Work-home interaction and psychological distress during the COVID-19 pandemic: The mediation effect of cyberloafing

In this preregistered study, we examined educational disparities in the trajectory of mental health during the COVID-19 pandemic and whether such educational disparities would be mediated by financial stress associated with the pandemic. Data were drawn from the Love in the Time of COVID project ( N = 2,204; four waves collected between March and June 2020). Results suggested educational disparities in eudaimonic well-being, negative affect, and psychological distress and showed significant associations between lower education and worse mental-health outcomes at baseline. However, education did not amplify mental-health disparities over time and exhibited no associations with the rates of change in mental health. Financial stress mediated the associations between education and mental health at baseline, and there were no temporal variations in the mediation effect. These results highlight persistent educational disparities in mental health, and such educational disparities may be partially explained by financial stress associated with the COVID-19 pandemic.

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Role stress and psychological distress among Chinese nurses: a moderated mediation model of social support and burnout in a cross-sectional online survey (Preprint)

10.2196/preprints.34611 ◽

2021 ◽

Author(s):

Yuting Xiao ◽

Honghui Zhang ◽

Qian Li ◽

Shan Xiao ◽

Ting Dai ◽

...

Keyword(s):

Social Support ◽

Psychological Distress ◽

Indirect Effect ◽

Online Survey ◽

Role Stress ◽

Mediation Effect ◽

Hunan Province ◽

Online Questionnaire ◽

Cross Sectional ◽

Survey Tool

BACKGROUND Nurses are at high risk of psychological distress including stress, depression, and anxiety due to low personnel density and high work demand. Despite mounting evidence showing that role stress is a risk factor for nurses’ psychological distress, the mediating and moderating mechanisms underlying this relationship are less known. OBJECTIVE This study tests the mediation effect of burnout in the association between role stress and psychological distress, and whether this mediation is moderated by social support. METHODS A sample of 623 Chinese nurses was recruited from all hepatological surgery departments in Hunan Province and filled out online questionnaire through Sojum (a most commonly used professional online survey tool) to collect data on socio-demographics, role stress, burnout, psychological distress, and social support. Mediation and moderation analyses were carried out in SPSS macro-PROCESS. RESULTS Burnout partially mediated the positive association between role stress and psychological distress. Social support moderated the indirect effect of role stress on psychological distress via burnout, with the effect being stronger for nurses with low social support than those with high social support. CONCLUSIONS These findings demonstrated how role stress contributed to nurses’ psychological distress both directly and indirectly through burnout, and how this indirect effect was moderated by social support. The results provide important practical implications for future prevention and intervention programs to improve nurses’ mental health from multiple aspects such as decreasing role stress and burnout while increasing social support.

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Associations of Sleep Quality and Frailty among the Older Adults with Chronic Disease in China: The Mediation Effect of Psychological Distress

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17145240 ◽

2020 ◽

Vol 17 (14) ◽

pp. 5240

Author(s):

Peipei Fu ◽

Chengchao Zhou ◽

Qingyue Meng

Keyword(s):

