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保护 COVID-19 大流行期间青年的心理健康:不同结构和功能的社会支持的作用。

Protecting mental health of young adults in COVID-19 pandemic: Roles of different structural and functional social supports.

机构信息

Institute for Global Health Innovations, Duy Tan University, Da Nang, Viet Nam.

Faculty of Medicine, Duy Tan University, Da Nang, Vietnam.

出版信息

PLoS One. 2022 Nov 4;17(11):e0276042. doi: 10.1371/journal.pone.0276042. eCollection 2022.

Abstract

BACKGROUND

Concerning rates of psychological disorders are increasingly recognized in young adults during the COVID-19 pandemic. This study aimed to examine the associations of different structural and functional social supports on depression, anxiety, and stress among young adults in Vietnam.

METHODS

An online cross-sectional study was performed on 236 respondents aged 16 to 30 years in Vietnam from June to July 2020. The Depression, Anxiety and Stress Scale-21 Items (DASS-21); the Multidimensional Scale of Perceived Social Support (MSPSS), and the LUBBEN Social Network Scale (LSNS-6) was used to measure psychological health, functional and structural social support characteristics. Multi-level mixed-effect logistic regression was used to identify associations between social support and anxiety, depression, and stress.

RESULTS

The rate of at least mild depression, anxiety, and stress were 30.1%, 34.8%, and 35.6%, respectively. Structural supports measured by LSNS-6 were not associated with the likelihood of having depression, anxiety, and stress (p>0.05). Respondents having friends with whom they could share joys and sorrows were less likely to have anxiety (aOR = 0.61, 95%CI = 0.41-0.90) and stress (aOR = 0.66, 95%CI = 0.45-0.96). Having family support in decision-making was also negatively associated with depression, anxiety, and stress. Meanwhile, those having family and friends who tried to help them were more likely to suffer stress (aOR = 1.94, 95%CI = 1.16-3.24) and depression (aOR = 2.09; 95%CI = 1.11-3.92), respectively.

CONCLUSION

This study highlighted a high rate of psychological problems among young adults during the COVID-19 pandemic in Vietnam. Emotional support from friends and advice support from family were important components that should be considered in further interventions to mitigate the psychological problems in young adults.

摘要

背景

在 COVID-19 大流行期间,年轻人中心理障碍的发生率越来越受到关注。本研究旨在探讨不同结构和功能的社会支持与越南年轻人抑郁、焦虑和压力之间的关系。

方法

2020 年 6 月至 7 月,在越南对 16 至 30 岁的 236 名受访者进行了一项在线横断面研究。使用抑郁、焦虑和压力 21 项量表(DASS-21)、多维感知社会支持量表(MSPSS)和 Lubben 社会网络量表(LSNS-6)来衡量心理健康、功能和结构社会支持特征。使用多水平混合效应逻辑回归来确定社会支持与焦虑、抑郁和压力之间的关系。

结果

至少有轻度抑郁、焦虑和压力的比例分别为 30.1%、34.8%和 35.6%。LSNS-6 测量的结构支持与抑郁、焦虑和压力的发生可能性无关(p>0.05)。有可以分享喜怒哀乐的朋友的受访者患焦虑症的可能性较低(aOR = 0.61,95%CI = 0.41-0.90)和压力(aOR = 0.66,95%CI = 0.45-0.96)。在决策中得到家庭支持也与抑郁、焦虑和压力呈负相关。同时,那些得到家人和朋友帮助的人更有可能承受压力(aOR = 1.94,95%CI = 1.16-3.24)和抑郁(aOR = 2.09;95%CI = 1.11-3.92)。

结论

本研究强调了越南 COVID-19 大流行期间年轻人心理问题的高发生率。来自朋友的情感支持和来自家庭的建议支持是进一步干预减轻年轻人心理问题的重要组成部分。

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