Suffering, Mental Health, and Psychological Well-being During the COVID-19 Pandemic: A Longitudinal Study of U.S. Adults With Chronic Health Conditions

被引：26

作者：

Cowden, Richard G. ^{[1
,6
]}

Davis, Edward B. ^{[2
]}

Counted, Victor ^{[3
]}

Chen, Ying ^{[1
]}

Rueger, Sandra Y. ^{[2
]}

VanderWeele, Tyler J. ^{[1
,4
]}

Lemke, Austin W. ^{[2
]}

Glowiak, Kevin J. ^{[2
]}

Worthington Jr, Everett L. ^{[5
]}

机构：

[1] Harvard Univ, Inst Quantitat Social Sci, Human Flourishing Program, Cambridge, MA USA

[2] Wheaton Coll, Sch Psychol Counseling & Family Therapy, Wheaton, IL USA

[3] Western Sydney Univ, Sch Psychol, Penrith, Australia

[4] Harvard TH Chan Sch Publ Hlth, Dept Epidemiol, Boston, MA USA

[5] Virginia Commonwealth Univ, Dept Psychol, Richmond, VA USA

[6] 129 Mt Auburn St, Cambridge, MA 02138 USA

来源：

WELLBEING SPACE AND SOCIETY | 2021年 / 2卷

关键词：

anxiety; depression; mental health; psychological distress; suffering; well-being; VALIDATION; ANXIETY; SCALE; LIFE; POPULATION; DEPRESSION; SEVERITY;

D O I：

10.1016/j.wss.2021.100048

中图分类号：

P9 [自然地理学]; K9 [地理];

学科分类号：

0705 ; 070501 ;

摘要：

Suffering has been a topic of considerable discussion in the fields of medicine and palliative care, yet few studies have reported causal evidence linking the experience of suffering to health and well-being. In this three-wave prospective cohort study, we explore the potential psychological implications of suffering during the COVID19 pandemic by examining relations among suffering, mental health, and psychological well-being in a sample of U.S. adults living with chronic health conditions. We analyzed data from n = 184 participants who completed assessments one month before the SARS-CoV-2 outbreak was declared a pandemic by the World Health Organization (February 2020) and then two months (April 2020) and four months later (May/June 2020). Analyses controlled for a range of factors, including sociodemographic characteristics, physical health, religious/ spiritual factors, psychological characteristics, and prior values of the predictor and each of the outcomes assessed one month before the COVID-19 pandemic. Results of the primary analysis indicated that greater overall suffering assessed one month into the COVID-19 pandemic was associated with lower psychological well-being (beta = -.17, 95% CI: -.29, -.05) and higher levels of anxiety (beta = .27, 95% CI: .13, .41) and depression (beta = .16, 95% CI: .03, .29) two months later. In a secondary analysis that explored anxiety, depression, and psychological wellbeing as candidate antecedents of suffering, depression assessed one month into the COVID-19 pandemic was most strongly associated with worse overall suffering two months later. We highlight the implications of the findings for high-risk populations who are suffering amidst the challenges of the COVID-19 pandemic. Potential benefits of both integrating assessments of suffering into screening procedures and addressing experiences of suffering in mental health service settings are discussed.

引用

页数：9

共 58 条

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