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在COVID-19大流行期间的人格维度,弹性和抑郁症:为期一年的纵向研究
Igor Londero1, Neusa Sica da Rocha2
1Graduate Program in Psychiatry and Behavioral Sciences, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil; I-QOL Innovations and Interventions for Quality-of-Life Research Group, Brazil.
在COVID-19期间,抵抗力保护了抑郁症,而神经病症和精神病症预测了抑郁症状. 提高弹性是危机期间公共卫生干预的关键.
科学领域:
- 心理学 心理学 心理学
- 心理健康 心理健康
- 流行病学 流行病学
背景情况:
- 在全球范围内,COVID-19的流行病增加了抑郁症的发生率.
- 封锁和限制措施与抑郁症的增加有关,但个人的心理反应各不相同.
- 了解防护因素对于流行病期间的心理健康至关重要.
研究的目的:
- 调查人格维度 (外向,神经病,精神病) 和弹性在预防COVID-19大流行期间抑郁症中的作用.
- 在巴西成年人样本中分析这些因素.
- 为了评估一年的纵向影响.
主要方法:
- 这是一项为期一年的纵向自然主义研究,涉及455名巴西成年人.
- 基于网络的调查问卷分为三波 (2020年4月,2020年9月,2021年5月).
- 使用了患者健康问卷-9 (PHQ-9),康纳-戴维森弹性量表 (CD-RISC) 和艾森克人格问卷修订-缩写 (EPQR-A).
主要成果:
- 抑郁症的发病率从第1波的35.6%下降到第2波和第3波的18.5% (p=0.001).
- 在所有波段 (p=0.001) 中,在非抑郁组中观察到更高的弹性水平.
- 弹性显示出一种保护作用 (PR=0.93,p=0.000),而神经病态 (PR=1.346,p=0.0001) 和精神病态 (PR=1.157,p=0.030) 预测了抑郁症. 外向没有显著的影响.
结论:
- 弹性水平显著影响了大流行第一年抑郁率的下降.
- 神经病变和精神病变被确定为发展抑郁症状的预测因素.
- 公共卫生政策应优先考虑个性化干预措施,以提高未来危机管理的弹性.
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