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The relationship between mindfulness and mental distress in Chinese people during the COVID-19 pandemic: Moderating effects of infection severity of region and mediating effects of resilience and self-efficacy

Wendy Wen Li, D.J. Miller, Timothy Yong Qun Leow, Carolyn Heward, Yahong Li, Fang Yang, Huizhen Yu

Journal of Pacific Rim Psychology 2023 DOI: 10.1177/18344909231192765 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Cross-sectional survey Peer reviewed
Sample size 1,201
Population Adults aged 18-78 (mean 29.62 years) living in 107 cities in China during the early COVID-19 pandemic
Topics Meditation
Citations 8
Key findings Mindfulness, resilience, and self-efficacy were each negatively associated with stress, anxiety, and depression, and positively correlated with one another. Regional COVID-19 infection severity did not moderate the mindfulness-distress relationship, while resilience and self-efficacy mediated it, suggesting these two factors partly explain how mindfulness relates to lower mental distress.

Abstract

The current study investigated the moderating effects of COVD-19 infection severity of region of residence, and the mediating effects of resilience and self-efficacy, on the relationship between mindfulness and mental distress during the COVID-19 pandemic. A total of 1,220 participants from 107 cities in China took part in a cross-sectional survey. The data were collected during the early stages of the COVID-19 pandemic (from April 10 to June 10, 2020). The final sample comprised of 1,201 participants with a mean age of 29.62 (SD = 12.72; Range = 18–78). Participants were categorized into high, moderate, and low infection-severity areas according to the numbers of infected people and deaths in their residential areas as of April 16, 2020. The findings showed that mindfulness, resilience, and self-efficacy were negatively associated with the mental distress indicators of stress, anxiety, and depression and that mindfulness, resilience, and self-efficacy positively correlated to one another. COVID-19 infection severity in one's region of residence did not moderate the negative associations between mindfulness and stress, anxiety and depression, while resilience and self-efficacy mediated the negative relationship between mindfulness and mental distress. This study therefore sheds light on some of the mechanisms by which mindfulness helps individuals maintain good mental health in times of adversity. The inclusion of mindfulness, resilience, and self-efficacy in the design and implementation of mental health intervention in response to the pandemic and future public health crisis may help mitigate some of the mental problems related to the COVID-19 and future pandemics.

Comparable studies

Other cross-sectional and survey studies on meditation, most cited first.

Study Year Design Participants
Construct Validity of the Five Facet Mindfulness Questionnaire in Meditating and Nonmeditating Samples Experienced meditators and nonmeditating comparison groups 2008 Cross-sectional study
Neural Correlates of Dispositional Mindfulness During Affect Labeling Adult participants 2007 Observational cross-sectional n = 27
Assessing mindfulness in children and adolescents: Development and validation of the Child and Adolescent Mindfulness Measure (CAMM). School-aged children and adolescents 2011 Cross-sectional validation study n = 1,413
Mindfulness and self-compassion as predictors of psychological wellbeing in long-term meditators and matched nonmeditators Experienced meditators and demographically matched nonmeditators 2012 Cross-sectional study n = 152
Mechanisms of Action in the Inverse Relationship Between Mindfulness and Psychological Distress Undergraduates 2008 Cross-sectional, correlational

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