Predictors of Psychological Distress and Resilience in the Post-COVID-19 Era.
Predictors of Psychological Distress and Resilience in the Post-COVID-19 Era.
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DOI：
10.1007/s12529-021-10036-8
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发表时间：
2022-08
影响因子：
2.7
通讯作者：
Veldhuis CB
中科院分区：
文献类型：
--
作者：
Lin T;Yi Z;Zhang S;Veldhuis CB
COVID-19全球大流行对心理健康及福祉产生深远影响。本研究检视中国于COVID-19疫情后的困境及复苏趋势。探讨了可能增加风险或提供保护的预测因素。参与者在COVID-19大流行期间使用社交媒体招募，以完成基线和6周随访调查（N = 241）。PTSD症状从基线到随访的变化模式采用潜在类别增长分析（LCGA）进行表征。重复测量方差分析进行了探索轨迹组之间的抑郁症状的差异。进行多项逻辑回归以研究结局轨迹的潜在预测因素。确定了四种纵向结局轨迹：慢性（PTSD症状仍然很高; 14.9%），弹性（症状仍然很低; 43.2%），恢复（症状从有症状的水平下降到无症状; 19.5%）和延迟（症状从无症状的水平上升到有症状; 22.4%）。绝望和适应不良的应对策略是痛苦和弹性以及长期轨迹的独特预测因子。个人在中国COVID-19之后表现出四种痛苦的结果轨迹。尽管疫情带来不确定性和高度压力，但大多数样本显示出复原力和恢复能力。必须查明有长期和延迟痛苦风险的个人，以建立复原力。在线版本包含补充材料，可通过10.1007/s12529-021-10036-8获得。
The COVID-19 global pandemic has had profound effects on mental health and wellbeing. The present study examined trends in distress and recovery in the aftermath of COVID-19 in China. Predictors that might increase risks or provide protections again distress were explored. Participants were recruited using social media during the COVID-19 pandemic to complete a baseline and 6-week follow-up survey (N = 241). The change patterns of PTSD symptoms from baseline to follow-up were characterized using latent class growth analysis (LCGA). A repeated-measures ANOVA was conducted to explore the differences in the depressive symptoms across trajectory groups. Multinominal logistic regression was performed to investigate potential predictors of the outcome trajectories. Four longitudinal outcome trajectories were identified: chronic (PTSD symptoms remained high; 14.9%), resilient (symptoms remained low; 43.2%), recovered (symptoms decreased from symptomatic levels to asymptomatic; 19.5%), and delayed (symptoms increased from asymptomatic levels to symptomatic; 22.4%). Hopelessness and maladaptive coping strategies were unique predictors of distress and resilience as well as longer-term trajectories. Individuals evidenced four outcome trajectories of distress in the aftermath of COVID-19 in China. Despite the uncertainty and high levels of stress related to the pandemic, the majority of the sample demonstrated resilience and recovery. It is essential to identify individuals at risk for chronic and delayed distress in order to build resilience. The online version contains supplementary material available at 10.1007/s12529-021-10036-8.
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影响因子：
15.1
作者：
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通讯作者：
Neufeld, Karin J.
影响因子：
5.1
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通讯作者：
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通讯作者：
Smith, Tyler C.