Peritraumatic Distress and Posttraumatic Stress Symptoms During the COVID-19 Pandemic: The Contributions of Psychosocial Factors and Pandemic-Related Stressors
Peritraumatic Distress and Posttraumatic Stress Symptoms During the COVID-19 Pandemic: The Contributions of Psychosocial Factors and Pandemic-Related Stressors
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DOI：
10.1002/jts.22701
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发表时间：
2021-06-13
影响因子：
3.3
通讯作者：
Britvic, Dolores
中科院分区：
文献类型：
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作者：
Anticevic, Vesna;Bubic, Andreja;Britvic, Dolores
本研究旨在确定在COVID-19大流行高峰期间，社会人口因素、心理坚韧性和大流行相关压力源对创伤周围压力和创伤后应激症状（PTSS）发展的贡献。我们还研究了创伤后应激综合征与（a）个体特征和（B）流行病相关应激源之间的关系，即创伤后应激综合征与创伤后应激综合征之间的中介作用。共有1，238名参与者（82.1%女性，17.9%男性）年龄在18-75岁之间。参与者完成了性格恢复力量表、创伤前后痛苦量表和创伤后应激障碍（PTSD）检查表。结果显示，11.5%的参与者得分高于创伤周围窘迫的临床临界值，12.8%的参与者得分高于PTSS的临床临界值。回归模型显示，在统计学上，女性可以预测更高水平的创伤周围痛苦，β =-0.12，p <0.001;暴露于一种以上的压力源，β = 0.21，p <0.001;对人和活动的承诺水平较低，β =-0.12，p = 0.002;对挑战的抵抗力，β =-0.17，p <0.001。此外，男性，β = 0.05，p = 0.007;年龄较小，β =-0.05，p = 0.005;对人和活动的承诺水平较低，β =-0.11，p <0.001;对挑战的坚韧性评分较低，β =-0.04，p = 0.043;而更严重的创伤周围窘迫，β = 0.75，p <0.001，预示着在大流行期间更严重的PTSS。创伤前后的痛苦介导PTSS和经历的压力源和心理坚韧的数量之间的关联。
The present study aimed to identify the contributions of sociodemographic factors, psychological hardiness, and pandemic-related stressors to the development of peritraumatic distress and posttraumatic stress symptoms (PTSS) during the peak of the COVID-19 pandemic. We also examined the mediating contribution of peritraumatic distress with respect to the associations between PTSS and (a) individual characteristics and (b) pandemic-related stressors. A total of 1,238 participants (82.1% women, 17.9% men) aged 18-75 years were included in the study. Participants completed the Dispositional Resilience Scale, Peritraumatic Distress Inventory, and Posttraumatic Stress Disorder (PTSD) Checklist. The results showed that 11.5% of participants scored above the clinical cutoff for peritraumatic distress, and 12.8% of participants scored above the clinical cutoff for PTSS. Regression models showed that higher levels of peritraumatic distress were statistically predicted by female gender, beta = -.12, p < .001; exposure to more than one stressor, beta = .21, p < .001; lower levels of commitment to people and activities, beta = -.12, p = .002; and resistance to challenges, beta = -.17, p < .001. Additionally, male gender, beta = .05, p = .007; younger age, beta = -.05, p = .005; lower levels of commitment to people and activities, beta = -.11, p < .001; lower ratings of hardiness with regard to challenge, beta = -.04, p = .043; and more severe peritraumatic distress, beta = .75, p < .001, predicted more severe PTSS during the pandemic. Peritraumatic distress mediated the associations between PTSS and both the number of experienced stressors and psychological hardiness.