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      The Anxiety-Buffer Hypothesis in the Time of COVID-19: When Self-Esteem Protects From the Impact of Loneliness and Fear on Anxiety and Depression

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          Abstract

          Introduction

          The coronavirus (COVID-19) disease has spread worldwide, generating intense fear of infection and death that may lead to enduring anxiety. At the same time, quarantine and physical isolation can intensify feelings of dispositional loneliness that, by focusing on thoughts of disconnection from others, can trigger intense anxiety. Anxiety, generated by both fear of COVID-19 and dispositional loneliness, can activate negative expectations and thoughts of death, potentially generating alarming depressive symptoms. However, the anxiety-buffer hypothesis suggests that self-esteem acts as a shield (buffer) against mental health threats – fear and loneliness – thus hampering anxiety and depressive symptoms.

          Objective

          This study aims to test the process – triggered by COVID-19 fear and loneliness – in which self-esteem should buffer the path leading to anxiety symptoms, then to depression.

          Methods

          An observational research design with structural equation models was used. A sample of 1200 participants enrolled from the general population answered an online survey comprising: the fear of COVID-19 scale, the UCLA loneliness scale, the Rosenberg self-esteem scale, and the anxiety and depression scales of the Symptom Checklist-90-Revised.

          Results

          Structural equation models showed the link between anxiety symptoms ( mediator) with both the fear of COVID-19 and dispositional loneliness ( predictors), as well as its association with consequent depressive symptomatology ( outcome). In line with the anxiety-buffer hypothesis, self-esteem mediated the relationship between the predictors and their adverse psychological consequences.

          Conclusion

          Self-esteem represents a protective factor from the antecedents of depression. Targeted psychological interventions should be implemented to minimize the psychological burden of the disease whilst promoting adaptation and positive psychological health outcomes.

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          Most cited references147

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          Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives

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            Common method biases in behavioral research: A critical review of the literature and recommended remedies.

            Interest in the problem of method biases has a long history in the behavioral sciences. Despite this, a comprehensive summary of the potential sources of method biases and how to control for them does not exist. Therefore, the purpose of this article is to examine the extent to which method biases influence behavioral research results, identify potential sources of method biases, discuss the cognitive processes through which method biases influence responses to measures, evaluate the many different procedural and statistical techniques that can be used to control method biases, and provide recommendations for how to select appropriate procedural and statistical remedies for different types of research settings.
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              The psychological impact of quarantine and how to reduce it: rapid review of the evidence

              Summary The December, 2019 coronavirus disease outbreak has seen many countries ask people who have potentially come into contact with the infection to isolate themselves at home or in a dedicated quarantine facility. Decisions on how to apply quarantine should be based on the best available evidence. We did a Review of the psychological impact of quarantine using three electronic databases. Of 3166 papers found, 24 are included in this Review. Most reviewed studies reported negative psychological effects including post-traumatic stress symptoms, confusion, and anger. Stressors included longer quarantine duration, infection fears, frustration, boredom, inadequate supplies, inadequate information, financial loss, and stigma. Some researchers have suggested long-lasting effects. In situations where quarantine is deemed necessary, officials should quarantine individuals for no longer than required, provide clear rationale for quarantine and information about protocols, and ensure sufficient supplies are provided. Appeals to altruism by reminding the public about the benefits of quarantine to wider society can be favourable.
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                Author and article information

                Contributors
                Journal
                Front Psychol
                Front Psychol
                Front. Psychol.
                Frontiers in Psychology
                Frontiers Media S.A.
                1664-1078
                10 November 2020
                2020
                10 November 2020
                : 11
                : 2177
                Affiliations
                [1] 1Section of Applied Psychology, Department of Philosophy, Sociology, Education, and Applied Psychology, University of Padua , Padua, Italy
                [2] 2Interdepartmental Center for Family Research, University of Padua , Padua, Italy
                [3] 3Unit of Psychology and Neuropsychology, Maugeri Scientific Institutes IRCCS , Novara, Italy
                [4] 4Psychology Research Laboratory, Ospedale San Giuseppe, IRCCS, Istituto Auxologico Italiano , Verbania, Italy
                [5] 5Department of Psychology, Catholic University of Milan , Milan, Italy
                [6] 6Department of Psychology, eCampus University , Novedrate, Italy
                Author notes

                Edited by: Gabriella Martino, University of Messina, Italy

                Reviewed by: Daniela Marchetti, University of Studies G. d’Annunzio Chieti and Pescara, Italy; Mariagrazia Di Giuseppe, University of Pisa, Italy

                ORCID: Alessandro Rossi, orcid.org/0000-0001-7000-5999; Anna Panzeri, orcid.org/0000-0001-5999-858X; Giada Pietrabissa, orcid.org/0000-0002-5911-5748; Gian Mauro Manzoni, orcid.org/0000-0003-3384-0359; Gianluca Castelnuovo, orcid.org/0000-0003-2633-9822; Stefania Mannarini, orcid.org/0000-0002-8446-785X

                This article was submitted to Psychopathology, a section of the journal Frontiers in Psychology

                Article
                10.3389/fpsyg.2020.02177
                7683508
                33240140
                05be40a3-1ee6-4132-9b3b-27adca53cc40
                Copyright © 2020 Rossi, Panzeri, Pietrabissa, Manzoni, Castelnuovo and Mannarini.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 01 June 2020
                : 03 August 2020
                Page count
                Figures: 2, Tables: 4, Equations: 0, References: 152, Pages: 16, Words: 0
                Categories
                Psychology
                Original Research

                Clinical Psychology & Psychiatry
                covid-19,anxiety buffer hypothesis,terror management theory,anxiety,depression,self-esteem,fear,loneliness

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