Loneliness among people with severe mental illness during the COVID-19 pandemic: Results from a linked UK population cohort study.
Loneliness among people with severe mental illness during the COVID-19 pandemic: Results from a linked UK population cohort study.
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DOI：
10.1371/journal.pone.0262363
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发表时间：
2022
期刊：
影响因子：
3.7
通讯作者：
Peckham E
中科院分区：
文献类型：
--
作者：
Heron P;Spanakis P;Crosland S;Johnston G;Newbronner E;Wadman R;Walker L;Gilbody S;Peckham E
人口调查低估了患有严重精神疾病的人。本文旨在使用多元回归分析，从2019冠状病毒病大流行期间收集的严重精神疾病患者样本的自我报告调查数据中探索感知社会支持、孤独感和因素关联。我们对一组已经存在的严重精神疾病患者进行了抽样调查。研究人员通过电话或邮件联系了参与者，邀请他们参加一项关于大流行限制如何影响健康，Covid-19体验，感知社会支持，就业和孤独感的调查。孤独感采用UCLA孤独感量表三项测量。在大流行亚队列中，367名患有严重精神疾病的成年人完成了远程调查。29%-34%的参与者表示感到孤独。孤独症与年龄较小（调整后OR =-0.98，p = 0.02）、独居（调整后OR = 2.04，p = 0.01）、高水平的社会和经济剥夺（调整后OR = 2.49，p = 0.04）以及较低的社会支持（B =-5.86，p <0.001）相关。独居与较低的社会支持感有关。在大流行期间，孤独与自我报告的心理健康恶化有关（调整后的OR = 3.46，95%CI 2.03-5.91）。需要采取干预策略来解决严重精神疾病人群的孤独感。需要进一步的研究来跟踪大流行限制解除后的严重精神疾病人群，以了解感知的社会支持和孤独趋势。在2019冠状病毒病大流行之前，孤独是严重精神病健康人群的一个重大问题，但了解大流行期间感知的社会支持和孤独趋势的证据有限。
Population surveys underrepresent people with severe mental ill health. This paper aims to use multiple regression analyses to explore perceived social support, loneliness and factor associations from self-report survey data collected during the Covid-19 pandemic in a sample of individuals with severe mental ill health. We sampled an already existing cohort of people with severe mental ill health. Researchers contacted participants by phone or by post to invite them to take part in a survey about how the pandemic restrictions had impacted health, Covid-19 experiences, perceived social support, employment and loneliness. Loneliness was measured by the three item UCLA loneliness scale. In the pandemic sub-cohort, 367 adults with a severe mental ill health diagnosis completed a remote survey. 29–34% of participants reported being lonely. Loneliness was associated with being younger in age (adjusted OR = -.98, p = .02), living alone (adjusted OR = 2.04, p = .01), high levels of social and economic deprivation (adjusted OR = 2.49, p = .04), and lower perceived social support (B = -5.86, p < .001). Living alone was associated with lower perceived social support. Being lonely was associated with a self-reported deterioration in mental health during the pandemic (adjusted OR = 3.46, 95%CI 2.03–5.91). Intervention strategies to tackle loneliness in the severe mental ill health population are needed. Further research is needed to follow-up the severe mental ill health population after pandemic restrictions are lifted to understand perceived social support and loneliness trends. Loneliness was a substantial problem for the severe mental ill health population before the Covid-19 pandemic but there is limited evidence to understand perceived social support and loneliness trends during the pandemic.
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影响因子：
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