Associations between COVID-19 mental impact and distress, resilience, burnout and well-being in Hong Kong community adults: A structural equation model

Purpose: The COVID-19 pandemic has brought situational impacts and mental distress among young people. No studies have investigated and compared the risk factors of suicidality among young adults during and after the COVID-19 pandemic. The present study aimed to examine the risk factors of suicidality in this population via a network approach amid and after the COVID-19 pandemic. Methods: Repeated, cross-sectional telephone surveys recruited three samples of young adults in Hong Kongvia random sampling in autumns of 2021 (N=1472), 2022 (N=1238), and 2023 (N=1226). The respondents completed measures on situational impact, meaning in life, societal pessimism, Patient Health Questionnaire-4 (PHQ-4), social withdrawal, and suicidality. Mixed graphical modeling was conducted to identify the bridge linkages between suicidality and risk factors across the three waves. Results: The 2023 wave showed a substantial decline in COVD-19 distress but higher rates of suicidality than the 2021 and 2022 waves. The network models showed good stability. Financial impact, PHQ-4, and social withdrawal showed positive linkages with suicidality in the network. PHQ-4 consistently showed the greatest bridge strength across the three waves. Network comparison found no significant differences in the network structure and global strength across gender, age groups, and waves. Societal pessimism showed significantly greater bridge strength in the network model from 2021 to 2023. Conclusion: The results elucidated the network structure of risk factors of suicidality in population-based samples of young adults after the pandemic, highlighting meaning in life and societal pessimism as potential targets of interventions.

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Psychometric validation of the Cardiac Distress Inventory - Short Form among people with cardiac diseases in Hong Kong

Fong,

Leung,

Wong

et al. 2024

Front. Psychiatry

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ObjectivesCardiac patients experience various somatic and psychosocial symptoms and stress is an important prognostic factor of cardiac rehabilitation. This study evaluated the psychometric properties of the 12-item Cardiac Distress Inventory – Short Form (CDI-SF) in the Chinese context.MethodsA total of 227 patients with cardiac diseases were recruited in a specialist outpatient clinic in Hong Kong between Aug 2022 and July 2023. The participants completed the CDI-SF and validated measures on psychosocial functioning and quality of life. Exploratory factor analysis and partial correlation analysis were conducted to examine the factorial validity, reliability, and convergent validity of the CDI-SF with reference to validating measures.ResultsThe 1-factor model showed adequate model fit with excellent composite reliability (ω = .92) and substantial factor loadings (λ = .64 –.94, p <.01). The CDI-SF factor was negatively associated with age (r = –.21, p <.01) and showed positive and strong partial correlations (r = .59 –.69, p <.01) with impact of event, depression, and burnout, and negative partial correlations (r = -.43 to -.54, p <.01) with resilience and quality of life.ConclusionOur study provides the first results on the psychometric properties of the CDI-SF among cardiac patients in Hong Kong. The psychometric results support the CDI-SF as a precise, valid, and reliable measure of cardiac distress in the Chinese context.

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Associations between COVID-19 mental impact and distress, resilience, burnout and well-being in Hong Kong community adults: A structural equation model

Cited by 3 publications

References 66 publications

Neighborhood environmental conditions and well-being during the COVID-19 pandemic: A network analysis in Hong Kong adults

Neighborhood environmental conditions and well-being during the COVID-19 pandemic: A network analysis in Hong Kong adults

Psychosocial and Situational Risk Factors of Suicidality among Young Adults amid and after the COVID-19 Pandemic: A Three-Wave Cross-Sectional Network Analysis

Psychometric validation of the Cardiac Distress Inventory - Short Form among people with cardiac diseases in Hong Kong

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