Facing new fears during the COVID-19 pandemic: The State of America's mental health
Facing new fears during the COVID-19 pandemic: The State of America's mental health
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DOI：
10.1016/j.janxdis.2020.102291
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发表时间：
2020-10-01
影响因子：
10.3
通讯作者：
Harris, Casey
中科院分区：
文献类型：
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作者：
Fitzpatrick, Kevin M.;Drawve, Grant;Harris, Casey
目标：COVID-19 正在重新安排我们的社会，人们对新型冠状病毒影响美国人的心理健康感到恐惧和担忧。目前的研究探讨了 COVID-19 恐惧、忧虑和感知威胁与社会脆弱性和心理健康后果（即焦虑和抑郁症状）的交叉点。方法：使用在线平台，在 2020 年 3 月 23 日这一周对美国成年人的全国样本（n = 10, 368）进行了调查。样本经过分层加权，以确保根据性别、种族/族裔、收入、人口估计等因素充分代表美国人口。结果：恐惧和担忧在全国范围内分布不均；相反，它们集中在发现 COVID-19 确诊病例最多的地方。此外，数据突显了具有不同社会脆弱性的群体对痛苦的主观感知存在显着差异。女性、西班牙裔、亚洲人、有 18 岁以下儿童的家庭以及外国出生的受访者表示，与其他受访者相比，主观恐惧和担忧程度更高。最后，即使在控制了社会脆弱性之后，对痛苦的主观评估也是积极的，并且与焦虑和抑郁症状显着相关；中国和欧洲之前的心理健康研究证实了美国其他人已经开始记录的内容。结论：这项初步工作使从业者能够了解未来的情况，哪些个人和社区可能是最脆弱的，以及哪些类型的战略干预措施可能有助于解决未来数月和数年对美国人造成的广泛心理健康后果。
Objective: COVID-19 is rearranging our society with fear and worry about the novel coronavirus impacting the mental health of Americans. The current study examines the intersection of COVID-19 fear, worries and perceived threat with social vulnerabilities and mental health consequences, namely anxiety and depressive symptomatology.Methods: Using an online platform, a national sample (n = 10, 368) of U.S. adults was surveyed during the week of March 23, 2020. The sample was post-strata weighted to ensure adequate representation of the U.S. population based on population estimates for gender, race/ethnicity, income, age, and geography.Results: Fear and worry are not distributed equally across the country; rather they are concentrated in places where the largest number of confirmed COVID-19 cases is found. Additionally, data highlight significant differences in the subjective perception of distress across groups with varying social vulnerabilities. Women, Hispanics, Asians, families with children under 18, and foreign-born respondents reported higher levels of subjective fear and worry compared to their counterparts. Finally, even after controlling for social vulnerability, subjective assessments of distress were positive, and significantly related to anxiety and depressive symptomatology; prior mental health research from China and Europe confirm what others have begun to document in the United States.Conclusions: This preliminary work provides practitioners with a glimpse of what lies ahead, which individuals and communities may be the most vulnerable, and what types of strategic interventions might help to address a wide range of mental health consequences for Americans in the months and years ahead.