Department of Psychology, University of Utah.
Health Psychol. 2022 Apr;41(4):291-300. doi: 10.1037/hea0001169. Epub 2022 Feb 24.
Stress associated with global health threats such as the coronavirus disease 2019 (COVID-19) pandemic and related containment efforts may be associated with significant sleep disruption. Stress-related sleep disturbance is an established transdiagnostic risk factor; thus, identifying associations with coping strategies may inform future intervention efforts. The current study examined secondary control-oriented coping strategies, including positive reappraisal, which may be particularly effective in the context of stressors characterized by high uncertainty and low controllability such as a pandemic.
The current study (total = 227 undergraduate students, predominantly female) examined the associations among primary and secondary control-oriented coping strategies, positive and negative affect (PA, NA), and the development of acute sleep disturbance in the month after the declaration of the COVID-19 pandemic. Control of prepandemic reported sleep disturbance allowed for prospective analyses of pandemic-related change.
Participants reported high levels of stress due to the pandemic onset, including difficulties with time management, difficulties with work or school, and worry about the future. Reappraisal and acceptance were both associated with higher concurrent PA, lower NA, and less increase in sleep disturbance; however, positive reappraisal was the only coping strategy that predicted unique variance in increased sleep disturbance.
Current findings add to our understanding of stress adaptation in response to stressors characterized by high severity, high uncertainty, and low controllability, such as the COVID-19 pandemic, and suggest that positive reappraisal and PA may foster resilience to stress-related sleep disturbance. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
与 2019 年冠状病毒病(COVID-19)大流行等全球健康威胁以及相关遏制措施相关的压力可能与严重的睡眠中断有关。与压力相关的睡眠障碍是一个既定的跨诊断风险因素;因此,确定与应对策略的关联可能为未来的干预措施提供信息。本研究考察了二级控制导向的应对策略,包括积极的重新评估,这在高不确定性和低可控性等压力源的情况下可能特别有效,例如大流行。
本研究(共有 227 名本科生,主要为女性)考察了一级和二级控制导向的应对策略、积极和消极情绪(PA、NA)之间的关联,以及 COVID-19 大流行宣布后一个月内急性睡眠障碍的发展。对大流行前报告的睡眠障碍的控制允许对大流行相关变化进行前瞻性分析。
参与者报告了由于大流行开始而产生的高水平压力,包括时间管理困难、工作或学业困难以及对未来的担忧。重新评估和接受都与更高的当前 PA、更低的 NA 和睡眠障碍增加较少有关;然而,积极的重新评估是唯一预测睡眠障碍增加的独特应对策略。
目前的研究结果增加了我们对高严重程度、高不确定性和低可控性等压力源下的压力适应的理解,例如 COVID-19 大流行,并表明积极的重新评估和 PA 可能促进对与压力相关的睡眠障碍的适应能力。(PsycInfo 数据库记录(c)2022 APA,保留所有权利)。