Resilience of people with chronic medical conditions during the COVID-19 pandemic: a 1-year longitudinal prospective survey.
Journal: BMC psychiatry
Volume: 22
Issue: 1
Year of Publication: 2022
Affiliated Institutions:
Department of Human Neurosciences, Sapienza University of Rome, Rome, Italy. lorenzo.tarsitani@uniroma.it.
Department of Human Neurosciences, Sapienza University of Rome, Rome, Italy.
WHO Collaborating Centre for Research and Training in Mental Health and Service Evaluation, Department of Neuroscience, Biomedicine and Movement Sciences, University of Verona, Verona, Italy.
Department of Clinical, Neuro-, and Developmental Psychology and WHO Collaborating Center for Research and Dissemination of Psychological Interventions, Vrije Universiteit, Amsterdam, the Netherlands.
Department of Psychology, Koc University, Istanbul, Turkey.
Department of Clinical Neuroscience, Division of Insurance Medicine, Karolinska Institutet, Berzelius väg , , Stockholm, Sweden.
School of Psychology, University of New South Wales, Sydney, Australia.
Department of Education and Psychology, Division of Clinical Psychological Intervention, Freie Universität Berlin, Berlin, Germany.
Université Paris-Saclay, UVSQ, Inserm, CESP, , Villejuif, France.
Department of Psychology and Sociology, Universidad de Zaragoza (Teruel), Teruel, Spain.
Department of Anthropology, Yale University, New Haven, USA.
Department of Health Services Research and Policy, London School of Hygiene and Tropical Medicine, Tavistock Place, London, UK.
Center for Global Health Equity, NYU Shanghai, Shanghai, People's Republic of China.
Department of Clinical, Neuro-, and Developmental Psychology, Vrije Universiteit, Amsterdam, the Netherlands.
Centre for Macau Studies, University of Macau, Macau, SAR, People's Republic of China.
Department of Marketing, School of Business and Economics, Vrije Universiteit, Amsterdam, The Netherlands.
Department of Consultation-Liaison Psychiatry and Psychosomatic Medicine, University Hospital of Zurich, University of Zurich, Zurich, Switzerland.
Faculty of Psychology, Universitas Padjadjaran, Jatinangor, Indonesia.
Department of Basic, Clinical Psychology and Psychobiology, Universitat Jaume I, Castellón, Spain.
Department of Psychiatry, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.
INSERM U, Sorbonne Université, Institut Pierre Louis d'Épidémiologie et de Santé Publique, Social Epidemiology Research Team, Paris, France.
Abstract summary
Individuals with chronic medical conditions are considered highly exposed to COVID-19 pandemic stress, but emerging evidence is demonstrating that resilience is common even among them. We aimed at identifying sustained resilient outcomes and their predictors in chronically ill people during the first year of the pandemic.This international 4-wave 1-year longitudinal online survey included items on socio-demographic characteristics, economic and living situation, lifestyle and habits, pandemic-related issues, and history of mental disorders. Adherence to and approval of imposed restrictions, trust in governments and in scientific community during the pandemic were also investigated. The following tools were administered: the Patient Health Questionnaire, the Generalized Anxiety Disorder scale, the PTSD Checklist DSM-5, the Oslo Social Support Scale, the Padua Inventory, and the Portrait Values Questionnaire.One thousand fifty-two individuals reporting a chronic condition out of 8011 total participants from 13 countries were included in the study, and 965 had data available for the final model. The estimated probability of being "sustained-resilient" was 34%. Older male individuals, participants employed before and during the pandemic or with perceived social support were more likely to belong to the sustained-resilience group. Loneliness, a previous mental disorder, high hedonism, fear of COVID-19 contamination, concern for the health of loved ones, and non-approving pandemic restrictions were predictors of not-resilient outcomes in our sample.We found similarities and differences from established predictors of resilience and identified some new ones specific to pandemics. Further investigation is warranted and could inform the design of resilience-building interventions in people with chronic diseases.
Authors & Co-authors:
Tarsitani Lorenzo L
Pinucci Irene I
Tedeschi Federico F
Patanè Martina M
Papola Davide D
Palantza Christina C
Acarturk Ceren C
Björkenstam Emma E
Bryant Richard R
Burchert Sebastian S
Davisse-Paturet Camille C
Díaz-García Amanda A
Farrel Rachel R
Fuhr Daniela C DC
Hall Brian J BJ
Huizink Anja C AC
Lam Agnes Iok Fong AIF
Kurt Gülşah G
Leijen Ingmar I
Mittendorfer-Rutz Ellenor E
Morina Naser N
Panter-Brick Catherine C
Purba Fredrick Dermawan FD
Quero Soledad S
Seedat Soraya S
Setyowibowo Hari H
van der Waerden Judith J
Pasquini Massimo M
Sijbrandij Marit M
Barbui Corrado C
Study Outcome
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