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描绘孤独感、抑郁和社交互动之间瞬间关联的特征:基于生态瞬间评估研究的洞察。

Characterizing the momentary association between loneliness, depression, and social interactions: Insights from an ecological momentary assessment study.

机构信息

Department of Psychiatry and Behavioral Sciences, University of Washington, United States of America.

Department of Psychology, University of Washington, United States of America.

出版信息

J Affect Disord. 2024 Sep 1;360:376-386. doi: 10.1016/j.jad.2024.05.148. Epub 2024 May 31.

DOI:10.1016/j.jad.2024.05.148
PMID:38823593
Abstract

Evidence suggests that loneliness causes people to feel more depressed. It is unknown, however, why this association occurs and whether momentary versus chronic experiences of loneliness are implicated. Theoretical accounts suggest that momentary feelings of loneliness produce two competing motivations: social reaffiliation and social withdrawal. Social affiliation is protective against depression; social withdrawal, in contrast, is a risk factor. Thus, engaging in frequent and high-quality interactions following experiences of loneliness may protect against subsequent depression. We tested this hypothesis using a random-interval experience sampling design (5x/day/day, 14 days; Nobs = 6568) with a racially/ethnically diverse sample of adults with elevated depression symptoms (N = 102). Momentary loneliness was associated with depressed mood at the same time point and ∼2.5h and ∼5h later. Frequency and quality of social interaction did not moderate these associations. Findings suggest that momentary feelings of loneliness may be an important target for clinical intervention.

摘要

有证据表明,孤独感会让人感到更加沮丧。然而,目前还不清楚这种关联是如何产生的,以及孤独感是暂时的还是长期的体验所导致的。理论解释表明,暂时的孤独感会产生两种相互竞争的动机:社交再联系和社交退缩。社交联系对预防抑郁有保护作用;相比之下,社交退缩则是一个风险因素。因此,在经历孤独感之后频繁且高质量地进行互动,可能有助于预防随后的抑郁。我们使用随机间隔体验采样设计(每天 5 次,持续 14 天;观察样本量=6568),对具有较高抑郁症状的成年人(N=102)进行了一项研究,检验了这一假设。结果发现,即时孤独感与同一时间点以及随后 2.5 小时和 5 小时的抑郁情绪有关。社交互动的频率和质量并不能调节这些关联。这些发现表明,即时的孤独感可能是临床干预的一个重要目标。

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