对压力相关睡眠障碍的恢复力：早期大流行应对和影响的检查

Resilience to Stress-Related Sleep Disturbance: Examination of Early Pandemic Coping and Affect

——原载美国《健康心理学》杂志2022年第41 卷第4期——

<Health Psychology>, 2022, 41 (4)

【摘要】目的：与全球健康威胁相关的压力，如2019年新冠病毒病 (COVID-19) 大流行和相关的遏制措施，可能与严重的睡眠中断有关。压力相关的睡眠障碍是一个确定的跨诊断风险因素；因此，确定与应对策略的关联可能会为未来的干预工作提供信息。目前的研究检查了以控制为导向的二级应对策略，包括积极的重新评估，这在以高不确定性和低可控性为特征的压力源（如大流行）的背景下可能特别有效。方法：目前的研究（总共N=227名本科生，主要是女性）检查了小学和中学以控制为导向的应对策略、积极和消极情绪(PA, NA) 以及宣布COVID-19大流行后一个月内急性睡眠障碍发展之间的关联。控制大流行前报告的睡眠障碍可以对大流行相关的变化进行前瞻性分析。结果：参与者报告说，由于大流行的爆发，压力很大，包括时间管理困难、工作或学校困难，以及对未来的担忧。重新评估和接受都与更高的并发PA、更低的NA和更少的睡眠障碍增加相关；然而，积极的重新评估是预测睡眠障碍增加的独特差异的唯一应对策略。结论：目前的研究结果增加了我们对压力适应的理解，以应对以高严重性、高不确定性和低可控性为特征的压力源，例如COVID-19大流行，并表明积极的重新评估和 PA 可能会促进对压力相关睡眠的恢复力骚乱。

【关键词】睡眠障碍、复原力、COVID-19大流行、积极重新评估、积极影响

[Abstract]Objective: Stress associated with global health threats such as the coronavirus disease 2019 (COVID-19) pandemic and related containment efforts may be associated with significant sleep disruption. Stress-related sleep disturbance is an established transdiagnostic risk factor; thus, identifying associations with coping strategies may inform future intervention efforts. The current study examined secondary control-oriented coping strategies, including positive reappraisal, which maybe particularly effective in the context of stressors characterized by high uncertainty and low controllability such as a pandemic. Method: The current study (total N = 227 undergraduate students, predominantly female)examined the associations among primary and secondary control-oriented coping strategies, positive and negative affect (PA, NA), and the development of acute sleep disturbance in the month after the declaration of the COVID-19 pandemic. Control of pre-pandemic reported sleep disturbance allowed for prospective analyses of pandemic-related change. Results: Participants reported high levels of stress due to the pandemic onset, including difficulties with time management, difficulties with work or school, and worry about the future. Reappraisal and acceptance were both associated with higher concurrent PA, lower NA, and less increase in sleep disturbance; however, positive reappraisal was the only coping strategy that predicted unique variance in increased sleep disturbance. Conclusions: Current findings add to our understanding of stress adaptation in response to stressors characterized by high severity, high uncertainty, and low controllability, such as the COVID-19 pandemic, and suggest that positive reappraisal and PA may foster resilience to stress-related sleep disturbance.

[Keywords] sleep disturbance, resilience, COVID-19pandemic, positive reappraisal, Positive Affect

论文原文：Kimberley T. Johnson, Paula G. Williams, Lisa G. Aspinwall, and Brian J. Curtis (2022). Resilience to Stress-Related Sleep Disturbance: Examination of Early Pandemic Coping and Affect. Health Psychology. 41 (4): 291-300. https://doi.org/10.1037/hea0001169

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