A Conditional Process Model to Explain Somatization During Coronavirus Disease 2019 Epidemic: The Interaction Among Resilience, Perceived Stress, and Sex

Fangfang Shangguan; Chenhao Zhou; Wei Qian; Wei Qian; Chen Zhang; Zhengkui Liu; Zhengkui Liu; Xiang Yang Zhang; Xiang Yang Zhang

doi:10.3389/fpsyg.2021.633433

Frontiers in Psychology (May 2021)

A Conditional Process Model to Explain Somatization During Coronavirus Disease 2019 Epidemic: The Interaction Among Resilience, Perceived Stress, and Sex

Fangfang Shangguan,
Chenhao Zhou,
Wei Qian,
Wei Qian,
Chen Zhang,
Zhengkui Liu,
Zhengkui Liu,
Xiang Yang Zhang,
Xiang Yang Zhang

Affiliations

Fangfang Shangguan: Beijing Key Laboratory of Learning and Cognition, School of Psychology, Capital Normal University, Beijing, China
Chenhao Zhou: Beijing Key Laboratory of Learning and Cognition, School of Psychology, Capital Normal University, Beijing, China
Wei Qian: CAS Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing, China
Wei Qian: Department of Psychology, University of Chinese Academy of Sciences, Beijing, China
Chen Zhang: Beijing Key Laboratory of Learning and Cognition, School of Psychology, Capital Normal University, Beijing, China
Zhengkui Liu: CAS Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing, China
Zhengkui Liu: Department of Psychology, University of Chinese Academy of Sciences, Beijing, China
Xiang Yang Zhang: CAS Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing, China
Xiang Yang Zhang: Department of Psychology, University of Chinese Academy of Sciences, Beijing, China

DOI: https://doi.org/10.3389/fpsyg.2021.633433
Journal volume & issue: Vol. 12

Abstract

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BackgroundMore than 15% of Chinese respondents reported somatic symptoms in the last week of January 2020. Promoting resilience is a possible target in crisis intervention that can alleviate somatization.ObjectivesThis study aims to investigate the relationship between resilience and somatization, as well as the underlying possible mediating and moderating mechanism, in a large sample of Chinese participants receiving a crisis intervention during the coronavirus disease 2019 epidemic.MethodsParticipants were invited online to complete demographic information and questionnaires. The Symptom Checklist-90 somatization subscale, 10-item Connor–Davidson resilience scale, and 10-item Perceived Stress Scale were measured.ResultsA total of 2,557 participants were included. Spearman correlation analysis revealed that lower resilience was associated with more somatic symptoms (p < 0.001). The conditional process model was proved (indirect effect = −0.01, 95% confidence interval = [−0.015, −0.002]). The interaction effects between perceived stress and sex predicted somatization (b = 0.05, p = 0.006).ConclusionResilience is a key predictor of somatization. The mediating effects of perceived stress between resilience and somatization work in the context of sex difference. Sex-specific intervention by enhancing resilience is of implication for alleviating somatization during the coronavirus disease 2019 epidemic.

Published in Frontiers in Psychology

ISSN: 1664-1078 (Online)
Publisher: Frontiers Media S.A.
Country of publisher: Switzerland
LCC subjects: Philosophy. Psychology. Religion: Psychology
Website: https://www.frontiersin.org/journals/psychology

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