AUTHOR=Shangguan Fangfang , Zhou Chenhao , Qian Wei , Zhang Chen , Liu Zhengkui , Zhang Xiang Yang 

TITLE=A Conditional Process Model to Explain Somatization During Coronavirus Disease 2019 Epidemic: The Interaction Among Resilience, Perceived Stress, and Sex

JOURNAL=Frontiers in Psychology

VOLUME=12

YEAR=2021

URL=https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2021.633433

DOI=10.3389/fpsyg.2021.633433

ISSN=1664-1078

ABSTRACT=<sec><title>Background</title><p>More than 15% of Chinese respondents reported somatic symptoms in the last week of January 2020. Promoting resilience is a possible target in crisis intervention that can alleviate somatization.</p></sec><sec><title>Objectives</title><p>This study aims to investigate the relationship between resilience and somatization, as well as the underlying possible mediating and moderating mechanism, in a large sample of Chinese participants receiving a crisis intervention during the coronavirus disease 2019 epidemic.</p></sec><sec><title>Methods</title><p>Participants were invited online to complete demographic information and questionnaires. The Symptom Checklist-90 somatization subscale, 10-item Connor–Davidson resilience scale, and 10-item Perceived Stress Scale were measured.</p></sec><sec><title>Results</title><p>A total of 2,557 participants were included. Spearman correlation analysis revealed that lower resilience was associated with more somatic symptoms (<italic>p</italic> &lt; 0.001). The conditional process model was proved (indirect effect = −0.01, 95% confidence interval = [−0.015, −0.002]). The interaction effects between perceived stress and sex predicted somatization (<italic>b</italic> = 0.05, <italic>p</italic> = 0.006).</p></sec><sec><title>Conclusion</title><p>Resilience is a key predictor of somatization. The mediating effects of perceived stress between resilience and somatization work in the context of sex difference. Sex-specific intervention by enhancing resilience is of implication for alleviating somatization during the coronavirus disease 2019 epidemic.</p></sec>