School of Psychology, University College Dublin, Dublin 4, Ireland.
Int J Environ Res Public Health. 2021 May 5;18(9):4912. doi: 10.3390/ijerph18094912.
COVID-19 and its countermeasures have negatively impacted the mental health of populations worldwide. The current paper considers whether the rising incidence of psychiatric symptoms during the pandemic may affect lay beliefs about the cause and course of mental illness. Laypeople's causal attributions and expectations regarding the trajectory of mental illness have important implications for societal stigma and therapeutic orientations. Two online experimental studies investigated whether reading about fictional cases of mental illness that were explicitly situated during the COVID-19 pandemic, compared with reading about the same cases without any pandemic-related contextualisation, affected attributions and expectations about Generalised Anxiety Disorder (Study 1) and Major Depressive Disorder (Study 2). Study 1 ( = 137) results showed that highlighting the onset of anxiety symptoms during the COVID-19 pandemic weakened attributions to biological causes and reduced the anticipated duration of symptoms. However, Study 2 ( = 129) revealed no effects of COVID-19 contextualisation on beliefs about the cause or course of depression. The research provides preliminary evidence that the increased incidence of mental illness during the pandemic may reshape public beliefs about certain mental illnesses. Given the importance of public understandings for the lived experience of mentally unwell persons in society, further evidence of the range and extent of the pandemic's effects on lay beliefs is important to inform clinical, public health and stigma-reduction initiatives.
COVID-19 及其对策对全球人口的心理健康产生了负面影响。本文考虑了在大流行期间精神症状发病率的上升是否会影响人们对精神疾病原因和病程的看法。非专业人士对精神疾病病程的因果归因和预期对社会污名和治疗方向有重要影响。两项在线实验研究调查了阅读明确处于 COVID-19 大流行期间的虚构精神疾病病例(与阅读没有任何大流行相关背景的相同病例相比)是否会影响对广泛性焦虑症(研究 1)和重性抑郁症(研究 2)的归因和预期。研究 1(n=137)的结果表明,强调 COVID-19 大流行期间焦虑症状的发作会削弱对生物原因的归因,并减少对症状持续时间的预期。然而,研究 2(n=129)并未发现 COVID-19 背景化对抑郁的病因或病程的信念产生影响。该研究提供了初步证据,表明大流行期间精神疾病发病率的增加可能会改变公众对某些精神疾病的看法。鉴于公众的理解对社会中精神不适者的生活体验的重要性,进一步证明大流行对非专业人士信念的影响范围和程度对于告知临床、公共卫生和减少污名化的举措很重要。