Persistence of Mental Health Deterioration Among People Living Alone During the COVID-19 Pandemic: A Periodically-repeated Longitudinal Study.
Persistence of Mental Health Deterioration Among People Living Alone During the COVID-19 Pandemic: A Periodically-repeated Longitudinal Study.
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DOI：
10.2188/jea.je20210397
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发表时间：
2022-07-05
影响因子：
4.7
通讯作者：
中科院分区：
文献类型：
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这项纵向研究旨在调查新冠状病毒(新冠肺炎)大流行从早期到中期的心理痛苦水平是如何根据个人的生活安排而变化的。从2020年2月到2021年1月，一项基于互联网的纵向调查每隔5-6周对2400名日本人进行一次。采用凯斯勒心理困难量表测量严重心理困难感(SPD)的存在。居住安排分为两类(即，独居或与他人同居)。使用混合效应Logistic回归分析来评估SPD状态的变化是否取决于生活安排的不同。在2400名受访者中，446人(18.5%)独居。尽管在大流行初期，独居和与他人同住的人的自闭症比例都有相同程度的增加，但在大流行初期之后，与独居的人相比，与自闭症保持较高水平的人相比，与其他人同居的人的痛苦程度有所下降。在与调查阶段的交互作用中，独居者发生SPD的优势比(OR)在第6阶段(OR 1.89；95%可信区间[CI]0.99~3.64)和第7阶段(OR 1.88；95%CI，0.97~3.63)中更高。在新冠肺炎大流行期间，与与他人同居的人相比，独居的人患SPD的风险一直更高。针对独居者的有效对策，如加强在线交流或提供心理治疗，是必不可少的。
This longitudinal study aimed to investigate how psychological distress levels changed from early to middle phases of the new coronavirus (COVID-19) pandemic depending on the living arrangements of individuals. An internet-based, longitudinal survey of 2,400 Japanese people was conducted every 5–6 weeks between February 2020 and January 2021. The presence of severe psychological distress (SPD) was measured using the Kessler’s psychological distress scale. Living arrangements were classified into two groups (ie, living alone or living with others). Mixed-effects logistic regression analysis was performed to assess whether changes in SPD status were different depending on living arrangements. Of 2,400 respondents, 446 (18.5%) lived alone. Although the proportion of SPD in both individuals living alone and those living with others increased to the same extent in the early phase of the pandemic, the distress levels decreased after the early phase of the pandemic in the group living with others, compared with the group living alone, for which SPD remained high. The odds ratio (OR) of developing SPD in interaction term with survey phases tended to be higher among those who lived alone than those who lived with others in Phase 6 (OR 1.89; 95% confidence interval [CI], 0.99–3.64) and Phase 7 (OR 1.88; 95% CI, 0.97–3.63). During the COVID-19 pandemic, those living alone are persistently at a higher risk of SPD compared to those living with others. Effective countermeasures targeting those living alone, such as enhancing online communication or providing psychological therapies, are essential.