Professional Documents
Culture Documents
A R T I C L E I N F O A B S T R A C T
Keywords: Spain is one of the countries with the highest number of Covid-19 cases per habitant. On March 14, 2020, the
Covid-19 Government declared the State of Alarm which included the mandatory confinement of all citizens. On March 30
Individual differences and April 11, we surveyed 1659 adults to research the relevance of social/work status and personality variables
Mental health
in the prediction of psychological health (anxiety, depression and life satisfaction). Results indicated that women
Job status
Conflict work-family
and young reported higher anxiety, depression, conflict between work and family relationship, conscientious
Personality traits ness, and extraversion. Men reported higher emotional stability. The variables considered predicted a substantial
percentage of variance on anxiety (36%), depression (38%) and life satisfaction (19%), with a significant relative
contribution of personality traits. People with poorer psychological health also showed more conflict between
work and family relationships. Working at office was more related to anxiety while working at home was more
related to depression. We noted that the influence of impact of job status and conflict between work and family
relationship as mental health as performance might depend on individual differences. Depression, anxiety and
life satisfaction were predicted by personality and social/work variables, which highlights the importance of
consider these variables to address mental health in this situation.
1. Introduction (Kotov et al., 2010) as well as with respect to negative affect (Strick
houser et al., 2017) few studies have focused on investigating the role of
On March 14, the Spanish government declared State of Alarm (RD personality in mental health during the initial stage of confinement by
463/2020, of March 14) to contain the progression of the global COVID-19. Some studies have explored how personality predicted
pandemic of COVID-19 (WHO, 2020). Among other measures was the health behaviors such as social distancing and hygiene (Abdelrahman,
mandatory confinement of all citizens. 2020) or adherence to restrictions (Zajenkowski et al., 2020), but
Results of a systematic review on the prevalence of symptoms of overlooked the influence of personality traits. Meanwhile, the studies
mental health during the COVID-19 pandemic indicated relatively high that investigated its influence concluded that personality traits pre
rates of anxiety symptoms (6.33% to 50.9%), depression (14.6% to dicted mental health (Qian & Yahara, 2020) and that personality seemed
48.3%), psychological distress (34.43% to 38%) in the population dur to protect the psychological distress of COVID-19 (Nikčević et al., 2020).
ing the COVID-19. Risk factors associated include to be a woman, The lockdown situation also affects work and family and the effects
youngest age group (≤40 years), presence of chronic/psychiatric ill of telework on the work-family balance have also been analyzed
nesses, unemployment, student status, and frequent exposure to social (Beauregard et al., 2019). Despite the fact that the side effects that
media/news related to COVID- 19 (Xiong et al., 2020). COVID-19 have on the social, economic and healthcare life have been
However, less is known about the factors that could cushion the pointed out (Haleem et al., 2020), few studies have addressed its in
negative effects and protect the psychological health, such as the in fluence and those that have done so emphasize the importance of these
fluence of personality traits, and the life satisfaction (Bonanno et al., disruptive factors in health and well-being (Zhang et al., 2020).
2008; Goodman et al., 2017). Although there is evidence of the rela
tionship between personality traits and depressive and anxiety disorders
* Corresponding author at: Department of Social, Work and Differential Psychology, Faculty of Psychology, Complutense University of Madrid, Somosaguas
Campus, 28223 Madrid, Spain.
E-mail address: mariai04@ucm.es (Mª.I. López-Núñez).
https://doi.org/10.1016/j.paid.2020.110562
Received 18 September 2020; Received in revised form 14 November 2020; Accepted 25 November 2020
Available online 3 December 2020
0191-8869/© 2020 Elsevier Ltd. All rights reserved.
Mª.I. López-Núñez et al. Personality and Individual Differences 172 (2021) 110562
2
Mª.I. López-Núñez et al. Personality and Individual Differences 172 (2021) 110562
Table 1 variance of 7.7%, Fchange (2, 1653) = 69.09, p < 0.001; work variables
Demographic characteristics of the participants (n = 1659). (job status and CWFR) (step 2) increased the percentage of variance in
N % 8.7%, Fchange (3, 1650) = 57.53, p < 0.001. People living together at
home and chronic disease variables (step 3) accounted an additional
Sex
Male 375 22.6 1.1%, Fchange (2, 1648) = 11.41, p < 0.001, and finally, personality traits
Female 1284 77.4 (conscientiousness, extraversion and emotional stability) (step 4)
Education level increased the percentage of variance in 20.9%, Fchange (5, 1643) =
Elementary studies 37 2.2 111.87, p < 0.001. The model accounted for the 38.1% of total variance
High or professional school 383 23.1
Bachelor’s degree 627 37.81
on anxiety and was composed by next predictors (β): age (− 0.08), sex
Postgraduate degree 612 36.9 (women) (− 0.07), worked at home (− 0.09), CWFR (0.20), conscien
Marital status tiousness (− 0.10), extraversion (− 0.18) and emotional stability
Single 593 35.76 (− 0.39).
