Psychological Adjustment in Spain during the COVID-19 PandemicPositive and Negative Mental Health Outcomes in the General Population

  1. Carmen Valiente 1
  2. Alba Contreras 1
  3. Julia Vanesa Peinado Tena 1
  4. Almudena Trucharte 1
  5. Antón P. Martínez 2
  6. Carmelo Vázquez 1
  1. 1 Universidad Complutense de Madrid
    info

    Universidad Complutense de Madrid

    Madrid, España

    ROR 02p0gd045

  2. 2 University of Sheffield
    info

    University of Sheffield

    Sheffield, Reino Unido

    ROR https://ror.org/05krs5044

Revista:
The Spanish Journal of Psychology

ISSN: 1138-7416

Año de publicación: 2021

Número: 24

Tipo: Artículo

DOI: 10.1017/SJP.2021.7 DIALNET GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: The Spanish Journal of Psychology

Resumen

In the midst of the COVID–19 epidemic, Spain was one of the countries with the highest number of infections and a high mortality rate. The threat of the virus and consequences of the pandemic have a discernible impact on the mental health of citizens. This study aims to (a) evaluate the levels of anxiety, depression and well-being in a large Spanish sample during the confinement, (b) identify potential predictor variables associated to experiencing both clinical levels of distress and well-being in a sample of 2,122 Spanish people. By using descriptive analyses and logistic regression results revealed high rates of depression, anxiety and well-being. Specifically, our findings revealed that high levels of anxiety about COVID–19, increased substance use and loneliness as the strongest predictors of distress, while gross annual incomes and loneliness were strongest predictors of well-being. Finding of the present study provide a better insight about psychological adjustment to a pandemic and allows us to identify which population groups are at risk of experiencing higher levels of distress and which factors contribute to greater well-being, which could help in the treatments and prevention in similar stressful and traumatic situations.

