Coping style, social support and psychological distress in the general Chinese population in the early stages of the COV
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RESEARCH ARTICLE
Open Access
Coping style, social support and psychological distress in the general Chinese population in the early stages of the COVID-19 epidemic Hua Yu1†, Mingli Li1†, Zhixiong Li2, Weiyi Xiang3, Yiwen Yuan1, Yaya Liu1, Zhe Li1*
and Zhenzhen Xiong4
Abstract Background: The purpose of this study was to investigate the psychological status of the general population in mainland China during the outbreak of coronavirus disease 2019 (COVID-19), and to explore the factors influencing psychological distress, in order to provide the basis for further psychological intervention programs. Methods: We administered three questionnaires on-line to a convenience sample of the general population from different regions of mainland China from February 1 to February 4, 2020. We used the Mandarin versions of the sixitem Kessler psychological distress scale (K6), the Simplified Coping Style Questionnaire (SCSQ), and the Social Support Rating Scale (SSRS). We also collected demographic data and other information related to the COVID-19 outbreak. Multivariate binary logistic regression analysis was used to identify factors influencing psychological distress. Results: Of 1607 respondents, 1588 returned valid questionnaires and were included in the analysis. Nearly one quarter (22.8%) had high levels of psychological distress (K6 score ≥ 13). Individuals with higher psychological distress were more likely to be unmarried, spend more than 6 h per day searching for information about COVID-19, more frequently adopt a passive coping style, and report less social support than those with lower psychological distress. Conclusions: The COVID-19 outbreak in China has a great impact on the mental health status of the general population. Active coping strategies and increased social support are significantly correlated with decreased psychological distress, and may serve as the basis for psychological interventions. Keywords: COVID-19, Psychological distress, Coping style, Social support, Cross-sectional
* Correspondence: [email protected] † Hua Yu and Mingli Li contributed equally to this work. 1 Mental Health Center and National Clinical Research Center for Geriatrics, West China Hospital, Sichuan University, No. 28 Dian Xin Nan Road, Chengdu 610041, Sichuan, China Full list of author information is available at the end of the article © The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the p
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