Center for Applied Psychology, Miguel Hernández University, Avenida Universidad s/n, 03202 Elche, Spain.
Int J Environ Res Public Health. 2021 Jun 6;18(11):6125. doi: 10.3390/ijerph18116125.
Caregiving has been associated with increased levels of fear and post-traumatic stress symptoms (PTSS) during COVID-19 pandemic. However, there is a lack of studies that analyze when the relationship between fear and PTSS occur, using informal caregiving as a moderator variable. To explore this moderating role, we conducted a cross-sectional online study between November 2020 and January 2021. A total of 503 men and women from the Spanish general population completed the survey. Sociodemographic and Covid-19-related data, fear of COVID-19, PTSS symptoms, and current psychological history were assessed. Prevalence of informal caregiving in the sample was 16.5%. Increased levels of fear and PTSS were found in caregivers compared to non-caregivers. Female gender and high number of COVID-19 related risk factors was also associated with fear and PTSS severity. The moderation analyses showed an interaction effect between caregiving and fear of COVID-19 when predicting PTSS symptoms. Particularly, results showed that informal caregivers reported greater PTSS symptoms, when compared to non-caregivers with same levels of fear of COVID-19. This evidence suggests that being a caregiver could increase the fear's impact on PTSS severity in the context of pandemics. Further studies with larger samples are needed to confirm these findings.
在 COVID-19 大流行期间,照顾者的恐惧和创伤后应激症状(PTSS)水平会增加。然而,缺乏分析恐惧和 PTSS 之间关系何时发生的研究,也没有使用非正式照顾作为调节变量。为了探索这种调节作用,我们在 2020 年 11 月至 2021 年 1 月期间进行了一项横断面在线研究。共有 503 名来自西班牙普通人群的男性和女性完成了调查。评估了社会人口统计学和与 COVID-19 相关的数据、对 COVID-19 的恐惧、PTSS 症状和当前的心理史。样本中的非正式照顾者比例为 16.5%。与非照顾者相比,照顾者的恐惧和 PTSS 水平更高。女性性别和 COVID-19 相关风险因素数量较多也与恐惧和 PTSS 严重程度有关。调节分析显示,在预测 PTSS 症状时,照顾和对 COVID-19 的恐惧之间存在交互作用。特别是,结果表明,与对 COVID-19 的恐惧水平相同的非照顾者相比,非正式照顾者报告的 PTSS 症状更严重。这一证据表明,在大流行背景下,作为照顾者可能会增加恐惧对 PTSS 严重程度的影响。需要进一步进行更大样本的研究来证实这些发现。
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