Intolerance of uncertainty and psychological flexibility as predictors of mental health from adolescence to old age.

IF 3.6 2区医学 Q1 PSYCHIATRY Social Psychiatry and Psychiatric Epidemiology Pub Date : 2024-12-01 Epub Date: 2024-07-09 DOI:10.1007/s00127-024-02724-z

Sakiko Okayama, Savannah Minihan, Jack L Andrews, Sarah Daniels, Karina Grunewald, Matthew Richards, Weike Wang, Yasmin Hasan, Susanne Schweizer

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Abstract

Purpose: The COVID-19 pandemic brought with it significant social, economic and health uncertainties. These were proposed to impact young people more compared to adults, leading adolescents to report more mental health problems during the pandemic. The current study examined whether differences in cognitive risk (tolerance of uncertainty) and protective (psychological flexibility) factors accounted for age-related differences in depression and anxiety.

Methods: These associations were investigated in the COVID-19 Risks Across the Lifespan (CORAL) cohort (N = 2280, 11-89 years).

Results: The results showed that adolescents experienced greater intolerance of uncertainty and lower psychological flexibility compared to adults and older adults. Tolerance of uncertainty did not account for age-related differences in depression or anxiety. However, psychological flexibility conferred more protective advantage for anxiety in adults compared to adolescents.

Conclusion: The observed age-related differences in risk and protective factors advance our understanding of developmental vulnerabilities to depression and anxiety. Implications for mental health interventions in the context of future pandemics are discussed.

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对不确定性的不容忍和心理灵活性是预测从青少年到老年期心理健康的因素。

目的：COVID-19 大流行带来了重大的社会、经济和健康不确定性。与成年人相比，这些因素对青少年的影响更大，导致青少年在大流行期间报告了更多的心理健康问题。本研究探讨了认知风险因素（对不确定性的容忍度）和保护因素（心理灵活性）的差异是否会导致抑郁和焦虑的年龄差异：方法：在 COVID-19 Risks Across the Lifespan (CORAL) 队列（N = 2280，11-89 岁）中调查了这些关联：结果表明，与成年人和老年人相比，青少年对不确定性的不容忍度更高，心理灵活性更低。对不确定性的容忍度并不能解释抑郁或焦虑与年龄有关的差异。然而，与青少年相比，心理灵活性对成年人焦虑症的保护作用更大：结论：观察到的风险和保护因素的年龄相关性差异加深了我们对抑郁和焦虑的发展脆弱性的理解。结论：所观察到的与年龄有关的风险和保护因素差异加深了我们对抑郁和焦虑的发展脆弱性的理解，并讨论了在未来流行病背景下心理健康干预措施的意义。

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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来源期刊

Social Psychiatry and Psychiatric Epidemiology 医学-精神病学

CiteScore

8.50

自引率

2.30%

发文量

184

审稿时长

3-6 weeks

期刊介绍： Social Psychiatry and Psychiatric Epidemiology is intended to provide a medium for the prompt publication of scientific contributions concerned with all aspects of the epidemiology of psychiatric disorders - social, biological and genetic. In addition, the journal has a particular focus on the effects of social conditions upon behaviour and the relationship between psychiatric disorders and the social environment. Contributions may be of a clinical nature provided they relate to social issues, or they may deal with specialised investigations in the fields of social psychology, sociology, anthropology, epidemiology, health service research, health economies or public mental health. We will publish papers on cross-cultural and trans-cultural themes. We do not publish case studies or small case series. While we will publish studies of reliability and validity of new instruments of interest to our readership, we will not publish articles reporting on the performance of established instruments in translation. Both original work and review articles may be submitted.