Referencias bibliográficas

  • Ausín, B., González-Sanguino, C., Castellanos, M. A., & Muñoz, M. (2020). Gender-related differences in the psychological impact of confinement as a consequence of COVID–19 in Spain. Journal of Gender Studies.
  • American Psychiatric Association (1994). Diagnostic and statistical manual of mental disorders: DSM-IV. (4th ed.) America Psychiatric Association.
  • Bajo,M., Blanco, A., Stavraki,M., Gandarillas, B., Cancela, A., Requero, B., &Díaz, D. (2018). Post-traumatic cognitions and quality of life in terrorism victims: The role of well-being in indirect versus direct exposure. Health and Quality of Life Outcomes, 16(1), Article 96. https://doi.org/10.1186/s12955- 018-0923-x
  • Betancourt, T. S., Brennan,R.T., Vinck, P., VanderWeele, T. J., Spencer-Walters, D., Jeong, J., Akinsulure-Smith, A. M., & Pham, P. (2016). Associations between mental health and Ebola-related health behaviors: A regionally representative cross-sectional survey in post-conflict Sierra Leone. PLOS Medicine, 13(8), Article e1002073. https://doi.org/10.1371/ journal.pmed.1002073
  • Bonanno, G. A. (2004). Loss, trauma, and human resilience: Have we underestimated the human capacity to thrive after extremely aversive events? American Psychologist, 59(1), 20–28. https://doi.org/10.1037/0003-066X.59.1.20
  • Brewin, C., DePierro, J., Pirard, P., Vazquez, C., & Williams, R. (2020). Whywe need to integrate mental health into pandemic planning. Perspectives in Public Health, 140, 309–310. https://doi.org/10.1177/1757913920957365
  • Carstensen, L. L., & DeLiema, M. (2018). The positivity effect: A negativity bias in youth fades with age. Current Opinion in Behavioral Sciences, 19, 7–12. https://doi.org/10.1016/ j.cobeha.2017.07.009
  • Charles, S. T., Reynolds, C. A., & Gatz, M. (2001). Agerelated differences and change in positive and negative affect over 23 years. Journal of Personality and Social Psychology, 80(1), 136–151. https://doi.org/10.1037/0022- 3514.80.1.136
  • Chaves, C., Castellanos, T., Abrams, M., & Vazquez, C. (2018). The impact of economic recessions on depression and individual and social well-being: The case of Spain (2006–2013). Social Psychiatry and Psychiatric Epidemiology, 53(9), 977–986. https://doi.org/10.1007/s00127-018-1558-2
  • Cowling, B. J., Ng, D. M. W., Ip, D. K. M., Liao, Q., Lam, W.W. T., Wu, J. T., Lau, J. T. F., Griffiths, S. M., & Fielding, R. (2010). Community psychological and behavioral responses through the first wave of the 2009 influenza A (H1N1) pandemic in Hong Kong. The Journal of Infectious Diseases, 202(6), 867–876. https://doi.org/10.1086/655811
  • Díaz, D., Stavraki, M., Blanco, A., & Bajo, M. (2018). 11– M victims 3 years after Madrid terrorist attacks: Looking for health beyond trauma. Journal of Happiness Studies, 19(3), 663–675. https://doi.org/10.1007/s10902-016-9842-x
  • Diener, E., Kahneman, D., Tov, W., & Arorad, R. (2010). Income’s association with judgments of life versus feelings. In E. Diener, J. F. Helliwell, & D. Kahneman (Eds.), International differences in well-being (p. 3–15). Oxford UniversityPress. https://doi.org/10.1093/acprof:oso/ 9780199732739.003.0001
  • Diener, E., Tay, L., & Oishi, S. (2013). Rising income and the subjective well-being of nations. Journal of Personality and Social Psychology, 104(2), 267–276. https://doi.org/10.1037/ a0030487
  • Diez-Quevedo, C., Rangil, T., Sanchez-Planell, L., Kroenke, K., & Spitzer, R. L. (2001). Validation and utility of the patient health questionnaire in diagnosing mental disorders in 1003 general hospital Spanish inpatients. Psychosomatic Medicine, 63(4), 679–686. https://doi.org/10.1097/ 00006842-200107000-00021
  • Eid, R. S., Gobinath, A. R., & Galea, L. A. M. (2019). Sex differences in depression: Insights from clinical and preclinical studies. InG. Barreto (Ed.),Progress in neurobiology (Vol. 176, pp. 86–102). Elsevier Ltd. https://doi.org/ 10.1016/j.pneurobio.2019.01.006
