ABSTRACT

Background and Objectives: The COVID-19 pandemic has affected the mental health of a range of people, including healthcare workers, the general population, and COVID-19 patients. This study examined the psychological distress, negative affect, and positive affect of people who contracted COVID-19 in Israel, and their relation to threatening illness perception, guilt, and shame.

Design: Cross-sectional design.

Methods: Three hundred and fifty-one participants who had contracted COVID-19 completed self-report questionnaires assessing the study variables.

Results: The results revealed a direct positive link between threatening COVID-19 illness perception and psychological distress and negative affect, and a negative link with positive affect. In addition, shame and guilt were significant mediators; namely, threatening COVID-19 illness perception was linked with negative affect via guilt, and with psychological distress, negative affect, and positive affect via shame.

Conclusions: Illness perception, shame, and guilt may have a significant negative effect on the mental health of people who contracted COVID-19, and should be acknowledged and addressed by professionals.

摘要

背景和目标： COVID-19 大流行影响了一系列人的心理健康，包括医护人员、普通人群和 COVID-19 患者。这项研究检查了以色列感染 COVID-19 的人的心理困扰、负面影响和积极影响，以及它们与威胁疾病感知、内疚和羞耻的关系。

设计：横截面设计。

方法： 351 名感染 COVID-19 的参与者完成了评估研究变量的自我报告问卷。

结果：结果揭示了威胁性 COVID-19 疾病感知与心理困扰和负面影响之间存在直接的积极联系，并与积极影响之间存在负面联系。此外，羞耻和内疚是重要的中介。即，威胁性的 COVID-19 疾病感知与内疚产生的负面影响有关，并与心理困扰、负面影响和羞耻产生的积极影响有关。

结论：疾病感知、羞耻和内疚可能对感染 COVID-19 的人的心理健康产生显着的负面影响，应该得到专业人士的承认和解决。