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Parental burnout during COVID‐19: The moderating role of anxiety and family functioning COVID-19 期间父母的职业倦怠:焦虑和家庭功能的调节作用
Pub Date : 2024-04-27 DOI: 10.1002/smi.3411
M. Graça Pereira, Jonas Fraga, Martim Santos, Ana Ferraz, Margarida Vilaça
Parental burnout (PB) is characterised by parental exhaustion resulting from exposure to chronic parental stress. Due to the social and economic changes resulting from the COVID‐19 pandemic that impacted families, there is a significant scientific interest in identifying factors related to PB within the pandemic context. This study aimed to analyse the relationships between parental stress (parental concerns, parental satisfaction, lack of control, and fears and anxieties), family functioning, psychological morbidity (anxiety and depression), and burnout in parents. The sample consisted of 253 parents, legal guardians or primary caregivers of children aged between 0 and 6 years. Results revealed that the child's age, psychological morbidity (depression), and parental stress were significant predictors of PB. Anxiety and family functioning played a moderating role in the relationship between parental satisfaction and PB. According to the results, intervention programs should focus on anxiety symptoms and family functioning to mitigate the effects of parental stress on PB.
父母职业倦怠(PB)的特征是父母因长期承受压力而精疲力竭。由于 COVID-19 大流行病导致的社会和经济变化对家庭产生了影响,因此科学界对确定大流行病背景下与父母职业倦怠相关的因素产生了浓厚的兴趣。本研究旨在分析父母压力(父母的担忧、父母的满意度、缺乏控制以及恐惧和焦虑)、家庭功能、父母的心理发病率(焦虑和抑郁)以及职业倦怠之间的关系。样本包括 253 名 0 至 6 岁儿童的父母、法定监护人或主要照顾者。结果显示,儿童的年龄、心理发病率(抑郁)和父母的压力是预测 PB 的重要因素。焦虑和家庭功能在父母满意度与 PB 之间的关系中起着调节作用。根据研究结果,干预计划应侧重于焦虑症状和家庭功能,以减轻父母压力对 PB 的影响。
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引用次数: 0
Perceived stress and personal growth following the transition to military service: The role of sense of coherence and perceived social support 转业后的压力感知和个人成长:连贯感和感知到的社会支持的作用
Pub Date : 2024-04-22 DOI: 10.1002/smi.3406
Shlomit Weiss‐Dagan, Orit Taubman – Ben‐Ari
Relying on personal growth and structuration theories, we aimed to examine the internal (sense of coherence/SOC and help‐seeking/HS) and external (perceived social support) resources that contribute to soldiers' personal growth following the transition to military service. We also investigated the role that perceived social support plays in moderating the relationship between SOC and personal growth, and between HS and personal growth. Two‐hundred‐and‐seventy‐one compulsory service soldiers (of whom 135 were men and 136 were women) completed self‐report questionnaires between 6 and 12 months post‐recruitment. The results showed both linear and curvilinear associations between soldiers' perceived stress and personal growth; SOC, HS, and perceived social support were positively correlated with personal growth; and perceived social support moderated both SOC and HS correlations with personal growth. Empirical evidence of personal growth in the transition to military service has been scant. Transitioning from civilian life to military service can be stressful and even traumatic but it can also provide opportunities for personal development. Our findings shed light on contributors to personal growth in the transition to military service, with both internal and external resources found to help one gain personal growth. It is evident that in order for soldiers to thrive, both perceived social support and active help‐seeking are key factors.
