Posttraumatic stress disorder symptoms associated with protective and risky behaviors for coronavirus disease 2019.
Posttraumatic stress disorder symptoms associated with protective and risky behaviors for coronavirus disease 2019.
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DOI：
10.1037/hea0001157
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发表时间：
2022-03
期刊：
影响因子：
--
通讯作者：
O'Donovan A
中科院分区：
文献类型：
--
作者：
Nishimi K;Borsari B;Marx BP;Tripp P;Woodward E;Rosen RC;Cohen BE;Maven D;Jiha A;Woolley JD;Neylan TC;O'Donovan A
精神疾病增加了感染2019冠状病毒病（COVID-19）的风险，但我们对精神症状与COVID-19风险和保护行为之间的关系知之甚少。创伤后应激障碍（PTSD）与从事危险行为的倾向增加有关，但由于威胁敏感性增加和社会孤立，也可能与COVID-19保护行为增加有关。我们利用2020年8月至9月期间845名美国成年人进行的一项横断面美国在线研究的数据，研究了创伤后应激障碍症状与covid -19相关的保护和危险行为之间的关系。通过自我报告评估PTSD症状（PTSD Checklist-5）、社会人口统计学、与COVID-19相关的经历和脆弱性，以及过去30天参与10种COVID-19保护性行为和8种风险行为。我们通过线性回归研究了PTSD症状与COVID-19保护行为和危险行为之间的关系，并对协变量进行了调整。可能的创伤后应激障碍和更高的创伤后应激障碍症状严重程度与更多的保护行为有关，但也与更多的危险行为有关。通过调整COVID-19暴露和感知到的COVID-19的可能性和严重程度，相关性仅略有减弱。创伤后应激障碍集群之间的关联各不相同：入侵和唤醒与更多的保护和更危险的行为有关，而消极的认知/情绪只与更危险的行为有关，而回避只与更多的保护行为有关。较高的创伤后应激障碍症状与参与更多保护性行为有关，但也与COVID-19的风险行为有关。在设计旨在限制传染病传播的公共卫生运动时，应考虑到心理健康问题。
Psychiatric disorders increase risk for contracting coronavirus disease 2019 (COVID-19), but we know little about relationships between psychiatric symptoms and COVID-19 risky and protective behaviors. Posttraumatic stress disorder (PTSD) has been associated with increased propensity to engage in risky behaviors, but may also be associated with increased COVID-19 protective behaviors due to increased threat sensitivity and social isolation. We examined associations of PTSD symptoms with COVID-19-related protective and risky behaviors using data from a cross-sectional online US study among 845 US adults in August-September 2020. PTSD symptoms (PTSD Checklist-5), socio-demographics, COVID-19-related experiences and vulnerabilities, and past 30-day engagement in ten protective and eight risky behaviors for COVID-19 were assessed via self-report. We examined associations between PTSD symptoms and COVID-19 protective and risky behaviors with linear regressions, adjusting for covariates. Probable PTSD and higher PTSD symptom severity were associated with greater engagement in protective behaviors, but also greater engagement in risky behaviors. Associations were only slightly attenuated by adjustment for COVID-19 exposures and perceived likelihood and severity of COVID-19. Associations varied by PTSD clusters: intrusions and arousal were associated with both more protective and more risky behaviors, whereas negative cognitions/mood was associated only with more risky, and avoidance only with more protective, behaviors. Higher PTSD symptoms were associated with engagement in more protective but also more risky behaviors for COVID-19. Mental health should be considered in the design of public health campaigns dedicated to limiting infectious disease spread.
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DOI：
10.1080/10705519909540118
发表时间：
1999-01-01
影响因子：
6
作者：
Hu, Li-tze;Bentler, Peter M.
通讯作者：
Bentler, Peter M.
影响因子：
5.9
作者：
Choi KW;Batchelder AW;Ehlinger PP;Safren SA;O'Cleirigh C
通讯作者：
O'Cleirigh C
影响因子：
3.5
作者：
Curran, Paul G.
通讯作者：
Curran, Paul G.
影响因子：
5.5
作者：
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通讯作者：
Yancy, William S., Jr.
影响因子：
11.3
作者：
Contractor, Ateka A.;Calda, Stephanie, V;Armour, Cherie
通讯作者：
Armour, Cherie