COVID-19 大流行期间系统性硬化症患者孤独感轨迹的调节因素:SPIN COVID-19 队列纵向研究》。

IF 2 3区 心理学 Q3 PSYCHOLOGY, CLINICAL
Chelsea S Rapoport, Alyssa K Choi, Linda Kwakkenbos, Marie-Eve Carrier, Richard S Henry, Brooke Levis, Susan J Bartlett, Amy Gietzen, Karen Gottesman, Geneviève Guillot, Amanda Lawrie-Jones, Maureen D Mayes, Luc Mouthon, Michelle Richard, Maureen Worron-Sauvé, Andrea Benedetti, Scott C Roesch, Brett D Thombs, Vanessa L Malcarne
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引用次数: 0

摘要

背景:由于间质性肺病、体弱和使用免疫抑制剂,许多系统性硬化症(SSc)患者的 COVID-19 相关发病率和孤独风险都很高。很少有研究探讨慢性病患者在 COVID-19 期间的孤独感预测因素。本研究评估了COVID-19期间SSc患者孤独感轨迹的调节因素:分析了硬皮病患者中心干预网络(SPIN)COVID-19队列中775名成人在2020年4月至2022年5月期间30个时间点的纵向数据。层次线性建模评估了孤独感轨迹的跨层次调节因素,包括婚姻状况、基线家庭成员数量、虚拟或电话一对一或虚拟小组对话的次数、享受亲身家庭对话或活动的小时数以及对亲身家庭对话质量的满意度(均在过去一周内)。一级调节分析评估了谈话、活动和满意度的均值和斜率随时间变化的影响:结果:基线值对孤独轨迹的调节作用在统计学上并不显著。较高的虚拟或电话一对一和面对面家庭交谈、面对面家庭活动和面对面家庭交谈满意度均值(随时间变化的平均值)与较低的孤独感轨迹相关(ps 结论:对于 SSc 患者来说,较高的一对一和面对面家庭交谈均值(随时间变化的平均值)、面对面家庭活动和面对面家庭交谈满意度均值与较低的孤独感轨迹相关:对于SSc患者来说,在大流行期间,较高的谈话、活动和满意度变量平均值与较低的孤独感水平相关,但这些社会变量的变化一般不能预测孤独感的变化。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Moderators of Loneliness Trajectories in People with Systemic Sclerosis During the COVID-19 Pandemic: A SPIN COVID-19 Cohort Longitudinal Study.

Moderators of Loneliness Trajectories in People with Systemic Sclerosis During the COVID-19 Pandemic: A SPIN COVID-19 Cohort Longitudinal Study.

Background: Many individuals with systemic sclerosis (SSc) are at heightened risk for COVID-19 related morbidity and isolation due to interstitial lung disease, frailty, and immunosuppressant use. Minimal research has explored loneliness predictors in individuals with chronic illnesses during COVID-19. This study evaluated moderators of loneliness trajectories in individuals with SSc during COVID-19.

Methods: Longitudinal data were analyzed across 30 timepoints from April 2020 to May 2022 from 775 adults in the Scleroderma Patient-centered Intervention Network (SPIN) COVID-19 Cohort. Hierarchical linear modeling evaluated cross-level moderators of loneliness trajectories, including marital status, baseline number of household members, number of virtual or telephone one-on-one or virtual group conversations, number of hours spent enjoying in-person household conversations or activities, and satisfaction with quality of in-person household conversations (all in the past week). Level-1 moderation analyses assessed effects of conversation, activity, and satisfaction means and slopes over time.

Results: Baseline values were not statistically significant moderators of loneliness trajectories. Higher mean (averaged over time) virtual or telephone one-on-one and in-person household conversations, in-person household activity, and in-person household conversation satisfaction were associated with lower loneliness trajectories (ps < .05). The relationship between in-person household conversation satisfaction and loneliness trajectory was statistically significantly but minimally attenuated over time (p < .001).

Conclusions: For people with SSc, higher mean conversation, activity, and satisfaction variables were associated with lower levels of loneliness during the pandemic, but changes in these social variables were generally not predictive of changes in loneliness.

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来源期刊
CiteScore
5.20
自引率
3.70%
发文量
97
期刊介绍: The International Journal of Behavioral Medicine (IJBM) is the official scientific journal of the International Society for Behavioral Medicine (ISBM). IJBM seeks to present the best theoretically-driven, evidence-based work in the field of behavioral medicine from around the globe. IJBM embraces multiple theoretical perspectives, research methodologies, groups of interest, and levels of analysis. The journal is interested in research across the broad spectrum of behavioral medicine, including health-behavior relationships, the prevention of illness and the promotion of health, the effects of illness on the self and others, the effectiveness of novel interventions, identification of biobehavioral mechanisms, and the influence of social factors on health. We welcome experimental, non-experimental, quantitative, qualitative, and mixed-methods studies as well as implementation and dissemination research, integrative reviews, and meta-analyses.
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