Intensive longitudinal assessment of mobility, social activity and loneliness in individuals with severe mental illness during COVID-19.
Intensive longitudinal assessment of mobility, social activity and loneliness in individuals with severe mental illness during COVID-19.
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DOI:
10.1038/s41537-023-00383-8
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发表时间:
2023-09-20
期刊:
影响因子:
--
通讯作者:
Baker, Justin T.
中科院分区:
文献类型:
--
作者:
Valeri, Linda;Rahimi-Eichi, Habiballah;Liebenthal, Einat;Rauch, Scott L.;Schutt, Russell K.;Ongur, Dost;Dixon, Lisa B.;Onnela, Jukka-Pekka;Baker, Justin T.
Social isolation and loneliness worsen symptoms and functioning among individuals diagnosed with severe mental illness (SMI) 1, 2. However, there is a dearth of studies on changes in social activity due to COVID-19 shelter-in-place-orders and how they might impact perception of loneliness. Additionally, to our knowledge, no data have been published on changes in mobility patterns during the pandemic, specifically regarding people with SMI. Mobility metrics can be derived from passively collected smartphone Global Positioning System (GPS) receivers and are important correlates of physical, cognitive, and mental health in chronic illness. Recent evidence suggests the potential of measuring mobility in the SMI population, given that increased time spent at home has been linked to neurocognitive function 3, negative symptoms and community functioning in people with schizophrenia 4, and depressive states in patients with bipolar disorder 4. For adults with SMI, home can be a context of loneliness and isolation. Shelter-in-place orders, by limiting mobility, can influence the potential of social interactions outside home, thereby impacting loneliness perceptions. However, the potential influence of shelter-in-place orders, intended specifically to restrict mobility, on social interactions and subsequent loneliness perceptions remains unknown. While studies among the general population have documented a shift from in-person to digital social activity during the COVID-19 lockdowns 5, 6, findings regarding the effect of this shift on feelings of loneliness have been inconsistent. Some studies have reported increased levels of loneliness during COVID-19 lockdowns 7, while others have found relatively stable levels of perceived loneliness under such strict measures 8–10.There is a significant knowledge gap in understanding how the pandemic has affected social behavior, mobility, and loneliness perception in individuals with bipolar disorder and schizophrenia. Furthermore, it is unclear whether changes in social activity and/or mobility may mediate the impact of the lockdown on loneliness. Only one study reported a perception of reduced social support and no changes in loneliness when comparing the COVID-19 lockdown and pre-lockdown periods 11. Notably, while this study collected longitudinal information, there was only one time point prior and six time points post COVID-19 shelter-in-place orders. Given their established link with severity and progression of SMI 12, 13, it is critical to assess the impact of the COVID-19 pandemic on behavioral traits, such as social activity and mobility,
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影响因子:
5.2
作者:
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通讯作者:
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DOI:
10.3390/medicina57040304
发表时间:
2021-03-24
期刊:
Medicina (Kaunas, Lithuania)
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DOI:
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发表时间:
2022-03
影响因子:
4.7
作者:
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通讯作者:
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