A Conditional Process Model to Explain Somatization During Coronavirus Disease 2019 Epidemic: The Interaction Among Resilience, Perceived Stress, and Sex

Frontiers in Psychology

Chen Zhang¹  Chenhao Zhou¹  Fangfang Shangguan¹  Xiang Yang Zhang³  Zhengkui Liu³  Wei Qian³ 

[1] Beijing Key Laboratory of Learning and Cognition, School of Psychology, Capital Normal University, Beijing, China;CAS Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing, China;Department of Psychology, University of Chinese Academy of Sciences, Beijing, China;

关键词: resilience (psychological);    perceived stress;    somatic symptom;    somatization;    gender;    conditional process analysis;   

DOI  :  10.3389/fpsyg.2021.633433

来源: DOAJ

【 摘 要 】

BackgroundMore than 15% of Chinese respondents reported somatic symptoms in the last week of January 2020. Promoting resilience is a possible target in crisis intervention that can alleviate somatization.ObjectivesThis study aims to investigate the relationship between resilience and somatization, as well as the underlying possible mediating and moderating mechanism, in a large sample of Chinese participants receiving a crisis intervention during the coronavirus disease 2019 epidemic.MethodsParticipants were invited online to complete demographic information and questionnaires. The Symptom Checklist-90 somatization subscale, 10-item Connor–Davidson resilience scale, and 10-item Perceived Stress Scale were measured.ResultsA total of 2,557 participants were included. Spearman correlation analysis revealed that lower resilience was associated with more somatic symptoms (p < 0.001). The conditional process model was proved (indirect effect = −0.01, 95% confidence interval = [−0.015, −0.002]). The interaction effects between perceived stress and sex predicted somatization (b = 0.05, p = 0.006).ConclusionResilience is a key predictor of somatization. The mediating effects of perceived stress between resilience and somatization work in the context of sex difference. Sex-specific intervention by enhancing resilience is of implication for alleviating somatization during the coronavirus disease 2019 epidemic.

【 授权许可】

Unknown