控制措施和社交网络对严重急性呼吸系统综合征冠状病毒2型大流行期间老年人抑郁的影响

H. Litwin, Bracha Erlich
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引用次数: 0

摘要

本研究调查了SARS-CoV-2大流行期间65岁及以上人群抑郁状态变化的相关关系,特别是与大流行相关的关键变量的影响。数据来自欧洲健康、老龄化和退休纵向调查(SHARE),包括从两次与大流行病有关的特别电话访谈中获得的信息(N = 18,266)。该分析在疫情爆发后不久(T1)和一年后(T2)对4个与大流行相关的变量(感染状况、控制措施的严格程度以及大流行期间两种社会网络接触形式:面对面接触和通过电子手段交流)进行回归,控制基线抑郁和健康、社会人口变量、人格特征和社会网络特征。主要发现有三个方面。首先,研究发现,流行病控制措施会在大流行爆发后不久增加抑郁状态的可能性,但从长远来看不会。这一数据表明,随着时间的推移,受访者对疫情及其影响的适应能力增强了。第二,利用电子媒介的人际交往在长期内没有降低抑郁率,在短期内增加抑郁状态。因此,根据流行病控制政策的规定,提倡电子接触而不是面对面接触构成了心理健康风险因素。第三,面对面的接触降低了受访者抑郁率恶化的可能性。最后一项发现强调,即使在大流行时期,老年人也需要密切的人际接触。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Effects of Control Measures and Social Networks on Depression Among Older People During the SARS-CoV-2 Pandemic
This study examined the correlates of change in the depressed state among people aged 65 and older during the SARS-CoV-2 pandemic, particularly the effects of crucial pandemic-related variables. Data were drawn from the longitudinal Survey of Health, Ageing and Retirement in Europe (SHARE), including information obtained from two special pandemic-related telephone interviews (N = 18, 266). The analysis regressed depressed state soon after the outbreak (T1) and again a year later (T2), on four pandemic-related variables (infection status, the stringency of control measures, and two forms of social network contact during the pandemic: face-to-face contact and communication through electronic means), controlling for baseline depression and health, sociodemographic variables, personality traits, and social network characteristics. The main findings were threefold. First, the epidemic-control measures were found to increase the likelihood of a depressed state soon after the pandemic outbreak, but not in the longer run. This data suggests that respondents became more resilient about the pandemic and its effects over time. Second, interpersonal contact utilizing electronic media did not reduce depression rates in the long run and increased depressed state in the short run. Thus, as mandated by epidemic-control policy, the promotion of electronic contact instead of face-to-face contact constituted a mental health risk factor. Third, face-to-face contact reduced the likelihood of change for the worse in the rate of depression among the respondents. This last finding underscores the need for older people to have close interpersonal contact, even in times of pandemic.
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