Uncertainty stress and self-rated health during the early stage of the COVID-19 outbreak

ABSTRACTObjectives The COVID-19 crisis caused unparalleled uncertainty stress and health-related symptoms among Chinese residents. This study aimed to characterize stress status during the early stage of the pandemic and explore the inner mechanism between uncertainty stress and self-rated health.Se...

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Main Authors: Zan Zhu, Dan Wu, Kaigong Wei, Yingbi Liu, Zhe Xu, Guihua Jiao, Lingwei Yu, Alyx Taylor, Liye Zou
Format: Article
Language:English
Published: Taylor & Francis Group 2023-12-01
Series:Health Psychology and Behavioral Medicine
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/21642850.2023.2173202
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author Zan Zhu
Dan Wu
Kaigong Wei
Yingbi Liu
Zhe Xu
Guihua Jiao
Lingwei Yu
Alyx Taylor
Liye Zou
author_facet Zan Zhu
Dan Wu
Kaigong Wei
Yingbi Liu
Zhe Xu
Guihua Jiao
Lingwei Yu
Alyx Taylor
Liye Zou
author_sort Zan Zhu
collection DOAJ
description ABSTRACTObjectives The COVID-19 crisis caused unparalleled uncertainty stress and health-related symptoms among Chinese residents. This study aimed to characterize stress status during the early stage of the pandemic and explore the inner mechanism between uncertainty stress and self-rated health.Setting/participants A cross-sectional design was conducted online from February 7 to 14, 2020. A total of 2534 Chinese participants were surveyed.Main outcome measures Uncertainty stress, negative affect, sleep quality, and health status were measured by self-report. A sequential mediation model using bootstrapping method was applied to test these relationships.Results Age, place of residence, marital status, occupation, household annual income, infection, and quarantine status significantly correlated with uncertainty stress. Higher uncertainty stress was negatively related with self-rated health (r = −0.256, p < 0.01) and positively associated with higher negative emotions (r = 0.646, p < 0.01). The sequential mediation model found total indirect effect (β = −0.014, 95%C.I. = −0.017−0.010) and direct effect (β = −0.010, 95%C.I. = −0.015−0.005) were significant in the relationship between uncertainty stress and self-rated health with mediating by negative affect and subjective sleep quality.Conclusions Findings provided evidence-based information for stakeholders designing and implementing intervention strategies by providing psychological consultation services and public education to manage uncertainty stress and minimize the damage of negative affect and poor sleep.
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spelling doaj.art-309eba9fd954465fae085c65c05b975e2024-03-25T16:25:58ZengTaylor & Francis GroupHealth Psychology and Behavioral Medicine2164-28502023-12-0111110.1080/21642850.2023.2173202Uncertainty stress and self-rated health during the early stage of the COVID-19 outbreakZan Zhu0Dan Wu1Kaigong Wei2Yingbi Liu3Zhe Xu4Guihua Jiao5Lingwei Yu6Alyx Taylor7Liye Zou8Hwa Mei Hospital, University of Chinese Academy of Sciences, Ningbo, Zhejiang, People’s Republic of ChinaSchool of Psychology/ Shenzhen Humanities &amp; Social Sciences Key Research Bases of the Center for Mental Health, Shenzhen University, Shenzhen, Guangdong, People’s Republic of ChinaSchool of Psychology/ Shenzhen Humanities &amp; Social Sciences Key Research Bases of the Center for Mental Health, Shenzhen University, Shenzhen, Guangdong, People’s Republic of ChinaSchool of Psychology/ Shenzhen Humanities &amp; Social Sciences Key Research Bases of the Center for Mental Health, Shenzhen University, Shenzhen, Guangdong, People’s Republic of ChinaSchool of Psychology/ Shenzhen Humanities &amp; Social Sciences Key Research Bases of the Center for Mental Health, Shenzhen University, Shenzhen, Guangdong, People’s Republic of ChinaDepartment of Psychology/Research Center on Quality of Life and Applied Psychology, Guangdong Medical University, Dongguan, Guangdong, People’s Republic of ChinaCenter for Tobacco Control Research, Zhejiang University School of Medicine, Hangzhou, Zhejiang, People’s Republic of ChinaSchool of Rehabilitation, Sport and Psychology /Research Centre for Health, Exercise and Sports Science, AECC University College, Bournemouth, EnglandSchool of Psychology/ Shenzhen Humanities &amp; Social Sciences Key Research Bases of the Center for Mental Health, Shenzhen University, Shenzhen, Guangdong, People’s Republic of ChinaABSTRACTObjectives The COVID-19 crisis caused unparalleled uncertainty stress and health-related symptoms among Chinese residents. This study aimed to characterize stress status during the early stage of the pandemic and explore the inner mechanism between uncertainty stress and self-rated health.Setting/participants A cross-sectional design was conducted online from February 7 to 14, 2020. A total of 2534 Chinese participants were surveyed.Main outcome measures Uncertainty stress, negative affect, sleep quality, and health status were measured by self-report. A sequential mediation model using bootstrapping method was applied to test these relationships.Results Age, place of residence, marital status, occupation, household annual income, infection, and quarantine status significantly correlated with uncertainty stress. Higher uncertainty stress was negatively related with self-rated health (r = −0.256, p < 0.01) and positively associated with higher negative emotions (r = 0.646, p < 0.01). The sequential mediation model found total indirect effect (β = −0.014, 95%C.I. = −0.017−0.010) and direct effect (β = −0.010, 95%C.I. = −0.015−0.005) were significant in the relationship between uncertainty stress and self-rated health with mediating by negative affect and subjective sleep quality.Conclusions Findings provided evidence-based information for stakeholders designing and implementing intervention strategies by providing psychological consultation services and public education to manage uncertainty stress and minimize the damage of negative affect and poor sleep.https://www.tandfonline.com/doi/10.1080/21642850.2023.2173202Uncertainty stressnegative affectsubjective sleep qualityself-rated health
spellingShingle Zan Zhu
Dan Wu
Kaigong Wei
Yingbi Liu
Zhe Xu
Guihua Jiao
Lingwei Yu
Alyx Taylor
Liye Zou
Uncertainty stress and self-rated health during the early stage of the COVID-19 outbreak
Health Psychology and Behavioral Medicine
Uncertainty stress
negative affect
subjective sleep quality
self-rated health
title Uncertainty stress and self-rated health during the early stage of the COVID-19 outbreak
title_full Uncertainty stress and self-rated health during the early stage of the COVID-19 outbreak
title_fullStr Uncertainty stress and self-rated health during the early stage of the COVID-19 outbreak
title_full_unstemmed Uncertainty stress and self-rated health during the early stage of the COVID-19 outbreak
title_short Uncertainty stress and self-rated health during the early stage of the COVID-19 outbreak
title_sort uncertainty stress and self rated health during the early stage of the covid 19 outbreak
topic Uncertainty stress
negative affect
subjective sleep quality
self-rated health
url https://www.tandfonline.com/doi/10.1080/21642850.2023.2173202
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