972021-03-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-85943-7https://doaj.org/toc/2045-2322Abstract The novel Coronavirus-2019 (COVID-19) was declared a pandemic by the World Health Organization (WHO) in March 2020, impacting the lifestyles, economy, physical and mental health of individuals globally. This study aimed to test the model triggered by physical symptoms resembling COVID-19 infection, in which the need for health information and perceived impact of the pandemic mediated the path sequentially, leading to adverse mental health outcomes. A cross-sectional research design with chain mediation model involving 4612 participants from participating 8 countries selected via a respondent-driven sampling strategy was used. Participants completed online questionnaires on physical symptoms, the need for health information, the Impact of Event Scale-Revised (IES-R) questionnaire and Depression, Anxiety and Stress Scale (DASS-21). The results showed that Poland and the Philippines were the two countries with the highest levels of anxiety, depression and stress; conversely, Vietnam had the lowest mean scores in these areas. Chain mediation model showed the need for health information, and the perceived impact of the pandemic were sequential mediators between physical symptoms resembling COVID-19 infection (predictor) and consequent mental health status (outcome). Excessive and contradictory health information might increase the perceived impact of the pandemic. Rapid COVID-19 testing should be implemented to minimize the psychological burden associated with physical symptoms, whilst public mental health interventions could target adverse mental outcomes associated with the pandemic.Cuiyan WangAgata Chudzicka-CzupałaMichael L. TeeMaría Inmaculada López NúñezConnor TrippMohammad A. FardinHina A. HabibBach X. TranKatarzyna AdamusJoseph AnlacanMarta E. Aparicio GarcíaDamian GrabowskiShahzad HussainMen T. HoangMateusz HetnałXuan T. LeWenfang MaHai Q. PhamPatrick Wincy C. ReyesMahmoud ShiraziYilin TanCherica A. TeeLinkang XuZiqi XuGiang T. VuDanqing ZhouNatalie A. ChanVipat KuruchitthamRoger S. McIntyreCyrus S. H. HoRoger HoSamuel F. SearsNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-12 (2021) |
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Medicine R Science Q Cuiyan Wang Agata Chudzicka-Czupała Michael L. Tee María Inmaculada López Núñez Connor Tripp Mohammad A. Fardin Hina A. Habib Bach X. Tran Katarzyna Adamus Joseph Anlacan Marta E. Aparicio García Damian Grabowski Shahzad Hussain Men T. Hoang Mateusz Hetnał Xuan T. Le Wenfang Ma Hai Q. Pham Patrick Wincy C. Reyes Mahmoud Shirazi Yilin Tan Cherica A. Tee Linkang Xu Ziqi Xu Giang T. Vu Danqing Zhou Natalie A. Chan Vipat Kuruchittham Roger S. McIntyre Cyrus S. H. Ho Roger Ho Samuel F. Sears A chain mediation model on COVID-19 symptoms and mental health outcomes in Americans, Asians and Europeans |
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Abstract The novel Coronavirus-2019 (COVID-19) was declared a pandemic by the World Health Organization (WHO) in March 2020, impacting the lifestyles, economy, physical and mental health of individuals globally. This study aimed to test the model triggered by physical symptoms resembling COVID-19 infection, in which the need for health information and perceived impact of the pandemic mediated the path sequentially, leading to adverse mental health outcomes. A cross-sectional research design with chain mediation model involving 4612 participants from participating 8 countries selected via a respondent-driven sampling strategy was used. Participants completed online questionnaires on physical symptoms, the need for health information, the Impact of Event Scale-Revised (IES-R) questionnaire and Depression, Anxiety and Stress Scale (DASS-21). The results showed that Poland and the Philippines were the two countries with the highest levels of anxiety, depression and stress; conversely, Vietnam had the lowest mean scores in these areas. Chain mediation model showed the need for health information, and the perceived impact of the pandemic were sequential mediators between physical symptoms resembling COVID-19 infection (predictor) and consequent mental health status (outcome). Excessive and contradictory health information might increase the perceived impact of the pandemic. Rapid COVID-19 testing should be implemented to minimize the psychological burden associated with physical symptoms, whilst public mental health interventions could target adverse mental outcomes associated with the pandemic. |
format |
article |
author |
Cuiyan Wang Agata Chudzicka-Czupała Michael L. Tee María Inmaculada López Núñez Connor Tripp Mohammad A. Fardin Hina A. Habib Bach X. Tran Katarzyna Adamus Joseph Anlacan Marta E. Aparicio García Damian Grabowski Shahzad Hussain Men T. Hoang Mateusz Hetnał Xuan T. Le Wenfang Ma Hai Q. Pham Patrick Wincy C. Reyes Mahmoud Shirazi Yilin Tan Cherica A. Tee Linkang Xu Ziqi Xu Giang T. Vu Danqing Zhou Natalie A. Chan Vipat Kuruchittham Roger S. McIntyre Cyrus S. H. Ho Roger Ho Samuel F. Sears |
author_facet |
Cuiyan Wang Agata Chudzicka-Czupała Michael L. Tee María Inmaculada López Núñez Connor Tripp Mohammad A. Fardin Hina A. Habib Bach X. Tran Katarzyna Adamus Joseph Anlacan Marta E. Aparicio García Damian Grabowski Shahzad Hussain Men T. Hoang Mateusz Hetnał Xuan T. Le Wenfang Ma Hai Q. Pham Patrick Wincy C. Reyes Mahmoud Shirazi Yilin Tan Cherica A. Tee Linkang Xu Ziqi Xu Giang T. Vu Danqing Zhou Natalie A. Chan Vipat Kuruchittham Roger S. McIntyre Cyrus S. H. Ho Roger Ho Samuel F. Sears |
author_sort |
Cuiyan Wang |
title |
A chain mediation model on COVID-19 symptoms and mental health outcomes in Americans, Asians and Europeans |
title_short |
A chain mediation model on COVID-19 symptoms and mental health outcomes in Americans, Asians and Europeans |
title_full |
A chain mediation model on COVID-19 symptoms and mental health outcomes in Americans, Asians and Europeans |
title_fullStr |
A chain mediation model on COVID-19 symptoms and mental health outcomes in Americans, Asians and Europeans |
title_full_unstemmed |
A chain mediation model on COVID-19 symptoms and mental health outcomes in Americans, Asians and Europeans |
title_sort |
chain mediation model on covid-19 symptoms and mental health outcomes in americans, asians and europeans |
publisher |
Nature Portfolio |
publishDate |
2021 |
url |
https://doaj.org/article/8ac47b2295654e01a6cb6d122999eb97 |
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