The effects of COVID-19 stressors and family life on anxiety and depression one-year into the COVID-19 pandemic

Fam Process. 2023 Mar;62(1):336-351. doi: 10.1111/famp.12771. Epub 2022 Mar 29.

Abstract

The purpose of this study was to examine the effects of Coronavirus (COVID-19)-related stressors and family health on adult anxiety and depressive symptoms 1 year into the pandemic. The sample consisted of 442 adults living in the United States who were recruited via Amazon Mechanical Turk. Data were analyzed using multiple logistic regression. Results indicated that compared to a sample 1 month into the pandemic, participants in the current sample reported worse family health and increases in both positive and negative perceptions of the pandemic on family life and routines. COVID-19 stressors and perceived negative effects of the pandemic on family life increased the odds for moderate-to-severe depression and anxiety while having more family health resources decreased the odds for depression and anxiety symptoms. Participants reported lower odds for worse depression and anxiety since the beginning of the pandemic when they reported more positive family meaning due to the pandemic. The results suggest a need to consider the impact of family life on mental health in pandemics and other disasters.

本研究旨在考察疫情传播一年后, 与COVID‐19有关的压力源和家庭的健康状况对成人焦虑和抑郁症状的影响。受访者是442名居住在美国的成年人, 他们主要通过AMAZON MECHANICAL TURK招募而来。数据采用多元逻辑回归分析。结果表明, 与疫情发生一个月后的样本相比, 目前研究中的受访者报告了家庭健康状况变得更差的情况, 认为疫情对家庭生活和日常常规有积极影响或有消极影响的两种看法都有所增加。COVID‐19带来的压力被认为疫情对家庭生活带来消极影响的看法增加了中度至重度抑郁和焦虑的几率; 拥有更多的家庭健康资源的情况下, 抑郁和焦虑症状的几率就会降低。据受访者, 疫情开始以来, 他们报告由于疫情而产生了更多积极的家庭意义多的话, 抑郁症和焦虑症恶化的几率就会降低。这些结果表明, 需要考虑家庭生活在疫情中和其他灾难中对心理健康的影响。

Keywords: COVID-19; anxiety; depression; family health; stressors; 压力源; 家庭健康; 抑郁症; 焦虑.

MeSH terms

  • Adult
  • Anxiety / epidemiology
  • Anxiety / psychology
  • COVID-19* / psychology
  • Depression / epidemiology
  • Depression / psychology
  • Humans
  • Pandemics / prevention & control
  • SARS-CoV-2
  • United States / epidemiology