Prepandemic relationship satisfaction is related to postpandemic COVID-19 anxiety: A four-wave study in China

Abstract

The COVID-19 pandemic has had lasting impacts on people’s interpersonal relationship and mental health. Using four-wave data in China (N = 222, 54.50% female, M_age = 31.53, SD = 8.17), the current study examined whether prepandemic relationship satisfaction was related to postpandemic COVID-19 anxiety through midpandemic perceived social support and/or gratitude. The results showed that people’s COVID-19 anxiety decreased from the peak to the trough stage of the pandemic; perceived social support increased markedly from prepandemic to the peak and remained stable subsequently, while relationship satisfaction remained unchanged throughout. Further, it was midpandemic perceived social support, not gratitude, that mediated the association between prepandemic relationship satisfaction and postpandemic COVID-19 anxiety, indicating that perceived social support played a crucial role in this process. Finally, it is suggested that perceived social support should be distinguished from gratitude as two different components of social interactions.

Keywords

Relationship satisfaction COVID-19 anxiety perceived social support gratitude longitudinal design

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References

Afifi

T. D.

Merrill

A. F.

Davis

(2016). The theory of resilience and relational load. Personal Relationships, 23(4), 663–683. https://doi.org/10.1111/pere.12159

Algoe

S. B.

(2012). Find, remind, and bind: The functions of gratitude in everyday relationships. Social and Personality Psychology Compass, 6(6), 455–469. https://doi.org/10.1111/j.1751-9004.2012.00439.x

Antonucci

T. C.

Ajrouch

K. J.

Birditt

K. S.

(2014). The convoy model: Explaining social relations from a multidisciplinary perspective. The Gerontologist, 54(1), 82−92. https://doi.org/10.1093/geront/gnt118

Antonucci

T. C.

Akiyama

(1987). Social Networks in adult life and a preliminary examination of the convoy model. Journal of Gerontology, 42(5), 519−527. https://doi.org/10.1093/geronj/42.5.519

Antonucci

T. C.

Birditt

K. S.

Ajrouch

(2011). Convoys of social relations: Past, present, and future. In Fingerman

K. L.

Berg

C. A.

Smith

Antonucci

T. C.

(Eds.), Handbook of life-span development (pp. 161–182). Springer Publishing Company.

Antonucci

T. C.

Birditt

K. S.

Akiyama

(2009). Convoys of social relations: An interdisciplinary approach. In Bengston

V. L.

Gans

Pulney

N. M.

Silverstein

(Eds.), Handbook of theories of aging (pp. 247–260). Springer Publishing Company.

Zhu

Meng

Wang

Yang

Martek

(2020). The impact of social support on public anxiety amidst the covid-19 pandemic in China. International Journal of Environmental Research and Public Health, 17(23), 1–14. https://doi.org/10.3390/ijerph17239097

Banerjee

Rai

(2020). Social isolation in Covid-19: The impact of loneliness. International Journal of Social Psychiatry, 66(6), 525–527. https://doi.org/10.1177/0020764020922269

Bentler

P. M.

(1990). Comparative fit indexes in structural models. Psychological Bulletin, 107(2), 238–246. https://doi.org/10.1037/0033-2909.107.2.238

10.

Biber

D. D.

Melton

Czech

D. R.

(2020). The impact of COVID-19 on college anxiety, optimism, gratitude, and course satisfaction. Journal of American College Health. Advance online publication. https://doi.org/10.1080/07448481.2020.1842424

11.

British Government . (2020). Prime Minister's statement on coronavirus (COVID-19). GOV.UK. https://www.gov.uk/government/speeches/pm-address-to-the-nation-on-coronavirus-23-march-2020

12.

Brooks

S. K.

Webster

R. K.

Smith

L. E.

Woodland

Wessely

Greenberg

Rubin

G. J.

(2020). The psychological impact of quarantine and how to reduce it: Rapid review of the evidence. Lancet, 395(10227), 912–920. https://doi.org/10.1016/S0140-6736(20)30460-8

13.

