Evidence map›Paper›PMID 42871219›Full record

ArticleFrontiers in public health2026

Living with uncertainty: associations of personal and environmental uncertainty, resilience, and self-efficacy with anxiety symptoms in young adults.

Annina Zysset, Matthew J Kerry, Julia Dratva

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Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Annina ZyssetDepartment of Health Science, Institute of Public Health, Zurich University of Applied Sciences, Winterthur, Switzerland.
Matthew J KerryDepartment of Health Science, Institute of Public Health, Zurich University of Applied Sciences, Winterthur, Switzerland.
Julia DratvaDepartment of Health Science, Institute of Public Health, Zurich University of Applied Sciences, Winterthur, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Anxiety symptoms are highly prevalent among young adults and remain a major public mental health concern, with national data showing a marked increase during the COVID-19 pandemic. Contrary to expectations, anxiety rates did not decline after the pandemic ended. Persistent high anxiety levels may be contextually linked to an accumulation of concurrent global challenges, including climate change and geopolitical conflicts, that have been described as a "polycrisis" and are characterized by pervasive uncertainty. However, this framework was not directly examined in the present study. This study investigated the association between uncertainty, anxiety symptoms, resilience, and self-efficacy among university students. Methods: We used two datasets collected in Switzerland: a repeated cross-sectional pandemic study conducted during the COVID-19 pandemic (April 2020 to April 2023), and a post-pandemic cross-sectional study conducted in Fall 2023. First, general linear models were used to examine the trend of anxiety from Spring 2020-Fall 2023, combining data from both studies (N Results: A general linear model exhibited significantly better for a quadratic function compared to a linear function, suggesting an increase in anxiety followed by a saturation-plateau post-COVID-19 [β = -0.02, 95% CI (-0.03, -0.01)]. Regression results supported independent relationships [ Conclusion: Our findings highlight that uncertainty may play a role in sustaining high levels of anxiety among university students. Although high self-efficacy and resilience did not modify the relationship between uncertainty and anxiety symptoms, they were independently associated with lower anxiety levels. Addressing both global and specific facets of uncertainty appears to be highly relevant when designing targeted interventions to support mental health in young adults, particularly university students.

Indexed as

AnxietyCOVID-19Resilience, PsychologicalSelf EfficacyStudentsAdolescentAdultCross-Sectional StudiesFemaleHumansMaleSwitzerlandUncertaintyUniversitiesYoung Adultanxiety symptomscollective efficacyintolerance of uncertaintypolycrisispublic mental healthresilienceself-efficacyyoung adults

Identifiers

PMID42871219
PMCPMC13658559

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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.