Hospitalization, interpersonal and personal factors of social anxiety among COVID-19 survivors at the six-month follow-up after hospital treatment: the minority stress model.

Autor: Ju N; School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen, China., Yang X; JC School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China., Ma X; Guangdong Provincial People's Hospital, Guangzhou, China., Wang B; School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen, China., Fu L; School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen, China., Hu Y; School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen, China., Luo D; School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen, China., Xiao X; School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen, China.; Center for Optometry and Visual Science, The People's Hospital of Guangxi Zhuang Autonomous Region, Nanning, China., Zheng W; School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen, China., Xu H; School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen, China., Fang Y; Department of Early Childhood Education, The Education University of Hong Kong, Hong Kong SAR, China., Chan PSF; JC School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China., Xu Z; The Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, China., Chen P; The Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, China., He J; The Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, China., Zhu H; The Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, China., Tang H; The Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, China., Huang D; The Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, China., Hong Z; The Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, China., Xiao F; The Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, China., Sun F; Shandong Mental Health Center, Jinan, China., Hao Y; Department of Scientific Research, The People's Hospital of Guangxi Zhuang Autonomous Region, Nanning, China., Cai L; Department of Education, The People's Hospital of Guangxi Zhuang Autonomous Region, Nanning, China., Yang J; Department of Hepatobiliary, Pancreas and Spleen Surgery, the People's Hospital of Guangxi Zhuang Autonomous Region, Nanning, China., Ye S; Department of Emergency, SSL Central Hospital of Dongguan City, Dongguan, China., Chen YQ; School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen, China., Yuan J; Shenzhen Nanshan District Center for Disease Control and Prevention, Shenzhen, China., Wang Z; JC School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China., Zou H; School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen, China.; School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, China.; Shenzhen Center for Disease Control and Prevention, Shenzhen, China.; Kirby Institute, University of New South Wales, Sydney, Australia.
Jazyk: angličtina
Zdroj: European journal of psychotraumatology [Eur J Psychotraumatol] 2022 Jan 28; Vol. 13 (1), pp. 2019980. Date of Electronic Publication: 2022 Jan 28 (Print Publication: 2022).
DOI: 10.1080/20008198.2021.2019980
Abstrakt: Background: As a highly infectious disease with human-to-human transmission characteristics, COVID-19 has caused panic in the general public. Those who have recovered from COVID-19 may experience discrimination and internalized stigma. They may be more likely to worry about social interaction and develop social anxiety.
Objectives: This study investigated the associations among hospitalization factors, social/interpersonal factors, personal factors, and social anxiety to reveal the mechanism of social anxiety in COVID-19 survivors.
Methods: A cross-sectional, multicenter telephone survey was conducted from July to September 2020 in five Chinese cities (i.e. Wuhan, Nanning, Shenzhen, Zhuhai, and Dongguan); adult COVID-19 survivors were recruited 6 months after they were discharged from the hospital. Linear regressions and path analysis based on the minority stress model were conducted to test the relationships among hospitalization, social/interpersonal factors, personal factors, and social anxiety.
Results: The response rate was 74.5% ( N = 199, 55.3% females). Linear regression analyses showed that various hospitalization, social/interpersonal, and personal factors were statistically significantly associated with social anxiety. Path analysis showed that the proposed model fit the data well (χ 2 (df) = 3.196(3), p = .362, CFI = .999, NNFI = .996, RMSEA = .018). Internalized stigma fully mediated the association between perceived discrimination/social support and social anxiety, while it partially mediated the association between perceived affiliate stigma and social anxiety.
Conclusions: The results suggest that social/interpersonal and personal factors have a stronger association with social anxiety than hospitalization factors and highlight the importance of internalized stigma in understanding the mechanisms of these relationships. Clinical psychologists can refer to these modifiable psychosocial factors to develop efficient interventions for mental health promotion.
Competing Interests: No potential conflict of interest was reported by the author(s).
(© 2022 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.)
Databáze: MEDLINE
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