在八个国家的流行病压力因素和心理健康指标
Salma M Abdalla1,2, Shaffi Fazaludeen Koya3, Samuel B Rosenberg3
1Department of Epidemiology, Boston University School of Public Health, Boston, MA, 02119, USA. abdallas@bu.edu.
Social psychiatry and psychiatric epidemiology
|August 16, 2023
概括
COVID-19 流行病对全球心理健康产生了重大影响,流行病压力因素与不同国家的抑郁症和创伤后应激障碍症状密切相关. 解决这些心理健康后果对于管理大流行病持续影响至关重要.
科学领域:
- 全球健康 全球健康
- 心理健康研究 心理健康研究
- 流行病学 流行病学
背景情况:
- 在全球范围内,COVID-19疫情造成了广泛的身体,财务,社会和情感困扰.
- 了解不同人群对心理健康的影响对于有效的公共卫生干预至关重要.
研究的目的:
- 调查流行病相关压力因素与心理健康结果之间的关联.
- 为了在不同文化,地理,经济和人口特征的国家中比较这些协会.
主要方法:
- 一项国际在线调查于2020年9月至11月在巴西,中国,德国,埃及,印度,印度尼西亚,尼日利亚和美国进行.
- 该调查包括用于查抑郁症 (患者健康问卷-2) 和创伤后应激障碍 (PTSD) 症状 (初级保健PTSD检查清单) 的验证工具.
- 使用双变量和多变量回归分析来确定与压力因素相关的抑郁症和PTSD症状的患病率和几率比率.
主要成果:
- 在8754名受访者中,28.9%报告了抑郁症症状,5.1%报告了可能的PTSD.
- 患病率因国家而异,埃及的抑郁率最高 (41.3%),巴西的PTSD率最高 (7.3%).
- 经历六种或更多的COVID-19压力因素显著增加了抑郁症 (OR 1.90) 和PTSD (OR 13.8) 的几率.
结论:
- 流行病压力因素和不良心理健康指标之间的联系在各种国际环境中一致.
- 这些发现强调了大流行病对全球心理健康的负担.
- 将心理健康考虑纳入COVID-19应对策略对于解决短期和长期后果至关重要.
相关概念视频
01:30Stress and Mental Health
180
Chronic stress profoundly affects mental health, significantly influencing mood, behavior, and overall quality of life. Research closely links chronic stress with mental health conditions such as depression, anxiety, and substance use disorders. Ongoing exposure to stress can lead to physiological and psychological changes, initiating a cycle of emotional distress and maladaptive coping mechanisms.
Individuals with depression often experience challenges in both their personal and professional...
Individuals with depression often experience challenges in both their personal and professional...
180
01:20Psychological Responses to Stress
76
Psychological responses to stress encompass the various cognitive and emotional reactions individuals experience when faced with challenging or threatening situations, such as a job loss. Prolonged exposure to stressors can disturb emotional balance, increasing negative emotions (e.g., anxiety and sadness) and diminishing positive emotions (e.g., joy and satisfaction). These persistent emotional shifts are associated with an increased risk of both physical illness and mental health issues, such...
76
01:27Introduction to Stress and Lifestyle
144
Stress is a multifaceted response to events perceived as challenging or threatening, highlighting physical, emotional, cognitive, and behavioral reactions. Physically, stress can lead to fatigue, sleep disruptions, and various health issues such as frequent colds, chest pains, and nausea. Emotionally, it can manifest as anxiety, depression, irritability, and anger triggered by both minor and major life events. Cognitively, it may result in difficulty in concentration, memory, and...
144
01:23Types of Stressors
224
A stressor is any event, condition, or stimulus that triggers stress and causes a physical or psychological response in the body. Stressors can be categorized into three main types: catastrophes; significant life changes; and daily hassles, including social stress. Each can be detrimental to physical and mental well-being.
Catastrophes
Catastrophes refer to large-scale, unpredictable events that create overwhelming stress and a sense of threat. Examples include natural disasters like...
Catastrophes
Catastrophes refer to large-scale, unpredictable events that create overwhelming stress and a sense of threat. Examples include natural disasters like...
224
01:27Psychoneuroimmunology: Cardiovascular Disease
51
Psychoneuroimmunology (PNI) is a multidisciplinary field that examines how psychological factors, particularly stress, interact with the immune system and impact physical health. Research in PNI has shown that chronic or traumatic stress can disrupt both the hypothalamic-pituitary-adrenal axis and the sympathetic nervous system. These disruptions contribute to serious health conditions, including cardiovascular diseases.
A key area of focus in PNI is the relationship between stress and coronary...
A key area of focus in PNI is the relationship between stress and coronary...
51
01:21General State of Stress
218
The general state of stress within a material can be accurately depicted using a stress tensor. This tensor encapsulates the internal forces distributed within a material subjected to external forces or deformations.
Specifically, consider a tetrahedral element where one face, labeled XYZ, is perpendicular to the line OA, and the remaining faces align with the coordinate axes with point O as the origin. At any point, such as point O, the stress tensor can be used to determine the stress...
Specifically, consider a tetrahedral element where one face, labeled XYZ, is perpendicular to the line OA, and the remaining faces align with the coordinate axes with point O as the origin. At any point, such as point O, the stress tensor can be used to determine the stress...
218