Social, financial and psychological stress during an emerging pandemic: observations from a population survey in the acute phase of COVID-19.

Social, financial and psychological stress during an emerging pandemic: observations from a population survey in the acute phase of COVID-19.
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DOI:
10.1136/bmjopen-2020-043805
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发表时间:
2020-12-12
期刊:
影响因子:
2.9
通讯作者:
Kendzerska T
Kendzerska T
中科院分区:
医学3区
文献类型:
--
作者:
Robillard R;Saad M;Edwards J;Solomonova E;Pennestri MH;Daros A;Veissière SPL;Quilty L;Dion K;Nixon A;Phillips J;Bhatla R;Spilg E;Godbout R;Yazji B;Rushton C;Gifford WA;Gautam M;Boafo A;Swartz R;Kendzerska T

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COVID-19的负面影响波及社会的方方面面。了解这一流行病的多层面影响对于确定最关键的需求和为有针对性的干预措施提供信息至关重要。这项人口调查研究旨在调查2020年4月3日至5月15日期间COVID-19爆发的急性期,包括感知的威胁及关注、职业及财务影响、社会影响及压力。6040名参与者被纳入本报告。多元线性回归模型被用来确定与压力变化相关的因素(科恩的感知压力量表(PSS))相对于爆发前的回顾性估计。平均而言,PSS评分从爆发前的低压力水平增加到爆发期间的中等压力水平(p<0.001)。与压力恶化相关的独立因素是:患有精神疾病,女性,有未成年子女,饮酒量较大,与公众一起工作,睡眠时间较短,年龄较小,自爆发开始以来的时间较短,爆发前压力较低,可能与COVID-19有关的症状更严重,应对技能较低,与细菌和污染有关的强迫症状更严重,性格外向,偏执和神经质,左翼政治观点,家庭关系更差,锻炼和从事艺术活动的时间更少。横断面分析显示,在COVID-19爆发期间,从低到中度压力显著增加。与压力增加相关的可改变因素可能对干预措施的制定提供信息。NCT 04369690;结果。
The negative impacts of COVID-19 have rippled through every facet of society. Understanding the multidimensional impacts of this pandemic is crucial to identify the most critical needs and to inform targeted interventions. This population survey study aimed to investigate the acute phase of the COVID-19 outbreak in terms of perceived threats and concerns, occupational and financial impacts, social impacts and stress between 3 April and 15 May 2020. 6040 participants are included in this report. A multivariate linear regression model was used to identify factors associated with stress changes (as measured by the Cohen’s Perceived Stress Scale (PSS)) relative to pre-outbreak retrospective estimates. On average, PSS scores increased from low stress levels before the outbreak to moderate stress levels during the outbreak (p<0.001). The independent factors associated with stress worsening were: having a mental disorder, female sex, having underage children, heavier alcohol consumption, working with the general public, shorter sleep duration, younger age, less time elapsed since the start of the outbreak, lower stress before the outbreak, worse symptoms that could be linked to COVID-19, lower coping skills, worse obsessive–compulsive symptoms related to germs and contamination, personalities loading on extraversion, conscientiousness and neuroticism, left wing political views, worse family relationships and spending less time exercising and doing artistic activities. Cross-sectional analyses showed a significant increase from low to moderate stress during the COVID-19 outbreak. Identified modifiable factors associated with increased stress may be informative for intervention development. NCT04369690; Results.
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