Living in the midst of fear: Depressive symptomatology among US adults during the COVID-19 pandemic
Living in the midst of fear: Depressive symptomatology among US adults during the COVID-19 pandemic
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DOI：
10.1002/da.23080
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发表时间：
2020-07-15
影响因子：
7.4
通讯作者：
Drawve, Grant
中科院分区：
文献类型：
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作者：
Fitzpatrick, Kevin M.;Harris, Casey;Drawve, Grant
本研究探讨了当前冠状病毒病2019 （COVID-19）大流行期间美国成年人的社会脆弱性、个体压力源、社会和心理资源以及抑郁症状之间的相互关系。方法采用在线调查平台，采用后分层（按年龄、性别、种族、收入和地理）代表性样本（n = 10,368名成年人）进行分析。结果平均而言，样本受访者报告的流行病学研究中心抑郁症（CES-D）量表症状学几乎比常用的临床病例分界点（16+）高1分；三分之一的受访者的CES-D得分在25分以上。多元回归结果显示，社会弱势群体（女性、西班牙裔、未婚、无业）的抑郁症状水平升高。那些对COVID-19表现出高度恐惧和中度至高度粮食不安全的人比那些恐惧程度较低和粮食不安全程度较低或没有粮食不安全的人报告的抑郁症状更多。所有三个资源变量（对命运的掌控、联系的强度和乐观）都是显著的，而且是消极的。结论：在当前的公共卫生危机中，这些数据为成人抑郁症状提供了一个重要的点患病率评估。结果强调了脆弱性和个体压力因素在COVID-19大流行后的重要性。此外，分析肯定了获得社会和心理资源的重要性，以消除人们在当前大流行期间报告的加剧的恐惧和焦虑。
Background The current study examines interrelationships between social vulnerability, individual stressors, social and psychological resources, and depressive symptomatology among US adults during the current coronavirus disease 2019 (COVID-19) pandemic. Methods Using an online survey platform, a poststratified (by age, gender, race, income, and geography), representative sample (n = 10,368 adults) is used in the analysis. Results On average, sample respondents report Center for Epidemiological Studies Depression (CES-D) Scale symptomatology nearly a point higher than the often used cutoff score for clinical caseness (16+); one-third of respondents had CES-D scores higher than 25. Multiple regression results show elevated levels of depressive symptomatology among the socially vulnerable (women, Hispanic, unmarried, not working). Those persons expressing heightened COVID-19 fear and moderate to high levels of food insecurity report more depressive symptoms than persons with less fear and low or no food insecurity. All three of the resource variables (mastery of fate, strength of ties, and optimism) are significant and in the negative direction. Conclusions In a snapshot, the data provide an important point prevalence assessment of adult depressive symptoms during the current public health crisis. Results highlight the significance of vulnerability and individual stressors in the wake of the COVID-19 pandemic. In addition, the analysis affirms the importance of access to social and psychological resources to combat heightened fear and anxiety that persons report during the current pandemic.