COVID-19 Pandemic as a Traumatic Event and Its Associations with Fear and Mental Health: A Cognitive-Activation Approach.
COVID-19 Pandemic as a Traumatic Event and Its Associations with Fear and Mental Health: A Cognitive-Activation Approach.
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COVID-19 大流行作为一种创伤事件及其与恐惧和心理健康的关联：一种认知激活方法。
DOI：
10.3390/ijerph18147422
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发表时间：
2021-07-12
影响因子：
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通讯作者：
León-Perez JM
中科院分区：
文献类型：
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作者：
Sanchez-Gomez M;Giorgi G;Finstad GL;Urbini F;Foti G;Mucci N;Zaffina S;León-Perez JM
COVID-19全球大流行仍然是一个重大威胁，对健康造成不利影响。分析心理结果，COVID-19可以被解释为一种集体创伤事件，可以产生与创伤后应激障碍（PTSD）相关的症状。考虑到这一点，本文的目的是双重的：首先，调查侵入性思维与COVID-19大流行相关的恐惧之间的关系以及侵入性思维与心理健康之间的关系;其次，测试过度觉醒和回避在这两种关系中的中介作用。为了达到这些目标，本研究调查了这些关系，并在意大利的两个横断面研究中测试了调解模型。总共有627名个人和495名工人分别完成了研究1和研究2的在线调查。中介分析通过SPSS宏过程进行，总的，直接和间接的影响的显着性进行了测试，通过自举。结果表明，在创伤后应激障碍框架内，与回避相比，过度觉醒介导了入侵与分析结果之间的关系。总之，本研究为过度觉醒对个体后果（如对COVID-19的恐惧和心理健康）的影响提供了经验证据。研究，以及理论和实践的影响，进行了讨论。
The COVID-19 global pandemic still represents a major threat with detrimental health consequences. Analyzing the psychological outcomes, COVID-19 could be interpreted as a collective traumatic event that can generate symptoms related to post-traumatic stress disorder (PTSD). Considering this, the purpose of this paper is twofold: first, to investigate the relationship between intrusive thoughts and fear related to the COVID-19 pandemic and between intrusive thoughts and mental health; second, to test the mediating role of hyperarousal and avoidance in these two relationships. In order to reach these aims, the present study investigated these relationships and tested a mediation model in two cross-sectional studies in Italy. Altogether, 627 individuals and 495 workers completed an online survey for study 1 and study 2, respectively. Mediation analyses were performed via the SPSS macro PROCESS; the significance of total, direct, and indirect effect was tested via bootstrapping. The results showed that within the PTSD framework, hyperarousal compared with avoidance mediated the relationship between intrusion and the analyzed outcomes. In conclusion, the present study provided empirical evidence for the influence of hyperarousal on individual consequences such as fear of COVID-19 and mental health. Research, as well as theoretical and practical implications, are discussed.