Saarland University, Saarbrücken, Germany.
Stress Health. 2023 Apr;39(2):272-284. doi: 10.1002/smi.3181. Epub 2022 Jul 11.
The COVID-19 pandemic constitutes a prolonged global crisis, but its effects on mental health seem inconsistent. This inconsistency highlights the importance of considering the differential impact of the pandemic on individuals. There is some evidence that mental health trajectories are heterogeneous and that both sociodemographic and personal characteristics are associated with higher risk for mental health issues. By contrast, information on the role of social factors as potential determinants of initial reactions to the pandemic and on heterogeneous trajectories over time is lacking. We analysed seven assessments of a large-scale (N = 2203) longitudinal study across 1.5 years, beginning in March 2020. Using self-report data on mental health and life satisfaction, we applied latent change models to examine initial reactions and mean changes across the pandemic. In addition, we applied latent class growth analyses to investigate whether there were distinct groups with different patterns of change. Results showed that on average, levels of life satisfaction and anxiety decreased (d = -0.31 and d = -0.11, respectively), levels of depressive symptoms increased (d = 0.13), and stress levels remained unchanged (d = -0.01) during the first year of the pandemic. For each outcome, we identified four distinct mental health trajectories. Between 5% (for anxiety) and 11% (for life satisfaction) of the sample reported consistently high-and even increasing-impairments in mental health and well-being. The trajectories of a sizeable number of people covaried with the course of the pandemic, such that people experienced better mental health when the number of COVID cases was low and when fewer restrictions were placed on public life. Low emotional support, high instrumental support, and the tendency to compare oneself with others were associated with more mental health issues. Findings show that whereas a substantial portion of people were largely unaffected by the pandemic, some individuals experienced consistently high levels of psychological distress. Social factors appear to play a crucial role in the maintenance of well-being.
标题:COVID-19 大流行期间的心理健康轨迹:一项大型纵向研究的轨迹分析
摘要:背景:COVID-19 大流行构成了一场旷日持久的全球危机,但它对心理健康的影响似乎不一致。这种不一致性强调了考虑大流行对个体的差异化影响的重要性。有证据表明,心理健康轨迹具有异质性,社会人口学和个人特征与更高的心理健康问题风险相关。相比之下,关于社会因素作为对大流行最初反应的潜在决定因素的作用以及随时间变化的异质轨迹的信息则缺乏。
方法:我们分析了一项大规模(N=2203)纵向研究的七次评估,该研究跨越 1.5 年,始于 2020 年 3 月。使用心理健康和生活满意度的自我报告数据,我们应用潜在变化模型来检查大流行期间的初始反应和平均变化。此外,我们应用潜在类别增长分析来研究是否存在具有不同变化模式的不同群体。
结果:结果显示,平均而言,生活满意度和焦虑水平下降(d=-0.31 和 d=-0.11),抑郁症状水平升高(d=0.13),压力水平保持不变(d=-0.01)在大流行的第一年。对于每个结果,我们确定了四个不同的心理健康轨迹。在样本中,有 5%(焦虑)到 11%(生活满意度)的人报告持续存在严重甚至不断加重的心理健康和幸福感受损。相当一部分人的轨迹与大流行的进程相关,例如,当 COVID 病例数量较少且对公共生活的限制较少时,人们的心理健康状况更好。情绪支持低、工具支持高以及与他人比较的倾向与更多的心理健康问题相关。
结论:研究结果表明,虽然相当一部分人基本不受大流行的影响,但一些人经历了持续的高心理困扰。社会因素似乎在维持幸福感方面发挥着关键作用。
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