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Healthcare Provider Reports on Social Determinants of Health in Opioid Treatment 医疗保健提供者关于阿片类药物治疗中健康的社会决定因素的报告
Pub Date : 2023-01-30 DOI: 10.3390/psych5010007
Christopher Cambron, R. Gouripeddi, J. Facelli
Opioid overdose and death from overdose continue to present a pressing problem in the United States. It is well-established that a range of social and economic factors, often referred to as social determinants of health (SDOH), are associated with increased opioid overdose and death. Few studies have examined healthcare provider reports on social and economic barriers to opioid treatment. Healthcare providers (N = 161) participating in opioid Project ECHO (Extension for Community Healthcare Outcomes) programs were surveyed on the portion of their patients experiencing 15 different SDOH. Results indicated that multiple determinants were experienced by the majority of their patients, with poverty as the most commonly experienced social determinant (72%). Regression analyses indicated that physicians generally reported a lower portion of patients experiencing SDOH compared with social workers, nurse practitioners, and other healthcare providers. Results suggest that SDOH are widely experienced by patients seeking opioid treatment and that professional backgrounds may be related to reports of SDOH at the point of care. Multi-disciplinary teams involving social workers, nurse practitioners, and other healthcare providers may improve the identification of social and economic barriers to opioid treatment.
阿片类药物过量和过量死亡在美国仍然是一个紧迫的问题。众所周知,一系列社会和经济因素,通常被称为健康的社会决定因素(SDOH),与阿片类药物过量和死亡的增加有关。很少有研究审查医疗保健提供者关于阿片类药物治疗的社会和经济障碍的报告。参与阿片类药物项目ECHO(社区医疗保健结果扩展)项目的医疗保健提供者(N=161)对其经历15种不同SDOH的患者进行了调查。结果表明,大多数患者都经历了多种决定因素,其中贫困是最常见的社会决定因素(72%)。回归分析表明,与社会工作者、执业护士和其他医疗保健提供者相比,医生通常报告的SDOH患者比例较低。结果表明,寻求阿片类药物治疗的患者普遍经历SDOH,并且专业背景可能与护理点的SDOH报告有关。由社会工作者、执业护士和其他医疗保健提供者组成的多学科团队可能会改进对阿片类药物治疗的社会和经济障碍的识别。
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引用次数: 0
Depression, Anxiety, and Traumatic Stress Symptoms among Emergency Service Workers in Finland after a Post-Critical Incident Seminar—A Pilot Study 芬兰急救服务人员在危急事件后研讨会后的抑郁、焦虑和创伤应激症状——一项试点研究
Pub Date : 2023-01-27 DOI: 10.3390/psych5010006
Sanna Korpela, H. Nordquist
Emergency service workers encounter potentially traumatic incidents as part of their normal work duties. They are, therefore, at an increased risk of symptoms of poor mental health. In the past, post-critical incident seminars (PCIS) were offered to police officers in Finland who had suffered mental health consequences from a critical incident at work. Recently, the same seminar has been offered to emergency service workers in Finland. In this pilot study, the effects of PCIS on the symptoms of depression, anxiety, and traumatic stress are tentatively mapped using self-assessment inventories. Fifteen emergency service workers who attended a PCIS in April 2021 filled out the inventories at the beginning of the PCIS and one, three, and six months after the PCIS. All symptoms measured in this study (depression, anxiety, and traumatic stress) decreased after the PCIS, but the clearest decrease was observed in traumatic stress symptoms. Future similar research should use a control group and a larger sample, track mental health symptom scores over a longer period, and compare qualitative and quantitative data to contribute to a richer understanding of this issue.
