Coping strategies and mental health trajectories during the first 21 weeks of COVID-19 lockdown in the United Kingdom.
Coping strategies and mental health trajectories during the first 21 weeks of COVID-19 lockdown in the United Kingdom.
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DOI：
10.1016/j.socscimed.2021.113958
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发表时间：
2021-06
影响因子：
5.4
通讯作者：
Fancourt, Daisy
中科院分区：
文献类型：
--
作者：
Fluharty, Meg;Bu, Feifei;Steptoe, Andrew;Fancourt, Daisy
COVID-19大流行对心理健康的负面影响已得到充分证明。然而，很少有研究表明，随着时间的推移，个体的应对策略是如何与心理健康的变化相关的。目前的研究使用了英国COVID-19社会研究（N = 26,505）的数据，以探索应对策略（以问题为中心、以情绪为中心、逃避和社会支持）是否与(i)引入封锁后更好的心理健康以及（ii）随着时间的推移更快的恢复有关。更多使用问题导向型、回避型和支持性应对方式的人表现出更多的心理健康症状，而更多使用情绪导向型应对方式的人则较少出现心理健康症状。随着时间的推移，所有应对策略的症状都有所减轻，但只有社会支持的应对与焦虑和抑郁症状的更快减轻有关，这表明社会支持对心理困扰有潜在的保护作用。问题型、回避型和以情绪为中心的应对策略与心理健康的快速改善无关。这表明采用其中一种应对方式本身并不一定是改善心理健康的驱动因素；相反，作为这种应对方式的一部分所表达的行为的特定属性本身似乎很重要。
The negative impact of the COVID-19 pandemic on mental health is well evidenced. However, there is little research on how individuals' coping strategies were related to changes in mental health over time. The current study used data from the COVID-19 Social Study in the United Kingdom (N = 26,505) to explore whether coping strategies (problem-focused, emotion-focused, avoidant, and socially-supportive) were associated with (i) better mental health as lockdown was introduced, and (ii) faster recovery over time. People with greater use of problem-focused, avoidant, and supportive coping displayed more mental health symptoms, while greater use of emotion-focused coping was associated with fewer mental health symptoms. Symptoms decreased over time for all coping strategies, but only socially-supportive coping was associated with a faster decrease in anxiety and depressive symptoms, indicating a potential protective effect of social support on psychological distress. Problem-, avoidant- and emotion-focused coping strategies were not associated with faster improvements in mental health. Suggesting the adoption of one of these coping styles in itself is not necessarily a driver of improvements in mental health; rather, specific attributes of the behaviours expressed as part of this coping style appear to be important in and of themselves.
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