Married 854 51.5
Finally, regarding SWLS, age and sex (step 1) accounted a percentage
Others 212 12.8
Job status of variance of 1.5%, Fchange (2, 1653) = 12.87, p < 0.001; work variables
Work at office 267 165.17 (job status and CWFR) (step 2) increased the percentage of variance in
Work at home 890 531.7 6.1%, Fchange (3, 1650) = 36.09, p < 0.001. People living together at
Other 502 30.2 home and chronic disease variables (step 3) accounted an additional
Chronic disease
Yes 345 20.8
2.4%, Fchange (2, 1648) = 21.69, p < 0.001, and finally, personality traits
No 1314 79.2 (conscientiousness, extraversion, agreeableness and emotional stability)
Children (step 4) increased the percentage of variance in 9.8%, Fchange (5, 1643) =
0 760 45.8 40.15, p < 0.001. The model accounted for the 19.2% of total variance
1 288 17.3
on SWLS and is composed by next predictors (β): worked at office (0.12),
2 461 27.8
3 to 5 151 9.1 worked at home (0.15), CWFR (− 0.15), people living together at home
People living together (0.11), conscientiousness (0.10), extraversion (0.13), agreeableness
1 266 16.0 (− 0.07), and emotional stability (0.25).
2 456 27.5
3 392 23.6
4. Discussion
4 417 25.1
5 to 7 129 7.8
In the present study we analyzed the influence of personality on
psychological health (anxiety, depression and life satisfaction), con
74.31, p < 0.001. The final model accounted for the 36.1% of total trolling the effect of demographic, work and social variables.
variance on anxiety and was composed by next predictors (β): age The results indicate that these variables account for a substantial
(− 0.06), sex (women) (− 0.14), worked at office (0.07), CWFR (0.28), percentage of anxiety (36%), depression (38%) and life satisfaction
agreeableness (0.07) and emotional stability (− 0.40). (19%), with a substantial percentage of variance predicted by person
Regarding depression, age and sex (step 1) accounted a percentage of ality traits in depression (20%), anxiety (14%) and life satisfaction (9%).
Table 2
Means, standard deviations (SD) and number of participants according to age groups and sex for Anxiety, Depression, Life Satisfaction, Conflict Work and Family
Relationship (CWFR), Openness to Experience, Conscientiousness, Extraversion, Agreeableness and Emotional Stability.
18–30 31–40 41–50 51–79 Total
M SD N M SD N M SD N M SD N M SD N
Anxiety W 23.71 7.62 255 22.06 7.52 295 21.36 7.74 396 18.53 6.74 335 21.25 7.62 1281
M 18.00 7.37 49 19.12 6.11 66 17.11 7.33 122 16.17 6.69 138 17.23 6.95 375
T 22.79 7.85 304 21.52 7.36 361 20.36 7.85 518 17.84 6.80 473 20.34 7.66 1656
Depression W 21.43 8.61 255 18.12 7.42 295 17.11 7.31 396 15.72 6.15 335 17.84 7.59 1281
M 18.41 7.82 49 17.20 7.31 66 14.72 6.74 122 14.79 5.85 138 15.66 6.81 375
T 20.94 8.55 304 17.95 7.40 361 16.54 7.25 518 15.45 6.07 473 17.35 7.48 1656
Life satisfaction W 22.78 6.77 255 24.18 6.47 295 24.85 6.51 396 24.76 5.87 335 24.26 6.43 1281
M 22.22 6.60 49 23.03 6.13 66 24.72 5.97 122 24.97 5.84 138 24.19 6.10 375
T 22.69 6.74 304 23.97 6.41 361 24.82 6.38 518 24.82 5.85 473 24.25 6.36 1656
CWFR W 3.99 1.45 255 3.95 1.61 295 3.77 1.51 396 3.12 1.43 335 3.68 1.54 1281
M 3.25 1.48 49 3.49 1.51 66 3.25 1.44 122 2.85 1.29 138 3.15 1.42 375
T 3.87 1.48 304 3.87 1.60 361 3.65 1.51 518 3.04 1.39 473 3.56 1.53 1656
Openness to experience W 5.17 1.18 255 5.08 1.21 295 5.05 1.26 396 5.12 1.29 335 5.10 1.24 1281
M 5.19 1.14 49 5.05 1.11 66 5.11 1.18 122 4.98 1.20 138 5.06 1.17 375
T 5.17 1.17 304 5.07 1.19 361 5.06 1.24 518 5.08 1.27 473 5.09 1.22 1656
Conscientiousness W 4.78 1.27 255 5.08 1.30 295 5.33 1.25 396 5.42 1.18 335 5.19 1.27 1281
M 4.35 1.49 49 4.86 1.38 66 5.09 1.35 122 5.23 1.16 138 5.00 1.33 375
T 4.71 1.32 304 5.04 1.31 361 5.28 1.28 518 5.36 1.17 473 5.15 1.29 1656