急救服务人员在日常工作中遇到潜在的创伤性事件。因此,他们出现精神健康不良症状的风险更大。过去,芬兰为因工作中的重大事件而遭受精神健康后果的警官举办了重大事件后研讨会。最近,为芬兰的紧急服务工作人员举办了同样的研讨会。在这项初步研究中,PCIS对抑郁、焦虑和创伤性应激症状的影响是使用自我评估量表初步绘制的。在2021年4月参加了PCIS的15名应急服务人员在PCIS开始时以及PCIS开始后的1个月、3个月和6个月填写了清单。本研究测量的所有症状(抑郁、焦虑和创伤性应激)在PCIS后均有所减轻,但最明显的减轻是在创伤性应激症状中。未来类似的研究应该使用控制组和更大的样本,在更长的时间内跟踪心理健康症状评分,并比较定性和定量数据,以有助于更深入地了解这一问题。
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引用次数: 1
Acknowledgment to Reviewers of Psych in 2022 向2022年《心理学》杂志的审稿人致谢
Pub Date : 2023-01-17 DOI: 10.3390/psych5010005
High-quality academic publishing is built on rigorous peer review [...]
高质量的学术出版建立在严格的同行评审的基础上[…]
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引用次数: 0
A Cautionary Note Regarding Multilevel Factor Score Estimates from Lavaan 关于Lavaan的多水平因子得分估计的警告说明
Pub Date : 2023-01-09 DOI: 10.3390/psych5010004
Steffen Zitzmann
To compute factor score estimates, lavaan version 0.6–12 offers the function lavPredict( ) that can not only be applied in single-level modeling but also in multilevel modeling, where characteristics of higher-level units such as working environments or team leaders are often assessed by ratings of employees. Surprisingly, the function provides results that deviate from the expected ones. Specifically, whereas the function yields correct EAP estimates of higher-level factors, the ML estimates are counterintuitive and possibly incorrect. Moreover, the function does not provide the expected standard errors. I illustrate these issues using an example from organizational research where team leaders are evaluated by their employees, and I discuss these issues from a measurement perspective.
为了计算因子得分估计,lavan版本0.6–12提供了lavPredict()函数,该函数不仅可以应用于单级建模,还可以应用于多级建模,在多级建模中,工作环境或团队领导等上级单位的特征通常通过员工评级来评估。令人惊讶的是,该函数提供的结果与预期的结果不同。具体地说,尽管函数产生了更高层次因素的正确EAP估计,但ML估计是违反直觉的,并且可能是不正确的。此外,该函数没有提供预期的标准误差。我用组织研究中的一个例子来说明这些问题,在这个例子中,团队领导者由他们的员工进行评估,我从衡量的角度来讨论这些问题。
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引用次数: 2
Mobile Mental Health Units in Heraklion Crete 2013–2022: Progress, Difficulties and Future Challenges 2013–2022年伊拉克利翁克里特岛的流动精神卫生单位:进展、困难和未来挑战
Pub Date : 2022-12-30 DOI: 10.3390/psych5010003
Anna Paschalidou, M. Anastasaki, A. Zografaki, C. Krasanaki, M. Daskalaki, Vasilis Chatziorfanos, Anna Giakovidou, M. Basta, A. Vgontzas
Mobile mental health units (MMHUs) have been proposed as an effective model to serve the mental health needs of remote underserved areas. In 2013, the Department of Psychiatry, University of Crete, started a pilot MMHU to cover the needs of remote rural areas of the Heraklion Prefecture. The main objectives were early detection, prevention and therapy of patients with severe psychiatric disorders, without access to regular psychiatric care. In addition to regular visits to primary care health centers, a community support network was established. During this 10-year period, the MMHU has evaluated 3343 patients and performed 19,935 visits. The most frequent diagnoses are depression and anxiety (52.7%) whereas psychosis and bipolar disorders are the third (12.7%) and fifth most frequent diagnoses (4.7%). Half of the patients with depression/anxiety were older than 65 years and one third were living alone. Furthermore, the first visit with the MMHU of severely mentally ill was about 15 years later from the self-reported onset of psychotic symptoms. We discuss how to improve our ability to detect and intervene earlier in patients with severe mental illness, and how to address effectively, both pharmacologically and psychosocially, the depression and loneliness of older individuals living in small remote communities.