Bureau of Disease Prevention and Control . (2020). Notice on the strict prevention of pneumonia caused by the new coronavirus infection through transportation. http://www.nhc.gov.cn/jkj/s3577/202001/e5e8c983baba4c1589512e6c99fdaa4e.shtml

14.

Cao

Fang

Hou

Han

Dong

Zheng

(2020). The psychological impact of the COVID-19 pandemic on college students in China. Psychiatry Research, 287(5), 112934. https://doi.org/10.1016/j.psychres.2020.112934

15.

Centers for Disease Control and Prevention . (2020, February 11). COVID-19 and your health. Centers for Disease Control and Prevention. https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/social-distancing.html

16.

Cheng

(1997). Role of perceived social support on depression in Chinese adolescents: A prospective study examining the buffering model. Journal of Applied Social Psychology, 27(9), 800–820. https://doi.org/10.1111/j.1559-1816.1997.tb00660.x

17.

Chen

Song

Sun

(2014). The relationship between general self-efficacy and state-trait anxiety of adolescents. China Journal of Health Psychology, 22(3), 418–419. https://doi.org/10.13342/j.cnki.cjhp.2014.03.0

18.

Chinese Psychological Society . (2020). “Self-check and Self-inspect Scale of COVID-19 Anxiety” on-line, welcome to scan and fill in the answer. https://mp.weixin.qq.com/s/rtlu22EAwkEHd2PKg-pXmg

19.

Cohen

Wills

T. A.

(1985). Stress, social support, and the buffering hypothesis. Psychological Bulletin, 98(2), 310–357. https://doi.org/10.1037/0033-2909.98.2.310

20.

Cutrona

C. E.

Russell

D. W.

(1990). Type of social support and specific stress: Toward a theory of optimal matching. In Sarason

B. R.

Sarason

I. G.

Pierce

G. R.

(Eds.), Social support: An interactional View (pp. 319–366). John Wiley & Sons.

21.

De Leon

C. F. M.

Gold

D. T.

Glass

T. A.

Kaplan

George

L. K.

(2001). Disability as a function of social networks and support in elderly African Americans and whites: The duke EPESE 1986−1992. The Journals of Gerontology: Series B, 56(3), S179–S190. https://doi.org/10.1093/geronb/56.3.S179

22.

Demaray

M. K.

Malecki

C. K.

(2002). The relationship between perceived social support and maladjustment for students at risk. Psychology in the Schools, 39(3), 305–316. https://doi.org/10.1002/pits.10018

23.

El-Zoghby

S. M.

Soltan

E. M.

Salama

H. M.

(2020). Impact of the COVID-19 pandemic on mental health and social support among adult Egyptians. Journal of Community Health, 45(4), 689–695. https://doi.org/10.1007/s10900-020-00853-5

24.

Emmons

R. A.

McCullough

M. E.

(Eds.). (2004). The psychology of gratitude. Oxford University Press. https://doi.org/10.1093/acprof:oso/9780195150100.001.0001

25.

Enders

C. K.

Bandalos

D. L.

(2001). The relative performance of full information maximum likelihood estimation for missing data in structural equation models. Structural Equation Modeling: A Multidisciplinary Journal, 8(3), 430−457. https://doi.org/10.1207/S15328007SEM0803_5

26.

Folk

Okabe-Miyamoto

Dunn

Lyubomirsky

(2020). Did social connection decline during the first wave of COVID-19: The role of extraversion. Collabra: Psychology, 6(1), 37. https://doi.org/10.1525/collabra.365

27.

Freedman

S. A.

Gilad

Ankri

Roziner

Shalev

A. Y.

(2015). Social relationship satisfaction and PTSD: Which is the chicken and which is the egg? European Journal of Psychotraumatology, 6(1), 28864. https://doi.org/10.3402/ejpt.v6.28864

28.

Fried

Tiegs

R. B.

(1993). The main effect model versus buffering model of shop steward social support: A study of rank-and-file auto workers in the USA. Journal of Organizational Behavior, 14(5), 481−493. https://doi.org/10.1002/job.4030140509

29.

