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适应能力:在 COVID-19 大流行期间的两个时间点记录压力源与可能的抑郁、焦虑和创伤后应激之间的关系。

The capacity to adapt: Documenting the relationship between stressors and probable depression, anxiety, and posttraumatic stress at two time points during the COVID-19 pandemic.

机构信息

Department of Psychology, City College of New York, 160 Convent Avenue, New York, NY 10031, United States.

Department of Psychology, City College of New York, 160 Convent Avenue, New York, NY 10031, United States.

出版信息

J Affect Disord. 2022 Dec 1;318:54-61. doi: 10.1016/j.jad.2022.08.120. Epub 2022 Aug 30.

Abstract

BACKGROUND

Psychological adaptability, or the reduction of psychiatric symptoms in the context of ongoing stressors, is well-documented. The present study assessed relationships between COVID-19 related stressors and depression, anxiety, and post-traumatic stress (PTS) during April and July 2020.

METHODS

Prevalence of, and changes in, symptom severity levels in April vs. July were measured with ANOVA F-tests. Logistic regressions were used to assess the odds of probable diagnosis.

RESULTS

Symptom distributions skewed lower in July, as compared to April for all three diagnostic categories. From April to July, prevalence of probable anxiety and depression decreased across all levels of stress, prevalence of PTS increased for high stress, and decreased for medium and low stress levels. In July, only high stress related to higher odds of probable diagnoses, as compared to April when both medium and high stress did.

LIMITATIONS

Due to use of cross-sectional self-report data, the present findings could not establish causality between variables, and provide probable, rather than clinical, diagnoses.

CONCLUSION

Findings emphasize adaptability phenomena during COVID-19 and highlight the nuanced impact of ongoing stress.

摘要

背景

心理适应能力,即在持续的压力环境下减轻精神症状的能力,已有充分的文献记载。本研究评估了 2020 年 4 月至 7 月期间与 COVID-19 相关的压力源与抑郁、焦虑和创伤后应激障碍(PTS)之间的关系。

方法

采用方差分析 F 检验测量 4 月和 7 月症状严重程度水平的变化。采用逻辑回归评估可能诊断的几率。

结果

与 4 月相比,7 月所有三个诊断类别的症状分布都向较低水平倾斜。从 4 月到 7 月,在所有压力水平下,焦虑和抑郁的患病率均有所下降,高压力下 PTS 的患病率增加,而中低压力下则下降。7 月时,只有高压力与较高的可能诊断几率相关,而在 4 月时,中高压力都与较高的可能诊断几率相关。

局限性

由于使用了横断面自我报告数据,本研究结果不能确定变量之间的因果关系,并且提供的是可能的诊断,而不是临床诊断。

结论

研究结果强调了 COVID-19 期间的适应能力现象,并突出了持续压力的微妙影响。

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