Life With Corona: Increased Gender Differences in Aggression and Depression Symptoms Due to the COVID-19 Pandemic Burden in Germany.

Life With Corona: Increased Gender Differences in Aggression and Depression Symptoms Due to the COVID-19 Pandemic Burden in Germany.
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DOI:
10.3389/fpsyg.2021.689396
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发表时间:
2021
影响因子:
3.8
通讯作者:
Brück T
Brück T
中科院分区:
心理学3区
文献类型:
--
作者:
Abreu L;Koebach A;Díaz O;Carleial S;Hoeffler A;Stojetz W;Freudenreich H;Justino P;Brück T

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在2019冠状病毒病大流行期间,心理健康方面的性别差异(GD)再次受到关注。虽然迅速出现的证据表明心理健康普遍恶化,但仍不清楚大流行是否会对GD的心理健康产生影响。为此,我们调查了大流行及其影响日常生活、劳动和家庭的对策与GD在攻击、焦虑、抑郁和躯体症状负担方面的变化之间的关系。我们分析了居住在德国的10,979名个人的横断面数据,这些人在2020年10月1日至2021年2月28日期间回答了在线调查“与电晕的生活”。我们估计广义线性模型的相互作用效应。分析显示,在攻击性方面没有预先存在的GD,但暴露于COVID-19和COVID-19对策与男性攻击性的增加比女性更明显。在家中有孩子的参与者中,焦虑的GD下降(男性变得更加焦虑)。我们还观察到预先存在的和增加的GD与抑郁症的严重程度,与妇女提出了更大的增加症状在硬锁定或增加严格。与焦虑相反,抑郁症中的GD在没有孩子的参与者中增加(女性>男性),但在有孩子的人中减少;在这里,男性收敛到女性呈现的抑郁水平。最后,GD的躯体症状在严格封锁期间减少(但不是更严格),男性的症状增加更明显,特别是当他们与孩子一起生活或独自生活时。总的来说,研究结果表明,随着大流行在德国的展开,女性对抑郁症的脆弱性增加,男性的攻击性增加,精神健康方面的GD增加。这两种趋势的结合进一步表明,单身人士和家庭的心理健康状况令人担忧。我们的研究结果对德国卫生系统和公共卫生政策具有重要的政策意义。这一公共卫生挑战要求解决与大流行病有关的心理健康挑战日益加重的负担,以及在妇女和男子之间、家庭内部和独居个人之间分配这一负担的问题。
Gender differences (GD) in mental health have come under renewed scrutiny during the COVID-19 pandemic. While rapidly emerging evidence indicates a deterioration of mental health in general, it remains unknown whether the pandemic will have an impact on GD in mental health. To this end, we investigate the association of the pandemic and its countermeasures affecting everyday life, labor, and households with changes in GD in aggression, anxiety, depression, and the somatic symptom burden. We analyze cross-sectional data from 10,979 individuals who live in Germany and who responded to the online survey “Life with Corona” between October 1, 2020 and February 28, 2021. We estimate interaction effects from generalized linear models. The analyses reveal no pre-existing GD in aggression but exposure to COVID-19 and COVID-19 countermeasures is associated with sharper increases in aggression in men than in women. GD in anxiety decreased among participants with children in the household (with men becoming more anxious). We also observe pre-existing and increasing GD with regards to the severity of depression, with women presenting a larger increase in symptoms during the hard lockdown or with increasing stringency. In contrast to anxiety, GD in depression increased among participants who lived without children (women > men), but decreased for individuals who lived with children; here, men converged to the levels of depression presented by women. Finally, GD in somatic symptoms decreased during the hard lockdown (but not with higher stringency), with men showing a sharper increase in symptoms, especially when they lived with children or alone. Taken together, the findings indicate an increase in GD in mental health as the pandemic unfolded in Germany, with rising female vulnerability to depression and increasing male aggression. The combination of these two trends further suggests a worrying mental health situation for singles and families. Our results have important policy implications for the German health system and public health policy. This public health challenge requires addressing the rising burden of pandemic-related mental health challenges and the distribution of this burden between women and men, within families and for individuals who live alone.
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