“孤独要了我的命?!”COVID-19大流行期间孤独感的主观情绪体验:精神障碍患者的横断面研究结果。

IF 3.6 2区 医学 Q1 PSYCHIATRY Social Psychiatry and Psychiatric Epidemiology Pub Date : 2024-12-23 DOI:10.1007/s00127-024-02808-w
Mona Schenk, Sabrina Baldofski, Fabian Hall, Tony Urbansky, Maria Strauß, Elisabeth Kohls, Christine Rummel-Kluge
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引用次数: 0

摘要

目的:在2019冠状病毒病大流行期间,人们发现孤独感和心理健康问题有所增加。然而,关于孤独和精神障碍之间关系的研究很少。本研究的目的是检查精神障碍患者的孤独感和相关的社会和情感因素,并调查孤独感的潜在预测因素。方法:参与者为N = 230名目前在德国莱比锡大学医院精神病学和心理治疗科接受精神治疗的患者。横断面调查包括孤独感、生活满意度、归属感、人际信任、压力和适应能力等问卷。结果:大多数参与者(n = 91, 39.6%)患有抑郁症,其次是焦虑障碍(n = 43, 18.7%)。结论:该研究强调了在COVID-19大流行后继续研究精神障碍患者的孤独感的重要性,因为大多数患者报告感到孤独。此外,应该设计和评估量身定制的治疗伴随干预措施,以防止精神障碍患者的孤独感,以满足患者的不同需求,例如通过在线课程。试验注册:德国临床试验注册:DRKS00023741(注册于2021年4月6日)。
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"Loneliness is killing me?!": the subjective emotional experience of loneliness during the COVID-19 pandemic: results of a cross-sectional study in patients with a psychiatric disorder.

Purpose: During the COVID-19 pandemic, an increase in loneliness as well as mental health issues was detected. However, research on the association between loneliness and mental disorders is sparse. The aim of this study was to examine loneliness and associated social and emotional factors in patients with a psychiatric disorder and to investigate potential predictors of loneliness.

Methods: Participants were N = 230 patients currently receiving psychiatric treatment at the Department of Psychiatry and Psychotherapy, University Hospital Leipzig, Germany. A cross-sectional survey included questionnaires on loneliness, life satisfaction, need to belong, interpersonal trust, stress, and resilience.

Results: Most participants (n = 91, 39.6%) suffered from depression, followed by anxiety disorder (n = 43, 18.7%). Significantly higher loneliness levels compared to norm samples were detected in all three loneliness questionnaires (all p <.05), and overall n = 128 (57.7%) reported to feel lonely. In addition, participants reported lower life satisfaction, lower interpersonal trust, and lower resilience than the general population (all p <.05). No significant differences in loneliness levels between different psychiatric diagnoses were revealed. It was found that lower satisfaction with life, lower interpersonal trust and lower resilience were significantly associated with higher loneliness (all p <.05).

Conclusion: This study underlines the importance to continue research on loneliness in people with mental disorders after the COVID-19 pandemic since the majority of patients reported to feel lonely. Further, tailored therapy-accompanying interventions to prevent loneliness in patients with a psychiatric disorder should be designed and evaluated to meet patients' diverse needs e.g., through online programs.

Trial registration: German Clinical Trial Registration: DRKS00023741 (registered on April 6, 2021).

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来源期刊
CiteScore
8.50
自引率
2.30%
发文量
184
审稿时长
3-6 weeks
期刊介绍: Social Psychiatry and Psychiatric Epidemiology is intended to provide a medium for the prompt publication of scientific contributions concerned with all aspects of the epidemiology of psychiatric disorders - social, biological and genetic. In addition, the journal has a particular focus on the effects of social conditions upon behaviour and the relationship between psychiatric disorders and the social environment. Contributions may be of a clinical nature provided they relate to social issues, or they may deal with specialised investigations in the fields of social psychology, sociology, anthropology, epidemiology, health service research, health economies or public mental health. We will publish papers on cross-cultural and trans-cultural themes. We do not publish case studies or small case series. While we will publish studies of reliability and validity of new instruments of interest to our readership, we will not publish articles reporting on the performance of established instruments in translation. Both original work and review articles may be submitted.
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