Extraversion W 4.50 1.65 255 4.89 1.50 295 5.05 1.44 396 5.04 1.38 335 4.90 1.50 1281
M 4.10 1.65 49 4.37 1.44 66 4.59 1.42 122 4.57 1.32 138 4.48 1.42 375
T 4.43 1.65 304 4.79 1.50 361 4.95 1.45 518 4.90 1.38 473 4.81 1.49 1656
Agreeableness W 4.92 1.13 255 5.04 1.14 295 5.05 1.08 396 5.10 1.08 335 5.03 1.10 1281
M 5.00 1.08 49 4.59 1.02 66 4.68 1.10 122 4.79 1.05 138 4.75 1.07 375
T 4.93 1.12 304 4.95 1.13 361 4.96 1.09 518 5.01 1.08 473 4.97 1.10 1656
Emotional stability W 4.08 1.44 255 4.56 1.43 295 4.73 1.34 396 5.06 1.27 335 4.65 1.40 1281
M 4.70 1.26 49 4.49 1.36 66 4.96 1.32 122 5.17 1.16 138 4.92 1.28 375
T 4.18 1.43 304 4.55 1.42 361 4.79 1.33 518 5.10 1.23 473 4.71 1.38 1656
3
Mª.I. López-Núñez et al. Personality and Individual Differences 172 (2021) 110562
Table 3
Statistical data (Fs, signification level and partial eta squared) on Anxiety, Depression, Life Satisfaction, Conflict Work and Family Relationship (CWFR), Openness to
Experience, Conscientiousness, Extraversion, Agreeableness and Emotional Stability according to sex and age.
Sex Age Sex * age
Note: Age groups: 1 = 18–30 years; 2 = 31–40 years; 3 = 41–50 years; 4 = 51–79 years.
***
p < 0.001.
Table 4
Hierarchical regression analysis on Depression, Anxiety and Life Satisfaction considering Age, Sex/gender (step 1), Work Status (Job Status and Conflict between Work
and Family Relationships, CWFR) (step 2), People Living Together, Chronic Disease (step 3), and Personality (step 4).
Anxiety Depression Life satisfaction
β t β t β t
Note: Sex: 0 = men; 1 = women; Job status was transformed into two dummy variables, being the reference “other”.
***
p < 0.001.
**
p < 0.01.
Women report higher anxiety, depression, work and family conflict, conscientiousness, extraversion and emotional stability. Finally, satis
conscientiousness, extraversion, agreeableness and men report higher faction with life is predicted by worked at office, work at home, a greater
emotional stability. The youngest age group (18–30 years) report higher number of people living together at home, higher scores of conscien
anxiety, depression, and life satisfaction. All age groups show work and tiousness, extraversion and emotional stability and lower scores of
family conflict except the oldest group (51–79 years). We found high agreeableness.
scores of anxiety in people younger than 35 years and that women report Working at office predicted anxiety, while working at home pre
worse psychological health in line with other studies (Gao et al., 2020; dicted depression. People with poorer psychological health also show
Huang & Zhao, 2020). more work and family conflict. In addition, our study highlights that
High scores of anxiety are predicted more frequently by younger women report worst health because work and family conflict. Previous
people (under 30), women, work at office, work and family conflict, research indicated that the influence on the psychological health of work
high scores on agreeableness and lower levels of emotional stability. and family variables would depend on individual differences, such as sex
High scores of depression are predicted by younger people, women, (Liu et al., 2020) and personality (Beauregard et al., 2019; Soto, 2020)
work at home, work and family conflict and lower scores on whereas other studies indicated that work variables, the number of
4
Mª.I. López-Núñez et al. Personality and Individual Differences 172 (2021) 110562
people living together and chronic disease are relevant too to under Bonanno, G. A., Ho, S. M., Chan, J. C., Kwong, R. S., Cheung, C. K., Wong, C. P., &
Wong, V. C. (2008). Psychological resilience and dysfunction among hospitalized
stand psychological health during confinement by COVID-19 (Zhang
survivors of the SARS epidemic in Hong Kong: A latent class approach. Health
et al., 2020). Psychology, 27, 659.
