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新冠疫情封锁期间社区居家老年人对新冠病毒的恐惧、情感症状与风险认知之间的关联

Associations Between Fear of COVID-19, Affective Symptoms and Risk Perception Among Community-Dwelling Older Adults During a COVID-19 Lockdown.

作者信息

Han Madeline F Y, Mahendran Rathi, Yu Junhong

机构信息

Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.

Academic Development Department, Duke-NUS Medical School, Singapore, Singapore.

出版信息

Front Psychol. 2021 Mar 23;12:638831. doi: 10.3389/fpsyg.2021.638831. eCollection 2021.

Abstract

Fear is a common and potentially distressful psychological response to the current COVID-19 pandemic. The factors associated with such fear remains relatively unstudied among older adults. We investigated if fear of COVID-19 could be associated with a combination of psychological factors such as anxiety and depressive symptoms, and risk perception of COVID-19, and demographic factors in a community sample of older adults. Older adults ( = 413, = 69.09 years, = 5.45) completed measures of fear of COVID-19, anxiety and depressive symptoms, and risk perception of COVID-19, during a COVID-19 lockdown. These variables, together with demographics, were fitted to a structural equation model. Anxiety and depressive symptoms were highly correlated with each other and were combined into the higher order latent variable of affective symptoms for analyses. The final model revealed that fear of COVID-19 was positively associated with psychological factors of affective symptoms and risk perception. Older age was associated with greater fear of COVID-19. Our findings showed that fear of COVID-19 can be a projection of pre-existing affective symptoms and inflated risk perceptions and highlighted the need to address the incorrect risk perceptions of COVID-19 and socio-affective issues among older adults in the community.

摘要

恐惧是对当前新冠疫情常见且可能令人痛苦的心理反应。在老年人中,与这种恐惧相关的因素相对较少被研究。我们调查了在一个社区老年人群体样本中,对新冠的恐惧是否可能与焦虑和抑郁症状等心理因素、对新冠的风险认知以及人口统计学因素相关联。老年人((n = 413),(M = 69.09)岁,(SD = 5.45))在新冠疫情封锁期间完成了对新冠恐惧、焦虑和抑郁症状以及对新冠风险认知的测量。这些变量连同人口统计学数据被拟合到一个结构方程模型中。焦虑和抑郁症状彼此高度相关,并被合并为情感症状这一高阶潜在变量用于分析。最终模型显示,对新冠的恐惧与情感症状和风险认知的心理因素呈正相关。年龄较大与对新冠的恐惧程度较高相关。我们的研究结果表明,对新冠的恐惧可能是先前存在的情感症状和夸大的风险认知的一种表现,并强调了在社区中解决老年人对新冠的错误风险认知和社会情感问题的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2274/8021922/a5ef86632a8e/fpsyg-12-638831-g001.jpg

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