Fülöp

Bőthe

Gál

É.

Cachia

J. Y. A.

Demetrovics

Orosz

(2020). A two-study validation of a single-item measure of relationship satisfaction: RAS-1. Current Psychology, Advance online publication. https://doi.org/10.1007/s12144-020-00727-y

30.

Galea

Merchant

R. M.

Lurie

(2020). The mental health consequences of COVID-19 and physical distancing: The need for prevention and early intervention. JAMA Internal Medicine, 180(6), 817–818. https://doi.org/10.1001/jamainternmed.2020.1562

31.

Goodwin

Hou

W. K.

Sun

Ben-Ezra

(2020). Quarantine, distress, and interpersonal relationships during COVID-19. General Psychiatry, 33(6), Article e100385. https://doi.org/10.1136/gpsych-2020-100385

32.

Grey

Arora

Thomas

Saneh

Tohme

Abi-Habib

(2020). The role of perceived social support on depression and sleep during the COVID-19 pandemic. Psychiatry Research, 293(11), 113452. https://doi.org/10.1016/j.psychres.2020.113452

33.

Jiang

(2020). Feeling gratitude is associated with better well-being across the life span: A daily diary study during the COVID-19 outbreak. The Journals of Gerontology: Series B, 77(4), e36–e45. https://doi.org/10.1093/geronb/gbaa220

34.

Jungmann

S. M.

Witthöft

(2020). Health anxiety, cyberchondria, and coping in the current COVID-19 pandemic: Which factors are related to coronavirus anxiety? Journal of Anxiety Disorders, 73(6), 102239. https://doi.org/10.1016/j.janxdis.2020.102239

35.

Kahn

R. L.

Antonucci

(1980). Convoys over the life cycle: Attachment, roles and social support. In Baltes

P. B.

Brim

(Eds.), Lifespan development and behavior (Vol. 3, pp. 253–286). Academic.

36.

Kaul

Lakey

. (2003). Where is the support in perceived support? The role of generic relationship satisfaction and enacted support in perceived support’s relation to low distress. Journal of Social and Clinical Psychology, 22(1), 59–78. https://doi.org/10.1521/jscp.22.1.59.22761

37.

Kenny

D. A.

(2015). Measuring model fit. http://davidakenny net/cm/fit.htm

38.

Kwan

V. S.

Bond

M. H.

Singelis

T. M.

(1997). Pancultural explanations for life satisfaction: Adding relationship harmony to self-esteem. Journal of Personality and Social Psychology, 73(5), 1038–1051. https://doi.org/10.1037/0022-3514.73.5.1038

39.

Jiang

Zhang

(2019). Intergenerational relationship, family social support, and depression among Chinese elderly: A structural equation modeling analysis. Journal of Affective Disorders, 248(4), 73–80. https://doi.org/10.1016/j.jad.2019.01.032

40.

W. L.

Qian

M. Y.

(1995). Revision of Chinese college students’ norm of state trait anxiety scale. Acta Scientiarum Naturalium Universitatis Pekinensis, 1995(1), 108–112. https://doi.org/10.13209/j.0479-8023.1995.014

41.

Little

R. J. A.

(1988). A test of missing completely at random for multivariate data with missing values. Journal of the American Statistical Association, 83(404), 1198–1202. https://doi.org/10.1080/01621459.1988.10478722

42.

Wang

Xue

Zhao

Zhu

(2020). The impact of COVID-19 epidemic declaration on psychological consequences: A study on active weibo users. International Journal of Environmental Research and Public Health, 17(6), 2032. https://www.mdpi.com/1660-4601/17/6/2032

43.

Lofors

Ramírez-León

Sundquist

(2006). Neighborhood income and anxiety: A study based on random samples of the Swedish population. European Journal of Public Health, 16(6), 633–639. https://doi.org/10.1093/eurpub/ckl026

44.

