[被诊断患有精神疾病的失业者的孤独感]。

IF 1.7 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Felix S Hussenoeder, Maria Koschig, Ines Conrad, Alexander Pabst, Katharina Gatzsche, Luise Bieler, Mathias Alberti, Katarina Stengler, Steffi G Riedel-Heller
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引用次数: 0

摘要

背景:孤独是一种普遍现象,它与各种健康问题和疾病有关。被诊断患有精神疾病的失业者(UMIs)极有可能经历孤独,这将对他们的健康和职业康复产生严重影响。通过这项研究,我们希望更好地了解社会人口变量、心理健康和孤独感之间的关系:我们分析了 526 名失业者的数据,这些失业者接受了经济情况调查,并至少有一项精神病诊断。数据收集时间为 2020 年 9 月至 2023 年 9 月。我们以孤独感(加州大学洛杉矶分校孤独感量表)为结果进行了两次稳健回归(N = 526)。在第一次回归中,我们将社交网络作为预测因子(Lubben 社交网络量表,LSNS-6);在第二次回归中,我们将个人债务(是/否)、抑郁(患者健康问卷,PHQ-9)、焦虑(迷你症状检查表,MSCL)和躯体化(MSCL)以及年龄、性别、教育程度和与伴侣同住作为控制变量:结果:我们发现社会网络与孤独感之间存在明显的负相关,而高教育水平、抑郁、焦虑和孤独感之间存在明显的正相关:结论:在我们的样本中,被诊断患有精神疾病的失业者表现出较高程度的抑郁、焦虑、躯体化和孤独感。我们发现的社会网络、心理健康和孤独感之间的关联强调了心理筛查和/或诊断的重要性,并突出了预防领域。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Loneliness in unemployed individuals diagnosed with mental illness].

Background: Loneliness is a widespread phenomenon, and it is associated with a variety of health problems and diseases. Unemployed individuals diagnosed with a mental illness (UMIs) are at a high risk of experiencing loneliness, with serious repercussions for their health and vocational rehabilitation. With this study we wanted to better understand the associations between sociodemographic variables, mental health, and loneliness in UMIs.

Methods: We analyzed the data of 526 unemployed individuals that received means-tested benefits as well as at least one psychiatric diagnosis. Data were collected between September 2020 and September 2023. We conducted two robust regressions with loneliness (University of California, Los Angeles, Loneliness Scale, UCLA) as an outcome (N = 526). In the first regression, we used social network as a predictor (Lubben Social Network Scale, LSNS-6); in the second regression we included the additional predictors personal debt (yes/no), depression (Patient Health Questionnaire, PHQ-9), anxiety (Mini-Symptom-Checklist,MSCL), and somatization (MSCL) as well as age, gender, education, and living with a partner as control variables.

Results: We found a significant negative association between social network and loneliness, and a significant positive association between a high level of education, depression, anxiety, and loneliness.

Conclusions: Unemployed individuals diagnosed with a mental illness in our sample exhibited high levels of depression, anxiety, somatization, and loneliness. The associations between social network, mental health, and loneliness that we found emphasize the importance of psychological screening and/or diagnostics, and they highlight areas for prevention.

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来源期刊
Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz
Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz 医学-公共卫生、环境卫生与职业卫生
CiteScore
3.30
自引率
5.90%
发文量
145
审稿时长
3-8 weeks
期刊介绍: Die Monatszeitschrift Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz - umfasst alle Fragestellungen und Bereiche, mit denen sich das öffentliche Gesundheitswesen und die staatliche Gesundheitspolitik auseinandersetzen. Ziel ist es, zum einen über wesentliche Entwicklungen in der biologisch-medizinischen Grundlagenforschung auf dem Laufenden zu halten und zum anderen über konkrete Maßnahmen zum Gesundheitsschutz, über Konzepte der Prävention, Risikoabwehr und Gesundheitsförderung zu informieren. Wichtige Themengebiete sind die Epidemiologie übertragbarer und nicht übertragbarer Krankheiten, der umweltbezogene Gesundheitsschutz sowie gesundheitsökonomische, medizinethische und -rechtliche Fragestellungen.
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