Gaining resilience and reducing stress in the age of COVID-19

Stephen E. Lupe, Laurie Keefer, Eva Szigethy

Research output: Contribution to journalReview articlepeer-review

43 Scopus citations


Purpose of reviewThe world is experiencing the evolving situation associated with the outbreak of the Corona Virus Disease-2019 (COVID-19) virus, and there is more of need than ever for stress management and self-care. In this article, we will define the physiological, psychological and social aspects, stages, and components of stress reactions in the context of COVID-19, review the relevant literature on stress reactions, and offer some guidance on how to help patients mitigate the physiological and psychological impact of the pandemic through resilience-building techniques.Recent findingsThere is continued evidence that the fight or flight response involves activation throughout the body at physiological, biochemical and immune levels. This response can be mitigated through increasing parasympathetic nervous system activation as well as cognitive and behavioral interventions.SummaryThis article will review the stress, provide a theoretical layout to predict upcoming response, and offer clinicians some practical interventions to employ as the stress of the COVID-19 pandemic continues.

Original languageEnglish
Pages (from-to)295-303
Number of pages9
JournalCurrent Opinion in Gastroenterology
Issue number4
StatePublished - 1 Jul 2020


  • COVID-19
  • crisis intervention
  • intervention
  • stress
  • stress management


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