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新冠疫情后心理困扰人群的心理健康改善。

Mental health improvement after the COVID-19 pandemic in individuals with psychological distress.

机构信息

Department of Psychology I, Julius-Maximilians-University Würzburg, Marcusstr. 9-11, 97070, Würzburg, Germany.

Department of Psychiatry, Psychosomatics and Psychotherapy, Clinical Anxiety Research, Center of Mental Health, University of Würzburg, Würzburg, Germany.

出版信息

Sci Rep. 2024 Mar 7;14(1):5685. doi: 10.1038/s41598-024-55839-3.

Abstract

The COVID-19 pandemic and associated countermeasures had an immensely disruptive impact on people's lives. Due to the lack of systematic pre-pandemic data, however, it is still unclear how individuals' psychological health has been affected across this incisive event. In this study, we analyze longitudinal data from two healthy samples (N = 307) to provide quasi-longitudinal insight into the full trajectory of psychological burden before (baseline), during the first peak, and at a relative downturn of the COVID-19 pandemic. Our data indicated a medium rise in psychological strain from baseline to the first peak of the pandemic (d = 0.40). Surprisingly, this was overcompensated by a large decrease of perceived burden until downturn (d =  - 0.93), resulting in a positive overall effect of the COVID-19 pandemic on mental health (d = 0.44). Accounting for this paradoxical positive effect, our results reveal that the post-pandemic increase in mental health is driven by individuals that were already facing psychological challenges before the pandemic. These findings suggest that coping with acute challenges such as the COVID-19 pandemic can stabilize previously impaired mental health through reframing processes.

摘要

新冠疫情及相关防控措施对人们的生活造成了巨大的干扰。然而,由于缺乏系统的大流行前数据,目前仍不清楚在这一突发事件中,个体的心理健康受到了怎样的影响。在这项研究中,我们分析了两个健康人群样本(N=307)的纵向数据,为新冠疫情前(基线)、第一波高峰期间和相对下降期间的心理负担全貌提供了准纵向的见解。我们的数据显示,心理压力从基线到疫情第一波高峰呈中等程度上升(d=0.40)。令人惊讶的是,这被疫情相对下降期间的巨大感知负担下降所抵消(d=-0.93),导致新冠疫情对心理健康产生了积极的总体影响(d=0.44)。考虑到这种矛盾的积极影响,我们的研究结果表明,疫情后心理健康的增加是由那些在疫情前已经面临心理挑战的个体推动的。这些发现表明,通过重新构建认知,应对新冠疫情等急性挑战可以稳定先前受损的心理健康。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09bf/10920823/74bd91f0e9ce/41598_2024_55839_Fig1_HTML.jpg

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