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波兰年轻男性中与 COVID-19 相关的社会隔离以及抑郁和焦虑症状:失眠是否在其中起中介作用?

COVID-19-related social isolation and symptoms of depression and anxiety in young men in Poland: Does insomnia mediate the relationship?

机构信息

Department of Neurobiology and Neuropsychology, Institute of Applied Psychology, Jagiellonian University, Krakow, Poland.

Chair and Department of Toxicology, Jagiellonian University Medical College, Krakow, Poland.

出版信息

PLoS One. 2023 May 18;18(5):e0285797. doi: 10.1371/journal.pone.0285797. eCollection 2023.

Abstract

The need for physical distancing due to COVID-19 mitigation efforts forced prolonged social isolation, which may affect sleep and lead to mental health problems. Previous research has shown that young adults are particularly vulnerable to psychological stress caused by social isolation, the negative psychological impact of the pandemic, and greater frequency and severity of sleep problems. Therefore, the main goal of the present study was to examine whether insomnia could constitute a mediation mechanism that explains the relationship between social isolation experienced during the COVID-19 pandemic and mental health outcomes (depression and anxiety) reported up to 1.5 years later. The study was conducted among young (M±SD; 24.08±3.75) men (N = 1025) in Poland. Data were collected by means of self-report questionnaires, including The Social Isolation Index, The Athens Insomnia Scale, The State-Trait Anxiety Inventory (STAI-S) and Beck's Depression Inventory (BDI-II). The results show that insomnia mediates the relationships between social isolation and both anxiety and depression. The current findings emphasize the role of insomnia in the relationships between social isolation experienced during COVID-19 and negative emotional states. From a clinical perspective, the results suggest that implementing therapeutic components that address social isolation in insomnia treatment programs may prevent the development of depression and anxiety symptoms among young men.

摘要

由于 COVID-19 缓解措施的需要,人们需要保持身体距离,这导致了长时间的社交隔离,可能会影响睡眠并导致心理健康问题。先前的研究表明,年轻人特别容易受到社交隔离、大流行带来的负面心理影响以及睡眠问题的频率和严重程度增加所带来的心理压力的影响。因此,本研究的主要目的是检验失眠是否可以构成一个中介机制,来解释 COVID-19 大流行期间经历的社交隔离与 1.5 年后报告的心理健康结果(抑郁和焦虑)之间的关系。该研究在波兰的年轻男性(M±SD;24.08±3.75)中进行(N=1025)。数据通过自我报告问卷收集,包括社交隔离指数、雅典失眠量表、状态-特质焦虑量表(STAI-S)和贝克抑郁量表(BDI-II)。结果表明,失眠中介了社交隔离与焦虑和抑郁之间的关系。目前的研究结果强调了失眠在 COVID-19 期间经历的社交隔离与负面情绪之间的关系中的作用。从临床角度来看,研究结果表明,在失眠治疗方案中实施解决社交隔离的治疗成分,可能有助于预防年轻男性抑郁和焦虑症状的发展。

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