Ponizovsky Alexander M, Ritsner Michael S
Mental Health Services, Department of Research and Planning, Ministry of Health, Jerusalem, Israel.
Compr Psychiatry. 2004 Sep-Oct;45(5):408-14. doi: 10.1016/j.comppsych.2004.03.011.
Loneliness has been recognized as a public health problem that requires the attention of clinicians and researchers both as a condition in itself and in its relation to other conditions. This study sought to examine the relationship between self-reported loneliness, psychological distress, and social support among immigrants. A community survey of 386 recent immigrants to Israel from the former Soviet Union was conducted using the Revised UCLA Loneliness Scale (R-UCLA-LS), Talbieh Brief Distress Inventory (TBDI), and Multidimensional Scale of Perceived Social Support (MSPSS). A cross-sectional design, and correlation and factor analyses were used to study the relationship between the studied variables. The distress-related and distress-free patterns of loneliness were distinguished as independent constructs, each with a specific sphere of influence. Distress-related loneliness accounted for 56.3% and distress-free for 18.2% of the total variance in individual loneliness scores. Distress-related loneliness is a generalized negative experience embedded in an array of distress symptoms, while distress-free loneliness appears to be a normal psychological reaction to dissatisfaction with current friend support. An important implication of this study in mental health practice is the sensitivity to these differences when treating recent immigrants.
孤独已被视为一个公共卫生问题,无论是其本身还是与其他状况的关联,都需要临床医生和研究人员予以关注。本研究旨在探讨移民群体中自我报告的孤独感、心理困扰和社会支持之间的关系。使用修订版加州大学洛杉矶分校孤独量表(R-UCLA-LS)、塔尔比耶简短困扰量表(TBDI)和领悟社会支持多维量表(MSPSS),对386名从前苏联新近移民到以色列的人进行了社区调查。采用横断面设计以及相关性和因子分析来研究各研究变量之间的关系。孤独感的困扰相关模式和无困扰模式被区分为独立的结构,各有特定的影响范围。困扰相关的孤独感占个体孤独感得分总方差的56.3%,无困扰的孤独感占18.2%。困扰相关的孤独感是一种嵌入一系列困扰症状中的普遍负面体验,而无困扰的孤独感似乎是对当前朋友支持不满意的正常心理反应。本研究在心理健康实践中的一个重要启示是,在治疗新近移民时要对这些差异保持敏感。