Social relationships and depression during the COVID-19 lockdown: longitudinal analysis of the COVID-19 Social Study.
Social relationships and depression during the COVID-19 lockdown: longitudinal analysis of the COVID-19 Social Study.
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DOI：
10.1017/s0033291721000039
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发表时间：
2021-01-13
影响因子：
6.9
通讯作者：
Fancourt D
中科院分区：
文献类型：
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作者：
Sommerlad A;Marston L;Huntley J;Livingston G;Lewis G;Steptoe A;Fancourt D
2019冠状病毒病（COVID-19）大流行导致采取措施减少社会接触和支持。我们探讨了在2020年3月至8月期间，具有更频繁或支持性社会接触的英国居民是否具有更少的抑郁症状，以及调节这种关系的潜在因素。在基于互联网的COVID-19纵向社会研究中，一个18岁的英国居民参与者的便利样本完成了多达22份每周问卷，内容涉及面对面和电话/视频社交接触频率，感知的社会支持，以及使用PHQ-9的抑郁症状。混合线性模型研究了社会接触和支持与抑郁症状之间的关联。我们通过共情关注、观点采择和新冠肺炎前的社会接触频率来检验互动。在71117名平均年龄为49岁（标准差15）的被试中，社会支持感高的被试在PHQ-9上的得分比社会支持感低的被试低1.836（1.801-1.871）分。与没有接触相比，每天面对面或电话/视频接触与较低的抑郁症状相关（分别为0.258（95%置信区间0.225-0.290）和0.117（0.080-0.154））。社会关系和抑郁症状之间的负相关性更强的那些具有较高的同理心的关注，观点采择和通常的社交。我们发现，在封锁期间，那些质量较高或面对面或电话/视频接触较多的人的抑郁症状较少。接触质量比数量更强相关。通常更善于交际或同情心更强的人在强制减少接触时会出现更多的抑郁症状。研究结果对COVID-19和未来潜在的大流行管理以及理解社会因素与心理健康之间的关系具有重要意义。
The coronavirus disease 2019 (COVID-19) pandemic led to measures that reduced social contact and support. We explored whether UK residents with more frequent or supportive social contact had fewer depressive symptoms during March−August 2020, and potential factors moderating the relationship. A convenience sample of UK dwelling participants aged ⩾18 in the internet-based longitudinal COVID-19 Social Study completed up to 22 weekly questionnaires about face-to-face and phone/video social contact frequency, perceived social support, and depressive symptoms using the PHQ-9. Mixed linear models examined associations between social contact and support, and depressive symptoms. We examined for interaction by empathic concern, perspective taking and pre-COVID social contact frequency. In 71 117 people with mean age 49 years (standard deviation 15), those with high perceived social support scored 1.836 (1.801–1.871) points lower on PHQ-9 than those with low support. Daily face-to-face or phone/video contact was associated with lower depressive symptoms (0.258 (95% confidence interval 0.225–0.290) and 0.117 (0.080–0.154), respectively) compared to no contact. The negative association between social relationships and depressive symptoms was stronger for those with high empathic concern, perspective taking and usual sociability. We found during lockdown that those with higher quality or more face-to-face or phone/video contact had fewer depressive symptoms. Contact quality was more strongly associated than quantity. People who were usually more sociable or had higher empathy had more depressive symptoms during enforced reduced contact. The results have implications for COVID-19 and potential future pandemic management, and for understanding the relationship between social factors and mental health.