标题：Latent classes of posttraumatic stress disorder, adjustment disorder, and wellbeing during the COVID-19 pandemic in over 10,000 people across 11 European countries
摘要：The COVID-19 pandemic has a significant psychological health impact globally. A minority may experience negative psychological outcomes, such as posttraumatic stress disorder (PTSD) and adjustment disorder (AD) symptoms, while others experience positive outcomes, such as increases in wellbeing. Examining individual differences in negative and positive outcomes and correlates thereof provides knowledge on people at risk for developing long-term psychological impairment, which may optimize care for the most vulnerable people. The aim of this study is to examine (correlates of) symptom-profiles of PTSD, AD, and wellbeing in 14,505 European people within the first months of the pandemic. Method: Across 11 European countries, an online survey-study was conducted initiated by the ESTSS (ADJUST study). PTSD (PC-PTSD), AD (ADNM-8), and wellbeing (WHO Wellbeing Index) symptom-profiles were examined using latent class analyses. Correlates of class-membership (e.g., background and pandemic-related characteristics and adverse childhood experiences) were examined using a 3-step approach. Results: Six classes were identified: 1) Low PTSD/Low AD/High wellbeing (36%), 2) Low PTSD/ Low AD/Moderate wellbeing (17%), 3) Moderate PTSD/Moderate AD/High wellbeing (14%), 4) Moderate PTSD/High AD/Low wellbeing (12%), 5) High PTSD/Moderate AD/Moderate Wellbeing (11%), and 6) High PTSD/High AD/Moderate wellbeing (9%). Correlates of classes will be presented at the conference. Conclusions: Six symptom-profiles of PTSD, AD, and wellbeing were found. The most common response to the pandemic was the absence of PTSD/AD symptoms and high wellbeing. Our findings reveal that the presence of PTSD/AD symptoms does not always co-occur with the absence of wellbeing. Taking wellbeing into account when examining post-pandemic distress, therefore, seems important.
