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Wu RY, Ge LF, Zhong BL. Media consumption patterns and depressive and anxiety symptoms in the Chinese general population during the COVID-19 outbreak. World J Psychiatry 2025; 15:104625. [DOI: 10.5498/wjp.v15.i4.104625] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/25/2024] [Revised: 01/30/2025] [Accepted: 02/21/2025] [Indexed: 03/25/2025] Open
Abstract
BACKGROUND Examining patterns of media consumption and their associations with mental health outcomes in the general population during the coronavirus disease 2019 (COVID-19) pandemic has implications for public mental health in future pandemics.
AIM To investigate patterns of media consumption and their associations with depressive and anxiety symptoms among adults affected by the COVID-19 pandemic.
METHODS A total of 8473 adults were recruited through snowball sampling for an online cross-sectional survey. The participants were asked to report the three media sources from which they most frequently acquired knowledge about COVID-19 from a checklist of nine media sources. Depression and anxiety were assessed with the Patient Health Questionnaire and the Generalized Anxiety Disorder Scale, respectively. A two-step cluster analysis was performed to identify distinct clusters of consumption of media sources.
RESULTS Seven clusters were identified. The lowest prevalence of depression and anxiety (29.1% and 22.8%, respectively) was observed in cluster one, which was labeled “television and news portals and clients, minimal social media”. The highest prevalence of depression (43.1%) was observed in cluster three, labeled “WeChat, MicroBlog, and news portals, minimal traditional media”. The greatest prevalence of anxiety (35.8%) was observed in cluster seven, which was labeled “news clients and WeChat, no newspaper, radio, or news portals”. Relative to cluster one, a significantly elevated risk of depression and anxiety was found in clusters three, six (labeled “news portals and clients, WeChat, no newspaper and radio”) and seven (adjusted odds ratio = 1.28-1.46, P ≤ 0.011). Multiple logistic regression analyses revealed that the risk of COVID-19 infection and knowledge about COVID-19 partially explained the variations in the prevalence of depression and anxiety across the seven clusters.
CONCLUSION Communication policies should be designed to channel crucial pandemic-related information more effectively through traditional and digital media sources. Encouraging the use of these media and implementing regulatory policies to reduce misinformation and rumors on social media, may be effective in mitigating the risk of depression and anxiety among populations affected by the pandemic.
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Affiliation(s)
- Rui-Yao Wu
- Department of Psychiatry, The Affiliated Wuhan Mental Health Center, Tongji Medical College of Huazhong University of Science & Technology, Wuhan 430012, Hubei Province, China
| | - Lin-Feng Ge
- Department of Psychiatry, The Affiliated Wuhan Mental Health Center, Tongji Medical College of Huazhong University of Science & Technology, Wuhan 430012, Hubei Province, China
| | - Bao-Liang Zhong
- Department of Psychiatry, Wuhan Mental Health Center, Wuhan 430012, Hubei Province, China
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Taha SM, El-Sayed MM, Khedr MA, El-Ashry AM, Abdelraof AI, Sonbol HM, Hawash MM, Elhay ESA. Unraveling the power of sense of coherence: a key predictor of symptom severity among depressive disorders clients. BMC Nurs 2025; 24:21. [PMID: 39773626 PMCID: PMC11707934 DOI: 10.1186/s12912-024-02587-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2023] [Accepted: 12/09/2024] [Indexed: 01/11/2025] Open
Abstract
BACKGROUND Despite advancements in therapies, the severity of depressive symptoms continues to challenge psychiatric nurses. However, research has indicated that a higher sense of coherence (SOC) can act as a protective factor against the development of diseases and promote faster recovery. AIM This study aimed to investigate whether SOC could serve as an indicator of depressive symptom severity among clients with depression. DESIGN The study employed a cross-sectional design and followed the STROBE checklist for reporting observational studies. METHODS A convenient sample of 169 clients with depression participated in the study. The researchers utilized the Antonovsky Sense of Coherence Scale-29 and the Beck Depression Inventory-II to assess SOC and depressive symptoms, respectively. RESULTS The study findings indicated that a substantial proportion of the participants (35.5%) had low Sense of Coherence (SOC) levels, associated with higher depressive symptoms. The severity of depression showed a significant negative correlation with difficulties in understanding and finding meaning in life and challenges in effectively coping with life's demands (r = -0.626, p < 0.001). The regression analysis revealed that for every one-unit increase in SOC, there was a corresponding decrease of 0.5 units in depressive symptoms. The SOC variable accounted for 39.1% of the variance in depressive symptoms severity. CONCLUSION Psychiatric nurses should consider implementing interventions to enhance SOC, such as Life Skills Training (LST), psychoeducation, cognitive-behavioral therapy, and mindfulness practices, particularly for depressive disorder clients with a poor sense of coherence.
