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孤独与心理健康:初级保健摄入的建议。

Loneliness and Mental Health: Recommendations for Primary Care Intakes.

机构信息

Purdue University, West Lafayette, IN, USA.

Scripps College, Claremont, CA, USA.

出版信息

J Prim Care Community Health. 2021 Jan-Dec;12:21501327211027104. doi: 10.1177/21501327211027104.

Abstract

INTRODUCTION/OBJECTIVES: The healthcare intake process plays a significant role in informing medical personnel about patients' demographic information, subjective health status, and health complaints. Intake forms can help providers personalize care to assist patients in getting proper referrals and treatment. Previous studies examined factors that could be included in intake forms independently, but this study analyzed loneliness, religiousness, household income, and social integration together to see how the combined effect influences mental and physical health status. This study aims to determine which of those 4 variables better inform patients' mental versus physical health status.

METHODS

One hundred and seventy-nine participants completed surveys, including the SF-12 Health Survey, measuring perceived physical and mental health, UCLA 3-item Loneliness Scale, and a demographics questionnaire with questions about household income and time spent dedicated to religious practice, if applicable. Additionally, individuals answered social integration questions about how often they contact close family and friends or volunteer in the community. Using loneliness, household income, religiousness, social integration as independent variables, and controlling for demographic variables such as age, gender, and race, 2 regression models were built with Mental and Physical Health Composite Scores from the the SF-12 Health Survey as dependent variables.

RESULTS

Loneliness was associated with mental health measures ( = -2.190,  < .001), while household income was associated with physical health measures ( = 0.604,  = .019) above and beyond other variables in the regression models.

CONCLUSIONS

Integrating the 3 loneliness questions into intake forms can help approximate an individual's mental health status. This would allow the provider to be able to assess mental health problems more effectively and provide needed resources.

摘要

简介/目的:医疗保健摄入过程在向医务人员提供患者人口统计学信息、主观健康状况和健康问题方面起着重要作用。摄入表可以帮助提供者个性化护理,以帮助患者获得适当的转介和治疗。以前的研究分别检查了可以包含在摄入表中的因素,但本研究分析了孤独感、宗教信仰、家庭收入和社会融合,以了解这些因素的综合影响如何影响心理健康和身体健康状况。本研究旨在确定这 4 个变量中的哪一个能更好地反映患者的心理健康和身体健康状况。

方法

179 名参与者完成了调查,包括 SF-12 健康调查,测量感知的身体和心理健康、UCLA 3 项孤独量表,以及一份关于家庭收入和用于宗教实践时间的人口统计学问卷(如果适用)。此外,个人还回答了关于与亲密家人和朋友联系或在社区做志愿者的社会融合问题。使用孤独感、家庭收入、宗教信仰、社会融合作为自变量,控制年龄、性别和种族等人口统计学变量,以 SF-12 健康调查的心理健康和身体综合评分作为因变量,建立了 2 个回归模型。

结果

孤独感与心理健康指标相关( = -2.190,  < .001),而家庭收入与身体健康指标相关( = 0.604,  = .019),超出了回归模型中其他变量的影响。

结论

将 3 个孤独问题纳入摄入表可以帮助估计个人的心理健康状况。这将使提供者能够更有效地评估心理健康问题并提供所需的资源。

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