COVID-19大流行期间韧性作为保护因素的纵向调查

IF 2.3 Q2 PSYCHIATRY
Traumatology Pub Date : 2022-09-01 DOI:10.1037/trm0000397
Shannon E Cusack, Kaitlin E Bountress, Christy A Denckla, Jasmin Vassileva, Danielle M Dick, Ananda B Amstadter
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引用次数: 2

摘要

COVID-19是一种全球性压力源,已被证明会影响心理健康结果。鉴于COVID-19是一种独特的压力源,已被证明会产生心理健康后果,确定保护因素至关重要。通过现有文献证明了复原力的保护作用,尽管对复原力和COVID-19的影响知之甚少。目前的研究试图通过纵向调查相对弹性作为对创伤后应激障碍(PTSD)症状和酒精消费的缓冲,来扩大关于韧性的现有文献,以及受COVID-19影响的心理健康结果。参与者包括549名有终生创伤暴露史的大学生。使用纵向路径模型,我们测试了相对恢复力(即个体相对于同一队列中其他个体的先前创伤暴露所预测的痛苦水平的偏差)和COVID-19影响域(即社交媒体使用、担忧、暴露、物质使用变化和住房/食品不安全)对PTSD症状和饮酒的相互作用。研究结果表明,COVID-19担忧影响域与基线复原力之间存在显著的相互作用,其中COVID-19担忧在低复原力水平下影响PTSD症状(β = .26, p < .001),在平均复原力水平上轻微影响PTSD症状(β = .09, p = .05),在高复原力水平上不影响PTSD症状(β = -)。08, p = .16)。恢复力对酒精消耗没有显著的主效应和交互效应。本文通过研究内化(即创伤后应激障碍)和物质使用结果,使用纵向数据和使用弹性的定量测量,增加了关于弹性和COVID-19的文献。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Longitudinal Investigation of Resilience as a Protective Factor During the COVID-19 Pandemic.

COVID-19 is a global stressor that has been shown to impact mental health outcomes. Given that COVID-19 is a unique stressor that has been shown to have mental health consequences, identifying protective factors is imperative. The protective influences of resilience are demonstrated through the extant literature, though less is known about resilience and COVID-19 impact. The current study seeks to expand the existing literature on resilience, and on mental health outcomes influenced by COVID-19, by longitudinally investigating relative resilience as a buffer against posttraumatic stress disorder (PTSD) symptoms and alcohol consumption, in the wake of a global pandemic. Participants included 549 undergraduates with a history of lifetime trauma exposure. Using a longitudinal path model, we tested the interaction between relative resilience (i.e., an individual's deviation from distress levels predicted by prior trauma exposure relative to other individuals in the same cohort) and COVID-19 impact domains (i.e., social media use, worry, exposure, change in substance use, and housing/food insecurity) on PTSD symptoms and alcohol consumption. Findings demonstrate a significant interaction between the COVID-19 worry impact domain and baseline resilience on later PTSD symptoms, whereby COVID-19 worry impacts PTSD symptoms at low levels of resilience (β = .26, p < .001), marginally impacts PTSD symptoms at mean levels of resilience (β = .09, p = .05), and does not impact PTSD symptoms at high levels of resilience (β = -.08, p = .16). There were no significant main effects nor interaction effects of resilience on alcohol consumption. This article adds to the literature on resilience and COVID-19 through examining both internalizing (i.e., PTSD) and substance use outcomes, using longitudinal data, and using a quantitative measure of resilience.

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来源期刊
Traumatology
Traumatology Nursing-Nursing (all)
CiteScore
5.40
自引率
3.10%
发文量
84
期刊介绍: The purpose of this peer-reviewed Journal is to disseminate new and original contributions to the traumatology field as quickly as possible to subscribers after they emerge from the field. This requires a dedicated Editorial Board, ad hoc reviewers, and contributors who are willing to contribute their time without charge. Contributions focus on theoretical formulations, research, treatment, prevention, education, training, medical, and legal and policy concerns. The Journal serves as the primary reference for professionals who study and treat people exposed to highly stressful and traumatic events.
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