Mental distress during the COVID-19 pandemic among US adults without a pre-existing mental health condition: Findings from American trend panel survey.
Mental distress during the COVID-19 pandemic among US adults without a pre-existing mental health condition: Findings from American trend panel survey.
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DOI：
10.1016/j.ypmed.2020.106231
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发表时间：
2020-10
影响因子：
5.1
通讯作者：
Kalb LG
中科院分区：
文献类型：
--
作者：
Holingue C;Badillo-Goicoechea E;Riehm KE;Veldhuis CB;Thrul J;Johnson RM;Fallin MD;Kreuter F;Stuart EA;Kalb LG
在美国，大多数人没有心理健康问题史，但因 COVID-19 大流行而面临心理困扰的风险。本研究的目的是评估该群体在 COVID-19 大流行初期出现心理困扰的频率、风险和保护因素。数据来自皮尤研究中心的美国趋势小组 (ATP)，这是一个代表美国成年人口的基于概率的在线调查小组。分析样本由 2020 年 3 月 19 日至 24 日期间完成调查的 9,687 名既往无心理健康状况的个体组成。解释变量包括社会人口因素以及与大流行相关的行为、看法和经历相关的项目。结果是心理困扰，通过焦虑、抑郁、孤独、睡眠困难和过度警觉五项症状来衡量。使用多变量线性回归模型来确定心理困扰的风险和保护因素。 15% 的样本在过去一周至少 3 天经历过 2 种心理困扰症状； 13% 的人有三种或更多症状。造成较高痛苦的风险因素包括在线搜索或使用社交媒体发布有关冠状病毒的信息、报告疫情爆发给个人生活带来重大变化，以及认为该病毒对美国经济、个人健康或财务构成威胁。这对于心理健康服务的提供具有重要意义。
Most individuals in the United States have no history of a mental health condition yet are at risk for psychological distress due to the COVID-19 pandemic. The objective of this study was to assess the frequency and risk and protective factors of psychological distress, during the beginning of the COVID-19 pandemic, in this group. Data comes from the Pew Research Center’s American Trends Panel (ATP), a probability-based online survey panel representative of the US adult population. The analytic sample consisted of 9,687 individuals with no prior history of a mental health condition who completed the survey between March 19–24, 2020. Explanatory variables included sociodemographic factors and items related to behavior, perceptions, and experiences surrounding the pandemic. The outcome was psychological distress, measured by five items on symptoms of anxiety, depression, loneliness, sleep difficulties, and hyperarousal. A multivariable linear regression model was used to identify risk and protective factors for psychological distress. Fifteen percent of the sample experienced 2 psychological distress symptoms for at least 3 days over the past week; 13% had three or more symptoms. Risk factors for higher distress included searching online or using social media to post about coronavirus, reporting that the outbreak caused major changes to personal life, and perception that the virus was a threat to the US economy, the individual’s personal health or finances. This has important implications for mental health service delivery.
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影响因子：
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作者：
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通讯作者：
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