One Virus, Four Continents, Eight Countries: An Interdisciplinary and International Study on the Psychosocial Impacts of the COVID-19 Pandemic among Adults.

One Virus, Four Continents, Eight Countries: An Interdisciplinary and International Study on the Psychosocial Impacts of the COVID-19 Pandemic among Adults.
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DOI:
10.3390/ijerph17228390
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发表时间:
2020-11-13
影响因子:
--
通讯作者:
Roy M
Roy M
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Généreux M;Schluter PJ;Hung KK;Wong CS;Pui Yin Mok C;O'Sullivan T;David MD;Carignan ME;Blouin-Genest G;Champagne-Poirier O;Champagne É;Burlone N;Qadar Z;Herbosa T;Ribeiro-Alves G;Law R;Murray V;Chan EYY;Pignard-Cheynel N;Salerno S;Lits G;d'Haenens L;Coninck D;Matthys K;Roy M

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2019年新型冠状病毒病(COVID-19)大流行带来多个特征,增加了恐惧感和困惑感,例如隔离和经济损失以及其他压力因素,这可能导致不利的心理社会后果。这些压力源的影响发生在更广泛的社会文化背景下,需要加以考虑。目的是研究各国对大流行病的心理反应如何不同,并确定哪些风险/保护因素促成了这种反应。一项在线调查于2020年5月29日至2020年6月12日进行,来自8个国家/地区(加拿大、美国、英国、瑞士、比利时、香港、菲律宾、新西兰)的8806名成年人参加了调查。评估可能的广泛性焦虑障碍(GAD)和抑郁发作(MDE)。使用多水平logistic回归分析了各种潜在因素的独立作用。分别有21.0%和25.5%的受访者表示可能存在性别差异和MDE,不同国家/地区存在重大差异(性别差异:12.2-31.0%; MDE:16.7-32.9%)。综合考虑,30.2%的参与者表示可能存在GAD或MDE。有几个因素与可能的GAD或MDE呈正相关,包括(按重要性降序排列)弱的一致性意识(SOC),较低的年龄,错误的信念,孤立,对自己/家庭的威胁,对当局的不信任,耻辱,对国家/世界的威胁,经济损失,是女性,以及对COVID-19的高度了解。具有弱SOC产生了可能的GAD或MDE的最高校正比值比(3.21; 95%置信区间(CI):2.73-3.77)。这一流行病正在对心理健康产生影响。然而,在某些地方和某些情况下,人们似乎在心理上得到了更好的保护。这是一个独特的机会,可以评估各种社会文化背景的心理社会影响,提供重要的经验教训,可以为灾害风险管理的所有阶段提供信息。
The novel coronavirus disease 2019 (COVID-19) pandemic brought about several features that increased the sense of fear and confusion, such as quarantine and financial losses among other stressors, which may have led to adverse psychosocial outcomes. The influence of such stressors took place within a broader sociocultural context that needs to be considered. The objective was to examine how the psychological response to the pandemic varied across countries and identify which risk/protective factors contributed to this response. An online survey was conducted from 29 May 2020–12 June 2020, among a multinational sample of 8806 adults from eight countries/regions (Canada, United States, England, Switzerland, Belgium, Hong Kong, Philippines, New Zealand). Probable generalized anxiety disorder (GAD) and major depression episode (MDE) were assessed. The independent role of a wide range of potential factors was examined using multilevel logistic regression. Probable GAD and MDE were indicated by 21.0% and 25.5% of the respondents, respectively, with an important variation according to countries/regions (GAD: 12.2–31.0%; MDE: 16.7–32.9%). When considered together, 30.2% of the participants indicated probable GAD or MDE. Several factors were positively associated with a probable GAD or MDE, including (in descending order of importance) weak sense of coherence (SOC), lower age, false beliefs, isolation, threat perceived for oneself/family, mistrust in authorities, stigma, threat perceived for country/world, financial losses, being a female, and having a high level of information about COVID-19. Having a weak SOC yielded the highest adjusted odds ratio for probable GAD or MDE (3.21; 95% confidence interval (CI): 2.73–3.77). This pandemic is having an impact on psychological health. In some places and under certain circumstances, however, people seem to be better protected psychologically. This is a unique opportunity to evaluate the psychosocial impacts across various sociocultural backgrounds, providing important lessons that could inform all phases of disaster risk management.
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