The role of prior trauma exposure and subsequent posttraumatic stress disorder in reactions to the COVID-19 pandemic: A qualitative study.
The role of prior trauma exposure and subsequent posttraumatic stress disorder in reactions to the COVID-19 pandemic: A qualitative study.
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先前的创伤暴露和随后的创伤后应激障碍在对 COVID-19 大流行的反应中的作用：一项定性研究。
DOI：
10.1037/tra0001541
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发表时间：
2023
期刊：
影响因子：
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通讯作者：
Mason,SusanM
中科院分区：
文献类型：
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作者：
Johnson,SydneyT;Dadi,Dunia;Friedman,JessicaK;Hanson,Stephanie;Tavernier,RebeccaLEmery;Mason,SusanM
越来越多的文献表明，COVID-19大流行是一种创伤性应激源，能够引起创伤后应激症状。有创伤史的人，特别是那些患有创伤后应激障碍的人，可能特别容易受到大流行病的负面心理健康影响。然而，定性研究探索的潜在差异的生活经验和反应COVID-19之间的人与PTSD. Methodsemi-structured采访进行了31名妇女（n= 15妇女可能PTSD，n= 16妇女没有可能PTSD）招募从正在进行的美国为基础的队列研究。使用归纳主题分析确定主题。ResultsThe大多数患有PTSD的女性将其与COVID-19相关的恐惧或感知安全水平描述为大流行期间影响其心理健康的主要因素。相比之下，没有PTSD的女性表示，她们的痛苦程度在很大程度上是由对正常活动和家庭事件的流行病相关限制造成的。许多患有创伤后应激障碍的女性还描述了对他们认为没有认真对待COVID-19大流行的人感到愤怒或沮丧。只有一名没有PTSD的参与者表达了类似的感受。结论这项研究发现，有和没有PTSD的人对COVID-19大流行的反应存在显着差异，这些发现可能与未来的灾难有关。这些发现可以为未来灾难，流行病或其他集体创伤的准备政策的制定提供信息，以防止痛苦和改善心理健康，特别是对于脆弱人群，如先前存在的PTSD患者。（PsycInfo数据库记录（c）2024阿帕，保留所有权利）
ObjectiveA growing body of literature suggests that the COVID-19 pandemic is a traumatic stressor capable of causing posttraumatic stress symptoms. People with a history of trauma, particularly those with posttraumatic stress disorder (PTSD), may be particularly vulnerable to the negative mental health impacts of the pandemic. However, qualitative research exploring potential differences in the lived experiences of and reactions to COVID-19 between people with and without PTSD is lacking.MethodSemistructured interviews were conducted with 31 women (n= 15 women with probable PTSD, n= 16 women without probable PTSD) recruited from an ongoing US-based cohort study. Themes were identified using inductive thematic analysis.ResultsThe majority of women with PTSD described their level of fear or perceived safety related to COVID-19 as a major factor influencing their mental health during the pandemic. In contrast, women without PTSD indicated that their level of distress was largely driven by pandemic-related restrictions on normal activities and family events. Many women with PTSD also described feeling anger or frustration toward people they perceived as not taking the COVID-19 pandemic seriously. Only one participant without PTSD expressed similar feelings.ConclusionsThis study found notable differences in reactions to the COVID-19 pandemic between people with and without PTSD, with findings that are likely relevant to future disasters. These findings can inform the development of preparedness policies for future disasters, pandemics, or other collective traumas to prevent distress and improve mental health, particularly for vulnerable populations such as individuals with preexisting PTSD.(PsycInfo Database Record (c) 2024 APA, all rights reserved)