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心理健康症状、狂饮和新冠疫情封锁期间在墨西哥遭受虐待的经历。

Mental Health Symptoms, Binge Drinking, and the Experience of Abuse During the COVID-19 Lockdown in Mexico.

机构信息

Universidad Nacional Autónoma de México, Mexico City, Mexico.

Instituto Nacional de Psiquiatría "Ramón de la Fuente Muñíz", Mexico City, Mexico.

出版信息

Front Public Health. 2021 Jul 22;9:656036. doi: 10.3389/fpubh.2021.656036. eCollection 2021.

Abstract

The health crisis associated with the COVID-19 pandemic is causally linked to negative mental health symptoms in the same way as other diseases such as Ebola. The purpose of this paper is to describe the relationship between mental health symptoms, binge drinking, and the experience of abuse during the COVID-19 lockdown. We surveyed 9,361 participants, all Mexican, with an average age of 33 years old ( = 10.86). In this group of people, we found out that 59% were single (5,523), 71% were women (6,693). Forty-six percentage were complying with lockdown procedures (4,286), 50% were partially complying (4,682), and 4% were not complying at all (393). The invitation to participate was open from April 24th to April 30th during the second stage of the pandemic in Mexico, in 2020, characterized by voluntary complete lockdown staying at home. Thus, we used a cross-sectional online survey design to assess mental health risk factors related to the COVID-19 pandemic. The survey was available on a WebApp designed by Linux, PHP, HTML, CSS, and JavaScript. We calculated descriptive and inferential analysis to describe the mental health average distribution as a function of the lockdown, binge drinking, and experience of abuse. To calculate the reliability and validation of the subscales, we used Cronbach's Alpha and Factor Loading. We run the confirmatory factor loading analysis, and we described the relationship between each latent variable and its item factor load, obtained through structural modeling equations, derived from 179 iterations and 207 parameters ( = 28,079.418, < 0.001). We got a CFI of 0.947, a TLC of 0.940, an RMSEA of 0.049 (0.049-0.050), and an SRMR of 0.048. The results indicated that reported attitudes such as avoidance, sadness, withdrawal, anger, and anxiety were associated with acute stress, which was linked to an anxiety condition caused by uncertainty about achieving or maintaining overall good health. People in lockdown mentioned a sudden increase in alcohol consumption. They lived episodes of physical and emotional abuse, in contrast with those who stated that they did not go into lockdown or consume alcohol, or experienced abuse. Further studies should diagnose mental health conditions as part of the impact of COVID-19, ensure their follow-up, and assess the effect of providing remote psychological care. There is a need to explore methods to curb the increase in the number of people affected by post-traumatic stress disorder.

摘要

与埃博拉等其他疾病一样,COVID-19 大流行带来的健康危机与负面心理健康症状有因果关系。本文旨在描述心理健康症状、狂饮和 COVID-19 封锁期间受虐待经历之间的关系。我们调查了 9361 名参与者,他们都是墨西哥人,平均年龄为 33 岁(= 10.86)。在这群人中,我们发现 59%是单身(5523 人),71%是女性(6693 人)。46%的人遵守封锁程序(4286 人),50%的人部分遵守(4682 人),4%的人完全不遵守(393 人)。邀请参加者参加是在 2020 年墨西哥大流行的第二阶段(4 月 24 日至 4 月 30 日)开放的,其特点是完全在家自愿封锁。因此,我们使用横断面在线调查设计来评估与 COVID-19 大流行相关的心理健康风险因素。该调查可在由 Linux、PHP、HTML、CSS 和 JavaScript 设计的 WebApp 上进行。我们计算了描述性和推论性分析,以根据封锁、狂饮和受虐待经历来描述心理健康的平均分布。为了计算子量表的可靠性和有效性,我们使用了 Cronbach 的 Alpha 和因子负荷。我们进行了验证性因素负荷分析,并描述了每个潜在变量与其项目因子负荷之间的关系,这些关系是通过结构建模方程获得的,这些方程来自 179 次迭代和 207 个参数(= 28079.418, < 0.001)。我们得到了 0.947 的 CFI、0.940 的 TLC、0.049(0.049-0.050)的 RMSEA 和 0.048 的 SRMR。结果表明,回避、悲伤、退缩、愤怒和焦虑等报告态度与急性应激有关,急性应激与对实现或维持整体健康的不确定性有关。处于封锁状态的人提到饮酒量突然增加。他们经历了身体和情感虐待的插曲,这与那些表示他们没有进入封锁状态、不饮酒或没有遭受虐待的人形成了对比。进一步的研究应该将心理健康状况诊断为 COVID-19 影响的一部分,确保对其进行后续监测,并评估提供远程心理护理的效果。需要探索遏制受创伤后应激障碍影响人数增加的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0dea/8342039/fc065d15b7f7/fpubh-09-656036-g0001.jpg

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