Our results show an increase of psychological problems during this Cohen, J. (1992). A power primer. Psychological Bulletin, 112(1), 155.
epidemic as several previous studies have indicated (Lima et al., 2020). Díaz-Morales, J. F., & Sánchez-López, M. P. (2001). Relevance of personality styles and
personal goals in the prediction of life satisfaction. Anales de Psicología/Annals of
These results could be interpreted from the vulnerability model since it Psychology, 17(2), 151–158. Retrieved from https://revistas.um.es/analesps/article
postulates that neuroticism fosters processes that lead to mental disor /view/28701.
ders (Ormel et al., 2013) and increases the impact of causal risk factors Diener, E., Emmons, R., Larsen, R.J., y Griffin, S. (1985). The Satisfaction with Life Scale.
Journal of Personality Assessment, 49, 71–75.
such as stressful life events (COVID-19). The personality traits could Gao, W., Ping, S., & Liu, X. (2020). Gender differences in depression, anxiety, and stress
account to the variation in mental health (Quilty et al., 2008), with among college students: A longitudinal study from China. Journal of Affective
neuroticism as a vulnerability factor and extraversion and conscien Disorders, 263, 292–300. https://doi.org/10.1016/j.psychres.2020.112954.
García-Sánchez, R., Almendros, C., Gámez-Guadix, M., Martín, M. J., Aramayona, B., &
tiousness as protective factors (Kotov et al., 2010; Strickhouser et al., Martínez, J. M. (2018). Assessment of conflicts associated with a traditional
2017). masculine gender role in Spanish college men and women. Sex Roles, 78(1–2),
Our study has certain limitations. First, our sample is not a national 81–93. https://doi.org/10.1007/s11199-017-0765-8.
Goodman, F. R., Disabato, D. J., Kashdan, T. B., & Machell, K. A. (2017). Personality
representative sample. However, people of all provinces of Spain strengths as resilience: A one-year multiwave study. Journal of Personality, 85(3),
participated in it. Second, brief measures were used, although previous 423–434. https://doi.org/10.1111/jopy.12250.
studies have shown good validity. Third, it is a cross sectional study. Gosling, S. D., Rentfrow, P. J., & Swann, W. B. (2003). A very brief measure of the Big-
Five personality domains. Journal of Research in Personality, 37, 504–528. https://
Although it shows evidence of the relationships between personality
doi.org/10.1016/S0092-6566(03)00046-1.
traits and other work/social factors and psychological health, we cannot Haleem, A., Javaid, M., & Vaishya, R. (2020). Effects of COVID 19 pandemic in daily life.
conclude that there are significant differences in the effects of person Current Medicine Research and Practice. https://doi.org/10.1016/2Fj.
ality on psychological health during the COVID-19 outbreak, since we cmrp.2020.03.011.
Patient-reported outcomes measurement information system, 2019. PROMIS
do not have previous data. This limitation has also been pointed out in Translations. PROMIS web page http://nihpromis.org/measures/translations.
other studies indicating that the evidence on the change in mental health Real Decreto 463/2020, de 14 de marzo, por el que se declara el estado de alarma para la
of the population potentially attributable to the COVID-19 pandemic gestión de la situación de crisis sanitaria ocasionada por el COVID-19. Boletín Oficial
del Estado, 14 de marzo de 2020, núm. 67, pp. 25390–25400. [consultado el 01 de
was unclear (Pierce, McManus, et al., 2020). Based on this limitation, abril 2020]. Disponible en: https://boe.es/boe/dias/2020/03/14/pdfs/BOE-A-2020
longitudinal investigations were conducted and found differences in -3692.pdf.
mental health before and during the COVID-19 pandemic (Pierce, Hope, Huang, Y., & Zhao, N. (2020). Generalized anxiety disorder, depressive symptoms and
sleep quality during COVID-19 outbreak in China: A web-based cross-sectional
et al., 2020; Twenge & Joiner, 2020). survey. Psychiatry Research. , Article 112954. https://doi.org/10.1016/j.
