The effects of the COVID-19 pandemic on mental health are now well documented, however, few studies have been focused on the role of coping strategies and resilience in counterbalancing these detrimental effects. Data are derived from the COvid Mental hEalth Trial (COMET), a national multicentric trial carried out in the Italian general population. The final sample consisted of 20,720 participants, 53.1% (n = 11,000) of the sample reported low levels of resilience. Adaptive coping strategies and resilience levels did not have any significant protective impact on the levels of depressive, anxiety, and stress symptoms. Only self-distraction was a risk factor for poor mental health (Beta Coefficient, B = 0.1, 95% Confidence Interval, CI: 0.003 to 0.267 for stress symptoms; B = 0.2; 95% CI: 0.077 to 0.324 for anxiety symptoms and B = 0.2, 95% CI: 0.105 to 0.382 for depressive symptoms). High levels of resilience were predicted by adaptive coping strategies, such as acceptance (B = 1.8, CI 95% = 1.4–2.7). Exposure to the different weeks of lockdown, being infected by COVID-19, and being a healthcare professional did not influence the levels of resilience. Our findings should be carefully considered, since the low levels of resilience may represent the missing link between the pandemic and the current increase in mental health problems.

中文翻译：

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在 COVID-19 大流行期间，复原力和应对策略对普通民众的心理健康有何作用？意大利多中心 COMET 研究的结果

COVID-19 大流行对心理健康的影响现已得到充分证明，但是，很少有研究关注应对策略和弹性在抵消这些不利影响方面的作用。数据来自 COvid 心理健康试验 (COMET)，这是一项在意大利普通人群中进行的全国多中心试验。最终样本包括 20,720 名参与者，53.1% ( n= 11,000) 的样本报告了低水平的弹性。适应性应对策略和复原力水平对抑郁、焦虑和压力症状的水平没有任何显着的保护作用。只有自我分心是心理健康状况不佳的危险因素（Beta 系数，B = 0.1，95% 置信区间，压力症状的 CI：0.003 至 0.267；B = 0.2；95% CI：焦虑症状的 0.077 至 0.324，B = 0.2，95% CI：抑郁症状为 0.105 至 0.382）。通过适应性应对策略预测高水平的弹性，例如接受（B = 1.8，CI 95% = 1.4-2.7）。接触不同周的封锁、被 COVID-19 感染以及成为医疗保健专业人员并没有影响复原力的水平。应该仔细考虑我们的发现，