Adding fuel to the fire? Examining exposure to potentially stressful or traumatic events before and during the COVID-19 pandemic in low-income, Black families.

Adding fuel to the fire? Examining exposure to potentially stressful or traumatic events before and during the COVID-19 pandemic in low-income, Black families.
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火上浇油?

DOI:
10.1037/tra0001336
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发表时间:
2023
期刊:
Psychological trauma : theory, research, practice and policy
影响因子:
--
通讯作者:
McDonald,Jennifer
McDonald,Jennifer
中科院分区:
--
文献类型:
--
作者:
McGuire,AustenB;Jackson,Yo;McDonald,Jennifer

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目的新冠肺炎大流行颠覆了许多人的生活。虽然新出现的证据已经开始记录健康(例如感染)和经济(例如失业)的后果,但人们对该国一些最脆弱人群的日常经历知之甚少。目前的研究试图通过检查主要是低收入的非裔美国人/黑人个体的潜在应激或创伤经历(PSTE)的暴露及其与心理健康的关系来解决这一认识上的差距。方法来自正在进行的纵向研究项目的成年照顾者(N=110)在疫情爆发前的几个月内完成了关于他们暴露于新冠肺炎特有的PSTE的调查。参与者的信息与新冠肺炎PSTE前的暴露相结合,并检查了与当前心理健康功能(如抑郁症)的关系。结果发现,参与者在多个领域经历了几种不同类型的新冠肺炎特有的PSTE,包括家庭、工作、社交生活以及健康和幸福感。模型测试的结果表明,新冠肺炎特有的PSTE只与对新冠肺炎的担忧有关--具体地说。结论在低收入、有PSTE暴露史的非裔美国人/黑人中,在新冠肺炎大流行期间经历的额外PSTE可能不会对新冠肺炎前PSTE暴露后的一般心理健康功能有显著贡献。综上所述,关于大流行中PSTE暴露的研究应该尝试考虑终生PSTE暴露,以最准确地评估当前的心理健康问题,特别是在边缘人群中。
ObjectiveThe COVID-19 pandemic has upended the lives of many individuals. While emerging evidence has begun to document health (eg, infection) and financial (eg, job loss) consequences, less is known about the day-to-day experiences of some of the country’s most vulnerable populations. The current study sought to address this gap in understanding by examining exposure to potentially stressful or traumatic experiences (PSTEs) and their relation to mental health among predominately low-income, African American/Black individuals.MethodAdult caregivers (N= 110) from an ongoing longitudinal research project occurring prior the pandemic completed surveys about their exposure to COVID-19-specific PSTEs during the initial months of the pandemic. Information on participants was combined with pre-COVID-19 PSTE exposure and examined in relation to current mental health functioning (eg, depression).ResultsFindings indicated that participants experienced several different types of COVID-19-specific PSTEs across multiple domains, including home, work, social life, and health and well-being. Results from model testing indicated that COVID-19-specific PSTEs were only associated with worry about COVID-19-specifically. Adulthood PSTEs prior to COVID-19 were also associated with current anxiety symptoms.ConclusionsAmong low-income, African American/Black individuals with a history of exposure to PSTEs, additional PSTEs experienced during the COVID-19 pandemic may not contribute significantly to general mental health functioning above and beyond pre-COVID-19 PSTE exposures. Taken together, research on PSTE exposure from the pandemic should make attempts to account for lifetime PSTE exposure to most accurately evaluate current mental health concerns, especially among marginalized populations.
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