Center for Brain Disorder and Cognitive Science, Shenzhen University, Shenzhen, 518060 China; Shenzhen Institute of Neuroscience, Shenzhen 518057, China; Donders Institute for Brain, Cognition and Behavior, Radboud University Medical Center, Kapittelweg 29, 6525 EN Nijmegen, the Netherlands.
Center for Brain Disorder and Cognitive Science, Shenzhen University, Shenzhen, 518060 China.
Psychiatry Res. 2020 Nov;293:113396. doi: 10.1016/j.psychres.2020.113396. Epub 2020 Aug 18.
The current COVID-19 pandemic is not only a threat to physical health, but also brings a burden to mental health in the general Chinese population. However, the temporal change of mental health status due to pandemic-related stress in relation to protective and risk factors to hostility is less known. This study was implemented at two timepoints, i.e., during the peak and the remission of the COVID-19 pandemic. 3233 Chinese individuals participated in the first wave, and among them 1390 participants were followed in a second wave. The result showed that fear significantly decreased over time, while depression level significantly increased during the second wave compared to the first wave of the survey. Younger age, lower-income, increased level of perceived stress, and current quarantine experience were significant predictors of depression escalation. Younger people and individuals who had a higher initial stress response tended to show more hostility. Furthermore, the use of negative coping strategy plays a potential intermediating role in the stress-related increase in hostility, while social support acts as a buffer in hostility in the general population under high stress. As the whole world is facing the same pandemic, this research provides several implications for public mental health intervention.
当前的 COVID-19 大流行不仅对身体健康构成威胁，还给中国民众的心理健康带来负担。然而，大流行相关压力对敌意的保护和风险因素与心理健康状况的时间变化关系尚不清楚。这项研究分两个时间点进行，即在 COVID-19 大流行高峰期和缓解期。3233 名中国人参加了第一波调查，其中 1390 人参加了第二波调查。结果表明，与第一波调查相比，恐惧随着时间的推移显著下降，而抑郁水平在第二波调查中显著上升。年龄较小、收入较低、感知压力增加和目前的隔离经历是抑郁加重的显著预测因素。年轻人和初始压力反应较高的个体往往表现出更多的敌意。此外，消极应对策略的使用在压力相关的敌意增加中起着潜在的中介作用，而社会支持在高压力下的普通人群中起到缓冲作用。由于全世界都面临着同样的大流行，这项研究为公众心理健康干预提供了一些启示。
