Haucke Matthias, Liu Shuyan, Heinzel Stephan
Department of Psychiatry and Psychotherapy, Charité - Universitätsmedizin Berlin, Campus Charité Mitte, Berlin, Germany.
Department of Education and Psychology, Clinical Psychology and Psychotherapy, Freie Universität Berlin, Berlin, Germany.
JMIR Ment Health. 2021 Aug 26;8(8):e29419. doi: 10.2196/29419.
The first wave of the COVID-19 pandemic in early 2020 increased mental health problems globally. However, little is known about mental health problems during a low-incidence period of the pandemic without strict public health measures.
We aim to investigate whether COVID-19-related risk factors for mental health problems persist beyond lockdown measures. We targeted a vulnerable population that is at risk of developing low mental health and assessed their daily dynamics of mood and emotion regulation after a strict lockdown.
During a postlockdown period in Germany (between August 8, 2020, and November 1, 2020), we conducted an ecological momentary assessment with 131 participants who experienced at least mild COVID-19-related distress and loneliness. To estimate negative mood inertia, we built a lag-1 three-level autoregressive model.
We found that information exposure and active daily COVID-19 cases did not have an impact on negative mood amid a postlockdown period. However, there was a day-to-day carryover effect of negative mood. In addition, worrying about COVID-19, feeling restricted by COVID-19, and feeling lonely increased negative mood.
The mental health of a vulnerable population is still challenged by COVID-19-related stressors after the lifting of a strict lockdown. This study highlights the need to protect mental health during postpandemic periods.
2020年初新冠疫情的第一波冲击使全球心理健康问题增加。然而，对于在疫情低发期且没有严格公共卫生措施的情况下的心理健康问题，我们知之甚少。
我们旨在调查与新冠疫情相关的心理健康问题风险因素在封锁措施解除后是否依然存在。我们针对有心理健康水平低下风险的脆弱人群，评估了在严格封锁措施之后他们情绪和情绪调节的日常动态变化。
在德国的解封后时期（2020年8月8日至2020年11月1日），我们对131名至少经历过轻度新冠疫情相关困扰和孤独感的参与者进行了生态瞬时评估。为了估计负面情绪惯性，我们构建了一个滞后1期的三级自回归模型。
我们发现，在解封后时期，信息曝光和每日新增新冠确诊病例数对负面情绪没有影响。然而，负面情绪存在日复一日的延续效应。此外，对新冠疫情的担忧、因新冠疫情而感到受限以及感到孤独都会增加负面情绪。
在严格封锁措施解除后，脆弱人群的心理健康仍然受到与新冠疫情相关应激源的挑战。本研究强调了在疫情后时期保护心理健康的必要性。