This study was conducted during the first 14 days of confinement; psychres.2020.112954.
thus we have a baseline to replicate the study and analyze a model in Kotov, R., Gamez, W., Schmidt, F., & Watson, D. (2010). Linking “big” personality traits
to anxiety, depressive, and substance use disorders: A meta-analysis. Psychological
which anxiety and depression mediate the relationship between per Bulletin, 136(5), 768. https://doi.org/10.1037/a0020327.
sonal traits and work-family conflict and satisfaction with life. Other Lima, C. K. T., de Medeiros Carvalho, P. M., Lima, I. D. A. S., de Oliveira Nunes, J. V. A.,
authors have proposed a similar model to explain that depression and Saraiva, J. S., de Souza, R. I., … Neto, M. L. R. (2020). The emotional impact of
Coronavirus 2019-nCoV (new Coronavirus disease). Psychiatry Research, 112915.
anxiety mediate the relationship between personality traits and psy
Liu, N., Zhang, F., Wei, C., Jia, Y., Shang, Z., Sun, L., … Liu, W. (2020). Prevalence and
chotic experiences (Prochwicz & Gawęda, 2016) and the relationships predictors of PTSS during COVID-19 outbreak in China hardest-hit areas: Gender
between the Big Five personality and generalized anxiety and depressive differences matter. Psychiatry Research, 112921. https://doi.org/10.1016/j.
symptoms during COVID-19 pandemic (Nikčević et al., 2020) with psychres.2020.112921.
Nikčević, A. V., Marino, C., Kolubinski, D. C., Leach, D., & Spada, M. M. (2020).
interesting results. Modelling the contribution of the Big Five personality traits, health anxiety, and
COVID-19 psychological distress to generalised anxiety and depressive symptoms
during the COVID-19 pandemic. Journal of Affective Disorders.. https://doi.org/
5. Conclusion 10.1016/j.jad.2020.10.053.
O’Neil, J. M., Helms, B. J., Gable, R. K., David, L., & Wrightsman, L. S. (1986). Gender-
We provide evidence on the importance to considerer personality Role Conflict Scale: College men’s fear of femininity. Sex Roles, 14(5–6), 335–350.
Ormel, J., Jeronimus, B. F., Kotov, R., Riese, H., Bos, E. H., Hankin, B., …
traits as a relevant predictor of differences in health conditions of adults
Oldehinkel, A. J. (2013). Neuroticism and common mental disorders: Meaning and
during confinement into COVID-19 epidemic. These findings have utility of a complex relationship. Clinical Psychology Review, 33(5), 686–697. https://
important theoretical and practical implications, on one hand, they doi.org/10.1016/j.cpr.2013.04.003.
would help to better understand the psychological health of COVID-19, Pierce, M., Hope, H., Ford, T., Hatch, S., Hotopf, M., John, A., … Abel, K. M. (2020).
Mental health before and during the COVID-19 pandemic: A longitudinal probability
on the other hand, considering personality traits is clinically useful for sample survey of the UK population. The Lancet Psychiatry, 7(10), 883–892. https://
diagnosis, but also for treatment planning and to predict its results. doi.org/10.1016/S2215-0366(20)30308-4.
Pierce, M., McManus, S., Jessop, C., John, A., Hotopf, M., Ford, T., … Abel, K. M. (2020).
Says who? The significance of sampling in mental health surveys during COVID-19.
CRediT authorship contribution statement The Lancet Psychiatry, 7(10), 567–568. https://doi.org/10.1016/S2215-0366(20)
30237-6.
Prochwicz, K., & Gawęda, Ł. (2016). Depression and anxiety mediate the relationship
Mª. Inmaculada López-Núñez: Conceptualization, Supervision,
between temperament and character and psychotic-like experiences in healthy
Writing - original draft, Writing - review & editing. Juan F. Díaz-Mo subjects. Psychiatry Research, 246, 195–202. https://doi.org/10.1016/j.
rales: Methodology, Data curation, Writing - review & editing. Marta E. psychres.2016.09.037.
Aparicio-García: Visualization, Writing - review & editing. Qian, K., & Yahara, T. (2020). Mentality and behavior in COVID-19 emergency status in
Japan: Influence of personality, morality and ideology. PloS one, 15(7), Article
e0235883. https://doi.org/10.1371/journal.pone.0235883.