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Affiliation(s)
- Samah Mohamed Taha
- Psychiatric and Mental Health Nursing, Faculty of Nursing, Mansoura University, Mansoura, Egypt
| | - Mona Metwally El-Sayed
- Psychiatric and Mental Health Nursing, Faculty of Nursing, Alexandria University, Alexandria, Egypt.
| | - Mahmoud Abdelwahab Khedr
- Psychiatric and Mental Health Nursing, Faculty of Nursing, Alexandria University, Alexandria, Egypt
| | - Ayman Mohamed El-Ashry
- Psychiatric and Mental Health Nursing, Faculty of Nursing, Alexandria University, Alexandria, Egypt
| | - Azza Ibrahim Abdelraof
- Psychiatric and Mental Health Nursing, Faculty of Nursing, Mansoura University, Mansoura, Egypt
| | | | - Manal Mohammed Hawash
- Gerontological Nursing, Faculty of Nursing, Alexandria University, Alexandria, Egypt
| | - Eman Sameh Abd Elhay
- Psychiatric and Mental Health Nursing, Faculty of Nursing, Mansoura University, Mansoura, Egypt
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Fan N, Fan H, Luo R, Wang Y, Yan Y, Yang X, Wang M, Dou Y, Ni R, Wei J, Yang W, Ma X. The impact of childhood trauma on emotional distress and the moderating role of sense of coherence among college students in China. Sci Rep 2024; 14:9797. [PMID: 38684905 PMCID: PMC11058193 DOI: 10.1038/s41598-024-60537-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2023] [Accepted: 04/24/2024] [Indexed: 05/02/2024] Open
Abstract
Childhood trauma is strongly linked to emotional distress. However, few studies have explored the impact of sense of coherence (SOC) on the relationship between childhood trauma and emotional distress in college students. This study aimed to explore its impact on the relationship between childhood trauma and emotional distress. Analyzing data from 2307 Chinese college students, we found that SOC moderated the association between childhood trauma and anxiety/depression levels. Females showed higher SOC and lower anxiety/depression despite experiencing more childhood trauma. Multiple linear regression revealed that anxiety was negatively associated with SOC(P < 0.001) and grade(P = 0.027), and positively with childhood trauma(P < 0.001) and male gender(P = 0.004). Similarly, the depression exhibited similar associations. SOC moderated negatively the relationship between CTQ and anxiety, as well as between CTQ and depression. Childhood trauma is associated with increased emotional distress risk among college students, but a strong SOC can reduce this risk.
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Affiliation(s)
- Ningdan Fan
- Mental Health Center and Laboratory of Psychiatry, West China Hospital of Sichuan University, Chengdu, 610041, China
| | - Huanhuan Fan
- Mental Health Center and Laboratory of Psychiatry, West China Hospital of Sichuan University, Chengdu, 610041, China
| | - Ruiqing Luo
- Mental Health Center and Laboratory of Psychiatry, West China Hospital of Sichuan University, Chengdu, 610041, China
- Chongqing Mental Health Center, Chongqing, China
| | - Yu Wang
- Mental Health Center and Laboratory of Psychiatry, West China Hospital of Sichuan University, Chengdu, 610041, China
| | - Yushun Yan
- Mental Health Center and Laboratory of Psychiatry, West China Hospital of Sichuan University, Chengdu, 610041, China
| | - Xiao Yang
- Mental Health Center and Laboratory of Psychiatry, West China Hospital of Sichuan University, Chengdu, 610041, China
| | - Min Wang
- Mental Health Center and Laboratory of Psychiatry, West China Hospital of Sichuan University, Chengdu, 610041, China
| | - Yikai Dou
- Mental Health Center and Laboratory of Psychiatry, West China Hospital of Sichuan University, Chengdu, 610041, China
| | - Rongjun Ni
- Mental Health Center and Laboratory of Psychiatry, West China Hospital of Sichuan University, Chengdu, 610041, China
| | - Jinxue Wei
- Mental Health Center and Laboratory of Psychiatry, West China Hospital of Sichuan University, Chengdu, 610041, China
| | - Wanqiu Yang
- School of Ethnology and Sociology, Yunnan University, Kunming, China
- School of Medicine, Yunnan University, Kunming, China
| | - Xiaohong Ma
- Mental Health Center and Laboratory of Psychiatry, West China Hospital of Sichuan University, Chengdu, 610041, China.
