TY - JOUR AU -理查森，Chris G AU - Slemon, Allie AU - Gadermann, Anne AU - McAuliffe, Corey AU - Thomson, Kimberly AU - Daly, Zachary AU - Salway, Travis AU - Currie, Leanne M AU - David, Anita AU - Jenkins, Emily PY - 2020 DA - 20/12/30 TI -在加拿大普通人群中使用异步虚拟心理健康资源应对COVID-19大流行相关压力:横断面调查研究JO - J Med Internet Res SP - e24868 VL - 22 IS - 12kw -虚拟健康KW -数字健康KW -虚拟心理健康KW -心理健康KW -公共卫生KW - COVID-19 KW -应对KW -压力KW -实施KW -利用AB -背景:COVID-19大流行对全球普通人群产生了深刻的心理健康影响。由于许多面对面的精神卫生支持服务已暂停或转移到网上，以促进保持物理距离，许多人呼吁迅速扩大异步虚拟精神卫生资源。这些AVMH资源极有可能为应对与大流行相关的负面心理健康影响的人提供支持;然而，研究COVID-19之前使用情况的文献表明，这些资源的利用率一直很低。目的:本文的目的是研究COVID-19大流行期间加拿大普通人群和被归类为经历与大流行相关的不利心理健康影响的参与者亚群体中AVMH资源的使用情况。方法:本研究的数据来自于2020年5月14日至29日分布的一项大型多波横断面监测调查的第一波。参与者(N=3000)为居住在加拿大的成年人。使用描述性统计来描述样本的特征，并使用双变量交叉表来检查AVMH资源的使用与自我报告的心理健康指标之间的关系，其中包括对大流行的一系列情绪和应对相关反应。使用单变量和完全调整的多变量逻辑回归模型来检查社会人口学和健康相关特征与AVMH资源使用之间的关联，这些参与者报告经历了一组自我报告的心理健康指标中确定的一种或多种不良心理健康影响。 Results: Among the total sample, 2.0% (n=59) of participants reported accessing AVMH resources in the prior 2 weeks to cope with stress related to the COVID-19 pandemic, with the highest rates of use among individuals who reported self-harm (n=5, 10.4%) and those who reported coping “not well” with COVID-19–related stress (n=22, 5.5%). Within the subgroup of 1954 participants (65.1% of the total sample) who reported an adverse mental health impact related to COVID-19, 54 (2.8%) reported use of AVMH resources. Individuals were more likely to have used AVMH resources if they had reported receiving in-person mental health supports, were connecting virtually with a mental health worker or counselor, or belonged to a visible minority group. Conclusions: Despite substantial government investment into AVMH resources, uptake is low among both the general population and individuals who may benefit from the use of these resources as a means of coping with the adverse mental health impacts of the COVID-19 pandemic. Further research is needed to improve our understanding of the barriers to use. SN - 1438-8871 UR - //www.mybigtv.com/2020/12/e24868/ UR - https://doi.org/10.2196/24868 UR - http://www.ncbi.nlm.nih.gov/pubmed/33315583 DO - 10.2196/24868 ID - info:doi/10.2196/24868 ER -