The unfolding COVID-19 pandemic: A probability-based, nationally representative study of mental health in the United States.

The unfolding COVID-19 pandemic: A probability-based, nationally representative study of mental health in the United States.
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DOI:
10.1126/sciadv.abd5390
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发表时间:
2020-10
期刊:
影响因子:
13.6
通讯作者:
Silver RC
Silver RC
中科院分区:
综合性期刊1区
文献类型:
--
作者:
Holman EA;Thompson RR;Garfin DR;Silver RC

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在美国基于概率的样本中,随着新冠疫情的蔓延,急性压力和抑郁症状随着死亡人数的增加而增加。 COVID-19(2019 年冠状病毒病)大流行是一种随着时间的推移而逐渐显现的集体压力源;然而,在基于大概率的全国样本中探讨其心理健康后果的严格实证研究却很少。 2020 年 3 月 18 日至 4 月 18 日期间,随着美国疾病和死亡人数的不断上升,我们评估了美国基于概率的全国代表性 NORC AmeriSpeak 小组在三个 10 天期间内连续三个代表性样本的急性压力、抑郁症状以及直接、社区和媒体接触 COVID-19 的情况(总计 N = 6514)。随着美国各地 COVID-19 死亡人数的增加,急性压力和抑郁症状随着时间的推移而显着增加。先前存在的精神和身体健康诊断、每日与 COVID-19 相关的媒体接触、媒体中相互矛盾的 COVID-19 信息以及继发性压力源均与急性压力和抑郁症状相关。随着疫情的消退,研究结果对公共卫生干预措施和风险沟通工作具有重要意义,以提高社区的抵御能力。
As the COVID pandemic unfolded, acute stress and depressive symptoms increased alongside deaths in a U.S. probability-based sample. The COVID-19 (coronavirus disease 2019) pandemic is a collective stressor unfolding over time; yet, rigorous empirical studies addressing its mental health consequences among large probability-based national samples are rare. Between 18 March and 18 April 2020, as illness and death escalated in the United States, we assessed acute stress, depressive symptoms, and direct, community, and media-based exposures to COVID-19 in three consecutive representative samples from the U.S. probability-based nationally representative NORC AmeriSpeak panel across three 10-day periods (total N = 6514). Acute stress and depressive symptoms increased significantly over time as COVID-19 deaths increased across the United States. Preexisting mental and physical health diagnoses, daily COVID-19–related media exposure, conflicting COVID-19 information in media, and secondary stressors were all associated with acute stress and depressive symptoms. Results have implications for targeting public health interventions and risk communication efforts to promote community resilience as the pandemic waxes and wanes over time.
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