Suffering, Mental Health, and Psychological Well-being During the COVID-19 Pandemic: A Longitudinal Study of U.S. Adults With Chronic Health Conditions.
Suffering, Mental Health, and Psychological Well-being During the COVID-19 Pandemic: A Longitudinal Study of U.S. Adults With Chronic Health Conditions.
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痛苦，心理健康和心理健康期间，在19日大流行期间：对患有慢性健康状况的美国成年人的纵向研究。
DOI：
10.1016/j.wss.2021.100048
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发表时间：
2021
期刊：
影响因子：
--
通讯作者：
Worthington EL Jr
中科院分区：
文献类型：
--
作者：
Cowden RG;Davis EB;Counted V;Chen Y;Rueger SY;VanderWeele TJ;Lemke AW;Glowiak KJ;Worthington EL Jr
痛苦一直是医学和姑息治疗领域的一个重要讨论话题，但很少有研究报告将痛苦经历与健康和福祉联系起来的因果证据。在这项三波前瞻性队列研究中，我们通过检查患有慢性健康状况的美国成年人样本中的痛苦，心理健康和心理健康之间的关系，探索了COVID-19大流行期间痛苦的潜在心理影响。我们分析了来自n = 184名参与者的数据，这些参与者在世界卫生组织宣布SARS-CoV-2爆发大流行前一个月（2020年2月），然后两个月（2020年4月）和四个月后（2020年5月/6月）完成了评估。分析控制了一系列因素，包括社会人口特征、身体健康、宗教/精神因素、心理特征以及预测因素的先前值和COVID-19大流行前一个月评估的每个结果。初步分析的结果表明，在COVID-19大流行一个月后评估的总体痛苦越大，心理健康水平越低两个月后，焦虑（β = 0.17，95% CI：0.29，0.05）和抑郁（β = 0.16，95% CI：0.03，0.29）水平升高。在一项探索焦虑、抑郁和心理健康作为痛苦候选前因的二次分析中，在COVID-19大流行一个月后评估的抑郁与两个月后更严重的整体痛苦最密切相关。我们强调研究结果对在COVID-19大流行挑战中受苦的高危人群的影响。潜在的好处都整合到筛选程序的痛苦评估，并解决在精神卫生服务环境中的痛苦的经验进行了讨论。
Suffering has been a topic of considerable discussion in the fields of medicine and palliative care, yet few studies have reported causal evidence linking the experience of suffering to health and well-being. In this three-wave prospective cohort study, we explore the potential psychological implications of suffering during the COVID-19 pandemic by examining relations among suffering, mental health, and psychological well-being in a sample of U.S. adults living with chronic health conditions. We analyzed data from n = 184 participants who completed assessments one month before the SARS-CoV-2 outbreak was declared a pandemic by the World Health Organization (February 2020) and then two months (April 2020) and four months later (May/June 2020). Analyses controlled for a range of factors, including sociodemographic characteristics, physical health, religious/spiritual factors, psychological characteristics, and prior values of the predictor and each of the outcomes assessed one month before the COVID-19 pandemic. Results of the primary analysis indicated that greater overall suffering assessed one month into the COVID-19 pandemic was associated with lower psychological well-being (β = -.17, 95% CI: -.29, -.05) and higher levels of anxiety (β = .27, 95% CI: .13, .41) and depression (β = .16, 95% CI: .03, .29) two months later. In a secondary analysis that explored anxiety, depression, and psychological well-being as candidate antecedents of suffering, depression assessed one month into the COVID-19 pandemic was most strongly associated with worse overall suffering two months later. We highlight the implications of the findings for high-risk populations who are suffering amidst the challenges of the COVID-19 pandemic. Potential benefits of both integrating assessments of suffering into screening procedures and addressing experiences of suffering in mental health service settings are discussed.
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