流动心理健康单位(MMHU)已被提议作为一种有效的模式,以满足偏远服务不足地区的心理健康需求。2013年,克里特大学精神病学系启动了MMHU试点项目,以满足伊拉克利翁州偏远农村地区的需求。主要目标是早期发现、预防和治疗严重精神障碍患者,而这些患者无法获得常规的精神护理。除了定期访问初级保健保健中心外,还建立了一个社区支助网络。在这10年期间,MMHU评估了3343名患者,并进行了19935次访视。最常见的诊断是抑郁症和焦虑症(52.7%),而精神病和双相情感障碍是第三常见诊断(12.7%)和第五常见诊断(4.7%)。一半的抑郁症/焦虑症患者年龄超过65岁,三分之一的患者独自生活。此外,严重精神病患者的MMHU第一次就诊是在自我报告的精神病症状发作后约15年。我们讨论了如何提高我们早期发现和干预严重精神疾病患者的能力,以及如何在药理学和社会心理学上有效解决生活在偏远小社区的老年人的抑郁和孤独问题。
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引用次数: 2
Mental Paper Folding Revisited: The Involvement of Visual Action Imagery 心理折纸再访:视觉动作意象的介入
Pub Date : 2022-12-30 DOI: 10.3390/psych5010002
S. Dahm, Clemens Draxler
Action imagery describes a mental representation of an action and its consequences. Although it is widely recognized that people differ in their ability to imagine actions, objective validated tests to measure such differences are scarce. In search of an objective testing method for action imagery ability, the present study investigated whether solving mental paper-folding tasks involves action imagery. The stimuli were two-dimensional grids of six squares. A total of 99 participants mentally folded each grid into a three-dimensional cube to judge whether two highlighted lines in the grid overlapped in the imagined cube. This was done in two sessions of 214 judgements each, where the grids differed in overlaps, the least number of imagined folds, and the least number of imagined directional changes. Error rates and reaction times increased with the number of imagined folds and with the number of directional changes. Furthermore, more errors were committed with overlapping lines than with no overlaps. This was not reflected in the reaction times. Hence, the reaction times increased when the stepwise folding process was enlarged, but not when the final selection was more difficult. We concluded that the participants predominantly used action imagery as a task-solving strategy rather than for abstract problem-solving.
动作意象描述了一个动作及其后果的心理表征。尽管人们普遍认为,人们想象行为的能力不同,但衡量这种差异的客观验证测试却很少。为了寻找一种客观的动作意象能力测试方法,本研究调查了解决心理叠纸任务是否涉及动作意象。刺激物是六个正方形的二维网格。共有99名参与者将每个网格在心理上折叠成一个三维立方体,以判断网格中两条高亮显示的线是否在想象的立方体中重叠。这是在两个阶段中完成的,每个阶段有214个判断,其中网格在重叠、想象的折叠数量最少和想象的方向变化数量最少方面存在差异。错误率和反应时间随着想象折叠的数量和方向变化的数量而增加。此外,与没有重叠的情况相比,有重叠线路的错误更多。这并没有反映在反应时间上。因此,当逐步折叠过程扩大时,反应时间增加,但当最终选择更困难时,反应次数没有增加。我们得出的结论是,参与者主要使用动作意象作为任务解决策略,而不是抽象的问题解决策略。
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引用次数: 0
Burnout among Male Physicians: A Controlled Study on Pathological Personality Traits and Facets 男性医师倦怠状况的病理性人格特征与面观对照研究
Pub Date : 2022-12-22 DOI: 10.3390/psych5010001
S. Holzgang, A. Pazhenkottil, M. Princip, B. Auschra, S. Euler, R. von Känel
There is a high prevalence of job burnout in physicians, impacting both the professional and personal levels. This study aimed to investigate whether physicians with burnout show specific pathological traits and facets of their personalities compared with healthy controls, according to the dimensional personality models in the ICD-11 and DSM-5. The role of perceived stress, anxiety, and depression were exploratively investigated regarding group differences. Male physicians (n = 60) were recruited into two groups (burnout vs. healthy). The Personality Inventory for the DSM-5 Brief Form Plus (PID5BF+) and the Maslach Burnout Inventory (MBI) were applied. The Wilcoxon rank-sum test (WRS) showed group differences in five of the six traits and in six of the seventeen facets of the PID5BF+. Multiple binary logistic regression, controlling for age, showed that deceitfulness (3.34 (1.36–9.35), p = 0.013) and impulsivity (10.20 (2.4–61.46), p = 0.004) significantly predicted burnout. Moreover, the WRS showed significant group differences in perceived stress, depressive, and anxiety symptoms (all p < 0.00)]. The findings suggest a relationship between pathological personality facets and burnout in a sample of male physicians. In particular, the facets of deceitfulness and impulsivity appear to play an important role. Furthermore, burnout showed well-known associations with perceived stress, depressive, and anxiety symptoms.