Older Adults ◽

Psychological Distress ◽

Sleep Quality ◽

Chronic Diseases ◽

Rural China ◽

The Elderly ◽

Mediation Effect ◽

Poor Sleep ◽

Poor Sleep Quality ◽

Distress Scale

Frailty affects the elderly and leads to adverse health outcomes. Preliminary evaluations have suggested that sleep quality and psychological distress are predictors of frailty among older adults. However, the mechanisms by which sleep quality affect frailty had not been fully addressed in the previous research. This study aimed to explore the mediation effect of psychological distress on the association between sleep quality and frailty among the elderly with chronic diseases in rural China. A total of 2346 old adults were included in the analysis. Frailty status was measured by Fried Phenotype criteria. Sleep quality was assessed by Pittsburgh Sleep Quality Index (PSQI), and psychological distress was examined by Kessler Psychological Distress Scale (K10). Ordinal logistic regressions were performed to assess the relationships between sleep quality and frailty. Mediation test was also conducted by bootstrap method. The prevalence rate of frailty among the elderly with chronic diseases was 21% in rural China. Compared with the elder of robust status, respondents identified as having frailty have lower SES, less vigorous physical activity, and worse self-reported health status. Poor sleep quality was a significant predictor of frailty with mediators (OR = 1.44, 95% CI = 1.19–1.76). Mediation analysis suggested that psychological distress mediated 41.81% of total effect between sleep quality and frailty. This study indicated that poor sleep quality was significantly related to frailty, and psychological was a mediator of this association. However, we could not investigate causal relationships between variables since this was one cross-sectional study. These findings suggested that an early detection of sleep problems and also psychological disorders should be taken to prevent frailty among the rural older adults in China.

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Relationship between Mindfulness and Psychological Distress in Patients with Hepatocellular Carcinoma: The Mediation Effect of Self-regulation

American Journal of Health Behavior ◽

10.5993/ajhb.45.6.8 ◽

2021 ◽

Vol 45 (6) ◽

pp. 1041-1049

Author(s):

Zengxia Liu ◽

Min Li ◽

Yong Jia ◽

Shuo Wang ◽

Cong Wang ◽

...

Keyword(s):

Hepatocellular Carcinoma ◽

Psychological Distress ◽

Structural Equation ◽

Self Regulation ◽

Depression Scale ◽

Mediation Effect ◽

Equation Modeling ◽

Five Facet Mindfulness Questionnaire ◽

Mediating Role ◽

The Relationship

Objectives: In this study, we examine the relationship among mindfulness, psychological distress, and self-regulation, to determine whether self-regulation plays a mediating role in the relationship between mindfulness and psychological distress among patients with hepatocellular carcinoma (HCC). Methods:Participants completed questionnaires including the Hospital Anxiety and Depression Scale (HADS), the Five-facet Mindfulness Questionnaire (FFMQ), and the Self-regulation Scale (SRS). We used structural equation modeling to analyze the relationships among psychological distress, mindfulness, and self-regulation, with self-regulation as a mediator. Results:We found that psychological distress is negatively associated with both mindfulness (r = -0.687, p < .001) and self-regulation (r = -0.629, p < .001), and mindfulness is positively associated with self-regulation (r = 0.534, p < .001). The model indicates that mindfulness has direct impact on self-regulation (β = 0.570, p < .001) and psychological distress (β = -0.685, p < .001). Self-regulation asserts a certain mediation effect on the relationship between mindfulness and psychological distress. A bootstrap test suggests perceived stress has a mediation effect on mindfulness and psychological distress (95% CI: -0.299, -0.134, p < .001), accounting for 23.6% of total effect. Conclusions: Psychological distress is common in HCC patients. The mediation effect of self-regulation provides a reference for discussing possible correlations between mindfulness and psychological distress.

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Depression, anxiety and perceived stress in women with and without PCOS: a community-based study

Psychological Medicine ◽

10.1017/s0033291718002076 ◽

2018 ◽

Vol 49 (09) ◽

pp. 1510-1520 ◽

Cited By ~ 18

Author(s):

Anna L. Damone ◽

Anju E. Joham ◽

Deborah Loxton ◽

Arul Earnest ◽

Helena J. Teede ◽

...

Keyword(s):

