Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Effects of Health Anxiety, Social Support, and Coping on Dis-sociation with Mediating Role of Perceived Stress during the COVID-19 Pandemic

László Róbert Kolozsvári
* ORCID logo ,
Viktor Rekenyi
,
Szabolcs Garbóczy
,
Ágnes Hőgye-Nagy
,
Anita Szemán-Nagy
,
Mohamed Sayed-Ahmad
ORCID logo ,
Katalin Héjja-Nagy
Version 1 : Received: 31 January 2023 / Approved: 7 February 2023 / Online: 7 February 2023 (02:22:04 CET)

A peer-reviewed article of this Preprint also exists.

Kolozsvári, L.R.; Rekenyi, V.; Garbóczy, S.; Hőgye-Nagy, Á.; Szemán-Nagy, A.; Sayed-Ahmad, M.; Héjja-Nagy, K. Effects of Health Anxiety, Social Support, and Coping on Dissociation with Mediating Role of Perceived Stress during the COVID-19 Pandemic. Int. J. Environ. Res. Public Health 2023, 20, 5491. Kolozsvári, L.R.; Rekenyi, V.; Garbóczy, S.; Hőgye-Nagy, Á.; Szemán-Nagy, A.; Sayed-Ahmad, M.; Héjja-Nagy, K. Effects of Health Anxiety, Social Support, and Coping on Dissociation with Mediating Role of Perceived Stress during the COVID-19 Pandemic. Int. J. Environ. Res. Public Health 2023, 20, 5491.

Abstract

Background: Our study aimed to examine how modulating variables such as social support, health anxiety, coping, gender, being separated from home, and lockdown can modify or amplify the effect of perceived stress as a starting variable in the point of view of the output variable, dissociation. Methods: A cross-sectional survey was conducted in online form at two points in time: the beginning and the later stage of the COVID-19 pandemic. Results: We received a total of 1711 responses. Perceived stress moderately correlated with dissociation in both International and Hungarian samples. Health anxiety showed a strong direct and indirect correlation with dissociation. Regarding social support, the support of family significantly decreased the dissociative experiences in the Hungarian sample through mediating the stress and directly as well. In the international sample, the goal-oriented coping strategy had a strong decreasing effect on all dissociation scales in the first measurement, through mediation of perceived stress. As to the Hungarian sample, positive thinking was found to decrease dissociation through decreasing perceived stress. Conclusion: The cause and effect relationship between stress and dissociation may be tinctured by health anxiety, coping and social support, influencing dissociacion directly and indirectly. Social support, mainly support of the family and problem-focused coping strategies seem to alleviate dissociation-provoking effect of stress.

Keywords

perceived stress; social support; health anxitety; coping; lockdown; COVID-19; international stu-dents; domestic students

Subject

Medicine and Pharmacology, Psychiatry and Mental Health

Copyright: This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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