What Is the Role of Resilience and Coping Strategies on the Mental Health of the General Population during the COVID-19 Pandemic? Results from the Italian Multicentric COMET Study

The effects of the COVID-19 pandemic on mental health are now well documented, however, few studies have been focused on the role of coping strategies and resilience in counterbalancing these detrimental effects. Data are derived from the COvid Mental hEalth Trial (COMET), a national multicentric tr...

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Main Authors: Gaia Sampogna, Valeria Del Vecchio, Vincenzo Giallonardo, Mario Luciano, Umberto Albert, Claudia Carmassi, Giuseppe Carrà, Francesca Cirulli, Bernardo Dell’Osso, Giulia Menculini, Mariagiulia Nanni, Maurizio Pompili, Gabriele Sani, Umberto Volpe, Valeria Bianchini, Andrea Fiorillo
Format: Article
Language:English
Published: MDPI AG 2021-09-01
Series:Brain Sciences
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Online Access:https://www.mdpi.com/2076-3425/11/9/1231
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author Gaia Sampogna
Valeria Del Vecchio
Vincenzo Giallonardo
Mario Luciano
Umberto Albert
Claudia Carmassi
Giuseppe Carrà
Francesca Cirulli
Bernardo Dell’Osso
Giulia Menculini
Mariagiulia Nanni
Maurizio Pompili
Gabriele Sani
Umberto Volpe
Valeria Bianchini
Andrea Fiorillo
author_facet Gaia Sampogna
Valeria Del Vecchio
Vincenzo Giallonardo
Mario Luciano
Umberto Albert
Claudia Carmassi
Giuseppe Carrà
Francesca Cirulli
Bernardo Dell’Osso
Giulia Menculini
Mariagiulia Nanni
Maurizio Pompili
Gabriele Sani
Umberto Volpe
Valeria Bianchini
Andrea Fiorillo
author_sort Gaia Sampogna
collection DOAJ
description The effects of the COVID-19 pandemic on mental health are now well documented, however, few studies have been focused on the role of coping strategies and resilience in counterbalancing these detrimental effects. Data are derived from the COvid Mental hEalth Trial (COMET), a national multicentric trial carried out in the Italian general population. The final sample consisted of 20,720 participants, 53.1% (<i>n</i> = 11,000) of the sample reported low levels of resilience. Adaptive coping strategies and resilience levels did not have any significant protective impact on the levels of depressive, anxiety, and stress symptoms. Only self-distraction was a risk factor for poor mental health (Beta Coefficient, B = 0.1, 95% Confidence Interval, CI: 0.003 to 0.267 for stress symptoms; B = 0.2; 95% CI: 0.077 to 0.324 for anxiety symptoms and B = 0.2, 95% CI: 0.105 to 0.382 for depressive symptoms). High levels of resilience were predicted by adaptive coping strategies, such as acceptance (B = 1.8, CI 95% = 1.4–2.7). Exposure to the different weeks of lockdown, being infected by COVID-19, and being a healthcare professional did not influence the levels of resilience. Our findings should be carefully considered, since the low levels of resilience may represent the missing link between the pandemic and the current increase in mental health problems.
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spelling doaj.art-5c1833a957bc4e639bb2939caf93b9c62023-11-22T12:15:02ZengMDPI AGBrain Sciences2076-34252021-09-01119123110.3390/brainsci11091231What Is the Role of Resilience and Coping Strategies on the Mental Health of the General Population during the COVID-19 Pandemic? Results from the Italian Multicentric COMET StudyGaia Sampogna0Valeria Del Vecchio1Vincenzo Giallonardo2Mario Luciano3Umberto Albert4Claudia Carmassi5Giuseppe Carrà6Francesca Cirulli7Bernardo Dell’Osso8Giulia Menculini9Mariagiulia Nanni10Maurizio Pompili11Gabriele Sani12Umberto Volpe13Valeria Bianchini14Andrea Fiorillo15Department of Psychiatry, University of Campania Luigi Vanvitelli, Largo Madonna delle Grazie, 80138 Naples, ItalyDepartment of Psychiatry, University of Campania Luigi Vanvitelli, Largo Madonna delle Grazie, 80138 Naples, ItalyDepartment of Psychiatry, University of Campania Luigi Vanvitelli, Largo Madonna delle Grazie, 80138 Naples, ItalyDepartment of Psychiatry, University of Campania Luigi Vanvitelli, Largo Madonna delle Grazie, 80138 Naples, ItalyDepartment of Medicine, Surgery and Health Sciences, University of Trieste, 34128 Trieste, ItalyDepartment of Clinical and Experimental Medicine, University of Pisa, 56126 Pisa, ItalyDepartment of Medicine and Surgery, University of Milan Bicocca, 20126 Milano, ItalyCenter for Behavioral Sciences