■COVID-19不仅影响个人的身体健康,而且影响他们的心理健康,不同类型的风险暴露被认为对个人的情绪困扰有不同的影响。
■本研究探讨了风险暴露之间的关系,生命的中断,感知的可控性,在COVID-19爆发期间,中国成年人的情绪困扰。
这项研究基于COVID-19大流行期间进行的一项在线调查,从2020年2月1日至10日,通过便利和滚雪球抽样招募了2,993名中国受访者。多元线性回归分析用于检验风险暴露与风险暴露之间的关系。生命的中断,感知的可控性,和情绪困扰。
■这项研究发现,所有类型的风险暴露都与情绪困扰显着相关。有邻居感染的人,家庭成员感染/密切接触,自我感染/密切接触者的情绪困扰水平较高(B=0.551,95%CI:-0.019,1.121;B=2.161,95%CI:1.067,3.255;B=3.240,95%CI:2.351,4.129)。情绪困扰的最高水平发生在经历自我感染/密切接触的个体中,而经历邻里感染的个体中情绪困扰程度最低,经历家庭成员感染的个体中情绪困扰程度中等(Beta=0.137;Beta=0.073;Beta=0.036)。值得注意的是,生活中断加重了自我感染/密切接触对情绪困扰的影响和家庭成员感染/密切接触对情绪困扰的影响(B=0.217,95%CI:0.036,0.398;B=0.205,95%CI:0.017,0.393)。更重要的是,感知的可控性降低了自我感染/密切接触与情绪困扰之间的关联强度,以及家庭成员感染/密切接触和情绪困扰(B=-0.180,95%CI:-0.362,0.002;B=-0.187,95%CI:-0.404,0.030)。
这些发现揭示了在大流行开始时对接触或感染COVID-19的人的心理健康干预措施,特别是那些自己患有COVID或家庭成员患有COVID-19风险暴露的人,包括被感染/与感染者有密切接触。我们呼吁采取适当措施,筛选出生活在,或者留下来,受COVID-19影响更严重。我们主张为个人提供物质支持和基于在线正念的干预措施,以帮助他们应对COVID-19的后遗症。这也是必不可少的,以增强公众的感知的可控性的帮助下,在线心理干预策略,例如基于正念的减压计划和面向正念的冥想训练计划。
UNASSIGNED: COVID-19 affects not only the physical health of individuals but also their mental health and different types of risk exposures are believed to have different effects on individual emotional distress.
UNASSIGNED: This study explores the relationships between risk exposure, disruption of life, perceived controllability, and emotional distress among Chinese adults during the COVID-19 outbreak.
UNASSIGNED: This study is based on an online survey conducted during the COVID-19 pandemic, from 1 to 10 February 2020, with a total of 2,993 Chinese respondents recruited through convenience and snowball sampling. Multiple linear regression analysis were used to examine the relationships among risk exposure, disruption of life, perceived controllability, and emotional distress.
UNASSIGNED: This study found that all types of risk exposures were significantly associated with emotional distress. Individuals with neighborhood infection, family member infection/close contact, and self-infection/close contact had higher levels of emotional distress (B = 0.551, 95% CI: -0.019, 1.121; B = 2.161, 95% CI: 1.067, 3.255; B = 3.240, 95% CI: 2.351, 4.129) than those without exposure. The highest levels of emotional distress occurred among individuals experiencing self-infection/close contact, while the lowest levels of emotional distress occurred among individuals experiencing neighborhood infection and the moderate levels of emotional distress occurred among individuals experiencing family member infection (Beta = 0.137; Beta = 0.073; Beta = 0.036). Notably, the disruption of life aggravated the effect of self-infection/close contact on emotional distress and family member infection/close contact on emotional distress (B = 0.217, 95% CI: 0.036, 0.398; B = 0.205, 95% CI: 0.017, 0.393). More importantly, perceived controllability lowered the strength of the association between self-infection/close contact and emotional distress, as well as family member infection/close contact and emotional distress (B = -0.180, 95% CI: -0.362, 0.002; B = -0.187, 95% CI: -0.404, 0.030).
UNASSIGNED: These findings shed light on mental health interventions for people exposed to or infected with COVID-19 near the beginning of the pandemic, particularly those who themselves had COVID or had family members with COVID-19 risk exposure, including being infected/having close contact with an infected person. We call for appropriate measures to screen out individuals or families whose lives were, or remain, more severely affected by COVID-19. We advocate providing individuals with material support and online mindfulness-based interventions to help them cope with the after-effects of COVID-19. It is also essential to enhance the public\'s perception of controllability with the help of online psychological intervention strategies, such as mindfulness-based stress reduction programs and mindfulness-oriented meditation training programs.