Predictors of psychopathology
presence or absence of chronic illness and perceived threat of COVID-19
DOI:
https://doi.org/10.14195/1647-7723_30-1_6Keywords:
Comparative study,, COVID-19,, threat perception,, psychopathology.Abstract
The pandemic may have led to an increase in stress, anxiety and depression, especially in people with previous chronic diseases (CD) because one's perception of COVID-19 could be very important for mental health. We aimed to conduct a comparative study of people with and without CD in order to analyse the influence of the disease in predicting stress, anxiety and depression. The study included the participation of 1208 Portuguese adults, of whom 83,3% were women (16,1% men, 0,2% queer people and 0,4% others), aged between 18 and 81 years (M = 44,40; SD = 10,52). Data collection was carried out during the first year of the pandemic, with all ethical principles being respected. Descriptive analyses, mean differences, Pearson correlations and hierarchical regression models were performed. Anxiety, depressive, and stress symptoms are associated with higher COVID-19 threat perception. Finally, having a CD and a high COVID-19 threat perception predict emotional distress. This signals the importance of COVID-19 threat perception in predicting distress during the pandemic.
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Baba, M. M. (2020). Navigating COVID-19 with emotional intelligence. International Journal of Social Psychiatry, 66(8), 810-820. DOI: https//doi.org/10.1177/0020764020934519
Balzarini, R. N., Muise, A., Zoppolat, G., Di Bartolomeo, A., Rodrigues, D. L., Alonso- Ferres, M., Urganci, B., Debrot, A., Pichayayothin, N. B., Dharma, C., Chi, P., Karremans, J., Schoebi, D., & Slatcher, R. B. (2020). Love in the time of Covid: Perceived partner responsiveness buffers people from lower relationship quality associated with covid-related stressors. Social Psychological and Personality Science. DOI: https://doi.org/10.31234/osf.io/e3fh4
Bik-Multanowska, K., Mikocka-Walus, A., Fernando, J., & Westrupp, E. (2021). Mental distress of parents with chronic diseases during the COVID-19 pandemic in Australia: A prospective cohort study. Journal of Psychosomatic Research, 152, 1-9. DOI: https://doi.org/10.1016/j.jpsychores.2021.110688
Bramanti, S. M., Trumello, C., Lombardi, L., & Babore, A. (2021). COVID-19 and chronic disease patients: Perceived stress, worry, and emotional regulation strategies. Rehabilitation Psychology, 66(4), 380–385. DOI: https://doi.org/10.1037/rep0000409
Broadbent, E., Petrie, K. J., Main, J., & Weinman, J. (2006). The brief illness perception questionnaire. Journal of Psychosomatic Research, 60(6), 631–637. DOI: https://doi.org/10.1016/j.jpsychores.2005.10.020
Brownlee, S., Leventhal, H., & Leventhal, E. A. (2000). Regulation, Self-Regulation, and Construction of the Self in the Maintenance of Physical Health. Handbook of Self-Regulation, 369–416. DOI: https://doi.org/10.1016/B978-012109890-2/50041-X
Cameron, L. D., & Leventhal, H. (2003). The self-regulation of health and illness behaviour. Routledge. DOI: https://psycnet.apa.org/record/2003-88028-000
Cameron, L., Leventhal, E. A., & Leventhal, H. (1993). Symptom representations and affect as determinants of care seeking in a community-dwelling, adult sample population. Health Psychology, 12(3), 171–179. DOI: https://doi.org/10.1037/0278-6133.12.3.171
Cao, W., Fang, Z., Hou, G., Han, M., Xu, X., Dong, J., & Zheng, J. (2020). The psychological impact of the COVID-19 epidemic on college students in China. Psychiatry Research, 287, 112934. DOI: https://doi.org/10.1016/j.psychres.2020.112934
Chen, S., & Bonanno, G. A. (2020). Psychological adjustment during the global outbreak of COVID-19: A resilience perspective. Psychological Trauma: Theory, Research, Practice and Policy, 12(S1), S51-S54. DOI: https://doi.org/10.1037/tra0000685
Cohen, J. (1988). Statistical power analysis for the behavioral sciences. Lawrence Erlbaum Associates Publishers.
