Stressful Life Events and Resilience During the COVID-19 Lockdown Measures in Italy: Association With Mental Health Outcomes and Age
Top Cited Papers
Open Access
- 8 March 2021
- journal article
- research article
- Published by Frontiers Media SA in American Journal of Translational Research
- Vol. 12, 635832
- https://doi.org/10.3389/fpsyt.2021.635832
Abstract
Background: The COVID-19 pandemic, due to its disproportionated higher morbidity and mortality rates in the older age, has been considered to be a “geropandemic.” Several studies, however, have found that older age is associated with lower psychological distress in relation to the COVID-19 outbreak and related lockdown measures.Aim: To explore the role of Resilience as a mediator between stressful COVID-19 related life events and depressive and, anxiety symptoms and perceived stress, and to ascertain the role of age as a moderator of the mediator's effect.Methods: An on-line survey was spread through social networks during the first lockdown in Italy. Depressive and anxiety symptoms and perceived stress were measured using the Italian version of the Patient Health Questionnaire-9 (PHQ-9), the Generalized Anxiety Disorder Questionnaire-7 (GAD-7) and the Perceived Stress Scale (PSS). Resilience was measured using the Italian version of the Resilience Scale for Adults (RSA). Stressful COVID-19 related life events were explored using a checklist of events derived from the International Adjustment Disorder Questionnaire (IADQ). After a preliminary panel of linear regressions, mediation was tested using Structural Equation Modeling and inspecting the bootstrapped indirect effects. Afterwards, age was introduced as a mediator of the indirect effect in a moderated mediation analysis.Results: Twenty one thousand three hundred and thirty four subjects completed the questionnaire, 17,178 (80.52%) were female, 748 (3.5%) were >60 years old. In the whole sample, the presence of any stressful event was associated with depressive and anxiety symptoms and perceived stress. Resilience mediated the effects of stressful COVID-19-related events on depressive and anxiety symptoms and perceived stress. The moderated mediation analysis revealed that age moderated the mediation effect of Resilience between the presence of a stressful event and the selected outcomes.Conclusion: Taken together, our results show that age moderates the mediating effect of Resilience in the relationship between COVID-19-related stressful events and depressive and anxiety symptoms and perceived stress. Older adults' Resilience was less influenced by stressful events, and this could be one of the reasons accounting for the better mental health outcomes observed in the older age.Keywords
This publication has 31 references indexed in Scilit:
- Globalization of national surgical, obstetric and anesthesia plans: the critical link between health policy and action in global surgeryGlobalization and Health, 2020
- Measuring ICD‐11 adjustment disorder: the development and initial validation of the International Adjustment Disorder QuestionnaireActa Psychiatrica Scandinavica, 2019
- Frailty, inequality and resilienceClinical Medicine, 2019
- The impact of resilience among older adultsGeriatric Nursing, 2016
- Resilience definitions, theory, and challenges: interdisciplinary perspectivesEuropean Journal of Psychotraumatology, 2014
- Online Social Networking in Adolescence: Patterns of Use in Six European Countries and Links With Psychosocial FunctioningJournal of Adolescent Health, 2014
- Association Between Older Age and More Successful Aging: Critical Role of Resilience and DepressionAmerican Journal of Psychiatry, 2013
- Psychological resilience in young and older adultsInternational Journal of Geriatric Psychiatry, 2011
- Prevalence of psychiatric morbidity and psychological adaptation of the nurses in a structured SARS caring unit during outbreak: A prospective and periodic assessment study in TaiwanJournal of Psychiatric Research, 2007
- A Brief Measure for Assessing Generalized Anxiety DisorderArchives of Internal Medicine, 2006