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波兰在 COVID-19 大流行早期的调整障碍、创伤后应激、抑郁和焦虑。

Adjustment disorder, traumatic stress, depression and anxiety in Poland during an early phase of the COVID-19 pandemic.

机构信息

Poland Faculty of Psychology, Faculty of Psychology, University of Warsaw, Warsaw, Poland.

School of Psychology, Ulster University, Londonderry, Northern Ireland.

出版信息

Eur J Psychotraumatol. 2021 Jan 26;12(1):1860356. doi: 10.1080/20008198.2020.1860356. eCollection 2021.


DOI:10.1080/20008198.2020.1860356
PMID:34992743
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8725738/
Abstract

: The current COVID-19 pandemic is associated with a variety of stressors. Preliminary research has demonstrated that general public are experiencing a range of psychological problems, including stress-related disturbances. However, to date, there is not much research on the prevalence of adjustment disorder during the current pandemic. : This study aimed to assess the prevalence and severity of symptoms of adjustment disorder compared to posttraumatic symptoms, depression and generalized anxiety in a large sample of adult Poles, in the first phase of the current pandemic. : Self-report data from a web-based sample ( = 1,742) was collected between March 25 and April 27, just after the introduction of nationwide quarantine measures in Poland. : The current COVID-19 pandemic was a highly stressful event for 75% of participants and the strongest predictor of adjustment disorder. Increased symptoms of adjustment disorder were reported by 49%, and they were associated with female gender and not having a full-time job. However, after exclusion of co-occurring symptomatology, 14% of the sample were finally qualified as meeting diagnostic criteria of adjustment disorder. A substantial proportion of the sample screened also positive for generalized anxiety (44%) and depression (26%); the rate for presumptive PTSD diagnosis was 2.4%. : High rates of negative mental health outcomes were found in the Polish population in the first weeks into the COVID-19 pandemic and lockdown measures. They indicate the intense current stress-related symptoms in the early phase of the pandemic and warrant further monitoring on population's mental health.

摘要

目前的 COVID-19 大流行与多种压力源有关。初步研究表明,公众正在经历一系列心理问题,包括与压力相关的障碍。然而,迄今为止,关于当前大流行期间适应性障碍的患病率,研究并不多。

本研究旨在评估在当前大流行的第一阶段,在大量成年波兰人中,与创伤后症状、抑郁和广泛性焦虑相比,适应性障碍症状的患病率和严重程度。

在 3 月 25 日至 4 月 27 日期间,在波兰全国范围内实施隔离措施后不久,通过网络样本(n=1742)收集了自我报告数据。

目前的 COVID-19 大流行对 75%的参与者来说是一个高度紧张的事件,是适应性障碍的最强预测因素。49%的人报告了适应性障碍症状增加,与女性性别和没有全职工作有关。然而,在排除同时存在的症状后,最终有 14%的样本符合适应性障碍的诊断标准。大量样本也筛查出广泛性焦虑(44%)和抑郁(26%);假定 PTSD 诊断的发生率为 2.4%。

在 COVID-19 大流行和封锁措施的第一周内,波兰人群中发现了高比例的负面心理健康结果。这表明大流行早期存在强烈的与压力相关的症状,需要进一步监测人群的心理健康。

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本文引用的文献

[1]
Anxiety, depression, traumatic stress and COVID-19-related anxiety in the UK general population during the COVID-19 pandemic.

BJPsych Open. 2020-10-19

[2]
Stressors, coping and symptoms of adjustment disorder in the course of the COVID-19 pandemic - study protocol of the European Society for Traumatic Stress Studies (ESTSS) pan-European study.

Eur J Psychotraumatol. 2020-8-27

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Anxiety and depression in the Republic of Ireland during the COVID-19 pandemic.

Acta Psychiatr Scand. 2020-8-9

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Psychological impact of COVID-19 in Spain: Early data report.

Psychol Trauma. 2020-6-15

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Psychological aspects of employment instability during the COVID-19 pandemic.

Psychol Trauma. 2020-6-15

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Mental Health Outcomes Among Frontline and Second-Line Health Care Workers During the Coronavirus Disease 2019 (COVID-19) Pandemic in Italy.

JAMA Netw Open. 2020-5-1

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Eur Heart J Acute Cardiovasc Care. 2020-4-28

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Lancet Psychiatry. 2020-6

[9]
The psychological impact of the COVID-19 epidemic on college students in China.

Psychiatry Res. 2020-3-20

[10]
Public Mental Health Crisis during COVID-19 Pandemic, China.

Emerg Infect Dis. 2020-6-21

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