Examining the impact of COVID-19 on stress and coping strategies in individuals with disabilities and chronic conditions

Rehabil Psychol. 2020 Aug;65(3):193-198. doi: 10.1037/rep0000328. Epub 2020 May 14.

Abstract

Purpose/objective: This study aimed to describe the perceived stress levels and coping mechanisms related to COVID-19, and whether coping is related to well-being in people with self-reported chronic conditions and disabilities. Research Method/Design: A cross-sectional survey design was implemented. The total number of participants were 269 individuals with self-reported disabilities and chronic conditions (Mage = 39.37, SDage = 12.18). We examined the relationship between perceived stress and coping strategies related to COVID-19, and which COVID-19 coping strategies were associated with well-being after controlling for demographic and psychological characteristics.

Results: Correlation analyses demonstrated that perceived stress related to COVID-19 was positively associated with coping strategies including self-distraction, denial, substance use, behavioral disengagement, venting, planning, religion, and self-blame. Further, hierarchical regression results demonstrated that active coping, denial, use of emotional support, humor, religion, and self-blame were associated with participants' well-being after controlling for demographic and psychological characteristics.

Conclusions/implications: This exploratory study findings suggest that measuring and quantifying COVID-19 related stress and coping strategies in individuals with chronic conditions and disabilities can help clinicians and researchers understand potential effects of COVID-19 among people with chronic conditions and disabilities. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

MeSH terms

  • Adaptation, Psychological*
  • Adult
  • Attitude to Health
  • Betacoronavirus*
  • COVID-19
  • Chronic Disease / psychology*
  • Coronavirus Infections / psychology*
  • Cross-Sectional Studies
  • Disabled Persons / psychology*
  • Female
  • Humans
  • Male
  • Pandemics
  • Pneumonia, Viral / psychology*
  • SARS-CoV-2
  • Social Support
  • Stress, Psychological / psychology*
  • Surveys and Questionnaires