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Article: COVID-19 perseverative cognition and depressive symptoms in Hong Kong: The moderating role of resilience, loneliness and coping strategies

TitleCOVID-19 perseverative cognition and depressive symptoms in Hong Kong: The moderating role of resilience, loneliness and coping strategies
Authors
Issue Date18-May-2023
PublisherElsevier
Citation
Journal of Affective Disorders, 2023, v. 337, p. 86-93 How to Cite?
Abstract

Background

The COVID-19 pandemic significantly increased depression prevalence in general population. However, the relationship between persistent dysfunctional thinking associated with COVID-19 (perseverative-cognition) and depression, and its potential moderators are understudied. We aimed to examine the association between COVID-19 perseverative-cognition and depression, and the moderating effect of potential risk and protective factors on this association in general public during the peak of fifth COVID-19 wave in Hong Kong.

Methods

This survey recruited 14,269 community-dwelling adults between March 15–April 3, 2022 to investigate association between COVID-19 perseverative-cognition and depression, and the moderating effect of resilience, loneliness and three coping strategies (including emotion-focused, problem-focused and avoidant coping) on this association, using hierarchical regression models and simple slope analyses. COVID-19 perseverative cognition was assessed by the Obsession with COVID-19 Scale (OCS) and depressive symptoms were measured by the Patient Health Questionnaire-9 (PHQ-9).

Results

Perseverative-cognition was positively associated with depression severity. Resilience, loneliness and three coping strategies moderated the association between perseverative-cognition and depression. Specifically, greater resilience and emotion-focused coping ameliorated the association between perseverative-cognition and depression, while higher levels of loneliness, avoidant and problem-focused coping accentuated such association.

Limitations

Cross-sectional design precluded establishing causality among variables.

Conclusion

This study affirms that COVID-19 perseverative-cognition is significantly related to depression. Our findings indicate the potential critical role of enhanced personal resilience and social support, and adoption of emotion-focused coping in mitigating negative effect of COVID-19 related maladaptive thinking on depression severity, thereby facilitating development of targeted strategies to reduce psychological distress amidst the prolonged pandemic.


Persistent Identifierhttp://hdl.handle.net/10722/328485
ISSN
2023 Impact Factor: 4.9
2023 SCImago Journal Rankings: 2.082

 

DC FieldValueLanguage
dc.contributor.authorLo, HKY-
dc.contributor.authorWong, GHS-
dc.contributor.authorChan, JKN-
dc.contributor.authorWong, CSM-
dc.contributor.authorLei, JHC-
dc.contributor.authorSo, YK-
dc.contributor.authorFung, VSC-
dc.contributor.authorChu, RST-
dc.contributor.authorChung, AKK-
dc.contributor.authorLee, KCK-
dc.contributor.authorCheng, CPW-
dc.contributor.authorChan, WC-
dc.contributor.authorChang, WC-
dc.date.accessioned2023-06-28T04:45:23Z-
dc.date.available2023-06-28T04:45:23Z-
dc.date.issued2023-05-18-
dc.identifier.citationJournal of Affective Disorders, 2023, v. 337, p. 86-93-
dc.identifier.issn0165-0327-
dc.identifier.urihttp://hdl.handle.net/10722/328485-
dc.description.abstract<h3>Background</h3><p>The COVID-19 pandemic significantly increased depression prevalence in general population. However, the relationship between persistent dysfunctional thinking associated with COVID-19 (perseverative-cognition) and depression, and its potential moderators are understudied. We aimed to examine the association between COVID-19 perseverative-cognition and depression, and the moderating effect of potential risk and protective factors on this association in general public during the peak of fifth COVID-19 wave in Hong Kong.</p><h3>Methods</h3><p>This survey recruited 14,269 community-dwelling adults between March 15–April 3, 2022 to investigate association between COVID-19 perseverative-cognition and depression, and the moderating effect of resilience, loneliness and three coping strategies (including emotion-focused, problem-focused and avoidant coping) on this association, using hierarchical regression models and simple slope analyses. COVID-19 perseverative cognition was assessed by the Obsession with COVID-19 Scale (OCS) and depressive symptoms were measured by the Patient Health Questionnaire-9 (PHQ-9).</p><h3>Results</h3><p>Perseverative-cognition was positively associated with depression severity. Resilience, loneliness and three coping strategies moderated the association between perseverative-cognition and depression. Specifically, greater resilience and emotion-focused coping ameliorated the association between perseverative-cognition and depression, while higher levels of loneliness, avoidant and problem-focused coping accentuated such association.</p><h3>Limitations</h3><p>Cross-sectional design precluded establishing causality among variables.</p><h3>Conclusion</h3><p>This study affirms that COVID-19 perseverative-cognition is significantly related to depression. Our findings indicate the potential critical role of enhanced personal resilience and social support, and adoption of emotion-focused coping in mitigating negative effect of COVID-19 related maladaptive thinking on depression severity, thereby facilitating development of targeted strategies to reduce psychological distress amidst the prolonged pandemic.</p>-
dc.languageeng-
dc.publisherElsevier-
dc.relation.ispartofJournal of Affective Disorders-
dc.titleCOVID-19 perseverative cognition and depressive symptoms in Hong Kong: The moderating role of resilience, loneliness and coping strategies-
dc.typeArticle-
dc.identifier.doi10.1016/j.jad.2023.05.058-
dc.identifier.pmid37230268-
dc.identifier.volume337-
dc.identifier.spage86-
dc.identifier.epage93-
dc.identifier.issnl0165-0327-

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