Stress, coping and resilience in times of COVID-19: an online psychological intervention for women

Ana L. Becerra Gálvez, Alejandro Pérez, Isaías V. Lugo, Yuma Y. Pérez, América G. Franco, Erick A. Medina, Sandra A. Anguiano


Background: In the COVID-19 pandemic, women are a vulnerable group because they are more prone to suffering mental health problems. The objective of this research was to evaluate the effect of an online Cognitive-Behavioral intervention on stress, coping, and resilience in a group of women during the COVID-19 pandemic in Mexico.

Methods: Employing a single-group pre-test and post-test design and an intentional non-probabilistic sampling, 43 participants received training in cognitive-behavioral techniques, during five synchronous sessions on a videoconferencing platform.

Results: Participants reported moderate perceived stress before and after the intervention (Mdn =15). Changes were observed in four of the five dimensions of the Mexican resilience scale (p≤0.05; r≥0.442) as well as, in the distancing and positive appraisal subscales of the ways of coping questionnaire (p≤0. 05; r≥0.456).

Conclusions: Telepsychology is a low-cost, feasible, and effective remote intervention modality to promote more adaptive coping and resilience behaviours during a health emergency.


COVID-19, Stress, Coping, Resilience

Full Text:



Almeida M, Shrestha AD, Stojanac D, Miller LJ. The impact of the COVID-19 pandemic on women’s mental health. Arch Womens Ment Health. 2020; 23(6):741-8.

Kola L, Kohrt BA, Hanlon C, Naslund JA, Sikander S, Balaji M, et al. COVID-19 mental health impact and responses in low-income and middle-income countries: reimagining global mental health. Lancet Psych. 2021;8(6):535-50.

Terán-Pérez G, Portillo-Vásquez A, Arana-Lechuga Y, Sánchez-Escandón O, Mercadillo-Caballero R, González-Robles RO, Velázquez-Moctezuma J. Sleep and Mental Health Disturbances Due to Social Isolation during the COVID-19 Pandemic in Mexico. Int J Environ Res Public Health. 2021;18(6):2804.

Tillman B, Rogers C. COVID-19 as a traumatic event: Mental health lessons from cognitive behavioral therapy. HCA Healthcare J Med. 2020;1(0):45-9.

Connor J, Madhavan S, Mokashi M, Amanuel H, Johnson NR, Pace LE, et al. Health risks and outcomes that disproportionately affect women during the Covid-19 pandemic: A review. Soc Sci. 2020; 266(1):113364.

Nicolini H. Depresión y ansiedaden los tiempos de la pandemia de COVID-19. Cir. 2020;88(5):542-7.

Galindo-Vázquez O, Ramírez-Orozco M, Costas-Muñiz R, Mendoza-Contreras LA, Calderillo-Ruíz G, Meneses-García A. Outcomes that affect women during the Covid-19 pandemic. Soc Sci. 2020; 156(4):298-305.

Wang Q, Xu R, Volkow ND. Increased risk of COVID-19 infection and mortality in people with mental disorders: analysis from electronic health records in the United States. World Psychiatr. 2021; 20(1):124-30.

Coronado PJ, Fasero M, Otero B, Sanchez S, Viuda E de la, Ramirez-Polo I, et al. Health-related quality of life and resilience in peri- and postmenopausal women during Covid-19 confinement. Maturitas. 2021;144:4-10.

Morales-Chainé S, López A, Bosch A, Beristain A, Robles R, López F, Fernández C. Condiciones de salud mental durante la pandemia por COVID-19. Rev Int Investig. Adicciones. 2020;6(2):11-24.

COVID-19 and the Need for Action on Mental Health. Available at: default/files/2020-05/UN-Policy-Brief-COVID-19-and-mental-health.pdf. Accessed on 30 November 2021.

Pierce BS, Perrin PB, Tyler CM, McKee GB, Watson JD. The COVID-19 telepsychology revolution: A national study of pandemic-based changes in U.S. mental health care delivery. Am Psychol. 2021; 76(1):14-25.

