| 其他摘要 | COVID-19 a globe widespread and long-lasting major public health event, has a profound impact on patients among worldwide citizens.. The psychosocial trauma will last for a long time even after their recovery and discharge from the hospital. It is important to follow up on the psychological status of patients who have recovered.
Analysis by CiteSapce points out that coping style, a stable personality, plays an important role in reducing stress and maintaining mental health, thus having a role in patients coping with COVID-19. However,we have no suitable measuring tools in coping styles in China for problems in a single dimension, confused items and limited cultural applicability in existing scales.
Therefore, this thesis designed two sub-studies. The first one is to revise the WAYS OF COPING -Revised*. We selected items by exploratory factor analysis (EFA) to select items. To test the reliability and validity of this questionnaire, we used the internal consistency coefficient, half-point reliability, criterion validity, construct validity, and confirmatory factor analysis (CFA) as the standard. The second one adopted the revised questionnaire to explore the status and relationship between mental health and coping styles in discharged COVID-19 patients in Wuhan.
Study 1, through exploratory factor analysis, the final version of scale included 16 items in the 4 dimensions. Reliability and validity tests proved its stable structure, clear meaning, good reliability and validity, which was well confirmed in COVID-19 patients.
Study 2 found that discharged COVID-19 patients suffering from psychological distress at different levels. Factor analysis showed that mental health status has relation to gender, age, religious belief, income, and education level, but has no relation to marital status; The most used coping style used by COVID-19 patients was ‘Let it be’, followed by ‘Efforts to change’ and ‘Seeking Support’, and ‘Fantasy Escape’ was the least used.. The coping styles vary along with the severity of the disease.
‘Efforts to change’, ‘Seeking Support’ and ‘Let it be’ were negatively associated with patients' PTSD, anxiety, and depression, more frequent use of them relates to better mental health in patients. However, ‘Fantasy Escape’has a negatively correlation with PTSD, and has no relation to anxiety and depression.
This study also confirmed that different severity of COVID-19 significantly moderates the relationship between coping style and mental health. ‘Efforts to change’ and ‘Let it be’ significantly predict the mental health status of mild and common patients, but not severe and critical patients. ‘Seeking Support’ and ‘Fantasy Escape’ significantly predict the mental health of severe patients, the more they seek external support, the fewer symptoms of PTSD, anxiety, and depression they had; in contrast, frequent use of ‘Fantasy Escape’ was associated with poorer mental health.
Conclusion: The revised coping style scale has good reliability and validity, and the 4 dimensions are well applied Chinese COVID-19 patients. After recovery, COVID-19 patients suffer from varying degrees of psychological distress like anxiety and depression. Coping styles have a profound impact on their mental health status, and different coping strategies should be encouraged for patients of different severities. |
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