118638 20230519145539.0 doi 10.3390/ijerph18084143 sideral 126906 ART-2021-126906 eng Chong Y.Y. Patterns of psychological responses among the public during the early phase of COVID-19: A cross-regional analysis 2021 Access copy available to the general public Unrestricted This study aimed to compare the mediation of psychological flexibility, prosociality and coping in the impacts of illness perceptions toward COVID-19 on mental health among seven regions. Convenience sampled online survey was conducted between April and June 2020 from 9130 citizens in 21 countries. Illness perceptions toward COVID-19, psychological flexibility, prosociality, coping and mental health, socio-demographics, lockdown-related variables and COVID-19 status were assessed. Results showed that psychological flexibility was the only significant mediator in the relationship between illness perceptions toward COVID-19 and mental health across all regions (all ps = 0.001–0.021). Seeking social support was the significant mediator across subgroups (all ps range = <0.001–0.005) except from the Hong Kong sample (p = 0.06) and the North and South American sample (p = 0.53). No mediation was found for problem-solving (except from the Northern European sample, p = 0.009). Prosociality was the significant mediator in the Hong Kong sample (p =0.016) and the Eastern European sample (p = 0.008). These findings indicate that fostering psychological flexibility may help to mitigate the adverse mental impacts of COVID-19 across regions. Roles of seeking social support, problem-solving and prosociality vary across regions. © 2021 by the authors. Licensee MDPI, Basel, Switzerland. info:eu-repo/semantics/openAccess by http://creativecommons.org/licenses/by/3.0/es/ 4.614 2021 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH 45 / 183 = 0.246 2021 Q1 T1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH 71 / 210 = 0.338 2021 Q2 T2 ENVIRONMENTAL SCIENCES 100 / 279 = 0.358 2021 Q2 T2 0.814 2021 Pollution 2021 Q1 Health, Toxicology and Mutagenesis 2021 Q1 4.5 2021 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Chien W.T. Cheng H.Y. Lamnisos D. Lubenko J. Presti G. Squatrito V. Constantinou M. Nicolaou C. Papacostas S. Aydin G. Ruiz F.J. Garcia-Martin M.B. Obando-Posada D.P. Segura-Vargas M.A. Vasiliou V.S. McHugh L. Höfer S. Baban A. Neto D.D. da Silva A.N. Monestès J.-L. Alvarez-Galvez J. Blarrina M.P. Montesinos F. Valdivia Salas S. Universidad de Zaragoza (orcid)0000-0002-0242-5972 Ori D. Kleszcz B. Lappalainen R. Ivanovic I. Gosar D. Dionne F. Merwin R.M. Gloster A.T. Karekla M. Kassianos A.P. 4009 680 Universidad de Zaragoza Dpto. Psicología y Sociología Área Person.Eval.Trat.Psicoló. 18, 8 (2021), 4143 [19 pp] Int. j. environ. res. public health International journal of environmental research and public health 1661-7827 752063 http://zaguan.unizar.es/record/118638/files/texto_completo.pdf Versión publicada 3041643 http://zaguan.unizar.es/record/118638/files/texto_completo.jpg?subformat=icon icon Versión publicada oai:zaguan.unizar.es:118638 articulos driver 2023-05-18-15:38:52 ARTICLE