The Mediating Role of Resilience in the Relationship between Perceived Stress and Mental Health

  1. Lara-Cabrera, Mariela Loreto 112
  2. Betancort, Moisés 3
  3. De las Cuevas, Carlos 33
  4. Rodríguez Novo, Natalia 3
  5. Muñoz-Rubilar, C. Amparo 4
  1. 1 St Olav's University Hospital

    St Olav's University Hospital

    Trondheim, Noruega


  2. 2 Norwegian University of Science and Technology

    Norwegian University of Science and Technology

    Trondheim, Noruega


  3. 3 Universidad de La Laguna

    Universidad de La Laguna

    San Cristobal de La Laguna, España


  4. 4 Universidad Central de Chile

    Universidad Central de Chile

    Santiago de Chile, Chile


International Journal of Environmental Research and Public Health

Year of publication: 2021

Volume: 18

Pages: 9762

Type: Article

DOI: 10.3390/IJERPH18189762 GOOGLE SCHOLAR lock_openOpen access editor


Cited by

  • Scopus Cited by: 28 (27-10-2023)
  • Web of Science Cited by: 22 (18-10-2023)
  • Dimensions Cited by: 18 (10-03-2023)
  • :


(Data updated as of 10-03-2023)
  • Total citations: 18
  • Recent citations: 18
  • Relative Citation Ratio (RCR): 4.68
  • Field Citation Ratio (FCR): 16.43


The COVID-19 pandemic has created great uncertainty around the world, and due to the pandemic, nurses have been exposed to an increase in highly stressful clinical situations. This study examines the relationships between perceived stress and emotional disorders among nurses who have provided direct patient care during the COVID-19 pandemic and explores the mediating role of resilience in these relationships. In an online cross-sectional design, we asked Spanish nurses (N = 214) to complete self-reported scales, and we performed correlation and mediation analyses between perceived stress (Perceived Stress Scale, PSS-4), resilience (Wagnild Resilience Scale, RS-14), wellbeing (World Health Organization Wellbeing Index, five items, WHO-5), anxiety (PHQ-2) and depression (GAD-2). The nurses self-reported moderate levels of perceived stress, considerable psychological distress and high resilience. We found resilience to be significantly negatively correlated with the reported levels of perceived stress, anxiety and depression (p < 0.001). The mediating analysis revealed that resilience played a protective role in the direct relationships of stress with depression, anxiety, and psychological distress. To conclude, our findings supported the hypothesis that resilience mediated the relationship between stress and mental health.

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