根据个人成长和结构化理论,我们旨在研究有助于士兵转业后个人成长的内部(一致性感/SOC 和寻求帮助/HS)和外部(感知到的社会支持)资源。我们还研究了感知到的社会支持在调节SOC与个人成长、HS与个人成长之间关系中的作用。271 名义务兵(其中男性 135 人,女性 136 人)在入伍后 6 至 12 个月内完成了自我报告问卷。结果显示,士兵感知到的压力与个人成长之间存在线性和曲线关系;SOC、HS 和感知到的社会支持与个人成长呈正相关;感知到的社会支持调节了 SOC 和 HS 与个人成长的相关性。有关转业军人个人成长的经验证据还很少。从平民生活过渡到军队服役可能会给人带来压力,甚至是创伤,但也可能为个人发展提供机会。我们的研究结果揭示了转业军人个人成长的促进因素,发现内部和外部资源都有助于个人成长。很明显,为了让士兵茁壮成长,感知到的社会支持和积极寻求帮助都是关键因素。
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引用次数: 0
Stress beliefs moderate the impact of COVID‐19 related work stress on depressive, anxiety and distress symptoms in health care workers 压力信念可减缓 COVID-19 相关工作压力对医护人员抑郁、焦虑和痛苦症状的影响
Pub Date : 2024-04-20 DOI: 10.1002/smi.3410
Johannes A. C. Laferton, Saskia Schiller, Daniela Conrad, Dorothea Fischer, Frank Zimmermann‐Viehoff
Health care workers are at increased risk for mental health issues due to high psychological and physical job demands. According to a recent study, stress beliefs (i.e., believing stress to be detrimental to one's health) might influence physicians' mental health in response to a naturalistic stressor (COVID‐19 hospital working conditions). Due to a small sample size and high alpha error inflation, the suggested association needs to be interpreted with caution. The current study aims to replicate those findings in a larger sample. A cross‐sectional survey among N = 418 (64.1% female; Median age = 30–39 years) physicians and nurses of a large German medical centre was conducted during the COVID‐19 pandemic (May/June 2021). Perception of pandemic related increase of work stress was assessed via self‐report. Stress beliefs were assessed with the Beliefs About Stress Scale, and mental health symptoms were assessed with the 21‐item Depression Anxiety Stress Scale. Stress beliefs moderated the association between increased work stress and mental health symptoms. Increased work stress was associated with increased depressive, anxiety and distress symptoms only in health care workers with medium (simple slope = 2.22, p < .001; simple slope = 1.27, p < .001; simple slope = 3.19, p < .001) and high (simple slope = 3.13; p < .001; simple slope = 1.66, p < .05; simple slope = 4.33, p < .001) negative stress beliefs. Among health care workers with low negative stress beliefs increased work stress was not associated with increased depressive, anxiety and distress symptoms. This confirms negative stress beliefs as variable of interest in research on the impact of stress on mental health in health care workers.
由于工作对心理和生理的要求都很高,医护人员出现心理健康问题的风险也随之增加。根据最近的一项研究,压力信念(即认为压力不利于个人健康)可能会影响医生在应对自然压力源(COVID-19 医院工作条件)时的心理健康。由于样本量较小,阿尔法误差膨胀率较高,因此需要谨慎解释所提出的关联。目前的研究旨在通过更大的样本复制这些发现。在 COVID-19 大流行期间(2021 年 5 月/6 月),对德国一家大型医疗中心的 418 名医生和护士(64.1% 为女性;年龄中位数为 30-39 岁)进行了横断面调查。通过自我报告评估了与大流行相关的工作压力增加情况。压力信念通过压力信念量表进行评估,心理健康症状通过 21 项抑郁焦虑压力量表进行评估。压力信念调节了工作压力增加与心理健康症状之间的关系。只有在具有中等(简单斜率 = 2.22,p < .001;简单斜率 = 1.27,p < .001;简单斜率 = 3.19,p < .001)和高度(简单斜率 = 3.13;p < .001;简单斜率 = 1.66,p < .05;简单斜率 = 4.33,p < .001)消极压力信念的医护人员中,工作压力的增加才与抑郁、焦虑和痛苦症状的增加有关。在负面压力信念较低的医护人员中,工作压力的增加与抑郁、焦虑和痛苦症状的增加无关。这证实,在有关压力对医护人员心理健康影响的研究中,消极压力信念是一个值得关注的变量。
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引用次数: 0
Momentary stress‐induced food craving: An ecological momentary assessment study comparing perceived interpersonal and non‐interpersonal stressors 瞬间压力引起的食物渴望:比较人际和非人际压力感知的生态瞬间评估研究
Pub Date : 2024-04-18 DOI: 10.1002/smi.3402
Sheila Daniela Dicker‐Oren, Marc Gelkopf, Talya Greene
