The psychological response and perception of stress during the COVID-19 pandemic in Slovenia: Three-wave repeated cross-sectional study.

In addition to COVID-19 being a health threat, its longevity and restrictions act as significant stressors and risk for mental health. In the current study, we take a look at how psychological response, both its positive aspects, for example, mental well-being and life satisfaction, and its negative aspects, for example, anxiety and COVID-19 anxiety, have changed as the pandemic has continued (first three waves in Slovenia). Additionally, we are interested in whether the psychological response is associated with the perception of stress level in waves 2 and 3 as less, equally or more stressful when compared to the stress level in wave 1 and what shapes these perceptions. An online questionnaire battery (COVID-19 stress level comparison, Warwick-Edinburgh Mental Well-being Scale; LAOM Anxiety Scale; Global Life Satisfaction scale; COVID-19 anxiety), with ANOVA and qualitative analysis of the open-ended question on reasons for perceiving wave 2 and wave 3 as more stressful when compared to wave 1, was used on a Slovene convenience adult sample (wave 1: N = 364, 83.5% female; wave 2: N = 987, 85.5% female; wave 3: N = 467, 78.5% female). The findings show (a) a significant increase in COVID-19 anxiety from wave 1 to wave 3, with a peak in wave 2, and a significant decrease in mental well-being from wave 1 to wave 3; (b) the level of anxiety, mental well-being, and life satisfaction differs significantly between individuals who perceive wave 2 and 3 as more stressful compared to individuals who perceive wave 2 and wave 3 as equally or less stressful when compared to wave 1; (c) reasons for perceiving the succeeding waves of the pandemic as more stressful compared to wave 1 are diverse, with some being reported in both succeeding waves (e.g., negative emotional response to the pandemic, negative perceptions of measures). The findings highlight the important role of stress analysis in identifying the support mechanisms for dealing with the challenges of the COVID-19 pandemic.