Predictors of pretraumatic stress during the COVID-19 pandemic in Poland

PLoS One. 2023 Aug 18;18(8):e0290151. doi: 10.1371/journal.pone.0290151. eCollection 2023.

Abstract

Background: Pretraumatic stress has the same symptoms as post-traumatic stress but instead pertains to anticipated threats. There is evidence that pretraumatic stress occurs among soldiers and pregnant people.

Objective: We analyzed correlates of pretraumatic stress concerning the threat of COVID-19 infection.

Method: Our pilot study was cross-sectional (N = 74); our main study was longitudinal and consisted of three waves (N = 1067, N = 894, and N = 752 for Waves 1, 2, and 3, respectively). Our pilot study used correlation and multiple linear regression. Our main study used quadratic regression and a random intercept cross-lagged panel model.

Results: The pilot study found that pretraumatic stress was positively correlated with agreeableness (r = .24, p < .01) and negatively correlated with emotional stability (r = -.30, p < .01) and intellect/imagination (r = -.37, p < .01). The main study demonstrated that pretraumatic stress was positively correlated with other measures of mental health problems during the COVID-19 pandemic and with perceived positive aspects of the pandemic (r = .11, p < .01). There is evidence of a U-shaped relationship between pretraumatic stress and perceived positive aspects of the pandemic. A random intercept cross-lagged panel model analysis demonstrated that pretraumatic stress in Wave 2 was negatively predicted by levels of prosocial behavior in Wave 1 (B = -1.130, p < .01).

Conclusion: Mental health professionals should take into account pretraumatic stress, not only as a possible consequence of the COVID-19 pandemic outbreak but more generally as a risk in situations that are new, difficult, and challenging for people.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • COVID-19* / epidemiology
  • Cross-Sectional Studies
  • Female
  • Humans
  • Nonoxynol
  • Pandemics
  • Pilot Projects
  • Poland / epidemiology
  • Pregnancy

Substances

  • Nonoxynol

Grants and funding

This work was supported by the Faculty of Psychology, University of Warsaw, from the funds awarded by: -the Ministry of Science and Higher Education in the form of a subsidy for the maintenance and development of research potential in 2020 (501-D125-20-00003320 and 501-D125-01-1250000 grant 5011000218) -the Ministry of Science and Higher Education in the framework of the programme “The Excellence Initiative - Research University” (501-D125-20-00003320 and 501-D125-01-1250000 grant 5011000218) The funder had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.