在最初的COVID-19大流行期间对心理健康、幸福感和物质使用的前瞻性研究

A Prospective Study of Mental Health, Well-Being, and Substance Use During the Initial COVID-19 Pandemic Surge

——原载美国《临床心理科学》杂志2022年第10卷第1期——

<Clinical Psychological Science> 10 (1)

【摘要】COVID-19大流行极大地改变了全世界的日常生活，一些人可能面临与大流行相关的痛苦的风险增加。在COVID-19之前和最初激增期间评估的美国社区样本（N=236，64%女性；78%白人；平均年龄=30.3岁）中，我们前瞻性地检查了大流行中断和不良童年经历的历史（ACEs）与抑郁症状、压力、睡眠、关系满意度和物质使用随时间的变化以及并发焦虑和创伤后痛苦有关。随着时间的推移，与大流行相关的负面事件与显着更高的抑郁症状和压力、更低的满意度以及更高的并发焦虑和创伤后痛苦相关。ACEs与更多的负性流行病相关事件相关，而这些事件又与更高的流行性抑郁症状、压力、焦虑和创伤后痛苦相关。研究结果强调，COVID-19中断与更大的痛苦有关，而童年创伤是不同风险的关键轴。

【关键词】COVID-19、大规模创伤、不良童年经历、心理健康、物质使用、预先登记

[Abstract] The COVID-19 pandemic has dramatically altered everyday life worldwide, and some individuals may be at increased risk for pandemic-related distress. In a U.S. community sample (N = 236, 64% female; 78% White; mean age = 30.3 years)assessed before COVID-19 and during the initial surge, we examined, prospectively, whether pandemic disruptions and a history of adverse childhood experiences (ACEs) were associated with changes in depressive symptoms, stress, sleep, relationship satisfaction, and substance use over time and with concurrent anxiety and peritraumatic distress. Negative pandemic-related events were associated with significantly higher depressive symptoms and stress and lower satisfaction over time as well as higher concurrent anxiety and peritraumatic distress. ACEs were associated with more negative pandemic-related events, which, in turn, associated with higher peri-pandemic depressive symptoms, stress, anxiety, and peritraumatic distress. Findings underscore that COVID-19 disruptions are associated with greater distress and that childhood trauma is a key axis of differential risk.

[Keywords] COVID-19, mass trauma, adverse childhood experiences, mental health, substance use, preregistered

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论文原文：KatherineC. Haydon, Jessica E. Salvatore (2022). A Prospective Study of Mental Health, Well-Being, and Substance Use During the Initial COVID-19 Pandemic Surge. Clinical Psychological Science. 10 (1): 58-73.  

https://doi.org/10.1177/21677026211013499