A chain mediation model on COVID-19 symptoms and mental health outcomes in Americans, Asians and Europeans

作者：Cuiyan Wang, Agata Chudzicka‐Czupała, Michael Tee, María Inmaculada López Núñez, Connor Tripp, Mohammad Ali Fardin, Hina Ayaz Habib, Bach Xuan Tran, Katarzyna Adamus, Joseph P. Anlacan, Marta Evelia Aparicio García, Damian Grabowski, Shahzad Hussain, Men Thi Hoang, Mateusz Hetnał, Xuan T. Le, Wenfang Ma, Hai Quang Pham, Patrick Wincy C. Reyes, Mahmoud Shirazi, Yilin Tan, Cherica Tee, Linkang Xu, Ziqi Xu, Giang Thu Vu, Danqing Zhou, Natalie Chan, Vipat Kuruchittham, Roger S. McIntyre, Cyrus S. H. Ho, Roger Ho, Samuel F. Sears · 发表于：Scientific Reports · 年份：2021 · DOI：10.1038/s41598-021-85943-7 · 被引用次数：223 · 研究领域：COVID-19 and Mental Health、Mental Health Treatment and Access、Mental Health Research Topics

The novel Coronavirus-2019 (COVID-19) was declared a pandemic by the World Health Organization (WHO) in March 2020, impacting the lifestyles, economy, physical and mental health of individuals globally. This study aimed to test the model triggered by physical symptoms resembling COVID-19 infection, in which the need for health information and perceived impact of the pandemic mediated the path sequentially, leading to adverse mental health outcomes. A cross-sectional research design with chain mediation model involving 4612 participants from participating 8 countries selected via a respondent-driven sampling strategy was used. Participants completed online questionnaires on physical symptoms, the need for health information, the Impact of Event Scale-Revised (IES-R) questionnaire and Depression, Anxiety and Stress Scale (DASS-21). The results showed that Poland and the Philippines were the two countries with the highest levels of anxiety, depression and stress; conversely, Vietnam had the lowest mean scores in these areas. Chain mediation model showed the need for health information, and the perceived impact of the pandemic were sequential mediators between physical symptoms resembling COVID-19 infection (predictor) and consequent mental health status (outcome). Excessive and contradictory health information might increase the perceived impact of the pandemic. Rapid COVID-19 testing should be implemented to minimize the psychological burden associated with physical symptoms, w...