The Benefits of Physical Activity and Positive Mental Health for Reducing the Burden of COVID-19: Validation from a Cross-sectional and Longitudinal Investigation in China and Germany.

Many people experience high burden by the outbreak of the coronavirus disease (COVID-19) and its consequences for health and everyday life. The present cross-national study investigated potential factors that can reduce the burden by COVID-19 in China and Germany. Cross-sectional and longitudinal (China: N = 474, baseline, BL: 2015, follow-up, FU: 2020; Germany: N = 359, BL: 2019, FU: 2020) data on physical activity (e.g., jogging) (BL/FU), positive mental health (PMH) (BL/FU), and burden by COVID-19 (FU) were collected via online surveys. In both countries, physical activity was positively associated with PMH, and both variables were negatively related to burden by COVID-19. Furthermore, PMH mediated the link between physical activity and burden. The mediation model was significant when physical activity and PMH were assessed at the BL, while burden was measured at the FU; and it was also significant when all variables were assessed at the FU. The present findings reveal that physical activity in combination with PMH can reduce the experience of burden by COVID-19. Conscious fostering of physical activity and PMH is supported as an effective strategy to reduce the negative impact of the pandemic outbreak on mental and physical health. Additional benefits such as increased adherence to governmental measures around COVID-19 are discussed.

Less sense of control, more anxiety, and addictive social media use: Cohort trends in German university freshmen between 2019 and 2021

The COVID-19 outbreak brought many challenges for everyday life that could affect mental health. The present study investigated cohort trends of sense of control, anxiety symptoms and (addictive) social media use (SMU) in German university freshmen between 2019 (before the pandemic outbreak) and 2021 (after the pandemic outbreak). Data of overall 1,378 freshmen (three cohorts: 2019: N = 407, 2020: N = 563, 2021: N = 408) were collected by online surveys. The comparison of the three cohorts revealed a significant decrease of sense of control from 2019 to 2021 (effect size: Cohen's d = 0.29 to 0.36). In contrast, anxiety symptoms (d = 0.25 to 0.28), time spent daily on SMU (d = 0.18 to 0.36), and addictive SMU (d = 0.26 to 0.31) increased. In all cohorts, we found the same result patterns. Anxiety symptoms and the SMU variables were significantly positively correlated (r = 0.171 to 0.469, p <.001). Sense of control was significantly negatively correlated with the other assessed variables (r = -0.112 to -0.279, p <.05 and p <.001). Moreover, anxiety symptoms mediated the relationship between sense of control and addictive SMU. Thus, the COVID-19 outbreak and its consequences for daily life could affect the sense of control, anxiety symptoms and addictive SMU of freshmen in Germany. Potential ways how to protect young people against these potential negative effects are discussed. © 2022

Suicidal ideation, suicide attempts and positive mental health in Chinese medical students

Introduction: Students worldwide are at marked risk of suicidal ideation/behavior, depression, and low positive mental health (PMH). Medical students are suspected to be a particularly burdened group. On this background, the aim of the present study was to determine prevalence rates of suicidal ideation/behavior, depression and PMH, among Chinese medical students compared to students from other disciplines. Methods: A total of 2,695 Chinese students (41.2% women;age: M = 18.86, SD = .60, range: 18–21), including 461 medical students, filled out self-report measures on suicidal ideation/behavior, depression, and PMH. Results: Twelve-month suicidal ideation was reported by 10.2% of the medical students and by 11.5% of the other students. Medical students had significantly lower levels of depression symptoms and significantly higher levels of PMH than students from other disciplines. Complete mental health – according to the dual-factor model of mental health – was reported by more than 84% of the total sample. Limitations: Data were assessed by a self-report survey that is prone to social desirability. Conclusions: Students in the present study displayed high rates of complete mental health – although the survey was conducted in the midst of the Corona pandemic. No evidence was found that medical students are particularly stressed. © 2022

Relationship between sense of control, psychological burden, sources of information and adherence to anti-COVID-19 rules.

