对新冠疫情中遭受灾难的年轻成年人心理健康轨迹的前瞻性研究。
A Prospective Examination of Mental Health Trajectories of Disaster-Exposed Young Adults in the COVID-19 Pandemic.
作者信息
Janson Melissa, Felix Erika D, Jaramillo Natalia, Sharkey Jill D, Barnett Miya
机构信息
Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA 98195, USA.
Department of Counseling, Clinical, and School Psychology, University of California, Santa Barbara, Santa Barbara, CA 93106, USA.
出版信息
Behav Sci (Basel). 2024 Sep 7;14(9):787. doi: 10.3390/bs14090787.
This longitudinal study examines young adult mental health (MH) trajectories after exposure to natural disasters (i.e., hurricanes, wildfires, mudslides) across four waves, two pre- and two during the COVID-19 pandemic. Participants ( = 205) answered questions about anxiety, depression, and post-traumatic stress symptoms (PTSSs) across Waves (Ws) s 1-4 and pre-pandemic factors (prior trauma history, disaster exposure, life stressors since disaster) at Wave (W) 1. Hierarchical linear modeling was conducted to examine MH trajectories and associations with pre-pandemic factors. Only the PTSS trajectory significantly differed across all Ws, with the largest increase between Ws 2 and 3 (pre- and during-pandemic time points). Prior trauma history and life stressors since the disaster were significantly associated with all MH trajectory intercepts but not growth rates.
这项纵向研究考察了在新冠疫情的两个前期阶段和两个期间阶段的四波调查中，遭受自然灾害（即飓风、野火、泥石流）的年轻成年人的心理健康轨迹。参与者（n = 205）在第1至4波调查中回答了有关焦虑、抑郁和创伤后应激症状（PTSS）的问题，并在第1波调查中回答了疫情前的因素（既往创伤史、灾害暴露、灾害后的生活压力源）。进行了分层线性建模，以检验心理健康轨迹以及与疫情前因素的关联。只有PTSS轨迹在所有波次中存在显著差异，在第2波和第3波（疫情前和疫情期间的时间点）之间增幅最大。既往创伤史和灾害后的生活压力源与所有心理健康轨迹的截距显著相关，但与增长率无关。
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