Distress, Worry, and Functioning Following a Global Health Crisis: A National Study of Americans' Responses to Ebola

Distress, Worry, and Functioning Following a Global Health Crisis: A National Study of Americans' Responses to Ebola
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DOI:
10.1177/2167702617692030
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发表时间:
2017-05-01
影响因子:
4.8
通讯作者:
Silver, Roxane Cohen
Silver, Roxane Cohen
中科院分区:
医学1区
文献类型:
--
作者:
Thompson, Rebecca R.;Garfin, Dana Rose;Silver, Roxane Cohen

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2014年的埃博拉危机在美国受到了前所未有的媒体关注,尽管传播风险很低。我们研究了对危机的心理反应的理论推导相关性,包括与埃博拉相关的媒体暴露,先前的精神健康历史,以及最近之前的集体创伤(2013年波士顿马拉松爆炸案,BMB)的压力反应。全国概率样本在bmb后2-4周完成调查;18个月后,同样的样本报告了对埃博拉危机的反应(N = 3,447)。精神健康诊断史、急性应激反应和埃博拉相关媒体暴露与更大的心理困扰和功能障碍相关。既往急性应激和埃博拉相关媒体暴露也与埃博拉相关担忧相关;具有较高的bmb相关急性压力的个体,消费更多与埃博拉相关的媒体,更担心感染埃博拉。媒体对埃博拉公共卫生危机的报道与负面心理结果有关,即使在感染该疾病风险较低的个人中也是如此。
The 2014 Ebola crisis received unprecedented media attention in the United States, despite low risk of transmission. We examined theoretically derived correlates of psychological response to the crisis, including Ebola-related media exposure, prior mental health history, and stress response to a recent prior collective trauma (the 2013 Boston Marathon bombing, BMB). A national probability sample completed a survey 2-4 weeks post-BMB; 18 months later, the same sample reported responses to the Ebola crisis (N = 3,447). History of mental health diagnoses, acute stress response to the BMB, and Ebola-related media exposure were associated with greater psychological distress and functional impairment. Prior acute stress and Ebola-related media exposure were also associated with Ebola-related worry; individuals with higher BMB-related acute stress who consumed more Ebola-related media were more worried about contracting Ebola. Media coverage of the Ebola public health crisis was associated with negative psychological outcomes, even among individuals at low risk for contracting the disease.