【摘要】这项对苏格兰1920人的研究基于脆弱性-压力模型和应对理论，调查了性别、年龄、职业因素、焦虑、抑郁和适应不良的应对行为与心血管健康之间的关系。进行了结构方程模型和序列Sobel中介测试。焦虑与既往心律失常有关，而抑郁与既往心脏病发作、中风和心绞痛有关。女性报告的焦虑、既往心律失常、糖果和酒精消费较多，而男性心脏病发作较多。糖果消费与既往心律失常有关，酒精消费与既往心脏病发作有关。年龄较大与抑郁、既往中风、心律失常和酒精消费有关。年轻与焦虑和吸烟有关。抑郁和吸烟介导了工作类型和心血管健康史之间的关系，这可能是由于社会经济因素。临床医生可以利用这些结果为客户提供与焦虑、抑郁、人口统计和健康相关应对行为相关的心血管风险建议。

      [Abstract] Based on the vulnerability-stress model and coping theory, this study of 1920 people in Scotland investigated how sex, age, occupational factors, anxiety, depression and maladaptive coping behaviours are associated with cardiovascular health. Structural equation modelling and serial Sobel mediation tests were conducted. Anxiety was associated with past arrhythmia, whereas depression was associated with past heart attacks, stroke and angina. Females reported more anxiety, past arrhythmia, confectionary and alcohol consumption, whereas males had more heart attacks. Confectionary consumption was associated with past arrhythmia, and alcohol consumption was associated with past heart attacks. Being older was associated with depression, past stroke, arrhythmia and alcohol consumption. Being younger was associated with anxiety and smoking. Depression and smoking mediated the relationship between type of working and cardiovascular health history, potentially because of socioeconomic factors. Clinicians can use these results to advise clients about cardiovascular risks associated with anxiety, depression, demographics and health-related coping behaviours.

      [Key words] alcohol consumption, anxiety, cardiovascular diseases, depression, early COVID-19, health behaviours, smoking, sugar consumption, working from home

      论文原文：Bárbara Lopes and Caroline Kamau-Mitchell (2024). Anxiety, depression, working from home and health-related behaviours during COVID-19: Structural equation modelling and serial mediation of associations with angina, heart attacks and stroke. Journal of Health Psychology, Volume 29, Issue 12, Pages 1390–1403. 

https://doi.org/10.1177/13591053241241412