The effects of COVID-19 continuous traumatic stressors on mental health and cognitive functioning: A case example from Turkey

Özet

There is a need to accurately assess the specific impacts of the various traumatic stressors caused by COVID-19 on mental health. The goal was to evaluate the impact of different types of COVID-19 stressors (infection fears, lockdown, and economic stressors) on mental health and cognitive functioning. We used a sample of 262 Turkish adults. We administered an online questionnaire that included measures of COVID-19 traumatic stressors, PTSD, depression, anxiety, executive function deficits, and cumulative stressors and traumas (CST). The analyses included correlations, hierarchical regression, path analysis, and PROCESS mediation analysis. All COVID-19 traumatic stressors types and their cumulative load predicted PTSD, depression, anxiety, and executive function deficits after controlling for previous cumulative stressors and traumas and COVID-19 infection. COVID-19 lockdown’s stressors were the strongest predictors, compared to COVID-19 fears and economic stressors. Path analysis and PROCESS mediation results indicated that COVID-19 traumatic stressors had direct effects on working memory deficits, direct and indirect effects on PTSD, depression, and anxiety, and indirect effects on inhibition deficits. Anxiety, depression, and inhibition deficits mediated its indirect effects on PTSD. The results have conceptual and clinical implications. COVID-19 continuous posttraumatic stress syndrome that includes comorbid PTSD, depression, anxiety, and executive function deficits is different and does not fit within the current trauma frameworks. There is a need for a paradigm shift in current stress and trauma frameworks to account for the COVID-19 continuous global stressors and for clinical innovations in intervention to help its victims.

Açıklama

WOS:000641673200002
PMID: 33897228

Anahtar Kelimeler

COVID-19 traumatic stressors, Executive functions, PTSD, Depression, Anxiety

Kaynak

Current Psychology

WoS Q Değeri

Q2

Scopus Q Değeri

Q2

Cilt

Early Access

Sayı

Künye

Kira, İ.A., Alpay, E.H., Ayna, Y.E., Shuwiekh, H.A.M., Ashby, J.S. ve Türkeli, A. (2021). The effects of COVID-19 continuous traumatic stressors on mental health and cognitive functioning: A case example from Turkey. Current Psychology, Early Access.