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意大利和荷兰 COVID-19 大流行第一波期间居家隔离的心理社会影响和通讯技术使用情况。

Psychosocial Effects and Use of Communication Technologies during Home Confinement in the First Wave of the COVID-19 Pandemic in Italy and The Netherlands.

机构信息

Centre for eHealth and Wellbeing Research, Department of Psychology, Health and Technology, University of Twente, 7522 NB Enschede, The Netherlands.

Institute of Sport Science, Otto-von-Guericke University, 39106 Magdeburg, Germany.

出版信息

Int J Environ Res Public Health. 2021 Mar 5;18(5):2619. doi: 10.3390/ijerph18052619.

Abstract

(1) Background: The COVID-19 pandemic forced people from all around the globe to strongly modify their daily routines, putting a significant strain on the social aspects of daily lives. While the first wave of the pandemic was a very challenging time in all countries, it is still uncertain whether various lockdown intensities and infection rates differed regarding their psychosocial impact. This work therefore aimed to investigate (i) the psychosocial effects of home confinement in two European countries that underwent different lockdown intensities: Italy and the Netherlands and (ii) the role of communication technology in relation to feelings of loneliness. (2) Methods: A cross-sectional online survey inquiring about different psychosocial variables and the use of and satisfaction towards communication technology was circulated among the general public during the first wave of the COVID-19 pandemic. In total, 629 participants (66% female, 68% from the Netherlands) answered each question twice, referring to "before" and "during" the pandemic. (3) Results: We found significant negative effects of COVID-19 home confinement on depressive feelings ( < 0.001, %∆ = +54%), loneliness ( < 0.001, %∆ = +37.3%), life satisfaction ( < 0.001, %∆ = -19.8%) and mental wellbeing ( < 0.001, %∆ = -10.6%) which were accompanied with a significantly increased need for psychosocial support ( < 0.001, %∆ = +17.3%). However, the magnitude of psychosocial impact did not significantly differ between residents undergoing a more intense (Italy) versus a less intense (Netherlands) lockdown, although the decrease in social participation was found to be significantly different for both countries (z = -7.714, < 0.001). Furthermore, our findings demonstrate that the increase in loneliness was associated with the adoption of new digital communication tools (r = 0.21, < 0.001), and significantly higher for individuals who started to adopt at least one new digital communication tool during confinement than for those who did not (z = -4.252, < 0.001). (4) Conclusions: This study highlights that, although COVID-19 home confinement significantly impacted psychosocial wellbeing during the first wave of the pandemic, this impact did not differ based on lockdown intensity. Recognizing the increasing adoption of digital communication technology in an attempt to reduce lockdown loneliness, future studies should investigate what is needed from the technology to achieve this effect.

摘要

(1)背景:新冠疫情迫使来自世界各地的人们强烈改变日常生活习惯,给日常生活的社交方面带来了巨大压力。虽然第一波疫情是所有国家都面临的极具挑战性的时期,但目前尚不确定各国不同的封锁强度和感染率对其心理社会影响是否存在差异。因此,本研究旨在调查:(i)在经历不同封锁强度的两个欧洲国家意大利和荷兰,居家隔离对人们心理社会的影响;(ii)在新冠疫情期间,通信技术在缓解孤独感方面的作用。(2)方法:在新冠疫情第一波期间,我们以横断面研究的形式,在线向公众发放调查问卷,询问不同的心理社会变量,以及他们对通信技术的使用情况和满意度。共有 629 名参与者(66%为女性,68%来自荷兰)分别在“疫情前”和“疫情期间”两次回答了每个问题。(3)结果:我们发现,新冠疫情居家隔离对抑郁情绪(<0.001,%∆=+54%)、孤独感(<0.001,%∆=+37.3%)、生活满意度(<0.001,%∆=-19.8%)和心理幸福感(<0.001,%∆=-10.6%)有显著的负面影响,这些变化伴随着对心理社会支持的需求显著增加(<0.001,%∆=+17.3%)。然而,与封锁强度较低的荷兰相比,封锁强度较高的意大利居民的心理社会影响程度并没有显著差异,尽管两国的社会参与度下降有显著差异(z=-7.714,<0.001)。此外,我们的研究结果表明,孤独感的增加与新的数字通信工具的采用有关(r=0.21,<0.001),对于在隔离期间开始采用至少一种新的数字通信工具的个体,孤独感的增加显著高于未采用者(z=-4.252,<0.001)。(4)结论:本研究表明,尽管新冠疫情居家隔离对第一波疫情期间的心理社会健康产生了重大影响,但这种影响并不取决于封锁强度。认识到在试图减轻封锁孤独感方面数字通信技术的采用不断增加,未来的研究应调查需要从技术中获得什么以实现这一效果。

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