Coping Using Sex, Health-Related Behaviors, and Mental Health During COVID-19 Lockdown in the UK.
Coping Using Sex, Health-Related Behaviors, and Mental Health During COVID-19 Lockdown in the UK.
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DOI：
10.3389/fpsyt.2022.880454
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发表时间：
2022
影响因子：
4.7
通讯作者：
Gillespie SM
中科院分区：
文献类型：
--
作者：
Daly N;Jones A;Garofalo C;Uzieblo K;Robinson E;Gillespie SM
在强制实施COVID-19社交距离期间，人们的性行为发生了变化，在某些情况下，这是为了科普封锁期间的负面情绪。关于性行为应对的研究相对局限于有性犯罪史的男性样本，而且还不清楚性行为应对是否与一般人群的健康相关行为和心理健康有关。我们检查了在封锁之前和封锁期间使用性行为的应对是否与不良后果有关（即，自我感知的健康相关行为和心理健康的减少）。我们假设，在封锁前几周报告更多使用性行为来科普的参与者在封锁期间会表现出更大的健康相关行为和心理健康下降。此外，封锁导致的应对性行为的变化将导致健康相关行为和心理健康恶化的进一步变化。参与者是英国居民，年龄在18-60岁之间，英语流利。789名参与者完成了一项在线调查，提供了人口统计信息，自我报告的社交距离，孤独感，以及在封锁期间14天内使用性行为的应对方式，并回顾了封锁前的情况。参与者报告了与大流行前相比，在封锁期间与健康相关的行为和心理健康状况的变化。他们还自我报告了封锁期间的压力，焦虑和抑郁水平。在封锁之前使用性行为的更多应对预测了健康相关行为的积极变化，例如，较高的分数与参与者报告锻炼和睡眠更多有关。它还与封锁期间更高的焦虑，压力和抑郁的特质水平有关。在应对使用性从之前到封锁期间的变化并没有预测感知的变化，健康相关的行为或心理健康的行为学。总体而言，在封锁前使用性的更多应对与封锁期间更差的心理健康状况（焦虑，抑郁和压力）相关，然而，与封锁前相比，它也与健康相关行为的感知积极变化相关。这表明，利用性来应对可能与封锁期间的负面情绪反应有关，但也可能与促进健康行为的积极变化有关。
Peoples' sexual behaviors have changed during the period of enforced COVID-19 social distancing, in some cases, to cope with negative feelings during lockdown. Research on coping using sex is relatively restricted to samples of men with a history of sexual offending, and it is unknown whether coping using sex is associated with health-related behaviors and mental health in the general population. We examined if coping using sex before and during lockdown was associated with adverse outcomes (i.e., self-perceived reduction in health-related behaviors and mental health) in a community sample. We hypothesized that participants who reported greater use of sex to cope in the weeks preceding lockdown would show a greater decline in health-related behaviors and mental health during lockdown. Furthermore, that changes in coping using sex resulting from lockdown would account for further variance in the worsening of health-related behaviors and mental health. Participants were UK residents, aged 18–60 years, and fluent in English. 789 participants completed an online survey, providing demographic information, self-reported social distancing, loneliness, and coping using sex over a 14-day period during lockdown, and retrospectively preceding lockdown. Participants reported perceived changes in health-related behaviors and mental health symptomatology during lockdown compared to before the pandemic. They also self-reported levels of stress, anxiety and depression during lockdown. Greater coping using sex prior to lockdown predicted positive change in health-related behaviors, for example, higher scores were associated with participants reporting having exercised and slept more. It was also associated with higher trait levels of anxiety, stress and depression during lockdown. Changes in coping using sex from before to during lockdown did not predict perceived changes in health related behaviors or mental health symptomatology. Overall, greater coping using sex prior to lockdown was associated with worse mental health symptomatology during lockdown (anxiety, depression and stress), however, it was also associated with perceived positive change in health-related behaviors compared with before lockdown. This suggests that coping using sex may be associated with negative emotional reactions during lockdown, but may also be linked with positive change in health-promoting behaviors.
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作者：
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