Trajectories of loneliness during COVID-19 pandemic and associations with mental health and substance use.
Trajectories of loneliness during COVID-19 pandemic and associations with mental health and substance use.
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COVID-19 大流行期间的孤独轨迹以及与心理健康和药物滥用的关系。
DOI：
10.1111/jora.12841
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发表时间：
2023
期刊：
影响因子：
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通讯作者：
Lee,ChristineM
中科院分区：
文献类型：
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作者：
Cadigan,JenniferM;Calhoun,BrianH;Rhew,IsaacC;Lee,ChristineM
我们使用六个时间点（2020年1月[大流行前]至2021年3月/ 4月）研究了COVID - 19大流行期间孤独感的纵向轨迹模式，以及这些轨迹是否与2021年春季的心理困扰（抑郁/焦虑）和物质使用（酒精/大麻）结果相关。参与者是644名年轻人，他们完成了在线评估。结果根据最可能的孤独轨迹进行回归，并根据大流行前的措施进行调整。三种孤独轨迹从持续较低到持续较高。大流行前的社会支持与较高孤独轨迹的可能性较低相关。与低轨迹相比，较高的孤独轨迹与过去一个月使用大麻的可能性相关，但与2021年春季的抑郁、焦虑或酒精使用无关。需要采取干预措施，解决同时出现的孤独感和大麻使用问题。
We examined patterns of longitudinal trajectories of loneliness during the COVID‐19 pandemic using six time points (January 2020 [pre‐pandemic] to March/April 2021) and whether trajectories were associated with psychological distress (depression/anxiety) and substance use (alcohol/cannabis) outcomes in Spring 2021. Participants were 644 young adults who completed online assessments. Outcomes were regressed on most‐likely loneliness trajectory adjusting for pre‐pandemic measures. Three loneliness trajectories varied from consistently lower to consistently higher. Pre‐pandemic social support was associated with lower odds of a higher loneliness trajectory. Higher loneliness trajectories were associated with greater odds of past‐month cannabis use compared to Low trajectories, but not significantly associated with depression, anxiety, or alcohol use in Spring 2021. Interventions addressing co‐occurring loneliness and cannabis use are needed.