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Evaluating the Implementation of a Multi-Technology Delivery of a Mental Health and Wellbeing System of Care Within a Youth Sports Development Program During the COVID-19 Pandemic 评估新冠肺炎大流行期间青少年体育发展计划中提供心理健康和福利护理系统的多技术实施情况
IF 1.1 4区 心理学 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2022-08-18 DOI: 10.1017/bec.2022.17
A. Waters, Rachel A. Sluis, Katherine M Ryan, Wayne Usher, Lara J. Farrell, C. Donovan, K. Modecki, M. Zimmer‐Gembeck, Mike Castle, James Hinchey
The COVID-19 pandemic presents challenges to the provision of community programs and access to mental health services for young people. We examined the feasibility, reach, and acceptability of multi-technology delivery of an integrated system that assesses and provides feedback on youth mental health and wellbeing and connects them to care within the context of a youth sports development program. The system was delivered via computer, telephone, and teleconference with 66 adolescent boys participating in a rugby league development program in three communities in Australia. Young people completed online wellbeing and mental health measures (Assess step), parents were provided with telephone feedback on results, support, and referral options (Reflect step), and youth received teleconferenced workshops and online resources (Connect step). The multi-technology delivery was feasible to implement, and reach was high, with barriers experienced at the Assess step but minimally experienced at the Reflect and Connect steps. Delivering the system via multiple forms of technology was rated as highly beneficial and enjoyable by young people. Players improved in self-reported prosocial behaviour, gratitude, and anxiety symptoms from pre- to post-program. Strong collaboration between researchers, organisational personnel, and community members is important for achieving these outcomes.
新冠肺炎大流行对向年轻人提供社区方案和获得心理健康服务提出了挑战。我们研究了一个综合系统的多技术交付的可行性、覆盖范围和可接受性,该系统评估和提供青少年心理健康和幸福感的反馈,并将他们与青少年体育发展计划中的护理联系起来。该系统是通过计算机、电话和电话会议提供的,66名青少年男孩参加了澳大利亚三个社区的橄榄球联盟发展项目。年轻人完成了在线幸福感和心理健康测量(评估步骤),向父母提供了关于结果、支持和推荐选项的电话反馈(反映步骤),年轻人接受了电话会议研讨会和在线资源(连接步骤)。多技术交付的实施是可行的,覆盖范围很高,在评估步骤遇到了障碍,但在反映和连接步骤遇到的障碍最少。通过多种形式的技术提供该系统被年轻人评为非常有益和愉快。从项目前到项目后,玩家自我报告的亲社会行为、感恩和焦虑症状都有所改善。研究人员、组织人员和社区成员之间的强有力合作对于实现这些结果非常重要。
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引用次数: 1
Feasibility and Benefit of Cognitive Behavioural Therapy for Psychosis via Teleconsultation in Indonesia: A Case Study of a 40-Year-Old Schizoaffective Disorder Patient 认知行为疗法在印度尼西亚通过远程咨询治疗精神病的可行性和益处:一例40岁分裂情感障碍患者的个案研究
IF 1.1 4区 心理学 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2022-07-29 DOI: 10.1017/bec.2022.11
Bianca Sutjiono, S. Ahmad, E. S. Jaya
Whilst Cognitive Behavioural Therapy for Psychosis (CBTp) has been found to reduce psychotic symptoms, most evidence supporting its implementation originates from studies in Western and high-income countries. Furthermore, questions remain regarding the efficacy of CBTp conducted via teleconsultation. Herein we report an ongoing case in Indonesia involving an individual with schizoaffective disorder, who received 60 sessions of CBTp over seven months. Sessions were delivered via a combination of voice and video calls. The patient, a 40-year-old male, was diagnosed with schizoaffective disorder at the age of 26. He exhibited symptoms of paranoid and religious delusions, hallucinations (auditory, visual, and somatic) and disorganised speech during our intake interview. Negative symptoms were not apparent. In the 14 years prior to our initial consultation, the patient was prescribed antipsychotics and demonstrated good adherence. He had no history of psychotherapy independent of our clinic. Treatment involved CBTp techniques, including psychoeducation, a symptom diary, relaxation, and behavioural experiments. Study outcome was assessed with Psychotic Symptom Rating Scales. Both hallucination and delusion subscale scores improved 53% from 53 at intake to 25 during an assessment administered 6 months later. Results from this study demonstrate that the CBTp is both feasible, and beneficial, when conducted via teleconsultation in Indonesia.
