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火上浇油?探究在 COVID-19 大流行之前和期间,低收入、黑人家庭中可能面临压力或创伤性事件的暴露情况。

Adding fuel to the fire? Examining exposure to potentially stressful or traumatic events before and during the COVID-19 pandemic in low-income, Black families.

机构信息

Clinical Child Psychology Program, Dole Human Development Center, Department of Psychology, University of Kansas.

Department of Psychology, Pennsylvania State University.

出版信息

Psychol Trauma. 2023 Mar;15(3):422-430. doi: 10.1037/tra0001336. Epub 2022 Aug 4.

Abstract

OBJECTIVE

The COVID-19 pandemic has upended the lives of many individuals. While emerging evidence has begun to document health (e.g., infection) and financial (e.g., job loss) consequences, less is known about the day-to-day experiences of some of the country's most vulnerable populations. The current study sought to address this gap in understanding by examining exposure to potentially stressful or traumatic experiences (PSTEs) and their relation to mental health among predominately low-income, African American/Black individuals.

METHOD

Adult caregivers ( = 110) from an ongoing longitudinal research project occurring prior the pandemic completed surveys about their exposure to COVID-19-specific PSTEs during the initial months of the pandemic. Information on participants was combined with pre-COVID-19 PSTE exposure and examined in relation to current mental health functioning (e.g., depression).

RESULTS

Findings indicated that participants experienced several different types of COVID-19-specific PSTEs across multiple domains, including home, work, social life, and health and well-being. Results from model testing indicated that COVID-19-specific PSTEs were only associated with worry about COVID-19-specifically. Adulthood PSTEs prior to COVID-19 were also associated with current anxiety symptoms.

CONCLUSIONS

Among low-income, African American/Black individuals with a history of exposure to PSTEs, additional PSTEs experienced during the COVID-19 pandemic may not contribute significantly to general mental health functioning above and beyond pre-COVID-19 PSTE exposures. Taken together, research on PSTE exposure from the pandemic should make attempts to account for lifetime PSTE exposure to most accurately evaluate current mental health concerns, especially among marginalized populations. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

摘要

目的

新冠疫情颠覆了许多人的生活。虽然已有研究开始记录疫情对健康(如感染)和经济(如失业)的影响,但对于美国一些最弱势群体的日常经历,我们知之甚少。本研究旨在通过考察主要为低收入的非裔美国人/黑人群体接触潜在的压力或创伤性经历(PSTEs)及其与心理健康的关系,来填补这一理解空白。

方法

在疫情发生前进行的一项正在进行的纵向研究项目中,招募了成年照顾者(n = 110),他们完成了有关在疫情初期接触 COVID-19 特定 PSTEs 的调查。将参与者的信息与 COVID-19 之前的 PSTE 暴露情况相结合,并与当前的心理健康功能(如抑郁)进行了分析。

结果

研究结果表明,参与者在多个领域经历了多种不同类型的 COVID-19 特定 PSTEs,包括家庭、工作、社交生活以及健康和福祉。模型测试结果表明,COVID-19 特定 PSTEs 仅与对 COVID-19 的担忧有关。COVID-19 之前的成人 PSTEs 也与当前的焦虑症状有关。

结论

在经历过 PSTEs 的低收入非裔美国/黑人中,COVID-19 大流行期间额外的 PSTEs 可能不会对一般心理健康功能产生重大影响,超过 COVID-19 之前的 PSTE 暴露。综上所述,关于大流行期间 PSTE 暴露的研究应该尝试考虑一生中的 PSTE 暴露,以更准确地评估当前的心理健康问题,特别是在边缘化人群中。(美国心理协会,2023)

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