Department of Social and Behavioural Sciences, City University of Hong Kong, Hong Kong SAR, China.
School of Nursing, Wuhan University, Wuhan, China.
Stress Health. 2024 Jun;40(3):e3351. doi: 10.1002/smi.3351. Epub 2023 Nov 29.
COVID-19 centralized quarantine may cause acute stress disorder (ASD). However, it is unknown how individuals present heterogeneous ASD trajectories during the COVID-19 centralized quarantine and what factors contribute to these patterns. This study aimed to identify the ASD trajectories and their determinants during the centralized quarantine period, and the mediating effects of resilience on these associations. A longitudinal survey with three waves was conducted in a randomly selected quarantine hotel in Shenzhen, China from October to November 2020. A total of 273 participants completed online measures assessing ASD symptoms, Eysenck's personality constructs of extraversion (E), neuroticism (N), psychoticism (P), and resilience on Day 1, and reported ASD symptoms on Days 7 and 14 during their 14-day centralized quarantine periods. Latent class growth analysis identified three trajectories: constantly high symptoms (CHS, 4.76%), decreasing symptoms (DS, 11.72%), and constantly low symptoms (CLS, 83.52%). The CHS and DS subgroups both reported lower E and higher N scores, but not P, compared with the CLS subgroup. Resilience mediated the effects of three personality constructs on ASD trajectories, except for the association between N and DS membership. Our study highlights the heterogeneity in stress responses to the COVID-19 centralized quarantine. The high-risk subgroup with persistent ASD symptoms was characterized by lower E and higher N. The resilience process accounted for the effects of personality in shaping distinct ASD trajectories. Our findings have implications to detect the populations vulnerable to ASD and provide insights for developing timely resilience enhancement intervention programs.
COVID-19 集中隔离可能会导致急性应激障碍（ASD）。然而，目前尚不清楚在 COVID-19 集中隔离期间，个体的 ASD 轨迹呈现出怎样的异质性，以及是什么因素导致了这些模式。本研究旨在确定集中隔离期间 ASD 的轨迹及其决定因素，以及韧性在这些关联中的中介作用。2020 年 10 月至 11 月，在中国深圳的一家随机选择的隔离酒店进行了一项纵向调查，共进行了三波。共有 273 名参与者在第 1 天完成了在线评估 ASD 症状、艾森克人格结构的外向性（E）、神经质（N）、精神病质（P）和韧性的测量，并且在 14 天的集中隔离期间的第 7 天和第 14 天报告了 ASD 症状。潜在类别增长分析确定了三种轨迹：持续高症状（CHS，4.76%）、症状逐渐减少（DS，11.72%）和持续低症状（CLS，83.52%）。与 CLS 亚组相比，CHS 和 DS 亚组均报告 E 得分较低，N 得分较高，但 P 得分无差异。韧性中介了三种人格结构对 ASD 轨迹的影响，除了 N 与 DS 成员身份的关联之外。本研究强调了对 COVID-19 集中隔离应激反应的异质性。持续存在 ASD 症状的高风险亚组的特点是 E 得分较低，N 得分较高。韧性过程解释了人格在塑造不同 ASD 轨迹方面的作用。我们的研究结果对检测易患 ASD 的人群具有启示意义，并为开发及时的韧性增强干预计划提供了思路。
