Gender Differences in Coping and Psychological Adaptation during the COVID-19 Pandemic.

Publisher: MDPI Country of Publication: Switzerland NLM ID: 101238455 Publication Model: Electronic Cited Medium: Internet ISSN: 1660-4601 (Electronic) Linking ISSN: 16604601 NLM ISO Abbreviation: Int J Environ Res Public Health Subsets: MEDLINE

Original Publication: Basel : MDPI, c2004-

COVID-19*/epidemiology ; COVID-19*/psychology; Male ; Humans ; Female ; Pandemics ; Sex Factors ; Stress, Psychological/epidemiology ; Communicable Disease Control ; Adaptation, Psychological ; Anxiety/epidemiology ; Anxiety/psychology

This population-based study investigated gender differences in the use of coping strategies and their relationship to anxiety symptoms during the initial COVID-19 lockdown period in the United States. A national online survey was administered between 13 April 2020 and 8 June 2020. The study sample comprised 1673 respondents (66% women). Overall, 46% reported high levels of anxiety, and women experienced significantly (p < 0.001) higher levels of anxiety than men. Women were significantly (p < 0.05) more likely to use acceptance, self-distraction, positive reframing, and emotional support than men. Significant interactions between gender and coping strategies were also identified. Women engaging in high (+1SD) vs. low (−1SD) levels of active coping were not found to have significantly different anxiety levels. In contrast, men reported higher levels of anxiety when they engaged in high levels of active coping and lower levels of anxiety when they engaged in low levels of active coping (b2 = 0.88, t = 3.33, p = 0.001). Additionally, women engaging in high levels of acceptance and positive reframing reported significantly lower anxiety levels than when engag-ing in low levels of acceptance (b1 = −1.03, t = −4.58, p < 0.001) and positive reframing (b1 = −0.72, t = −3.95, p < 0.001). No significant associations between acceptance and positive reframing levels and anxiety levels were found with men. Overall, these findings extend our understanding of the nature of gender differences in stress responsivity during periods of high psychological distress and can inform the development of mental health interventions to respond to the COVID-19 pandemic and future infectious disease outbreaks.

Stress Health. 2016 Apr;32(2):145-56. (PMID: 24962138)
QJM. 2020 May 1;113(5):311-312. (PMID: 32227218)
Int J Behav Med. 1997;4(1):92-100. (PMID: 16250744)
Ann Gen Psychiatry. 2022 Aug 10;21(1):30. (PMID: 35948983)
Brain Behav. 2021 Jan;11(1):e01934. (PMID: 33305891)
Curr Psychol. 2022 Apr 25;:1-12. (PMID: 35496361)
J Anxiety Disord. 2021 Jan;77:102328. (PMID: 33160275)
Aging Ment Health. 2005 Jul;9(4):348-53. (PMID: 16019291)
JAMA. 1996 Jul 24-31;276(4):293-9. (PMID: 8656541)
Asian J Psychiatr. 2020 Aug;52:102066. (PMID: 32302935)
J Psychiatr Res. 2021 May;137:96-103. (PMID: 33667763)
Nature. 2020 Jul;583(7815):194-198. (PMID: 32641809)
Circulation. 2020 Jul 14;142(2):105-107. (PMID: 32364762)
Am Psychol. 2021 Apr;76(3):427-437. (PMID: 32744841)
Depress Anxiety. 2003;17(1):26-33. (PMID: 12577275)
Bull World Health Organ. 2004 Nov;82(11):858-66. (PMID: 15640922)
Int J Geriatr Psychiatry. 2008 Sep;23(9):929-36. (PMID: 18383189)
Int J Soc Psychiatry. 2021 Aug;67(5):540-549. (PMID: 33016171)
J Clin Epidemiol. 2016 May;73:119-27. (PMID: 26931289)
Depress Anxiety. 2008;25(10):839-46. (PMID: 17603810)
Brain Sci. 2021 Sep 17;11(9):. (PMID: 34573251)
J Pers Soc Psychol. 1987 Aug;53(2):337-48. (PMID: 3625471)
Eur Psychiatry. 2020 Apr 01;63(1):e32. (PMID: 32234102)
Epidemiol Health. 2016 Nov 5;38:e2016048. (PMID: 28196409)
Lancet. 2020 Feb 22;395(10224):e37-e38. (PMID: 32043982)
J Gen Intern Med. 2020 Aug;35(8):2296-2303. (PMID: 32472486)
JAMA Psychiatry. 2020 Nov 1;77(11):1093-1094. (PMID: 32275300)
Medicina (Kaunas). 2021 Jul 31;57(8):. (PMID: 34440995)
Fisc Stud. 2020 Jun;41(2):291-319. (PMID: 32836542)
J Youth Adolesc. 2017 Feb;46(2):261-276. (PMID: 27734198)
J Psychiatr Res. 2022 Dec;156:372-378. (PMID: 36323139)
Lancet. 2021 Nov 6;398(10312):1700-1712. (PMID: 34634250)
Arch Gen Psychiatry. 1998 May;55(5):405-13. (PMID: 9596043)
PLoS One. 2020 May 14;15(5):e0233410. (PMID: 32407409)
Acta Biomed. 2020 Mar 19;91(1):157-160. (PMID: 32191675)
QJM. 2020 Oct 1;113(10):731-738. (PMID: 32678901)
Med Care. 2007 May;45(5 Suppl 1):S22-31. (PMID: 17443115)
Psychosom Med. 1987 Mar-Apr;49(2):109-17. (PMID: 3575599)
Emerg Infect Dis. 2004 Jul;10(7):1206-12. (PMID: 15324539)
BMJ Open. 2020 Dec 22;10(12):e044642. (PMID: 33371050)
J Pers Soc Psychol. 1990 May;58(5):844-54. (PMID: 2348372)
Intensive Care Med. 2015 Feb;41(2):364-5. (PMID: 25403756)
JAMA. 2020 Jul 7;324(1):93-94. (PMID: 32492088)
Psychol Bull. 2006 Nov;132(6):959-92. (PMID: 17073529)
N Engl J Med. 2020 Aug 6;383(6):510-512. (PMID: 32283003)

Keywords: COVID-19; adaptive coping; anxiety; coping strategies; maladaptive coping; mental health; psychological distress

Date Created: 20230121 Date Completed: 20230124 Latest Revision: 20231120

20240628

PMC9859033

10.3390/ijerph20020993

36673747