Daily‐life stressors and food cravings are dynamic and vary within and across persons. Some evidence suggests interpersonal stressors increase appetite. However, little is known about the association of food craving with different types of stressors at the momentary level in the general population. We aimed to explore the momentary relationships between daily‐life stressful events and food craving in a non‐clinical community sample, and to compare the associations with food craving when the most stressful event was perceived as interpersonal versus non‐interpersonal. We used ecological momentary assessment (EMA) to collect reports on the most stressful event, perceived stressor type, stressor appraisal, and food craving from 123 adults three times a day scheduled at fixed intervals over 10 days. Mixed effects random intercepts and slopes models examined the within‐ and between‐person associations. Experiencing a stressor was significantly positively associated with within‐person food craving at the same measurement. No differences in momentary food craving were found when the most stressful event was perceived as interpersonal or non‐interpersonal (within‐person level). However, frequently reporting the most stressful event as interpersonal (vs. non‐interpersonal) was positively associated with food craving across the study (between‐person level), particularly when the stressor was appraised as more unpleasant. Daily‐life stressors were associated with momentary food craving. Individuals who generally perceived interpersonal stressors as their most stressful event tended to experience food cravings. Future research could further investigate the role of interpersonal stressors as a factor for overeating in daily life and the potential benefits of stress management in interventions.
日常生活压力和对食物的渴望是动态变化的,在个人内部和个人之间都存在差异。一些证据表明,人际压力会增加食欲。然而,在普通人群中,人们对食物渴望与不同类型的压力事件在瞬间的关联知之甚少。我们的目的是在非临床社区样本中探讨日常生活压力事件与食物渴望之间的瞬间关系,并比较当认为最大压力事件是人际压力事件与非人际压力事件时,食物渴望与压力事件之间的关联。我们采用生态瞬间评估(EMA)方法,在 10 天内每天固定间隔三次收集 123 名成年人关于最大压力事件、感知到的压力源类型、压力源评价和食物渴望的报告。混合效应随机截距和斜率模型检验了人内和人与人之间的关联。在同一次测量中,经历压力与人内食物渴望呈显著正相关。当最紧张的事件被认为是人际的或非人际的(人内水平)时,没有发现瞬间食物渴望的差异。然而,在整个研究过程中,经常报告最紧张的事件为人际事件(相对于非人际事件)与食物渴望呈正相关(人际层面),尤其是当压力源被评价为更不愉快时。日常生活压力与瞬间食物渴望相关。一般认为人际关系压力是其最大压力事件的人往往会出现食物渴望。未来的研究可以进一步探讨人际压力源作为日常生活中暴饮暴食因素的作用,以及压力管理在干预中的潜在益处。
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引用次数: 0
The moderating role of catastrophizing in day‐to‐day dynamic stress and depressive symptoms 灾难化在日常动态压力和抑郁症状中的调节作用
Pub Date : 2024-04-18 DOI: 10.1002/smi.3404
Lei Zhan, Li Lin, Xiaoyu Wang, Xianghong Sun, Zheng Huang, Liang Zhang
The way individuals handle daily stressors can significantly influence their mental health. Those who struggle with emotion regulation are especially vulnerable to the negative effects of stress. This study explored the role of catastrophizing, a maladaptive emotion regulation strategy, in shaping the relationships between daily stress responses and depressive symptoms. A total of 75 healthy college students participated in the study. We adopted an Ecological Momentary Assessment protocol over 14 consecutive days to capture the day‐to‐day dynamics of stress reactivity and recovery. Our findings indicate that individuals with higher levels of catastrophizing exhibited increased daily stress reactivity and delayed daily stress recovery, consequently raising their likelihood of experiencing amplified depressive symptoms. In contrast, those with lower levels of catastrophizing did not experience the same negative effects of increased daily stress reactivity on their mental health. These results enhance understanding of how real‐life stressors contribute to the development of mental health issues and underscore the importance of adaptive emotion regulation for improved overall health and well‐being.
