Evidence map›Paper›PMID 32758794›Full record

ArticleSocial science & medicine (1982)2020

Psychological resilience, depression, anxiety, and somatization symptoms in response to COVID-19: A study of the general population in China at the peak of its epidemic.

Liuyi Ran, Wo Wang, Ming Ai, Yiting Kong, Jianmei Chen, Li Kuang

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In one paragraph

Article in Social science & medicine (1982), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 191 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
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191citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

191 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Anxiety Linked to COVID-19: A Systematic Review Comparing Anxiety Rates in Different Populations.International journal of environmental research and public health · 2022
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  14. Resilience Amid Racialized Emasculation: the Role of Religion for US Asian Men.Journal of racial and ethnic health disparities · 2026
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131 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Liuyi RanMental Health Center, University-Town Hospital of Chongqing Medical University, Chongqing, China.
Wo WangMental Health Center, University-Town Hospital of Chongqing Medical University, Chongqing, China.
Ming AiDepartment of Psychiatry, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Yiting KongDepartment of Psychiatry, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Jianmei ChenDepartment of Psychiatry, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Li KuangMental Health Center, University-Town Hospital of Chongqing Medical University, Chongqing, China; Department of Psychiatry, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China. Electronic address: kuangli0308@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

rationalePsychological resilience is characterized as the ability to respond to extreme stress or trauma or adverse experience successfully. While the relation between public emergencies and psychological distress is well known, research on therelationship between psychological resilience and mental health is very limited during the outbreak of public health emergencies.

objectiveThis research investigated the relationship between psychological resilience and mental health (depression, anxiety, somatization symptoms) among the general population in China.

methodPsychological resilience, depression, anxiety, and somatization symptoms of 1770 Chinese citizens were investigated during the epidemic peak of coronavirus disease 2019 (COVID-19) (23rd February 2020 to 2nd March 2020). The analyses were done through the Connor-Davidson Resilience Scale (CD-RISC), the Patient Health Questionnaire-9 (PHQ-9), the Generalized Anxiety Disorder-7 (GAD-7) scale, and the Patient Health Questionnaire-15 (PHQ-15) scale.

resultsThe prevalence of depression, anxiety, somatization symptoms was found to be 47.1%, 31.9%, 45.9%, respectively, among all participants. From them, 18.2% showed moderate to severe symptoms of depression, 8.8% showed moderate to severe symptoms of anxiety, and 16.6% showed moderate to severe symptoms of somatization. Psychological resilience was negatively correlated with depression (standardized β = -0.490, P < 0.001), anxiety (standardized β = -0.443, P < 0.001), and somatization symptom scores (standardized β = -0.358, P < 0.001), while controlling for confounding factors. Analysis of the three-factor resilience structure showed that strength and tenacity were correlated with depression (standardized β = -0.256, P < 0.001; standardized β = -0.217, P < 0.001), anxiety (standardized β = -0.268, P < 0.001; standardized β = -0.147, P < 0.001), and somatization symptoms (standardized β = -0.236, P < 0.001; standardized β = -0.126, P < 0.01).

conclusionsOur results suggest that there is a high prevalence of psychological distresses among the general population at the peak of the COVID-19 epidemic in China, which is negatively correlated with resilience. Psychological resilience represents an essential target for psychological intervention in a public health emergency.

Indexed as

EpidemicsResilience, PsychologicalAdultAnxietyChinaCoronavirus InfectionsCOVID-19Cross-Sectional StudiesDepressionFemaleHumansMalePandemicsPneumonia, ViralSomatoform DisordersAnxietyChinaCoronavirus disease 2019DepressionEpidemicMental healthPsychological resilienceSomatization symptoms

Identifiers

PMID32758794
PMCPMC7388777

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.