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COVID-19 大流行和其他潜在创伤性事件对老年人心理健康的影响。

The mental health impact of the COVID-19 pandemic and exposure to other potentially traumatic events up to old age.

机构信息

School for Mental Health and Neuroscience (MHeNs), Department of Neuropsychology and Psychopharmacology, Faculty of Psychology and Neuroscience, Maastricht University, Maastricht, The Netherlands.

TanteLouise, Bergen op Zoom, The Netherlands.

出版信息

J Trauma Stress. 2023 Aug;36(4):738-749. doi: 10.1002/jts.22937. Epub 2023 May 23.

Abstract

We investigated whether the impact of potentially traumatic events (PTEs) on trauma-related symptoms changes across the transitional adult lifespan (i.e., 16-100 years old) and if this association differs for self-reported COVID-19-related PTEs compared to other PTEs. A web-based cross-sectional study was conducted among 7,034 participants from 88 countries between late April and October 2020. Participants completed the Global Psychotrauma Screen (GPS), a self-report questionnaire assessing trauma-related symptoms. Data were analyzed using linear and logistic regression analyses and general linear models. We found that older age was associated with lower GPS total symptom scores, B = -0.02, p < .001; this association remained significant but was substantially weaker for self-reported COVID-19-related PTEs compared to other PTEs, B = 0.02, p = .009. The results suggest an association between older age and lower ratings of trauma-related symptoms on the GPS, indicating a blunted symptom presentation. This age-related trend was smaller for self-reported COVID-19-related PTEs compared to other PTEs, reflecting the relatively higher impact of the COVID-19 pandemic on older adults.

摘要

我们研究了潜在创伤性事件 (PTEs) 对创伤相关症状的影响是否会在成年过渡期(即 16-100 岁)发生变化,以及与其他 PTEs 相比,自我报告的与 COVID-19 相关的 PTEs 是否会对此关联产生不同影响。一项基于网络的横断面研究在 2020 年 4 月下旬至 10 月期间在来自 88 个国家的 7034 名参与者中进行。参与者完成了全球心理创伤筛查(GPS),这是一种自我报告问卷,用于评估与创伤相关的症状。使用线性和逻辑回归分析以及广义线性模型对数据进行了分析。我们发现,年龄越大,GPS 总症状评分越低,B = -0.02,p <.001;这种关联仍然存在,但与自我报告的 COVID-19 相关 PTEs 相比,其他 PTEs 的关联明显较弱,B = 0.02,p =.009。结果表明,GPS 上年龄与创伤相关症状评分较低之间存在关联,表明症状表现减弱。与其他 PTEs 相比,自我报告的 COVID-19 相关 PTEs 的这种年龄相关趋势较小,反映了 COVID-19 大流行对老年人的相对较高影响。

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