Resilience and mental health during the COVID-19 pandemic

被引:116
作者
Verdolini, Norma [1 ]
Amoretti, Silvia [1 ,2 ]
Montejo, Laura [1 ]
Garcia-Rizo, Clemente [2 ]
Hogg, Bridget [3 ,4 ,5 ]
Mezquida, Gisela [2 ]
Rabelo-da-Ponte, Francisco Diego [6 ,7 ,8 ]
Vallespir, Catalina [1 ]
Radua, Joaquim [9 ,10 ,11 ]
Martinez-Aran, Anabel [1 ]
Pacchiarotti, Isabella [1 ]
Rosa, Adriane R. [6 ,7 ,8 ]
Bernardo, Miguel [2 ]
Vieta, Eduard [1 ]
Torrent, Carla [1 ]
Sole, Brisa [1 ]
机构
[1] Univ Barcelona, Bipolar & Depress Disorders Unit, Inst Neurosci, Hosp Clin,IDIBAPS,CIBERSAM, 170 Villarroel St, Barcelona 08037, Catalonia, Spain
[2] Univ Barcelona, Barcelona Clin Schizophrenia Unit, Hosp Clin Barcelona, IDIBAPS,CIBERSAM,Dept Med,Inst Neurociencies, 170 Villarroel St, Barcelona 08037, Spain
[3] Ctr Forum Res Unit, Parc Salut Mar,410,Llull St, Barcelona 08019, Catalonia, Spain
[4] Hosp del Mar Med Res Inst IMIM, 88 Dr Aiguader St, Barcelona 08003, Catalonia, Spain
[5] Univ Autonoma Barcelona UAB, Dept Psychiat & Forens Med, Predoctoral Program, UAB Campus, Barcelona 08193, Spain
[6] Hosp Clin Porto Alegre HCPA, Lab Mol Psychiat, 2350,Ramiro Barcelos St,211,Protasio Alves Av, BR-90035903 Porto Alegre, RS, Brazil
[7] Univ Fed Rio Grande Sul UFRGS, Hlth Sci Basic Inst, Dept Pharmacol, Postgrad Program Psychiat & Behav Sci, 110 Paulo Gama Av, BR-90040060 Porto Alegre, RS, Brazil
[8] Univ Fed Rio Grande Sul UFRGS, Postgrad Program Pharmacol & Therapeut, 110 Paulo Gama Av, BR-90040060 Porto Alegre, RS, Brazil
[9] CIBERSAM, Imaging Mood & Anxiety Related Disorders IMARD Gr, IDIBAPS, Barcelona, Catalonia, Spain
[10] Kings Coll London, Inst Psychiat Psychol & Neurosci, Dept Psychosis Studies, Early Psychosis Intervent & Clin Detect EPIC Lab, London, England
[11] Karolinska Inst, Dept Clin Neurosci, Ctr Psychiat Res & Educ, Stockholm, Sweden
基金
欧盟地平线“2020”;
关键词
COVID-19; resilience; mental health; coping strategies; affective temperaments;
D O I
10.1016/j.jad.2021.01.055
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Background: Resilience is a process that allows recovery from or adaptation to adversities. The aim of this study was to evaluate state resilience during the COVID-19 pandemic in psychiatric patients (PP), unaffected relatives (UR) and community controls (CC). Methods: This study is part of the Barcelona ResIlience Survey for Mental Health COVID-19 (BRIS-MHC) project. Logistic regression models were performed to identify mental health outcomes associated with bad state resilience and predictors of good state resilience. The association between state resilience and specific affective temperaments as well as their influence on the association between depressive symptoms and state resilience were verified. Results: The study recruited 898 participants that took part in the survey. The presence of depressive symptoms was a predictor of bad state resilience in PP (13=0.110, OR=1.117, p=0.028). No specific mental health outcome was associated with bad state resilience in UR and CC. Predictors of good state resilience in PP were having pursued hobbies/conducted home tasks (13=1.261, OR=3.528, p=0.044) and level of organization in the family (13=0.986, OR=2.682, p=0.008). Having a controlling family was inversely associated with good state resilience in CC (13=-1.004, OR=0.367, p=0.012). The association between bad state resilience and depressive symptoms was partially mediated by affective temperaments. Limitations: Participants self-reported their psychiatric diagnoses, their relatives? diagnoses or the absence of a psychiatric disorder, as well as their psychiatric symptoms. Conclusions: Enhancing resilience and coping strategies in the face of the COVID-19 pandemic might have important implications in terms of mental health outcomes.
引用
收藏
页码:156 / 164
页数:9
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