ArticleBMC psychiatry2024
Perceived risk of COVID-19 hurts mental health: the mediating role of fear of COVID-19 and the moderating role of resilience.
Article in BMC psychiatry, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- The mechanisms between illness representations and depression in a sample of Chinese chronic kidney disease patients: mediation via maladaptive emotional coping and positive reframing.Journal of behavioral medicine · 2026Article
- Socially Prescribed Perfectionism, Resilience, and Internet Gaming Disorder in Adolescents: 3-Wave Longitudinal Study.JMIR serious games · 2026Article
- Levels and correlates of pandemic anxiety in people living with rare diseases: a cross-sectional analysis using a structural equation model.Orphanet journal of rare diseases · 2026Article
- Associations among perceived negative consequences, perceived deterioration in well-being, fear of progression, and probable depression in Chinese adults with chronic kidney disease: a cross-sectional path analysis.Frontiers in psychology · 2026Article
- Longitudinal association between perceived stress and depressive symptoms among student-athletes: the mediating roles of positive reframing and behavioral disengagement and moderating role of stress mindset.Frontiers in psychology · 2026Article
- Associations between social support and help-seeking intention regarding music performance anxiety among Chinese music students: mediation via resilience and self-compassion.Frontiers in psychology · 2026Article
- Work-school conflict and turnover intention among Chinese Music University students with part-time jobs: the roles of negative affect and resilience.Frontiers in psychology · 2026Article
- Longitudinal association between problematic social media use and school refusal among adolescents: a random intercept cross-lagged panel model.Frontiers in psychology · 2026Article
- Recovery-phase symptoms after COVID-19 infection and anxiety levels among college students.Frontiers in psychiatry · 2026Article
- Sex differences in music performance anxiety: the role of self/other-scrutiny and self-efficacy.Frontiers in psychology · 2026Article
- The Mediating Role of Humor in Relation With COVID-19 Fear, Anxiety and Depression of Bangladeshi People: A Cross-Sectional Study.Health science reports · 2025Article
- Psychological resilience and music performance anxiety: exploring mediators and sex differences in Chinese choir members.Frontiers in psychology · 2025Article
- Perceived memory reliability and music performance anxiety in Chinese musicians: a mediation and latent profile approach.Frontiers in psychology · 2025Article
- The impact of COVID-19 stress on nurses' organizational deviance: A moderated mediation model.PloS one · 2025Article
- The relationship between perceived academic stress and college students' employment anxiety: the mediating role of psychological resilience.Frontiers in psychiatry · 2025Article
- Risk perception of COVID-19, depressive symptoms and Internet addiction among undergraduates: a longitudinal study.Frontiers in public health · 2024Article
- The chain mediating effects of resilience and perceived social support in the relationship between perceived stress and depression in patients with COVID-19.Frontiers in psychology · 2024Article
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12 authors.
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Abstract
backgroundDepression and anxiety have been found prevalent during all phases of the COVID-19 pandemic. In late December 2022, almost all COVID-19 control measures were lifted in China, leading to a surge in COVID-19 infections. The public's perceived risk and fear of COVID-19 would be increased. This study aims to examine the prevalence of depression and anxiety in the Chinese general population and explores the mediating role of fear of COVID-19 between COVID-19 perceived risk and depression/anxiety and the moderating role of resilience between fear of COVID-19 and depression/anxiety.
methodsA cross-sectional online survey was conducted in Wenzhou, China, immediately following almost all COVID-19 control measures lifted. The 9-item Patient Health Questionnaire (PHQ-9), Generalized Anxiety Disorder-7 (GAD-7), the COVID-19 Risk Perception Scale, the Fear of COVID-19 Scale, and the Connor-Davidson Resilience Scale (CD-RISC) were used to evaluate depression, anxiety, COVID-19 perceived risk, fear of COVID-19, and resilience, respectively. Structural Equation Modeling (SEM) with Maximum Likelihood (ML) estimator and adjusted for significant background factors was performed to test the moderated mediation. Data obtained from 935 participants were analyzed.
resultsThe prevalence of moderate to severe depression and anxiety was 23.7% and 9.5%, respectively. The present study revealed positive associations among COVID-19 perceived risk, fear of COVID-19 and depression/anxiety, and negative associations between resilience and fear of COVID-19/depression/anxiety. Fear of COVID-19 partially mediated the association between COVID-19 perceived risk and depression/anxiety. Furthermore, resilience significantly moderated the association between fear of COVID-19 and depression/anxiety. Two moderated mediation models were constructed.
conclusionDepression and anxiety were prevalent among Chinese adults during the final phase of the pandemic in China. The significant mediation role of fear of COVID-19 implies that reducing fear of COVID-19 may effectively alleviate depression and anxiety symptoms. Moreover, enhancing public resilience during an epidemic crisis is crucial for promoting mental health.
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