A confirmatory factor analysis of a cognitive model of COVID-19 related anxiety and depression

The mental health impact of the COVID-19 pandemic has been significant, with many regions across the globe reporting significant increases in anxiety, depression, trauma, and insomnia. This study aims to validate a potential cognitive model of maintenance factors of COVID-19 related distress by exam...

Full description

Bibliographic Details
Main Authors: Aurora Katharina Delz, Keith Gaynor, Rachael O'Connor, Luisa Schmieder, Ellen Somers
Format: Article
Language:English
Published: Elsevier 2023-04-01
Series:Acta Psychologica
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0001691823000379
_version_ 1797870590647861248
author Aurora Katharina Delz
Keith Gaynor
Rachael O'Connor
Luisa Schmieder
Ellen Somers
author_facet Aurora Katharina Delz
Keith Gaynor
Rachael O'Connor
Luisa Schmieder
Ellen Somers
author_sort Aurora Katharina Delz
collection DOAJ
description The mental health impact of the COVID-19 pandemic has been significant, with many regions across the globe reporting significant increases in anxiety, depression, trauma, and insomnia. This study aims to validate a potential cognitive model of maintenance factors of COVID-19 related distress by examining psychological predictors of distress, and their goodness-of-fit as a coherent model. Participants from the general population (n = 555) were recruited using a cross-sectional on-line survey design, assessing Demographic factors, Anxiety, Depression, Loneliness, COVID-19 related distress, Trauma Cognitions related to COVID-19, Rumination, Safety Behaviours, Personality Factors, and Mental Effort related to COVID-19. A series of stepwise linear regressions found that components of the model were significant and accounted for a large percentage of variance when examining Covid-19 related distress (R2 = 0.447 Covid Stress Scale), Anxiety (R2 = 0.536 DASS-Anxiety Subscale) and Depression (R2 = 0.596 Depression DASS-subscale). In a confirmatory factor analysis, Loneliness, Post-Traumatic Cognitions about Self, Post-Traumatic Cognitions about the World, Emotional Stability, and Mental Effort related to COVID-19 loaded onto a single factor. The final model showed adequate fit (CFI = 0.990, TLI = 0.983, RMSEA = 0.053 (0.027–0.080), GFI = 0.986, SRMR = 0.0216, χ2 = 23.087, p = .006). The results highlight the importance of cognitive factors, such as post-traumatic cognitions, rumination, and mental effort in maintaining COVID-19 related distress.
first_indexed 2024-04-10T00:30:54Z
format Article
id doaj.art-67a3a073450246388b2275c9f21c1aa7
institution Directory Open Access Journal
issn 0001-6918
language English
last_indexed 2024-04-10T00:30:54Z
publishDate 2023-04-01
publisher Elsevier
record_format Article
series Acta Psychologica
spelling doaj.art-67a3a073450246388b2275c9f21c1aa72023-03-15T04:27:12ZengElsevierActa Psychologica0001-69182023-04-01234103861A confirmatory factor analysis of a cognitive model of COVID-19 related anxiety and depressionAurora Katharina Delz0Keith Gaynor1Rachael O'Connor2Luisa Schmieder3Ellen Somers4School of Psychology, University College Dublin, Dublin, IrelandDETECT, Early Intervention in Psychosis Service, Blackrock, Dublin, Ireland; Corresponding author at: School of Psychology, University College Dublin, Belfield, Dublin 4, Ireland.School of Psychology, University College Dublin, Dublin, IrelandSchool of Psychology, University College Dublin, Dublin, IrelandSchool of Psychology, University College Dublin, Dublin, IrelandThe mental health impact of the COVID-19 pandemic has been significant, with many regions across the globe reporting significant increases in anxiety, depression, trauma, and insomnia. This study aims to validate a potential cognitive model of maintenance factors of COVID-19 related distress by examining psychological predictors of distress, and their goodness-of-fit as a coherent model. Participants from the general population (n = 555) were recruited using a cross-sectional on-line survey design, assessing Demographic factors, Anxiety, Depression, Loneliness, COVID-19 related distress, Trauma Cognitions related to COVID-19, Rumination, Safety Behaviours, Personality Factors, and Mental Effort related to COVID-19. A series of stepwise linear regressions found that components of the model were significant and accounted for a large percentage of variance when examining Covid-19 related distress (R2 = 0.447 Covid Stress Scale), Anxiety (R2 = 0.536 DASS-Anxiety Subscale) and Depression (R2 = 0.596 Depression DASS-subscale). In a confirmatory factor analysis, Loneliness, Post-Traumatic Cognitions about Self, Post-Traumatic Cognitions about the World, Emotional Stability, and Mental Effort related to COVID-19 loaded onto a single factor. The final model showed adequate fit (CFI = 0.990, TLI = 0.983, RMSEA = 0.053 (0.027–0.080), GFI = 0.986, SRMR = 0.0216, χ2 = 23.087, p = .006). The results highlight the importance of cognitive factors, such as post-traumatic cognitions, rumination, and mental effort in maintaining COVID-19 related distress.http://www.sciencedirect.com/science/article/pii/S0001691823000379COVID-19Cognitive Behavioural TherapyCBTPredictive modelConfirmatory factor analysis
spellingShingle Aurora Katharina Delz
Keith Gaynor
Rachael O'Connor
Luisa Schmieder
Ellen Somers
A confirmatory factor analysis of a cognitive model of COVID-19 related anxiety and depression
Acta Psychologica
COVID-19
Cognitive Behavioural Therapy
CBT
Predictive model
Confirmatory factor analysis
title A confirmatory factor analysis of a cognitive model of COVID-19 related anxiety and depression
title_full A confirmatory factor analysis of a cognitive model of COVID-19 related anxiety and depression
title_fullStr A confirmatory factor analysis of a cognitive model of COVID-19 related anxiety and depression
title_full_unstemmed A confirmatory factor analysis of a cognitive model of COVID-19 related anxiety and depression
title_short A confirmatory factor analysis of a cognitive model of COVID-19 related anxiety and depression
title_sort confirmatory factor analysis of a cognitive model of covid 19 related anxiety and depression
topic COVID-19
Cognitive Behavioural Therapy
CBT
Predictive model
Confirmatory factor analysis
url http://www.sciencedirect.com/science/article/pii/S0001691823000379
work_keys_str_mv AT aurorakatharinadelz aconfirmatoryfactoranalysisofacognitivemodelofcovid19relatedanxietyanddepression
AT keithgaynor aconfirmatoryfactoranalysisofacognitivemodelofcovid19relatedanxietyanddepression
AT rachaeloconnor aconfirmatoryfactoranalysisofacognitivemodelofcovid19relatedanxietyanddepression
AT luisaschmieder aconfirmatoryfactoranalysisofacognitivemodelofcovid19relatedanxietyanddepression
AT ellensomers aconfirmatoryfactoranalysisofacognitivemodelofcovid19relatedanxietyanddepression
AT aurorakatharinadelz confirmatoryfactoranalysisofacognitivemodelofcovid19relatedanxietyanddepression
AT keithgaynor confirmatoryfactoranalysisofacognitivemodelofcovid19relatedanxietyanddepression
AT rachaeloconnor confirmatoryfactoranalysisofacognitivemodelofcovid19relatedanxietyanddepression
AT luisaschmieder confirmatoryfactoranalysisofacognitivemodelofcovid19relatedanxietyanddepression
AT ellensomers confirmatoryfactoranalysisofacognitivemodelofcovid19relatedanxietyanddepression