COVID 保护行为、心理健康、风险认知和控制信念:每日日记数据的动态时态网络分析》。

IF 3.6 2区 心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY
Christopher M Jones, Daryl B O'Connor, Stuart G Ferguson, Benjamin Schüz
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引用次数: 0

摘要

背景:在 COVID-19 大流行期间,为控制感染,广泛实施了非药物行为干预措施(NPIs),如拉开社会距离和卫生措施(掩蔽、手部卫生)。与此同时,遵守非药物干预措施也意味着精神健康问题的增加。然而,许多现有研究的设计往往不适于区分NPI依从性、心理健康症状和健康相关认知(风险感知、控制信念)之间的复杂关系。目的:区分心理健康、健康相关认知和NPI依从性之间的人际关系和人内时间关系:方法: 对 397 名德国成年人进行为期 6 个月的生态瞬间评估 (EMA) 研究,其中包括 6 次为期 4 天的评估。在评估过程中,每天对坚持治疗情况、心理健康症状和认知进行测量。我们使用动态时间网络分析来估算人与人之间以及人与人之间对距离和卫生NPIs的同期和滞后影响:结果:心理健康、健康认知和依从性出现了不同的网络集群。控制信念较高和易感性较高的参与者也更坚持治疗(人与人之间的观点)。在人与人之间,也出现了类似的发现,此外,距离感和孤独感也与之相关。滞后研究结果表明,更好地坚持非传染性疾病与随后几天更好的心理健康有关,而更高的孤独感与随后更好地坚持卫生有关:研究结果表明,坚持服用非抗生素不会对心理健康产生负面影响,反之亦然,坚持服用非抗生素可能会改善心理健康症状。控制信念和风险意识是影响是否坚持的重要协变量--无论是在人与人之间还是人与人之间。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
COVID Protection Behaviors, Mental Health, Risk Perceptions, and Control Beliefs: A Dynamic Temporal Network Analysis of Daily Diary Data.

Background: To control infections, behavioral non-pharmaceutical interventions (NPIs) such as social distancing and hygiene measures (masking, hand hygiene) were implemented widely during the COVID-19 pandemic. At the same time, adherence to NPIs has also been implied in an increase in mental health problems. However, the designs of many existing studies are often poorly suited to disentangle complex relationships between NPI adherence, mental health symptoms, and health-related cognitions (risk perceptions, control beliefs).

Purpose: To separate between- and temporal within-person associations between mental health, health-related cognitions, and NPI adherence.

Methods: Six-month ecological momentary assessment (EMA) study with six 4-day assessment bouts in 397 German adults. Daily measurement of adherence, mental health symptoms, and cognitions during bouts. We used dynamic temporal network analysis to estimate between-person, as well as contemporaneous and lagged within-person effects for distancing and hygiene NPIs.

Results: Distinct network clusters of mental health, health cognitions, and adherence emerged. Participants with higher control beliefs and higher susceptibility were also more adherent (between-person perspective). Within-person, similar findings emerged, additionally, distancing and loneliness were associated. Lagged findings suggest that better adherence to NPIs was associated with better mental health on subsequent days, whereas higher loneliness was associated with better subsequent hygiene adherence.

Conclusions: Findings suggest no negative impact of NPI adherence on mental health or vice versa, but instead suggest that adherence might improve mental health symptoms. Control beliefs and risk perceptions are important covariates of adherence-both on between-person and within-person level.

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来源期刊
Annals of Behavioral Medicine
Annals of Behavioral Medicine PSYCHOLOGY, MULTIDISCIPLINARY-
CiteScore
7.00
自引率
5.30%
发文量
65
期刊介绍: Annals of Behavioral Medicine aims to foster the exchange of knowledge derived from the disciplines involved in the field of behavioral medicine, and the integration of biological, psychosocial, and behavioral factors and principles as they relate to such areas as health promotion, disease prevention, risk factor modification, disease progression, adjustment and adaptation to physical disorders, and rehabilitation. To achieve these goals, much of the journal is devoted to the publication of original empirical articles including reports of randomized controlled trials, observational studies, or other basic and clinical investigations. Integrative reviews of the evidence for the application of behavioral interventions in health care will also be provided. .
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