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Amoako I, Srem-Sai M, Quansah F, Anin S, Agormedah EK, Hagan Jnr JE. Moderation modelling of COVID-19 digital health literacy and sense of coherence across subjective social class and age among university students in Ghana. BMC Psychol 2023; 11:337. [PMID: 37845753 PMCID: PMC10580498 DOI: 10.1186/s40359-023-01334-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2022] [Accepted: 09/18/2023] [Indexed: 10/18/2023] Open
Abstract
BACKGROUND The study assessed the moderation modelling of digital health literacy and sense of coherence across subjective social class and age among university students in Ghana during the COVID-19 pandemic. METHODS A total of 1160 students were conveniently sampled from two universities namely, the University of Education, Winneba and University of Cape Coast, using the descriptive cross-sectional survey design. Preliminary analysis was performed using descriptive statistics, whilst multivariate multiple regression and moderation analyses (Haye's Model) were employed to analyze the main data. RESULTS The study revealed that COVID-19 digital health literacy is directly and positively associated with sense of coherence among university students. Further, higher subjective social class positively and strongly moderated the relationship between COVID-19 digital health literacy and sense of coherence among university students. Additionally, the relationship between COVID-19 digital health literacy and sense of coherence was indirectly prominent among relatively older university students than younger ones. CONCLUSIONS The findings have implications for university management/authorities and public health agencies to organize effective orientation and self-management training programmes for university students.
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Affiliation(s)
- Isaac Amoako
- Department of Education, Atebubu College of Education, Bono East, Ghana
- Department of Interdisciplinary Studies, Akenten Appiah-Minka University of Skills Training and Entrepreneurial Development, P. O. Box 1277, Kumasi, Ghana
| | - Medina Srem-Sai
- Department of Health, Physical Education, Recreation and Sports, University of Education, P. O. Box 25, Winneba, Ghana
| | - Frank Quansah
- Department of Educational Foundations, University of Education, P. O. Box 25, Winneba, Ghana
| | - Stephen Anin
- Department of Industrial and Health Sciences, Faculty of Applied Sciences, Takoradi Technical University, P.O. Box 256, Takoradi, WS000, Ghana
| | - Edmond Kwesi Agormedah
- Department of Business & Social Sciences Education, University of Cape Coast, PMB, Cape Coast, Ghana.
| | - John Elvis Hagan Jnr
- Department of Health, Physical Education and Recreation, University of Cape Coast, PMB, Cape Coast, Ghana
- Neurocognition and Action-Biomechanics-Research Group, Faculty of Psychology and Sports Science, Bielefeld University, Postfach 10 01 31, 33501, Bielefeld, Germany
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Lorini C, Cavallo G, Vettori V, Buscemi P, Ciardi G, Zanobini P, Okan O, Dadaczynski K, Lastrucci V, Bonaccorsi G. Predictors of well-being, future anxiety, and multiple recurrent health complaints among university students during the COVID-19 pandemic: the role of socioeconomic determinants, sense of coherence, and digital health literacy. An Italian cross-sectional study. Front Public Health 2023; 11:1210327. [PMID: 37799148 PMCID: PMC10548390 DOI: 10.3389/fpubh.2023.1210327] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2023] [Accepted: 09/05/2023] [Indexed: 10/07/2023] Open
Abstract
The pandemic deeply changed young adults' life. Lockdown period and the social restrictions dramatically affected university students' mental health. The aim of our cross-sectional study was to describe psychological well-being, future anxiety (FA), and health complaints (HCs) in a sample of 3,001 students of the University of Florence in the middle of the first two pandemic waves. We assessed the role of subjective social status, chronic diseases, sense of coherence (SoC), and digital health literacy (DHL) as predictors of psychological well-being, FA, and HCs. Students expressed high levels of FA and reported being disturbed by not being able to achieve their desired future goals. About 40% reported a low or a very low well-being and 19.1% experienced two or more subjective health complaints more than once a week. The likelihood of having a better mental health status significantly increased with increasing SoC and among males. Subjective Social Status proved to be a predictor for FA. Enhancing SoC could improve the health status of the university students during the pandemic and beyond.
