As a result of the COVID–19 pandemic, many individuals have experienced disruptions in social, occupational, and daily life activities. Individuals with mental health difficulties, particularly those with elevated posttraumatic stress symptoms (PTSS), may be especially vulnerable to increased impairment as a result of COVID–19. Additionally, demographic factors, such as age, gender, and race/ethnicity, may impact individual difficulties related to the pandemic. The current study examined the concurrent and prospective associations between posttraumatic stress disorder (PTSD) symptoms, broader anxiety and depression symptoms, and COVID–19–related disability. Participants recruited through Amazon's Mechanical Turk (N = 136) completed questionnaire batteries approximately 1 month apart during the COVID–19 pandemic (i.e., Wave 1 and Wave 2). The results indicated that PTSD, anxiety, and depressive symptoms were all associated with increased COVID–19–related disability across assessment points, rs = .44–.68. PTSD symptoms, specifically negative alterations in cognition and mood, significantly predicted COVID–19–related disability after accounting for anxiety and depressive symptoms as well as demographic factors, βs = .31–.38. Overall, these findings suggest that individuals experiencing elevated PTSS are particularly vulnerable to increased functional impairment as a result of COVID–19 and suggest a need for additional outreach and clinical care among individuals with elevated PTSD symptoms during the pandemic.

中文翻译：

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COVID-19 相关残疾的脆弱性：大流行期间创伤后应激症状对心理社会损伤的影响


由于 COVID-19 大流行，许多人的社交、职业和日常生活活动都受到了干扰。有心理健康问题的个人，特别是那些创伤后应激症状 (PTSS) 加重的人，可能特别容易因 COVID-19 而受到更大的损害。此外，年龄、性别和种族/民族等人口因素可能会影响与大流行相关的个人困难。当前的研究探讨了创伤后应激障碍 (PTSD) 症状、更广泛的焦虑和抑郁症状以及 COVID-19 相关残疾之间的同步和前瞻性关联。通过 Amazon Mechanical Turk 招募的参与者 ( N = 136) 在 COVID-19 大流行期间（即第一波和第二波）间隔大约 1 个月完成了一系列问卷调查。结果表明，跨评估点，PTSD、焦虑和抑郁症状均与 COVID-19 相关残疾的增加相关， rs = 0.44-0.68。考虑到焦虑和抑郁症状以及人口因素后，PTSD 症状，特别是认知和情绪的负面改变，可显着预测与 COVID-19 相关的残疾，βs = 0.31-0.38。总体而言，这些研究结果表明，经历过 PTSS 升高的个体特别容易因 COVID-19 而增加功能损伤，并表明在大流行期间需要对 PTSD 症状升高的个体进行额外的外展和临床护理。