医生职业倦怠的发生率很高,对职业和个人层面都有影响。根据ICD-11和DSM-5中的维度人格模型,本研究旨在调查与健康对照组相比,倦怠医生是否表现出特定的病理特征和人格方面。对感知压力、焦虑和抑郁在群体差异中的作用进行了探索性调查。男医生(n=60)被分为两组(倦怠组和健康组)。采用DSM-5简表加个性量表(PID5BF+)和Maslach倦怠量表(MBI)。Wilcoxon秩和检验(WRS)在PID5BF+的六个性状中的五个和十七个方面中的六个方面显示出群体差异。控制年龄的多元二元逻辑回归显示,欺骗(3.34(1.36–9.35),p=0.013)和冲动(10.20(2.4–61.46),p=0.004)显著预测倦怠。此外,WRS在感知压力、抑郁和焦虑症状方面显示出显著的群体差异(均p<0.00)。研究结果表明,在男性医生样本中,病理性人格方面与倦怠之间存在关系。特别是,欺骗和冲动似乎起着重要作用。此外,倦怠表现出众所周知的与感知压力、抑郁和焦虑症状的关联。
{"title":"Burnout among Male Physicians: A Controlled Study on Pathological Personality Traits and Facets","authors":"S. Holzgang, A. Pazhenkottil, M. Princip, B. Auschra, S. Euler, R. von Känel","doi":"10.3390/psych5010001","DOIUrl":"https://doi.org/10.3390/psych5010001","url":null,"abstract":"There is a high prevalence of job burnout in physicians, impacting both the professional and personal levels. This study aimed to investigate whether physicians with burnout show specific pathological traits and facets of their personalities compared with healthy controls, according to the dimensional personality models in the ICD-11 and DSM-5. The role of perceived stress, anxiety, and depression were exploratively investigated regarding group differences. Male physicians (n = 60) were recruited into two groups (burnout vs. healthy). The Personality Inventory for the DSM-5 Brief Form Plus (PID5BF+) and the Maslach Burnout Inventory (MBI) were applied. The Wilcoxon rank-sum test (WRS) showed group differences in five of the six traits and in six of the seventeen facets of the PID5BF+. Multiple binary logistic regression, controlling for age, showed that deceitfulness (3.34 (1.36–9.35), p = 0.013) and impulsivity (10.20 (2.4–61.46), p = 0.004) significantly predicted burnout. Moreover, the WRS showed significant group differences in perceived stress, depressive, and anxiety symptoms (all p < 0.00)]. The findings suggest a relationship between pathological personality facets and burnout in a sample of male physicians. In particular, the facets of deceitfulness and impulsivity appear to play an important role. Furthermore, burnout showed well-known associations with perceived stress, depressive, and anxiety symptoms.","PeriodicalId":93139,"journal":{"name":"Psych","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41615466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Evaluation of the English Version of the Smartphone Application-Based Addiction Scale (SABAS) among an Adolescent Sample 基于智能手机应用程序成瘾量表(SABAS)英文版在青少年样本中的评估
Pub Date : 2022-12-19 DOI: 10.3390/psych4040071
A. Mason, Taylor Winter, Benjamin C. Riordan, M. Griffiths, D. Scarf
The increased use of smartphones among adolescents has highlighted the need to distinguish between problematic and non-problematic smartphone use. To date, there are a lack of short, easy-to-use, and valid psychometric tools to assess smartphone addiction. The primary aim of the present study was to conduct the first psychometric assessment and evaluation of the Smartphone Application-Based Addiction Scale (SABAS) among English-speaking adolescents. Participants were 1175 students recruited from across four different high schools in New Zealand, of which 1031 completed all questions and were used in the final analyses. Several psychometric tests were conducted to ascertain reliability and validity. The SABAS had high internal consistency. Consistent with earlier validation studies, the SABAS displayed weak-moderate, positive relationships with symptoms of depression (PHQ-2), anxiety (GAD-2), and sleep quality. Overall, the SABAS is a sound, unidimensional scale with robust psychometric properties and is a short and easy-to-use measure that can be used confidently among English-speaking adolescents.
