Department of Psychiatry, Vagelos College of Physicians and Surgeons, Columbia University, New York, NY 10032, United States of America; Manhattan Psychiatric Center, New York, NY 10035, United States of America.
Department of Psychiatry, Vagelos College of Physicians and Surgeons, Columbia University, New York, NY 10032, United States of America; New York State Psychiatric Institute, Division of Translational Epidemiology, New York, NY 10032, United States of America.
J Affect Disord. 2023 Oct 15;339:172-179. doi: 10.1016/j.jad.2023.07.009. Epub 2023 Jul 11.
Few studies have rigorously examined the effectiveness of commonly reported coping activities during the COVID-19 pandemic. This study was designed to assess perceived helpful activities during the pandemic and to investigate the extent to which these activities were associated with psychological outcomes.
Adults living in the US (N = 204), who were part of a longitudinal family study of depression responded to an online survey. They reported on their perceived helpful activities during the pandemic. General linear regression models (GLM) were used to evaluate the association between perceived helpful activities and current psychiatric symptoms, controlling for demographic factors, and pre-pandemic psychiatric history and symptoms.
The top perceived helpful activity during COVID-19 was communicating with friends/family via telephone text or video (75.5 %). However, of the top five activities endorsed, cooking/baking was associated with the most clinical outcomes, including lower anxiety/depression and greater psychological wellbeing (all ps < 0.05). These relationships were most prominent among younger individuals < age 40 years, females, and those with recent psychiatric history, although they extended to younger males, and individuals at high or low depression risk.
Close ended items limited variability in coping activities reported. The study lacked data on substance use. The sample was racially and ethnically homogenous.
These findings move beyond anecdotal evidence that cooking/baking as a coping activity yields protection against psychopathology. Its ready accessibility and ability to confer benefits across a range of individual characteristics, make it a useful adjunct in therapeutic interventions for people confined to their homes.
很少有研究严格检查在 COVID-19 大流行期间常见报告的应对活动的有效性。本研究旨在评估大流行期间感知到的有用活动,并调查这些活动与心理结果的关联程度。
居住在美国的成年人(N=204),他们是一项关于抑郁症的纵向家庭研究的一部分,对在线调查做出了回应。他们报告了在大流行期间他们认为有用的活动。使用一般线性回归模型(GLM)评估感知到的有用活动与当前精神科症状之间的关联,控制人口统计学因素、大流行前的精神病史和症状。
在 COVID-19 期间,与朋友/家人通过电话、短信或视频交流是最受欢迎的活动(75.5%)。然而,在被认可的前五项活动中,烹饪/烘焙与最多的临床结果相关,包括更低的焦虑/抑郁和更高的心理幸福感(所有 p 值均<0.05)。这些关系在年龄<40 岁的年轻个体、女性以及有近期精神病史的个体中最为明显,尽管它们也扩展到年轻男性和处于高或低抑郁风险的个体中。
封闭的项目限制了所报告的应对活动的变化性。研究缺乏关于物质使用的数据。样本在种族和民族上是同质的。
这些发现超越了烹饪/烘焙作为应对活动产生保护作用以防患精神病理学的轶事证据。它的易获得性和能够在一系列个体特征中带来益处,使其成为居家治疗干预的有用辅助手段。