Impact of COVID-19 lockdown on mental health in Germany: longitudinal observation of different mental health trajectories and protective factors.
Impact of COVID-19 lockdown on mental health in Germany: longitudinal observation of different mental health trajectories and protective factors.
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DOI：
10.1038/s41398-021-01508-2
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发表时间：
2021-07-17
影响因子：
6.8
通讯作者：
Reif A
中科院分区：
文献类型：
--
作者：
Ahrens KF;Neumann RJ;Kollmann B;Brokelmann J;von Werthern NM;Malyshau A;Weichert D;Lutz B;Fiebach CJ;Wessa M;Kalisch R;Plichta MM;Lieb K;Tüscher O;Reif A
COVID-19大流行及其产生的措施可被视为全球压力源。横断面研究显示，封锁对人们的心理健康产生了相当负面的影响，而考虑到封锁前数据的纵向研究仍然很少。本研究调查了自2017年以来纵向评估的德国样本中与COVID-19相关的封锁措施的影响。在封锁期间，523名参与者完成了额外的每周在线问卷调查，如心理健康、与covid -19相关的和一般压力源暴露。分别使用多水平模型和潜在增长混合模型确定了心理健康结果的预测因子和不同轨迹。在整个样本中，积极的流行病评估、社会支持和适应性认知情绪调节是积极的，而感知压力、日常麻烦和孤独感与心理健康结果呈负相关。确定了三个亚组（“恢复”，9.0%；“弹性”，82.6%；“延迟功能障碍”，8.4%）对最初的封锁措施有不同的心理健康反应。亚组在感知压力和covid -19特异性积极评价方面存在差异。虽然大多数参与者保持心理健康，正如在弹性组中观察到的那样，我们也观察到个体间的差异。在迟发性功能障碍组中，参与者的心理状态随着时间的推移而恶化，使他们面临精神障碍发展的风险。因此，卫生服务机构应特别查明弱势群体并将资源分配给他们。
The COVID-19 pandemic and resulting measures can be regarded as a global stressor. Cross-sectional studies showed rather negative impacts on people’s mental health, while longitudinal studies considering pre-lockdown data are still scarce. The present study investigated the impact of COVID-19 related lockdown measures in a longitudinal German sample, assessed since 2017. During lockdown, 523 participants completed additional weekly online questionnaires on e.g., mental health, COVID-19-related and general stressor exposure. Predictors for and distinct trajectories of mental health outcomes were determined, using multilevel models and latent growth mixture models, respectively. Positive pandemic appraisal, social support, and adaptive cognitive emotion regulation were positively, whereas perceived stress, daily hassles, and feeling lonely negatively related to mental health outcomes in the entire sample. Three subgroups (“recovered,” 9.0%; “resilient,” 82.6%; “delayed dysfunction,” 8.4%) with different mental health responses to initial lockdown measures were identified. Subgroups differed in perceived stress and COVID-19-specific positive appraisal. Although most participants remained mentally healthy, as observed in the resilient group, we also observed inter-individual differences. Participants’ psychological state deteriorated over time in the delayed dysfunction group, putting them at risk for mental disorder development. Consequently, health services should especially identify and allocate resources to vulnerable individuals.
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影响因子：
5
作者：
COHEN, S;KAMARCK, T;MERMELSTEIN, R
通讯作者：
MERMELSTEIN, R
DOI：
10.1016/j.jemep.2020.100605
发表时间：
2021-03
期刊：
Ethics, medicine, and public health
影响因子：
--
作者：
Agha S
通讯作者：
Agha S
影响因子：
11.8
作者：
Hawryluck L;Gold WL;Robinson S;Pogorski S;Galea S;Styra R
通讯作者：
Styra R
DOI：
10.1146/annurev-clinpsy-032210-104526
发表时间：
2011-01-01
影响因子：
18.4
作者：
Bonanno, George A.;Westphal, Maren;Mancini, Anthony D.
通讯作者：
Mancini, Anthony D.
影响因子：
7.9
作者：
Horesh, Danny;Kapel Lev-Ari, Rony;Hasson-Ohayon, Ilanit
通讯作者：
Hasson-Ohayon, Ilanit