The role of social connection on the experience of COVID-19 related post-traumatic growth and stress

PLoS One. 2021 Dec 15;16(12):e0261384. doi: 10.1371/journal.pone.0261384. eCollection 2021.

Abstract

Background: Historically social connection has been an important way through which humans have coped with large-scale threatening events. In the context of the COVID-19 pandemic, lockdowns have deprived people of major sources of social support and coping, with others representing threats. Hence, a major stressor during the pandemic has been a sense of social disconnection and loneliness. This study explores how people's experience of compassion and feeling socially safe and connected, in contrast to feeling socially disconnected, lonely and fearful of compassion, effects the impact of perceived threat of COVID-19 on post-traumatic growth and post-traumatic stress.

Methods: Adult participants from the general population (N = 4057) across 21 countries worldwide, completed self-report measures of social connection (compassion for self, from others, for others; social safeness), social disconnection (fears of compassion for self, from others, for others; loneliness), perceived threat of COVID-19, post-traumatic growth and traumatic stress.

Results: Perceived threat of COVID-19 predicted increased post-traumatic growth and traumatic stress. Social connection (compassion and social safeness) predicted higher post-traumatic growth and traumatic stress, whereas social disconnection (fears of compassion and loneliness) predicted increased traumatic symptoms only. Social connection heightened the impact of perceived threat of COVID-19 on post-traumatic growth, while social disconnection weakened this impact. Social disconnection magnified the impact of the perceived threat of COVID-19 on traumatic stress. These effects were consistent across all countries.

Conclusions: Social connection is key to how people adapt and cope with the worldwide COVID-19 crisis and may facilitate post-traumatic growth in the context of the threat experienced during the pandemic. In contrast, social disconnection increases vulnerability to develop post-traumatic stress in this threatening context. Public health and Government organizations could implement interventions to foster compassion and feelings of social safeness and reduce experiences of social disconnection, thus promoting growth, resilience and mental wellbeing during and following the pandemic.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • COVID-19*
  • Humans
  • Pandemics
  • Posttraumatic Growth, Psychological

Grants and funding

The overall research received no specific grant from any funding agency, commercial or not-for-profit sectors. This work was supported by the Center for Research in Neuropsychology and Cognitive Behavioral Intervention (CINEICC) funded by the Portuguese Foundation for Science and Technology (M.M., Strategic Project UID/PSI/00730/2020). The Slovak arm of this study was supported by the Slovak Research and Development Agency (J.H. & M.K.; Contract no. PP-COVID-20-0074) and the Vedecká grantová agentúra VEGA (J.H.; Grant 1/0075/19). The Canadian arm of the study was supported by the Social Sciences and Humanities Research Council Insight Grant (A.K., ref. 435-2017-0062). The Brazilian arm was supported by the Portuguese Foundation for Science and Technology (P.L.-S.; SFRH/BD/130677/2017) and the Brazilian National Council for Scientific and Technological Development (M.S.O.; Scientific Productivity Grant).