Coping with COVID-19 Stressors: Adverse and Protective Factors Responding to Emotions in a Chinese Sample

Background: The potential roles of affective responses to environmental stressors in individuals9 physical and mental health are complex and multi-faceted. This study, then, explores Chinese citizens9 emotional responses to COVID-19-related stressors and influence factors which may boost or buffer such effects. Methods: From late March to early June (2020), a cross-sectional study was conducted using an anonymous online questionnaire included demographic characteristics, COVID-19-related stressors related to individuals9 daily functioning, and the self-assessed impact of protective and adverse internal factors on emotions. Results: 1,662 questionnaires were received from residents in 32 Chinese provinces classified by prevalence level according to COVID-19 infections. Among the 17 positive and negative emotional responses, agglomerative hierarchical clustering revealed four subclassifications: (1) stress relations; (2) missing someone relations; (3) individual relations; and (4) social relations. Additionally, heightened regional prevalence levels positively corresponded to intensity of stress relations. Lowest intensity of social relations was found in the areas surrounding Wuhan and coastal areas. Specially, economic- and work-related stressors as well as negative self-perceptions (e.g., suppression, emotionally unstable, self-denial) implicated in negative emotions. While positive emotions were tied to demographic characteristics (e.g., high education, young age and male) and protective traits (e.g., creativity, sympathy, social responsibility), and inversely linked to relationships- and pandemic-related stressors, etc. Conclusion: Associations were clearly noted among Chinese residents9 emotions to specific stressors during pandemic. Providing appropriate psychological resources/supports during future or extended public health crises may help offset the cognitive burden of individuals striving to regain an adequate level of normalcy and emotional well-being.