UNASSIGNED: Analyses used cross-sectional survey data (N = 1956). Psychological diagnoses, financial distress, COVID-19-related emotions, psychological distress, distress tolerance, social support, loneliness, SMM and GM were measured. Hierarchical multiple regressions identified predictors of PIU. Race-stratified exploratory analyses sought to understand if predictors held true across racial groups.
UNASSIGNED: Low distress tolerance was associated with SMM and GM, as were depression symptoms, with racial differences observed. SMM was associated with younger age, and GM was associated with male gender. PTSD symptoms predicted more GM. SMM and GM rates varied between racial groups. COVID-19-related adjustment challenges and stress predicted SMM and GM respectively, with racial differences observed.
UNASSIGNED: Individual psychological distress and low distress tolerance markedly increased PIU risk. Clinicians should screen for stress-related PIU risk factors and bolster distress tolerance in vulnerable patients. Comparing PIU to different forms of coping in a larger sample would further clarify groups differences in stress coping behaviors.
■分析使用了横截面调查数据(N=1956)。心理诊断,财务困境,与COVID-19相关的情绪,心理困扰,痛苦容忍,社会支持,孤独,测量SMM和GM。分层多元回归确定了PIU的预测因子。种族分层的探索性分析试图了解预测因素在种族群体中是否成立。
■低遇险容忍度与SMM和GM有关,和抑郁症状一样,观察到种族差异。SMM与年龄较小有关,GM与男性有关。PTSD症状预示着更多的GM。SMM和GM的比率因种族而异。与COVID-19相关的调整挑战和压力预测分别为SMM和GM,观察到种族差异。
■个体心理困扰和低困扰耐受性显著增加了PIU风险。临床医生应筛查与压力相关的PIU危险因素,并增强脆弱患者的痛苦耐受性。在更大的样本中比较PIU与不同形式的应对方式将进一步阐明压力应对行为的群体差异。