Psychological Distress ◽

Perceived Stress ◽

Polycystic Ovary ◽

Mediation Effect ◽

Depression And Anxiety ◽

Community Based ◽

Cross Sectional ◽

Socio Demographic Factors ◽

High Level ◽

Sectional Analysis

AbstractBackgroundPolycystic ovary syndrome (PCOS) is associated with increased psychological distress in clinical populations. We aimed to assess depression, anxiety and perceived stress in women with and without PCOS in a large community-based sample and investigate the role of stress in contributing to and mediating the relationship between PCOS, depression and anxiety.MethodsA cross-sectional analysis was performed from the Australian Longitudinal Study of Women's Health (ALWSH) comparing women with (n = 478) or without (n = 8134) a self-reported diagnosis of PCOS. Main outcome measures were depression, anxiety and perceived stress measured using validated scales. The χ2 and t tests were used to assess differences between groups. Univariable and multivariable regression were performed to determine factors contributing to each outcome.ResultsWomen reporting PCOS, compared with women not reporting PCOS, reported higher prevalence of depression (27.3% v. 18.8%), anxiety symptoms (50% v. 39.2%) and greater score for perceived stress (1.01 ± 0.03 v. 0.88 ± 0.01). After adjusting for body mass index, infertility and socio-demographic factors, women with PCOS were still more likely to be depressed, anxious and to have a higher level of perceived stress. There was a high-level mediation effect of stress between PCOS and both depression and anxiety.ConclusionCompared with women not reporting PCOS, women reporting PCOS have increased depression, anxiety and perceived stress. Stress may play a role in the association between PCOS, depression and anxiety. Further studies should consider assessment and management of stress in PCOS as it may be relevant for understanding the aetiology and treatment of psychological distress.

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Mistrust and Beliefs in Conspiracy Theories Differently Mediate the Effects of Psychological Factors on Propensity for COVID-19 Vaccine

Frontiers in Psychology ◽

10.3389/fpsyg.2021.683684 ◽

2021 ◽

Vol 12 ◽

Author(s):

Luca Simione ◽

Monia Vagni ◽

Camilla Gnagnarella ◽

Giuseppe Bersani ◽

Daniela Pajardi

Keyword(s):

Psychological Distress ◽

Psychological Factors ◽

Death Anxiety ◽

Medical Science ◽

Mediation Effect ◽

Vaccine Hesitancy ◽

Italian Population ◽

Psychological Variables ◽

Conspiracy Theories ◽

Conspiracy Beliefs

Vaccination is considered a key factor in the sanitary resolution of the COVID-19 pandemic. However, vaccine hesitancy can undermine its diffusion with severe consequences on global health. While beliefs in conspiracy theories, mistrust in science and in policymakers, and mistrust in official information channels may also increment vaccine hesitancy, understanding their psychological causes could improve our capacity to respond to the pandemic. Thus, we designed a cross-sectional study with the aim of probing vaccine propensity in the Italian population and explored its relationship with sociodemographic and psychological variables, and with misbeliefs in COVID-19. A battery of questionnaires was administered to a sample of 374 Italian adults during the first national lockdown (April 2020). The materials included an original instrument—Beliefs in COVID-19 Inventory—and questionnaires measuring perceived stress, anxiety, death anxiety, psychological distress, psychoticism, paranoia, anger, and somatization. The exploratory factor analysis (EFA) on Beliefs in COVID-19 suggested the existence of three factors: belief in conspiracy theories, mistrust in medical information, and mistrust in medicine and science. These factors were positively correlated with female sex, age, religious beliefs, psychiatric conditions, and psychological variables, while negatively correlated with education levels. We conducted a mediation analysis by means of a structural equation model, including psychological factors as predictors, beliefs in COVID-19 scales as mediators, and vaccine propensity as an outcome. The model showed that death anxiety had a direct positive effect on the propensity to get vaccinated. It also showed that death anxiety reduced the propensity to get vaccinated through a mediated path in believing in conspiracy theories, whereas paranoia was linked to a reduction in vaccination adherence with the mediation effect of mistrust in medical science. Psychological distress reduced vaccination propensity by increasing both conspiracy beliefs and mistrust. On the other hand, anxiety increased the propensity to get vaccinated through a decrease in both belief in conspiracy theories and mistrust in science. Our results suggest that psychological dimensions are differentially related to belief in conspiracy theories, to mistrust in science, and to the propensity to get vaccinated. Based on this result, we propose an original interpretation of how conspiracy beliefs build on a paranoid and suspicious attitude. We also discuss the possible clinical implications of treatment for such pathological beliefs.