  • Fuller-Thomson, E., Lung, Y., West, K. J., Keyes, C. L. M., & Baiden, P. (2020). Suboptimal baseline mental health associated with 4-month premature all-cause mortality: Findings from 18 years of follow-up of the Canadian National Population Health Survey. Journal of Psychosomatic Research, 136, Article 110176. https://doi.org/10.1016/ j.jpsychores.2020.110176
  • Galea, S., Vlahov, D., Resnick, H., Ahern, J., Susser, E., Gold, J., Bucuvalas, M., & Kilpatrick, D. (2003). Trends of probable post-traumatic stress disorder in New York City after the September 11 terrorist attacks. American Journal of Epidemiology, 158(6), 514–524. https://doi.org/10.1093/aje/ kwg187
  • García, F. E., Cova, F., Rincón, P., & Vázquez, C. (2015). Trauma or growth after a natural disaster? The mediating role of rumination processes. European Journal of Psychotraumatology, 6(1), Article 26557. https://doi.org/ 10.3402/ejpt.v6.26557
  • García-Campayo, J., Zamorano, E., Ruiz, M. A., Pardo, A., Pérez-Páramo,M., LópezGómez, V., Freire, O., & Rejas, J. (2010). Cultural adaptation into Spanish of the generalized anxiety disorder–7 (GAD–7) scale as a screening tool. Health and Quality of Life Outcomes, 8, Article 8. https://doi.org/ 10.1186/1477-7525-8-8
  • Henares Montiel, J., Ruiz-Pérez, I., & Sordo, L. (2020). Salud mental en España y diferencias por sexo y por comunidades autónomas [Mental health in Spain and differences by sex, and by autonomous communities]. Gaceta Sanitaria, 34(2), 114–119. https://doi.org/10.1016/ j.gaceta.2019.03.002
  • Hervás, G., &Vázquez, C. (2013). Construction and validation of a measure of integrative well-being in seven languages: The Pemberton Happiness Index. Health and Quality of Life Outcomes, 11(1), Article 66. https://doi.org/10.1186/1477- 7525-11-66
  • Hughes, M. E., Waite, L. J., Hawkley, L. C., & Cacioppo, J. T. (2004). A short scale for measuring loneliness in large surveys. Research on Aging, 26(6), 655–672. https://doi.org/ 10.1177/0164027504268574
  • Iasiello, M., van Agteren, J., Keyes, C. L. M., & Cochrane, E.M. (2019). Positivemental health as a predictor of recovery from mental illness. Journal of Affective Disorders, 251, 227–230. https://doi.org/10.1016/j.jad.2019.03.065
  • Kalin, N. H. (2020). The critical relationship between anxiety and depression. The American Journal of Psychiatry, 177(5), 365–367. https://doi.org/10.1176/appi.ajp.2020.20030305
  • Keiding, N., & Louis, T. A. (2018). Web-based enrollment and other types of self-selection in surveys and studies: Consequences for generalizability.Annual Review of Statistics and its Application, 5, 25–47. https://doi.org/10.1146/ annurev-statistics-031017-100127
  • Keyes, C. L. M. (2005). Mental illness and/or mental health? Investigating axioms of the complete state model of health. Journal of Consulting and Clinical Psychology, 73(3), 539–548. https://doi.org/10.1037/0022-006X.73.3.539
  • Keyes,C. L.M. (2007). Promoting andprotectingmental health as flourishing: A complementary strategy for improving national mental health. American Psychologist, 62(2), 95–108. https://doi.org/10.1037/0003-066X.62.2.95
  • Kroenke, K., & Spitzer, R. L. (2002). The PHQ–9: A new depression diagnostic and severity measure. Psychiatric Annals, 32(9), 509–515. https://doi.org/10.3928/0048-5713- 20020901-06
  • Lee, S. A., Jobe, M. C., & Mathis, A. A. (2020). Mental health characteristics associated with dysfunctional coronavirus anxiety. Psychological Medicine, 1–2. https://doi.org/ 10.1017/S003329172000121X
  • Levis, B., Benedetti, A., Ioannidis, J. P. A., Sun, Y., Negeri, Z., He, C., Wu, Y., Krishnan, A., Bhandari, P. M., Neupane, D., Imran, M., Rice, D. B., Riehm, K. E., Saadat, N., Azar, M., Boruff, J., Cuijpers, P., Gilbody, S., Kloda, L. A., … Thombs, B. D. (2020). Patient Health Questionnaire–9 scores do not accurately estimate depression prevalence: Individual participant data meta-analysis. Journal of Clinical Epidemiology, 122, 115–128. https://doi.org/10.1016/ j.jclinepi.2020.02.002