虽然已经发现精神病认知行为疗法(CBTp)可以减轻精神病症状,但大多数支持其实施的证据来自西方和高收入国家的研究。此外,通过远程会诊进行CBTp的有效性仍然存在问题。在此,我们报告了一个正在印度尼西亚进行的病例,涉及一个患有分裂情感性障碍的个体,他在7个月内接受了60次CBTp治疗。会议通过语音和视频通话相结合的方式进行。患者是一名40岁的男性,在26岁时被诊断出患有分裂情感性障碍。在我们的入院面谈期间,他表现出偏执和宗教妄想、幻觉(听觉、视觉和躯体)和言语混乱的症状。阴性症状不明显。在我们首次咨询之前的14年里,患者被开了抗精神病药物,并表现出良好的依从性。他在我们诊所之外没有任何心理治疗史。治疗涉及CBTp技术,包括心理教育、症状日记、放松和行为实验。用精神病症状评定量表评估研究结果。幻觉和妄想的亚量表得分都提高了53%,从摄入时的53分提高到6个月后的25分。本研究的结果表明,CBTp在印度尼西亚通过远程会诊进行时既可行又有益。
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引用次数: 0
Music Listening Was an Emotional Resource and Social Surrogate for Older Adults During the COVID-19 Pandemic: A Qualitative Study 在COVID-19大流行期间,听音乐是老年人的情感资源和社会替代品:一项定性研究
IF 1.1 4区 心理学 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2022-07-19 DOI: 10.1017/bec.2022.10
J. Groarke, Niamh MacCormac, P. McKenna-Plumley, L. Graham-Wisener
Abstract Loneliness and isolation worsen health and wellbeing have been exacerbated by COVID-19, and represent a significant concern for supporting older adults. Music listening has effects that could be particularly supportive during periods of isolation. The aim of this study is to examine older adults’ music listening behaviour during the COVID-19 pandemic and explore music's social and emotional impact in this context. Semi-structured interviews enhanced with music-elicitation were carried out remotely between May and June 2021. Participants were self-selected, community-dwelling older adults residing in Northern Ireland (N = 14; 6 males; 60–83 years). Most were living with their spouse or family, all were of White ethnicity and had varying levels of education. Data were analysed using reflexive thematic analysis. Two main themes were identified: (1) Music as an emotional resource and (2) Music as a social surrogate. Older adults had a preference for using music to induce positive feelings, and used music for negative affect regulation and consolation. Music acted as a social surrogate providing company, and reminders of social relationships and experiences. Music listening was a valued behaviour during COVID-19. Findings have implications for how music listening might be used as an accessible, low-resource tool for supporting isolated older adults.
