Psychological Resilience as a Protective Factor for Depression and Anxiety Among the Public During the Outbreak of COVID-19.

Psychological Resilience as a Protective Factor for Depression and Anxiety Among the Public During the Outbreak of COVID-19.
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心理上的韧性是在Covid-19爆发期间公众抑郁和焦虑的保护因素。

DOI:
10.3389/fpsyg.2020.618509
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发表时间:
2020
影响因子:
3.8
通讯作者:
Zhang N
Zhang N
中科院分区:
心理学3区
文献类型:
--
作者:
Song S;Yang X;Yang H;Zhou P;Ma H;Teng C;Chen H;Ou H;Li J;Mathews CA;Nutley S;Liu N;Zhang X;Zhang N

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心理弹性可以在一定程度上降低心理困扰的影响。我们旨在调查2019冠状病毒病(COVID-19)爆发期间公众的心理健康状况,并探讨焦虑和抑郁水平及其相关因素。2020年2月8日至3月9日,3,180名公众完成了Zung焦虑自评量表(SAS)的焦虑,Zung抑郁自评量表(SDS)的抑郁,Connor-Davidson复原力量表(CD-RISC)的心理复原力,以及简化应对方式问卷(SCSQ)的态度和应对方式。有抑郁症状(SDS > 53)者1,303人,占41.0%。有焦虑症状(SAS > 50)的人数为1,184人(占37.2%)。抑郁组和焦虑组受教育程度低、未婚率高、年龄小,SDS总分(P < 0.001)、SAS总分(P <0.001)、CD-RISC总分(P <0.001)、SCSQ总分(P < 0.001)差异有统计学意义。二元Logistic回归分析显示,女性(B =-0.261,P = 0.026),强度(B =-0.079,P = 0.000),SCSQ中的积极应对方式各分量表(B =-0.983,P = 0.000)仍有保护性因素和消极应对方式抑郁症的危险因素为抑郁症患者的焦虑自评量表(B = 0.293,P = 0.003)和焦虑自评量表(SAS)评分较高(B = 0.175,P = 0.000)。乐观(B =-0.041,P = 0.015)是CD-RISC的保护因素,消极应对方式(B = 0.483,P = 0.000)和较高的SDS评分(B = 0.134,P = 0.000)是焦虑的危险因素。本研究采横断式设计,使用自陈式问卷。公众的心理健康,特别是女性、较年轻和受教育程度较低的人群以及未婚人士的心理健康,应得到更多的关注。在COVID-19爆发期间,具有高心理韧性和积极应对方式的个体的焦虑和抑郁水平较低。
Psychological resilience may reduce the impact of psychological distress to some extent. We aimed to investigate the mental health status of the public during the outbreak of coronavirus disease 2019 (COVID-19) and explore the level and related factors of anxiety and depression. From February 8 to March 9, 2020, 3,180 public completed the Zung’s Self-Rating Anxiety Scale (SAS) for anxiety, Zung’s Self-Rating Depression Scale (SDS) for depression, the Connor–Davidson resilience scale (CD-RISC) for psychological resilience, and the Simplified Coping Style Questionnaire (SCSQ) for the attitudes and coping styles. The number of people with depressive symptoms (SDS > 53) was 1,303 (the rate was 41.0%). The number of people with anxiety symptoms (SAS > 50) was 1,184 (the rate was 37.2%). The depressed group and anxiety group had less education, more unmarried and younger age, as well as had significant different in SDS total score (P < 0.001), SAS total score (P < 0.001), CD-RISC total score (P < 0.001), and SCSQ score (P < 0.001). The binary logistic regression showed that female (B = -0.261, P = 0.026), strength (B = -0.079, P = 0.000), and the subscales of active coping style in SCSQ (B = -0.983, P = 0.000) remained protective factors and passive coping style (B = 0.293, P = 0.003) and higher SAS score (B = 0.175, P = 0.000) were risk factors for depression. Optimism (B = -0.041, P = 0.015) in CD-RISC was a protective factor, and passive coping styles (B = 0.483, P = 0.000) and higher SDS score (B = 0.134, P = 0.000) were risk factors for anxiety. This study adopted a cross-sectional design and used self-report questionnaires. The mental health of the public, especially females, the younger and less educational populations, and unmarried individuals, should be given more attention. Individuals with high level of mental resilience and active coping styles would have lower levels of anxiety and depression during the outbreak of COVID-19.
DOI: 10.1002/da.10113
发表时间: 2003-01-01
影响因子: 7.4
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DOI: 10.1016/j.ajp.2017.10.015
发表时间: 2017-12-01
影响因子: 9.5
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发表时间: 2007-01-01
影响因子: 1.3
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