Population Health Sciences, Bristol Medical School, University of Bristol, UK.
Population Health Sciences, Bristol Medical School, University of Bristol, UK.
J Affect Disord. 2023 Jun 15;331:229-237. doi: 10.1016/j.jad.2023.03.056. Epub 2023 Mar 23.
The COVID-19 pandemic resulted in increased rates of mental health problems. We examined the possible role of the personality characteristic, Locus of Control (LOC), in moderating pandemic-induced stress.
The UK-based Avon Longitudinal Study of Parents & Children (ALSPAC), 7021 adults (mean ages: women 57.6 (SD = 4.48); partners 60.5 (SD = 5.36)) responded to a 2020 questionnaire which included a generalised measure of LOC. Between March 2020-January 2021, questionnaires focussed on the pandemic were administered, which included measures of mental health. Over 60 % of respondents completed questionnaires at three timepoints of interest.
In those with an internal LOC higher rates of positive well-being and reduced likelihood of anxiety and depression were shown compared to those who were external, e.g. after adjustment for socioeconomic/demographic factors mean differences in well-being score for internal compared with external women was +2.01 (95%CI +1.02,+2.10) p = 0.0001; for their partners +2.52 (95%CI +1.22,+3.82) p = 0.0002. External women were more likely than internals to have depression (adjusted OR 3.41 [95%CI 1.77,6.57] p < 0.0005.
Attrition is a problem in this 30-year-old longitudinal cohort. Those still participating are more likely to have higher education and SES levels, be female and have an internal LOC. This population suffers from a lack of ethnic diversity.
Having an internal LOC positively moderated the effects of pandemic-induced stress on the frequency of anxiety and depression in middle-age. Programmes geared to raise internality and coping strategies may have long-term benefits on well-being in stressful situations, especially for women and frontline health professionals.
COVID-19 大流行导致心理健康问题的发生率上升。我们研究了人格特征,即控制源(LOC),在调节大流行引起的压力方面的可能作用。
英国阿冯纵向研究父母与孩子(ALSPAC)的 7021 名成年人(女性平均年龄:57.6(SD=4.48);伴侣为 60.5(SD=5.36))对 2020 年的问卷做出了回应,其中包括对 LOC 的广义衡量。在 2020 年 3 月至 2021 年 1 月期间,对参与者进行了以大流行为重点的问卷调查,其中包括心理健康的衡量标准。超过 60%的参与者在三个感兴趣的时间点完成了问卷。
在那些拥有内在 LOC 的人身上,与外部 LOC 的人相比,他们表现出更高的幸福感和降低焦虑和抑郁的可能性,例如,在调整了社会经济/人口因素后,内在 LOC 的女性与外部 LOC 的女性相比,在幸福感得分上的平均差异为+2.01(95%CI+1.02,+2.10),p=0.0001;对于他们的伴侣来说,+2.52(95%CI+1.22,+3.82),p=0.0002。外部 LOC 的女性比内部 LOC 的女性更容易出现抑郁(调整后的 OR 为 3.41[95%CI 1.77,6.57],p<0.0005)。
这是一个 30 岁的纵向队列,人员流失是一个问题。那些仍然参与的人更有可能拥有更高的教育和社会经济地位、是女性且拥有内在 LOC。该人群缺乏种族多样性。
拥有内在 LOC 积极调节了大流行引起的压力对中年焦虑和抑郁频率的影响。旨在提高内在性和应对策略的项目可能会对在压力情况下的幸福感产生长期的好处,尤其是对女性和一线卫生专业人员。