Department of Psychology, University of Houston, Houston, TX, USA; Department of Behavioral Science, The University of Texas MD Anderson Cancer Center, Houston, TX, USA; HEALTH Institute, University of Houston, Houston, TX, USA.
Department of Psychology, University of Houston, Houston, TX, USA.
Behav Res Ther. 2022 Sep;156:104141. doi: 10.1016/j.brat.2022.104141. Epub 2022 Jun 18.
The COVID-19 pandemic is associated with an increased prevalence of mental health problems and addictive behaviors. There is a growing theoretical and empirical evidence that individual differences in interoceptive anxiety-related processes are a one set of vulnerability factors that are important in understanding the impact of pandemic-related mental health problems and addictive behavior. However, there has not been a comprehensive effort to explore this rapidly growing body of research and its implications for public health. In this paper, we discuss why interoceptive anxiety-related processes are relevant to understanding mental health and addictive behaviors during the COVID-19 pandemic. We then provide a narrative review of the available COVID-19 literature linking interoceptive fear and anxiety-related processes (e.g., anxiety sensitivity, health anxiety, and COVID-19 anxiety, fear, and worry) to mental health and addictive behaviors. We then propose a novel transdiagnostic theoretical model that highlights the role of interoceptive anxiety-related processes in mental health and addictive behavior in the context of the present and future pandemics. In the final section, we utilize this conceptualization to underscore clinical implications and provide guidance for future research initiatives in the management of COVID-19 mental health and addictive behaviors and inform the public health field for future pandemics.
新冠疫情大流行与心理健康问题和成瘾行为的普遍增加有关。越来越多的理论和实证证据表明，与内脏感觉焦虑相关的个体差异是一组重要的脆弱性因素，这些因素对于理解与大流行相关的心理健康问题和成瘾行为的影响至关重要。然而，人们尚未全面努力探索这一日益增长的研究领域及其对公共卫生的影响。在本文中，我们讨论了为什么与内脏感觉焦虑相关的过程与理解新冠疫情期间的心理健康和成瘾行为有关。然后，我们对现有的将内脏感觉恐惧和焦虑相关过程（例如焦虑敏感性、健康焦虑和新冠病毒焦虑、恐惧和担忧）与心理健康和成瘾行为联系起来的新冠病毒文献进行了叙述性综述。然后，我们提出了一个新的跨诊断理论模型，强调了内脏感觉焦虑相关过程在当前和未来大流行背景下对心理健康和成瘾行为的作用。在最后一节中，我们利用这一概念来强调临床意义，并为未来新冠病毒心理健康和成瘾行为的管理以及为未来大流行提供公共卫生领域的研究计划提供指导。
