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创伤后压力和大流行期间的创伤后应激症状:心理社会因素和与大流行相关压力源的贡献。

Peritraumatic Distress and Posttraumatic Stress Symptoms During the COVID-19 Pandemic: The Contributions of Psychosocial Factors and Pandemic-Related Stressors.

机构信息

Department of Health Studies, University of Split, Split, Croatia.

Faculty of Humanities and Social Sciences, University of Split, Split, Croatia.

出版信息

J Trauma Stress. 2021 Aug;34(4):691-700. doi: 10.1002/jts.22701. Epub 2021 Jun 13.


DOI:10.1002/jts.22701
PMID:34121215
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8426734/
Abstract

The present study aimed to identify the contributions of sociodemographic factors, psychological hardiness, and pandemic-related stressors to the development of peritraumatic distress and posttraumatic stress symptoms (PTSS) during the peak of the COVID-19 pandemic. We also examined the mediating contribution of peritraumatic distress with respect to the associations between PTSS and (a) individual characteristics and (b) pandemic-related stressors. A total of 1,238 participants (82.1% women, 17.9% men) aged 18-75 years were included in the study. Participants completed the Dispositional Resilience Scale, Peritraumatic Distress Inventory, and Posttraumatic Stress Disorder (PTSD) Checklist. The results showed that 11.5% of participants scored above the clinical cutoff for peritraumatic distress, and 12.8% of participants scored above the clinical cutoff for PTSS. Regression models showed that higher levels of peritraumatic distress were statistically predicted by female gender, β = -.12, p < .001; exposure to more than one stressor, β = .21, p < .001; lower levels of commitment to people and activities, β = -.12, p = .002; and resistance to challenges, β = -.17, p < .001. Additionally, male gender, β = .05, p = .007; younger age, β = -.05, p = .005; lower levels of commitment to people and activities, β = -.11, p < .001; lower ratings of hardiness with regard to challenge, β = -.04, p = .043; and more severe peritraumatic distress, β = .75, p < .001, predicted more severe PTSS during the pandemic. Peritraumatic distress mediated the associations between PTSS and both the number of experienced stressors and psychological hardiness.

摘要

本研究旨在确定社会人口因素、心理坚韧和与大流行相关的应激源对 COVID-19 大流行高峰期创伤后困扰和创伤后应激症状(PTSS)发展的贡献。我们还检查了创伤后困扰对 PTSD 与(a)个体特征和(b)与大流行相关的应激源之间关联的中介贡献。共有 1238 名 18-75 岁的参与者(82.1%女性,17.9%男性)参与了研究。参与者完成了性格韧性量表、创伤后困扰量表和创伤后应激障碍(PTSD)检查表。结果显示,11.5%的参与者创伤后困扰得分高于临床临界值,12.8%的参与者 PTSD 得分高于临床临界值。回归模型显示,较高的创伤后困扰程度与女性性别、β=-.12、p<.001;暴露于一个以上的应激源、β=-.21、p<.001;对人和活动的承诺程度较低、β=-.12、p=.002;以及对挑战的抵抗力较弱、β=-.17、p<.001有关。此外,男性性别、β=-.05、p=.007;年龄较小、β=-.05、p=.005;对人和活动的承诺程度较低、β=-.11、p<.001;坚韧程度对挑战的评分较低、β=-.04、p=.043;以及创伤后困扰程度较高、β=75、p<.001,都预示着大流行期间更严重的 PTSD。创伤后困扰中介了 PTSD 与经历的应激源数量和心理坚韧之间的关系。

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引用本文的文献

[1]
Post-Traumatic Stress Disorder among Polish Healthcare Staff in the Era of the COVID-19 Pandemic.

J Clin Med. 2023-6-15

[2]
Changes in Mental Health Needs during COVID-19 in the Republic of Georgia: A Longitudinal Follow-up Study.

Clin Pract Epidemiol Ment Health. 2022-8-22

[3]
Prevalence and prediction of PTSD and depression in mothers of children surviving a motor vehicle crash.

Eur J Psychotraumatol. 2022

[4]
Young children's traumatic stress reactions to the COVID-19 pandemic: The long reach of mothers' adverse childhood experiences.

J Affect Disord. 2022-12-1

[5]
Isolation, Economic Precarity, and Previous Mental Health Issues as Predictors of PTSD Status in Females Living in Fort McMurray During COVID-19.

Front Psychiatry. 2022-3-18

本文引用的文献

[1]
Why the COVID-19 pandemic is a traumatic stressor.

PLoS One. 2021

[2]
The Methodological Problem of Identifying Criterion A Traumatic Events During the COVID-19 Era: A Commentary on Karatzias et al. (2020).

J Trauma Stress. 2020-10-2

[3]
Posttraumatic Stress Symptoms and Associated Comorbidity During the COVID-19 Pandemic in Ireland: A Population-Based Study.

J Trauma Stress. 2020-7-13

[4]
Psychosocial impact of COVID-19.

Diabetes Metab Syndr. 2020

[5]
Do psychiatric patients experience more psychiatric symptoms during COVID-19 pandemic and lockdown? A case-control study with service and research implications for immunopsychiatry.

Brain Behav Immun. 2020-4-27

[6]
PTSD as the second tsunami of the SARS-Cov-2 pandemic.

Psychol Med. 2021-7

[7]
Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 outbreak in China: a web-based cross-sectional survey.

Psychiatry Res. 2020-4-12

[8]
A longitudinal study on the mental health of general population during the COVID-19 epidemic in China.

Brain Behav Immun. 2020-4-13

[9]
Prevalence and predictors of PTSS during COVID-19 outbreak in China hardest-hit areas: Gender differences matter.

Psychiatry Res. 2020-3-16

[10]
The consequences of the COVID-19 pandemic on mental health and implications for clinical practice.

Eur Psychiatry. 2020-4-1

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