SARS-CoV-2感染者和COVID-19存活者所经历的歧视和内化的耻辱感:与焦虑、抑郁和失眠症状的关系

IF 2 3区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY
Antonio Lasalvia, Luca Bodini, Davide Pace, Morena Colombi, Mattia Marco Caruson, Tine Van Bortel, Chiara Bonetto
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引用次数: 0

摘要

COVID-19 幸存者即使在临床康复后,也可能会遭遇与其病情相关的社会耻辱。本研究旨在(1) 调查与 COVID-19 相关的歧视和内化成见,以及 (2) 探讨它们与焦虑、抑郁和失眠症状的关联。我们对 COVID-19 的幸存者进行了在线调查。我们使用 COVID-19 经历歧视量表和 COVID-19 内化成见量表对成见感进行了评估。抑郁、焦虑和失眠分别采用患者健康问卷-9(Patient Health Questionnaire-9)、焦虑症量表-7(General Anxiety Disorder Scale-7)和失眠严重程度指数(Insomnia Severity Index)进行评估。对每个精神病理学领域进行了多变量逻辑回归分析。共有 579 人参与了这项研究。总体而言,25%的受试者在一定程度上受到过歧视,23%的受试者在一定程度上受到过内在化的成见。调整后的几率比表明,内在化成见得分越高,抑郁症状(2.14;95% 置信区间[CI],1.35-3.39)、焦虑症(2.30;95% 置信区间,1.48-3.59)和失眠症(2.54;95% 置信区间,1.64-3.95)越严重,而经历过歧视与焦虑症(1.55;95% 置信区间,1.06-2.28)和失眠症(1.82;95% 置信区间,1.24-2.69)相关。在 COVID-19 患者中,社会鄙视的经历很常见,而且似乎与心理障碍的程度有关。为实施有效的治疗策略,还需要进一步的研究来阐明这些关系的方向。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Experienced discrimination and internalized stigma among people infected with SARS-CoV-2 and surviving COVID-19: Association with anxiety, depression, and insomnia symptoms

Experienced discrimination and internalized stigma among people infected with SARS-CoV-2 and surviving COVID-19: Association with anxiety, depression, and insomnia symptoms

People surviving COVID-19 may experience social stigma related to their condition even after clinical recovery. This study aimed to: (1) investigate COVID-19-related experienced discrimination and internalized stigma, and (2) explore their association with symptoms of anxiety, depression, and insomnia. We conducted an online survey of people who survived COVID-19. Perception of stigma was assessed using the COVID-19 Experienced Discrimination Scale and the COVID-19 Internalized Stigma Scale. Depression, anxiety, and insomnia were assessed using, respectively, the Patient Health Questionnaire-9, the General Anxiety Disorder Scale-7, and the Insomnia Severity Index. Multivariable logistic regression analyses for each psychopathological domain were performed. A total of 579 participants participated in this study. Overall, 25% reported some degree of experienced discrimination, and 23% reported some degree of internalized stigma. Adjusted odds ratio showed that scoring higher on internalized stigma related significantly to higher symptoms of depression (2.14; 95% confidence interval [CI], 1.35–3.39), anxiety (2.30; 95% CI, 1.48–3.59), and insomnia (2.54; 95% CI, 1.64–3.95), whereas experienced discrimination was associated to anxiety (1.55; 95% CI, 1.06–2.28) and insomnia (1.82; 95% CI, 1.24–2.69). Experiences of social stigmatization are frequent among people surviving COVID-19 and seem to be associated with levels of psychological disturbances. Further research is required to elucidate the direction of these relationships to implement effective treatment strategies.

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来源期刊
CiteScore
4.20
自引率
8.70%
发文量
195
期刊介绍: The Journal of Community Psychology is a peer-reviewed journal devoted to research, evaluation, assessment and intervention, and review articles that deal with human behavior in community settings. Articles of interest include descriptions and evaluations of service programs and projects, studies of youth, parenting, and family development, methodology and design for work in the community, the interaction of groups in the larger community, and criminals and corrections.
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