青少年越来越多地使用智能手机,这突出了区分有问题和无问题智能手机使用的必要性。到目前为止,还缺乏简短、易于使用和有效的心理测量工具来评估智能手机成瘾。本研究的主要目的是对英语青少年的智能手机应用成瘾量表(SABAS)进行首次心理测量评估。参与者是来自新西兰四所不同高中的1175名学生,其中1031人完成了所有问题并用于最终分析。进行了几项心理测量测试以确定可靠性和有效性。SABAS具有较高的内部一致性。与早期的验证研究一致,SABAS显示出与抑郁(PHQ-2)、焦虑(GAD-2)和睡眠质量症状的弱-中度正相关。总的来说,SABAS是一个健全的、一维的量表,具有强大的心理测量特性,是一个简单易用的测量方法,可以在英语青少年中自信地使用。
{"title":"Evaluation of the English Version of the Smartphone Application-Based Addiction Scale (SABAS) among an Adolescent Sample","authors":"A. Mason, Taylor Winter, Benjamin C. Riordan, M. Griffiths, D. Scarf","doi":"10.3390/psych4040071","DOIUrl":"https://doi.org/10.3390/psych4040071","url":null,"abstract":"The increased use of smartphones among adolescents has highlighted the need to distinguish between problematic and non-problematic smartphone use. To date, there are a lack of short, easy-to-use, and valid psychometric tools to assess smartphone addiction. The primary aim of the present study was to conduct the first psychometric assessment and evaluation of the Smartphone Application-Based Addiction Scale (SABAS) among English-speaking adolescents. Participants were 1175 students recruited from across four different high schools in New Zealand, of which 1031 completed all questions and were used in the final analyses. Several psychometric tests were conducted to ascertain reliability and validity. The SABAS had high internal consistency. Consistent with earlier validation studies, the SABAS displayed weak-moderate, positive relationships with symptoms of depression (PHQ-2), anxiety (GAD-2), and sleep quality. Overall, the SABAS is a sound, unidimensional scale with robust psychometric properties and is a short and easy-to-use measure that can be used confidently among English-speaking adolescents.","PeriodicalId":93139,"journal":{"name":"Psych","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49435704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Burnout Levels in Italian Nurses during the First and the Second Wave in the COVID-19 Outbreak: A Pilot Cohort-Data Comparison 新冠肺炎疫情第一波和第二波期间意大利护士的倦怠水平:试点队列数据比较
Pub Date : 2022-12-12 DOI: 10.3390/psych4040070
E. Vitale
(1) Background: Nurses show higher psychological distress associated with physical difficulties during the COVID-19 outbreak. To compare burnout levels among nurses engaged in the front line of patients with COVID-19 during the first wave and the second wave of the pandemic. (2) Methods: Two cohort online surveys were conducted thanks to the Google Modules function: the first one was administered from March 2020 to April 2020 and the second survey, which included the same questionnaire, was administered from September 2020 to October 2020. (3) Results: There were significant differences in the emotional exhaustion sub dimension (p < 0.001): The first wave group recorded higher levels than the second wave one. While, as regards to the values of the dimension of the depersonalization, the second wave group reported significantly higher values than the first wave group (p = 0.006). No significant difference was recorded for the personal accomplishment sub dimension (p = 0.108). By considering the gender variable, significant difference was reported in personal accomplishment sub dimension, as during the second wave, females recorded lower levels in personal accomplishment while males reported significantly higher levels in the same sub dimension than the first wave (p = 0.012); while no statistically significant differences were reported in burnout sub dimensions during the first and the second waves according to years of work experience. (4) Conclusions: The COVID-19 pandemic represents an important provocation for nurses all around the world and, at the same time, constitutes a learning lesson to improve better approaches for the subsequent waves. Several interventions could be introduced to moderate the mental health influence of the COVID-19 pandemic on nurses.
