Wasil Akash R, Franzen Rose E, Gillespie Sarah, Steinberg Joshua S, Malhotra Tanvi, DeRubeis Robert J
Department of Psychology, University of Pennsylvania, Philadelphia, PA, United States.
Children's Hospital of Philadelphia, Philadelphia, PA, United States.
Front Psychol. 2021 Feb 25;12:598557. doi: 10.3389/fpsyg.2021.598557. eCollection 2021.
The COVID-19 crisis has introduced a variety of stressors, while simultaneously decreasing the availability of strategies to cope with stress. In this context, it could be useful to understand issues that people find most concerning and ways in which they cope with stress. In this study, we explored these questions with a sample of graduate and professional students.
Using open-ended assessments, we asked participants ( = 305) to identify their biggest challenge or concern ("top problem"), their most effective way of handling stress ("effective strategy"), and their most common way of handling stress ("common strategy"). We applied thematic analysis and evaluated whether participants' strategies corresponded with evidence-based practices (EBPs).
Participants frequently reported top problems relating to productivity (27% of sample), physical health (26%), and emotional health (14%). Distraction was the most frequently classified common strategy (43%), whereas behavioral activation was the most frequently identified effective strategy (50%). Participants who reported a common strategy classified as an EBP reported lower depressive and anxiety symptoms. In contrast, there was no evidence of an association between symptom levels and whether or not participants' effective strategy was an EBP. Participants who reported the same strategy as both their common and effective strategy (29%) reported lower depressive symptoms than those whose common and effective strategies were different.
Our findings highlight stressors that students are experiencing and ways they are coping during the COVID-19 crisis. We discuss how these findings can inform mental health promotion efforts and future research on coping with stressors.
新冠疫情危机带来了各种压力源,同时减少了应对压力的策略。在这种背景下,了解人们最关心的问题以及他们应对压力的方式可能会有所帮助。在本研究中,我们以研究生和专业学生为样本探讨了这些问题。
我们采用开放式评估,要求参与者(n = 305)确定他们最大的挑战或担忧(“首要问题”)、应对压力最有效的方式(“有效策略”)以及应对压力最常用的方式(“常用策略”)。我们进行了主题分析,并评估参与者的策略是否符合循证实践(EBP)。
参与者经常报告与生产力(样本的27%)、身体健康(26%)和情绪健康(14%)相关的首要问题。分散注意力是最常被归类的常用策略(43%),而行为激活是最常被确定的有效策略(50%)。报告常用策略被归类为循证实践的参与者抑郁和焦虑症状较低。相比之下,没有证据表明症状水平与参与者的有效策略是否为循证实践之间存在关联。报告常用策略和有效策略相同的参与者(29%)比常用策略和有效策略不同的参与者抑郁症状更低。
我们的研究结果突出了学生在新冠疫情危机期间所经历的压力源以及他们的应对方式。我们讨论了这些结果如何为心理健康促进工作和未来应对压力源的研究提供信息。