Association between psychological resilience and changes in mental distress during the COVID-19 pandemic.
Association between psychological resilience and changes in mental distress during the COVID-19 pandemic.
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DOI：
10.1016/j.jad.2020.12.071
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发表时间：
2021-03-01
影响因子：
6.6
通讯作者：
Thrul J
中科院分区：
文献类型：
--
作者：
Riehm KE;Brenneke SG;Adams LB;Gilan D;Lieb K;Kunzler AM;Smail EJ;Holingue C;Stuart EA;Kalb LG;Thrul J
对潜在创伤事件的心理反应往往是异质的，有些人表现出弹性。然而，在2019冠状病毒病大流行期间，复原力和精神痛苦之间的纵向关联尚不清楚。本研究的目的是研究COVID-19大流行期间恢复力与精神痛苦轨迹之间的关系。参与者是来自“了解美国研究”的6008名成年人，这是一个基于概率的互联网小组，代表了美国成年人。基线数据于2020年3月10日至3月31日收集，并于4月1日至8月4日进行了9次随访。使用混合效应逻辑回归来检验日期与精神困扰之间的关系，并按恢复水平（低、正常或高）分层。与高适应力组相比，低适应力组和正常适应力组的参与者在大流行的最初几个月的精神痛苦有所增加（低：OR=2.94, 95% CI= 1.93-4.46；正常：OR=1.91, 95% CI= 1.55-2.35）。男性、中老年人、黑人和拥有研究生学位的成年人更有可能报告高弹性，而生活在贫困线以下的成年人则不太可能报告高弹性。这些关联不应被解释为因果关系，并且恢复力仅在一个时间点进行测量。在2019冠状病毒病大流行的最初几个月里，不同适应力水平的人的精神痛苦轨迹有显著差异，在这场危机期间，适应力低的成年人报告的精神痛苦增幅最大。应将促进复原力的活动纳入在整个大流行期间支持精神卫生的更广泛战略。
Psychological responses to potentially traumatic events tend to be heterogeneous, with some individuals displaying resilience. Longitudinal associations between resilience and mental distress during the COVID-19 pandemic, however, are poorly understood. The objective of this study was to examine the association between resilience and trajectories of mental distress during the COVID-19 pandemic. Participants were 6,008 adults from the Understanding America Study, a probability-based Internet-panel representative of the US adult population. Baseline data were collected between March 10 and March 31, 2020, with nine follow-up waves conducted between April 1 and August 4. Mixed-effects logistic regression was used to examine the association between date and mental distress, stratified by resilience level (low, normal, or high). In contrast to the high resilience group, participants in the low and normal resilience groups experienced increases in mental distress in the early months of the pandemic (low: OR=2.94, 95% CI=1.93–4.46; normal: OR=1.91, 95% CI=1.55–2.35). Men, middle-aged and older adults, Black adults, and adults with a graduate degree were more likely to report high resilience, whereas adults living below the poverty line were less likely to report high resilience. These associations should not be interpreted as causal, and resilience was measured at only one time-point. Trajectories of mental distress varied markedly by resilience level during the early months of the COVID-19 pandemic, with low-resilience adults reporting the largest increases in mental distress during this crisis. Activities that foster resilience should be included in broader strategies to support mental health throughout the pandemic.
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在德国共同大流行的前三个月中，焦虑和心理困扰以及相关风险和保护因素的纵向变化。
影响因子：
3.1
作者：
Bendau A;Plag J;Kunas S;Wyka S;Ströhle A;Petzold MB
通讯作者：
Petzold MB
影响因子：
4.5
作者：
Anderson, Leslie A.
通讯作者：
Anderson, Leslie A.
结构性种族主义，社会危险因素和共同-19-对黑人美国人的危险融合。
DOI：
10.1056/nejmp2023616
发表时间：
2020-09-17
期刊：
The New England journal of medicine
影响因子：
--
作者：
Egede LE;Walker RJ
通讯作者：
Walker RJ
影响因子：
5.2
作者：
Allen, Amani M.;Wang, Yijie;Woods-Giscombe, Cheryl L.
通讯作者：
Woods-Giscombe, Cheryl L.
DOI：
10.1037/tra0000894
发表时间：
2020-08-01
影响因子：
6.3
作者：
Mancini, Anthony D.
通讯作者：
Mancini, Anthony D.