Associations of risk perception of COVID-19 with emotion and mental health during the pandemic.

Associations of risk perception of COVID-19 with emotion and mental health during the pandemic.
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DOI:
10.1016/j.jad.2021.01.049
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发表时间:
2021-04-01
影响因子:
6.6
通讯作者:
Leander NP
Leander NP
中科院分区:
医学2区
文献类型:
--
作者:
Han Q;Zheng B;Agostini M;Bélanger JJ;Gützkow B;Kreienkamp J;Reitsema AM;van Breen JA;Collaboration P;Leander NP

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尽管人们越来越担心 COVID-19 大流行对心理健康造成的后果,但还没有大规模的基于人群的研究探讨了 COVID-19 的风险感知与情绪和随后的心理健康之间的关联。这项研究分析了 PsyCorona 调查的横断面和纵向数据,该调查包括来自 112 个国家的 54,845 名参与者,其中 23,278 名参与者是 24 个国家在性别和年龄方面的代表性样本。规范曲线分析 (SCA) 用于检查 COVID-19 风险感知与情绪和自评心理健康状况的关联。这种稳健的方法考虑了所有合理的模型规范,以避免在考虑多重测试的同时做出主观分析决策。 SCA 中的所有 162 个多级线性回归表明,对 COVID-19 的较高风险认知与较少的积极情绪或较多的消极情绪显着相关(中位标准化 β=-0.171,中位 SE=0.004,P<0.001)。具体来说,涉及经济风险认知和负面情绪的回归揭示了更强的关联。此外,基线调查时的风险感知与随后的心理健康呈负相关(标准化β=-0.214,SE=0.029,P<0.001)。我们进一步使用 SCA 来探讨这种负相关是否是由情绪困扰介导的。在心理健康对风险感知和情绪的54个多级线性回归中,42个模型表现出较强的中介效应,其中在控制情绪后未发现风险感知具有显着的直接影响(P>0.05)。依赖自我报告的数据。对 COVID-19 的风险认知与情绪以及最终的心理健康相关。减少过度风险认知和管理情绪困扰的干预措施可以促进心理健康。
Although there are increasing concerns on mental health consequences of the COVID-19 pandemic, no large-scale population-based studies have examined the associations of risk perception of COVID-19 with emotion and subsequent mental health. This study analysed cross-sectional and longitudinal data from the PsyCorona Survey that included 54,845 participants from 112 countries, of which 23,278 participants are representative samples of 24 countries in terms of gender and age. Specification curve analysis (SCA) was used to examine associations of risk perception of COVID-19 with emotion and self-rated mental health. This robust method considers all reasonable model specifications to avoid subjective analytical decisions while accounting for multiple testing. All 162 multilevel linear regressions in the SCA indicated that higher risk perception of COVID-19 was significantly associated with less positive or more negative emotions (median standardised β=-0.171, median SE=0.004, P<0.001). Specifically, regressions involving economic risk perception and negative emotions revealed stronger associations. Moreover, risk perception at baseline survey was inversely associated with subsequent mental health (standardised β=-0.214, SE=0.029, P<0.001). We further used SCA to explore whether this inverse association was mediated by emotional distress. Among the 54 multilevel linear regressions of mental health on risk perception and emotion, 42 models showed a strong mediation effect, where no significant direct effect of risk perception was found after controlling for emotion (P>0.05). Reliance on self-reported data. Risk perception of COVID-19 was associated with emotion and ultimately mental health. Interventions on reducing excessive risk perception and managing emotional distress could promote mental health.
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