Do pre-existing anxiety-related and mood disorders differentially impact COVID-19 stress responses and coping?
Do pre-existing anxiety-related and mood disorders differentially impact COVID-19 stress responses and coping?
复制标题
DOI：
10.1016/j.janxdis.2020.102271
复制
发表时间：
2020-08-01
影响因子：
10.3
通讯作者：
Taylor, Steven
中科院分区：
文献类型：
--
作者：
Asmundson, Gordon J. G.;Paluszek, Michelle M.;Taylor, Steven
背景资料：相对于普通人群，先前存在精神健康状况的人可能更容易受到与COVID-19相关的压力源的影响;然而，没有研究评估不同类别的精神健康障碍之间的易感性是否存在差异。我们评估了患有原发性焦虑相关障碍诊断、原发性心境障碍诊断和无精神健康障碍的患者的COVID-19相关压力、自我隔离压力源和应对方式。来自美国和加拿大的人群代表性样本中报告当前（过去一年）焦虑相关（n = 700）或情绪（n = 368）障碍与随机抽样的受访者进行了比较，这些受访者没有报告当前关于COVID-19相关压力，自我隔离压力，结果：焦虑相关疾病组的COVID压力量表总分较高，对危险和污染的恐惧，社会经济后果，仇外心理和创伤应激症状量表的得分高于其他组。情绪障碍组在创伤应激症状和社会经济后果量表上的得分高于那些目前没有精神障碍的人。那些目前患有焦虑相关或情绪障碍的人更有可能自愿自我隔离，并且比那些没有心理健康障碍的人更有可能报告更大的自我隔离压力源和痛苦。然而，在不同群体中，应对策略的感知有效性没有重大差异。结论：与没有心理健康障碍的人相比，患有焦虑相关或情绪障碍的人受到COVID-19的负面影响更大;然而，除了心理负担之外，那些患有焦虑相关疾病的人报告说，他们对危险和污染、社会经济后果、仇外心理和创伤应激症状比其他组。这些研究结果表明，有必要定制与COVID-19相关的心理健康干预措施，以满足已有心理健康状况的人的特定需求。
Background: People with pre-existing mental health conditions may be more susceptible to stressors associated with COVID-19 relative to the general population; however, no studies have assessed whether susceptibility differs between classes of mental health disorders. We assessed COVID-19-related stress, self-isolation stressors, and coping in those with a primary anxiety-related disorder diagnosis, a primary mood disorder diagnosis, and no mental health disorder.Methods: Adults from a population-representative sample from the United States and Canada who reported current (past year) anxiety-related (n = 700) or mood (n = 368) disorders were compared to a random sample of respondents who did not report a current mental health diagnosis (n = 500) on COVID-19-related stress, self-isolation stress, and coping.Results: The anxiety-related disorders group exhibited higher COVID Stress Scales total scores and higher scores on its fears about danger and contamination, socioeconomic consequences, xenophobia, and traumatic stress symptoms scales than the other groups. The mood disorders group had higher scores on the traumatic stress symptoms and socioeconomic consequences scales than those with no current mental disorder. Those with current anxiety-related or mood disorders were more likely to voluntarily self-isolate and were more likely to report greater self-isolation stressors and distress than those without a mental health disorder. Yet, there were no major differences in perceived effectiveness of coping strategies across groups.Conclusion: People with anxiety-related or mood disorders were more negatively affected by COVID-19 compared to those with no mental health disorder; however, adding to psychological burden, those with anxiety-related disorders reported greater fears about danger and contamination, socioeconomic consequences, xenophobia, and traumatic stress symptoms than the other groups. These findings suggest the need for tailoring COVID-19-related mental health interventions to meet the specific needs of people with pre-existing mental health conditions.