School of Population Medicine and Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College, 31 BeiJiGe San Tiao, Dongcheng District, Beijing, China.
Department of Pulmonary and Critical Care Medicine, National Center for Respiratory Medicine, Center of Respiratory Medicine, National Clinical Research Center for Respiratory Diseases, China-Japan Friendship Hospital, Beijing, China.
Infect Dis Poverty. 2023 Mar 28;12(1):27. doi: 10.1186/s40249-023-01074-3.
The global coronavirus disease 2019 (COVID-19) has caused many negative effects on physical and mental health of patients who have survived COVID-19. Apart from some long-lasting physical sequelae, those COVID-19 survivors are also suffering stigma and discrimination at different levels around the world. The current study aims to assess the role resilience played in stigma and mental disorders among COVID-19 survivors.
The cross-sectional study was carried out among former COVID-19 patients in Jianghan District (Wuhan, China) from June 10 to July 25, 2021. The demographic questions, the Impact of Events Scale-Revised, the Generalized Anxiety Disorder Questionnaire, the Patient Health Questionnaire, the Resilience Style Questionnaire and the Short Version of COVID-19 Stigma Scale of 12 items were used to collect relevant information of the participants. Descriptive analyses, Pearson correlation analysis and Structural Equation Modeling were used to make data description and analysis.
A total of 1541 out of 1601 COVID-19 survivors (887 females and 654 males) were included in the analysis. Perceived stigma of those COVID-19 survivors correlates significantly with anxiety (r = 0.335, P < 0.001), depression (r = 0.325, P < 0.001) and post-traumatic stress disorder (PTSD) (r = 0.384, P < 0.001). It has a direct effect on COVID-19 survivors' anxiety (β = 0.326, P < 0.001), depression (β = 0.314, P < 0.001), PTSD (β = 0.385, P < 0.001) and their resilience (β = - 0.114, P < 0.01). Resilience partially mediated the association between perceived stigma and anxiety (β = 0.020, P < 0.01), depression (β = 0.020, P < 0.01), and PTSD (β = 0.014, P < 0.01) among COVID-19 survivors.
Stigma has a significant negative impact on mental health, while resilience plays a mediator role in the relationship between stigma and mental health among COVID-19 survivors. Based on our study, we suggested that when designing psychological interventions for COVID-19 survivors, consideration should be taken into account to reduce stigma and improve resilience.
全球 2019 年冠状病毒病（COVID-19）对已从 COVID-19 中康复的患者的身心健康造成了许多负面影响。除了一些持久的身体后遗症外，这些 COVID-19 幸存者在世界各地还受到不同程度的污名化和歧视。本研究旨在评估弹性在 COVID-19 幸存者的污名化和精神障碍中的作用。
本横断面研究于 2021 年 6 月 10 日至 7 月 25 日在江汉区（中国武汉）对以前的 COVID-19 患者进行。使用人口统计学问题、修订后的事件影响量表、广泛性焦虑症问卷、患者健康问卷、弹性风格问卷和简短版的 12 项 COVID-19 耻辱量表来收集参与者的相关信息。采用描述性分析、皮尔逊相关分析和结构方程模型进行数据分析。
共有 1601 名 COVID-19 幸存者中的 1541 名（887 名女性和 654 名男性）纳入分析。这些 COVID-19 幸存者的感知耻辱与焦虑（r=0.335，P<0.001）、抑郁（r=0.325，P<0.001）和创伤后应激障碍（PTSD）（r=0.384，P<0.001）显著相关。它对 COVID-19 幸存者的焦虑（β=0.326，P<0.001）、抑郁（β=0.314，P<0.001）、PTSD（β=0.385，P<0.001）和他们的弹性（β=-0.114，P<0.01）有直接影响。弹性部分中介了感知耻辱与 COVID-19 幸存者焦虑（β=0.020，P<0.01）、抑郁（β=0.020，P<0.01）和 PTSD（β=0.014，P<0.01）之间的关联。
耻辱感对心理健康有显著的负面影响，而弹性在 COVID-19 幸存者的耻辱感与心理健康之间的关系中起着中介作用。基于我们的研究，我们建议在为 COVID-19 幸存者设计心理干预措施时，应考虑减少污名化和提高弹性。
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