Boelen PA, Eisma MC, Smid GE, Keijser J de, Lenferink LIM. Remotely delivered cognitive behavior therapy for disturbed grief during the COVID-19 crisis: Challenges and opportunities. J Loss Trauma. 2021;26(3):211-9.

Payne L, Flannery H, Kambakara, Ch., Daniilidi X, Hitchcock M, Lambert D, et al. Business as usual? Psychological support at a distance. Clin Child Psychol Psych. 2020;25(3):672-86.

Joint Task Force for the Development of Telepsychology. Guidelines for psychologists. guidelines for the practice of telepsychology. Am Psychol. 2013;68(9):791-800.

Costa M, Reis G, Pavlo A, Bellamy C, Ponte K, Davidson L. Tele-mental health utilization among people with mental illness to access care during the COVID-19 pandemic. Commun Ment Health J. 2021; 57(4):720-6.

Cheng P, Casement MD, Kalmbach DA, Castelan AC, Drake CL. Digital cognitive behavioral therapy for insomnia promotes later health resilience during the coronavirus disease 19 (COVID-19) pandemic. Sleep. 2021;44(4):52-8.

Li J, Li X, Jiang J, Xu X, Wu J, Xu Y, Lin X, Hall J, Xu H, Xu J, Xu X. The effect of cognitive behavioral therapy on depression, anxiety, and stress in patients with COVID-19: A Randomized Controlled Trial. Front Psychiatr. 2020;11:1-12.

Weiner L, Berna F, Nourry N, Severac F, Vidailhet P, Mengin AC. Efficacy of an online cognitive behavioral therapy program developed for healthcare workers during the COVID-19 pandemic: The Reduction of Stress (REST) study protocol for a randomized controlled trial. Trials. 2020;21(1):870.

Vink M, Vink-Niese A. Could cognitive behavioural therapy be an effective treatment for long COVID and post COVID-19 fatigue syndrome? Lessons from the Qure study for Q-fever fatigue syndrome. Healthcare (Basel). 2020;8(4):552.

Bogucki OE, Mattson AB, Leasure WB, Berg SL, Mulholland HL, Sawchuk CN. Adaptations of an Integrated Behavioral Health Program During COVID-19. Cogn Behav Pract Forthcoming. 2021;5: 481-91.

WHO Coronavirus (COVID-19) Dashboard. Available at: Accessed on 29 November 2021.

Campbell D, Stanley J. Diseñosexperimentales y cuasiexperimentalesen la investigación social. España: Amorrortu; 2005.

Salas E. Diseñospreexperimentalesenpsicología y educación: una revisión conceptual. Liberabit. 2013; 19(1):133-41.

González MT, Landero R. Factor structure of the perceived stress scale (PSS) in a sample from Mexico. Span J Psychol. 2007;10(1):199-206.

Becerra AL, Pérez A, Pérez YY, Lugo IV, Franco AG, Medina EA. Coping and resilience in Mexican women during the COVID-19 pandemic: comparison by stress levels. Interacciones. Revista de Avances en Psicología Forthcoming. 2022.

Zavala L, Rivas RA, Andrade P, Reidl LM. Validación del instrumento de estilos de enfrentamiento de Lazarus y Folkman enadultos de la Ciudad de México. Revista Int Psicología Edu. 2008; 10(2):159-82.

Palomar J, Gómez NE. Desarrollo de una escala de medición de la resiliencia con mexicanos (RESI-M). Interdisciplinaria. 2010;27(1):7-22.

Field A. Discovering statistics using ibm spss statistics. United States of America: Sage publishers; 2017.

Siegel S, Catellan N. Estadística no paramétricaaplicada a las ciencias de la conducta. México: Trillas; 1995;4.

Cohen J. Statistical power analysis for the behavioral sciences. United States of America: Lawrence Erlbaum Associates; 1998.

Sociedad Mexicana de Psicología. Código Ético del Psicólogo. México: Trillas; 2014.