Psychological responses to U.S. statewide restrictions and COVID-19 exposures: A longitudinal study.
Psychological responses to U.S. statewide restrictions and COVID-19 exposures: A longitudinal study.
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DOI：
10.1037/hea0001233
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发表时间：
2022-11
影响因子：
4.2
通讯作者：
Silver, Roxane Cohen
中科院分区：
文献类型：
--
作者：
Thompson, Rebecca R.;Jones, Nickolas M.;Freeman, Apphia M.;Holman, E. Alison;Garfin, Dana Rose;Silver, Roxane Cohen
2019冠状病毒病大流行引发了一场争论，即社区层面的行为限制是否值得为此付出情感代价。使用纵向设计，我们将美国COVID-19大流行期间州一级的限制和病例数与个人层面的直接和基于媒体的暴露对痛苦、孤独和创伤性应激症状（TSS）的相对影响并列。从2020年3月18日至2020年4月18日和2020年9月9日至2020年10月16日，美国成年人的代表性概率样本（N = 5，594）完成了对他们的心理反应以及个人直接和基于媒体的COVID-19大流行的调查。调查数据与关于州一级减排政策严格性的公开数据（例如，学校/企业关闭）以及各州的纵向病例/死亡数。三个多水平模型（结果：痛苦，孤独，TSS）构建。因变量（1级）的测量值嵌套在嵌套在州（3级）内的受访者（2级）内。州一级的缓解、病例或死亡与任何因变量无关（所有p> 0.05）。然而，个人层面的暴露，包括自己感染COVID-19，（痛苦B = 0.22，p <0.001;孤独B = 0.13，p = 0.03; TSS B = 0.18，p = 0.001），知道别人生病（痛苦B = .04，p < .001;孤独B = .02，p < .001; TSS B = .05，p < .001）或死亡（痛苦B = 0.10，p = 0.001;孤独B = 0.10，p = 0.003; TSS B = 0.16，p <0.001）和接触流行病相关媒体（痛苦B = 0.12，p <0.001;孤独B = 0.09，p <0.001; TSS B = 0.16，p <0.001）与结果呈正相关。个人接触COVID-19与心理结果的相关性比全州范围内为阻止疾病传播而实施的缓解措施更强。研究结果可为未来疾病暴发的公共卫生应对规划提供信息。
The COVID-19 pandemic has generated debate as to whether community-level behavioral restrictions are worth the emotional costs of such restrictions. Using a longitudinal design, we juxtaposed the relative impacts of state-level restrictions and case counts with person-level direct and media-based exposures on distress, loneliness, and traumatic stress symptoms (TSS) during the COVID-19 pandemic in the United States. From March 18, 2020 to April 18, 2020 and September 9, 2020 to October 16, 2020, a representative probability sample of U.S. adults (N = 5,594) completed surveys of their psychological responses and personal direct and media-based exposures to the COVID-19 pandemic. Survey data were merged with publicly available data on the stringency of state-level mitigation policies (e.g., school/business closures) during this period and longitudinal case/death counts for each state. Three multilevel models (outcomes: distress, loneliness, TSS) were constructed. Measurements of dependent variables (Level 1) were nested within respondents (Level 2) who were nested within states (Level 3). State-level mitigation, cases, or deaths were not associated with any dependent variables (all p’s > .05). However, person-level exposures, including having contracted COVID-19 oneself (distress b = .22, p < .001; loneliness b = .13, p = .03; TSS b = .18, p = .001), knowing others who were sick (distress b = .04, p < .001; loneliness b = .02, p < .001; TSS b = .05, p < .001) or died (distress b = .10, p = .001; loneliness b = .10, p = .003; TSS b = .16, p < .001), and exposure to pandemic-related media (distress b = .12, p < .001; loneliness b = .09, p < .001; TSS b = .16, p < .001), were positively associated with outcomes. Personal exposures to COVID-19 are more strongly associated with psychological outcomes than statewide mitigations levied to stop disease spread. Results may inform public health response planning for future disease outbreaks.
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影响因子：
4.8
作者：
Holman, E. Alison;Garfin, Dana Rose;Silver, Roxane Cohen
通讯作者：
Silver, Roxane Cohen
DOI：
10.4161/dish.24705
发表时间：
2014-01-01
期刊：
Disaster health
影响因子：
--
作者：
Kar, Nilamadhab;Krishnaraaj, Rameshraj;Rameshraj, Kavitha
通讯作者：
Rameshraj, Kavitha
影响因子：
2.6
作者：
Hughes, ME;Waite, LJ;Cacioppo, JT
通讯作者：
Cacioppo, JT
影响因子：
6.3
作者：
Garfin, Dana Rose;Djokovic, Lindita;Silver, Roxane Cohen;Holman, E. Alison
通讯作者：
Holman, E. Alison
影响因子：
38.9
作者：
Azoulay É;Curtis JR;Kentish-Barnes N
通讯作者：
Kentish-Barnes N