Park Donghui, Park Subin
Department of Psychiatry, National Center for Mental Health, Seoul, Republic of Korea.
Mental Health Research Institute, National Center for Mental Health, Seoul, Republic of Korea.
Psychiatry Investig. 2024 Jun;21(6):590-600. doi: 10.30773/pi.2024.0007. Epub 2024 Jun 24.
This study examined the factors affecting depression, anxiety, and suicidal ideation among patients with coronavirus disease-2019 (COVID-19) during the early phase of COVID-19 in South Korea and investigated the role of stigma in moderating the effects of loneliness on mental health problems among these patients.
Conducted as part of the COVID-19 Mental Health Panel Survey over 12 weeks in 2021, this survey enrolled participants aged 15-79 years, applying standardized weights for ratio correction, and collected 640 completed questionnaires. Demographic characteristics were analyzed using descriptive statistics. Suicidal ideation, anxiety, and depression post-COVID-19 were examined using t-tests and logistic regression. The PROCESS macro explored stigma's moderating effects on loneliness and mental health outcomes.
Results showed that 7.9% and 10.0% of the enrolled participants were at risk for anxiety and depression, respectively, with 3% contemplating suicide post-COVID-19. Stigma positively impacted depression and anxiety, acting as a significant moderator for loneliness, and mental health, with a stronger effect for higher stigma perception. Unemployment and college education elevated mental health risks in COVID-19 cases. Low health satisfaction and poor sleep were linked to suicidal ideation, while fatigue and COVID-19 stigma increased depression and anxiety risks. Loneliness was significantly associated with suicidal ideation, depression, and anxiety.
Unemployment, college education, low health satisfaction, and poor sleep were linked to suicidal ideation. Fatigue and COVID-19 stigma raised depression/anxiety risks. Loneliness correlated with suicidal thoughts, depression, and anxiety. Stigma moderated the link between loneliness and mental health issues.
本研究调查了韩国2019冠状病毒病（COVID-19）早期患者中影响抑郁、焦虑和自杀意念的因素，并探讨了污名化在调节这些患者孤独感对心理健康问题影响方面的作用。
作为2021年为期12周的COVID-19心理健康小组调查的一部分，该调查招募了15 - 79岁的参与者，采用标准化权重进行比率校正，共收集到640份完整问卷。使用描述性统计分析人口统计学特征。采用t检验和逻辑回归分析COVID-19后的自杀意念、焦虑和抑郁情况。通过PROCESS宏程序探讨污名化对孤独感和心理健康结果的调节作用。
结果显示，分别有7.9%和10.0%的参与者有焦虑和抑郁风险，3%的人在感染COVID-19后有自杀念头。污名化对抑郁和焦虑有正向影响，是孤独感和心理健康的显著调节因素，污名化认知程度越高影响越强。失业和大学学历增加了COVID-19患者的心理健康风险。健康满意度低和睡眠质量差与自杀意念有关，而疲劳和COVID-19污名化增加了抑郁和焦虑风险。孤独感与自杀意念、抑郁和焦虑显著相关。
失业、大学学历、健康满意度低和睡眠质量差与自杀意念有关。疲劳和COVID-19污名化增加了抑郁/焦虑风险。孤独感与自杀念头、抑郁和焦虑相关。污名化调节了孤独感与心理健康问题之间的联系。
