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波兰新冠疫情期间创伤前应激的预测因素。

Predictors of pretraumatic stress during the COVID-19 pandemic in Poland.

作者信息

Łyś Agnieszka E, Huflejt-Łukasik Mirosława, Gambin Małgorzata, Studzińska Anna, Bargiel-Matusiewicz Kamilla, Oleksy Tomasz, Wnuk Anna, Pankowski Daniel

机构信息

Faculty of Psychology and Cognitive Science, Adam Mickiewicz University in Poznań, Poznań, Poland.

Faculty of Psychology, University of Warsaw, Warsaw, Poland.

出版信息

PLoS One. 2023 Aug 18;18(8):e0290151. doi: 10.1371/journal.pone.0290151. eCollection 2023.

DOI:10.1371/journal.pone.0290151
PMID:37594938
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10437860/
Abstract

BACKGROUND

Pretraumatic stress has the same symptoms as post-traumatic stress but instead pertains to anticipated threats. There is evidence that pretraumatic stress occurs among soldiers and pregnant people.

OBJECTIVE

We analyzed correlates of pretraumatic stress concerning the threat of COVID-19 infection.

METHOD

Our pilot study was cross-sectional (N = 74); our main study was longitudinal and consisted of three waves (N = 1067, N = 894, and N = 752 for Waves 1, 2, and 3, respectively). Our pilot study used correlation and multiple linear regression. Our main study used quadratic regression and a random intercept cross-lagged panel model.

RESULTS

The pilot study found that pretraumatic stress was positively correlated with agreeableness (r = .24, p < .01) and negatively correlated with emotional stability (r = -.30, p < .01) and intellect/imagination (r = -.37, p < .01). The main study demonstrated that pretraumatic stress was positively correlated with other measures of mental health problems during the COVID-19 pandemic and with perceived positive aspects of the pandemic (r = .11, p < .01). There is evidence of a U-shaped relationship between pretraumatic stress and perceived positive aspects of the pandemic. A random intercept cross-lagged panel model analysis demonstrated that pretraumatic stress in Wave 2 was negatively predicted by levels of prosocial behavior in Wave 1 (B = -1.130, p < .01).

CONCLUSION

Mental health professionals should take into account pretraumatic stress, not only as a possible consequence of the COVID-19 pandemic outbreak but more generally as a risk in situations that are new, difficult, and challenging for people.

摘要

背景

创伤前应激与创伤后应激具有相同的症状,但它涉及的是预期的威胁。有证据表明,士兵和孕妇中会出现创伤前应激。

目的

我们分析了与新冠病毒感染威胁相关的创伤前应激的相关因素。

方法

我们的试点研究为横断面研究(N = 74);我们的主要研究为纵向研究,包括三个阶段(第一、二、三阶段的N分别为1067、894和752)。我们的试点研究使用了相关性分析和多元线性回归。我们的主要研究使用了二次回归和随机截距交叉滞后面板模型。

结果

试点研究发现,创伤前应激与宜人性呈正相关(r = 0.24,p < 0.01),与情绪稳定性呈负相关(r = -0.30,p < 0.01),与智力/想象力呈负相关(r = -0.37,p < 0.01)。主要研究表明,在新冠疫情期间,创伤前应激与其他心理健康问题指标以及对疫情的积极认知呈正相关(r = 0.11,p < 0.01)。有证据表明,创伤前应激与对疫情的积极认知之间存在U型关系。随机截距交叉滞后面板模型分析表明,第一阶段的亲社会行为水平对第二阶段的创伤前应激有负向预测作用(B = -1.130,p < 0.01)。

结论

心理健康专业人员应考虑创伤前应激,这不仅是新冠疫情爆发可能产生的后果,更普遍而言,是在对人们来说新的、困难的和具有挑战性的情况下的一种风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58e6/10437860/47660b75a528/pone.0290151.g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58e6/10437860/ed544d866fc4/pone.0290151.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58e6/10437860/04fb9b572f28/pone.0290151.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58e6/10437860/47660b75a528/pone.0290151.g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58e6/10437860/ed544d866fc4/pone.0290151.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58e6/10437860/04fb9b572f28/pone.0290151.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58e6/10437860/47660b75a528/pone.0290151.g003.jpg

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