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孤独和社交焦虑对日常社交接触的影响。

The Impact of Loneliness and Social Anxiety on Casual Social Contacts.

作者信息

Federman Edward J, Drebing Charles E, Graham James E

机构信息

Psychology, Edith Nourse Rogers Memorial (ENRM) Veterans Affairs (VA) Medical Center, Bedford, USA.

Psychiatry, Boston University School of Medicine, Boston, USA.

出版信息

Cureus. 2024 Oct 1;16(10):e70633. doi: 10.7759/cureus.70633. eCollection 2024 Oct.

DOI:10.7759/cureus.70633
PMID:39483575
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11527513/
Abstract

Introduction In the wake of the COVID-19 pandemic, loneliness and social isolation have become major public health crises. Loneliness has reached epidemic levels and negatively impacts both health and quality of life. "Casual contacts" is a developing line of research that may hold promise in stemming the current crisis. Casual contacts refer to interactions and relationships with people who are neither family nor friends. Our objectives are to (a) document the impact of casual contacts on community-based adults (Studies 1 and 2) and (b) study the impact of loneliness (Studies 1 and 2) and social anxiety (Study 2) on responses to casual contact. Based on prior studies, we expect to find that casual contacts have a generally positive impact on mood. However, the association of both loneliness and social anxiety with hypervigilance to social threat leads to the broad hypothesis that individuals with each of these conditions would be more likely to respond negatively to casual contacts than would others without those conditions. Method This correlational research recruited convenience samples of English-speaking adults living in the United States, using the online platform Survey Monkey. There were no selection criteria beyond (a) language and location and (b) the sample being generally balanced for age and gender. Partial correlation and analysis of covariance were used to examine the association of loneliness and social anxiety with feeling worse after casual contacts, while controlling for age, gender, household size, household income, and size of town. Because the current study examines a novel area, individual differences that affect how people experience casual contacts, we ran two studies enabling us to examine whether the results replicated. In total, we surveyed 546 community-dwelling adults about their casual contacts, 174 in Study 1 and 372 in Study 2. Data cleaning was used to minimize/eliminate meaningless and random answers resulting in a final total study sample of 393 participants: 123 in Study 1 and 270 in Study 2. Results The results indicate that casual contacts are common, with fewer than 4% having neither verbal nor electronic contact with an acquaintance weekly, and typically have a positive impact (Study 1 and Study 2). Nevertheless, a significant minority of casual contacts result in negative experiences, which is more probable among respondents who were lonely (Study 1 and Study 2) and/or had higher levels of social anxiety (Study 2). Exploratory analyses showed that both loneliness and social anxiety are linked to feeling worse for longer periods of time after casual contacts and that positive feelings tend to dissipate more rapidly for those with higher loneliness scores (Study 2).  Conclusions These results indicate that clinicians developing interventions that involve casual contacts must consider how to do so safely and effectively for those with a higher degree of loneliness and/or social anxiety.

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8398/11527513/f622647b1915/cureus-0016-00000070633-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8398/11527513/bb6de4cb4104/cureus-0016-00000070633-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8398/11527513/3a80b48e7f0a/cureus-0016-00000070633-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8398/11527513/f622647b1915/cureus-0016-00000070633-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8398/11527513/bb6de4cb4104/cureus-0016-00000070633-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8398/11527513/3a80b48e7f0a/cureus-0016-00000070633-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8398/11527513/f622647b1915/cureus-0016-00000070633-i03.jpg
摘要

引言 在新冠疫情之后,孤独和社会隔离已成为重大的公共卫生危机。孤独现象已达到流行程度,对健康和生活质量均产生负面影响。“偶然接触”是一个正在发展的研究领域,可能有望缓解当前的危机。偶然接触是指与既非家人也非朋友的人的互动和关系。我们的目标是:(a)记录偶然接触对社区成年人的影响(研究1和研究2);(b)研究孤独感(研究1和研究2)和社交焦虑(研究2)对偶然接触反应的影响。基于先前的研究,我们预计会发现偶然接触对情绪总体上有积极影响。然而,孤独感和社交焦虑都与对社会威胁的过度警觉相关,这导致了一个广泛的假设,即与没有这些情况的人相比,患有这些情况的个体更有可能对偶然接触做出负面反应。

方法 这项相关性研究通过在线平台Survey Monkey招募了居住在美国的会说英语的成年人的便利样本。除了(a)语言和地点以及(b)样本在年龄和性别上总体平衡之外,没有其他选择标准。使用偏相关和协方差分析来检验孤独感和社交焦虑与偶然接触后感觉更糟之间的关联,同时控制年龄、性别、家庭规模、家庭收入和城镇规模。由于当前研究考察的是一个新领域,即影响人们体验偶然接触方式的个体差异,我们进行了两项研究,以便能够检验结果是否具有重复性。总共,我们对546名社区居住成年人进行了关于他们偶然接触情况的调查,研究1中有174人,研究2中有372人。通过数据清理来最小化/消除无意义和随机的答案,最终研究样本总数为393名参与者:研究1中有123人,研究2中有270人。

结果 结果表明,偶然接触很常见,每周与熟人既无言语交流也无电子交流的人不到4%,而且偶然接触通常有积极影响(研究1和研究2)。然而,相当一部分偶然接触会导致负面体验,在孤独的受访者(研究1和研究2)和/或社交焦虑程度较高的受访者(研究2)中这种情况更有可能发生。探索性分析表明,孤独感和社交焦虑都与偶然接触后较长时间感觉更糟有关,而且对于孤独得分较高的人来说,积极情绪往往消散得更快(研究2)。

结论 这些结果表明,临床医生在制定涉及偶然接触的干预措施时,必须考虑如何为孤独程度较高和/或社交焦虑程度较高的人安全有效地实施这些措施。

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