(1) 背景:在新冠肺炎爆发期间,护士表现出与身体困难相关的更高的心理压力。比较在第一波和第二波疫情期间,从事新冠肺炎患者一线工作的护士的倦怠水平。(2) 方法:借助谷歌模块功能,进行了两次队列在线调查:第一次调查于2020年3月至2020年4月进行,第二次调查包括相同的问卷,于2020年9月至2020月进行。(3) 结果:情绪耗竭亚维度存在显著差异(p<0.001):第一波组的情绪耗竭水平高于第二波组。而关于人格解体维度的值,第二波组报告的值显著高于第一波组(p=0.006)。个人成就子维度没有显著差异(p=0.008)。考虑到性别变量,个人成就子维报告的值存在显著差异,在第二波中,女性的个人成就水平较低,而男性在同一子维度上的成就水平明显高于第一波(p=0.012);而根据多年的工作经验,在第一波和第二波期间,倦怠子维度没有统计学上的显著差异。(4) 结论:新冠肺炎大流行对世界各地的护士来说是一个重要的挑衅,同时也是一个教训,可以改进后续浪潮的更好方法。可以采取几种干预措施来缓解新冠肺炎大流行对护士的心理健康影响。
{"title":"Burnout Levels in Italian Nurses during the First and the Second Wave in the COVID-19 Outbreak: A Pilot Cohort-Data Comparison","authors":"E. Vitale","doi":"10.3390/psych4040070","DOIUrl":"https://doi.org/10.3390/psych4040070","url":null,"abstract":"(1) Background: Nurses show higher psychological distress associated with physical difficulties during the COVID-19 outbreak. To compare burnout levels among nurses engaged in the front line of patients with COVID-19 during the first wave and the second wave of the pandemic. (2) Methods: Two cohort online surveys were conducted thanks to the Google Modules function: the first one was administered from March 2020 to April 2020 and the second survey, which included the same questionnaire, was administered from September 2020 to October 2020. (3) Results: There were significant differences in the emotional exhaustion sub dimension (p < 0.001): The first wave group recorded higher levels than the second wave one. While, as regards to the values of the dimension of the depersonalization, the second wave group reported significantly higher values than the first wave group (p = 0.006). No significant difference was recorded for the personal accomplishment sub dimension (p = 0.108). By considering the gender variable, significant difference was reported in personal accomplishment sub dimension, as during the second wave, females recorded lower levels in personal accomplishment while males reported significantly higher levels in the same sub dimension than the first wave (p = 0.012); while no statistically significant differences were reported in burnout sub dimensions during the first and the second waves according to years of work experience. (4) Conclusions: The COVID-19 pandemic represents an important provocation for nurses all around the world and, at the same time, constitutes a learning lesson to improve better approaches for the subsequent waves. Several interventions could be introduced to moderate the mental health influence of the COVID-19 pandemic on nurses.","PeriodicalId":93139,"journal":{"name":"Psych","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46770297","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Is Anxiety Sensitivity Associated with COVID-19 Related Distress and Adherence among Emerging Adults? 新兴成年人的焦虑敏感性与新冠肺炎相关的痛苦和坚持有关吗?
