Risk and protective factors, stressors, and symptoms of adjustment disorder during the COVID-19 pandemic - First results of the ESTSS COVID-19 pan-European ADJUST study

Data de publicação:

Autores da FMUP

  • Margarida Maria Carvalho De Figueiredo Ferreira Braga

    Autor

Participantes de fora da FMUP

  • Lotzin, A
  • Krause, L
  • Acquarini, E
  • Ajdukovic, D
  • Ardino, V
  • Arnberg, F
  • Böttche, M
  • Bragesjö, M
  • Dragan, M
  • Gelezelyte, O
  • Grajewski, P
  • Anastassiou-Hadjicharalambous, X
  • Javakhishvili, JD
  • Kazlauskas, E
  • Lenferink, L
  • Lioupi, C
  • Lueger-Schuster, B
  • Tsiskarishvili, L
  • Mooren, T
  • Sales, L
  • Stevanovic, A
  • Zrnic, I
  • Schaefer, I
  • ADJUST Study Consortium

Unidades de investigação

Abstract

Background The COVID-19 pandemic exposes individuals to multiple stressors, such as quarantine, physical distancing, job loss, risk of infection, and loss of loved ones. Such a complex array of stressors potentially lead to symptoms of adjustment disorder. Objective This cross-sectional exploratory study examined relationships between risk and protective factors, stressors, and symptoms of adjustment disorder during the first year of the COVID-19 pandemic. Methods Data from the first wave of the European Society of Traumatic Stress Studies (ESTSS) longitudinal ADJUST Study were used. N = 15,563 participants aged 18 years and above were recruited in eleven countries (Austria, Croatia, Georgia, Germany, Greece, Italy, Lithuania, the Netherlands, Poland, Portugal, and Sweden) from June to November 2020. Associations between risk and protective factors (e.g. gender, diagnosis of a mental health disorder), stressors (e.g. fear of infection, restricted face-to-face contact), and symptoms of adjustment disorder (ADNM-8) were examined using multivariate linear regression. Results The prevalence of self-reported probable adjustment disorder was 18.2%. Risk factors associated with higher levels of symptoms of adjustment disorder were female gender, older age, being at risk for severe COVID-19 illness, poorer general health status, current or previous trauma exposure, a current or previous mental health disorder, and longer exposure to COVID-19 news. Protective factors related to lower levels of symptoms of adjustment disorder were higher income, being retired, and having more face-to-face contact with loved ones or friends. Pandemic-related stressors associated with higher levels of symptoms of adjustment disorder included fear of infection, governmental crisis management, restricted social contact, work-related problems, restricted activity, and difficult housing conditions. Conclusions We identified stressors, risk, and protective factors that may help identify individuals at higher risk for adjustment disorder.

Dados da publicação

ISSN/ISSNe:
2000-8198, 2000-8066

European Journal of Psychotraumatology  TAYLOR & FRANCIS LTD

Tipo:
Article
Páginas:
-
Link para outro recurso:
www.scopus.com

Citações Recebidas na Web of Science: 26

Citações Recebidas na Scopus: 37

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Keywords

  • COVID-19; pandemic; disaster; coronavirus; adjustment disorder; mental health; stressors; stress-related disorders; post-traumatic stress; risk factors; protective factors

Financiamento

Proyectos asociados

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Depression and anxiety in juvenile systemic lupus erythematosus – kidney involvement as a specific biological signature

Investigador Principal: Margarida Maria Carvalho de Figueiredo Ferreira Braga

Estudo Clínico Académico . 2020

Serotonin - a complex, puzzling biomarker in Autism Spectrum Disorder

Investigador Principal: Margarida Maria Carvalho de Figueiredo Ferreira Braga

Estudo Clínico Académico . 2020

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