Longitudinal associations of chronic health stress and COVID-19-related anxiety among outpatients with anxiety and mood disorders

IF 3.2 3区心理学 Q1 PSYCHOLOGY, CLINICAL Clinical psychology & psychotherapy Pub Date : 2023-04-19 DOI:10.1002/cpp.2852

Nikka Yamin, Timothy A. Brown, Anthony J. Rosellini

{"title":"Longitudinal associations of chronic health stress and COVID-19-related anxiety among outpatients with anxiety and mood disorders","authors":"Nikka Yamin, Timothy A. Brown, Anthony J. Rosellini","doi":"10.1002/cpp.2852","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background</h3>\n \n <p>The 2019 coronavirus (COVID-19) pandemic led to elevated levels of psychological distress on a global scale. Given that individuals with pre-existing physical conditions are at risk for worse COVID-19 outcomes, those dealing with the stress of physical health problems (including knowing someone with health problems) may experience more severe distress during the pandemic.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>Patients with emotional disorders who completed a diagnostic assessment in the 6 months prior to COVID-19 were surveyed in May–June 2020 on their emotional reactions to COVID-19 (<i>N</i> = 77).</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Multiple linear regression was used to test the hypothesis that chronic stress due to having and knowing others with physical health problems would predict COVID-related worries and behaviours, holding pre-COVID levels of depression, anxiety and worry about health constant. Chronic stress surrounding the health of others was significantly associated with experiencing more severe COVID-related worry and behaviours. In comparison, chronic stress due to one's own health problems had weak and non-significant associations with COVID-related worries and behaviours.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>Results indicate that outpatients who report stress about surrounding loved one's health are at risk for experiencing more severe distress during a health pandemic and thus, may benefit from targeted outreach, assessment and intervention.</p>\n </section>\n </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"30 5","pages":"1020-1028"},"PeriodicalIF":3.2000,"publicationDate":"2023-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical psychology & psychotherapy","FirstCategoryId":"102","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/cpp.2852","RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}

引用次数: 1

Abstract

Background

The 2019 coronavirus (COVID-19) pandemic led to elevated levels of psychological distress on a global scale. Given that individuals with pre-existing physical conditions are at risk for worse COVID-19 outcomes, those dealing with the stress of physical health problems (including knowing someone with health problems) may experience more severe distress during the pandemic.

Methods

Patients with emotional disorders who completed a diagnostic assessment in the 6 months prior to COVID-19 were surveyed in May–June 2020 on their emotional reactions to COVID-19 (N = 77).

Results

Multiple linear regression was used to test the hypothesis that chronic stress due to having and knowing others with physical health problems would predict COVID-related worries and behaviours, holding pre-COVID levels of depression, anxiety and worry about health constant. Chronic stress surrounding the health of others was significantly associated with experiencing more severe COVID-related worry and behaviours. In comparison, chronic stress due to one's own health problems had weak and non-significant associations with COVID-related worries and behaviours.

Conclusions

Results indicate that outpatients who report stress about surrounding loved one's health are at risk for experiencing more severe distress during a health pandemic and thus, may benefit from targeted outreach, assessment and intervention.

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

焦虑和情绪障碍门诊患者慢性健康压力与COVID-19相关焦虑的纵向关联。

背景：2019冠状病毒（新冠肺炎）大流行导致全球范围内心理压力水平上升。鉴于已有身体状况的人有可能患上更严重的新冠肺炎，那些应对身体健康问题压力的人（包括认识有健康问题的人）在大流行期间可能会经历更严重的痛苦。方法：在新冠肺炎前6个月内完成诊断评估的情绪障碍患者于2020年5月至6月接受调查，了解他们对新冠肺炎的情绪反应（N = 77）。结果：使用多元线性回归来检验这样一种假设，即由于拥有和认识其他有身体健康问题的人而产生的慢性压力可以预测与新冠肺炎相关的担忧和行为，使新冠肺炎前的抑郁、焦虑和对健康的担忧水平保持不变。围绕他人健康的慢性压力与经历更严重的新冠肺炎相关担忧和行为显著相关。相比之下，由自身健康问题引起的慢性压力与新冠肺炎相关的担忧和行为之间的关联较弱且不显著。结论：结果表明，报告对周围亲人的健康感到压力的门诊患者在健康大流行期间有可能经历更严重的痛苦，因此，可以从有针对性的外展、评估和干预中受益。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊

Clinical psychology & psychotherapy PSYCHOLOGY, CLINICAL-

CiteScore

6.30

自引率

5.60%

发文量

106

期刊介绍： Clinical Psychology & Psychotherapy aims to keep clinical psychologists and psychotherapists up to date with new developments in their fields. The Journal will provide an integrative impetus both between theory and practice and between different orientations within clinical psychology and psychotherapy. Clinical Psychology & Psychotherapy will be a forum in which practitioners can present their wealth of expertise and innovations in order to make these available to a wider audience. Equally, the Journal will contain reports from researchers who want to address a larger clinical audience with clinically relevant issues and clinically valid research.