Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA, USA.
J Res Adolesc. 2023 Sep;33(3):816-827. doi: 10.1111/jora.12841. Epub 2023 Feb 14.
We examined patterns of longitudinal trajectories of loneliness during the COVID-19 pandemic using six time points (January 2020 [pre-pandemic] to March/April 2021) and whether trajectories were associated with psychological distress (depression/anxiety) and substance use (alcohol/cannabis) outcomes in Spring 2021. Participants were 644 young adults who completed online assessments. Outcomes were regressed on most-likely loneliness trajectory adjusting for pre-pandemic measures. Three loneliness trajectories varied from consistently lower to consistently higher. Pre-pandemic social support was associated with lower odds of a higher loneliness trajectory. Higher loneliness trajectories were associated with greater odds of past-month cannabis use compared to Low trajectories, but not significantly associated with depression, anxiety, or alcohol use in Spring 2021. Interventions addressing co-occurring loneliness and cannabis use are needed.
我们使用六个时间点（2020 年 1 月[大流行前]至 2021 年 3/4 月）研究了 COVID-19 大流行期间孤独感的纵向轨迹模式，以及轨迹是否与 2021 年春季的心理困扰（抑郁/焦虑）和物质使用（酒精/大麻）结果有关。参与者为 644 名完成在线评估的年轻成年人。结果根据大流行前的措施，回归到最可能的孤独轨迹上。三种孤独轨迹从始终较低到始终较高不等。大流行前的社会支持与较低的高孤独轨迹几率相关。与低轨迹相比，较高的孤独轨迹与过去一个月大麻使用的几率更高相关，但与 2021 年春季的抑郁、焦虑或酒精使用没有显著相关。需要针对孤独和大麻使用同时发生的干预措施。