Figueiras, M. J., Monteiro, R., & Caeiro, R. (2012). Misconceptions and illness perceptions in cardiac patients and their spouses: A pilot study. Psychology, Community & Health, 1(3), 232–245. DOI: https://doi.org/10.5964/pch.v1i3.24
Giannotti, M., Mazzoni, N., Bentenuto, A., Venuti, P., & Falco, S. (2022). Family adjustment to COVID-19 lockdown in Italy: Parental stress, coparenting, and child externalizing behavior. Family Process, 61, 745-763. DOI: https://doi.org/10.1111/famp.12686
Lacomba-Trejo, L., Calderón-Cholbi, A., & Delhom, I. (2022). Análisis de los predictores del estrés durante el confinamiento por COVID-19 en España. Actas Españolas de Psiquiatria, 50(4), 236-244.
LLeventhal, H., & Diefenbach, M. (1991). The Active Side of Illness Cognition. In R. T. Skelton & M. Croyle (Eds.), Mental Representation in Health and Illness (pp. 247-272). Springer.
Leventhal, H., Phillips, L. A., & Burns, E. (2016). The Common-Sense Model of Self-Regulation (CSM): a dynamic framework for understanding illness self-management. Journal of Behavioral Medicine, 39(6), 935–946. DOI: https://doi.org/10.1007/S10865-016-9782-2
Liu, H., Chen, S., Liu, M., Nie, H., & Lu, H. (2020). Comorbid chronic diseases are strongly correlated with disease severity among COVID-19 patients: A systematic review and meta-analysis. Aging and Disease, 11(3),668-678. DOI: https://doi.org/10.14336/AD.2020.0502
Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour research and therapy, 33(3), 335-343.
Luo, M., Guo, L., Yu, M., Jiang, W., & Wang, H. (2020). The psychological and mental impact of coronavirus disease 2019 (COVID-19) on medical staff and general public – A systematic review and meta-analysis. Psychiatry Research, 291, 113190. DOI: https://doi.org/10.1016/j.psychres.2020.113190
Marin, M. F., Lord, C., Andrews, J., Juster, R. P., Sindi, S., Arsenault-Lapierre, G., Fiocco, A. J., & Lupien, S. J. (2011). Chronic stress, cognitive functioning and mental health. Neurobiology of Learning and Memory, 96(4), 583-95. DOI: https://doi.org/ 10.1016/j.nlm.2011.02.016
Matos, M. G. (2021). Comportamento e Saúde. In I. Leal & J. P. Ribeiro. (Coord.), Manual de Psicologia da Saúde (pp. 101-108), Pactor.
Pais-Ribeiro, J., Honrado, A., & Leal, I. (2004). Contribuição para o estudo da adaptação portuguesa das escalas de ansiedade, depressão e stress (EADS) de 21 itens de Lovibond e Lovibond. Psicologia, Saúde & Doenças, 5(2), 229–239. URL: https://repositorio-aberto.up.pt/bitstream/10216/6910/2/81876.pdf
Randall, A. K., Leon, G., Basili, E., Martos, T., Boiger, M., Baldi, M., ... & Chiarolanza, C. (2021). Coping with global uncertainty: Perceptions of COVID-19 psychological distress, relationship quality, and dyadic coping for romantic partners across countries Journal of Social and Personal Relationships, 39(1), 3-33. DOI: https://doi.org/10.1177/02654075211034236
Rolland, J. S. (2020). COVID‐19 pandemic: Applying a multisystemic lens. Family Process, 59, 922–936. DOI: https://doi.org/10.1111/famp.12584
Shi, W., Yuan, G. F., Hall, B. J., Liu, X., Su, Y., Zhao, L., & Jia P. (2021). Mental disorders and emotional competence among chinese adolescents before and during COVID-19 pandemic: A longitudinal mediation model. Frontiers in Public Health, 9, 1-9. DOI: https://doi.org/10.3389/fpubh.2021.767004.
Umucu, E., & Lee, B. (2020). Examining the impact of COVID-19 on stress and coping strategies in individuals with disabilities and chronic conditions. Rehabilitation Psychology, 65(3), 193. DOI: https://doi.org/10.1037/rep0000328
WORLD HEALTH ORGANIZATION (2020). Mental health and psychosocial considerations during the COVID-19 outbreak, 18 March 2020 (WHO/2019-nCoV/MentalHealth/2020.1). World Health Organization. URL: https://apps.who.int/iris/handle/10665/331490
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