Flexibility predicts chronic anxiety and depression during the first year of the COVID-19 pandemic – A longitudinal investigation of mental health trajectories

Autor: Alla Hemi, Marie Roxanne Sopp, George Bonanno, Tanja Michael, Jed McGiffin, Einat Levy-Gigi
Rok vydání: 2022
Předmět:
Popis: The COVID-19 pandemic is a significant stressor potentially putting the well-being of the general population at risk. However, a significant proportion of the population exhibits resilience, raising questions regarding psychological constructs that could contribute to resilient coping. Studies indicate that flexibility, defined as the ability to adapt to changing contextual demands by employing a variety of emotional, cognitive, and behavioral strategies, may significantly contribute to coping with long-term stressors such as COVID-19. Cognitive and coping flexibility domains and longitudinal trajectories of anxiety and depression were assessed at three time points across a 13-months period in 571 Israelis. Analyses revealed four different trajectories for anxiety: resilient (66%), chronic (22%), emerging (7%) and improving (6%), and two trajectories for depression: resilient (87%) and chronic (13%). Individuals in the chronic trajectory group (for both anxiety and depression) exhibited lower levels of cognitive flexibility and coping flexibility as compared to individuals in the resilient trajectory group. Across time, anxiety and depression were linked to clinically significant PTSD-like symptoms. Cognitive and coping flexibility were linked to the probability of experiencing chronic mental health problems, making them a potential target for prevention and treatment.
Databáze: OpenAIRE