个人处理日常压力的方式会极大地影响其心理健康。那些在情绪调节方面有困难的人尤其容易受到压力的负面影响。本研究探讨了灾难化(一种适应不良的情绪调节策略)在形成日常压力反应和抑郁症状之间关系中的作用。共有 75 名健康的大学生参与了这项研究。我们采用了连续 14 天的生态瞬间评估方案来捕捉压力反应和恢复的日常动态。我们的研究结果表明,灾难化程度较高的人表现出更高的日常压力反应性和延迟的日常压力恢复,从而增加了他们出现抑郁症状的可能性。相比之下,灾难化程度较低的人并没有因为日常压力反应性的增加而对心理健康产生同样的负面影响。这些结果加深了人们对现实生活中的压力是如何导致心理健康问题发展的理解,并强调了适应性情绪调节对改善整体健康和幸福的重要性。
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引用次数: 0
Longitudinal associations between self-compassion, depression, and suicidal ideation in adolescent boys and girls 少男少女自我同情、抑郁和自杀意念之间的纵向联系
Pub Date : 2024-04-16 DOI: 10.1002/smi.3403
Yaling Pang, Wanjun Li, Chao Song
This study aims to elucidate associations among self-compassion, depression, and suicidal ideation, particularly with respect to gender differences. Using a multigroup cross-lagged panel model, we conducted a longitudinal evaluation of 424 Chinese adolescents (55.85% boys; Mage = 18.02, SD = 0.73 at baseline). Our findings indicated that suicidal ideation at T1 positively predicted depression 6 months later, while negatively predicted self-compassion. However, self-compassion negatively predicted depression 6 months later, specifically in boys, but not in girls. Furthermore, self-compassion significantly mediated the relationship between suicidal ideation at T1 and depression at T2. This study helps to uncover the underlying relationships between self-compassion, depression, and suicidal ideation, and also provide a detailed insight into the differential effects of self-compassion on depression among boys and girls.
本研究旨在阐明自我同情、抑郁和自杀意念之间的关联,尤其是性别差异。我们采用多组跨滞后面板模型,对 424 名中国青少年(55.85% 为男生;基线年龄 = 18.02,标准差 = 0.73)进行了纵向评估。我们的研究结果表明,T1 阶段的自杀意念对 6 个月后的抑郁有正向预测作用,而对自我同情有负向预测作用。然而,自我同情对 6 个月后的抑郁有负向预测作用,尤其是对男生而言,而对女生则没有。此外,自我同情在很大程度上调节了第一阶段自杀意念与第二阶段抑郁之间的关系。这项研究有助于揭示自我同情、抑郁和自杀意念之间的潜在关系,同时还能详细了解自我同情对男孩和女孩抑郁的不同影响。
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引用次数: 0
The impact of parents' stress on parents' and young childrens' mental health—Short- and long-term effects of risk and resilience factors in families with children aged 0–3 in a representative sample 父母压力对父母和幼儿心理健康的影响--代表性样本中 0-3 岁儿童家庭中风险和复原力因素的短期和长期影响
Pub Date : 2024-04-16 DOI: 10.1002/smi.3400
Johanna Löchner, Susanne M. Ulrich, Ulrike Lux
Stress in parents has a significant impact on parenting and infant's development. However, few studies have examined cross-sectional and longitudinal links on risk and resilience of burdened families. Thus, this study aimed to investigate subjective risk and resilience factors on family well-being. Data stem from the 2015 nationwide study “Children in Germany” (“Kinder in Deutschland” – KiD 0–3). Parents of children aged zero to 3 years (N = 8.063) were recruited from random probability-sampled paediatric clinics (n = 271) across Germany. Risk and resilience variables such as parents' perceived stress (PSS-4), competence, isolation and attachment (PSI), as well as parental inner anger (items from CAP), relationship quality (DAS-4) and the child's negative emotionality (items from SGKS) were assessed at baseline in addition to demographic variables to predict parents' mental health (PHQ-4) and negative emotionality of the child at baseline (T1) and in the 2-year follow-up (T2) using linear regression models. At baseline, parents' mental health was predicted by inner anger, the child's negative emotionality and being a single parent (R2 = 45.1%) at baseline, but only by parenting competence at the two-year-follow-up (R2 = 25.1%). The child's negative emotionality was predicted (R2 = 27.5%) by the child's age, and parental inner anger and competence, attachment, perceived stress, mental health as well as education background. At two-year-follow-up, the child's age, single parenthood, social welfare benefit, child's negative emotionality at baseline, relationship quality and competence were significant predictor variables (R2 = 22.8%). This study highlights the impact of specific risk and resilience factors not only on parents' mental health but also the child's negative emotionality in the short and long-term in early childhood. Universal, but also selective prevention programs should increase parents' resilience (e.g., focusing on self-efficacy, competence, coping strategies).
