The impact of psychological strengths on Veteran populations' mental health trajectories during the COVID-19 pandemic.
The impact of psychological strengths on Veteran populations' mental health trajectories during the COVID-19 pandemic.
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COVID-19 大流行期间心理强度对退伍军人群体心理健康轨迹的影响。
DOI：
10.1007/s00127-023-02518-9
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发表时间：
2024
影响因子：
4.4
通讯作者：
Green,MichaelF
中科院分区：
文献类型：
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作者：
McCleery,Amanda;Wynn,JonathanK;Novacek,DerekM;Reavis,EricA;Senturk,Damla;Sugar,CatherineA;Tsai,Jack;Green,MichaelF
研究目的在社会关系脆弱的退伍军人中，研究了COVID-19大流行期间的心理健康轨迹，即，最近无家可归者（RHV）或精神障碍者（PSY），以及控制退伍军人（CTL）。我们测试了心理因素对这些轨迹的潜在调节作用，这些心理因素可能有助于个人应对与大流行相关的社会情感挑战（即，方法我们在2020年5月至2021年7月的5个时期内评估了81名PSY、76名RHV和74名CTL。心理健康结果（即，抑郁、焦虑、污染问题、孤独的症状）在每个时期进行评估，并且心理强度（即，基于对不确定性的容忍度、表现信念、应对方式、弹性、感知压力的综合评分）在初始评估时进行评估。广义模型测试固定和随时间变化的影响，一个复合的心理优势得分对临床轨迹的样本和每个group.ResultsPsychological优势有一个显着的影响轨迹为每个结果（PS < 0.05），有助于改善心理健康症状的变化。这种影响的时间因结果而异，早期影响抑郁和焦虑，后期影响孤独，持续影响污染问题。心理强度对RHV和CTL的抑郁症状、RHV的焦虑症状、PSY和CTL的污染担忧以及CTL的孤独感的显著时变效应（ps < 0.05）。效果的时间因结果和组而异。
PurposeMental health trajectories during the COVID-19 pandemic have been examined in Veterans with tenuous social connections, i.e., those with recent homelessness (RHV) or a psychotic disorder (PSY), and in control Veterans (CTL). We test potential moderating effects on these trajectories by psychological factors that may help individuals weather the socio-emotional challenges associated with the pandemic (i.e., ‘psychological strengths’).MethodsWe assessed 81 PSY, 76 RHV, and 74 CTL over 5 periods between 05/2020 and 07/2021. Mental health outcomes (i.e., symptoms of depression, anxiety, contamination concerns, loneliness) were assessed at each period, and psychological strengths (i.e., a composite score based on tolerance of uncertainty, performance beliefs, coping style, resilience, perceived stress) were assessed at the initial assessment. Generalized models tested fixed and time-varying effects of a composite psychological strengths score on clinical trajectories across samples and within each group.ResultsPsychological strengths had a significant effect on trajectories for each outcome (ps < 0.05), serving to ameliorate changes in mental health symptoms. The timing of this effect varied across outcomes, with early effects for depression and anxiety, later effects for loneliness, and sustained effects for contamination concerns. A significant time-varying effect of psychological strengths on depressive symptoms was evident in RHV and CTL, anxious symptoms in RHV, contamination concerns in PSY and CTL, and loneliness in CTL (ps < 0.05).ConclusionAcross vulnerable and non-vulnerable Veterans, presence of psychological strengths buffered against exacerbations in clinical symptoms. The timing of the effect varied across outcomes and by group.