Jin Jiahui, Lai Daniel W L, Lee Vincent W P, Yan Elsie, Ou Alison X T, Wang Julia Juan
Wee Kim Wee School of Communication and Information, Nanyang Technological University, Singapore, Singapore.
Faculty of Arts and Social Sciences, Hong Kong Baptist University, Hong Kong, China.
Prim Health Care Res Dev. 2025 Jan 9;26:e2. doi: 10.1017/S1463423624000641.
This research aimed to comprehensively explore the impact of diverse challenges encountered by older adults on the development of post-traumatic stress disorder (PTSD). It delved into how these effects vary depending on individuals' levels of trust in authority and medical professionals, providing a nuanced understanding of the interplay between external challenges, personal trust, and mental health outcomes in the older population.
The COVID-19 pandemic has imposed significant hardships, particularly on the ageing population, with potential psychological repercussions such as PTSD. Notably, there is a dearth of research exploring this association within the context of Chinese older adults, a group that may experience unique impacts due to cultural differences in the face of global crises.
Data were collected from a representative sample of 1,211 participants aged 60 years and above in Shenzhen. Logistic and hierarchical linear regression methods were utilized to investigate the relationship between the challenges posed by COVID-19, public trust, and the manifestation of PTSD symptoms.
Higher levels of challenges related to 'supplies, services access and safety', 'abuse and conflicts', and 'anger and fear' were associated with PTSD. Furthermore, a lower level of challenges related to 'disease management and information' was associated with PTSD. Trust in authority or medical professionals was the moderator between the challenges brought about by COVID-19 and PTSD, which helped to lower the impact of challenges. Despite the challenges brought by COVID-19 to people, nurturing a stronger sense of trust in authority and medical professionals would ease older adults' psychological stress and concerns.
本研究旨在全面探讨老年人所面临的各种挑战对创伤后应激障碍（PTSD）发展的影响。深入研究这些影响如何因个体对权威和医疗专业人员的信任程度而异，从而对老年人群体中外部挑战、个人信任和心理健康结果之间的相互作用有更细致入微的理解。
新冠疫情带来了巨大困难，尤其是对老年人群体，可能产生如创伤后应激障碍等心理影响。值得注意的是，在中国老年人背景下探索这种关联的研究匮乏，这一群体在面对全球危机时可能因文化差异而受到独特影响。
从深圳1211名60岁及以上具有代表性的参与者样本中收集数据。采用逻辑回归和分层线性回归方法研究新冠疫情带来的挑战、公众信任与创伤后应激障碍症状表现之间的关系。
与“物资供应、服务获取与安全”“虐待与冲突”以及“愤怒与恐惧”相关的较高水平挑战与创伤后应激障碍有关。此外，与“疾病管理与信息”相关的较低水平挑战也与创伤后应激障碍有关。对权威或医疗专业人员的信任是新冠疫情带来的挑战与创伤后应激障碍之间的调节因素，有助于降低挑战的影响。尽管新冠疫情给人们带来了挑战，但培养对权威和医疗专业人员更强的信任感会减轻老年人的心理压力和担忧。
