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Effects of Health Anxiety, Social Support, and Coping on Dissociation with Mediating Role of Perceived Stress during the COVID-19 Pandemic

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  • László Róbert Kolozsvári

    (Doctoral School of Health Sciences, University of Debrecen, 4032 Debrecen, Hungary
    Department of Family and Occupational Medicine, Faculty of Medicine, University of Debrecen, 4032 Debrecen, Hungary)

  • Viktor Rekenyi

    (Doctoral School of Health Sciences, University of Debrecen, 4032 Debrecen, Hungary
    Department of Family and Occupational Medicine, Faculty of Medicine, University of Debrecen, 4032 Debrecen, Hungary)

  • Szabolcs Garbóczy

    (Doctoral School of Health Sciences, University of Debrecen, 4032 Debrecen, Hungary
    Department of Psychiatry, Faculty of Medicine, University of Debrecen, 4032 Debrecen, Hungary)

  • Ágnes Hőgye-Nagy

    (Department of Work and Social Psychology, Institute of Psychology, University of Debrecen, 4032 Debrecen, Hungary)

  • Anita Szemán-Nagy

    (Department of Personality and Clinical Psychology, Institute of Psychology, University of Debrecen, 4032 Debrecen, Hungary)

  • Mohamed Sayed-Ahmad

    (Department of Radiology and Imaging Science, Faculty of Medicine, University of Debrecen, 4032 Debrecen, Hungary)

  • Katalin Héjja-Nagy

    (Department of Personality and Clinical Psychology, Institute of Psychology, University of Debrecen, 4032 Debrecen, Hungary)

Abstract

Background: Our study aimed to examine whether health anxiety, social support, and ways of coping relate to dissociation directly or only through the mediation of perceived stress, moderated by the time of measurement (lockdown). We investigated the effect of perceived stress on different forms (sub-scales) of dissociation. Methods: A cross-sectional survey was conducted by an online form at two points in time: the beginning and the later stage of the COVID-19 pandemic. Results: We received a total of 1711 responses. Perceived stress moderately correlated with dissociation in both international and Hungarian samples. Health anxiety showed a strong direct and indirect correlation with dissociation. Regarding social support, the support of family significantly decreased the dissociative experiences in the Hungarian sample mediated by perceived and direct stress. In the international sample, goal-oriented coping strategies strongly decreased all dissociation scales in the first measurement, through the mediation of perceived stress. As for the Hungarian sample, positive thinking was found to decrease dissociation by decreasing perceived stress. Conclusion: health anxiety, coping, and social support appeared to influence dissociation directly and through the mediation of perceived stress. Social support, mainly support of the family and problem-focused coping strategies may decrease the level of stress, this way decreasing dissociative behavior.

Suggested Citation

  • László Róbert Kolozsvári & Viktor Rekenyi & Szabolcs Garbóczy & Ágnes Hőgye-Nagy & Anita Szemán-Nagy & Mohamed Sayed-Ahmad & Katalin Héjja-Nagy, 2023. "Effects of Health Anxiety, Social Support, and Coping on Dissociation with Mediating Role of Perceived Stress during the COVID-19 Pandemic," IJERPH, MDPI, vol. 20(8), pages 1-25, April.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:8:p:5491-:d:1122130
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    References listed on IDEAS

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    1. Sheela Sundarasen & Karuthan Chinna & Kamilah Kamaludin & Mohammad Nurunnabi & Gul Mohammad Baloch & Heba Bakr Khoshaim & Syed Far Abid Hossain & Areej Sukayt, 2020. "Psychological Impact of COVID-19 and Lockdown among University Students in Malaysia: Implications and Policy Recommendations," IJERPH, MDPI, vol. 17(17), pages 1-13, August.
    2. Chaturvedi, Kunal & Vishwakarma, Dinesh Kumar & Singh, Nidhi, 2021. "COVID-19 and its impact on education, social life and mental health of students: A survey," Children and Youth Services Review, Elsevier, vol. 121(C).
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