History of trauma and COVID-19-related psychological distress and PTSD.
History of trauma and COVID-19-related psychological distress and PTSD.
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DOI：
10.1016/j.psycom.2022.100092
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发表时间：
2022-12
期刊：
影响因子：
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通讯作者：
Fortin, Laurie
中科院分区：
文献类型：
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作者：
Hebert, Martine;Jean-Thorn, Arianne;Fortin, Laurie
COVID-19疫情对整个社会产生重大影响。然而，疫情及多个国家的相关强制性封锁可能增加了某些人群的脆弱性。本研究旨在记录第一波疫情期间青年人心理困扰和COVID-19相关创伤后应激症状的临床水平频率。这项研究更具体地探讨了先前的创伤和不良生活事件作为负面结果的脆弱性因素的作用。在COVID-19第一波疫情期间，通过社交网络在线招募了来自加拿大魁北克省的4914名青少年和年轻人。结果显示，26.6%的青少年表现出严重的心理困扰和20.3%的可能的PTSD症状。过去的创伤和逆境经历的数量与心理困扰和PTSD的患病率呈剂量反应关系。在控制了社会人口统计学特征和COVID-19相关变量（暴露、恐惧、怀疑感染）后，有五次及以上创伤史的参与者出现严重心理困扰和可能的PTSD的风险是两倍。情绪失调也与症状风险增加有关，而弹性与痛苦风险降低有关。
The COVID-19 pandemic has a great impact on society as a whole. Yet the pandemic and associated mandatory lockdown in several countries may have increased the vulnerability of certain populations. The present study aimed to document the frequency of clinical level of psychological distress and COVID-19 related post-traumatic stress symptoms in youth during the first wave of the pandemic. The study more specifically explored the role of prior trauma and adverse life events as a vulnerability factor for negative outcomes. A sample of 4914 adolescents and young adults from the province of Quebec, Canada was recruited online through social networks during the first wave of COVID-19. Results revealed that 26.6% of youth displayed serious psychological distress and 20.3% probable PTSD symptoms. The number of past traumas and adversity experienced showed a dose-response relation with the prevalence of psychological distress and PTSD. After controlling for socio-demographic characteristics and COVID-19 related variables (exposure, fear, suspicion of having the infection), participants with a history of five traumas and more presented a two-fold risk of serious psychological distress and probable PTSD. Emotion dysregulation was also associated with an increased risk of symptoms while resilience was linked to a reduced risk of distress.