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前瞻性应对方式预示着在新冠疫情期间,中年及老年人群能有更好的心理健康状况。

Forward-focused coping predicts better mental health outcomes in mid- to late-life during the COVID-19 pandemic.

作者信息

Jordan Leslie S, Woodard John L, Pena Gabriel S, Arnold-Nedimala Naomi A, Won Junyeon, Callow Daniel D, Smith J Carson

机构信息

Department of Kinesiology, University of Maryland, College Park, MD, USA.

Program in Neuroscience and Cognitive Science, University of Maryland, College Park, MD, USA.

出版信息

Aging Ment Health. 2022 Mar;26(3):554-562. doi: 10.1080/13607863.2021.1897523. Epub 2021 Mar 18.

DOI:10.1080/13607863.2021.1897523
PMID:33733957
Abstract

Psychosocial stressors associated with the COVID-19 pandemic may increase the risk of depression and anxiety in the general population. Individuals approaching or within older adulthood may be especially vulnerable to these psychosocial stressors and their impact on mental health outcomes. Consequently, there is an urgent need to identify protective factors for older adults. The purpose of the present study was to determine the relative contribution of coping flexibility (CF) and two distinct coping strategies, forward-focused and trauma-focused, on negative affect in persons 50 years of age and older during the COVID-19 pandemic. Data were collected using an online survey, including questions about demographic information, coping, depression, and anxiety. Participants aged 50 and over were included in our analyses of depression ( = 800) and anxiety ( = 638). Both higher CF and higher forward-focused coping predicted lower depression and lower anxiety. In contrast, higher trauma-focused coping predicted slightly higher depressive symptoms but was not a significant predictor of anxiety. Our findings suggest that higher forward-focused coping may serve as a protective factor in older adults during the pandemic and, therefore, may be an effective treatment target for mental health interventions.

摘要

与新冠疫情相关的社会心理压力源可能会增加普通人群患抑郁症和焦虑症的风险。接近或处于老年期的个体可能特别容易受到这些社会心理压力源的影响及其对心理健康结果的影响。因此,迫切需要确定老年人的保护因素。本研究的目的是确定应对灵活性(CF)以及两种不同的应对策略——前瞻性应对和创伤聚焦应对,在新冠疫情期间对50岁及以上人群消极情绪的相对影响。通过在线调查收集数据,包括有关人口统计学信息、应对方式、抑郁和焦虑的问题。年龄在50岁及以上的参与者被纳入我们对抑郁症(n = 800)和焦虑症(n = 638)的分析。较高的CF和较高的前瞻性应对都预示着较低的抑郁和焦虑水平。相比之下,较高的创伤聚焦应对预示着稍高的抑郁症状,但不是焦虑的显著预测因素。我们的研究结果表明,较高的前瞻性应对可能在疫情期间作为老年人的保护因素,因此可能是心理健康干预的有效治疗靶点。

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