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过度唤醒和异常突显在接受抗 COVID-19 疫苗接种中的作用。

The Role of Hyperarousal and Aberrant Salience in the Acceptance of Anti-COVID-19 Vaccination.

机构信息

Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Via Consolare Valeria 1, Contesse, 98125 Messina, Italy.

Psychiatry Unit, Polyclinic Hospital University of Messina, Via Consolare Valeria 1, Contesse, 98125 Messina, Italy.

出版信息

Medicina (Kaunas). 2023 Jul 31;59(8):1403. doi: 10.3390/medicina59081403.

DOI:10.3390/medicina59081403
PMID:37629693
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10456341/
Abstract

: This present study was aimed at exploring hyperarousal and aberrant salience in a sample of the Italian general population to understand their possible role in the acceptance of anti-COVID-19 vaccination. : Sociodemographic data questions, the "Acceptance of Vaccination" measure, the Hyperarousal Scale (H-Scale), and the Aberrant Salience Inventory (ASI) were sent as an unpaid online survey to the general population (age range 18-80 years) within the Italian territory. : The enrolled subjects were divided into two subgroups: "Pro-vax" ( = 806; 87.4%) and "No-vax" ( = 116; 12.6%). Statistical analysis showed significant differences between groups in the "Education Level" ( = 0.001) category, higher in the "Pro-vax" group, and in the ASI "Senses Sharpening" ( = 0.007), "Heightened Emotionality" ( = 0.008), and "Heightened Cognition" ( = 0.002) subscales with the "Total Score" ( = 0.015), all higher in "No-vax" subjects. Furthermore, a linear regression model evidenced that only "Education Level" (β = 0.143; < 0.0001) and "Senses Sharpening" (β = -0.150; = 0.006) were, respectively, direct and inverse predictors of "Acceptance of Vaccination". : Our results show that several subthreshold conditions, such as somatosensory amplification, anxiety traits, and panic experiences, should be taken into account by authoritative sources involved in health education, communication, and policy to alleviate public concerns about vaccine safety, for the present and also future pandemics, and to provide more inclusive, informed, and accurate public health preventive and treatment programs.

摘要

本研究旨在探索意大利普通人群样本中的过度唤醒和异常突显,以了解它们在接受抗 COVID-19 疫苗接种方面的可能作用。社会人口统计学数据问题、“疫苗接种接受度”衡量标准、过度唤醒量表 (H-Scale) 和异常突显量表 (ASI) 作为一项非付费在线调查,发送给意大利境内的普通人群(年龄在 18-80 岁之间)。登记的受试者分为两组:“支持疫苗”(=806;87.4%)和“反对疫苗”(=116;12.6%)。统计分析显示,两组在“教育水平”(=0.001)类别上存在显著差异,“支持疫苗”组较高,在 ASI 的“感官敏锐度”(=0.007)、“情绪增强”(=0.008)和“认知增强”(=0.002)子量表以及“总分”(=0.015)上,“反对疫苗”组较高。此外,线性回归模型表明,只有“教育水平”(β=0.143;<0.0001)和“感官敏锐度”(β=-0.150;=0.006)分别是“疫苗接种接受度”的直接和间接预测因素。我们的结果表明,在健康教育、沟通和政策方面,权威机构应该考虑到一些阈下条件,如躯体感觉放大、焦虑特征和惊恐体验,以减轻公众对疫苗安全性的担忧,无论是当前还是未来的大流行,以及为公众提供更具包容性、知情和准确的公共卫生预防和治疗方案。

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本文引用的文献

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Surviving COVID-19: Biopsychosocial Impacts, Death Anxiety, and Coping Strategies.从新冠疫情中幸存:生物心理社会影响、死亡焦虑及应对策略
Vaccines (Basel). 2023 Mar 20;11(3):705. doi: 10.3390/vaccines11030705.
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Psychology Meets Biology in COVID-19: What We Know and Why It Matters for Public Health.心理学与新冠疫情中的生物学相遇:我们所了解的情况及其对公共卫生的重要性。
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The COVID-19 pandemic in 2023: far from over.2023年的新冠疫情:远未结束。
Lancet. 2023 Jan 14;401(10371):79. doi: 10.1016/S0140-6736(23)00050-8.
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Global state of education-related inequality in COVID-19 vaccine coverage, structural barriers, vaccine hesitancy, and vaccine refusal: findings from the Global COVID-19 Trends and Impact Survey.全球 COVID-19 趋势和影响调查:新冠疫苗覆盖、结构性障碍、疫苗犹豫和疫苗拒绝方面与教育相关的不平等的全球状况。
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Spirituality and religiosity contribute to ongoing COVID-19 vaccination rates: Comparing 195 regions around the world.精神性和宗教信仰对新冠疫苗接种率的持续提升有促进作用:对全球195个地区的比较研究
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Nature. 2022 Nov;611(7935):332-345. doi: 10.1038/s41586-022-05398-2. Epub 2022 Nov 3.
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COVID-19 Vaccination and Mental Disorders, What Has Been Accomplished and Future Direction.新冠疫苗接种与精神障碍:已取得的成果及未来方向
Brain Sci. 2022 Feb 20;12(2):292. doi: 10.3390/brainsci12020292.
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A Scoping Review to Find Out Worldwide COVID-19 Vaccine Hesitancy and Its Underlying Determinants.一项旨在查明全球范围内新冠疫苗犹豫情况及其潜在决定因素的范围综述。
Vaccines (Basel). 2021 Oct 25;9(11):1243. doi: 10.3390/vaccines9111243.
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How Should Psychiatry Respond to COVID-19 Anti-Vax Attitudes?精神病学应如何应对新冠疫苗接种反对态度?
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COVID-19 vaccination in Chinese children: a cross-sectional study on the cognition, psychological anxiety state and the willingness toward vaccination.中国儿童 COVID-19 疫苗接种:一项关于认知、心理焦虑状态和接种意愿的横断面研究。
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