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新冠疫情早期的家庭福祉和个体心理健康。

Family well-being and individual mental health in the early stages of COVID-19.

机构信息

Department of Public Health.

出版信息

Fam Syst Health. 2021 Sep;39(3):454-466. doi: 10.1037/fsh0000633.

Abstract

BACKGROUND

The objective of the study was to examine the association of COVID-19 with family well-being and adult mental health 1 month into the COVID-19 pandemic in the United States. Prior pandemics have had long-term effects on mental health. COVID-19 and its related stressors, such as loss of work and social distancing requirements, may have a profound impact on short-term and long-term mental health. Family stress theory indicates that subjective family meaning making and family resources affect how stressors lead to outcomes.

METHOD

Participants, adults ages 18 years and older (N = 416), completed a cross-sectional online survey measuring depressive and anxiety symptoms, family health, subjective family meaning making, and loss of work resulting from COVID-19. Data were analyzed using a structural equation modeling framework.

RESULTS

Results indicated that subjective negative family meaning and effects were associated with more depression and anxiety. Higher family health resources were associated with less depression and anxiety. Family health resources mediated the relationships between COVID-19 loss of work with depression and anxiety.

CONCLUSION

COVID-19 associated stressors 1 month into the pandemic had modest effects on family meaning making and family health resources. Individuals from families whose health resources were negatively impacted by COVID-19 reported more anxiety and depressive symptoms. Health care and public health systems should consider family health resources to help reduce the negative effects of COVID-19 on mental health. Longitudinal research is needed to examine the accumulation of stressors over time and the directionality of relationships. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

摘要

背景

本研究旨在探讨美国 COVID-19 大流行一个月后,COVID-19 与家庭幸福感和成年人心理健康之间的关系。先前的大流行对心理健康有长期影响。COVID-19 及其相关压力源(如失业和社交距离要求)可能会对短期和长期心理健康产生深远影响。家庭应激理论表明,主观家庭意义建构和家庭资源会影响压力源如何导致结果。

方法

参与者为年龄在 18 岁及以上的成年人(N=416),他们完成了一项横断面在线调查,调查内容包括抑郁和焦虑症状、家庭健康、主观家庭意义建构以及因 COVID-19 而失业。使用结构方程建模框架对数据进行分析。

结果

结果表明,主观的负面家庭意义和影响与更多的抑郁和焦虑有关。较高的家庭健康资源与较少的抑郁和焦虑有关。家庭健康资源在 COVID-19 失业与抑郁和焦虑之间的关系中起中介作用。

结论

COVID-19 大流行一个月后,相关压力源对家庭意义建构和家庭健康资源产生了适度影响。家庭健康资源受到 COVID-19 负面影响的个体报告了更多的焦虑和抑郁症状。医疗保健和公共卫生系统应考虑家庭健康资源,以帮助减轻 COVID-19 对心理健康的负面影响。需要进行纵向研究,以检验随着时间的推移压力源的积累以及关系的方向性。

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