Understanding Differential Stress and Mental Health Reactions to COVID-19-Related Events

Int J Environ Res Public Health. 2023 May 13;20(10):5819. doi: 10.3390/ijerph20105819.

Abstract

The effects of the pandemic on mental health can be studied through different variables, such as the number of COVID-19 stressors, the stressor types, and the stress responses. Understanding the sources of mental strain is crucial for developing effective interventions. The present study analyzed the relationship between these COVID-19-related variables and positive and negative mental health. A cross-sectional study was conducted with 666 individuals from the Portuguese general population, mostly females (65.5%) between 16-93 years old. They completed self-report measures regarding the number of COVID-19 stressors, the stressor types, the stress responses (IES-R), and positive (MHC-SF) and negative mental health (BSI-18). The results demonstrated that a higher number of COVID-19-experienced stressors and more stress responses were related to worse mental health. Regarding stressor types, experiences not related to the COVID-19 infection (e.g., tension at home) presented the largest effects on mental health. The strongest predictor was the stress responses for negative (β = 0.50) and positive mental health (β = -0.17). The predictors explained more about negative mental health than positive. These findings support the idea that individual appraisals play a crucial role in mental health.

Keywords: COVID-19; COVID-19-related events; negative mental health; positive mental health; stress responses.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • COVID-19* / epidemiology
  • Cross-Sectional Studies
  • Ethnicity
  • Female
  • Humans
  • Male
  • Mental Health*
  • Middle Aged
  • Pandemics
  • Young Adult

Grants and funding

R.S. is supported by a Portuguese Foundation for Science and Technology (FCT—Fundação para a Ciência e Tecnologia) doctoral grant (2021.09423.BD).