孤独和孤立使健康和福祉恶化,COVID-19加剧了这一状况,并成为支持老年人的一个重大问题。在孤独的时候,听音乐会产生特别有益的效果。本研究的目的是研究2019冠状病毒病大流行期间老年人的音乐聆听行为,并探讨音乐在此背景下的社会和情感影响。在2021年5月至6月期间远程进行了半结构化访谈,并辅以音乐启发。参与者是自选的居住在北爱尔兰社区的老年人(N = 14;6雄性;60 - 83年)。大多数与配偶或家人住在一起,都是白人,受教育程度各不相同。数据分析采用反身性主题分析。研究确定了两个主要主题:(1)音乐作为一种情感资源;(2)音乐作为一种社会替代品。老年人偏好用音乐诱发积极情绪,用音乐调节和安慰消极情绪。音乐作为一种社会代理,提供陪伴,提醒人们社会关系和经历。在COVID-19期间,听音乐是一种有价值的行为。研究结果暗示了如何将听音乐作为一种可获得的、低资源的工具来支持孤立的老年人。
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引用次数: 4
Lonely for Touch? A Narrative Review on the Role of Touch in Loneliness 为触摸而孤独?触摸在孤独中的作用述评
IF 1.1 4区 心理学 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2022-07-15 DOI: 10.1017/bec.2022.12
Catrin Noone, P. McKenna-Plumley
Abstract Loneliness is an increasingly ubiquitous topic in academic, policy, and healthcare domains. This work typically focuses on its negative physical and mental health consequences, generally employing a singular cognitive definition of loneliness. In doing so, one central aspect of our social world has been neglected in loneliness research and policy: touch. Touch is a fundamental human behaviour and a powerful form of communication which plays a role in physical and psychological wellbeing. This narrative review outlines a conceptual basis upon which to consider the relationship between loneliness and social touch and reviews the available research examining this connection. There are strong indications that these social phenomena can interact in a variety of ways and this review argues that elements of presence, absence, and type of touch may impact upon loneliness experiences. Additionally, this review considers the challenges inherent to researching touch and loneliness, reflecting on their sensitive and subjective nature. The increasing relevance of the touch–loneliness connection is described in light of the COVID-19 pandemic and recommendations are given for research, policy, and practice. This review proposes that touch should be a key topic for investigation in loneliness research and outlines the potentially invaluable role of touch in understanding loneliness.
摘要孤独感在学术、政策和医疗保健领域越来越普遍。这项工作通常侧重于其对身心健康的负面影响,通常采用对孤独的单一认知定义。在这样做的过程中,我们社会世界的一个核心方面在孤独研究和政策中被忽视了:触摸。触摸是人类的一种基本行为,也是一种强大的交流形式,对身心健康起着重要作用。这篇叙述性综述概述了考虑孤独和社交接触之间关系的概念基础,并回顾了现有的研究。有强有力的迹象表明,这些社会现象可以以多种方式相互作用,这篇综述认为,在场、不在场和接触类型的因素可能会影响孤独体验。此外,这篇综述考虑了研究触摸和孤独所固有的挑战,反思了它们的敏感性和主观性。根据新冠肺炎大流行,描述了触摸-孤独联系日益增加的相关性,并为研究、政策和实践提出了建议。这篇综述提出,触摸应该是孤独研究中的一个关键主题,并概述了触摸在理解孤独方面潜在的宝贵作用。
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引用次数: 3
Recreational Physical Activity in Urban India: Perceptions and a Pilot Intervention 印度城市娱乐性体育活动:认知和试点干预
IF 1.1 4区 心理学 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2022-07-05 DOI: 10.1017/bec.2022.9
N. Rathi, Renuka Bhandarkar, Mrinmoyi Kulkarni
The inactive lifestyle of urban Indians has increased their risk of non-communicable diseases (NCDs). A qualitative study was designed to explore barriers and facilitators related to exercise participation among urban Indians. Underpinned by the developmental life course theory, nine focus group discussions (FGDs) were conducted with 29 women and 26 men residing in Mumbai, India. Focus groups were gender and age stratified. Both thematic analysis and content analysis techniques were used to analyse the data. While the lack of time was mentioned as a barrier by all groups, an unstructured schedule was mentioned specifically by women and awareness of physical health benefits emerged as the most popular facilitator for recreational physical activity. Based on the results of the FGDs, a pilot exercise intervention for sedentary women (N = 6) was conducted which consisted of a morning walk six days a week for 10 weeks. Post-intervention, an FGD was conducted to explore participants’ perspectives on their experience in the intervention. The participants reported that the intervention enhanced exercise self-efficacy and well-being. Exercise as relaxation, spousal support, and need for peers to exercise with emerged as primary themes during the follow-up FGD. These findings can inform the development of age and gender-specific as well as culturally appropriate interventions to facilitate active living.
