Flexibility predicts chronic anxiety and depression during the first year of the COVID-19 pandemic-A longitudinal investigation of mental health trajectories.

IF 2.7 2区心理学 Q2 PSYCHIATRY

Psychological trauma : theory, research, practice and policy Pub Date : 2024-09-01 Epub Date: 2023-05-25 DOI:10.1037/tra0001517

Alla Hemi, Marie Roxanne Sopp, George Bonanno, Tanja Michael, Jed McGiffin, Einat Levy-Gigi

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引用次数: 0

Abstract

Objective: The COVID-19 pandemic is a significant stressor, potentially putting the well-being of the general population at risk. However, a significant proportion of the population exhibits resilience, raising questions regarding psychological constructs that could contribute to resilient coping. Studies indicate that flexibility, defined as the ability to adapt to changing contextual demands by employing various emotional, cognitive, and behavioral strategies, may significantly contribute to coping with long-term stressors such as COVID-19.

Method: Cognitive and coping flexibility domains and longitudinal trajectories of anxiety and depression were assessed at three-time points across 13 months in 571 Israelis.

Results: Analyses revealed four different trajectories for anxiety: resilient (66%), chronic (22%), emerging (7%), and improving (6%), and two trajectories for depression: resilient (87%) and chronic (13%). Individuals in the chronic trajectory group (for both anxiety and depression) exhibited lower cognitive flexibility and coping flexibility levels than individuals in the resilient trajectory group. Across time, anxiety and depression were linked to clinically significant posttraumatic stress disorder-like symptoms.

Conclusions: Low cognitive and coping flexibility are linked to the probability of experiencing chronic mental health problems, making them a potential target for prevention and treatment. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

查看原文本刊更多论文

灵活性预测 COVID-19 大流行第一年的慢性焦虑症和抑郁症--心理健康轨迹的纵向调查。

目的：COVID-19 大流行是一个巨大的压力源，有可能危及普通民众的福祉。然而，有相当一部分人表现出了抗压能力，这就提出了可能有助于抗压应对的心理结构问题。研究表明，灵活性被定义为通过采用各种情绪、认知和行为策略来适应不断变化的环境需求的能力，它可能大大有助于应对 COVID-19 等长期压力：方法：对 571 名以色列人在 13 个月内的三个时间点的认知和应对灵活性领域以及焦虑和抑郁的纵向轨迹进行了评估：分析结果显示了四种不同的焦虑轨迹：恢复性焦虑（66%）、慢性焦虑（22%）、新兴焦虑（7%）和改善焦虑（6%）；两种抑郁轨迹：恢复性抑郁（87%）和慢性抑郁（13%）。长期轨迹组（焦虑症和抑郁症）的个体表现出的认知灵活性和应对灵活性水平低于恢复性轨迹组的个体。从时间上看，焦虑和抑郁与临床上显著的创伤后应激障碍类似症状有关：低认知和应对灵活性与出现慢性心理健康问题的概率有关，因此是预防和治疗的潜在目标。(PsycInfo Database Record (c) 2024 APA, 版权所有）。

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

Psychological trauma : theory, research, practice and policy Multiple-

CiteScore

11.20

自引率

3.20%

发文量

427

期刊介绍： Psychological Trauma: Theory, Research, Practice, and Policy publishes empirical research on the psychological effects of trauma. The journal is intended to be a forum for an interdisciplinary discussion on trauma, blending science, theory, practice, and policy. The journal publishes empirical research on a wide range of trauma-related topics, including: -Psychological treatments and effects -Promotion of education about effects of and treatment for trauma -Assessment and diagnosis of trauma -Pathophysiology of trauma reactions -Health services (delivery of services to trauma populations) -Epidemiological studies and risk factor studies -Neuroimaging studies -Trauma and cultural competence