父母的压力对养育子女和婴儿的发展有重大影响。然而,很少有研究对有负担家庭的风险和复原力的横向和纵向联系进行研究。因此,本研究旨在调查影响家庭幸福的主观风险和复原力因素。数据来源于2015年的全国性研究 "德国儿童"("Kinder in Deutschland" - KiD 0-3)。研究人员从德国各地随机概率抽样的儿科诊所(n = 271)中招募了零到三岁儿童的父母(n = 8.063)。除了人口统计学变量外,还在基线时评估了风险和复原力变量,如父母的压力感知(PSS-4)、能力、隔离和依恋(PSI),以及父母内心的愤怒(CAP中的项目)、关系质量(DAS-4)和儿童的消极情绪(SGKS中的项目),以便使用线性回归模型预测父母在基线(T1)和两年随访(T2)时的心理健康(PHQ-4)和儿童的消极情绪。在基线时,父母的心理健康可通过内心的愤怒、孩子的负面情绪和单亲来预测(R2 = 45.1%),但在两年随访时,父母的心理健康只能通过养育能力来预测(R2 = 25.1%)。孩子的年龄、父母内心的愤怒和能力、依恋、感知到的压力、心理健康以及教育背景可以预测孩子的负面情绪(R2 = 27.5%)。在两年的跟踪调查中,孩子的年龄、单亲家庭、社会福利、孩子基线时的负面情绪、关系质量和能力是重要的预测变量(R2 = 22.8%)。这项研究强调了特定的风险和复原力因素不仅对父母的心理健康有影响,而且对幼儿期儿童的短期和长期负面情绪也有影响。普遍性预防计划和选择性预防计划都应提高父母的抗逆能力(如注重自我效能、能力和应对策略)。
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引用次数: 0
Psychological intervention programme for developing resilience in the military personnel. A randomized controlled trial 培养军人复原力的心理干预计划。随机对照试验
Pub Date : 2024-04-15 DOI: 10.1002/smi.3399
Maria Nicoleta Turliuc, Ana-Diana Balcan
Military gendarmes are frequently exposed to events with traumatic impact, with negative effects on emotional and physical health. The present research aims to analyse the effectiveness of Military Resilience Training (MRTR), a psychological intervention programme developed to reduce perceived stress, increase the perception of adaptive resources and strengthen resilience. Ninety-eight participants who met the inclusion criteria were enroled in a single-blind randomized controlled trial. The psychological training programme was implemented in the intervention group (n = 48) for a duration of 5 months. The participants in the control group (n = 50) were scheduled to start the training later. The levels of perceived stress, adaptive resources and resilience were measured in all participants, from the intervention and the control group, before and after the intervention, and at a 3-month follow-up. The effects of the intervention (Cohen's d) were very high for adaptive resources (d = 0.99), self-schemes (d = 1.33), family support (d = 0.70), and partner support (d = 0.66), average for resilience (d = 0.53) and stress (d = 0.49), with very high effects on military task demands (d = 1.19) and averages for friction with authority (d = 0.51). The effects were obtained only in the intervention group, and all gains were maintained at follow-up. This study provides evidence of the effectiveness of MRTR, a psychological intervention implemented in the military gendarmerie population. In the short and long term, MRTR has significant effects in reducing perceived stress, increasing the perception of adaptive resources and strengthening the resilience of military gendarmes.
