Factors associated with depression, anxiety, and PTSD symptomatology during the COVID-19 pandemic: Clinical implications for US young adult mental health
Factors associated with depression, anxiety, and PTSD symptomatology during the COVID-19 pandemic: Clinical implications for US young adult mental health
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DOI：
10.1016/j.psychres.2020.113172
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发表时间：
2020-08-01
影响因子：
11.3
通讯作者：
Hahm, Hyeouk Chris
中科院分区：
文献类型：
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作者：
Liu, Cindy H.;Zhang, Emily;Hahm, Hyeouk Chris
本研究旨在确定COVID-19大流行期间美国年轻人（18 - 30岁）中与抑郁、焦虑和创伤后应激障碍相关的因素。这项横断面在线研究评估了2020年4月13日至2020年5月19日期间的898名参与者，即美国宣布因COVID-19进入紧急状态后约一个月，以及美国50个州最初解除限制之前。受访者报告了高水平的抑郁（43.3%，PHQ-8评分≥ 10），高焦虑评分（45.4%，GAD-7评分≥ 10）和高水平的PTSD症状（31.8%，PCL-C评分≥ 45）。高水平的孤独感、高水平的COVID-19特有的担忧和低痛苦耐受力与抑郁、焦虑和PTSD症状的临床水平显著相关。复原力与低水平的抑郁和焦虑症状有关，但与PTSD无关。大多数受访者有高水平的社会支持;来自家庭的社会支持，而不是来自伴侣或同龄人的社会支持，与低水平的抑郁症和创伤后应激障碍有关。与白人相比，亚裔美国人不太可能报告高水平的心理健康症状，西班牙裔/拉丁裔不太可能报告高水平的焦虑。这些因素为COVID-19相关精神健康问题的临床管理提供了初步指导。
This study sought to identify factors associated with depression, anxiety, and PTSD symptomatology in U.S. young adults (18-30 years) during the COVID-19 pandemic. This cross-sectional online study assessed 898 participants from April 13, 2020 to May 19, 2020, approximately one month after the U.S. declared a state of emergency due to COVID-19 and prior to the initial lifting of restrictions across 50 U.S. states. Respondents reported high levels of depression (43.3%, PHQ-8 scores >= 10), high anxiety scores (45.4%, GAD-7 scores >= 10), and high levels of PTSD symptoms (31.8%, PCL-C scores >= 45). High levels of loneliness, high levels of COVID-19-specific worry, and low distress tolerance were significantly associated with clinical levels of depression, anxiety, and PTSD symptoms. Resilience was associated with low levels of depression and anxiety symptoms but not PTSD. Most respondents had high levels of social support; social support from family, but not from partner or peers, was associated with low levels of depression and PTSD. Compared to Whites, Asian Americans were less likely to report high levels across mental health symptoms, and Hispanic/Latinos were less likely to report high levels of anxiety. These factors provide initial guidance regarding the clinical management for COVID-19-related mental health problems.