Washington University in St. Louis, MO, USA.
OTJR (Thorofare N J). 2023 Apr;43(2):194-201. doi: 10.1177/15394492221107557. Epub 2022 Jul 4.
The mental health impact of the COVID-19 pandemic may be greater than that of the viral infection. This impact is likely greater for disadvantaged groups such as people with long-term physical disabilities (PwLTPD). This cross-sectional study used a multiple linear regression model to examine factors associated with depressive symptoms and to understand their relative importance during the onset of the COVID-19 pandemic. The model explained 58% of the variance in depressive symptoms. Anxiety was the most important predictor, accounting for 8% of variance. Higher levels of anxiety, loneliness, and financial stress; prior diagnosis of depression; and non-Black race predicted a higher level of depressive symptoms in PwLTPD during the onset of the COVID-19 pandemic. Occupational therapy practitioners should strategically acknowledge predictors of depression that cannot be modified and actively address those that can be modified through evidence-based interventions to improve depressive symptoms in PwLTPD.
新冠疫情对心理健康的影响可能大于病毒感染本身。对于长期身体残疾者(PwLTPD)等弱势群体来说,这种影响可能更大。本横断面研究采用多元线性回归模型,分析了与抑郁症状相关的因素,并探讨了这些因素在新冠疫情大流行期间的相对重要性。该模型解释了抑郁症状 58%的方差。焦虑是最重要的预测因素,占方差的 8%。较高水平的焦虑、孤独和经济压力、先前诊断出的抑郁症以及非黑人种族预示着在新冠疫情大流行期间,PwLTPD 的抑郁症状更为严重。职业治疗师应该战略性地认识到无法改变的抑郁预测因素,并通过基于证据的干预措施积极解决那些可以改变的预测因素,以改善 PwLTPD 的抑郁症状。