Social isolation, loneliness and their relationships with depressive symptoms: A population-based study.
Social isolation, loneliness and their relationships with depressive symptoms: A population-based study.
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社会隔离，孤独及其与抑郁症状的关系：一项基于人群的研究。
DOI：
10.1371/journal.pone.0182145
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发表时间：
2017
期刊：
影响因子：
3.7
通讯作者：
Heng BH
中科院分区：
文献类型：
--
作者：
Ge L;Yap CW;Ong R;Heng BH
评估各种社会隔离指标与孤独感之间的关系，并研究社会隔离指标、孤独感与抑郁症状之间的差异关联。本研究使用了来自新加坡中部地区一项代表性健康调查的1,919名成年人（21岁及以上）的基线数据。社会隔离指标（婚姻状况、生活安排、与亲友的社会联系）与孤独感（加州大学洛杉矶分校的三项孤独感）之间的关联进行了评估，并使用多元线性回归检验了它们与抑郁症状（患者健康问卷-9）的差异关联，控制了相关的共变量。孤独和社会孤立之间有明显的重叠。与亲友的社会联系程度与孤独感得分呈轻度相关（| = 0.14~0.16）。即使在控制了年龄、性别、就业状况和其他协变量之后，与亲友联系不紧密以及孤独感等方面的社会孤立也与抑郁症状有关。孤独感与抑郁症状的相关性（β = 0.33）独立于其他社会隔离指标（|β| = 0.00~0.07）。研究结果表明，在21岁及以上的社区居民中，不同社会隔离指标和孤独感与抑郁症状之间存在显著而独特的关联。
To assess the relationship between various social isolation indicators and loneliness, and to examine the differential associations that social isolation indicators, loneliness have with depressive symptoms. Baseline data for 1,919 adults (aged 21 years and above) from a representative health survey in the Central region of Singapore was used for this study. The association between social isolation indicators (marital status, living arrangement, social connectedness with relatives and friends) and loneliness (the three-item UCLA Loneliness) were assessed, and their differential associations with depressive symptoms (the Patient Health Questionnaire-9) were examined using multiple linear regression, controling for relevant covariates. There was significant overlap between loneliness and social isolation. Social connectedness with relatives and friends were mildly correlated with loneliness score (|r| = 0.14~0.16). Social isolation in terms of weak connectedness with relatives and with friends and loneliness were associated with depressive symptoms even after controling for age, gender, employment status and other covariates. The association of loneliness with depressive symptoms (β = 0.33) was independent of and stronger than that of any social isolation indicators (|β| = 0.00~0.07). The results of the study establishes a significant and unique association of different social isolation indicators and loneliness with depressive symptoms in community-dwelling adults aged 21 and above.
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