{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,3]],"date-time":"2026-04-03T11:25:04Z","timestamp":1775215504822,"version":"3.50.1"},"reference-count":71,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,6,2]],"date-time":"2025-06-02T00:00:00Z","timestamp":1748822400000},"content-version":"vor","delay-in-days":1,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Stress and Health"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>Experiences during the COVID\u201019 pandemic may be traumatic to healthcare workers (HCWs). This study investigated the associations of resilience and mindfulness with posttraumatic stress symptoms (PTSS) and posttraumatic growth (PTG), and the mediation role of adaptive coping and stigmatisation related to HCWs' role in these associations from the perspective of trauma and positive psychology research. An anonymous online survey was conducted among 1449 doctors and nurses (85.4% females; mean age 34.1\u00a0years) from five hospitals in different regions of China between October and November 2020, which was about six months after the COVID\u201019 outbreak was almost \u2018put under control\u2019 in China. PTSS and PTG were assessed using the 17\u2010item PTSS Scale\u2010Self\u2010Report and Posttraumatic Growth Inventory, respectively. The prevalence of PTSS and PTG was 42% and 65%, respectively. Results of structural equation modelling suggested that the association between resilience and PTSS was partially mediated by adaptive coping, self\u2010stigma, and the serial path via adaptive coping and self\u2010stigma, which accounted for 66% of the total association. The association between mindfulness and PTSS was partially mediated by adaptive coping and serially mediated by adaptive coping and self\u2010stigma. In contrast, only adaptive coping was a significant mediator in the associations between resilience\/mindfulness and PTG. The findings first unravelled the mechanisms between resilience, mindfulness, and posttraumatic outcomes of COVID\u201019 among a large sample of HCWs. Health promotion may consider alleviating PTSS and promoting PTG for HCWs experiencing traumatic stressful events via strengthening resilience and mindfulness, fostering adaptive coping, and reducing stigmatisation.<\/jats:p>","DOI":"10.1002\/smi.70037","type":"journal-article","created":{"date-parts":[[2025,6,2]],"date-time":"2025-06-02T14:29:07Z","timestamp":1748874547000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Resilience and Mindfulness as Factors of Posttraumatic Stress and Growth Among Chinese Healthcare Workers During the COVID\u201019 Pandemic: Mediation via Adaptive Coping and Stigmatisation"],"prefix":"10.1002","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8948-2792","authenticated-orcid":false,"given":"Rui","family":"She","sequence":"first","affiliation":[{"name":"Department of Rehabilitation Sciences The Hong Kong Polytechnic University  Hong Kong 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Zhejiang China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suliu","family":"Wu","sequence":"additional","affiliation":[{"name":"Wuyi First People's Hospital  Zhejiang China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhenggui","family":"Yang","sequence":"additional","affiliation":[{"name":"No. 4 Hospital of Ningxia Hui Autonomous Region  Ningxia China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suzhen","family":"Guan","sequence":"additional","affiliation":[{"name":"School of Public Health and Management Ningxia Medical University  Yinchuan China"},{"name":"Key Laboratory of Environmental Factors and Chronic Disease Control  Yinchuan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jianxin","family":"Zhang","sequence":"additional","affiliation":[{"name":"Huaxi School of Public Health Sichuan University  Chengdu 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