The network structure of psychopathological and resilient responses to the pandemic: A multicountry general population study of depression and anxiety
The network structure of psychopathological and resilient responses to the pandemic: A multicountry general population study of depression and anxiety
复制标题
对大流行病的精神病理学和弹性反应的网络结构：一项针对抑郁和焦虑的多国一般人群研究
DOI：
10.1002/jts.22988
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发表时间：
2023
影响因子：
3.3
通讯作者：
Contreras A
中科院分区：
文献类型：
--
作者：
Contreras A
通常识别的对不良事件的心理困扰模式的特征是弹性（即，很少到没有苦恼），延迟（即，随着时间的推移而增加的痛苦），恢复（即，随着时间的推移逐渐减少的痛苦），和持续的（即，随着时间的推移保持稳定）。本研究旨在研究COVID-19大流行期间的这些反应模式。分析了四个欧洲国家在大流行第一年收集的焦虑和抑郁症状数据（N = 3，594）。参与者首先根据所描述的四种模式进行分组。然后估计每组的网络连接和症状聚类并进行比较。三分之二（63.6%）的样本显示出弹性模式。持续痛苦网络（16.3%）的连通性高于恢复网络（10.0%）组，p = 0.031;然而，弹性网络的连通性高于延迟网络（10.1%）组，p = 0.016。关于症状聚类，在恢复网络中出现了更多的聚类（即，三）比持续网络（即，二）。这些结果重复了以下发现：复原力是第一个大流行年最常见的心理健康模式。此外，他们认为，随着时间的推移，高网络连接可能表明稳定的心理健康反应，而较少的集群可能表明持续的痛苦模式。虽然是探索性的，网络的角度提供了一个有用的工具，检查不良事件的心理反应的复杂性，如果复制，可能是有用的，在确定指标的保护或脆弱性，以防止未来的心理困扰。
Commonly identified patterns of psychological distress in response to adverse events are characterized by resilience (i.e., little to no distress), delayed (i.e., distress that increases over time), recovery (i.e., distress followed by a gradual decrease over time), and sustained (i.e., distress remaining stable over time). This study aimed to examine these response patterns during the COVID‐19 pandemic. Anxiety and depressive symptom data collected across four European countries over the first year of the pandemic were analyzed (N= 3,594). Participants were first categorized into groups based on the four described patterns. Network connectivity and symptom clustering were then estimated for each group and compared. Two thirds (63.6%) of the sample displayed a resilience pattern. The sustained distress network (16.3%) showed higher connectivity than the recovery network (10.0%) group,p= .031; however, the resilient network showed higher connectivity than the delayed network (10.1%) group,p= .016. Regarding symptom clustering, more clusters emerged in the recovery network (i.e., three) than the sustained network (i.e., two). These results replicate findings that resilience was the most common mental health pattern over the first pandemic year. Moreover, they suggest that high network connectivity may be indicative of a stable mental health response over time, whereas fewer clusters may be indicative of a sustained distress pattern. Although exploratory, the network perspective provides a useful tool for examining the complexity of psychological responses to adverse events and, if replicated, could be useful in identifying indicators of protection against or vulnerability to future psychological distress.