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阿根廷长时间强制隔离期间,有和没有精神障碍背景的大学生心理健康变化的纵向证据。

Longitudinal evidence on mental health changes of college students with and without mental disorder background during the Argentina's lengthy mandatory quarantine.

机构信息

Laboratorio de Psicología, Instituto de Investigaciones Psicológicas (IIPsi), Facultad de Psicología, Universidad Nacional de Córdoba (UNC) - Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Córdoba, Argentina; Decanato de Ciencias Sociales, Universidad Siglo 21, Córdoba, Argentina.

Faculty of Science, University of Melbourne, Melbourne, Australia.

出版信息

Prog Neuropsychopharmacol Biol Psychiatry. 2021 Aug 30;110:110308. doi: 10.1016/j.pnpbp.2021.110308. Epub 2021 Mar 26.

Abstract

This study examined the changes in the mental health state of college students with and without mental disorder background, during successive time cuts of the Argentina's lengthy mandatory quarantine, while adjusting for quarantine duration, sex, age, suicidal behavior history, loneliness, and region of residence. We used a longitudinal design (N = 1615, 26% with mental disorder history). Successive samplings were performed from three days before quarantine start and across quarantine phases of up to 103-days duration. Follow-up was one month later. Sex (woman) and age (younger) were significant predictors of worse mental health only in college students without mental disorder background. Having any suicidal behavior background significantly predicted worse mental health in college students both with and without mental disorder history. Loneliness and region of residence were not statistically significant. In the between-groups comparisons, college students having mental disorder background had worse mental health than those without such a background. However, in the within-subject comparisons, no statistically significant changes occurred across time in the mental health of college students having mental disorder history. Conversely, significant changes occurred in those without such a background, but only when the interaction between time and quarantine duration was considered. Worsening mental health occurred during the most heavily restrictive quarantine phases, while some of the remissions occurred during the longest, but less restrictive ones.

摘要

本研究考察了在阿根廷漫长的强制性隔离期间,有和无精神障碍背景的大学生心理健康状态的变化,同时调整了隔离持续时间、性别、年龄、自杀行为史、孤独感和居住地区。我们使用了纵向设计(N=1615,26%有精神障碍史)。从隔离开始前三天开始,连续采样,并跨越长达 103 天的隔离阶段。一个月后进行随访。只有在没有精神障碍背景的大学生中,性别(女性)和年龄(年轻)才是心理健康较差的显著预测因素。任何自杀行为史都显著预测了有和无精神障碍史的大学生的心理健康较差。孤独感和居住地区没有统计学意义。在组间比较中,有精神障碍背景的大学生的心理健康状况比没有这种背景的大学生差。然而,在个体内比较中,有精神障碍史的大学生的心理健康状况在整个时间内没有出现统计学上的显著变化。相反,在没有这种背景的大学生中出现了显著的变化,但只有在考虑时间和隔离持续时间的相互作用时才会出现。在最严格的隔离阶段,心理健康恶化,而在最长但限制较少的隔离阶段,一些缓解出现。

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