宪兵经常面临具有创伤性影响的事件,对情绪和身体健康造成负面影响。本研究旨在分析军事复原力训练(MRTR)的有效性,这是一项心理干预计划,旨在减少感知到的压力、增加对适应资源的感知并增强复原力。符合纳入标准的 98 名参与者参加了单盲随机对照试验。心理训练计划在干预组(48 人)中实施,为期 5 个月。对照组的参与者(人数=50)则被安排在晚些时候开始接受培训。在干预前后和 3 个月的随访中,对干预组和对照组的所有参与者的压力感知水平、适应资源和复原力进行了测量。干预的效果(Cohen's d)在适应资源(d = 0.99)、自我计划(d = 1.33)、家庭支持(d = 0.70)和伴侣支持(d = 0.66)方面非常高,在复原力(d = 0.53)和压力(d = 0.49)方面一般,在军事任务要求(d = 1.19)方面效果非常高,在与权威的摩擦(d = 0.51)方面效果一般。这些效果仅在干预组中产生,而且所有收益在随访时都得以保持。这项研究证明了 MRTR 这种在宪兵中实施的心理干预措施的有效性。从短期和长期来看,MRTR 在减少感知压力、增加适应资源感知和增强宪兵复原力方面都有显著效果。
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引用次数: 0
Association of hair cortisol concentration with brain‐derived neurotrophic factor gene methylation: The role of sex as a moderator 毛发皮质醇浓度与脑源性神经营养因子基因甲基化的关系:性别的调节作用
Pub Date : 2024-04-06 DOI: 10.1002/smi.3401
Zhenxu Li, Wanji Kong, Hye Yoon Park, Se Jun Koo, Minji Bang, Jung Tak Park, Eun Lee, Suk Kyoon An
Hair cortisol concentration (HCC) reflects the long‐term activity of the hypothalamus‐pituitary‐adrenal (HPA) axis in response to stress. Brain‐derived neurotrophic factor DNA methylation (BDNF DNAM) may affect HCC, and sex and Val66Met may contribute to this association. Thus, the aim of this study was to investigate the associations between HCC and Brain‐derived neurotrophic factor (BDNF) DNAM, and the moderating effects of Val66Met and sex. We recruited 191 healthy young participants (96 women, mean age 23.0 ± 2.6 years) and collected body samples to evaluate HCC, and to determine BDNF DNAM and Val66Met genotypes. We analyzed the effects of BDNF DNAM, sex, and Val66Met on HCC. We also evaluated the associations between BDNF DNAM and HCC in groups separated by sex and genotypes. We found a marked association of BDNF DNAM with HCC across men and women. After dividing the data by sex, a positive correlation of HCC with BDNF DNAM was found only in women. There was no substantial moderation effect of Val66Met genotypes on the association between BDNF DNAM and HCC. Therefore, BDNF DNAM was found to have positive association with HCC only in healthy young women, indicating that sex moderates the association of BDNF DNAM with long‐term HPA axis activity.
