Relationship between self-care activities, stress and well-being during COVID-19 lockdown: a cross-cultural mediation model

Objectives To examine the mediation role of self-care between stress and psychological well-being in the general population of four countries and to assess the impact of sociodemographic variables on this relationship.Design Cross-sectional, online survey.Participants A stratified sample of confined...

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Main Authors: Elkin Luis, Elena Bermejo-Martins, Martín Martinez, Ainize Sarrionandia, Cristian Cortes, Edwin Yair Oliveros, María Sol Garces, José Victor Oron, Pablo Fernández-Berrocal
Format: Article
Language:English
Published: BMJ Publishing Group 2021-12-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/11/12/e048469.full
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author Elkin Luis
Elena Bermejo-Martins
Martín Martinez
Ainize Sarrionandia
Cristian Cortes
Edwin Yair Oliveros
María Sol Garces
José Victor Oron
Pablo Fernández-Berrocal
author_facet Elkin Luis
Elena Bermejo-Martins
Martín Martinez
Ainize Sarrionandia
Cristian Cortes
Edwin Yair Oliveros
María Sol Garces
José Victor Oron
Pablo Fernández-Berrocal
author_sort Elkin Luis
collection DOAJ
description Objectives To examine the mediation role of self-care between stress and psychological well-being in the general population of four countries and to assess the impact of sociodemographic variables on this relationship.Design Cross-sectional, online survey.Participants A stratified sample of confined general population (N=1082) from four Ibero-American countries—Chile (n=261), Colombia (n=268), Ecuador (n=282) and Spain (n=271)—balanced by age and gender.Primary outcomes measures Sociodemographic information (age, gender, country, education and income level), information related to COVID-19 lockdown (number of days in quarantine, number of people with whom the individuals live, absence/presence of adults and minors in charge and attitude towards the search of information related to COVID-19), Perceived Stress Scale-10, Ryff’s Psychological Well-Being Scale-29 and Self-Care Activities Screening Scale-14.Results Self-care partially mediates the relationship between stress and well-being during COVID-19 confinement in the general population in the total sample (F (3,1078)=370.01, p<0.001, R2=0.507) and in each country. On the other hand, among the evaluated sociodemographic variables, only age affects this relationship.Conclusion The results have broad implications for public health, highlighting the importance of promoting people’s active role in their own care and health behaviour to improve psychological well-being if stress management and social determinants of health are jointly addressed first. The present study provides the first transnational evidence from the earlier stages of the COVID-19 lockdown, showing that the higher perception of stress, the less self-care activities are adopted, and in turn the lower the beneficial effects on well-being.
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spelling doaj-art-56e3adfe1fdd4526bb5fbf5fe6cbe1ce2024-12-09T19:10:12ZengBMJ Publishing GroupBMJ Open2044-60552021-12-01111210.1136/bmjopen-2020-048469Relationship between self-care activities, stress and well-being during COVID-19 lockdown: a cross-cultural mediation modelElkin Luis0Elena Bermejo-Martins1Martín Martinez2Ainize Sarrionandia3Cristian Cortes4Edwin Yair Oliveros5María Sol Garces6José Victor Oron7Pablo Fernández-Berrocal8School of Education and Psychology, University of Navarra, Pamplona, SpainIdiSNA, Navarre Institute of Health Research, Pamplona, SpainSchool of Education and Psychology, University of Navarra, Pamplona, SpainFaculty of Psychology, University of the Basque Country, Donostia, SpainFaculty of Psychology, Universidad del Desarrollo, Santiago de Chile, ChileSchool of Psychology, University of San Buenaventura, Bogotá, ColombiaNeuroscience Institute, Universidad San Francisco de Quito, Quito, EcuadorUpToYou Fundation, Pamplona, SpainFaculty of Psychology, University of Malaga, Malaga, SpainObjectives To examine the mediation role of self-care between stress and psychological well-being in the general population of four countries and to assess the impact of sociodemographic variables on this relationship.Design Cross-sectional, online survey.Participants A stratified sample of confined general population (N=1082) from four Ibero-American countries—Chile (n=261), Colombia (n=268), Ecuador (n=282) and Spain (n=271)—balanced by age and gender.Primary outcomes measures Sociodemographic information (age, gender, country, education and income level), information related to COVID-19 lockdown (number of days in quarantine, number of people with whom the individuals live, absence/presence of adults and minors in charge and attitude towards the search of information related to COVID-19), Perceived Stress Scale-10, Ryff’s Psychological Well-Being Scale-29 and Self-Care Activities Screening Scale-14.Results Self-care partially mediates the relationship between stress and well-being during COVID-19 confinement in the general population in the total sample (F (3,1078)=370.01, p<0.001, R2=0.507) and in each country. On the other hand, among the evaluated sociodemographic variables, only age affects this relationship.Conclusion The results have broad implications for public health, highlighting the importance of promoting people’s active role in their own care and health behaviour to improve psychological well-being if stress management and social determinants of health are jointly addressed first. The present study provides the first transnational evidence from the earlier stages of the COVID-19 lockdown, showing that the higher perception of stress, the less self-care activities are adopted, and in turn the lower the beneficial effects on well-being.https://bmjopen.bmj.com/content/11/12/e048469.full
spellingShingle Elkin Luis
Elena Bermejo-Martins
Martín Martinez
Ainize Sarrionandia
Cristian Cortes
Edwin Yair Oliveros
María Sol Garces
José Victor Oron
Pablo Fernández-Berrocal
Relationship between self-care activities, stress and well-being during COVID-19 lockdown: a cross-cultural mediation model
BMJ Open
title Relationship between self-care activities, stress and well-being during COVID-19 lockdown: a cross-cultural mediation model
title_full Relationship between self-care activities, stress and well-being during COVID-19 lockdown: a cross-cultural mediation model
title_fullStr Relationship between self-care activities, stress and well-being during COVID-19 lockdown: a cross-cultural mediation model
title_full_unstemmed Relationship between self-care activities, stress and well-being during COVID-19 lockdown: a cross-cultural mediation model
title_short Relationship between self-care activities, stress and well-being during COVID-19 lockdown: a cross-cultural mediation model
title_sort relationship between self care activities stress and well being during covid 19 lockdown a cross cultural mediation model
url https://bmjopen.bmj.com/content/11/12/e048469.full
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