Investigating the reciprocity between cognition and behavior in adaptation to large-scale disasters

Npj mental health research Pub Date : 2023-12-04 DOI:10.1038/s44184-023-00037-8

Tiffany Junchen Tao, Tsz Wai Li, Li Liang, Huinan Liu, Wai Kai Hou

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Abstract

Cognition and behavior could reciprocally impact each other and together determine mental health amid large-scale disasters such as COVID-19. This study reports a six-month cohort study of a population-representative sample of Hong Kong residents (N = 906) from March–August 2021 (T1) to September 2021–February 2022 (T2). Cross-lagged panel analyses reveal that T1 poor behavioral functioning as indicated by high daily routine disruptions is inversely associated with T2 cognitive adaptation as indicated by self-efficacy and meaning-making but not vice versa. T1 routine disruptions but not cognitive adaptation are positively associated with T2 probable depression/anxiety. The positive link between T1 routine disruptions and T2 probable disorders is mediated by poor cognitive adaptation at T2. The present findings suggest that upholding daily behavioral functioning relative to positive states of mind could have a more pivotal role in mental health amid large-scale disasters. Future studies can test interventions that enhance the sustainment of regular daily routines.

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调查大规模灾害适应过程中认知与行为之间的互惠关系

认知和行为可以相互影响，共同决定在 COVID-19 等大规模灾难中的心理健康。本研究报告了一项为期 6 个月的队列研究，研究对象是 2021 年 3 月至 8 月（T1）至 2021 年 9 月至 2022 年 2 月（T2）期间具有人口代表性的香港居民样本（N = 906）。交叉滞后面板分析表明，T1 的行为功能较差（表现为日常工作中断较多）与 T2 的认知适应（表现为自我效能和意义建构）成反比，反之亦然。第一阶段的日常干扰与第二阶段的可能抑郁/焦虑呈正相关，但认知适应与之无关。T1 日常生活混乱与 T2 可能的失调之间的正相关是由 T2 认知适应不良所中介的。本研究结果表明，相对于积极的心理状态，保持日常行为功能在大规模灾难中的心理健康方面可能会发挥更关键的作用。未来的研究可以对加强维持有规律的日常生活的干预措施进行测试。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Npj mental health research

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