Increased Autonomic Reactivity and Mental Health Difficulties in COVID-19 Survivors: Implications for Medical Providers

Frontiers in Psychiatry

Steven P. Cuffe¹  Lourdes P. Dale¹  Amal Bhullar¹  Stephen W. Porges²  Kalie G. Leon³  Nadia Bossemeyer Biernacki³  Evan J. Nix⁴  Jacek Kolacz⁴ 

[1] Department of Psychiatry, College of Medicine-Jacksonville, University of Florida, Jacksonville, FL, United States;Department of Psychiatry, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States;Department of Psychology, University of North Florida, Jacksonville, FL, United States;Socioneural Physiology Laboratory, Kinsey Institute, Indiana University, Bloomington, IN, United States;Traumatic Stress Research Consortium (TSRC), Kinsey Institute, Indiana University, Bloomington, IN, United States;

关键词: COVID-19;    autonomic reactivity;    adversity;    mental health;    PTSD;    healthcare providers;   

DOI  :  10.3389/fpsyt.2022.830926

来源: DOAJ

【 摘 要 】

BackgroundBecause there is a relationship between mental health (MH) and medical adversity and autonomic dysregulation, we hypothesized that individuals infected with COVID-19 would report greater current autonomic reactivity and more MH difficulties (emotional distress, mindfulness difficulties, and posttraumatic stress). We also hypothesized that individuals diagnosed with COVID-19 who are experiencing difficulties related to their prior adversity and those providing medical care to COVID-19 patients would be more negatively impacted due to their increased stress and infection rates.MethodUS participants (N = 1,638; 61% female; Age M = 46.80) completed online self-report measures of prior adversity, current autonomic reactivity and current MH difficulties, and COVID-19 diagnosis history. Participants diagnosed with COVID-19 (n = 98) were more likely to be younger and providing medical care to COVID-19 patients.ResultsIndividuals diagnosed with COVID-19 reported increased current autonomic reactivity, being more negatively impacted by their prior MH/medical adversities, and currently experiencing more MH difficulties with an increased likelihood of clinically-significant PTSD and depression (p < 0.01 – p < 0.001). Current autonomic reactivity mediated 58.9% to 85.2% of the relationship between prior adversity and current MH difficulties; and COVID-19 diagnosis moderated and enhanced the effect of prior adversity on current autonomic reactivity (p < 0.01). Being a medical provider was associated with increased current autonomic reactivity (p < 0.01), while moderating and enhancing the relationship between current autonomic reactivity and emotional distress and posttraumatic stress symptoms (p < 0.05). Combining COVID-19 diagnosis with being a medical provider increased likelihood of clinically-significant PTSD and depression (p < 0.01).ConclusionIndividuals diagnosed with COVID-19, particularly medical providers, have increased current autonomic reactivity that is associated with their prior adversities and current MH difficulties.

【 授权许可】

Unknown