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新冠疫情对易感人群心理健康的影响。

Impact of COVID-19 emergency on the psychological well-being of susceptible individuals.

机构信息

Interdisciplinary Department of Medicine, Section of Occupational Medicine 'EC Vigliani', University of Bari, Policlinico, Piazza G. Cesare 11, 70124, Bari, Italy.

Department of Neurology, Universitätsmedizin Greifswald, Greifswald, Germany.

出版信息

Sci Rep. 2022 Jul 1;12(1):11152. doi: 10.1038/s41598-022-15357-6.

Abstract

The current pandemic has exerted an unprecedented psychological impact on the world population, and its effects on mental health are a growing concern. The present study aims to evaluate psychological well-being (PWB) during the COVID-19 crisis in university workers with one or more diseases likely to increase the risk of severe outcomes in the event of SARS-CoV-2 infection, defined as susceptible. 210 susceptible employees of an Italian University (aged 25-71 years) were recruited during the COVID-19 second wave (October-December 2020). A group comprising 90 healthy university employees (aged 26-69 years) was also recruited. The self-report Psychological General Well Being Index (PGWBI) was used to assess global PWB and the influence on six sub-domains: anxiety, depressed mood, positive well-being, self-control, general health, and vitality. We applied non-linear dimension-reduction techniques and regression methods to 45 variables in order to assess the main demographic, occupational, and general-health-related factors predicting PWB during the COVID-19 crisis. PGWBI score was higher in susceptible than in healthy workers, both as total score (mean 77.8 vs 71.3) and across almost all subscales. Age and jobs involving high social interaction before the pandemic were inversely associated with the PWB total score, general health, and self-control subscores. The current data suggest no decline in PWB during the second wave of COVID-19 health emergency in susceptible individuals of working age. Critically, higher risk for mental-health issues appears to be inversely related to age, particularly among individuals deprived of their previous level of social interaction at work.

摘要

当前的大流行对世界人口造成了前所未有的心理影响,其对心理健康的影响越来越令人关注。本研究旨在评估 COVID-19 危机期间患有一种或多种疾病的大学工作人员的心理健康状况,这些疾病可能会增加 SARS-CoV-2 感染后出现严重后果的风险,将这些人定义为易感人群。在 COVID-19 第二波期间(2020 年 10 月至 12 月),我们招募了意大利一所大学的 210 名易感员工(年龄 25-71 岁)。还招募了一组由 90 名健康的大学员工(年龄 26-69 岁)组成的对照组。我们使用自我报告的心理总体幸福感指数(PGWBI)来评估总体心理健康状况,并评估了六个子领域的影响:焦虑、抑郁情绪、积极幸福感、自我控制、一般健康和活力。我们应用非线性降维技术和回归方法对 45 个变量进行了分析,以评估在 COVID-19 危机期间预测 PWB 的主要人口统计学、职业和一般健康相关因素。易感组的 PGWBI 评分高于健康对照组,无论是总分(均值 77.8 比 71.3)还是几乎所有子量表。在大流行之前,年龄和涉及高社交互动的工作与 PWB 总分、一般健康和自我控制子量表呈负相关。目前的数据表明,在 COVID-19 第二波卫生紧急情况期间,处于工作年龄的易感人群的 PWB 没有下降。关键的是,心理健康问题的风险似乎与年龄呈负相关,尤其是在那些因工作中断了先前社交互动水平的人群中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a9f/9249811/2be4a8c6984c/41598_2022_15357_Fig1_HTML.jpg

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