To be a freshman during the COVID-19 pandemic: A cross-lagged model of depression, mentalizing, and epistemic trust.

IF 2 3区 医学 Q3 PSYCHIATRY Personality and Mental Health Pub Date : 2024-02-01 Epub Date: 2023-11-14 DOI:10.1002/pmh.1598
David De Coninck, Koen Matthijs, Jan Van Bavel, Patrick Luyten
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Abstract

Research has shown that severity of depression increased in freshmen during their first months at university due to increased social and academic pressures. Since the start of the COVID-19 pandemic, several cross-sectional studies have suggested that levels of depression in university students are higher than before the pandemic, but longitudinal data are largely lacking. This study investigated severity of depression and negative affect linked to the pandemic among freshmen during their first semester at a large university in Flanders, Belgium. We also investigated whether epistemic trust predicted severity of depression and pandemic-related negative affect and whether problems with reflective functioning (or mentalizing) mediated these relations. Participants in this two-wave prospective study were 289 first-year students of the Faculty of Psychology and Educational Sciences of a large Belgian university. We conducted paired samples t-tests and cross-panel analysis to answer the research question. The number of students at risk of clinical depression increased by 41% between T1 (early October 2020) and T2 (late December 2020). Epistemic mistrust at T1 was prospectively associated with an increase in the prevalence and severity of depression at T2. Problems with mentalizing and negative COVID-19-related affect were positively associated with severity of depression at T2 and mediated the association between epistemic mistrust and severity of depression at T2. The findings highlight the key role of epistemic trust in the development of depression among freshmen, with the COVID-19 pandemic presenting an additional source of uncertainty.

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在COVID-19大流行期间成为一名新生:抑郁、心智化和认知信任的交叉滞后模型。
研究表明,由于社会和学业压力的增加,大一新生在大学的头几个月抑郁的严重程度会增加。自2019冠状病毒病大流行开始以来,几项横断面研究表明,大学生的抑郁水平高于大流行前,但在很大程度上缺乏纵向数据。本研究调查了比利时佛兰德斯一所大型大学第一学期新生的抑郁严重程度和与大流行相关的负面影响。我们还研究了认知信任是否能预测抑郁症的严重程度和与流行病相关的负面影响,以及反思功能(或心理化)问题是否介导了这些关系。这项两波前瞻性研究的参与者是289名来自比利时一所大型大学心理与教育科学学院的一年级学生。我们通过配对样本t检验和交叉面板分析来回答研究问题。在T1(2020年10月初)和T2(2020年12月下旬)之间,有临床抑郁风险的学生人数增加了41%。T1时的认知不信任与T2时抑郁症患病率和严重程度的增加有前瞻性关联。心理化和负性covid -19相关情绪问题与T2期抑郁严重程度呈正相关,并介导认知不信任与T2期抑郁严重程度的关联。研究结果强调了认知信任在新生抑郁症发展中的关键作用,COVID-19大流行提供了另一个不确定性来源。
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来源期刊
CiteScore
4.80
自引率
14.80%
发文量
38
期刊介绍: Personality and Mental Health: Multidisciplinary Studies from Personality Dysfunction to Criminal Behaviour aims to lead and shape the international field in this rapidly expanding area, uniting three distinct literatures: DSM-IV/ICD-10 defined personality disorders, psychopathy and offending behaviour. Through its multi-disciplinary and service orientated approach, Personality and Mental Health provides a peer-reviewed, authoritative resource for researchers, practitioners and policy makers working in the areas of personality and mental health.
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