  • McBride, O., Murphy, J., Shevlin, M., Gibson Miller, J., Hartman, T. K., Hyland, P., Levita, L., Mason, L., Martinez, A., McKay, R., Stocks, T., Bennett, K., Vallières, F., Karatzias, T., Valiente, C., Vázquez, C., &Bentall, R. (2020). An overview of the context, design and conduct of the first two waves of the COVID-19 Psychological Research Consortium (C19PRC) Study. International Journal of Methods in Psychiatric Research, Article e1861. https://doi.org/ 10.1002/mpr.1861
  • Mushtaq, R., Shoib, S., Shah, T., & Mushtaq, S. (2014). Relationship between loneliness, psychiatric disorders and physical health? A review on the psychological aspects of loneliness. Journal of Clinical and Diagnostic Research, 8(9), WE01– WE04. http://doi.org/10.7860/JCDR/2014/ 10077.4828
  • Neria, Y., Nandi, A., & Galea, S. (2008). Post-traumatic stress disorder following disasters: A systematic review. Psychological Medicine, 38(4), 467–480. https://doi.org/ 10.1017/S0033291707001353
  • Nieto, I., Navas, J. F., & Vázquez, C. (2020). The quality of research on mental health related to the COVID–19 pandemic: A note of caution after a systematic review. Brain, Behavior, & Immunity–Health, 7, Article 100123. https:// doi.org/10.1016/j.bbih.2020.100123
  • Odriozola-González, P., Planchuelo-Gómez, A., IrurtiaMuñiz, M. J., & de Luis-García, R. (2020). Psychological symptoms of the outbreak of the COVID–19 crisis and confinement in the population of Spain. PsyArXiv. https://doi.org/ 10.31234/osf.io/mq4fg
  • Páez, D., Rimé, B., Basabe, N., Wlodarczyk, A., & Zumeta, L. (2015). Psychosocial effects of perceived emotional synchrony in collective gatherings. Journal of Personality and Social Psychology, 108(5), 711–729. https://doi.org/10.1037/ pspi0000014
  • Pfefferbaum, B., & North, C. S. (2020). Mental health and the Covid–19 pandemic. New England Journal of Medicine, 383, 510–512. https://doi.org/10.1056/NEJMp2008017
  • Pfefferbaum, B., Vinekar, S. S., Trautman, R. P., Lensgraf, S. J., Reddy, C., Patel, N., & Ford, A. L. (2002). The effect of loss and trauma on substance use behavior in individuals seeking support services after the 1995 Oklahoma City bombing. Annals of Clinical Psychiatry, 14(2), 89–95. https:// doi.org/10.1023/A:1016802920870
  • Qian, M., Wu, Q., Wu, P., Hou, Z., Liang, Y., Cowling, B. J., & Yu, H. (2020). Psychological responses, behavioral changes andpublic perceptions during the early phase of theCOVID– 19 outbreak in China: A population based cross-sectional survey. MedRxiv, 21(1), Article 20024448. https://doi.org/ 10.1101/2020.02.18.20024448
  • Qiu, J., Shen, B., Zhao,M.,Wang, Z., Xie, B., &Xu, Y. (2020). A nationwide survey of psychological distress among Chinese people in the COVID–19 epidemic: Implications and policy recommendations. General Psychiatry, 33(2), Article e100213. https://doi.org/10.1136/gpsych-2020-100213
  • Rodríguez-Rey, R., Garrido-Hernansaiz, H., & Collado, S. (2020). Psychological impact and associated factors during the initial stage of the coronavirus (COVID– 19) pandemic among the general population in Spain. Frontiers in Psychology, 11, Article 1540. https://doi.org/10.3389/ fpsyg.2020.01540
  • Sancho, P., Pinazo-Hernandis, S., Donio-Bellegarde, M., & Tomás, J. M. (2020). Validation of the University of California, Los Angeles Loneliness Scale in Spanish older population: An application of exploratory structural equation modelling. Australian Psychologist, 55(3), 283–292. https://doi.org/10.1111/ap.12428
  • Schotanus-Dijkstra, M., ten Have, M., Lamers, S. M. A., de Graaf, R., & Bohlmeijer, E. T. (2017). The longitudinal relationship between flourishing mental health and incident mood, anxiety and substance use disorders. The European Journal of Public Health, 27(3), 563–568. https://doi.org/ 10.1093/eurpub/ckw202
