COVID-19 大流行期间的压力和幸福感对美国退伍军人心理健康的影响

Stress & Health Pub Date : 2023-12-21 DOI:10.1002/smi.3357
Kelsey N. Serier, Ziyu Zhao, Dawne Vogt, Shannon Kehle-Forbes, Brian N. Smith, Karen S. Mitchell
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引用次数: 0

摘要

COVID-19 大流行扰乱了全球各地的生活,对包括退伍军人在内的人们的心理健康(MH)产生了负面影响。本研究以之前对美国退伍军人的研究为基础,探讨了大流行对退伍军人心理健康造成的一系列压力和福祉之间的关联。共有 372 名来自各个服役年代的退伍军人(51.3% 为女性)在早期(时间点 1 [T1])和大流行期间(时间点 2 [T2])完成了创伤后应激障碍和抑郁症的测量。与大流行相关的压力源和幸福感(生活领域的满意度)则在围大流行时间点(T2)进行评估。采用逻辑回归分析来研究压力源和幸福感与 T2 时可能被诊断为精神健康问题的可能性之间的关系,并对 T1 时的精神健康状况进行了控制。除了积极影响较少以及对有偿工作、财务、健康、恋爱关系和社交生活的满意度较低之外,大流行病对身体和心理健康的负面影响较多,这与 T2 可能被诊断为心理健康问题的可能性较高有关。感染 COVID 与较低的 T2 MH 诊断几率有关。间接效应也很明显,例如,大流行病对身体和心理健康的影响通过幸福感与 T2 MH 相关联。总之,这些研究结果强调了在全球大流行期间压力和幸福感对精神健康的影响。针对幸福感的干预措施对于解决退伍军人在其他压力时期的心理健康问题可能非常重要。未来的研究应检查研究结果的普遍性,并进一步调查在紧张的生活经历中促进退伍军人心理健康恢复能力的因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The impact of stress and well-being during the COVID-19 pandemic on mental health in U.S. veterans
The COVID-19 pandemic disrupted life around the globe and negatively impacted mental health (MH), including among military veterans. Building on previous research with U.S. veterans, the present study examined the association between a broad array of pandemic stressors and well-being on MH outcomes. A total of 372 veterans (51.3% women) from all service eras completed measures of posttraumatic stress disorder and depression during early (timepoint 1 [T1]) and peri-pandemic (timepoint 2 [T2]) periods. Pandemic-related stressors and well-being (satisfaction in life domains) were assessed at the peri-pandemic timepoint (T2). Logistic regression analyses were used to investigate associations between stressors and well-being with the likelihood of a probable MH diagnosis at T2 controlling for T1 MH status. More negative physical and MH impacts of the pandemic in addition to fewer positive consequences and lower satisfaction with paid work, finances, health, romantic relationships, and social life were associated with a higher likelihood of a probable T2 MH diagnosis. COVID infection was associated with lower odds of a probable T2 MH diagnosis. There were significant indirect effects, such that physical and MH impacts of the pandemic were associated with T2 MH via well-being. Overall, these findings highlight the role of stress and well-being on MH during a global pandemic. Interventions to address well-being may be important to address veteran MH during other periods of stress. Future research should examine the generalizability of study findings and further investigate factors that contribute to veterans' MH resilience during stressful life experiences.
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