印度城市居民不运动的生活方式增加了他们患非传染性疾病的风险。一项定性研究旨在探讨印度城市居民参与运动的障碍和促进因素。在发展生命历程理论的基础上,对居住在印度孟买的29名妇女和26名男子进行了9次焦点小组讨论。焦点小组按性别和年龄分层。采用主题分析和内容分析两种方法对数据进行分析。虽然所有群体都提到缺乏时间是一个障碍,但妇女特别提到了无组织的时间表,意识到身体健康的好处成为娱乐性体育活动最受欢迎的促进因素。基于fgd的结果,对久坐不动的女性(N = 6)进行了一项试点运动干预,包括每周六天的早晨散步,持续10周。干预后,进行FGD以探讨参与者对其干预经历的看法。参与者报告说,干预提高了运动自我效能感和幸福感。运动作为放松,配偶的支持,以及需要同伴一起运动,在后续的FGD中成为主要主题。这些发现可以为制定年龄和性别特定的干预措施以及文化上适当的干预措施提供信息,以促进积极的生活。
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引用次数: 0
Group Metacognitive Therapy for Obsessive-Compulsive Disorder in a Routine Clinical Setting: An Open Trial 常规临床环境中强迫症的群体元认知疗法:一项公开试验
IF 1.1 4区 心理学 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2022-06-15 DOI: 10.1017/bec.2022.8
J. Carter, E. Helliwell, J. Jordan, Colette Woolcock, Caroline Bell, C. Gilbert
Obsessive-compulsive disorder (OCD) is often a chronic disorder characterised by uncontrollable, reoccurring thoughts (obsessions), and/or behaviours (compulsions). Accumulating evidence suggests that metacognitive beliefs may underlie many of the processes implicated in the formation and perpetuation of OCD. Metacognitive therapy (MCT) for OCD aims to modify these maladaptive metacognitive beliefs and processes to treat this debilitating disorder. The current study examines the outcome of a pilot trial of MCT for OCD in 26 (17 females; 9 males) adults (18–64 years) referred to a specialist outpatient service. Results were promising, with significant decreases in OCD and depression symptoms, which were maintained at the 3-month follow-up. The improvement in Yale-Brown Obsessive-Compulsive Scale scores between pre-treatment and follow-up in the completer sample (n=22) was large (d=1.29), and comparable to outcomes of well-established treatments. These encouraging results add to early empirical support for the effectiveness of group MCT as an OCD treatment alternative, as well as reinforcing the role of metacognitions contributing to this disorder.
强迫症(OCD)通常是一种慢性疾病,其特征是无法控制,反复出现的想法(强迫)和/或行为(强迫)。越来越多的证据表明,元认知信念可能是强迫症形成和延续的许多过程的基础。强迫症的元认知疗法(MCT)旨在改变这些不适应的元认知信念和过程,以治疗这种使人衰弱的疾病。目前的研究检查了26例(17例女性;9名男性)成年人(18-64岁)转介到专科门诊服务。结果令人鼓舞,强迫症和抑郁症状显著减少,并在3个月的随访中得以维持。在完整样本(n=22)中,耶鲁-布朗强迫症量表得分在治疗前和随访期间的改善很大(d=1.29),与成熟治疗的结果相当。这些令人鼓舞的结果为群体MCT作为强迫症治疗方案的有效性提供了早期的经验支持,同时也强化了元认知在这种疾病中的作用。
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引用次数: 0
Loneliness, Belonging, and Mental Health in Australian University Students Pre- and Post-COVID-19 澳大利亚大学生COVID-19前后的孤独感、归属感与心理健康
IF 1.1 4区 心理学 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2022-05-27 DOI: 10.1017/bec.2022.6
G. Dingle, Rong Han, Molly Carlyle
Abstract The move to online learning during COVID-19 deprived first-year students of friendships and other sources of social support that could buffer against stress during their transition to university. These effects may have been worse for international students than domestic students as many were subjected to travel restrictions or quarantine in addition to the usual stressors. This study examined the impact of COVID-19 on social connectedness and mental health of first-year students enrolled in a metropolitan university in Australia. The study involved 1239 students (30.4% international) and used a 3 (cohorts: 2019, 2020, 2021) × 2 (enrolment status: domestic and international) between-group design. Results showed that both loneliness and university belonging were significantly worse during the first year of COVID-19 compared to the year before or after. Contrary to expectation, domestic students were lonelier than international students across all cohorts. Multiple-group memberships did not change. As predicted, loneliness was moderately to highly correlated with the number of stressors, psychological distress, and (lower) well-being, whereas university belonging and multiple-group memberships were related to positive mental health outcomes. These findings highlight the need for initiatives that promote student connectedness and mental health as the university sector recovers from COVID-19.