References Quilty, L. C., Meusel, L. C., & Bagby, R. M. (2008). Neuroticism as a mediator of
treatment response to SSRIs in major depressive disorder. Journal of Affective
Disorders, 111(1), 67–73. https://doi.org/10.1016/j.jad.2008.02.006.
Abdelrahman, M. (2020). Personality traits, risk perception, and protective behaviors of
Romero, E., Villar, P., Gómez-Fraguela, J. A., & López-Romero, L. (2012). Measuring
Arab residents of Qatar during the COVID-19 pandemic. International Journal of
personality traits with ultra-short scales: A study of the Ten Item Personality
Mental Health and Addiction, 1–12. https://doi.org/10.1007/s11469-020-00352-7.
Inventory (TIPI) in a Spanish sample. Personality and Individual Differences, 53(3),
Atienza, F. L., Balaguer, I., & Garcı ́a-Merita, M. L.. (2003). Satisfaction with life scale:
289–293. https://doi.org/10.1016/j.paid.2012.03.035.
Analysis of factorial invariance across sexes. Personality and Individual Differences, 35
Soto, C. J. (2020). Do links between personality and life outcomes generalize? Testing
(6), 1255–1260. https://doi.org/10.1016/S0191-8869(02)00332-X.
the robustness of trait–outcome associations across gender, age, ethnicity, and
Beauregard, T. A., Basile, K. A., & Canonico, E. (2019). Telework: Outcomes and
analytic approaches. Social Psychological and Personality Science. , Article
facilitators for employees. In R. N. Landers (Ed.), The Cambridge handbook of
1948550619900572. https://doi.org/10.1177/1948550619900572.
technology and employee behavior (pp. 511–543). Cambridge: Cambridge University
Press. https://doi.org/10.1017//9781108649636.020.
5
Mª.I. López-Núñez et al. Personality and Individual Differences 172 (2021) 110562
Strickhouser, J. E., Zell, E., & Krizan, Z. (2017). Does personality predict health and well- Xiong, J., Lipsitz, O., Nasri, F., Lui, L. M., Gill, H., Phan, L., … McIntyre, R. S. (2020).
being? A metasynthesis. Health Psychology, 36(8), 797. https://doi.org/10.1037/ Impact of COVID-19 pandemic on mental health in the general population: A
hea0000475. systematic review. Journal of affective disorders.. https://doi.org/10.1016/j.
Twenge, J. M., & Joiner, T. E. (2020). US Census Bureau-assessed prevalence of anxiety jad.2020.08.001.
and depressive symptoms in 2019 and during the 2020 COVID-19 pandemic. Zajenkowski, M., Jonason, P. K., Leniarska, M., & Kozakiewicz, Z. (2020). Who complies
Depression and Anxiety, 37(10), 954–956. https://doi.org/10.1002/da.23077. with the restrictions to reduce the spread of COVID-19?: Personality and perceptions
Vázquez, C., Duque, A., & Hervás, G. (2013). Satisfaction with life scale in a of the COVID-19 situation. Personality and Individual Differences, 166, 110199.
representative sample of Spanish adults: Validation and normative data. The Spanish https://doi.org/10.1016/j.paid.2020.110199.
Journal of Psychology, 16(82), 1–15. https://doi.org/10.1017/sjp.2013.82. Zamarripa, M. X., Wampold, B. E., & Gregory, E. (2003). Male gender role conflict,
Vilagut, G., Forero, C. G., Adroher, N. D., Olariu, E., Cella, D., Alonso, J., & InSAyd depression, and anxiety: Clarification and generalizability to women. Journal of
investigators. (2015). Testing the PROMIS Depression measures for monitoring Counseling Psychology, 50(3), 333–338. https://doi.org/10.1037/0022-
depression in a clinical sample outside the US. Journal of Psychiatric Research, 58, 0167.50.3.333.
140–150. https://doi.org/10.1016/j.jpsychires.2015.06.009. Zhang, S. X., Wang, Y., Rauch, A., & Wei, F. (2020). Unprecedented disruption of lives
World Health Organization (WHO). (2020). Current novel coronavirus disease (2019- and work: Health, distress and life satisfaction of working adults in China one month
nCoV) outbreak. https://www.who.int/emergencies/diseases/novel-coronavir into the COVID-19 outbreak. Psychiatry research. , Article 112958. https://doi.org/
us-2019. (Accessed 31 March 2020). 10.1016/j.psychres.2020.112958.