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自我同情预测了 COVID-19 大流行期间抑郁和焦虑症状的共同轨迹:对中国大学生的五次纵向研究。

Self-compassion predicted joint trajectories of depression and anxiety symptoms during the COVID-19 pandemic: A five-wave longitudinal study on Chinese college students.

机构信息

School of Psychology, Shenzhen University, Shenzhen, China.

School of Psychology, Shenzhen University, Shenzhen, China; Department of Psychology, Faculty of Social Sciences, University of Macau, Macau SAR, China.

出版信息

J Affect Disord. 2022 Dec 15;319:589-597. doi: 10.1016/j.jad.2022.09.078. Epub 2022 Sep 23.

DOI:10.1016/j.jad.2022.09.078
PMID:36155236
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9499990/
Abstract

OBJECTIVE

The long-term protective effect of self-compassion on mental health remained unclear in the pandemic context. This study aimed to investigate the trajectories of depression and anxiety symptoms and the role of self-compassion during the pandemic.

METHODS

In this one-year five-wave longitudinal study (retested every three months from February 2020 to February 2021), 494 Chinese college students completed the study through online questionnaires and provided information on depression and anxiety symptoms, self-compassion, and sociodemographic variables. Independent and joint trajectories of depression and anxiety symptoms were explored by growth mixture models. Predictive effects of self-compassion on trajectories were examined by logistic regression models.

RESULTS

Four and three heterogeneous latent trajectories were identified for depression and anxiety symptoms, respectively. Three distinct joint trajectories of depression and anxiety were determined: low symptoms group (54.0 %), mild symptoms group (34.4 %), and risk group (11.5 %). Participants with higher levels of self-compassion were more likely to follow the low symptoms trajectory of depression and anxiety symptoms (all p < 0.001).

CONCLUSIONS

Group heterogeneity existed in the trajectories of depression and anxiety symptoms. Improving the levels of self-compassion would help to prevent and alleviate depression and anxiety symptoms. Programs based on self-compassion are encouraged to cope with the mental health challenges in the pandemic context.

摘要

目的

在大流行背景下,自我同情对心理健康的长期保护作用尚不清楚。本研究旨在探讨大流行期间抑郁和焦虑症状的轨迹以及自我同情的作用。

方法

在这项为期一年的五次纵向研究(从 2020 年 2 月至 2021 年 2 月每三个月重新测试一次)中,494 名中国大学生通过在线问卷完成了研究,并提供了抑郁和焦虑症状、自我同情和社会人口变量的信息。通过增长混合模型探讨了抑郁和焦虑症状的独立和共同轨迹。通过逻辑回归模型检验了自我同情对轨迹的预测作用。

结果

分别确定了抑郁和焦虑症状的四个和三个异质潜在轨迹。确定了抑郁和焦虑的三个不同共同轨迹:低症状组(54.0%)、轻度症状组(34.4%)和风险组(11.5%)。自我同情水平较高的参与者更有可能遵循抑郁和焦虑症状的低症状轨迹(均 p<0.001)。

结论

抑郁和焦虑症状的轨迹存在群体异质性。提高自我同情水平有助于预防和减轻抑郁和焦虑症状。鼓励基于自我同情的计划以应对大流行背景下的心理健康挑战。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c9d/9499990/f33385f7c27a/gr3_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c9d/9499990/b21a93cc4fd9/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c9d/9499990/801ec1dad141/gr2_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c9d/9499990/f33385f7c27a/gr3_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c9d/9499990/b21a93cc4fd9/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c9d/9499990/801ec1dad141/gr2_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c9d/9499990/f33385f7c27a/gr3_lrg.jpg

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