Gold Alaina I, Ryjova Yana, Corner Geoffrey W, Rasmussen Hannah F, Kim Yehsong, Margolin Gayla
Department of Psychology, University of Southern California.
Department of Veterans Affairs Medical Center, Seattle Division, VA Puget Sound Health Care System.
Psychol Trauma. 2024 Sep;16(6):950-960. doi: 10.1037/tra0001526. Epub 2023 Jul 31.
The COVID-19 pandemic exacerbated experiences of loss and grief for many individuals and posed a challenging mental health crisis. Compared to studies examining a singular type of loss, the present study investigated the cumulative impacts of COVID-related losses on anxiety and depressive symptoms and examined whether meaning in life, marital status, or relationship quality offered a protective moderating role.
A cross-sectional online survey was conducted approximately 1 year into the pandemic among 434 diverse individuals (32.0% White; 52.1% women; = 34.7) in the United States. Measures included: General Anxiety Disorder-7, Patient Health Questionnaire-9, Quality of Marriage Index, and 26 loss items with corresponding grief ratings.
Results using linear mixed models demonstrated strong positive links between loss and both anxiety and depressive symptoms, although the association between loss and anxiety was stronger for women. The association between loss and anxiety was attenuated at high levels of meaning in life compared to average and low levels of meaning and for married individuals compared to unmarried participants. Being married also buffered the impact of loss on depressive symptoms.
Findings indicate that cumulative pandemic-related loss is associated with anxiety and depressive symptoms, and that meaning in life and romantic relationships may be promising interventional targets; though, these findings may change over the course of the pandemic. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
新冠疫情加剧了许多人的失落和悲伤情绪,引发了一场具有挑战性的心理健康危机。与研究单一类型失落的研究相比,本研究调查了与新冠相关的失落对焦虑和抑郁症状的累积影响,并考察了生活意义、婚姻状况或关系质量是否起到了保护性的调节作用。
在疫情爆发约1年后,对美国434名不同个体(32.0%为白人;52.1%为女性;平均年龄 = 34.7岁)进行了一项横断面在线调查。测量指标包括:广泛性焦虑障碍量表-7、患者健康问卷-9、婚姻质量指数,以及26项失落项目及相应的悲伤评分。
使用线性混合模型的结果表明,失落与焦虑和抑郁症状之间均存在强烈的正相关,不过失落与焦虑之间的关联对女性而言更强。与平均和低水平的生活意义相比,在高水平的生活意义下,失落与焦虑之间的关联减弱;与未婚参与者相比,已婚个体的情况也是如此。已婚状态也缓冲了失落对抑郁症状的影响。
研究结果表明,与疫情相关的累积失落与焦虑和抑郁症状有关,生活意义和浪漫关系可能是有前景的干预目标;不过,这些发现可能会在疫情过程中发生变化。(《心理学文摘数据库记录》(c) 2024美国心理学会,保留所有权利)