Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Did Cognitive–Attentional Syndrome Symptoms Predict Stress and Trauma-Related Symptoms in the Initial Phase of COVID-19 Pandemic? Results from a Two-Wave Study on a Sample of Polish Internet Users

Version 1 : Received: 5 June 2023 / Approved: 5 June 2023 / Online: 5 June 2023 (14:21:16 CEST)

A peer-reviewed article of this Preprint also exists.

Dragan, M.; Grajewski, P. Did Cognitive Attentional Syndrome Symptoms Predict Stress- and Trauma-Related Symptoms in the Initial Phase of the COVID-19 Pandemic? Results from a Two-Wave Study on a Sample of Polish Internet Users. Brain Sci. 2023, 13, 1162. Dragan, M.; Grajewski, P. Did Cognitive Attentional Syndrome Symptoms Predict Stress- and Trauma-Related Symptoms in the Initial Phase of the COVID-19 Pandemic? Results from a Two-Wave Study on a Sample of Polish Internet Users. Brain Sci. 2023, 13, 1162.

Abstract

Background: According to metacognitive theory, Cognitive–Attentional Syndrome (CAS) is a transdiagnostic factor and main mechanism of psychopathology maintenance. The main goal of this study was to examine whether CAS predicted symptoms of stress and trauma-related symptomatology in the first months of the COVID-19 pandemic and three months later. Methods: Initially 1,792 participants were recruited online via social media; data was collected at two time points. Measures included the Cognitive–Attentional Syndrome Questionnaire, Adjustment Disorder – New Module 20, the International Trauma Questionnaire, and additional measures. Results: Structural equation modeling was conducted in order to determine relations between reported stressors, CAS, and symptomatology. At both time points, CAS was a significant mediator between stressors and symptoms of adjustment disorder. Despite the decrease in the intensity of adjustment disorder symptoms between waves, it was a significant predictor of other psychopathology at both time points, except for traumatic stress. Conclusions: The findings confirm the assumption that CAS is a transdiagnostic factor of psychopathology, and has a mediating role in the relationship between stressors and adjustment disorder and co-occurring symptomatology. The effect was particularly significant in the initial phase of the pandemic, which was highly stressful for many people.

Keywords

Cognitive–Attentional Syndrome; COVID-19 pandemic; stress and trauma related disorders; psychopathology; adjustment disorder

Subject

Social Sciences, Psychology

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