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韧性和人口统计学特征预测 COVID-19 危机期间的困扰。

Resilience and demographic characteristics predicting distress during the COVID-19 crisis.

机构信息

Head of the Stress and Resilience Research Center, Tel-Hai College, Israel; Stress and Resilience Research Center, Tel-Hai College, and the Ergonomics and Human Factors Unit, University of Haifa, Israel.

Stress and Resilience Research Center, Tel-Hai College, and the Ergonomics and Human Factors Unit, University of Haifa, Israel.

出版信息

Soc Sci Med. 2020 Nov;265:113389. doi: 10.1016/j.socscimed.2020.113389. Epub 2020 Sep 25.

Abstract

RATIONALE

Due to lack of vaccine or cure, the COVID-19 pandemic presents a threat to all human beings, undermining people's basic sense of safety and increasing distress symptoms.

OBJECTIVE

To investigate the extent to which individual resilience, well-being and demographic characteristics may predict two indicators of Coronavirus pandemic: distress symptoms and perceived danger.

METHOD

Two independent samples were employed: 1) 605 respondents recruited through an internet panel company; 2) 741 respondents recruited through social media, using snowball sampling. Both samples filled a structured online questionnaire. Correlations between psychological/demographic variables and distress and perceived danger were examined. Path analysis was conducted to identify predictive indicators of distress and perceived danger.

RESULTS

Significant negative correlations were found between individual/community resilience and sense of danger (-0.220 and -0.255 respectively; p < .001) and distress symptoms (- 0.398 and -0.544 respectively; p < .001). Significant positive correlations were found between gender, community size, economic difficulties and sense of danger (0.192, 0.117 and 0.244 respectively; p < .001). Gender and economic difficulties also positively correlated with distress symptoms (0.130 and 0.214 respectively; p < .001). Path analysis revealed that all paths were significant (p < .008 to .001) except between family income and distress symptoms (p = .12). The seven predictors explained 20% of sense of danger variance and 34% the distress symptoms variance. The most highly predictive indicators were the two psychological characteristics, individual resilience, and well-being. Age, gender, community size, and economic difficulties due to COVID-19 further add to predicting distress, while community and national resilience do not. .

CONCLUSIONS

Individual resilience and well-being have been found as the first and foremost predictors of COVID-19 anxiety. Though both predictors are complex and may be influenced by many factors, given the potential return of COVID-19 threat and other future health pandemic threats to our world, we must rethink and develop ways to reinforce them.

摘要

背景

由于缺乏疫苗或治疗方法,COVID-19 大流行对全人类构成威胁,破坏了人们的基本安全感,增加了痛苦症状。

目的

调查个体韧性、幸福感和人口统计学特征在多大程度上可以预测 COVID-19 大流行的两个指标:痛苦症状和感知危险。

方法

采用两个独立样本:1)通过互联网小组公司招募的 605 名受访者;2)通过社交媒体,使用滚雪球抽样招募的 741 名受访者。两个样本都填写了一份结构化的在线问卷。检查心理/人口统计学变量与痛苦和感知危险之间的相关性。进行路径分析以确定痛苦和感知危险的预测指标。

结果

个体/社区韧性与危险感呈显著负相关(分别为-0.220 和-0.255;p<0.001)和痛苦症状(分别为-0.398 和-0.544;p<0.001)。性别、社区规模、经济困难与危险感呈显著正相关(分别为 0.192、0.117 和 0.244;p<0.001)。性别和经济困难也与痛苦症状呈正相关(分别为 0.130 和 0.214;p<0.001)。路径分析表明,所有路径均具有统计学意义(p<0.008 至 0.001),除家庭收入与痛苦症状之间的路径(p=0.12)外。七个预测因子解释了危险感变异的 20%和痛苦症状变异的 34%。最具预测性的指标是两个心理特征,个体韧性和幸福感。年龄、性别、社区规模以及因 COVID-19 而导致的经济困难进一步增加了对痛苦的预测,而社区和国家韧性则没有。

结论

个体韧性和幸福感已被发现是 COVID-19 焦虑的首要预测指标。尽管这两个预测指标都很复杂,可能受到许多因素的影响,但鉴于 COVID-19 威胁以及未来对我们世界的其他健康大流行威胁可能再次出现,我们必须重新思考并开发加强这些因素的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74c3/7518838/0fc9f07b304c/gr1_lrg.jpg

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