  • Seligman, M. E. P., & Csikszentmihalyi, M. (2014). Positive psychology: An introduction. In M. Csikszentmihalyi (Ed.), In flow and the foundations of positive psychology (Vol. 9789401790, pp. 279–298). Springer. https://doi.org/ 10.1007/978-94-017-9088-8_18
  • Shevlin, M., McBride, O., Murphy, J., Miller, J. G., Hartman, T. K., Levita, L., Mason, L., Martinez, A. P., McKay, R., Stocks, T. V. A., Bennett, K.M., Hyland, P., Karatzias, T., & Bentall, R. P. (2020). Anxiety, depression, traumatic stress, and COVID–19 related anxiety in the UK general population during the COVID–19 pandemic. PsyArXiv. https://doi.org/ 10.31234/OSF.IO/HB6NQ
  • Spitzer, R. L., Kroenke, K., Williams, J. B. W., & Löwe, B. (2006). A brief measure for assessing generalized anxiety disorder. Archives of Internal Medicine, 166(10), 1092–1097. https://doi.org/10.1001/archinte.166.10.1092
  • Steptoe, A., Deaton, A., & Stone, A. A. (2015). Subjective wellbeing, health, and ageing. The Lancet, 385(9968), 640–648. https://doi.org/10.1016/S0140-6736(13)61489-0
  • Tugade, M. M., & Fredrickson, B. L. (2004). Resilient individuals use positive emotions to bounce back from negative emotional experiences. Journal of Personality and Social Psychology, 86(2), 320–333. https://doi.org/10.1037/ 0022-3514.86.2.320
  • Valiente, C., Espinosa, R., Trucharte, A., Nieto, J., & Martínez-Prado, L. (2019). The challenge of well-being and quality of life: Ameta-analysis of psychological interventions in schizophrenia. Schizophrenia Research, 208, 16–24. https://doi.org/10.1016/j.schres.2019.01.040
  • Valiente, C., Vázquez, C., Contreras, A., Peinado, V., & Trucharte, A. (2021) A symptom-based definition of resilience in times of pandemics: patterns of psychological responses over time and their predictors. European Journal of Psychotraumatology https://doi.org/10.1080/ 20008198.2020.1871555
  • Vázquez, C. (2017). What does positivity add to psychopathology? An introduction to the special issue on ‘positive emotions and cognitions in clinical psychology.’ Cognitive Therapy and Research, 41(3), 325–334. https:// doi.org/10.1007/s10608-017-9847-8
  • Vázquez, C., & Hervás, G. (2008). Salud positiva: Del síntoma al bienestar. [Positive Health: From Symptoms to Wellbeing]. Psicología positiva aplicada, 17– 39.
  • Vázquez, C., & Hervás, G. (2010). Perceived benefits after terrorist attacks: The role of positive and negative emotions. The Journal of Positive Psychology, 5(2), 154–163. https:// doi.org/10.1080/17439761003630060
  • Vázquez, C., Valiente, C., García, F., Contreras, A., Peinado, V., Trucharte, A., & Bentall, R. P. (2021) PostTraumatic growth and stress-related responses during the COVID-19 pandemic in a national representative sample: The role of positive core beliefs about the world and others. Journal of Happiness Studies. https://doi.org/10.1007/ s10902-020-00352-3
  • Wang, W., Tang, J., & Wei, F. (2020). Updated understanding of the outbreak of 2019 novel coronavirus (2019-nCoV) in Wuhan, China. Journal of Medical Virology, 92(4), 441–447. https://doi.org/10.1002/jmv.25689
  • Whiteford, H. A., Degenhardt, L., Rehm, J., Baxter, A. J., Ferrari, A. J., Erskine, H. E., Charlson, F. J., Norman, R. E., Flaxman, A. D., Johns, N., Burstein, R., Murray, C. J. L., & Vos, T. (2013). Global burden of disease attributable to mental and substance use disorders: Findings from the Global Burden of Disease Study 2010. The Lancet, 382(9904), 1575–1586. https://doi.org/10.1016/S0140-6736( 13)61611-6
  • World Health Organization Regional Office for Europe. (2020, May). Coronavirus disease (COVID–19) outbreak. http:// www.euro.who.int/en/health-topics/health-emergencies/ coronavirus-covid-19/
  • Zhu, X., Wu, S., Miao, D., & Li, Y. (2008). Changes in emotion of the Chinese public in regard to the SARS period. Social Behavior and Personality, 36(4), 447–453. https://doi.org/ 10.2224/sbp.2008.36.4.447
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