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Title: Patterns of psychological responses among the public during the early phase of covid-19: A cross-regional analysis
Authors: Chong, Yuen Yu 
Chien, Wai Tong 
Cheng, Ho Yu 
Lamnisos, Demetris 
Lubenko, Jelena 
Presti, Giovambattista 
Squatrito, Valeria 
Constantinou, Marios 
Nicolaou, Christiana 
Papacostas, Savvas S. 
Aydin, Gökçen 
Ruiz, Francisco J. 
Garcia-Martin, Maria B. 
Obando-Posada, Diana P. 
Segura-Vargas, Miguel A. 
Vasiliou, Vasilis S. 
McHugh, Louise 
Höfer, Stefan 
Baban, Adriana 
Neto, David Dias 
Nunes da Silva, Ana 
Monestès, Jean-Louis 
Alvarez-Galvez, Javier 
Paez-Blarrina, Marisa 
Montesinos, Francisco 
Valdivia-Salas, Sonsoles 
Ori, Dorottya 
Kleszcz, Bartosz 
Lappalainen, Raimo 
Ivanovic, Iva 
Gosar, David 
Dionne, Frederick 
Merwin, Rhonda M. 
Gloster, Andrew T. 
Karekla, Maria 
Kassianos, Angelos P. 
Major Field of Science: Medical and Health Sciences
Field Category: Clinical Medicine
Keywords: COVID-19;Mental health;Prosociality;Psychological flexibility;Survey
Issue Date: 2-Apr-2021
Source: International Journal of Environmental Research and Public Health, 2021, vol. 18, no. 8, articl. no. 4143
Volume: 18
Issue: 8
Journal: International Journal of Environmental Research and Public Health 
Abstract: This study aimed to compare the mediation of psychological flexibility, prosociality and coping in the impacts of illness perceptions toward COVID-19 on mental health among seven regions. Convenience sampled online survey was conducted between April and June 2020 from 9130 citizens in 21 countries. Illness perceptions toward COVID-19, psychological flexibility, prosociality, coping and mental health, socio-demographics, lockdown-related variables and COVID-19 status were assessed. Results showed that psychological flexibility was the only significant mediator in the relationship between illness perceptions toward COVID-19 and mental health across all regions (all ps = 0.001–0.021). Seeking social support was the significant mediator across subgroups (all ps range = <0.001–0.005) except from the Hong Kong sample (p = 0.06) and the North and South American sample (p = 0.53). No mediation was found for problem-solving (except from the Northern European sample, p = 0.009). Prosociality was the significant mediator in the Hong Kong sample (p =0.016) and the Eastern European sample (p = 0.008). These findings indicate that fostering psychological flexibility may help to mitigate the adverse mental impacts of COVID-19 across regions. Roles of seeking social support, problem-solving and prosociality vary across regions.
ISSN: 1660-4601
DOI: 10.3390/ijerph18084143
Rights: © by the authors.
Attribution-NonCommercial-NoDerivatives 4.0 International
Type: Article
Affiliation : The Chinese University of Hong Kong 
European University Cyprus 
Riga Stradins University 
Kore University of Enna 
University of Nicosia 
Cyprus University of Technology 
Cyprus Institute of Neurology and Genetics 
Hasan Kalyoncu University 
Fundación Universitaria Konrad Lorenz 
University of La Sabana 
University College Cork 
University College Dublin 
Innsbruck Medical University 
Babeş-Bolyai University 
Instituto Universitário 
Universidade de Lisboa 
Université Grenoble Alpes 
University of Cádiz 
Instituto ACT 
European University of Madrid 
University of Zaragoza 
Heim Pal National Pediatric Institute 
Bartosz Kleszcz Psychotherapy and Training 
University of Jyväskylä 
Clinical Center of Montenegro 
University Medical Center Slovenia 
Université du Québec à Trois-Rivières 
Duke University 
University of Basel 
University of Cyprus 
University College London 
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