Department of Preventive Medicine and Public Health, Ajou University School of Medicine, Suwon-si, Gyeonggi-do, Republic of Korea.
Division of Cancer Control & Policy, National Cancer Control Institute, National Cancer Center, Goyang-si, Gyeonggi-do, Republic of Korea.
Int J Soc Psychiatry. 2023 Feb;69(1):47-55. doi: 10.1177/00207640211066737. Epub 2022 Feb 1.
The COVID-19 pandemic and the associated containment policies have led to negative mental health consequences in the general population.
This study investigated the association between perceived social support and depressive symptoms in Korea.
Data from the Korea Community Health Survey conducted from August to November 2020 was used for this cross-sectional study. Depressive symptoms were measured using the Patient Health Questionnaire-9 (PHQ-9) and perceived social support was assessed based on the number of contacts that participants had identified as being available in case participants needed isolation due to COVID-19 exposure. This study included the general adult populations aged 19 years and older. The relationship between the perceived social support and depressive symptoms was analyzed using multivariable liner regression analysis. Subgroup analysis was conducted based on income.
Analysis of the data obtained from 225,453 participants indicated that PHQ-9 scores were highest in the group with 'no' perceived social support, followed by 'low', 'middle', and 'high' perceived levels of social support. Compared to individuals with 'high' perceived social support, those with 'middle' (β: .10, -value <.001), 'low (β: .07, -value .010), and 'no' (β: .34, -value <.001) perceived levels of social support showed poorer depression scores. The magnitude of the relationship found was particularly strong in the low-income group.
During the COVID-19 pandemic, individuals' depression scores varied according to their perceived level of social support. Strategies that address the need of vulnerable individuals are required to reduce the potentially negative mental health consequences of the pandemic.
COVID-19 大流行及其相关的遏制政策给普通民众的心理健康带来了负面影响。
本研究旨在调查韩国感知社会支持与抑郁症状之间的关系。
本横断面研究使用了 2020 年 8 月至 11 月进行的韩国社区健康调查的数据。使用患者健康问卷-9（PHQ-9）来衡量抑郁症状，根据参与者确定的在 COVID-19 暴露后需要隔离时可联系到的人数来评估感知社会支持。本研究纳入了年龄在 19 岁及以上的普通成年人群体。使用多变量线性回归分析来分析感知社会支持与抑郁症状之间的关系。根据收入进行了亚组分析。
对 225453 名参与者的数据进行分析后发现，PHQ-9 评分在“没有”感知社会支持的组中最高，其次是“低”、“中”和“高”感知社会支持的组。与“高”感知社会支持的个体相比，“中”（β：0.10，-值<.001）、“低”（β：0.07，-值<.010）和“没有”（β：0.34，-值<.001）感知社会支持的个体抑郁评分更差。这种关系的程度在低收入群体中尤为显著。
在 COVID-19 大流行期间，个体的抑郁评分因感知的社会支持水平而异。需要采取策略来满足弱势群体的需求，以减少大流行可能带来的负面心理健康后果。