Luo

Xiang

Zhang

Wang

(2017). Protective factors for depressive symptoms in adolescents: Interpersonal relationships and perceived social support. Psychology in the Schools, 54(8), 808–820. https://doi.org/10.1002/pits.22033

45.

Magson

N. R.

Freeman

J. Y. A.

Rapee

R. M.

Richardson

C. E.

Oar

E. L.

Fardouly

(2021). Risk and protective factors for prospective changes in adolescent mental health during the COVID-19 pandemic. Journal of Youth and Adolescence, 50(1), 44–57. https://doi.org/10.1007/s10964-020-01332-9

46.

McCullough

M. E.

Emmons

R. A.

Tsang

J.-A.

(2002). The grateful disposition: A conceptual and empirical topography. Journal of Personality and Social Psychology, 82(1), 112–127. https://doi.org/10.1037/0022-3514.82.1.112

47.

McEachern

A. D.

Fosco

G. M.

Dishion

T. J.

Shaw

D. S.

Wilson

M. N.

Gardner

(2013). Collateral benefits of the family check-up in early childhood: Primary caregivers’ social support and relationship satisfaction. Journal of Family Psychology, 27(2), 271–281. https://doi.org/10.1037/a0031485

48.

Merikangas

K. R.

Zhang

Avenevoli

Acharyya

Neuenschwander

Angst

(2003). Longitudinal trajectories of depression and anxiety in a prospective community study: The Zurich cohort study. Archives of General Psychiatry, 60(10), 993–1000. https://doi.org/10.1001/archpsyc.60.9.993

49.

Montoya

A. K.

Hayes

A. F.

(2015). Estimating and testing indirect effects in within-subject mediation analysis: A path-analytic framework. In: 27th Annual Convention of the Association for Psychological Science, New York, NY.

50.

Neria

Galea

Norris

(2009). Disaster mental health research: Exposure, impact, and response. In Neria

Galea

Norris

F. H.

(Eds.), Mental health and disasters (pp. 1–12). Cambridge University Press. https://doi.org/10.1017/CBO9780511730030.001

51.

Norris

F. H.

Baker

C. K.

Murphy

A. D.

Kaniasty

(2005). Social support mobilization and deterioration after Mexico’s 1999 flood: Effects of context, gender, and time. American Journal of Community Psychology, 36(1), 15–28. https://doi.org/10.1007/s10464-005-6230-9

52.

Özmete

Pak

(2020). The relationship between anxiety levels and perceived social support during the pandemic of COVID-19 in Turkey. Social Work in Public Health, 35(7), 603–616. https://doi.org/10.1080/19371918.2020.1808144

53.

Pieh

O’Rourke

Budimir

Probst

(2020). Relationship quality and mental health during COVID-19 lockdown. Plos One, 15(9), Article e0238906. https://doi.org/10.1371/journal.pone.0238906

54.

Pietromonaco

P. R.

Overall

N. C.

(2022). Implications of social isolation, separation, and loss during the COVID-19 pandemic for couples’ relationships. Current Opinion in Psychology, 43(2), 189–194, https://doi.org/10.1177/19485506211001687

55.

Pinheiro

Bates

DebRoy

Sarkar

R Core Team . (2014). nlme: Linear and nonlinear mixed effects models (R package version 3.1−128). http://CRAN.R-project.org/package=nlme

56.

Reis

H. T.

Franks

(1994). The role of intimacy and social support in health outcomes: Two processes or one? Personal Relationships, 1(2), 185–197. https://doi.org/10.1111/j.1475-6811.1994.tb00061.x

57.

Rosmarin

D. H.

Krumrei

E. J.

Pargament

K. I.

(2010). Are gratitude and spirituality protective factors against psychopathology? International Journal of Existential Psychology & Psychotherapy, 3(1), 1–5.

58.

Rosseel

(2012). lavaan: An R package for structural equation modeling. Journal of Statistical Software, 48(2), 1–36, https://doi.org/10.18637/jss.v048.i02

59.

Schwarzer

Leppin

(1991). Social support and health: A theoretical and empirical overview. Journal of Social and Personal Relationships, 8(1), 99–127. https://doi.org/10.1177/0265407591081005

60.