毛发皮质醇浓度(HCC)反映了下丘脑-垂体-肾上腺(HPA)轴在应对压力时的长期活动。脑源性神经营养因子 DNA 甲基化(BDNF DNAM)可能会影响 HCC,而性别和 Val66Met 可能会促成这种关联。因此,本研究旨在调查 HCC 与脑源性神经营养因子 DNA 甲基化之间的关系,以及 Val66Met 和性别的调节作用。我们招募了 191 名健康的年轻参与者(96 名女性,平均年龄为 23.0 ± 2.6 岁),并采集了身体样本以评估 HCC,同时确定了 BDNF DNAM 和 Val66Met 基因型。我们分析了 BDNF DNAM、性别和 Val66Met 对 HCC 的影响。我们还评估了按性别和基因型分组的 BDNF DNAM 与 HCC 之间的关联。我们发现,在男性和女性中,BDNF DNAM 与 HCC 都有明显的关联。按性别划分数据后,发现只有女性的 HCC 与 BDNF DNAM 呈正相关。Val66Met 基因型对 BDNF DNAM 与 HCC 的关系没有实质性的调节作用。因此,BDNF DNAM仅在健康年轻女性中与HCC呈正相关,这表明性别调节了BDNF DNAM与HPA轴长期活动的关系。
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引用次数: 0
The impact of stress and well-being during the COVID-19 pandemic on mental health in U.S. veterans COVID-19 大流行期间的压力和幸福感对美国退伍军人心理健康的影响
Pub Date : 2023-12-21 DOI: 10.1002/smi.3357
Kelsey N. Serier, Ziyu Zhao, Dawne Vogt, Shannon Kehle-Forbes, Brian N. Smith, Karen S. Mitchell
The COVID-19 pandemic disrupted life around the globe and negatively impacted mental health (MH), including among military veterans. Building on previous research with U.S. veterans, the present study examined the association between a broad array of pandemic stressors and well-being on MH outcomes. A total of 372 veterans (51.3% women) from all service eras completed measures of posttraumatic stress disorder and depression during early (timepoint 1 [T1]) and peri-pandemic (timepoint 2 [T2]) periods. Pandemic-related stressors and well-being (satisfaction in life domains) were assessed at the peri-pandemic timepoint (T2). Logistic regression analyses were used to investigate associations between stressors and well-being with the likelihood of a probable MH diagnosis at T2 controlling for T1 MH status. More negative physical and MH impacts of the pandemic in addition to fewer positive consequences and lower satisfaction with paid work, finances, health, romantic relationships, and social life were associated with a higher likelihood of a probable T2 MH diagnosis. COVID infection was associated with lower odds of a probable T2 MH diagnosis. There were significant indirect effects, such that physical and MH impacts of the pandemic were associated with T2 MH via well-being. Overall, these findings highlight the role of stress and well-being on MH during a global pandemic. Interventions to address well-being may be important to address veteran MH during other periods of stress. Future research should examine the generalizability of study findings and further investigate factors that contribute to veterans' MH resilience during stressful life experiences.
COVID-19 大流行扰乱了全球各地的生活,对包括退伍军人在内的人们的心理健康(MH)产生了负面影响。本研究以之前对美国退伍军人的研究为基础,探讨了大流行对退伍军人心理健康造成的一系列压力和福祉之间的关联。共有 372 名来自各个服役年代的退伍军人(51.3% 为女性)在早期(时间点 1 [T1])和大流行期间(时间点 2 [T2])完成了创伤后应激障碍和抑郁症的测量。与大流行相关的压力源和幸福感(生活领域的满意度)则在围大流行时间点(T2)进行评估。采用逻辑回归分析来研究压力源和幸福感与 T2 时可能被诊断为精神健康问题的可能性之间的关系,并对 T1 时的精神健康状况进行了控制。除了积极影响较少以及对有偿工作、财务、健康、恋爱关系和社交生活的满意度较低之外,大流行病对身体和心理健康的负面影响较多,这与 T2 可能被诊断为心理健康问题的可能性较高有关。感染 COVID 与较低的 T2 MH 诊断几率有关。间接效应也很明显,例如,大流行病对身体和心理健康的影响通过幸福感与 T2 MH 相关联。总之,这些研究结果强调了在全球大流行期间压力和幸福感对精神健康的影响。针对幸福感的干预措施对于解决退伍军人在其他压力时期的心理健康问题可能非常重要。未来的研究应检查研究结果的普遍性,并进一步调查在紧张的生活经历中促进退伍军人心理健康恢复能力的因素。
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