新冠疫情期间有精神障碍病史者的韧性结局：一项为期两年的国际纵向前瞻性研究
Resilient outcomes in people with a history of mental disorder during the COVID-19 pandemic: an international 2-years longitudinal prospective study.
作者信息
Pinucci I, Tedeschi F, Serra R, Patanè M, Acartürk C, Andriani D, Bryant R A, Burchert S, Caggiu G, Campos D, Conflitti C, Davisse-Paturet C, Felez-Nobrega M, Fuhr D, Hall B J, Haro J M, Huizink A C, Knaevelsrud C, Kurt G, Lam A, Leijen I, Mediavilla R, Melchior M, Mittendorfer-Rutz E, Morina N, Monzio Compagnoni M, Nicaise P, Palantza C, Panter-Brick C, Papola D, Quero S, Rodriguez Prada C, Seedat S, Setyowibowo H, Smith P, van der Waerden J, Walter H, Witteveen A, Pasquini M, Sijbrandij M, Barbui C, Tarsitani L
机构信息
Department of Human Neurosciences, Sapienza University of Rome, Rome, Italy.
Department of Clinical, Neuro-, and Developmental Psychology and WHO Collaborating Center for Research and Dissemination of Psychological Interventions, Vrije Universiteit, Amsterdam, The Netherlands.
出版信息
Soc Psychiatry Psychiatr Epidemiol. 2025 Jun 23. doi: 10.1007/s00127-025-02944-x.
BACKGROUND
During the COVID-19 pandemic, the global population was exposed to a significant psychological stress, which had an impact on the mental health in individuals with pre-existing mental disorders. Despite their heightened vulnerability, subgroups within this population demonstrated resilient outcomes throughout the pandemic. This study aims to identify predictors of long-term, sustained resilient outcomes among people with a history of mental disorder during the first two years of the pandemic.
METHODS
In this international 2-year, 5-wave longitudinal online survey, the Patient Health Questionnaire-9, the Generalized Anxiety Disorder Scale, and the PTSD Checklist DSM-5 were used for a proxy measure of psychological distress. As possible predictors of sustained resilient outcomes, we investigated socio-demographic characteristics, economic and housing status, pandemic-related issues, chronic diseases, social support, fear of contamination and personal values which were investigated respectively through the Oslo Social Support Scale, the Padua Inventory, and the Portrait Values Questionnaire. Data were analysed with a Mover-Stayer Latent Transition Analysis model.
RESULTS
Nine-hundred and forty-three participants with a mental disorder were included in the analysis. Variables associated with a higher chance of sustained resilient outcomes were older age, maintaining a job, and having more people in the household. In contrast, female gender, losing job, difficulty in meeting basic needs, higher fear of contamination, hedonism, less social support and loneliness resulted in a lower likelihood of presenting sustained resilient outcomes.
CONCLUSION
This study identified factors that predictsustained resilience in people with mental disorders. The newly discovered predictors could prove invaluable in developing strategies to enhance the resilience of people with mental disorders during times of crises, such as pandemics.
背景
在新冠疫情期间，全球人口面临着巨大的心理压力，这对患有既往精神障碍的个体的心理健康产生了影响。尽管这一人群的脆弱性增加，但在整个疫情期间，该人群中的亚组表现出了恢复力。本研究旨在确定在疫情的头两年中，有精神障碍病史的人群长期、持续恢复力的预测因素。
方法
在这项为期两年、分五波进行的国际纵向在线调查中，使用患者健康问卷-9、广泛性焦虑障碍量表和创伤后应激障碍检查表DSM-5来替代测量心理困扰。作为持续恢复力结果的可能预测因素，我们调查了社会人口学特征、经济和住房状况、与疫情相关的问题、慢性病、社会支持、对污染的恐惧以及个人价值观，分别通过奥斯陆社会支持量表、帕多瓦量表和肖像价值观问卷进行调查。数据采用移动-停留潜在转变分析模型进行分析。
结果
943名患有精神障碍的参与者被纳入分析。与持续恢复力结果可能性较高相关的变量包括年龄较大、保住工作以及家中人口较多。相比之下，女性、失业、难以满足基本需求、对污染的恐惧较高、享乐主义、社会支持较少和孤独导致出现持续恢复力结果的可能性较低。
结论
本研究确定了预测精神障碍患者持续恢复力的因素。新发现的预测因素在制定策略以增强精神障碍患者在危机时期（如疫情）的恢复力方面可能具有巨大价值。
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