Sommantico

Santa

De Rosa

(2020). Lesbian and gay relationship satisfaction among Italians: Adult attachment, social support, and internalized stigma. Archives of Sexual Behavior, 49(5), 1811–1822. https://doi.org/10.1007/s10508-020-01736-5

61.

Spielberger

C. D.

Gorsuch

R. L.

Lushene

Vagg

P. R.

Jacobs

G. A.

(1983). Manual for the state-trait anxiety inventory (form Y). Mind Garden.

62.

Steptoe

Deaton

Stone

A. A.

(2015). Subjective well-being, health, and ageing. Lancet, 385(9968), 640–648. https://doi.org/10.1016/S0140-6736(13)61489-0

63.

Thoits

P.A.

(1995). Stress, coping and social support processes: Where are we? What next? Journal of Health and Social Behavior, 35(■■■), 53–79. https://doi.org/10.2307/2626957

64.

Thoits

P. A.

(2011). Mechanisms linking social ties and support to physical and mental health. Journal of Health and Social Behavior, 52(2), 145–161. https://doi.org/10.1177/0022146510395592

65.

Till

Tran

U. S.

Niederkrotenthaler

(2017). Relationship satisfaction and risk factors for suicide. Crisis, 38(1), 7–16. https://doi.org/10.1027/0227-5910/a000407

66.

Wang

Duan

Mao

Wilson

Qin

Peng

Zhou

Liu

Chen

(2020). Epidemiology of mental health problems among patients with cancer during COVID-19 pandemic. Translational Psychiatry, 10(1), 263. https://doi.org/10.1038/s41398-020-00950-y

67.

Williamson

H. C.

(2020). Early Effects of the COVID-19 Pandemic on relationship satisfaction and attributions. Psychological Science, 31(12), 1479–1487. https://doi.org/10.1177/0956797620972688

68.

Wood

A. M.

Maltby

Stewart

Linley

P. A.

Joseph

(2008). A social-cognitive model of trait and state levels of gratitude. Emotion, 8(2), 281. https://doi.org/10.1037/1528-3542.8.2.281

69.

World Health Organization . (2020). Coronavirus disease (COVID-19) advice for the public. https://www.who.int/emergencies/diseases/novel-coronavirus-2019/advice-for-public

70.

World Health Organization . (2021). WHO coronavirus disease (COVID-19) dashboard. https://covid19.who.int/?gclid=EAIaIQobChMIntrH6YLK6QIVQdeWCh0VyApcEAAYASABEgLrXvD_BwE.

71.

Qiu

Gong

(2011). Correlations between self-acceptance, human trust and contentment of human relation of college students. China Journal of Health Psychology, 19(12), 1496–1498, https://doi.org/10.13342/j.cnki.cjhp.2011.12.015

72.

Luo

S. S.

Wang

Chang

Novak

Shen

Zheng

Wang

(2020). Perceived social support protects lonely people against COVID-19 anxiety: A three-wave longitudinal study in China. Frontiers in Psychology, 11(11). https://doi.org/10.3389/fpsyg.2020.566965

73.

Zhang

Gao

Fokkema

Alterman

Liu

(2015). Adolescent interpersonal relationships, social support and loneliness in high schools: Mediation effect and gender differences. Social Science Research, 53(9), 104–117. https://doi.org/10.1016/j.ssresearch.2015.05.003

74.

Zhao

Fan

Huang

Qiu

Kang

Han

Ding

(2020). COVID-19 infection outbreak increases anxiety level of general public in China: Involved mechanisms and influencing factors. Journal of Affective Disorders, 276(11), 446–452. https://doi.org/10.1016/j.jad.2020.07.085

75.

Zimet

G. D.

Dahlem

N. W.

Zimet

S. G.

Farley

G. K.

(1988). The multidimensional scale of perceived social support. Journal of Personality Assessment, 52(1), 30–41. https://doi.org/10.1207/s15327752jpa5201_2