社交网络和连接性对 COVID-19 隔离期间焦虑、压力和抑郁的综合影响:一项回顾性观察研究。

The combined impact of social networks and connectedness on anxiety, stress, and depression during COVID-19 quarantine: a retrospective observational study.

机构信息

Mental Health Center, West China Hospital, Sichuan University, Chengdu, China.

出版信息

Front Public Health. 2023 Dec 19;11:1298693. doi: 10.3389/fpubh.2023.1298693. eCollection 2023.

Abstract

INTRODUCTION

The COVID-19 pandemic and associated quarantine measures have precipitated a surge in mental health disorders, particularly depression and anxiety. Government policies and restrictions on physical activity have contributed to this phenomenon, as well as diminished subjective social connectedness and exacerbated objective social isolation. As two dimensions of social isolation, it is worth noting that subjectively perceived social connectedness serves as a protective factor for mental health, whereas the decline in the size of objectively evaluated social networks poses a significant risk. However, research investigating the combined influence of these two dimensions remains limited.

METHODS

This study used an online survey to collect data to investigate the effects of objective social connectedness and objective social networks on anxiety, stress, and depression during COVID-19 quarantine. A total of 485 participants were analyzed using statistical methods, including paired -test, Pearson correlation analysis, linear regression, cluster analysis, ANOVA, and moderated mediated.

RESULTS

The study found that anxiety and depression scores increased during the quarantine, with age, education, and social connectedness scores associated with the increase. Pre-quarantine anxiety and depression levels were strongly correlated with mental health status during quarantine. Cluster analysis, respectively, revealed three clusters for those without increasing anxiety and depression scores. The study also found that objective social network influences the impact of subjective social connectedness on pre-quarantine mental health, which in turn affects anxiety and depression levels during quarantine.

CONCLUSION

The study identified that quarantine increased anxiety and depression, with age being protective, and education and subjective social connectedness as risk factors. The study also emphasizes the comprehensive impact of objective and subjective social isolation. Although individuals perceive the same degree of social connectedness, those with smaller social networks are more prone to developing symptoms of anxiety and depression, which are also more likely to worsen during quarantine.

摘要

简介

COVID-19 大流行及相关的隔离措施促使精神健康障碍(尤其是抑郁和焦虑)显著增加。政府政策和对体育活动的限制是导致这一现象的部分原因,它们降低了主观社会联系感,加剧了客观社会隔离。作为社会隔离的两个维度,需要注意的是,主观感知到的社会联系感是心理健康的保护因素,而客观评估的社交网络规模的缩小则是一个重大风险。然而,研究这两个维度综合影响的工作仍然有限。

方法

本研究使用在线调查收集数据,以研究 COVID-19 隔离期间客观社会联系感和客观社交网络对焦虑、压力和抑郁的影响。共分析了 485 名参与者,使用了配对检验、皮尔逊相关分析、线性回归、聚类分析、方差分析和中介调节分析等统计方法。

结果

研究发现,隔离期间焦虑和抑郁评分增加,年龄、教育程度和社会联系感评分与增加相关。隔离前的焦虑和抑郁水平与隔离期间的心理健康状况高度相关。聚类分析分别揭示了焦虑和抑郁评分没有增加的三个聚类。研究还发现,客观社交网络影响主观社会联系感对隔离前心理健康的影响,进而影响隔离期间的焦虑和抑郁水平。

结论

研究表明,隔离增加了焦虑和抑郁,年龄是保护因素,教育程度和主观社会联系感是风险因素。研究还强调了客观和主观社会隔离的综合影响。尽管个体感知到相同程度的社会联系感,但社交网络较小的个体更容易出现焦虑和抑郁症状,而且这些症状在隔离期间更有可能恶化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b13f/10758457/6b4ea7ebdd85/fpubh-11-1298693-g001.jpg

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