The effects of secondary stressors, social identity, and social support on perceived stress and resilience: Findings from the COVID-19 pandemic.

Primary stressors are direct outcomes of extreme events (e.g., viruses, floodwater) whereas secondary stressors stem from pre-disaster life circumstances and societal arrangements (e.g., illness, problematic pre-disaster policies) or from inefficient responses to the extreme event. Secondary stressors can cause significant long-term damage to people affected but are also tractable and amenable to change. In this study we explored the association between secondary stressors, social identity processes, social support, and perceived stress and resilience. Pre-registered analyses of data from the COVIDiSTRESS Global Survey Round II (N = 14,600; 43 countries) show that secondary stressors are positively associated with perceived stress and negatively associated with resilience, even when controlling for the effects of primary stressors. Being a woman or having lower socioeconomic status (SES) is associated with higher exposure to secondary stressors, higher perceived stress, and lower resilience. Importantly, social identification is positively associated with expected support and with increased resilience and lower perceived stress. However, neither gender, SES, or social identification moderated the relationship between secondary stressors and perceived stress and resilience. In conclusion, systemic reforms and the availability of social support are paramount to reducing the effects of secondary stressors.

Institution efficiency satisfaction and emotional responses to the COVID-19 pandemic in Arab citizens of Israel: An exploratory cross-sectional study.

The COVID-19 pandemic has led to the emergence of various stressors among people around the world. However, rare are the studies that investigate stressors by employing institution evaluations as their predictors in ethnic minorities. The goal of the current study was to examine the association between satisfaction with the efficiency of institutions' work on mitigation of the COVID-19 spread, and stressors - emotional responses to the pandemic: worry of the COVID-19 spread, and fear of being hurt by its spread. The study was conducted among Israeli Arab citizens (N = 697), who participated in an annual personal security index survey. Multinomial logistic regression was used for the multivariate analysis. The main finding suggests that satisfaction with efficiency of the emergency institutions performance was associated with a lower likelihood of being highly worried of COVID-19 spread, as well as with a lower likelihood of having a great fear of being hurt by its spread. Satisfaction with efficiency of societal institutions performance was associated only with lower likelihood of being moderately worried of the COVID-19 spread. The results imply that the institutions have an ability to reduce the stressors in population by means of efficient performance in mitigating the consequences of the pandemic. The results also imply that institutions differ in this ability. The main policy implication is that institutions, which efficiency satisfaction was unrelated to the stressors, should significantly improve such performance in order to reduce the magnitude of negative emotional responses in ethnic minorities.

Let us do better: learning lessons for recovery of healthcare professionals during and after COVID-19.

The COVID-19 pandemic emphasises the need to rethink and restructure the culture of healthcare organisations if we are to ensure the long-term well-being and mental health of healthcare provider organisations and their staff. In this paper, we recognise the high levels of stress and distress among staff of healthcare services before the COVID-19 pandemic began. We identify lessons for care of healthcare staff and illustrate the paths by which support mobilises and later deteriorates. Although this paper focuses on NHS staff in the UK, we contend that similar effects are likely in most healthcare systems.