Hopelessness and perceived stress: the mediating role of cognitive flexibility and intolerance of uncertainty

Demirtaş, Ayşe Sibel; Yildiz, Banu

doi:10.14744/dajpns.2019.00035

Cited by 27 publications

(35 citation statements)

References 45 publications

(63 reference statements)

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“…The results of our study support the literature, because many studies conducted about the relationship of perceived stress and intolerance to uncertainty and the levels of hopelessness show similarity with our study (Bakioglu et al 2020 ; Demirtas & Yildiz, 2019 ; Lebel et al, 2020 ; del Valle et al, 2020 ).…”

Section: Discussionsupporting

confidence: 90%

The relationship between perceived stress, uncertainty emotions and hopelessness regarding pandemics in pregnant women

Fışkın

2021

Journal Community Psychology

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The objective of this study was to determine the emotional reactions of pregnant women towards the pandemic and to increase awareness of healthcare professionals on this subject. In this descriptive, cross‐sectional, and correlational study, an online questionnaire was applied to 375 pregnant women ( n = 375). Data were collected with pregnant information form, Intolerance of Uncertainty Scale and Beck Hopelessness Scale. The mean age of the pregnant women was 29.495 ± 4.301, and the mean gestational week was 27.469 ± 7.971. Pregnant women's levels of perceived stress and intolerance to uncertainty were high. There was a moderate positive correlation between stress and uncertainty levels of the women who stated that they experienced mild hopelessness. It is recommended to identify risky groups and provide the necessary psychological support by health professionals during the pandemic.

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Section: Discussionsupporting

confidence: 90%

The relationship between perceived stress, uncertainty emotions and hopelessness regarding pandemics in pregnant women

Fışkın

2021

Journal Community Psychology

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“…Along with the previous studies, our study has found a positive correlation between IU and perceived stress [ 19 , 21 , 31 , 46 ]. The link between uncertainty and stress theoretically suggested that IU could increase the negative impact of stressors [ 31 , 47 ]. The relationship between IU and psychological distress was also examined among the general population during the first wave of the COVID-19 pandemic in the United Kingdom [ 22 ].…”

Section: Discussionsupporting

confidence: 88%

“…The following four hypotheses and research questions were evaluated in this study. First, we expected a positive association between perceived uncertainty about COVID-19 and IU and, second, following prior studies, an association between IU and perceived stress [ 19 , 31 ]. Third, in line with previous research [ 32 , 33 ], we predicted a positive association between stress and poor sleep.…”

Section: Introductionmentioning

confidence: 92%

COVID-19 uncertainty and sleep: the roles of perceived stress and intolerance of uncertainty during the early stage of the COVID-19 outbreak

Yang

Hall

et al. 2021

BMC Psychiatry

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Background The COVID-19 pandemic brings unprecedented uncertainty and stress. This study aimed to characterize general sleep status among Chinese residents during the early stage of the outbreak and to explore the network relationship among COVID-19 uncertainty, intolerance of uncertainty, perceived stress, and sleep status. Methods A cross-sectional correlational survey was conducted online. A total of 2534 Chinese residents were surveyed from 30 provinces, municipalities, autonomous regions of China and regions abroad during the period from February 7 to 14, 2020, the third week of lockdown. Final valid data from 2215 participants were analyzed. Self-report measures assessed uncertainty about COVID-19, intolerance of uncertainty, perceived stress, and general sleep status. Serial mediation analysis using the bootstrapping method and path analysis were applied to test the mediation role of intolerance of uncertainty and perceived stress in the relationship between uncertainty about COVID-19 and sleep status. Results The total score of sleep status was 4.82 (SD = 2.72). Age, place of residence, ethnicity, marital status, infection, and quarantine status were all significantly associated with general sleep status. Approximately half of participants (47.1%) reported going to bed after 12:00 am, 23.0% took 30 min or longer to fall asleep, and 30.3% slept a total of 7 h or less. Higher uncertainty about COVID-19 was significantly positively correlated with higher intolerance of uncertainty (r = 0.506, p < 0.001). The mediation analysis found a mediating role of perceived stress in the relationship between COVID-19 uncertainty and general sleep status (β = 0.015, 95%C.I. = 0.009–0.021). However, IU was not a significant mediator of the relationship between COVID-19 uncertainty and sleep (β = 0.009, 95%C.I. = − 0.002–0.020). Moreover, results from the path analysis further showed uncertainty about COVID-19 had a weak direct effect on poor sleep (β = 0.043, p < 0.05); however, there was a robust indirect effect on poor sleep through intolerance of uncertainty and perceived stress. Conclusions These findings suggest that intolerance of uncertainty and perceived stress are critical factors in the relationship between COVID-19 uncertainty and sleep outcomes. Results are discussed in the context of the COVID-19 pandemic, and practical policy implications are also provided.

