Psychological distress related to COVID-19-The contribution of continuous traumatic stress
Psychological distress related to COVID-19-The contribution of continuous traumatic stress
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DOI：
10.1016/j.jad.2020.07.141
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发表时间：
2020-12-01
影响因子：
6.6
通讯作者：
Lahav, Yael
中科院分区：
文献类型：
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作者：
Lahav, Yael
目的：新型冠状病毒（COVID-19）是一种可导致心理困扰的重大应激源。有证据表明，以前经历过创伤性事件的个体，特别是经历过持续创伤应激（CTS）的个体，在面对额外的压力源时，可能更容易感到痛苦。本研究旨在在以色列-加沙边境持续炮击以色列的背景下调查这些假设，即使在2019冠状病毒病危机期间，这种炮击仍在继续。方法：对以色列普通人群进行在线调查。样本包括976名参与者。793名参与者经历过创伤性事件，255名参与者报告了CTS。评估创伤暴露、COVID-19相关压力源以及与COVID-19相关的心理困扰（焦虑、抑郁和创伤后应激症状）。结果：大多数参与者报告至少经历了一种与COVID-19相关的精神症状。年轻、女性、没有恋爱关系、收入低于平均水平、被诊断患有该病、在疫情爆发期间独自生活、在高风险群体中有亲密的另一个人、以及对自己的健康状况进行负面自我评价，这些都与痛苦程度增加有关。与没有创伤史的个体或非持续创伤事件的幸存者相比，暴露于创伤的个体，特别是CTS，有更高的焦虑、抑郁和创伤后应激症状。CTS可以缓和PTSD症状、焦虑症状和创伤后应激症状之间的关系，在接触CTS的个体中发现了显著更强的关系。局限性：本研究依赖于方便抽样。结论：创伤幸存者，特别是暴露于CTS的创伤个体，似乎有与COVID-19相关的心理困扰风险。
Objective: The novel coronavirus (COVID-19) is a substantial stressor that could eventuate in psychological distress. Evidence suggests that individuals previously exposed to traumatic events, and particularly to continuous traumatic stress (CTS), might be more vulnerable to distress when facing additional stressors. This study aimed to investigate these suppositions in the context of the ongoing shelling of Israel from the Israel-Gaza border, which continues even amidst the COVID-19 crisis.Method: An online survey was conducted among Israel's general population. The sample included 976 participants. Seven-hundred-and-ninety-three participants had been exposed to traumatic events, with 255 participants reporting CTS. Trauma exposure, COVID-19-related stressors, and psychological distress related to COVID-19 (anxiety, depression, and peritraumatic stress symptoms) were assessed.Results: Most participants reported experiencing at least one psychiatric symptom related to COVID-19. Being younger, female, not in a relationship, having a below-average income, being diagnosed with the disease, living alone during the outbreak, having a close other in a high-risk group, and negatively self-rating one's health status were associated with elevated distress. Individuals who had been exposed to trauma, and to CTS in particular, had elevated anxiety, depression, and peritraumatic stress symptoms compared to individuals without such a history or to survivors of non-ongoing traumatic events. CTS moderated the relations between PTSD symptoms, anxiety symptoms, and peritraumatic stress symptoms, with significantly stronger relations found among individuals exposed to CTS.Limitations: This study relied on convenience sampling.Conclusions: Trauma survivors, and particularly traumatized individuals exposed to CTS, seem at risk for psychological distress related to COVID-19.