ABSTRACT

This longitudinal study of community dwelling older adults (N = 453) examined consequences of COVID-related worries on changes in anxiety symptoms before relative to during the pandemic. We further evaluated if pre-COVID psychological resilience (PR) buffered the impact of COVID-related worry. Pre-COVID data were collected in September 2018. COVID-related worry and COVID anxiety symptoms were collected in October 2020 (Wave 2). Controlling for pre-COVID anxiety symptoms, we examined if COVID-related worries (e.g. I’m worried that I might die from COVID-19) were associated with increased anxiety symptoms, and whether pre-COVID PR moderated the association between COVID-related worries and prospective increases in anxiety symptoms. COVID-related worries were associated with increased anxiety symptoms (β = 0.005, p < .01), whereas pre-COVID PR was associated with a decrease in anxiety symptoms (β = −0.029, p < .05). PR moderated the association; COVID-related worries were associated with greater increases in anxiety symptoms among those with low pre-COVID PR (Model η² = 0.35). Thus, the extent to which COVID-related worries influenced psychological health was dependent on pre-COVID levels of PR. We conclude the combined vulnerabilities of low pre-COVID PR and high COVID-related worries significantly increased the psychological consequences of COVID-19 for our sample of older adults.

 抽象的

这项针对社区居住老年人（ N = 453）的纵向研究考察了与新冠病毒相关的担忧对大流行之前和期间焦虑症状变化的影响。我们进一步评估了新冠疫情前的心理弹性（PR）是否缓冲了新冠疫情相关担忧的影响。新冠疫情前的数据于 2018 年 9 月收集。与新冠肺炎相关的担忧和新冠肺炎焦虑症状于 2020 年 10 月（第二波）收集。控制新冠病毒前的焦虑症状，我们检查了与新冠病毒相关的担忧（例如，我担心自己可能死于新冠病毒 (COVID-19)）是否与焦虑症状增加相关，以及新冠病毒前的 PR 是否调节了与新冠病毒相关的焦虑之间的关联。担忧和焦虑症状的预期增加。与新冠病毒相关的担忧与焦虑症状增加相关（β = 0.005， p < .01），而新冠病毒之前的 PR 与焦虑症状减少相关（β = -0.029， p < .05）。公关主持了该协会；对于那些新冠肺炎前 PR 较低的人来说，与新冠肺炎相关的担忧与焦虑症状的增加有关（模型 η ² = 0.35）。因此，与新冠病毒相关的担忧对心理健康的影响程度取决于新冠病毒爆发前的 PR 水平。我们得出的结论是，新冠肺炎前的低 PR 和与新冠肺炎相关的高担忧的综合脆弱性显着增加了我们的老年人样本中新冠肺炎 (COVID-19) 的心理后果。