Relationship between self-care activities, stress and well-being during COVID-19 lockdown: a cross-cultural mediation model.

Autor: Luis E; School of Education and Psychology, University of Navarra, Pamplona, Spain.; IdiSNA, Navarre Institute of Health Research, Pamplona, Spain., Bermejo-Martins E; IdiSNA, Navarre Institute of Health Research, Pamplona, Spain ebermejo@unav.es.; Faculty of Nursing, Department of Community Nursing and Midwifery, University of Navarra, Pamplona, Spain., Martinez M; School of Education and Psychology, University of Navarra, Pamplona, Spain.; IdiSNA, Navarre Institute of Health Research, Pamplona, Spain., Sarrionandia A; Faculty of Psychology, University of the Basque Country, Donostia, Spain., Cortes C; Faculty of Psychology, Universidad del Desarrollo, Santiago de Chile, Chile., Oliveros EY; School of Psychology, University of San Buenaventura, Bogotá, Colombia., Garces MS; Neuroscience Institute, Universidad San Francisco de Quito, Quito, Ecuador., Oron JV; UpToYou Fundation, Pamplona, Spain., Fernández-Berrocal P; Faculty of Psychology, University of Malaga, Malaga, Spain.
Jazyk: angličtina
Zdroj: BMJ open [BMJ Open] 2021 Dec 15; Vol. 11 (12), pp. e048469. Date of Electronic Publication: 2021 Dec 15.
DOI: 10.1136/bmjopen-2020-048469
Abstrakt: Objectives: To examine the mediation role of self-care between stress and psychological well-being in the general population of four countries and to assess the impact of sociodemographic variables on this relationship.
Design: Cross-sectional, online survey.
Participants: A stratified sample of confined general population (N=1082) from four Ibero-American countries-Chile (n=261), Colombia (n=268), Ecuador (n=282) and Spain (n=271)-balanced by age and gender.
Primary Outcomes Measures: Sociodemographic information (age, gender, country, education and income level), information related to COVID-19 lockdown (number of days in quarantine, number of people with whom the individuals live, absence/presence of adults and minors in charge and attitude towards the search of information related to COVID-19), Perceived Stress Scale-10, Ryff's Psychological Well-Being Scale-29 and Self-Care Activities Screening Scale-14.
Results: Self-care partially mediates the relationship between stress and well-being during COVID-19 confinement in the general population in the total sample ( F (3,1078)=370.01, p<0.001, R 2 =0.507) and in each country. On the other hand, among the evaluated sociodemographic variables, only age affects this relationship.
Conclusion: The results have broad implications for public health, highlighting the importance of promoting people's active role in their own care and health behaviour to improve psychological well-being if stress management and social determinants of health are jointly addressed first. The present study provides the first transnational evidence from the earlier stages of the COVID-19 lockdown, showing that the higher perception of stress, the less self-care activities are adopted, and in turn the lower the beneficial effects on well-being.
Competing Interests: Competing interests: None declared.
(© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze: MEDLINE