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智利父母中的新冠疫情困境与心理健康:灾难暴露及家庭复原力的作用

COVID-19 hardship and mental health in Chilean parents: the role of disaster exposure and family resilience.

作者信息

Espinoza Camila, Alink Lenneke, Laplante David P, Elzinga Bernet, van der Veek Shelley

机构信息

Institute of Education and Child Studies, Leiden University, Leiden, The Netherlands.

Centre for Child Development and Mental Health, Lady Davis Institute, Jewish General Hospital, Montréal, Canada.

出版信息

Eur J Psychotraumatol. 2025 Dec;16(1):2465001. doi: 10.1080/20008066.2025.2465001. Epub 2025 Mar 4.

Abstract

The negative mental health effects of the pandemic on families are well documented, while factors that buffer or increase such effects still need further investigation. Previous exposure to adversity might increase the negative impact of pandemic experiences. On the other hand, family resilience may protect against these negative effects, and may also be regarded as a mediator explaining the negative association between pandemic hardship and mental health. The current study focused on the effects of COVID-19-related hardship on parental mental health. We evaluated the impact of the individual experiences with the COVID-19 pandemic on mental health among Chilean parents from a community sample, who were exposed in varying levels to a destructive earthquake and tsunami approximately 10 years earlier. Participants (= 219) completed online measures of pandemic hardship, mental health, disaster hardship related to the past earthquake, and family resilience. We examined the moderating role of disaster exposure and the moderating and mediating role of family resilience on the current impact of the pandemic on mental health. Individual exposure levels of COVID-19 hardship were associated with mental health complaints. Both previous disaster hardship and family resilience were associated with mental health complaints. However, previous disaster hardship did not moderate the relationship between pandemic hardship and mental health complaints, nor did family resilience moderate or mediate it. These results align with the evidence of the negative emotional impact of pandemic-related stressors, and propose family resilience and past disaster exposure as relevant predictors of mental health during the sanitary emergency. Findings are discussed in the broader social context in Chile and warrant adjusting public policies towards those underserved groups heavily affected by the pandemic.

摘要

疫情对家庭心理健康的负面影响已有充分记录,而缓冲或加剧这些影响的因素仍需进一步研究。先前经历过逆境可能会增加疫情经历的负面影响。另一方面,家庭复原力可能会抵御这些负面影响,也可被视为解释疫情困境与心理健康之间负相关关系的一个中介因素。本研究聚焦于与新冠疫情相关的困境对父母心理健康的影响。我们从一个社区样本中评估了智利父母在新冠疫情中的个人经历对其心理健康的影响,这些父母大约在10年前不同程度地遭受了一场毁灭性地震和海啸。参与者(=219人)完成了关于疫情困境、心理健康、与过去地震相关的灾难困境以及家庭复原力的在线测评。我们考察了灾难暴露的调节作用以及家庭复原力在疫情当前对心理健康影响中的调节和中介作用。新冠疫情困境的个人暴露水平与心理健康问题相关。先前的灾难困境和家庭复原力均与心理健康问题相关。然而,先前的灾难困境并未调节疫情困境与心理健康问题之间的关系,家庭复原力也未起到调节或中介作用。这些结果与疫情相关应激源产生负面情绪影响的证据相符,并提出家庭复原力和过去的灾难暴露是卫生紧急状态期间心理健康的相关预测因素。研究结果在智利更广泛的社会背景下进行了讨论,并呼吁针对受疫情严重影响的弱势群体调整公共政策。

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