Adversity coping capability and its associations with mental health and family wellbeing amid the COVID-19 pandemic in Hong Kong

Abstract Background Adversity coping capability (ACC) is important amid the COVID-19 pandemic. We examined the associations of ACC as measured by our one-item ACC scale (ACC-1) with mental health, family well-being and validity of ACC-1 in Hong Kong. Methods A cross-sectional survey was conducted on...

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Main Authors: Wei Jie Gong, Shirley Man Man Sit, Agnes Yuen Kwan Lai, Nancy Xiaonan Yu, Man Ping Wang, Sai Yin Ho, Tai Hing Lam
Format: Article
Language:English
Published: BMC 2022-08-01
Series:BMC Psychiatry
Subjects:
Online Access:https://doi.org/10.1186/s12888-022-04198-2
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author Wei Jie Gong
Shirley Man Man Sit
Agnes Yuen Kwan Lai
Nancy Xiaonan Yu
Man Ping Wang
Sai Yin Ho
Tai Hing Lam
author_facet Wei Jie Gong
Shirley Man Man Sit
Agnes Yuen Kwan Lai
Nancy Xiaonan Yu
Man Ping Wang
Sai Yin Ho
Tai Hing Lam
author_sort Wei Jie Gong
collection DOAJ
description Abstract Background Adversity coping capability (ACC) is important amid the COVID-19 pandemic. We examined the associations of ACC as measured by our one-item ACC scale (ACC-1) with mental health, family well-being and validity of ACC-1 in Hong Kong. Methods A cross-sectional survey was conducted on Hong Kong Chinese adults aged ≥ 18 years by landline, mobile phone, and online survey from February to March 2021, when the fourth wave of COVID-19 was under control. ACC-1 consisted of the question: “How do you rate your capability to cope with adversities?” with higher scores (0–10) indicating stronger ACC. The associations of ACC with socioeconomic characteristics, resilience, mental health, and family wellbeing were examined by linear regression coefficients (βs). Data were weighted by sex, age, and education of the general population. Results Of 7441 respondents, after weighing, 52.2% were female and 79.1% were aged 18 to 64 years. ACC-1 showed good construct validity, with higher ACC being associated with higher levels of resilience (adjusted β = 0.29), personal happiness (0.55), family happiness (0.42), family wellbeing (0.41), and family communication quality (0.41), and lower levels of depressive symptoms (-0.30), anxiety (-0.30), loneliness (-0.15); incremental validity with additional contributions of ACC to mental health and family wellbeing; and known-group validity with older age and favorable socioeconomic characteristics showing higher ACC (all P < 0.02). Females (mean ± standard deviation: 6.04 ± 1.82 vs 6.15 ± 1.96 [male]) and unemployed respondents (5.30 ± 1.99 vs 6.11 ± 2.03 [in paid employment]) had lower ACC (all P ≤ 0.02). Conclusions We have first shown that stronger ACC was associated with better mental health and family wellbeing, and the results support ACC-1 as a simple and valid measure of ACC.
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spelling doaj.art-2c4d93dc210a4b578c080806574a228c2022-12-22T03:44:06ZengBMCBMC Psychiatry1471-244X2022-08-0122111110.1186/s12888-022-04198-2Adversity coping capability and its associations with mental health and family wellbeing amid the COVID-19 pandemic in Hong KongWei Jie Gong0Shirley Man Man Sit1Agnes Yuen Kwan Lai2Nancy Xiaonan Yu3Man Ping Wang4Sai Yin Ho5Tai Hing Lam6Department of General Practice, Health Science Center, Shenzhen UniversitySchool of Public Health, The University of Hong KongSchool of Nursing, The University of Hong KongDepartment of Social and Behavioral Sciences, City University of Hong KongSchool of Nursing, The University of Hong KongSchool of Public Health, The University of Hong KongSchool of Public Health, The University of Hong KongAbstract Background Adversity coping capability (ACC) is important amid the COVID-19 pandemic. We examined the associations of ACC as measured by our one-item ACC scale (ACC-1) with mental health, family well-being and validity of ACC-1 in Hong Kong. Methods A cross-sectional survey was conducted on Hong Kong Chinese adults aged ≥ 18 years by landline, mobile phone, and online survey from February to March 2021, when the fourth wave of COVID-19 was under control. ACC-1 consisted of the question: “How do you rate your capability to cope with adversities?” with higher scores (0–10) indicating stronger ACC. The associations of ACC with socioeconomic characteristics, resilience, mental health, and family wellbeing were examined by linear regression coefficients (βs). Data were weighted by sex, age, and education of the general population. Results Of 7441 respondents, after weighing, 52.2% were female and 79.1% were aged 18 to 64 years. ACC-1 showed good construct validity, with higher ACC being associated with higher levels of resilience (adjusted β = 0.29), personal happiness (0.55), family happiness (0.42), family wellbeing (0.41), and family communication quality (0.41), and lower levels of depressive symptoms (-0.30), anxiety (-0.30), loneliness (-0.15); incremental validity with additional contributions of ACC to mental health and family wellbeing; and known-group validity with older age and favorable socioeconomic characteristics showing higher ACC (all P < 0.02). Females (mean ± standard deviation: 6.04 ± 1.82 vs 6.15 ± 1.96 [male]) and unemployed respondents (5.30 ± 1.99 vs 6.11 ± 2.03 [in paid employment]) had lower ACC (all P ≤ 0.02). Conclusions We have first shown that stronger ACC was associated with better mental health and family wellbeing, and the results support ACC-1 as a simple and valid measure of ACC.https://doi.org/10.1186/s12888-022-04198-2Adversity coping capabilityResilienceCOVID-19Mental healthFamily wellbeing
spellingShingle Wei Jie Gong
Shirley Man Man Sit
Agnes Yuen Kwan Lai
Nancy Xiaonan Yu
Man Ping Wang
Sai Yin Ho
Tai Hing Lam
Adversity coping capability and its associations with mental health and family wellbeing amid the COVID-19 pandemic in Hong Kong
BMC Psychiatry
Adversity coping capability
Resilience
COVID-19
Mental health
Family wellbeing
title Adversity coping capability and its associations with mental health and family wellbeing amid the COVID-19 pandemic in Hong Kong
title_full Adversity coping capability and its associations with mental health and family wellbeing amid the COVID-19 pandemic in Hong Kong
title_fullStr Adversity coping capability and its associations with mental health and family wellbeing amid the COVID-19 pandemic in Hong Kong
title_full_unstemmed Adversity coping capability and its associations with mental health and family wellbeing amid the COVID-19 pandemic in Hong Kong
title_short Adversity coping capability and its associations with mental health and family wellbeing amid the COVID-19 pandemic in Hong Kong
title_sort adversity coping capability and its associations with mental health and family wellbeing amid the covid 19 pandemic in hong kong
topic Adversity coping capability
Resilience
COVID-19
Mental health
Family wellbeing
url https://doi.org/10.1186/s12888-022-04198-2
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