摘要新冠肺炎期间转向在线学习剥夺了一年级学生的友谊和其他社会支持来源,这些来源可以缓解他们在大学过渡期间的压力。对于国际学生来说,这些影响可能比国内学生更严重,因为除了通常的压力外,许多学生还受到旅行限制或隔离。这项研究调查了新冠肺炎对澳大利亚一所大都市大学一年级学生的社会联系和心理健康的影响。该研究涉及1239名学生(30.4%为国际学生),并使用了3(队列:2019、2020、2021)×2(入学状况:国内和国际)的组间设计。结果显示,与前一年或后一年相比,新冠肺炎第一年的孤独感和大学归属感都显著恶化。与预期相反,在所有的队列中,国内学生都比国际学生更孤独。多个组成员身份未更改。正如预测的那样,孤独感与压力源的数量、心理困扰和(较低的)幸福感中度到高度相关,而大学归属感和多个群体成员与积极的心理健康结果相关。这些发现突出表明,随着大学部门从新冠肺炎中复苏,需要采取举措促进学生的联系和心理健康。
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引用次数: 8
Effects of Self-Management Training on Smartphone Dependence in Low to Moderate Adolescent Males’ Users 自我管理训练对中低青少年男性智能手机用户依赖的影响
IF 1.1 4区 心理学 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2022-05-26 DOI: 10.1017/bec.2022.3
Mostafa Motamedi Heravi, S. Khosravan, A. Mohammadi, Mohammad Reza Mansoorian
Abstract While taking advantage of the educational benefits of smartphones, students also apply this device in inappropriate ways that cause certain disciplinary and educational problems. This study examines the effect of self-management training on smartphone dependence among male high school students. Methods: In this quasi-experimental study, data were collected using the Cell Phone Addiction Scale (Koo, 2009), which was completed by the trial and control groups before and after the educational intervention. After assessing their normal distribution, the data were analysed using the Chi-square test, the independent and paired t-tests, Mann–Whitney's U-test, and the Wilcoxon test at a significance level of p < .05. Results: The results showed significant post-intervention reductions in the mean score of smartphone dependence (35.10) and its three domains, including withdrawal/tolerance (14.80), life dysfunction (8.70), and compulsion/persistence (11.60), in the trial group compared to the controls (44.80, 16.2, 12.10, and 16.50) and also in the mean score of certain applications of smartphones (p < .05). Discussion and conclusions: Despite the existing limitations, the results confirmed the efficacy of self-management training in reducing smartphone dependence in the students. The implementation of this programme is recommended for reducing dependence and promoting the proper use of this device.
摘要在利用智能手机的教育优势的同时,学生们也以不恰当的方式使用该设备,这会导致某些纪律和教育问题。本研究考察了自我管理训练对男性高中生智能手机依赖的影响。方法:在这项准实验研究中,使用手机成瘾量表(Koo,2009)收集数据,该量表由试验组和对照组在教育干预前后完成。在评估其正态分布后,使用卡方检验、独立和配对t检验、Mann-Whitney的U型检验和Wilcoxon检验对数据进行分析,显著性水平为p<.05。结果:干预后,智能手机依赖的平均得分(35.10)及其三个领域,包括戒断/耐受(14.80)、生活功能障碍(8.70)和强迫/持续(11.60)显著降低,与对照组相比(44.80、16.2、12.10和16.50),以及智能手机某些应用程序的平均得分(p<0.05)。讨论和结论:尽管存在局限性,但结果证实了自我管理训练在减少学生对智能手机依赖方面的有效性。建议实施该方案,以减少对该设备的依赖并促进其正确使用。
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引用次数: 0
The Effectiveness of Group Triple P for Chinese Immigrant Parents of School Age Children Living in New Zealand P组对在新西兰有学龄子女的中国移民父母的效果
IF 1.1 4区 心理学 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2022-05-13 DOI: 10.1017/bec.2022.1
Yun Wei, Louise J. Keown, Nike Franke, M. Sanders
Abstract The study was a randomised controlled trial evaluating the effectiveness of the Group Triple P Program for Chinese immigrant parents living in New Zealand. Sixty-seven Chinese immigrant parents of a 5- to 9-year-old child with disruptive behaviour problems were randomly allocated to either an intervention or a waitlist group. Parents completed measures of child adjustment problems, general parenting practices, parenting practices in children's academic lives, parental adjustment, parental teamwork, and family relationships at pre-, post-, and 4-month follow-up. Intervention group ratings of programme satisfaction were collected following programme completion. Significant short-term intervention effects were found for improvements in child behaviour, parenting practices, parental teamwork, and parenting in the child academic context. All intervention effects, except for parental teamwork, were maintained at 4-month follow-up. There were no significant intervention effects for parental adjustment, however, medium effect sizes were found at post-intervention and follow-up. A high level of programme satisfaction was reported.
