The COVID-19 pandemic disrupted life around the globe and negatively impacted mental health (MH), including among military veterans. Building on previous research with U.S. veterans, the present study examined the association between a broad array of pandemic stressors and well-being on MH outcomes. A total of 372 veterans (51.3% women) from all service eras completed measures of posttraumatic stress disorder and depression during early (timepoint 1 [T1]) and peri-pandemic (timepoint 2 [T2]) periods. Pandemic-related stressors and well-being (satisfaction in life domains) were assessed at the peri-pandemic timepoint (T2). Logistic regression analyses were used to investigate associations between stressors and well-being with the likelihood of a probable MH diagnosis at T2 controlling for T1 MH status. More negative physical and MH impacts of the pandemic in addition to fewer positive consequences and lower satisfaction with paid work, finances, health, romantic relationships, and social life were associated with a higher likelihood of a probable T2 MH diagnosis. COVID infection was associated with lower odds of a probable T2 MH diagnosis. There were significant indirect effects, such that physical and MH impacts of the pandemic were associated with T2 MH via well-being. Overall, these findings highlight the role of stress and well-being on MH during a global pandemic. Interventions to address well-being may be important to address veteran MH during other periods of stress. Future research should examine the generalizability of study findings and further investigate factors that contribute to veterans' MH resilience during stressful life experiences.

中文翻译：

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COVID-19 大流行期间的压力和幸福感对美国退伍军人心理健康的影响

COVID-19 大流行扰乱了全球的生活，并对心理健康 (MH) 产生了负面影响，包括退伍军人。在之前对美国退伍军人进行的研究的基础上，本研究探讨了一系列广泛的流行病压力源与 MH 结果的幸福感之间的关联。来自各个服役时期的总共 372 名退伍军人（51.3% 为女性）在早期（时间点 1 [T1]）和大流行期间（时间点 2 [T2]）完成了创伤后应激障碍和抑郁症的测量。在大流行期间时间点（T2）评估与大流行相关的压力源和幸福感（生活领域的满意度）。Logistic 回归分析用于调查压力源和幸福感之间的关联，以及 T2 时可能诊断为 MH 的可能性（控制 T1 MH 状态）。除了积极后果较少以及对有偿工作、财务、健康、恋爱关系和社交生活的满意度较低之外，大流行对身体和MH的负面影响更大，与T2 MH诊断的可能性较高有关。COVID 感染与 T2 MH 诊断的可能性较低有关。存在显着的间接影响，例如大流行对身体和 MH 的影响通过幸福感与 T2 MH 相关。总体而言，这些发现强调了全球大流行期间压力和幸福感对 MH 的影响。解决健康问题的干预措施对于解决其他压力时期的退伍军人精神分裂症可能很重要。未来的研究应该检验研究结果的普遍性，并进一步调查在压力生活经历中有助于退伍军人心理健康恢复力的因素。