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应对方式、心理健康与新冠疫情隔离:波兰全国性调查

Coping Styles, Mental Health, and the COVID-19 Quarantine: A Nationwide Survey in Poland.

作者信息

Kołodziejczyk Agata, Misiak Błazej, Szcześniak Dorota, Maciaszek Julian, Ciułkowicz Marta, Łuc Dorota, Wieczorek Tomasz, Fila-Witecka Karolina, Chladzinska-Kiejna Sylwia, Rymaszewska Joanna

机构信息

Division of Psychotherapy and Psychosomatic Medicine, Wroclaw Medical University, Wroclaw, Poland.

Department of Genetics, Wroclaw Medical University, Wroclaw, Poland.

出版信息

Front Psychiatry. 2021 Mar 11;12:625355. doi: 10.3389/fpsyt.2021.625355. eCollection 2021.

Abstract

The outbreak of the novel coronavirus COVID-19 that began from March 2020 is yet to be contained. Consequences of the ongoing pandemic may have a negative impact on the mental health of affected individuals. This particularly refers to those quarantined. Since the COVID-19 pandemic is currently one of the biggest health issues worldwide, a higher demand emerges for research concentrating on the worsening of psychological well-being among the general and the quarantined population, as well as on individual coping strategies that may moderate the occurrence of psychopathologies. Data were collected within the first weeks of the COVID-19 pandemic in Poland. Participants represented quarantine (+) and quarantine (-) groups. Quarantine (+) group, different from quarantine (-), consisted of people who experienced it themselves or someone close to them did after contacting an infected individual. To measure psychopathological symptoms a General Health Questionnaire (GHQ-28) was used. For measuring PTSD symptoms, the Impact of Event Scale-Revised (IES-R) was used. This study followed the coping strategies manifested among the participants using the MiniCope questionnaire. A total of 2,036 individuals participated in this study. Quarantine (+) individuals had significantly higher total and subscales GHQ-28 scores (anxiety, insomnia, and somatic symptoms) as well as a higher IES-R arousal score. The quarantine (+) individuals were more likely to use self-distraction as a coping strategy. This research identified positive and negative correlations between presented coping styles and manifested psychopathology. This nationwide study suggests occurrence of negative effects on mental health due to the COVID-19 pandemic and quarantine. It is observed on most of the measured psychopathological symptoms. The present research provides a line of action that should be followed in the future in case of another epidemic and in the event restrictions like quarantine have to be introduced again.

摘要

始于2020年3月的新型冠状病毒COVID-19疫情尚未得到控制。这场持续的大流行可能会对受影响个体的心理健康产生负面影响。这尤其指的是那些被隔离的人。由于COVID-19大流行目前是全球最大的健康问题之一,对于专注于普通人群和被隔离人群心理健康恶化情况以及可能减轻精神病理学发生的个体应对策略的研究需求更高。数据是在波兰COVID-19大流行的最初几周内收集的。参与者代表隔离(+)组和隔离(-)组。与隔离(-)组不同,隔离(+)组由那些自己经历过隔离或在接触感染个体后其身边亲近的人经历过隔离的人组成。为了测量精神病理症状,使用了一般健康问卷(GHQ-28)。为了测量创伤后应激障碍(PTSD)症状,使用了事件影响量表修订版(IES-R)。本研究通过MiniCope问卷追踪了参与者表现出的应对策略。共有2036人参与了本研究。隔离(+)组个体的GHQ-28总分及各子量表得分(焦虑、失眠和躯体症状)显著更高,IES-R唤醒得分也更高。隔离(+)组个体更有可能将自我分心作为一种应对策略。本研究确定了所呈现的应对方式与表现出的精神病理学之间的正负相关关系。这项全国性研究表明,COVID-19大流行和隔离对心理健康产生了负面影响。在大多数测量的精神病理症状中都观察到了这一点。本研究提供了一条在未来发生另一场疫情以及不得不再次实施诸如隔离等限制措施时应遵循的行动方针。

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