A longitudinal examination of the protective effect of resilience against anxiety among older adults with high COVID-related worry.

IF 4.3 2区心理学 Q1 PSYCHOLOGY, CLINICAL

Cognitive Behaviour Therapy Pub Date : 2023-09-01 Epub Date: 2023-04-11 DOI:10.1080/16506073.2023.2191825

Dawn Carr, Julia Sheffler, Melissa Meynadasy, Brad Schmidt, Greg Hajcak, Natalie Sachs-Ericsson

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引用次数: 0

Abstract

This longitudinal study of community dwelling older adults (N = 453) examined consequences of COVID-related worries on changes in anxiety symptoms before relative to during the pandemic. We further evaluated if pre-COVID psychological resilience (PR) buffered the impact of COVID-related worry. Pre-COVID data were collected in September 2018. COVID-related worry and COVID anxiety symptoms were collected in October 2020 (Wave 2). Controlling for pre-COVID anxiety symptoms, we examined if COVID-related worries (e.g. I'm worried that I might die from COVID-19) were associated with increased anxiety symptoms, and whether pre-COVID PR moderated the association between COVID-related worries and prospective increases in anxiety symptoms. COVID-related worries were associated with increased anxiety symptoms (β = 0.005, p < .01), whereas pre-COVID PR was associated with a decrease in anxiety symptoms (β = -0.029, p < .05). PR moderated the association; COVID-related worries were associated with greater increases in anxiety symptoms among those with low pre-COVID PR (Model η² = 0.35). Thus, the extent to which COVID-related worries influenced psychological health was dependent on pre-COVID levels of PR. We conclude the combined vulnerabilities of low pre-COVID PR and high COVID-related worries significantly increased the psychological consequences of COVID-19 for our sample of older adults.

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对具有高度新冠肺炎相关担忧的老年人抗焦虑能力保护作用的纵向检查。

这项针对居住在社区的老年人的纵向研究（N = 453）研究了与新冠肺炎相关的担忧对之前和期间焦虑症状变化的影响。我们进一步评估了新冠肺炎前的心理弹性（PR）是否缓冲了与新冠肺炎相关的担忧的影响。2018年9月收集了新冠疫情前的数据。2020年10月收集了与新冠肺炎相关的担忧和新冠肺炎焦虑症状（第2波）。为了控制新冠肺炎前的焦虑症状，我们检查了与新冠肺炎相关的担忧（例如，我担心我可能死于新冠肺炎）是否与焦虑症状增加有关，以及新冠肺炎之前的PR是否调节了新冠肺炎有关的担忧与焦虑症状预期增加之间的关联。与新冠肺炎相关的担忧与焦虑症状的增加有关（β = 0.005，p p 2. = 0.35）。因此，与新冠肺炎相关的担忧对心理健康的影响程度取决于新冠肺炎前的PR水平。我们得出结论，低的前新冠肺炎PR和高的新冠肺炎担忧的综合脆弱性显著增加了新冠肺炎对我们的老年人样本的心理影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Cognitive Behaviour Therapy PSYCHOLOGY, CLINICAL-

CiteScore

9.20

自引率

0.00%

发文量

期刊介绍： Cognitive Behaviour Therapy is a peer reviewed, multidisciplinary journal devoted to the application of behavioural and cognitive sciences to clinical psychology and psychotherapy. The journal publishes state-of-the-art scientific articles within: - clinical and health psychology - psychopathology - behavioural medicine - assessment - treatment - theoretical issues pertinent to behavioural, cognitive and combined cognitive behavioural therapies With the number of high quality contributions increasing, the journal has been able to maintain a rapid publication schedule, providing readers with the latest research in the field.