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西班牙新冠疫情封锁期间物质使用障碍与抑郁症之间的关联及社会支持的调节作用:一项横断面研究

The Association Between Substance Use Disorder and Depression During the COVID-19 Lockdown in Spain and the Moderating Role of Social Support: a Cross-Sectional Study.

作者信息

Faris Lydia Hanaa, Gabarrell-Pascuet Aina, Felez-Nobrega Mireia, Cristóbal-Narváez Paula, Mortier Philippe, Vilagut Gemma, Olaya Beatriz, Alonso Jordi, Haro Josep Maria, López-Carrilero Raquel, Domènech-Abella Joan

机构信息

Teaching, Research & Innovation Unit, Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Barcelona Spain.

Centre for Biomedical Research On Mental Health (CIBERSAM), Instituto de Salud Carlos III, Madrid, Spain.

出版信息

Int J Ment Health Addict. 2023;21(2):1157-1167. doi: 10.1007/s11469-021-00651-7. Epub 2021 Sep 27.

Abstract

Substance use disorder is on the rise; it has increased massively during the COVID-19 lockdown and has been found as a risk factor for depressive symptoms and major depressive disorder. Less is known about the hypothetical moderating effect of social support in that association. Three thousand five hundred Spanish adults were interviewed by phone during the COVID-19 lockdown (May-June 2020). The 8-item Patient Health Questionnaire Depression Scale (PHQ-8) was used to measure the symptoms of depression. The CAGE Adapted to Include Drugs (CAGE-AID) questionnaire was used to assess substance use disorder during the previous month. Social support was measured through the Oslo Social Support Scale (OSSS-3). Regression models were constructed to assess factors related to depressive symptoms. People with substance use disorder (alcohol and drugs) showed considerable high levels of depressive symptoms, particularly among those with low levels of social support, which reported levels above major depressive disorder cut-off.

摘要

物质使用障碍正在上升;在新冠疫情封锁期间大幅增加,并且已被发现是抑郁症状和重度抑郁症的一个风险因素。关于社会支持在该关联中假设的调节作用,人们了解较少。在新冠疫情封锁期间(2020年5月至6月),通过电话对3500名西班牙成年人进行了访谈。使用8项患者健康问卷抑郁量表(PHQ - 8)来测量抑郁症状。使用适应包括药物的CAGE问卷(CAGE - AID)来评估前一个月的物质使用障碍。通过奥斯陆社会支持量表(OSSS - 3)来测量社会支持。构建回归模型以评估与抑郁症状相关的因素。患有物质使用障碍(酒精和药物)的人表现出相当高的抑郁症状水平,特别是在社会支持水平低的人群中,这些人的症状水平高于重度抑郁症的临界值。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d997/8475446/1e058fb5d67a/11469_2021_651_Fig1_HTML.jpg

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