Centre for Improving Health-Related Quality of Life, School of Psychology, Queen's University Belfast, UK.
Stress Trauma and Related Conditions (STARC) Research Lab, School of Psychology, Queen's University Belfast, UK.
J Affect Disord. 2021 Apr 15;285:1-9. doi: 10.1016/j.jad.2021.02.033. Epub 2021 Feb 15.
BACKGROUND: Longitudinal studies examining the temporal association between mental health outcomes during the COVID-19 outbreak are needed. It is important to determine how relationships between key outcomes, specifically loneliness and depressive symptoms, manifest over a brief timeframe and in a pandemic context. METHOD: Data was gathered over 4 months (March - June 2020) using an online survey with three repeated measures at monthly intervals (N = 1958; 69.8% females; Age 18-87 years, M = 37.01, SD = 12.81). Associations between loneliness, depression symptoms, and emotion regulation difficulty were tested using Pearson's product moment correlations, and descriptive statistics were calculated for all study variables. Cross-lagged structural equation modelling was used to examine the temporal relationships between variables. RESULTS: The longitudinal association between loneliness and depressive symptoms was reciprocal. Loneliness predicted higher depressive symptoms one month later, and depressive symptoms predicted higher loneliness one month later. The relationship was not mediated by emotion regulation difficulties. Emotion regulation difficulties and depressive symptoms were also reciprocally related over time. LIMITATIONS: Limitations include the reliance on self-report data and the non-representative sample. There was no pre-pandemic assessment limiting the conclusions that can be drawn regarding the mental health impact of the COVID-19 crisis. CONCLUSIONS: Loneliness should be considered an important feature of case conceptualisation for depression during this time. Clinical efforts to improve mental health during the pandemic could focus on interventions that target either loneliness, depression, or both. Potential approaches include increasing physical activity or low-intensity cognitive therapies delivered remotely.
背景:需要进行纵向研究来考察 COVID-19 爆发期间心理健康结果之间的时间关联。重要的是要确定关键结果(特别是孤独感和抑郁症状)在短暂的时间内以及在大流行背景下的关系如何表现。 方法:使用在线调查在 4 个月内(2020 年 3 月至 6 月)收集数据,每月重复测量三次(N=1958;69.8%为女性;年龄 18-87 岁,M=37.01,SD=12.81)。使用皮尔逊积矩相关检验孤独感、抑郁症状和情绪调节困难之间的关联,并计算所有研究变量的描述性统计数据。交叉滞后结构方程模型用于检验变量之间的时间关系。 结果:孤独感和抑郁症状之间的纵向关联是相互的。孤独感预测一个月后更高的抑郁症状,抑郁症状预测一个月后更高的孤独感。情绪调节困难并不能介导这种关系。情绪调节困难和抑郁症状也随着时间的推移而相互关联。 局限性:局限性包括依赖于自我报告数据和非代表性样本。没有大流行前的评估,限制了可以从 COVID-19 危机对心理健康的影响中得出的结论。 结论:在这段时间里,孤独感应该被认为是抑郁病例概念化的一个重要特征。在大流行期间改善心理健康的临床努力可以集中在针对孤独感、抑郁或两者的干预措施上。潜在的方法包括增加体育锻炼或远程提供低强度认知疗法。
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