Abstract

The study aimed to understand how coping strategies in general and humor-based coping strategies in particular modulate the perception of pandemic-related stress in a sample of Italian healthcare workers during the coronavirus disease (COVID-19) outbreak in Italy. A total of 625 healthcare workers anonymously and voluntarily completed a 10-min questionnaire, which included psychometrically valid measurements preceded by a set of questions aimed at determining workers’ exposure to COVID-19. The Perceived Stress Scale was used to measure healthcare workers’ stress levels, and the Brief COPE Scale and Coping Humor Scale were used to assess participants’ avoidant or approach coping style and verify the degree to which they relied on humor to cope with stress. The results show that (1) levels of perceived stress were higher in healthcare workers who were more exposed to COVID-19 (i.e., who came into contact with COVID-19 patients or worked in wards dedicated to COVID-19) in comparison to less-exposed workers; (2) participants who reported a higher use of avoidant coping strategies perceived the situation as more stressful than those who used them less; and (3) healthcare workers who reported higher use of humor-based coping strategies perceived the situation as less stressful in comparison with those who reported less use of coping humor. Such findings expanded other research studies by including coping humor as a potential factor to mitigate the perceived stress related to COVID-19. The paper concludes with a discussion of implications for future research and limitations of the study.

Highlights

  • The coronavirus disease (COVID-19), a highly contagious respiratory disease caused by a newly discovered virus (SARS-CoV-2), was first reported in December 2019 in Wuhan, China (Chan et al, 2020); it rapidly spread across the globe and was declared a pandemic by the World Health Organization (WHO) in March 2020

  • The results of the likelihood ratio test calculated between the complex models revealed that model no. 6 showed the best overall fit and the maximum significant reduction in the residual sum of squares [see Table 3; perceived stress ∼ worked with COVID-19 ×]

  • This study investigated the psychological impact of the pandemic on healthcare workers (HCWs)’ wellbeing by focusing on their perceived stress during the outbreak, the role played by their exposure to COVID-19, approaching vs avoidant coping strategies, and coping humor

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Summary

INTRODUCTION

The coronavirus disease (COVID-19), a highly contagious respiratory disease caused by a newly discovered virus (SARS-CoV-2), was first reported in December 2019 in Wuhan, China (Chan et al, 2020); it rapidly spread across the globe and was declared a pandemic by the World Health Organization (WHO) in March 2020. To the best of our knowledge, till date, only one study, conducted on a sample of Israeli nursing students during the COVID-19 pandemic, showed that the usage of humor as a coping strategy was associated (together with resilience and high level of self-esteem) with significantly lower anxiety levels (Savitsky et al, 2020). This result agrees with the abovementioned literature on the protective and coping functions of humor and paves the way for investigation of a significant, albeit neglected, issue

Aim of the Present Study
Study Design and Participants
RESULTS
Cop-religion
DISCUSSION
Limitations and Future
ETHICS STATEMENT
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