The association between COVID-19-related stressors and mental health outcomes for survivors of past interpersonal and non-interpersonal trauma.
The association between COVID-19-related stressors and mental health outcomes for survivors of past interpersonal and non-interpersonal trauma.
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DOI：
10.1016/j.ejtd.2022.100300
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发表时间：
2022-11
期刊：
影响因子：
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通讯作者：
Nikulina V
中科院分区：
文献类型：
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作者：
Maharaj R;Tineo K;Flores-Ortega M;Cordova DA;Iskhakova A;Linn R;Nikulina V
在2019冠状病毒病大流行期间，创伤幸存者的心理健康困难一直未得到充分报道。本研究探讨了创伤史和创伤类型（人际和非人际）在新冠肺炎相关应激源与抑郁、焦虑和压力之间的调节作用。通过MTurk从美国各地招募了n = 321名年龄在19至71岁之间的参与者（M = 36.63, SD = 10.36）。参与者报告了与covid -19相关的压力源数量、创伤史和心理症状。采用分层多元回归分析，控制年龄、种族、民族、性别、教育程度和收入水平，以确定(a)与covid -19相关的压力源是否与不良心理健康结果相关；(b)创伤史和(c)创伤类型是否调节了这种关联。结果显示显著的相互作用；对于有创伤史的人来说，暴露于与covid -19相关的压力源与更高水平的抑郁（β = 0.21, p < 0.05）和焦虑（β = 0.19, p < 0.05）相关。对于那些有人际创伤史的人来说，与没有创伤史的人相比，与covid -19相关的压力源与抑郁症的相关性更大（β = 0.16, p < 0.05）。这些发现凸显了创伤幸存者在前所未有的covid -19相关压力下的脆弱性。
The mental health difficulties of trauma survivors during the COVID-19 pandemic have been under-reported. This study explored the moderating role of trauma history and trauma type (interpersonal and non-interpersonal) in the association between COVID-19-related stressors and depression, anxiety, and stress. A sample of n = 321 participants ages 19 to 71 (M = 36.63, SD = 10.36) was recruited from across the United States through MTurk. Participants reported the number of COVID-19-related stressors, trauma history and psychological symptoms. Hierarchical multiple regression analyses, controlling for age, race, ethnicity, gender, education, and income levels, were used to determine (a) whether COVID-19-related stressors are associated with adverse mental health outcomes; (b) whether trauma history and (c) trauma type moderated this association. Results revealed significant interactions; for those with a trauma history, exposure to COVID-19-related stressors was associated with higher levels of depression (β = .21, p < .05) and anxiety (β = .19, p < .05). For those with a history of interpersonal trauma specifically, COVID-19-related stressors were associated with depression (β = .16, p < .05) more so than for those without a trauma history. These findings highlight the vulnerability of trauma survivors to the unprecedented COVID-19-related stress.