Coping and Tolerance of Uncertainty: Predictors and Mediators of Mental Health During the COVID-19 Pandemic
Coping and Tolerance of Uncertainty: Predictors and Mediators of Mental Health During the COVID-19 Pandemic
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DOI：
10.1037/amp0000710
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发表时间：
2021-04-01
影响因子：
16.4
通讯作者：
Daniels, Jo
中科院分区：
文献类型：
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作者：
Rettie, Hannah;Daniels, Jo
当前的COVID-19大流行浪潮为公众带来了重大的不确定性。心理健康和检查可能影响痛苦的因素已被列为关键的研究重点，为干预措施提供信息。本研究旨在探讨不确定性的不容忍和应对反应是否会影响英国人所经历的痛苦程度。在2019冠状病毒病大流行期间，使用横断面在线问卷设计，在大流行早期“封锁”阶段的10天内，使用滚雪球抽样招募参与者（N = 842）。大约四分之一的参与者表现出显著的焦虑和抑郁，其中14.8%达到健康焦虑的临床临界值。单因素多变量方差分析表明，“弱势”群体的人明显更焦虑（p < .001），而且与他们的健康有关（p < .001）。中介模型表明，适应不良的应对反应部分介导的不容忍的不确定性和心理困扰之间的预测关系。在英国的第一波COVID-19大流行期间，心理健康问题显著增加，尤其是弱势群体。调查结果支持了新的研究，表明公众正在与不确定性作斗争，比正常情况下更严重。弱势群体更担心自己的健康，但并不比非弱势群体更不能容忍不确定性。最后，这项研究指出了两个可修改的因素，在COVID-19全球健康危机期间调整心理健康干预措施时，可以作为治疗目标。
The current pandemic wave of COVID-19 has resulted in significant uncertainty for the general public. Mental health and examining factors that may influence distress have been outlined as key research priorities to inform interventions. This research sought to examine whether intolerance of uncertainty and coping responses influence the degree of distress experienced by the U.K. general public during the COVID-19 pandemic. Using a cross-sectional online questionnaire design, participants were recruited (N = 842) using snowball sampling over a 10-day period in the early "lockdown" phase of the pandemic. Around a quarter of participants demonstrated significantly elevated anxiety and depression, with 14.8% reaching clinical cutoff for health anxiety. A one-way multivariate analysis of variance indicated those in "vulnerable" groups were significantly more anxious (p < .001), and also more anxious in relation to their health (p < .001). Mediation modeling demonstrated maladaptive coping responses partially mediated the predictive relationship between intolerance of uncertainty and psychological distress. Mental health difficulties have become significantly raised during the first wave of the COVID-19 pandemic in the United Kingdom, particularly for the vulnerable. Findings support emerging research suggesting the general public is struggling with uncertainty, more so than normal. Vulnerable groups are more anxious about their health, but not more intolerant of uncertainty than the nonvulnerable. Finally, this study indicated two modifiable factors that could act as treatment targets when adapting interventions for mental health during the COVID-19 global health crisis.