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Heterogeneity in trajectories of traumatic distress at the start of the COVID-19 pandemic.

作者信息

Aafjes-van Doorn Katie, Békés Vera, Luo Xiaochen, Christman-Cohen Isabelle, Prout Tracy A

机构信息

Ferkauf Graduate School of Psychology, Yeshiva University.

出版信息

Psychol Trauma. 2024 Sep;16(6):980-988. doi: 10.1037/tra0001478. Epub 2023 Jun 1.

Abstract

OBJECTIVE

The COVID-19 outbreak has led to an increase in posttraumatic stress symptoms (PTSSs; Prout et al., 2020) for some individuals, whereas others appeared to be more resilient. It remains relatively unclear what characterizes these potentially different response trajectories ( Chen & Bonanno, 2020). This study sought to (a) assess individuals' PTSS levels at the start of the pandemic and at two subsequent timepoints 3 and 6 months later, (b) identify different trajectories of PTSSs over time, and (c) describe which individual characteristics influenced the likelihood of each of these different trajectories to occur.

METHOD

A community sample ( = 317) responded to an online survey during the first weeks of the pandemic, 3 and 6 months later.

RESULTS

Among those who reported acute levels of PTSSs, latent class growth analyses identified three different resilience trajectories-resilient (low baseline PTSSs and a slight decrease over time), chronic (severe PTSSs at baseline and no change over time), and recovered (severe PTSSs at baseline but a sharp improvement over time). Baseline childhood adversity, depression, anxiety, defensive functioning, and somatization predicted trajectories. Demographics (age, gender, preexisting chronic illness) and COVID-related factors (knowing someone diagnosed with or who died of COVID-19) were unrelated to trajectories.

CONCLUSIONS

Results suggest that although high PTSS levels decreased over time on average, heterogenous change trajectories can be identified based on baseline psychological characteristics. This implies that mental health, including past and present experiences, as well as adaptational mechanisms may shape individuals' experiences with pandemic-related ongoing stress. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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