Loneliness, Mental Health, and Substance Use among US Young Adults during COVID-19
Loneliness, Mental Health, and Substance Use among US Young Adults during COVID-19
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DOI：
10.1080/02791072.2020.1836435
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发表时间：
2020-10-29
影响因子：
2.8
通讯作者：
Feaster, Daniel J.
中科院分区：
文献类型：
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作者：
Horigian, Viviana E.;Schmidt, Renae D.;Feaster, Daniel J.
随着 COVID-19 在美国与孤独和成瘾流行病融合，公共卫生和心理健康专家预测物质使用和心理健康状况将急剧增加。这项横断面研究评估了 COVID-19 期间孤独感与抑郁、焦虑、饮酒和吸毒之间的关系，并评估了年轻人对这些症状的感知增加。 2020 年 4 月 22 日至 5 月 11 日期间，通过社交媒体招募了 1,008 名 18 至 35 岁的参与者参加一项一次性在线匿名调查。使用六个量表评估症状。使用 5 点李克特量表评估自 COVID-19 以来的感知变化。 49% 的受访者表示孤独感得分超过 50； 80% 的人报告有明显的抑郁症状； 61% 的人表示中度至重度焦虑； 30% 的人透露了饮酒的有害程度。虽然只有 22% 的人口报告吸毒，但 38% 的人报告严重吸毒。孤独与较高水平的心理健康症状相关。参与者报告说，自 COVID-19 以来，心理健康和药物使用症状显着增加。虽然 COVID-19 的直接影响只能通过对这些症状的大流行前评估来计算，但估计表明心理社会症状有所上升，并表明自大流行以来症状可能会恶化。研究结果强调了预防和干预解决这些公共卫生问题的重要性。
As COVID-19 converges with loneliness and addiction epidemics in the US, both public health and mental health experts forecast dramatic increases in substance use and mental health conditions. This cross-sectional study evaluated relationships of loneliness with depression, anxiety, alcohol use, and drug use during COVID-19, and assessed perceived increases in these symptoms in young adults. Between April 22 and May 11, 2020, 1,008 participants ages 18-35 were recruited through social media to a one-time, online anonymous survey. Symptomatology was assessed using six scales. Perceived changes since COVID-19 were evaluated using 5-point Likert scales. Forty-nine percent of respondents reported loneliness scores above 50; 80% reported significant depressive symptoms; 61% reported moderate to severe anxiety; 30% disclosed harmful levels of drinking. While only 22% of the population reported using drugs, 38% reported severe drug use. Loneliness was associated with higher levels of mental health symptomatology. Participants reported significant increases across mental health and substance use symptoms since COVID-19. While direct impacts of COVID-19 could only be calculated with pre-pandemic assessments of these symptoms, estimates indicate elevated psychosocial symptomatology and suggest that symptoms could have worsened since the pandemic. Findings underscore the importance of prevention and intervention to address these public health problems.