Longitudinal changes in anxiety and psychological distress, and associated risk and protective factors during the first three months of the COVID-19 pandemic in Germany.
Longitudinal changes in anxiety and psychological distress, and associated risk and protective factors during the first three months of the COVID-19 pandemic in Germany.
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在德国共同大流行的前三个月中，焦虑和心理困扰以及相关风险和保护因素的纵向变化。
DOI：
10.1002/brb3.1964
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发表时间：
2021-03
影响因子：
3.1
通讯作者：
Petzold MB
中科院分区：
文献类型：
--
作者：
Bendau A;Plag J;Kunas S;Wyka S;Ströhle A;Petzold MB
COVID-19 大流行与多种压力源有关，因此可能与心理困扰有关。本研究的目的是纵向评估大流行不同阶段的（非）特定焦虑和抑郁症状，以了解大流行心理后果的进展情况，并测试从横断面研究和官方建议中得出的潜在风险和复原力因素的作用。本研究采用纵向观察设计，对德国普通人群进行了四波在线数据收集（从2020年3月27日至6月15日）。总共 N = 2376 名完成至少两轮调查的参与者被纳入分析。在这四波浪潮中，与 COVID-19 相关的特定焦虑和平均每日对流感大流行的关注程度持续下降。非特异性担忧和抑郁症状平均减少，但未达到中位水平。相对于基线而言，自我效能、正常化、维持社会联系以及了解何处获得医疗支持与较少的症状相关。压抑、不健康的习惯和平均每天思考这一流行病的时间更长与症状的相对增加有关。我们的研究结果深入了解了德国 COVID-19 大流行前三个月心理困扰症状的纵向变化。此外，我们能够重申从之前的研究和建议中提取的预期保护和风险因素。纵向评估显示，在德国，与 COVID-19 大流行相关的焦虑和心理困扰症状在大流行的前三个月平均持续下降。自我效能、正常化、维持社会联系、知识、从哪里获得医疗支持，与更好的心理健康结果呈纵向相关。相比之下，压抑、不健康的习惯和对流行病的反思与较高的症状严重程度相关。
The COVID‐19 pandemic is related to multiple stressors and therefore may be associated with psychological distress. The aim of this study was to longitudinally assess symptoms of (un‐)specific anxiety and depression along different stages of the pandemic to generate knowledge about the progress of psychological consequences of the pandemic and to test the role of potential risk and resilience factors that were derived from cross‐sectional studies and official recommendations. The present study uses a longitudinal observational design with four waves of online data collection (from March 27 to June 15, 2020) in a convenience sample of the general population in Germany. A total of N = 2376 participants that completed at least two waves of the survey were included in the analyses. Specific COVID‐19‐related anxiety and the average daily amount of preoccupation with the pandemic decreased continuously over the four waves. Unspecific worrying and depressive symptoms decreased on average but not on median level. Self‐efficacy, normalization, maintaining social contacts, and knowledge, where to get medical support, were associated with fewer symptoms relative to baseline. Suppression, unhealthy habits, and a longer average daily time of thinking about the pandemic were correlated with a relative increase of symptoms. Our findings provide insight into the longitudinal changes of symptoms of psychological distress along the first three months of the COVID‐19 pandemic in Germany. Furthermore, we were able to reaffirm the anticipated protective and risk factors that were extracted from previous studies and recommendations. Longitudinal assessments revealed that symptoms of anxiety and psychological distress related to the COVID‐19 pandemic decreased on average continuously across the first three months of the pandemic in Germany. Self‐efficacy, normalization, maintaining social contacts, and knowledge, where to get medical support, were longitudinally associated with better mental health outcomes. In contrast, suppression, unhealthy habits, and ruminating about the pandemic were correlated with a higher symptom severity.
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DOI：
10.26633/rpsp.2017.134
发表时间：
2017-01-01
影响因子：
2.6
作者：
D'Agostino, Marcelo;Mejia, Felipe;de Cosio, Gerardo
通讯作者：
de Cosio, Gerardo
DOI：
10.1111/papt.12294
发表时间：
2020-06-25
影响因子：
3.4
作者：
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通讯作者：
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影响因子：
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作者：
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通讯作者：
Li, Ruobing
DOI：
10.1037/tra0000592
发表时间：
2020-05-01
影响因子：
6.3
作者：
Horesh, Danny;Brown, Adam D.
通讯作者：
Brown, Adam D.
影响因子：
6.6
作者：
Loewe, Bernd;Wahl, Inka;Braehler, Elmar
通讯作者：
Braehler, Elmar