Coping in the covid-19 pandemia: how different resources and strategies can be risk or protective factors to mental health in the brazilian population

• Autor(a) principal: Fernanda de Oliveira Ferreira
• Data de Publicação: 2021
• Outros Autores: Júlia Beatriz Lopes-Silva, Gustavo Marcelino Siquara, Edi Cristina Manfroi, Patrícia Martins de Freitas
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Institucional da UFMG
• Texto Completo: https://doi.org/10.1080/21642850.2021.1897595; http://hdl.handle.net/1843/54894; https://orcid.org/0000-0001-9224-3242; https://orcid.org/0000-0002-4495-6835; https://orcid.org/0000-0003-2375-1205; https://orcid.org/0000-0002-2065-1236
• topic: Stress; Depression; Anxiety; Coping; Social distance; Estresse psicológico; Depressão; Ansiedade; Adaptação psicológica; Distanciamento físico

Objective:The present study’s objective was to investigate thepandemic’s impact on mental health and identify variables thatcan increase or decrease the chances of stress, anxiety, anddepression, in both a sample with and one without self-reportedmental health issues, in a Brazilian population.Design:a cross-sectional quantitative study. Data were collectedonline in May and June of 2020. Participated 1130 adultsbetween 18–78 years old (mean = 37.46 years, SD = 12.18), from20 Brazilian states, with an average of 58.61 days (SD = 23.2) ofsocial distancing.Main Outcome Measures:Depression, anxiety and stresssymptoms, characterization of social distancing, and Copingstrategies.Results:A significantly higher prevalence of severe depression wasfound in those who practiced social distancing. Multinomial logisticregressions identified the explanatory model with risk andprotection variables to mental health. For the group without aprevious mental health diagnosis, using confrontation (OR= 1.39,CI95%1.23–1.58) and escape strategies (OR= 1.48,CI95%1.19–1.84) increases the odds of presenting severe depression, whilepositive reappraisal (OR= 0.85,IC95%0.78–0.93) and problem-solving (OR= 0.75,CI95%0.63-–0.88) were protective factors. Inthe group with mental disorders, using confrontation (OR= 1.33,CI95%1.10–1.60) and escape strategies (OR= 1.49,CI95%1.12–1.98) were also risk factors for severe depression and no copingprotective factors were found.Conclusions:Problem-solving and positive reappraisal wereprotective strategies that potentially reduced the odds ofpresenting depression and anxiety, but only in people without aprevious mental health diagnosis. Public policies must offerpsychological support to the most vulnerable, as well as orientation based on scientific evidence, aiming at improvingquality of life.