Department of Psychiatry, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB T6G 2R3, Canada.
Department of Psychiatry, Faculty of Medicine, Dalhousie University, Halifax, NS B3H 4R2, Canada.
Int J Environ Res Public Health. 2023 Jun 6;20(12):6064. doi: 10.3390/ijerph20126064.
The coronavirus disease of 2019 (COVID-19) pandemic has led to a global health crisis that has affected the psychological well-being of individuals across the world. The persistence of the pandemic and measures to curtail it have tested people's ability to cope successfully and bounce back from the pandemic, otherwise referred to as resilience. The present study examined resilience levels among residents of Fort McMurray and identified the demographic, clinical and social factors associated with resilience.
The study used a cross-sectional survey design and collected data from 186 participants using online questionnaires. The survey included questions assessing sociodemographic information, mental health history and COVID-19-related variables. The main study outcome was resilience measured using the six-item Brief Resilience Scale (BRS). The data from the survey were analyzed using chi-squared tests and binary logistic regression analyses in the Statistical Package for Social Sciences (SPSS), version 25.
The results showed that seven independent variables (age, history of depression, history of anxiety, willingness to receive mental health counselling, support from the government of Alberta and support from employer) were statistically significant within the context of the logistic regression model. A history of an anxiety disorder was demonstrated to best predict low resilience. Participants who had a history of anxiety disorder were five times more likely to show low resilience compared to those without such a history. Participants with a history of depression showed a three-fold likelihood of having low resilience in comparison to those who did not have a history of depression. Individuals who expressed a desire to receive mental health counselling had a four-times likelihood of having low resilience than those who did not express a desire to receive mental health counselling. The results also showed that younger participants were more prone to low resilience compared to older participants. Receiving support from the government and one's employer is a protective factor.
This study highlights the importance of examining resilience and its associated factors during a pandemic such as COVID-19. The results demonstrated that a history of anxiety disorder, depression and being younger were important predictors of low resilience. Responders who reported the desire to receive mental health counselling also reported expressing low resilience. These findings could be used to design and implement interventions aimed at improving the resilience of individuals affected by the COVID-19 pandemic.
2019 年冠状病毒病(COVID-19)大流行导致了一场全球卫生危机,影响了世界各地人们的心理健康。大流行的持续以及遏制大流行的措施考验了人们成功应对和从大流行中恢复的能力,即韧性。本研究检查了麦克默里堡居民的韧性水平,并确定了与韧性相关的人口统计学、临床和社会因素。
该研究采用横断面调查设计,使用在线问卷从 186 名参与者中收集数据。调查包括评估社会人口统计学信息、心理健康史和 COVID-19 相关变量的问题。主要研究结果是使用六项目简短韧性量表(BRS)衡量的韧性。使用社会科学统计软件包(SPSS)版本 25 中的卡方检验和二元逻辑回归分析对调查数据进行分析。
结果表明,在逻辑回归模型的背景下,七个独立变量(年龄、抑郁史、焦虑史、接受心理健康咨询的意愿、艾伯塔省政府的支持和雇主的支持)具有统计学意义。焦虑障碍史表明最能预测低韧性。与没有这种病史的人相比,有焦虑障碍病史的人表现出低韧性的可能性高出五倍。与没有抑郁病史的人相比,有抑郁病史的人表现出低韧性的可能性高出三倍。表示希望接受心理健康咨询的人表现出低韧性的可能性是不希望接受心理健康咨询的人的四倍。结果还表明,与年龄较大的参与者相比,年轻的参与者更容易出现低韧性。获得政府和雇主的支持是一种保护因素。
本研究强调了在 COVID-19 等大流行期间检查韧性及其相关因素的重要性。结果表明,焦虑障碍、抑郁和年龄较小是低韧性的重要预测因素。报告希望接受心理健康咨询的应答者也报告了低韧性。这些发现可用于设计和实施旨在提高受 COVID-19 大流行影响的个人韧性的干预措施。