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Affiliation(s)
- Chiara Lorini
- Department of Health Science, University of Florence, Florence, Italy
- Health Literacy Laboratory, Department of Health Science, University of Florence, Florence, Italy
| | - Giuseppe Cavallo
- Department of Health Science, University of Florence, Florence, Italy
- Health Literacy Laboratory, Department of Health Science, University of Florence, Florence, Italy
| | - Virginia Vettori
- Department of Health Science, University of Florence, Florence, Italy
- Health Literacy Laboratory, Department of Health Science, University of Florence, Florence, Italy
| | - Primo Buscemi
- School of Specialization in Public Health, University of Florence, Florence, Italy
| | - Giulia Ciardi
- School of Specialization in Public Health, University of Florence, Florence, Italy
| | - Patrizio Zanobini
- Department of Health Science, University of Florence, Florence, Italy
- Health Literacy Laboratory, Department of Health Science, University of Florence, Florence, Italy
| | - Orkan Okan
- Department of Sport and Health Sciences, Technical University Munich, Uptown München-Campus D, Munich, Germany
| | - Kevin Dadaczynski
- Department of Health Science, Fulda University of Applied Sciences, Fulda, Germany
- Center for Applied Health Sciences, Leuphana Universitat Lüneburg, Lüneburg, Germany
| | - Vieri Lastrucci
- Department of Health Science, University of Florence, Florence, Italy
- Epidemiology Unit, Meyer Children’s University Hospital, Florence, Italy
| | - Guglielmo Bonaccorsi
- Department of Health Science, University of Florence, Florence, Italy
- Health Literacy Laboratory, Department of Health Science, University of Florence, Florence, Italy
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Theron LC, Cockcroft K, Annalakshmi N, Rodgers JG, Akinduyo TE, Fouché A. Emerging Adult Resilience to the Early Stages of the COVID-Pandemic: A Systematic Scoping Review. Child Psychiatry Hum Dev 2023:10.1007/s10578-023-01585-y. [PMID: 37698747 DOI: 10.1007/s10578-023-01585-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 08/08/2023] [Indexed: 09/13/2023]
Abstract
Human resilience to COVID-19 related stressors remains a pressing concern following the aftereffects of the pandemic and in the face of probable future pandemics. In response, we systematically scoped the available literature (n = 2030 records) to determine the nature and extent of research on emerging adults' adaptive responses to COVID-19 stressors in the early stages of the pandemic. Using a multisystem resilience framework, our narrative review of 48 eligible studies unpacks the personal, relational, institutional and/or physical ecological resources that enabled positive emerging adult outcomes to COVID-18 stressors. We found that there is a geographical bias in studies on this topic, with majority world contexts poorly represented. Resources leading to positive outcomes foregrounded psychological and social support, while institutional and ecological supports were seldom mentioned. Multisystemic combinations of resources were rarely considered. This knowledge has valuable implications for understanding resilience in the context of other large-scale adverse conditions.
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Affiliation(s)
- L C Theron
- Department of Educational Psychology, University of Pretoria, Pretoria, South Africa.
- Faculty of Education, University of Pretoria, Groenkloof Campus, Pretoria, 0002, South Africa.
| | - K Cockcroft
- Department of Psychology, School of Human and Community Development, University of the Witwatersrand, Johannesburg, South Africa
| | - N Annalakshmi
- Psychology Department, Bharathiar University, Coimbatore, India
| | - J G Rodgers
- Department of Psychology, School of Health Sciences, North-West University, Vanderbijlpark, South Africa
| | - T E Akinduyo
- Department of Educational Psychology, University of Pretoria, Pretoria, South Africa
| | - A Fouché
- Department of Social Wellbeing, United Arab Emirates University, Al Ain, United Arab Emirates
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Lajunen T, Gaygısız E, Wang W. Students’ Emotions During Distance Education: The Role of Personality Factors and Sense of Coherence. SAGE OPEN 2023; 13. [DOI: 10.1177/21582440231157305] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/05/2025]
Abstract
During the COVID-19 pandemic, Swedish universities had to shift from face-to-face teaching to internet-based distant learning (DL). DL differs from classroom teaching and may have a negative impact on students’ emotions while studying. Students’ experiences related to DL may reflect their personality, resilience, that is, Sense of Coherence (SOC), and preference for the education method. In this study, students’ emotions related to DL and the relationship between personality factors, SOC and positive and negative emotions related to DL were studied. One hundred ninety-seven university students filled in an online survey about positive and negative emotions related to DL, personality factors (Big-5), SOC, frequency of applying COVID-19 distancing measures, and frequency and freedom to choose DL. The survey was completed in March-April 2021 (Sample 1), when all lectures were delivered from a distance and in November 2021 (Sample 2), when lectures were on the campus. There were no differences between the frequency of negative and positive emotions. Agreeableness (Sample 1) and Neuroticism (Sample 2) correlated positively with negative emotions. SOC correlated negatively with negative emotions in Sample 2. In regression analyses of the combined data, Agreeableness was positively and Openness to Experience was negatively related to negative emotions. Agreeableness was negatively and Openness to Experience positively related to positive emotions related to forced DL. DL—even forced one—has both positive and negative effects on students’ emotions. These effects depend on students’ personality characteristics to some degree. SOC might reduce the negative effects of forced distance learning.
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Affiliation(s)
- Timo Lajunen
- Department of Psychology, Norwegian University of Science and Technology (NTNU), Trondheim, Norway
- Department of Psychology, University of Gothenburg, Göteborg, Sweden
| | - Esma Gaygısız
- Department of Economics, Middle East Technical University, Ankara, Turkey
| | - Wei Wang
- Department of Psychology, Norwegian University of Science and Technology (NTNU), Trondheim, Norway
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