Baylor Scott & White Research Institute, Dallas, TX, United States of America; University of Texas at Arlington, School of Social Work, Arlington, TX, United States of America.
Baylor Scott & White Research Institute, Dallas, TX, United States of America.
J Affect Disord. 2023 Jan 15;321:59-65. doi: 10.1016/j.jad.2022.10.037. Epub 2022 Oct 22.
BACKGROUND: The prevalence of depression symptoms among U.S. adults increased dramatically during the early months of the COVID-19 pandemic. We sought to understand the impact of the pandemic on people with a history of depression. METHODS: In June 2020, a national sample of 5023 U.S. adults, including 760 reporting past/current diagnoses of depression, completed survey measures related to the COVID experience, coping, anxiety, depression, and PTSD. RESULTS: After adjusting for sociodemographic characteristics, a history of depression increased the odds of negative effects of pandemic on multiple aspects of life: routines, access to mental health treatment, alcohol use, prescription painkiller use, and other drug use. Those with a history of depression also scored significantly higher on the PHQ-8, GAD-7, and PDS-5 (all ps < 0.0001). Greater use of adaptive coping strategies was significantly associated with lower scores, and greater use of maladaptive strategies with higher scores. Individuals reporting a history of depression reported greater use of both adaptive and maladaptive strategies. CONCLUSIONS: Adaptive coping strategies appear to be protective and help regulate symptomatology, suggesting that particular focus during the clinical encounter on developing tools to promote well-being, alleviate stress, and decrease perceptions of helplessness could mitigate the effects.
背景:在美国 COVID-19 大流行的早期,成年人中抑郁症状的患病率急剧上升。我们试图了解大流行对有抑郁病史的人的影响。
方法:2020 年 6 月,对包括 760 名报告过去/当前抑郁诊断的患者在内的 5023 名美国成年人进行了全国性抽样调查,完成了与 COVID 经历、应对方式、焦虑、抑郁和 PTSD 相关的调查措施。
结果:在调整了社会人口特征后,抑郁史增加了大流行对生活多个方面的负面影响的可能性:日常生活、获得心理健康治疗、饮酒、使用处方止痛药和其他药物使用。有抑郁史的人在 PHQ-8、GAD-7 和 PDS-5 上的得分也显著更高(均 p<0.0001)。适应性应对策略的使用较多与较低的分数显著相关,而不适应的应对策略的使用较多与较高的分数显著相关。报告有抑郁史的个体报告了更多的适应性和不适应性应对策略的使用。
结论:适应性应对策略似乎具有保护作用,并有助于调节症状,这表明在临床就诊期间特别关注开发工具以促进幸福感、减轻压力和减少无助感的认知,可能会减轻其影响。
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