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新冠疫情期间人格、心理韧性和述情障碍对心理健康的影响

The Influence of Personality, Resilience, and Alexithymia on Mental Health During COVID-19 Pandemic.

作者信息

Osimo Sofia Adelaide, Aiello Marilena, Gentili Claudio, Ionta Silvio, Cecchetto Cinzia

机构信息

Sensory-Motor Lab (SeMoLa), Department of Ophthalmology, Jules Gonin Eye Hospital-Fondation Asile des Aveugles, University of Lausanne, Lausanne, Switzerland.

Scuola Internazionale Superiore di Studi Avanzati, Trieste, Italy.

出版信息

Front Psychol. 2021 Feb 24;12:630751. doi: 10.3389/fpsyg.2021.630751. eCollection 2021.

Abstract

Following the COVID-19 pandemic, many countries worldwide have put lockdowns in place to prevent the virus from spreading. Evidence shows that lockdown measures can affect mental health; it is, therefore, important to identify the psychological characteristics making individuals more vulnerable. The present study aimed, first, to identify, through a cluster analysis, the psychological attributes that characterize individuals with similar psychological responses to the COVID-19 home confinement; second, to investigate whether different psychological characteristics, such as personality traits, alexithymia, and resilience, specifically influence anxiety, stress, and depression, depending on the scope of the confinement. We analyzed data from 393 participants who completed an online survey on their experiences during two different phases of the Italian lockdown, characterized by more or less strict measures of confinement. Two clusters were identified which included participants reporting a better (+ER) and worse (-ER) emotional response to the lockdown, respectively. Individuals in the -ER group showed lower emotional stability, resilience, and higher alexithymia. Moreover, even if lifting part of the restrictions decreased psychological distress among all participants, a reduction in perceived stress was observed only among individuals with high resilience. Finally, personality traits, alexithymia, and resilience differently affected depression, anxiety, and stress. Our results suggest that different psychological interventions should be planned depending on the context: mental health professionals should focus on enhancing the individuals' coping strategies to alleviate stress in emergencies, while long-term intervention aiming at alleviating anxiety and depressive symptoms should focus on alexithymic tendencies and personality constructs.

摘要

在新冠疫情之后,全球许多国家都实施了封锁措施以防止病毒传播。有证据表明,封锁措施会影响心理健康;因此,识别使个体更易受影响的心理特征非常重要。本研究旨在:首先,通过聚类分析识别那些对新冠疫情居家隔离有相似心理反应的个体所具有的心理属性;其次,根据隔离范围,调查不同的心理特征,如人格特质、述情障碍和心理韧性,是否会特别影响焦虑、压力和抑郁。我们分析了393名参与者的数据,他们完成了一项关于意大利封锁两个不同阶段经历的在线调查,这两个阶段的隔离措施有松有紧。识别出了两个聚类,分别包括对封锁情绪反应较好(+ER)和较差(-ER)的参与者。-ER组的个体情绪稳定性较低、心理韧性较差且述情障碍程度较高。此外,即使部分限制措施的解除减轻了所有参与者的心理困扰,但仅在心理韧性高的个体中观察到了感知压力的降低。最后,人格特质、述情障碍和心理韧性对抑郁、焦虑和压力的影响各不相同。我们的结果表明,应根据具体情况制定不同的心理干预措施:心理健康专业人员应专注于增强个体在紧急情况下缓解压力的应对策略,而旨在减轻焦虑和抑郁症状的长期干预应关注述情障碍倾向和人格结构。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/698d/7943855/5164c88b255b/fpsyg-12-630751-g001.jpg

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