BACKGROUND: Adherence to anti-COVID-19 rules is important to slow down the pandemic spread. The present study investigated potential predictors of the adherence. METHODS: Data of 1.247 participants from Germany (age: M (SD) = 22.99 (6.18)) were assessed via online surveys in autumn and winter 2020. The focus of the data collection was on adherence to anti-COVID-19 rules, sense of control, psychological burden, and sources of COVID-19 information. RESULTS: In moderated mediation analyses, the positive relationship between sense of control and adherence to anti-COVID-19 rules was significantly mediated by the level of psychological burden experienced by the COVID-19 situation. The source of COVID-19 information significantly moderated the negative association between burden and adherence. Specifically, the higher the use of social media (e.g., Facebook, Twitter) and the lower the use of official governmental sites and of television reports, the closer the link between high burden and low adherence. LIMITATIONS: Due to the cross-sectional study design, the present findings allow only hypothetical assumptions of causality. CONCLUSIONS: The present results disclose potential mechanisms that could contribute to the adherence to anti-COVID-19 rules. They emphasize the role of the COVID-19 information source for the adherence level. Potential ways of how the level of adherence could be enhanced are discussed.

Social Media as Source of Information, Stress Symptoms, and Burden Caused by Coronavirus (COVID-19) A Cross-National Investigation of Predictors

This cross-national study investigated the extent of social media use (SMU) as a source of information about COVID-19, and its relationship with the experienced burden caused by the pandemic. Representative data from eight countries (France, Germany, Poland, Russia, Spain, Sweden, the UK, the USA) were collected online (end of May to the beginning of June 2020). Of the overall 8,302 participants, 48.1% frequently used social media (SM) as a COVID-19 information source (range: 31.8% in Germany, to 65.4% in Poland). In the overall samples and in all country-specific samples, regression analyses revealed the experienced burden caused by COVID-19 to be positively associated with SMU and stress symptoms. Furthermore, stress symptoms partly mediated the relationship between SMU and the burden. The results emphasize the significant association between the use of SM as a source of information, individual emotional state, and behavior during the pandemic, as well as the significance of conscious and accurate use of SM specifically during the COVID-19 outbreak.

The relationship between burden caused by coronavirus (Covid-19), addictive social media use, sense of control and anxiety.

The outbreak of Covid-19 has significantly restricted people's everyday life and contributed to enhanced social media use (SMU). The present study investigated the relationship of burden caused by Covid-19 and addictive SMU. Data were assessed in a sample of 550 users of social media (age: M (SD) = 27.08 (6.74)) from Germany via online surveys in spring 2020. In a moderated mediation analysis, the positive association between burden and addictive SMU was significantly mediated by the level of perceived sense of control. Anxiety symptoms significantly moderated the relationship between sense of control and addictive SMU. Specifically, the link between both variables was significant only for medium and high levels of anxiety symptoms. The present findings disclose the mechanisms that can contribute to the development of addictive tendencies during the pandemic outbreak. Potential practical implications and ways of how the negative consequences of burden caused by Covid-19 might be prevented are discussed.

The relationship between social media use, stress symptoms and burden caused by coronavirus (Covid-19) in Germany and Italy: A cross-sectional and longitudinal investigation.

Introduction: The need for "social distancing" to reduce the spread of Covid-19 is accompanied by an increase of social media use (SMU). Many people engage in intensive online activity to find information about the current Covid-19 situation and to interact about it with other users. The present study investigated the extent of SMU as Covid-19 information source and its relationship with stress symptoms and burden caused by the pandemic in Germany and Italy. Methods: Cross-national longitudinal (Germany, N = 501; 3-months period) and cross-sectional (Italy, N = 951) data on Covid-19 information sources, stress symptoms and burden caused by Covid-19 were collected via online surveys. Results: About 50% of the German sample and about 60% of the Italian sample frequently used SM as Covid-19 information source. Cross-sectional analyses in both countries revealed that SMU is positively associated with stress symptoms and experienced burden. Moreover, stress symptoms mediated the link between SMU and burden. This was also confirmed by longitudinal analyses in Germany (burden assessed three months after SMU and stress symptoms). Limitations: The mostly female and relatively young sample composition limits the generalizability of present findings. Only two European countries were investigated. Conclusions: The present findings reveal a potential negative impact of enhanced SMU on individual mental health state and behavior. Additionally, they emphasize the significance of a conscious and cautious use of SM as information source specifically during the pandemic.