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应对新冠疫情:探索澳大利亚新冠疫情期间的应对策略、困扰及创伤后成长

Coping with COVID-19: Exploring coping strategies, distress, and post-traumatic growth during the COVID-19 pandemic in Australia.

作者信息

Kavanagh Bianca E, O'Donohue Josephine S, Ashton Melanie M, Lotfaliany Mojtaba, McCallum Maddy, Wrobel Anna L, Croce Sarah, Berk Michael, Saunders Lucy, Lai Jerry, Berk Lesley

机构信息

School of Medicine, Institute for Mental and Physical Health and Clinical Translation, Barwon Health, Deakin University, Geelong, VIC, Australia.

Orygen, Parkville, VIC, Australia.

出版信息

Front Psychiatry. 2022 Oct 20;13:1025767. doi: 10.3389/fpsyt.2022.1025767. eCollection 2022.

Abstract

OBJECTIVE

This study aimed to explore coping strategies, distress, and post-traumatic growth among Australians with and without a history of a mental health diagnosis during the COVID-19 pandemic.

MATERIALS AND METHODS

Australians ( = 381) completed an online survey between 4-August 2020 and 25-October-2020. Coping strategies, distress, and post-traumatic growth were ascertained the Brief COPE, Depression Anxiety and Stress Scale (DASS-21), and Post-Traumatic Growth Inventory (PTGI), respectively. Linear regression was conducted to examine the relationship between the Brief COPE, DASS-21, and PTGI, adjusting for sociodemographic factors. Models were conducted separately for those with/without a history of a mental health diagnosis.

RESULTS

Higher distress was found among those with a history of a mental health diagnosis. Significant differences in the types of coping strategies associated with distress and post-traumatic growth were identified between the groups, however, behavioral disengagement and self-blame consistently predicted depression, anxiety, and stress. For those with a history of a mental health diagnosis, positive reframing decreased anxiety. Self-distraction was associated with post-traumatic growth across both groups.

CONCLUSION

There are important differences in the way people with and without a history of a mental health diagnosis cope with the COVID-19 pandemic.

摘要

目的

本研究旨在探讨在新冠疫情期间,有和没有心理健康诊断史的澳大利亚人所采用的应对策略、痛苦程度以及创伤后成长情况。

材料与方法

381名澳大利亚人在2020年8月4日至2020年10月25日期间完成了一项在线调查。分别通过简易应对方式问卷(Brief COPE)、抑郁焦虑压力量表(DASS - 21)和创伤后成长问卷(PTGI)来确定应对策略、痛苦程度和创伤后成长情况。进行线性回归以检验简易应对方式问卷、DASS - 21和PTGI之间的关系,并对社会人口学因素进行调整。针对有/没有心理健康诊断史的人群分别建立模型。

结果

有心理健康诊断史的人群痛苦程度更高。两组之间在与痛苦和创伤后成长相关的应对策略类型上存在显著差异,然而,行为脱离和自责始终预示着抑郁、焦虑和压力。对于有心理健康诊断史的人群,积极重新评价可降低焦虑。自我分心在两组中均与创伤后成长相关。

结论

有和没有心理健康诊断史的人群应对新冠疫情的方式存在重要差异。

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