Pub Date : 2022-11-30 DOI: 10.3390/psych4040069
F. Yunus, A. Livet, Aram Mahmoud, Mackenzie Moore, Clayton B. Murphy, R. Nogueira-Arjona, Kara Thompson, M. Keough, M. Krank, P. Conrod, S. Stewart
We investigated whether anxiety sensitivity (AS) is associated with increased distress and adherence to public health guidelines during the COVID-19 pandemic among undergraduates, and whether increased distress mediates the relationship between AS and increased adherence. An online cross-sectional survey was conducted with 1318 first- and second-year undergraduates (mean age of 19.2 years; 79.5% females) from five Canadian universities. Relevant subscales of the Substance Use Risk Profile Scale (SURPS) and the Big Five Inventory-10 (BFI-10) were used to assess AS and neuroticism. Three measures tapped distress: the Patient Health Questionnaire-9 (PHQ-9) for depressive symptoms, the Generalized Anxiety Disorder-7 (GAD-7) for anxiety symptoms, and the Brief COVID-19 Stress Scales (CSS-B) for COVID-19-specific distress. The COVID-19 Adherence scale (CAD) assessed adherence to COVID-19 containment measures. AS was significantly independently associated with higher general distress (both anxiety and depressive symptoms) and higher COVID-19-specific distress, after controlling age, sex, study site, and neuroticism. Moreover, AS indirectly predicted greater adherence to COVID-19 preventive measures through higher COVID-19-specific distress. Interventions targeting higher AS might be helpful for decreasing both general and COVID-19-specific distress, whereas interventions targeting lower AS might be helpful for increasing adherence to public health containment strategies, in undergraduates.
我们调查了在新冠肺炎大流行期间,焦虑敏感性(AS)是否与大学生中压力增加和对公共卫生指南的遵守有关,以及压力增加是否介导了焦虑敏感性与遵守指南增加之间的关系。对来自五所加拿大大学的1318名一年级和二年级本科生(平均年龄19.2岁;79.5%为女性)进行了一项在线横断面调查。使用物质使用风险状况量表(SURPS)和五大清单-10(BFI-10)的相关分量表来评估AS和神经质。三种测量方法利用了痛苦:抑郁症状的患者健康问卷-9(PHQ-9)、焦虑症状的广泛性焦虑障碍-7(GAD-7)和新冠肺炎特定痛苦的新冠肺炎压力量表(CSS-B)。新冠肺炎依从性量表(CAD)评估了新冠肺炎控制措施的依从性。在控制了年龄、性别、研究地点和神经质后,AS与更高的一般性痛苦(包括焦虑和抑郁症状)和更高的COVID-19特异性痛苦显著独立相关。此外,AS通过更高的COVID-19特异性痛苦间接预测了对COVID-19]预防措施的更大遵守。针对较高AS的干预措施可能有助于降低普通和COVID-19特定的痛苦,而针对较低AS的干预可能有助于提高本科生对公共卫生遏制策略的遵守程度。
{"title":"Is Anxiety Sensitivity Associated with COVID-19 Related Distress and Adherence among Emerging Adults?","authors":"F. Yunus, A. Livet, Aram Mahmoud, Mackenzie Moore, Clayton B. Murphy, R. Nogueira-Arjona, Kara Thompson, M. Keough, M. Krank, P. Conrod, S. Stewart","doi":"10.3390/psych4040069","DOIUrl":"https://doi.org/10.3390/psych4040069","url":null,"abstract":"We investigated whether anxiety sensitivity (AS) is associated with increased distress and adherence to public health guidelines during the COVID-19 pandemic among undergraduates, and whether increased distress mediates the relationship between AS and increased adherence. An online cross-sectional survey was conducted with 1318 first- and second-year undergraduates (mean age of 19.2 years; 79.5% females) from five Canadian universities. Relevant subscales of the Substance Use Risk Profile Scale (SURPS) and the Big Five Inventory-10 (BFI-10) were used to assess AS and neuroticism. Three measures tapped distress: the Patient Health Questionnaire-9 (PHQ-9) for depressive symptoms, the Generalized Anxiety Disorder-7 (GAD-7) for anxiety symptoms, and the Brief COVID-19 Stress Scales (CSS-B) for COVID-19-specific distress. The COVID-19 Adherence scale (CAD) assessed adherence to COVID-19 containment measures. AS was significantly independently associated with higher general distress (both anxiety and depressive symptoms) and higher COVID-19-specific distress, after controlling age, sex, study site, and neuroticism. Moreover, AS indirectly predicted greater adherence to COVID-19 preventive measures through higher COVID-19-specific distress. Interventions targeting higher AS might be helpful for decreasing both general and COVID-19-specific distress, whereas interventions targeting lower AS might be helpful for increasing adherence to public health containment strategies, in undergraduates.","PeriodicalId":93139,"journal":{"name":"Psych","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42425111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Psych
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