Mental health of Chinese people during the COVID-19 pandemic: associations with infection severity of region of residence and filial piety

Li, Wendy Wen, Li, Yahong, Yu, Huizhen, Miller, Daniel, Rouen, Christopher, and Yang, Fang (2021) Mental health of Chinese people during the COVID-19 pandemic: associations with infection severity of region of residence and filial piety. Frontiers in Psychology, 12. 633452.

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Abstract

This study aims to investigate mental health among Chinese people living in areas with differing levels of infection severity during the COVID-19 outbreak. It also assesses the association between reciprocal and authoritarian filial piety and mental health in times of crises. A sample of 1,201 Chinese participants was surveyed between April and June 2020. Wuhan city (where 23.4% of participants resided), Hubei province outside Wuhan (13.4% of participants), and elsewhere in China (63.1% of participants) were categorized into high, moderate, and low infection severity areas, respectively. The Depression, Anxiety, and Stress Scale’s severity cut-points were used to categorize participants. In the overall sample, 20.9, 34.2, and 29.0% of the participants showed elevated (mild to extremely severe) levels of stress, anxiety, and depression. Those in the highest infection severity group were significantly more likely to be categorized as having elevated levels of stress, anxiety, and depression. General linear modeling was performed on a composite mental distress variable (taking into account stress, anxiety, and depression scores). This model indicated that, even after adjusting for group differences in age, gender, education, and filial piety, the high infection severity group displayed more mental distress than the low infection severity groups. The model also found reciprocal filial piety to have a negative association with mental distress. Conversely, authoritarian filial piety was found to be unrelated to mental distress when controlling for the other variables in the model. No evidence was found for an interaction between either authoritarian or reciprocal filial piety and infection severity, which suggests that the negative association observed between reciprocal filial piety and mental distress was relatively consistent across the three infection severity groups. The findings suggest that future public health programs may integrate the promotion of filial piety as a strategy to help Chinese people maintain good mental health in the face of pandemic crises.

Item ID: 68191
Item Type: Article (Research - C1)
ISSN: 1664-1078
Keywords: filial piety, stress, anxiety, depression, COVID-19 infection severity, mental health prevalence, terror management theory, meaning maintenance model
Copyright Information: Copyright © 2021 Li, Li, Yu, Miller, Rouen and Yang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY).The use, distribution or reproduction in other forums is permitted, provided theoriginal author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
Research Data: https://doi.org/10.25903/68CF-ZP16
Date Deposited: 31 May 2021 01:25
FoR Codes: 52 PSYCHOLOGY > 5203 Clinical and health psychology > 520304 Health psychology @ 100%
SEO Codes: 20 HEALTH > 2004 Public health (excl. specific population health) > 200409 Mental health @ 100%
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