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纵向分析英国 COVID-19 心理健康研究:焦虑、抑郁和 COVID-19 相关应激症状的轨迹。

Longitudinal analysis of the UK COVID-19 Psychological Wellbeing Study: Trajectories of anxiety, depression and COVID-19-related stress symptomology.

机构信息

Department of Psychology, Glasgow Caledonian University, Cowcaddens Road, Glasgow G4 0BA, United Kingdom.

Stress Trauma and Related Conditions (STARC) Research Lab, School of Psychology, Queen's University Belfast, BT9 5BN, United Kingdom.

出版信息

Psychiatry Res. 2021 Oct;304:114138. doi: 10.1016/j.psychres.2021.114138. Epub 2021 Jul 25.


DOI:10.1016/j.psychres.2021.114138
PMID:34388511
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8424320/
Abstract

COVID-19 has had a negative impact on the mental health of individuals. The aim of the COVID-19 Psychological Wellbeing Study was to identify trajectories of anxiety, depression and COVID-19-related traumatic stress (CV19TS) symptomology during the first UK national lockdown. We also sought to explore risk and protective factors. The study was a longitudinal, three-wave survey of UK adults conducted online. Analysis used growth mixture modelling and logistic regressions. Data was collected from 1958 adults. A robust 4-class model for anxiety, depression, and CV19TS symptomology distinguished participants in relation to the severity and stability of symptomology. Classes described low and stable and high and stable symptomology, and symptomology that improved or declined across the study period. Several risk and protection factors were identified as predicting membership of classes (e.g., mental health factors, sociodemographic factors and COVID-19 worries). This study reports trajectories describing a differential impact of COVID-19 on the mental health of UK adults. Some adults experienced psychological distress throughout, some were more vulnerable in the early weeks, and for others vulnerability was delayed. These findings emphasise the need for appropriate mental health support interventions to promote improved outcomes in the COVID-19 recovery phase and future pandemics.

摘要

新冠疫情对个人的心理健康产生了负面影响。新冠疫情心理健康研究旨在确定在英国首次全国封锁期间焦虑、抑郁和与新冠相关创伤后应激障碍(CV19TS)症状的轨迹。我们还探索了风险和保护因素。该研究是一项针对英国成年人的纵向、三波在线调查。分析使用了增长混合物建模和逻辑回归。从 1958 名成年人中收集了数据。一个针对焦虑、抑郁和 CV19TS 症状的稳健 4 类模型,根据症状的严重程度和稳定性区分了参与者。类别描述了低且稳定和高且稳定的症状,以及在研究期间改善或下降的症状。确定了一些风险和保护因素,这些因素可预测类别的成员身份(例如,心理健康因素、社会人口因素和新冠疫情担忧)。本研究报告了描述新冠疫情对英国成年人心理健康不同影响的轨迹。一些成年人一直经历心理困扰,一些人在早期几周更脆弱,而对另一些人来说,脆弱性是延迟的。这些发现强调了需要适当的心理健康支持干预措施,以促进在新冠疫情恢复阶段和未来大流行中改善结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb2a/8424320/ad24af3ba46f/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb2a/8424320/ad24af3ba46f/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb2a/8424320/ad24af3ba46f/gr1_lrg.jpg

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本文引用的文献

[1]
Refuting the myth of a 'tsunami' of mental ill-health in populations affected by COVID-19: evidence that response to the pandemic is heterogeneous, not homogeneous.

Psychol Med. 2023-1

[2]
A chain mediation model on COVID-19 symptoms and mental health outcomes in Americans, Asians and Europeans.

Sci Rep. 2021-3-19

[3]
The impact of COVID-19 pandemic on physical and mental health of Asians: A study of seven middle-income countries in Asia.

PLoS One. 2021

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Trajectories of Mental Distress Among U.S. Adults During the COVID-19 Pandemic.

Ann Behav Med. 2021-3-16

[5]
Trajectories of anxiety and depressive symptoms during enforced isolation due to COVID-19 in England: a longitudinal observational study.

Lancet Psychiatry. 2021-2

[6]
The COVID-19 Psychological Wellbeing Study: Understanding the Longitudinal Psychosocial Impact of the COVID-19 Pandemic in the UK; a Methodological Overview Paper.

J Psychopathol Behav Assess. 2021

[7]
Modelling the contribution of the Big Five personality traits, health anxiety, and COVID-19 psychological distress to generalised anxiety and depressive symptoms during the COVID-19 pandemic.

J Affect Disord. 2021-1-15

[8]
Psychological distress and adaptation to the COVID-19 crisis in the United States.

J Psychiatr Res. 2021-4

[9]
Mental health of people in Australia in the first month of COVID-19 restrictions: a national survey.

Med J Aust. 2020-10-26

[10]
Mental health and well-being during the COVID-19 pandemic: longitudinal analyses of adults in the UK COVID-19 Mental Health & Wellbeing study.

Br J Psychiatry. 2021-6

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