PURPOSE/OBJECTIVE Emerging research has highlighted sources of magnified stress and trauma for people with disabilities during the COVID-19 pandemic, as compared to others in the general population. However, little research has examined the mental health impact of the pandemic on people with disabilities in relation to disability-related stigma, social isolation, and demographic characteristics. The present study therefore sought to identify predictors of depression and anxiety symptoms among U.S. adults with disabilities during the COVID-19 pandemic. RESEARCH METHOD/DESIGN Data were collected online between October and December 2020. U.S. adults with disabilities (n = 441) completed self-report measures of depression, anxiety, psychosocial processes, and a range of demographic and disability characteristics. RESULTS In our sample, 61.0% and 50.0% of participants met criteria for a probable diagnosis of major depressive disorder and generalized anxiety disorder, respectively. Participants also experienced significantly higher levels of disability-related stigma and social isolation compared to prepandemic norms. Hierarchical regression analyses identified higher social isolation, presence of chronic pain, younger age, higher disability-related stigma, and higher worries about contracting COVID-19 as significant predictors of both depression and anxiety symptoms. CONCLUSION/IMPLICATIONS This study highlights important demographic and psychosocial predictors of mental health risks for people with disabilities in the context of COVID-19. Findings further underscore the need to attend to those at elevated risk within the disability community as rehabilitation professionals, disability organizations, and policy makers work to support people with disabilities in postpandemic recovery and create a more equitable response to ongoing and future public health crises. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

中文翻译：

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预测 COVID-19 大流行期间残疾成年人的抑郁和焦虑。

目的/目标 新兴研究强调了与普通人群相比，在 COVID-19 大流行期间，残疾人的压力和创伤放大的来源。然而，很少有研究从残疾相关的污名、社会孤立和人口特征等方面研究大流行对残疾人的心理健康影响。因此，本研究试图确定 COVID-19 大流行期间美国残疾成年人抑郁和焦虑症状的预测因素。研究方法/设计数据是在 2020 年 10 月至 2020 年 12 月期间在线收集的。美国残疾成年人 (n = 441) 完成了抑郁、焦虑、心理社会过程以及一系列人口统计和残疾特征的自我报告测量。结果 在我们的样本中，分别为 61.0% 和 50。0% 的参与者分别符合可能诊断为重度抑郁症和广泛性焦虑症的标准。与大流行前的规范相比，参与者还经历了显着更高水平的与残疾相关的耻辱和社会孤立。分层回归分析确定了更高的社会隔离、慢性疼痛的存在、更年轻的年龄、更高的与残疾相关的耻辱感以及对感染 COVID-19 的更高担忧是抑郁和焦虑症状的重要预测因素。结论/意义 本研究强调了在 COVID-19 的背景下残疾人心理健康风险的重要人口统计和社会心理预测因素。调查结果进一步强调了作为康复专业人员关注残疾社区中风险较高的人的必要性，残疾人组织和政策制定者努力支持残疾人在大流行后恢复，并为当前和未来的公共卫生危机做出更公平的反应。（PsycInfo 数据库记录 (c) 2022 APA，保留所有权利）。