摘要本研究是一项随机对照试验,旨在评估群体Triple P计划对居住在新西兰的中国移民父母的有效性。67名有扰乱行为问题的5至9岁儿童的中国移民父母被随机分配到干预组或等待组。父母在产前、产后和4个月的随访中完成了对儿童适应问题、一般育儿实践、儿童学术生活中的育儿实践、父母适应、父母团队合作和家庭关系的测量。干预组对方案满意度的评分是在方案完成后收集的。在儿童行为、育儿实践、父母团队合作和儿童学术环境中的育儿方面,发现了显著的短期干预效果。除父母团队合作外,所有干预效果均在4个月的随访中保持。父母适应没有显著的干预效果,但在干预后和随访中发现中等效果。据报告,方案满意度很高。
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引用次数: 1
Self-Compassion as a Moderator of the Association Between COVID-19 Stressors and Psychological Symptoms: A Longitudinal Study 自我同情作为COVID-19压力源与心理症状之间关系的调节因素:一项纵向研究
IF 1.1 4区 心理学 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2022-04-29 DOI: 10.1017/bec.2022.2
S. Keng, Emily Zhen Ning Hwang
Abstract The COVID-19 pandemic has resulted in adverse psychological outcomes for many around the globe. Less is known however regarding dispositional traits that may protect against negative psychological outcomes. This study examined the prospective association between COVID-19 stressors and psychological symptoms, and whether self-compassion (referring to a dispositional tendency of relating to oneself kindly) would moderate this association. A convenience sample of 212 university students and working adults (60.4% female; Mage = 20.92 years) based in Singapore completed measures assessing COVID-19 stressors (perceived COVID-19 health risk, economic impact, and impact on daily life), psychological symptoms (depression, anxiety, and PTSD symptoms), and self-compassion 2 months apart. Results indicated that perceived COVID-19 health risk at baseline predicted anxiety symptoms 2 months later, above and beyond baseline anxiety symptoms. Self-compassion moderated the association between perceived COVID-19 health risk and depressive symptoms, and the relationship between perceived impact on daily life and anxiety symptoms. These findings highlight the importance of self-compassion in alleviating psychological symptoms in the context of the COVID-19 pandemic.
2019冠状病毒病大流行给全球许多人带来了不良心理后果。然而,关于性格特征可能防止消极心理结果的了解较少。本研究调查了COVID-19压力源与心理症状之间的前瞻性关联,以及自我同情(指一种与自己友好相处的倾向)是否会缓和这种关联。方便样本为212名大学生和在职成年人(60.4%为女性;Mage = 20.92岁)相隔2个月完成了评估COVID-19压力源(感知到的COVID-19健康风险、经济影响和对日常生活的影响)、心理症状(抑郁、焦虑和创伤后应激障碍症状)和自我同情的措施。结果显示,基线时感知的COVID-19健康风险可预测2个月后的焦虑症状,高于和超出基线焦虑症状。自我同情调节了感知到的COVID-19健康风险与抑郁症状之间的关联,以及感知到的对日常生活的影响与焦虑症状之间的关系。这些发现强调了在2019冠状病毒病大流行背景下,自我同情对缓解心理症状的重要性。
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引用次数: 3
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Behaviour Change
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