Distress and risk perception in people living with multiple sclerosis during the early phase of the COVID-19 pandemic.

Distress and risk perception in people living with multiple sclerosis during the early phase of the COVID-19 pandemic.
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DOI:
10.1016/j.msard.2020.102618
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发表时间:
2021-01
影响因子:
4
通讯作者:
Ehde DM
Ehde DM
中科院分区:
医学3区
文献类型:
--
作者:
Alschuler KN;Roberts MK;Herring TE;Ehde DM

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在COVID-19期间患有MS的人正在经历大流行的破坏,并担心他们的健康状况可能使他们面临更大的风险,导致COVID-19的结果更糟。这项研究试图了解在美国生活的MS患者在大流行的第一次激增期间如何经历痛苦并感知他们的COVID-19相关风险。这是一项基于网络的自我报告调查,调查对象是在COVID-19早期居住在美国的MS患者。主要结果是抑郁、焦虑、积极情绪和幸福感。参与者(N = 491)还提供了人口统计学、MS相关因素、COVID-19因素和心理应对方面的数据。心理困扰与年龄、心理应对策略和具有与COVID-19一致的症状有关,但与MS疾病相关变量和COVID-19风险因素无关。对COVID-19相关风险的感知与年龄、MS疾病严重程度、COVID-19相关因素和焦虑相关。这项研究表明,即使在COVID-19期间,痛苦和风险感知主要是由心理因素驱动的,经历与COVID-19和年龄一致的症状,健康状况的个体差异贡献最小,为MS患者提供了持续努力优化心理干预的动力。
People living with MS during COVID-19 are experiencing the disruptions of the pandemic and concerns that their health status may place them at greater risk for worse COVID-19 outcomes. This study sought to understand how people living with MS in the United States experienced distress and perceived their COVID-19-related risk during the first surge of the pandemic. This was a web-based, self-report survey of people with MS who were living in the United States during the early stage of COVID-19. Primary outcomes were depression, anxiety, and positive-affect and well-being. Participants (N = 491) also provided data on demographics, MS-related factors, COVID-19 factors, and psychological coping. Psychological distress was associated with age, psychological coping strategies, and having had symptoms consistent with COVID-19, but not with MS disease-related variables and COVID-19 risk factors. Perception of COVID-19-related risk was associated with age, MS disease severity, COVID-19-related factors, and anxiety. This study demonstrated that even during COVID-19, distress and risk perception are primarily driven by psychological factors, experiencing symptoms consistent with COVID-19 and age, with minimal contribution from individual differences in health status, providing an impetus for continued efforts to optimize psychological interventions for people living with MS.
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