PDF(Pubmed)
Abstract：
The aim of this longitudinal study was to examine changes in COVID-19 and illness-related perceptions, gastrointestinal symptoms, coping, catastrophising, psychological distress, and QoL during the COVID-19 pandemic. A total of 831 adults with a gastrointestinal condition completed an online questionnaire at baseline (May-October 2020). Of those, 270 (32.5%) participants (85.2% female, mean age = 47.3 years) provided follow-up data (March-May 2021). Repeated-measures multiple analysis of variance and a cross-lagged panel model were used to test the study hypotheses. Gastrointestinal symptoms and COVID-19 perceptions at follow-up were strongly predicted by their baseline values, while illness perceptions were predicted by baseline gastrointestinal symptoms. Cross-lagged relationships indicated a reciprocal relationship between gastrointestinal symptoms and psychological distress. Moreover, gastrointestinal symptoms had substantial predictive utility, strongly predicting future gastrointestinal symptoms, and to a lesser extent, more negative illness perceptions, greater psychological distress, and greater use of adaptive coping strategies across time.
摘要：
这项纵向研究的目的是检查COVID-19和疾病相关认知的变化，胃肠道症状,应对,灾难,心理困扰,和COVID-19大流行期间的QoL。共有831名患有胃肠道疾病的成年人在基线（2020年5月至10月）完成了在线问卷。其中,270名（32.5%）参与者（85.2%为女性，平均年龄=47.3岁）提供了随访数据（2021年3月至5月）。使用重复测量的多元方差分析和交叉滞后面板模型来检验研究假设。随访时的胃肠道症状和COVID-19感知可以通过基线值强烈预测，而疾病感知是通过基线胃肠道症状预测的。交叉滞后关系表明胃肠道症状与心理困扰之间存在相互关系。此外，胃肠道症状有很大的预测作用，强烈预测未来的胃肠道症状，在较小程度上，更多负面的疾病观念，更大的心理困扰，以及更多地跨时间使用适应性应对策略。
