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新冠疫情首次封锁期间青年成年人的孤独感:多中心COMET研究结果

Loneliness in Young Adults During the First Wave of COVID-19 Lockdown: Results From the Multicentric COMET Study.

作者信息

Sampogna Gaia, Giallonardo Vincenzo, Del Vecchio Valeria, Luciano Mario, Albert Umberto, Carmassi Claudia, Carrà Giuseppe, Cirulli Francesca, Dell'Osso Bernardo, Menculini Giulia, Belvederi Murri Martino, Pompili Maurizio, Sani Gabriele, Volpe Umberto, Bianchini Valeria, Fiorillo Andrea

机构信息

Department of Psychiatry, University of Campania Luigi Vanvitelli, Naples, Italy.

Department of Medicine, Surgery and Health Sciences, University of Trieste, Trieste, Italy.

出版信息

Front Psychiatry. 2021 Dec 10;12:788139. doi: 10.3389/fpsyt.2021.788139. eCollection 2021.

Abstract

The COVID-19 pandemic has affected the mental and physical health of the general population at any age, but it is expected to have a protracted and severe consequences for younger populations. The pandemic has had several consequences on mental health including anger and irritability, depressive symptoms and somatic complaints, insomnia, lack of motivation, and loneliness. In particular, loneliness and its related negative feelings are thought to be particularly pronounced during young adulthood because of the many social changes that young people deal with during this period of life. Therefore, it is essential to evaluate the type of impact of the pandemic on the mental health of young people and their levels of loneliness experienced during the first phase of the lockdown. Based on the largest Italian study on the effects of the COVID-19 pandemic on the mental health of general population, in this paper we aim to: (1) describe the levels of loneliness in a national sample of Italian young adults aged 18-34 years, during the first wave of lockdown in 2020; (2) evaluate the clinical and socio-demographic differences in young adults reporting low vs. high levels of loneliness; (3) assess the role of clinical symptomatology, coping strategies, levels of resilience, and duration of lockdown as possible predictors of loneliness. The final sample consists of 8,584 people, mainly female (72.6%), single, with a mean age of 26.4 (±4.4) years. The mean score at the UCLA was 47.5 (±13.6), with 27% ( = 2,311) of respondents exceeding the cut-off for high levels of loneliness. High levels of loneliness were predicted by the presence of avoidant coping strategies, such as self-distraction (Beta coefficient, B = 0.369, 95% Confidence Interval, CI = 0.328-0.411), venting (B = 0.245, 95% CI = 0.197-0.293), denial (B = 0.110, 95% CI = 0.061-0.159), and emotional disengagement (B = 0.133, 95% CI = 0.080-0.185). Weeks of exposure to the pandemic were significantly associated with worsening of loneliness ( < 0.000). There is currently considerable interest in trying to reduce loneliness, both within the context of COVID-19 and more generally. Our results highlight that young people are at a higher risk of developing loneliness and suggest that more interventions and practical guidelines are needed.

摘要

新冠疫情影响了所有年龄段普通人群的身心健康,但预计会对年轻人产生持久而严重的后果。疫情对心理健康产生了多方面影响,包括愤怒和易怒、抑郁症状和躯体不适、失眠、缺乏动力以及孤独感。特别是,由于年轻人在成年早期会经历诸多社会变化,孤独感及其相关负面情绪在这一时期可能尤为明显。因此,评估疫情对年轻人心理健康的影响类型以及他们在封锁第一阶段所经历的孤独程度至关重要。基于意大利关于新冠疫情对普通人群心理健康影响的最大规模研究,本文旨在:(1)描述2020年第一波封锁期间,18至34岁意大利年轻成年人全国样本中的孤独程度;(2)评估报告低孤独水平与高孤独水平的年轻成年人在临床和社会人口学方面的差异;(3)评估临床症状、应对策略、心理韧性水平以及封锁持续时间作为孤独可能预测因素的作用。最终样本包括8584人,主要为女性(72.6%),单身,平均年龄26.4(±4.4)岁。加州大学洛杉矶分校孤独量表的平均得分是47.5(±13.6),27%(n = 2311)的受访者超过了高孤独水平的临界值。回避型应对策略的存在可预测高孤独水平,如自我分心(β系数,B = 0.369,95%置信区间,CI = 0.328 - 0.411)、发泄(B = 0.245,95% CI = 0.197 - 0.293)、否认(B = 0.110,95% CI = 0.061 - 0.159)和情绪脱离(B = 0.133,95% CI = 0.080 - 0.185)。接触疫情的周数与孤独感加剧显著相关(P < 0.000)。目前,无论是在新冠疫情背景下还是更广泛的范围内,人们都对试图减少孤独感有着浓厚兴趣。我们的研究结果凸显了年轻人产生孤独感的风险更高,并表明需要更多的干预措施和实用指南。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/666e/8703162/74cc79501f7b/fpsyt-12-788139-g0001.jpg

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