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The Relation between Gender Microaggressions and Psychological Distress Among women in their 20s and 30s: Moderated Mediation effect of Anger and Feminist Identity Dimensions

The Korean Journal of Woman Psychology ◽

10.18205/kpa.2018.23.3.009 ◽

2018 ◽

Vol 23 (3) ◽

pp. 499-523

Author(s):

YAEON KIM ◽

연규진

Keyword(s):

Psychological Distress ◽

Moderated Mediation ◽

Mediation Effect ◽

Feminist Identity

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Mediation effect of anger rumination on the relationship between dimensions of anger and anger control with mental health

International journal of psychological research ◽

10.21500/20112084.732 ◽

2012 ◽

Vol 5 (2) ◽

pp. 8-17

Author(s):

Mohammad Ali Besharat ◽

Samane Pourbohlool

Keyword(s):

Mental Health ◽

Psychological Distress ◽

Well Being ◽

Mediation Effect ◽

Anger Control ◽

Psychological Well Being ◽

Anger Rumination ◽

State Anger ◽

Iranian Students ◽

The Relationship

The aim of this study was to examine mediation effect of anger rumination on the relationship between dimensions of anger and anger control including trait anger, state anger, anger in, anger out, anger-control in, and anger-control out with mental health in a sample of Iranian students. A total of 449 volunteer students (234 girls, 215 boys) were included in this study. All participants were asked to complete the Tehran Multidimensional Anger Scale (TMAS; Besharat, 2008), Anger Rumination Scale (ARS; Sukhodolsky, Golub, & Cromwell, 2001), and the Mental Health Inventory (MHI; Veit & Ware, 1983). Anger rumination mediated the relationship between dimensions of anger and anger control with mental health in opposite directions. Analysis of the data revealed that higher levels of anger was associated with lower levels of psychological well-being as well as higher levels of psychological distress. In contrast, higher levels of anger control were associated with higher levels of psychological well-being as well as lower levels of psychological distress. Mediation effect of anger rumination for the association of anger dimensions with mental health was full for psychological well-being and partial for psychological distress. Conversely, mediation effect of anger rumination for the association of anger control dimensions with mental health was partial for psychological well-being and full for psychological distress.

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Virtual connection, real support? A study of loneliness, time on social media and psychological distress among men

International Journal of Social Psychiatry ◽

10.1177/0020764020983836 ◽

2020 ◽

pp. 002076402098383

Author(s):

Zac E Seidler ◽

Michael J Wilson ◽

Simon M Rice ◽

David Kealy ◽

John L Oliffe ◽

...

Keyword(s):

Social Media ◽

Psychological Distress ◽

Online Survey ◽

Community Sample ◽

Clinical Work ◽

Mental Health Research ◽

Poor Mental Health ◽

Mediation Effect ◽

Masculine Norms ◽

Younger Men

Background: In an age of increasing loneliness and associated poor mental health, research uncovering the extent to which social connection can be achieved digitally is paramount. This is particularly important among men, who experience unique barriers to achieving meaningful social connections due to masculine norms including independence and self-reliance. Loneliness is a known determinant of both psychological distress and greater time on social media, however relationships among these constructs are yet to be studied specifically among men. Aims: This study aimed to examine a novel mediation model to uncover whether time on social media mediates the association between loneliness and psychological distress, alongside a moderating effect of age. Method: A community sample of 979 men of mean age 36.0 years (range = 18–78, SD = 13.11) took part via an online survey involving measures of study constructs. Results: Results highlighted a novel moderated mediation effect: for younger men only, loneliness predicts psychological distress via time spent on social media. Conclusion: Men experiencing loneliness appear to turn to social media in attempt at digital connection, however for younger men in particular, often this fails to ameliorate links between loneliness and psychological distress. Implications for public health messaging, clinical work with men and future interventional studies are discussed.

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