Shaped by the COVID-19 pandemic

Autor(en)
Irina Zrnić Novaković, Dean Ajduković, Helena Bakić, Camila Borges, Margarida Figueiredo-Braga, Annett Lotzin, Xenia Anastassiou-Hadjicharalambous, Chrysanthi Lioupi, Jana Darejan Javakhishvili, Lela Tsiskarishvili, Brigitte Lueger-Schuster
Abstrakt

BACKGROUND: Contextual factors are essential for understanding long-term adjustment to the COVID-19 pandemic. Therefore, the present study investigated changes in mental health outcomes and subjective pandemic-related experiences over time and across countries. The main objective was to explore how psychological responses vary in relation to individual and environmental factors.

METHODS: The sample consisted of N = 1070 participants from the general population of Austria, Croatia, Georgia, Greece, and Portugal. We applied a longitudinal mixed-methods approach, with baseline assessment in summer and autumn 2020 (T1) and follow-up assessment 12 months later (T2). Qualitative content analysis by Mayring was used to analyse open-ended questions about stressful events, positive and negative aspects of the pandemic, and recommendations on how to cope. Mental health outcomes were assessed with the Adjustment Disorder-New Module 8 (ADNM-8), the Primary Care PTSD Screen for DSM-5 (PC-PTSD-5), the Patient Health Questionnaire-2 (PHQ-2), and the 5-item World Health Organization Well-Being Index (WHO-5). The analyses were performed with SPSS Statistics Version 26 and MAXQDA 2022.

RESULTS: The mental health outcomes significantly differed over time and across countries, with e.g. Greek participants showing decrease in adjustment disorder symptoms (p = .007) between T1 and T2. Compared with other countries, we found better mental health outcomes in the Austrian and the Croatian sample at both timepoints (p < .05). Regarding qualitative data, some themes were equally represented at both timepoints (e.g. Restrictions and changes in daily life), while others were more prominent at T1 (e.g. Work and finances) or T2 (e.g. Vaccination issues).

CONCLUSIONS: Our findings indicate that people's reactions to the pandemic are largely shaped by the shifting context of the pandemic, country-specific factors, and individual characteristics and circumstances. Resource-oriented interventions focusing on psychological flexibility might promote resilience and mental health amidst the COVID-19 pandemic and other global crises.

Organisation(en)
Institut für Klinische und Gesundheitspsychologie
Externe Organisation(en)
University of Zagreb, Universidade de Coimbra, Universidade do Porto, Universitätsklinikum Hamburg-Eppendorf, University of Nicosia, Ilia State University
Journal
PLoS ONE
Band
18
ISSN
1932-6203
DOI
https://doi.org/10.1371/journal.pone.0285078
Publikationsdatum
04-2023
Peer-reviewed
Ja
ÖFOS 2012
501010 Klinische Psychologie
Schlagwörter
ASJC Scopus Sachgebiete
General
Sustainable Development Goals
SDG 3 – Gesundheit und Wohlergehen
Link zum Portal
https://ucrisportal.univie.ac.at/de/publications/shaped-by-the-covid19-pandemic(8075ca84-a946-4fe9-ba89-8975c3fbf4f2).html