Hussenoeder Felix S, Koschig Maria, Conrad Ines, Pabst Alexander, Gatzsche Katharina, Bieler Luise, Alberti Mathias, Stengler Katarina, Riedel-Heller Steffi G
Institute of Social Medicine, Occupational Health and Public Health, Leipzig University, Ph.- Rosenthal-Str. 55, 04103, Leipzig, Germany.
Helios Park-Klinikum - Clinic for Psychiatry, Psychosomatics and Psychotherapy, Leipzig, Germany.
Soc Psychiatry Psychiatr Epidemiol. 2024 Dec 27. doi: 10.1007/s00127-024-02806-y.
Loneliness is a pervasive phenomenon that is linked to adverse health outcomes. Unemployed individuals with mental illnesses (UMIs) constitute a high-risk group, with substantial implications for both health and vocational (re)integration. This study aims to gain deeper insights into the relationships between psychological problems and symptoms of psychopathology and loneliness in UMIs.
Our research is based on a sample from LIPSY, a project that aims to maintain or restore employability. Two regression analyses were conducted on a sample of unemployed participants diagnosed with a mental illness (ICD-10: F-code) with the outcome variable loneliness (UCLA). In the first analysis, age, gender, education, cohabitation status, and social network size (LSNS-6) were used as predictors; in the second one, the nine symptom dimensions (SCL-90) - (1) Somatization, (2) Obsessive-Compulsive, (3) Interpersonal Sensitivity, (4) Depression, (5) Anxiety, (6) Anger-Hostility, (7) Phobic Anxiety, (8) Paranoid Ideation, (9) Psychoticism -were added.
Our sample included 397 participants with an average age of 35.8 years, 53.1% were female. The final regression showed significant positive associations between higher levels of education, Interpersonal Sensitivity, Depression, and the outcome loneliness, and a significant negative relationship between Somatization and loneliness.
The high scores on all SCL-90 dimensions, and the links identified between Somatization, Interpersonal Sensitivity, Depression, and loneliness highlight the importance of psychological screening and/or diagnostics in this high-risk group and offer several starting points for prevention measures as well as interventions.
孤独是一种普遍存在的现象,与不良健康后果相关。患有精神疾病的失业者(UMIs)构成了一个高危群体,对健康和职业(再)融入都有重大影响。本研究旨在更深入地了解UMIs中心理问题、精神病理学症状与孤独之间的关系。
我们的研究基于LIPSY项目的一个样本,该项目旨在维持或恢复就业能力。对被诊断患有精神疾病(ICD - 10:F编码)的失业参与者样本进行了两次回归分析,结果变量为孤独感(UCLA量表)。在第一次分析中,年龄、性别、教育程度、同居状况和社交网络规模(LSNS - 6)被用作预测变量;在第二次分析中,加入了九个症状维度(SCL - 90)——(1)躯体化、(2)强迫症状、(3)人际敏感、(4)抑郁、(5)焦虑、(6)敌对、(7)恐怖、(8)偏执、(9)精神病性。
我们的样本包括397名参与者,平均年龄为35.8岁,53.1%为女性。最终回归分析显示,较高的教育程度、人际敏感、抑郁与孤独感之间存在显著的正相关,躯体化与孤独感之间存在显著的负相关。
SCL - 90所有维度的高分,以及躯体化、人际敏感、抑郁与孤独之间的关联,凸显了在这个高危群体中进行心理筛查和/或诊断的重要性,并为预防措施和干预提供了几个切入点。