Depression and loneliness during April 2020 COVID-19 restrictions in the United States, and their associations with frequency of social and sexual connections.

Depression and loneliness during April 2020 COVID-19 restrictions in the United States, and their associations with frequency of social and sexual connections.
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DOI:
10.1007/s00127-020-02002-8
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发表时间:
2021-07
影响因子:
4.4
通讯作者:
Herbenick D
Herbenick D
中科院分区:
医学2区
文献类型:
--
作者:
Rosenberg M;Luetke M;Hensel D;Kianersi S;Fu TC;Herbenick D

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为评估美国在新冠疫情应对期间抑郁症和孤独感的患病率,并研究它们与社交和性接触频率的关联。 我们对具有全国代表性的18 - 94岁美国成年人样本(n = 1010)进行了一项在线横断面调查,调查时间为2020年4月10日至20日。我们评估了抑郁症状(流调中心抑郁量表 - 10项,CES - D - 10)、孤独感(加州大学洛杉矶分校3项孤独感量表),以及面对面和远程社交接触(4项,例如拥抱家庭成员、视频聊天)和性接触(4项,例如伴侣性行为、使用约会应用)的频率。 三分之一的参与者(32%)报告有抑郁症状,且孤独感较高[均值(标准差):4.4(1.7)]。有抑郁症状者更可能是女性、年龄在20 - 29岁、未婚以及低收入人群。非常频繁的面对面接触通常与较低的抑郁和孤独感相关;频繁的远程接触则不然。 在美国新冠疫情早期应对期间,抑郁症和孤独感有所增加。那些保持非常频繁的面对面(而非远程)社交和性接触的人心理健康状况更好。虽然新冠疫情的社交限制仍然必要,但扩大心理健康服务以服务于那些最易受影响的人群,并确定保持远距离社交和性接触的有效方法将至关重要。 网络版包含补充材料,可在10.1007/s00127 - 020 - 02002 - 8获取。
To estimate the prevalence of depression and loneliness during the US COVID-19 response, and examine their associations with frequency of social and sexual connections. We conducted an online cross-sectional survey of a nationally representative sample of American adults (n = 1010), aged 18–94, running from April 10–20, 2020. We assessed depressive symptoms (CES-D-10 scale), loneliness (UCLA 3-Item Loneliness scale), and frequency of in-person and remote social connections (4 items, e.g., hugging family member, video chats) and sexual connections (4 items, e.g., partnered sexual activity, dating app use). One-third of participants (32%) reported depressive symptoms, and loneliness was high [mean (SD): 4.4 (1.7)]. Those with depressive symptoms were more likely to be women, aged 20–29, unmarried, and low-income. Very frequent in-person connections were generally associated with lower depression and loneliness; frequent remote connections were not. Depression and loneliness were elevated during the early US COVID-19 response. Those who maintained very frequent in-person, but not remote, social and sexual connections had better mental health outcomes. While COVID-19 social restrictions remain necessary, it will be critical to expand mental health services to serve those most at-risk and identify effective ways of maintaining social and sexual connections from a distance. The online version contains supplementary material available at 10.1007/s00127-020-02002-8.
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