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Changes of stressful life events, coping strategies and mental health among youths in the pre- and post-coronavirus 2019 pandemic era: A cross-sectional study

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Listed:
  • Hexiao Ding
  • Ziruo Xu
  • Wangjing Hu
  • Yannan Guo
  • Cailing Wang
  • Sicheng Li
  • Zhengyang Hui
  • Jing Wang
  • Xinran Peng
  • Wei Xia

Abstract

Background: In the pandemic era, stressful life events (StressLEv) aggravated the impact on mental health. However, youths exhibited different responses to StressLEv because of diverse coping strategies, social support, and emotional intelligence before and after the pandemic. Aims: To explore the changes in StressLEv and coping strategies before and after the coronavirus 2019 pandemic, as well as report the associations among mental health and related factors in a sample of Chinese youths experiencing the post-pandemic era. Method: A cross-sectional study using convenience sampling was conducted from July 1 to August 30, 2022, covering 3,038 youths aged 14 to 25 in China. Multiple logistic regression was conducted for crude odds ratios (ORs) and adjusted ORs. The relationships between lasso-selected variables was examined using structural equation modeling. Results: More StressLEv and limited coping strategies were reported after the pandemic. In the post-pandemic era, BSI-positive youths (youths diagnosed as considered case by Brief Symptom Inventory, BSI) reported more StressLEv (BSI-positive: mean = 75.47; BSI-negative: mean = 28.69), less social support (BSI-positive: mean = 31.81; BSI-negative: mean = 39.22), and lower emotional intelligence (BSI-positive: mean = 75.34; BSI-negative: mean = 89.42). The willingness to engage in mental health counseling (OR: no vs. yes: 1.89; uncertain vs. yes: 4.42), being punished (OR: 1.27), adaptation problems (OR: 1.06), task-oriented coping (OR: 0.95), social diversion coping (OR: 0.90), objective support (OR: 0.90), utilization of social support (OR: 0.81), and regulation of emotion in oneself (OR: 0.94) were associated with mental health. Structural equation modeling supported our theoretical framework. Conclusions: Pandemic-induced mental health problems should not be ignored. The proposed response mechanisms could guide the development of effective interventions, which can help youths better cope with StressLEv and maintain good mental health.

Suggested Citation

  • Hexiao Ding & Ziruo Xu & Wangjing Hu & Yannan Guo & Cailing Wang & Sicheng Li & Zhengyang Hui & Jing Wang & Xinran Peng & Wei Xia, 2023. "Changes of stressful life events, coping strategies and mental health among youths in the pre- and post-coronavirus 2019 pandemic era: A cross-sectional study," International Journal of Social Psychiatry, , vol. 69(8), pages 2018-2030, December.
    • Handle: RePEc:sae:socpsy:v:69:y:2023:i:8:p:2018-2030
    DOI: 10.1177/00207640231188321
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    References listed on IDEAS

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    1. Fluharty, Meg & Bu, Feifei & Steptoe, Andrew & Fancourt, Daisy, 2021. "Coping strategies and mental health trajectories during the first 21 weeks of COVID-19 lockdown in the United Kingdom," Social Science & Medicine, Elsevier, vol. 279(C).
    2. Elizabeth A. K. Jones & Amal K. Mitra & Azad R. Bhuiyan, 2021. "Impact of COVID-19 on Mental Health in Adolescents: A Systematic Review," IJERPH, MDPI, vol. 18(5), pages 1-9, March.
    3. Salima Meherali & Neelam Punjani & Samantha Louie-Poon & Komal Abdul Rahim & Jai K. Das & Rehana A. Salam & Zohra S. Lassi, 2021. "Mental Health of Children and Adolescents Amidst COVID-19 and Past Pandemics: A Rapid Systematic Review," IJERPH, MDPI, vol. 18(7), pages 1-16, March.
    4. Friedman, Jerome H. & Hastie, Trevor & Tibshirani, Rob, 2010. "Regularization Paths for Generalized Linear Models via Coordinate Descent," Journal of Statistical Software, Foundation for Open Access Statistics, vol. 33(i01).
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