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新冠疫情逆境下的心理灵活性:与痛苦的关联

Psychological flexibility in the context of COVID-19 adversity: Associations with distress.

作者信息

Kroska Emily B, Roche Anne I, Adamowicz Jenna L, Stegall Manny S

机构信息

University of Iowa, Department of Psychological and Brain Sciences, USA.

出版信息

J Contextual Behav Sci. 2020 Oct;18:28-33. doi: 10.1016/j.jcbs.2020.07.011. Epub 2020 Aug 6.

Abstract

The COVID-19 pandemic has led to hardship for individuals across the globe, and research to-date has indicated a significant impact of the pandemic on mental health functioning. In order to promote psychological resilience during this time, it is important to understand modifiable targets for clinical intervention. The current study examined demographic characteristics, pandemic-related adversity, and psychological flexibility in relation to general and peritraumatic distress in a sample of United States survey respondents during May of 2020. Participants were recruited from Amazon Mechanical Turk (MTurk),  = 485. Participants completed measures of pandemic-related adversity, psychological flexibility components (openness to experience, behavioral awareness, and valued action), peritraumatic distress, and general distress. Hierarchical regression analyses examined whether demographic characteristics, pandemic-related adversity, and components of psychological flexibility were associated with general and peritraumatic distress. Results indicated that higher pandemic-related adversity, lower openness to experience, and lower behavioral awareness were significantly associated with higher general distress. Greater pandemic-related adversity, lower openness to experience, lower behavioral awareness, and higher valued action were significantly associated with higher peritraumatic distress. Adding the components of psychological flexibility to the model increased the amount of variance accounted for in both measures of distress. The results indicated that psychological flexibility components may be particularly important targets for prevention and intervention efforts in the midst of the COVID-19 pandemic. Transdiagnostic interventions, such as Acceptance and Commitment Therapy, that target psychological flexibility may be useful as the impact of the pandemic continues to unfold.

摘要

新冠疫情给全球各地的个人带来了困难,迄今为止的研究表明,疫情对心理健康功能产生了重大影响。为了在此期间提升心理韧性,了解临床干预的可调节目标非常重要。本研究调查了2020年5月美国调查受访者样本中的人口统计学特征、与疫情相关的逆境以及与一般困扰和创伤周围困扰相关的心理灵活性。参与者通过亚马逊土耳其机器人(MTurk)招募,n = 485。参与者完成了与疫情相关的逆境、心理灵活性组成部分(经验开放性、行为意识和有价值的行动)、创伤周围困扰和一般困扰的测量。分层回归分析考察了人口统计学特征、与疫情相关的逆境以及心理灵活性组成部分是否与一般困扰和创伤周围困扰相关。结果表明,与疫情相关的逆境程度越高、经验开放性越低、行为意识越低,与一般困扰程度越高显著相关。与疫情相关的逆境越大、经验开放性越低、行为意识越低、有价值的行动越高,与创伤周围困扰程度越高显著相关。将心理灵活性组成部分添加到模型中增加了两种困扰测量中所解释的方差量。结果表明,心理灵活性组成部分可能是新冠疫情期间预防和干预努力的特别重要目标。针对心理灵活性的跨诊断干预措施,如接纳与承诺疗法,在疫情影响持续显现的情况下可能会有所帮助。

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