连续的COVID-19浪潮对心理健康的长期影响
Jan Sebastian Novotný1, Juan Pablo Gonzalez-Rivas2, Šárka Kunzová3
1Institute for Molecular and Translational Medicine, Faculty of Medicine and Dentistry, Palacký University Olomouc, Czech Republic.
BJPsych open
|December 19, 2023
概括
COVID-19 流行病显著增加了压力和抑郁症状,这些心理健康挑战在多个波浪中持续存在. 以前存在的心理健康状况和孤独等二次压力因素是这种持续影响的关键因素.
科学领域:
- 心理健康研究 心理健康研究
- 流行病学 流行病学
- 心理学 心理学 心理学
背景情况:
- 由于COVID-19流行病的长期心理健康后果仍然不完全理解.
- 以前的研究已经记录了大流行病对心理健康的直接影响.
研究的目的:
- 纵向评估COVID-19流行病连续波浪之前和期间心理健康的变化.
- 在代表性人口样本中分析心理健康轨迹.
主要方法:
- 利用在四个时间点进行的在线调查:疫情前 (2014-2015年) 和第一个 (2020年4月至5月),第二个 (2020年8月至10月) 和第三个 (2021年3月至4月) COVID-19浪潮期间.
- 采用经过验证的工具来收集有关心理健康指标的数据.
- 分析了使用潜增长模型来跟踪随时间变化的纵向数据.
主要成果:
- 在大流行期间,观察到压力水平 (标准化β = 0.473,P < 0.001) 和抑郁症状 (标准化β = 1.284,P < 0.001) 显著增加.
- 与压力不同,抑郁症状的增加与大流行前的心理健康状况有关 (std. 协变率 = 0.784,P = 0.014). 这样一来,共变率是 0.784,P = 0.014.
- 确定了二次压力因素,包括孤独,负面情绪,低弹性,女性性别和年轻年龄,作为导致心理健康困难的主要因素.
结论:
- 在观察到的COVID-19浪潮中,压力和抑郁症状急剧增加并持续存在.
- 这些心理健康问题的持续性与二次压力因素和个人的大流行前心理健康状况有关.
- 研究结果阐明了在流行病期间推动心理健康挑战的机制,为未来的心理健康促进策略提供了信息.
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