and Mental Health, National Institute of Health, 00161 Rome, ItalyDepartment of Mental Health, Department of Biomedical and Clinical Sciences “Luigi Sacco”, University of Milan, 20157 Milan, ItalyDepartment of Psychiatry, University of Perugia, 06123 Perugia, ItalyDepartment of Biomedical and Specialty Surgical Sciences, Institute of Psychiatry, University of Ferrara, 44121 Ferrara, ItalyDepartment of Neurosciences, Mental Health and Sensory Organs, Faculty of Medicine and Psychology, Sapienza University of Rome, 00185 Roma, ItalyDepartment of Neuroscience, Section of Psychiatry, University Cattolica del Sacro Cuore, 00168 Rome, ItalyClinical Psychiatry Unit, Department of Clinical Neurosciences, Università Politecnica delle Marche, 60121 Ancona, ItalyDepartment of Life, Health and Environmental Sciences, Psychiatric Unit: Trattamenti Riabilitativi Psicosociali, Interventi Precoci, TRIP, Psychosocial Rehabilitation Treatment, Early Interventions University Unit, University of L’Aquila, 67100 L’Aquila, ItalyDepartment of Psychiatry, University of Campania Luigi Vanvitelli, Largo Madonna delle Grazie, 80138 Naples, ItalyThe effects of the COVID-19 pandemic on mental health are now well documented, however, few studies have been focused on the role of coping strategies and resilience in counterbalancing these detrimental effects. Data are derived from the COvid Mental hEalth Trial (COMET), a national multicentric trial carried out in the Italian general population. The final sample consisted of 20,720 participants, 53.1% (<i>n</i> = 11,000) of the sample reported low levels of resilience. Adaptive coping strategies and resilience levels did not have any significant protective impact on the levels of depressive, anxiety, and stress symptoms. Only self-distraction was a risk factor for poor mental health (Beta Coefficient, B = 0.1, 95% Confidence Interval, CI: 0.003 to 0.267 for stress symptoms; B = 0.2; 95% CI: 0.077 to 0.324 for anxiety symptoms and B = 0.2, 95% CI: 0.105 to 0.382 for depressive symptoms). High levels of resilience were predicted by adaptive coping strategies, such as acceptance (B = 1.8, CI 95% = 1.4–2.7). Exposure to the different weeks of lockdown, being infected by COVID-19, and being a healthcare professional did not influence the levels of resilience. Our findings should be carefully considered, since the low levels of resilience may represent the missing link between the pandemic and the current increase in mental health problems.https://www.mdpi.com/2076-3425/11/9/1231resiliencecoping strategiestraumapandemicmental health
spellingShingle Gaia Sampogna
Valeria Del Vecchio
Vincenzo Giallonardo
Mario Luciano
Umberto Albert
Claudia Carmassi
Giuseppe Carrà
Francesca Cirulli
Bernardo Dell’Osso
Giulia Menculini
Mariagiulia Nanni
Maurizio Pompili
Gabriele Sani
Umberto Volpe
Valeria Bianchini
Andrea Fiorillo
What Is the Role of Resilience and Coping Strategies on the Mental Health of the General Population during the COVID-19 Pandemic? Results from the Italian Multicentric COMET Study
Brain Sciences
resilience
coping strategies
trauma
pandemic
mental health
title What Is the Role of Resilience and Coping Strategies on the Mental Health of the General Population during the COVID-19 Pandemic? Results from the Italian Multicentric COMET Study
title_full What Is the Role of Resilience and Coping Strategies on the Mental Health of the General Population during the COVID-19 Pandemic? Results from the Italian Multicentric COMET Study
title_fullStr What Is the Role of Resilience and Coping Strategies on the Mental Health of the General Population during the COVID-19 Pandemic? Results from the Italian Multicentric COMET Study
title_full_unstemmed What Is the Role of Resilience and Coping Strategies on the Mental Health of the General Population during the COVID-19 Pandemic? Results from the Italian Multicentric COMET Study
title_short What Is the Role of Resilience and Coping Strategies on the Mental Health of the General Population during the COVID-19 Pandemic? Results from the Italian Multicentric COMET Study
title_sort what is the role of resilience and coping strategies on the mental health of the general population during the covid 19 pandemic results from the italian multicentric comet study
topic resilience
coping strategies
trauma
pandemic
mental health
url https://www.mdpi.com/2076-3425/11/9/1231
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