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本文引用的文献

1
Anxiety among older adults during the COVID-19 pandemic.老年人在 COVID-19 大流行期间的焦虑。
J Anxiety Disord. 2022 Dec;92:102633. doi: 10.1016/j.janxdis.2022.102633. Epub 2022 Sep 12.
2
Prediction of COVID-19-related distress: the role of anxiety and resiliency.预测 COVID-19 相关的困扰：焦虑和适应力的作用。
Aging Ment Health. 2023 Mar;27(3):572-579. doi: 10.1080/13607863.2022.2084714. Epub 2022 Jun 6.
3
Determinants of Disparities in Early COVID-19 Job Losses.早期新冠疫情导致失业差异的决定因素。
Demography. 2022 Jun 1;59(3):827-855. doi: 10.1215/00703370-9961471.
4
How does COVID stress vary across the anxiety-related disorders? Assessing factorial invariance and changes in COVID Stress Scale scores during the pandemic.新冠压力在焦虑相关障碍中如何变化？评估大流行期间新冠压力量表评分的因子不变性和变化。
J Anxiety Disord. 2022 Apr;87:102554. doi: 10.1016/j.janxdis.2022.102554. Epub 2022 Mar 3.
5
Immediate and Longer-Term Changes in the Mental Health and Well-being of Older Adults in England During the COVID-19 Pandemic.英格兰 COVID-19 大流行期间老年人心理健康和幸福感的即时和长期变化。
JAMA Psychiatry. 2022 Feb 1;79(2):151-159. doi: 10.1001/jamapsychiatry.2021.3749.
6
With age comes well-being: older age associated with lower stress, negative affect, and depression throughout the COVID-19 pandemic.随着年龄的增长，幸福感也会随之而来：在整个 COVID-19 大流行期间，年龄越大，压力、负面情绪和抑郁的可能性越低。
Aging Ment Health. 2022 Oct;26(10):2071-2079. doi: 10.1080/13607863.2021.2010183. Epub 2021 Dec 16.
7
Experiencing and Forecasting COVID-19 Daily Stress on Mental Health Reactivity Across Age and Race.体验和预测 COVID-19 日常压力对不同年龄段和种族人群心理健康反应的影响。
J Gerontol B Psychol Sci Soc Sci. 2022 Apr 1;77(4):e16-e22. doi: 10.1093/geronb/gbab197.
8
Psychological and biological resilience modulates the effects of stress on epigenetic aging.心理和生物弹性调节压力对表观遗传衰老的影响。
Transl Psychiatry. 2021 Nov 27;11(1):601. doi: 10.1038/s41398-021-01735-7.
9
Precarious Work in Midlife: Long-Term Implications for the Health and Mortality of Women and Men.中年时期的不稳定工作：对男性和女性健康及死亡率的长期影响。
J Health Soc Behav. 2022 Mar;63(1):142-158. doi: 10.1177/00221465211055090. Epub 2021 Nov 18.
10
Prevalence rates of anxiety, depressive, and eating pathology symptoms between the pre- and peri-COVID-19 eras: A meta-analysis.新冠疫情前后时期焦虑、抑郁和饮食失调症状的流行率：一项荟萃分析。
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一项针对高 COVID 相关担忧的老年人群体中韧性对焦虑保护作用的纵向研究。

A longitudinal examination of the protective effect of resilience against anxiety among older adults with high COVID-related worry.

机构信息

Department of Sociology, Florida State University, Tallahassee, FL, USA.

College of Medicine, Florida State University, Tallahassee, FL, USA.

出版信息

Cogn Behav Ther. 2023 Sep;52(5):419-437. doi: 10.1080/16506073.2023.2191825. Epub 2023 Apr 11.

DOI:10.1080/16506073.2023.2191825
PMID:37039031
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10523701/
Abstract

This longitudinal study of community dwelling older adults ( = 453) examined consequences of COVID-related worries on changes in anxiety symptoms before relative to during the pandemic. We further evaluated if pre-COVID psychological resilience (PR) buffered the impact of COVID-related worry. Pre-COVID data were collected in September 2018. COVID-related worry and COVID anxiety symptoms were collected in October 2020 (Wave 2). Controlling for pre-COVID anxiety symptoms, we examined if COVID-related worries (e.g. I'm worried that I might die from COVID-19) were associated with increased anxiety symptoms, and whether pre-COVID PR moderated the association between COVID-related worries and prospective increases in anxiety symptoms. COVID-related worries were associated with increased anxiety symptoms (β = 0.005,  < .01), whereas pre-COVID PR was associated with a decrease in anxiety symptoms (β = -0.029,  < .05). PR moderated the association; COVID-related worries were associated with greater increases in anxiety symptoms among those with low pre-COVID PR (Model η = 0.35). Thus, the extent to which COVID-related worries influenced psychological health was dependent on pre-COVID levels of PR. We conclude the combined vulnerabilities of low pre-COVID PR and high COVID-related worries significantly increased the psychological consequences of COVID-19 for our sample of older adults.

摘要

本纵向研究调查了社区居住的老年人（ = 453）在大流行前后，COVID 相关担忧对焦虑症状变化的影响。我们进一步评估了 COVID 前心理弹性（PR）是否缓冲了 COVID 相关担忧的影响。COVID 前的数据于 2018 年 9 月收集。COVID 相关担忧和 COVID 焦虑症状于 2020 年 10 月（第 2 波）收集。在控制 COVID 前焦虑症状的情况下，我们研究了 COVID 相关担忧（例如，我担心我可能会死于 COVID-19）是否与焦虑症状增加有关，以及 COVID 前 PR 是否调节了 COVID 相关担忧与焦虑症状前瞻性增加之间的关联。COVID 相关担忧与焦虑症状增加有关（β = 0.005，  < .01），而 COVID 前 PR 与焦虑症状下降有关（β = -0.029，  < .05）。PR 调节了这种关联；对于 COVID 前 PR 水平较低的人，COVID 相关担忧与焦虑症状的更大增加有关（模型 η = 0.35）。因此，COVID 相关担忧对心理健康的影响程度取决于 COVID 前 PR 的水平。我们的结论是，COVID 前 PR 水平低和 COVID 相关担忧程度高的综合脆弱性显著增加了 COVID-19 对我们老年人样本的心理后果。