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孤独感和精神健康在波兰人口在 COVID-19 大流行期间:一项横断面研究。

Loneliness and mental well-being in the Polish population during the COVID-19 pandemic: a cross-sectional study.

机构信息

Department of Development of Nursing, Social and Medical Sciences, Faculty of Health Sciences, Medical University of Warsaw, Warsaw, Poland

Medical University of Warsaw, Warsaw, Poland.

出版信息

BMJ Open. 2022 Feb 1;12(2):e056368. doi: 10.1136/bmjopen-2021-056368.

Abstract

OBJECTIVE

There is a growing concern that the restrictions imposed due to the COVID-19 pandemic could lead to increased loneliness and mental disorders, which are considered a major public health problem. The aim of the study was to assess loneliness, anxiety, depression and irritability in the Polish population during the COVID-19 pandemic.

DESIGN

A cross-sectional study. The study participants completed an online questionnaire using the computer-assisted web interview technique. Data were collected using Revised UCLA Loneliness Scale and Hospital Anxiety and Depression Scale.

SETTING

Poland.

PARTICIPANTS

This study was conducted between 6 October and 12 October 2020, in a representative sample of 890 Polish residents.

PRIMARY OUTCOME MEASURES

Self-reported loneliness; sociodemographic and COVID-19 pandemic factors associated with loneliness, anxiety, depression and irritability.

RESULTS

The analyses showed a moderately high degree of loneliness in 22%, symptoms of anxiety in 27%, depression in 14% and irritability in 33% of the respondents. The increasing severity of anxiety, depression and irritation in the study group was accompanied by higher loneliness. Generally, younger people, both tested positive for SARS-CoV-2 and those who experienced home quarantine, scored higher in both scales.

CONCLUSIONS

It is necessary to identify those most vulnerable to loneliness, anxiety and depression during a crisis to assess health needs and proactively allocate resources during and after the pandemic. Loneliness, anxiety, depression and irritability are important factors to consider in a population of younger, disadvantaged people, who tested positive for SARS-CoV-2, people who were quarantined at home, and people who believe that their physical and mental health is worse than in the pre-pandemic period. It is important to cater for the mental health of individuals during the COVID-19 pandemic and to promote psychological interventions to improve mental well-being in potentially vulnerable social groups.

摘要

目的

由于 COVID-19 大流行而施加的限制可能导致孤独感和精神障碍增加,这被认为是一个主要的公共卫生问题,人们对此越来越关注。本研究的目的是评估 COVID-19 大流行期间波兰人群的孤独感、焦虑、抑郁和易怒程度。

设计

横断面研究。研究参与者使用计算机辅助网络访谈技术完成在线问卷。使用修订版 UCLA 孤独量表和医院焦虑抑郁量表收集数据。

地点

波兰。

参与者

本研究于 2020 年 10 月 6 日至 12 日进行,在波兰居民的代表性样本中,共纳入 890 名参与者。

主要结局测量指标

自我报告的孤独感;与孤独、焦虑、抑郁和易怒相关的社会人口学和 COVID-19 大流行因素。

结果

分析显示,22%的受访者存在中度高孤独感,27%存在焦虑症状,14%存在抑郁,33%存在易怒。研究组中焦虑、抑郁和烦躁程度的加重伴随着更高的孤独感。一般来说,年轻人、SARS-CoV-2 检测呈阳性者和经历家庭隔离者,在这两个量表中的得分都较高。

结论

有必要在危机期间识别出那些最易患孤独、焦虑和抑郁的人群,以评估健康需求,并在大流行期间和之后主动分配资源。在年轻人、弱势群体、SARS-CoV-2 检测呈阳性者、经历家庭隔离者以及认为自己身心健康比大流行前更差的人群中,孤独感、焦虑、抑郁和易怒是需要考虑的重要因素。在 COVID-19 大流行期间,需要关注个人的心理健康,并促进心理干预,以改善潜在弱势群体的心理健康。

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