Association between mental health trajectories and somatic symptoms following a second lockdown in Israel: a longitudinal study.
Association between mental health trajectories and somatic symptoms following a second lockdown in Israel: a longitudinal study.
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以色列第二次锁定后，心理健康轨迹与躯体症状之间的关联：一项纵向研究。
DOI：
10.1136/bmjopen-2021-050480
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发表时间：
2021-09-02
期刊：
影响因子：
2.9
通讯作者：
Levin Y
中科院分区：
文献类型：
--
作者：
Ben-Ezra M;Hamama-Raz Y;Goodwin R;Leshem E;Levin Y
确定 COVID-19 大流行期间第二次封锁前后的心理健康预期轨迹及其与躯体症状的关联。前瞻性研究。基于人口的研究来自超过 10 万以色列人的基于概率的互联网小组。 18 岁或以上的成年人，代表以色列成年人口。在两个时间点对参与者进行测量（时间 1 (T1) 第二次锁定前 N=1029；响应率=76.17%；时间 2 (T2) 第二次锁定后 N=764；响应率=74.24%）。基于 T1-T2 期间可能诊断的临床截止分数、T2 时的躯体症状的焦虑和适应障碍轨迹。四种轨迹：稳定-低（无可能诊断）、稳定-高（稳定可能诊断）、恶化（T1 时无可能诊断，T2 时可能诊断）、恢复（T1 时可能诊断，T2 时无可能诊断）。与稳定低轨迹相比，三种焦虑轨迹预测了可能的躯体症状（稳定高 OR=6.451；恶化 OR=5.379；恢复 OR=2.025）。与稳定低轨迹相比，三种适应障碍轨迹还预测躯体症状（稳定高 OR=4.726；恶化 OR=6.419；恢复 OR=4.666）。我们的数据显示，那些心理健康状况不佳、恶化以及在第二次封锁后康复的人中，躯体症状有所增加。躯体症状的出现可能掩盖了心理脆弱性，即使是那些似乎已经从压力源中恢复过来的人也是如此。这表明封锁可能是一把双刃剑，鉴于这些人群的脆弱性，应谨慎管理。
To identify mental health prospective trajectories before and after a second lockdown during the COVID-19 pandemic and their associations with somatic symptoms. Prospective Study. Population-based study drawn from a probability-based internet panel of over 100 000 Israelis. Adults aged 18 years or more, representative of the adult Israeli population. The participants were measured at two time points (time 1 (T1) pre-second lockdown N=1029; response rate=76.17%; time 2 (T2) post-second lockdown N=764; response rate=74.24%). Trajectories of anxiety and adjustment disorder based on clinical cut-off score for probable diagnoses across T1-T2, somatic symptoms at T2. The four trajectories: stable-low, (no probable diagnosis), stable-high (stable probable diagnosis), exacerbation (no probable diagnosis at T1, probable diagnosis at T2), recovery (probable diagnosis at T1, no probable diagnosis at T2). Three anxiety trajectories predicted probable somatic symptoms (stable-high OR=6.451; exacerbation OR=5.379; recovery OR=2.025) compared with the stable-low trajectory. The three adjustment disorder trajectories also predicted somatic symptoms (stable-high OR=4.726; exacerbation OR=6.419; recovery OR=4.666) compared with the stable-low trajectory. Our data show elevated somatic symptoms among those whose mental health trajectories were poor, exacerbated and those who recovered following the second lockdown. The presentation of somatic symptoms may mask psychological vulnerabilities, even among those who appear to have recovered from the stressor. This indicates that lockdown may be a double-edged sword and should be carefully administered given these populations vulnerabilities.
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