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“…Along with previous study, our study has found a positive correlation between IU and perceived stress [15,22,34]. The link between uncertainty and stress theoretically suggested that IU could increase the negative impact of stressors [22,35].…”

Section: Discussionsupporting

confidence: 86%

“…The following four hypotheses and research question were evaluated in this study. First, we expected a positive association between perceived uncertainty about COVID-19 and IU and, second, following prior studies, an association between IU and perceived stress [15,22]. Third, in the line with previous research [23], we predicted a positive association between stress and poor sleep.…”

Section: Introductionsupporting

confidence: 79%

COVID-19 Uncertainty and Sleep: The Roles of Perceived Stress and Intolerance of Uncertainty during the Early Stage of the COVID-19 Outbreak

Yang

Hall

et al. 2021

Preprint

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Background. The COVID-19 pandemic brings unprecedented uncertainty and stress. This study aimed to characterize sleep behaviors among Chinese residents during the early stage of the outbreak and to test the extent to which sleep quality was driven by COVID-19 uncertainty, intolerance of uncertainty, and perceived stress. Methods. A cross-sectional correlational survey was conducted online. A total of 2,534 Chinese residents were recruited from February 7 to 14, 2020, the third week of lockdown. Self-report measures assessed uncertainty about COVID-19, intolerance of uncertainty, perceived stress, and sleep quality. Structural equation modeling was applied to test the relationships among uncertainty about COVID-19, intolerance of uncertainty, perceived stress, and sleep quality. Results. Sleep disturbance was common, with approximately half of participants (47.1%) reporting going to bed after 12:00am, 23.0% taking 30 minutes or longer to fall asleep, and 30.3% sleeping a total of 7 hours or less. Higher uncertainty about COVID-19 was significantly positively correlated with higher intolerance of uncertainty (r = 0.506, p < 0.001). Uncertainty about COVID-19 had a weak direct effect on poor sleep (β = 0.043, p < 0.05); however, there was a robust indirect effect on poor sleep through intolerance of uncertainty (β = 0.506, p < 0.001) and perceived stress (β = 0.479, p < 0.001). Conclusions. These findings suggest that intolerance of uncertainty and perceived stress are critical targets for reducing sleep disturbance during the COVID-19 pandemic. Given the sustained uncertainties and challenges managing COVID-19, it is likely that, if unmanaged, COVID-19 related uncertainty will persist and continue to impact sleep outcomes.

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Hopelessness and perceived stress: the mediating role of cognitive flexibility and intolerance of uncertainty

Cited by 27 publications

References 45 publications

The relationship between perceived stress, uncertainty emotions and hopelessness regarding pandemics in pregnant women

The relationship between perceived stress, uncertainty emotions and hopelessness regarding pandemics in pregnant women

COVID-19 uncertainty and sleep: the roles of perceived stress and intolerance of uncertainty during the early stage of the COVID-19 outbreak

COVID-19 Uncertainty and Sleep: The Roles of Perceived Stress and Intolerance of Uncertainty during the Early Stage of the COVID-19 Outbreak

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