Fedina Lisa, Roberto Karen A, Zhang Xuehan, Chang Yujeong, Love Jasmine, Herrenkohl Todd I
School of Social Work, University of Michigan.
Virginia Tech Center for Gerontology, College of Liberal Arts and Human Sciences, Virginia Tech.
Am J Orthopsychiatry. 2024;94(1):89-98. doi: 10.1037/ort0000707. Epub 2023 Oct 12.
A number of studies now confirm that the COVID-19 pandemic has increased and exacerbated mental health problems in the general population. Previous quantitative studies have found similar effects on mental health symptoms among adults with histories of childhood adversity; however, qualitative research is needed to provide a more in-depth understanding of pandemic-related experiences among this vulnerable population. Using semistructured qualitative interviews, we explored perceptions of adults with histories of child maltreatment and neglect to better understand the overall impact of the pandemic on their mental health, reported changes in stress and alcohol use, and reported coping strategies during the first year of the pandemic ( = 40). Approximately half of participants reported that the pandemic had greatly (negatively) impacted their life, relationships, and well-being. Contributing stressors included being fearful of getting sick, navigating work changes, and experiencing economic and housing hardships, grief and loss, and social isolation. Fewer than half of the sample reported more stress (46%), whereas a third (33%) indicated no changes to stress, and 10% had reduced stress. The majority (80%) indicated no changes in their alcohol use. Most participants reported they used positive coping strategies during the pandemic. Three primary themes emerged related to participants' perceptions of getting through difficult times: seeking outside support, engaging in positive reframing, and drawing on internal strength and resources. Findings can guide prevention strategies that strengthen social support and foster resilience among vulnerable populations of adults with histories of childhood maltreatment. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
现在有多项研究证实，新冠疫情加剧并恶化了普通人群的心理健康问题。此前的定量研究发现，童年有过逆境经历的成年人在心理健康症状方面也有类似影响；然而，需要进行定性研究，以便更深入地了解这一弱势群体在疫情期间的相关经历。我们通过半结构化定性访谈，探讨了有儿童期虐待和忽视经历的成年人的看法，以更好地理解疫情对他们心理健康的总体影响、所报告的压力和饮酒习惯的变化，以及疫情第一年（n = 40）期间所报告的应对策略。约一半的参与者表示，疫情对他们的生活、人际关系和幸福感产生了极大的（负面）影响。造成压力的因素包括担心生病、应对工作变化、经历经济和住房困难、悲伤和失落，以及社交隔离。不到一半的样本表示压力增加（46%），而三分之一（33%）的人表示压力没有变化，10%的人压力有所减轻。大多数人（80%）表示饮酒习惯没有变化。大多数参与者报告说，他们在疫情期间采用了积极的应对策略。出现了三个与参与者对度过艰难时期的看法相关的主要主题：寻求外部支持、进行积极的重新审视，以及利用内在力量和资源。研究结果可为预防策略提供指导，这些策略可加强社会支持，并培养有童年虐待经历的弱势成年人群体的恢复力。（PsycInfo数据库记录（c）2024美国心理学会，保留所有权利）
