日本新冠肺炎大流行期间上班族自尊行为、耻辱与抑郁倾向的关联——新冠肺炎期间的自尊行为与抑郁

IF 1.2 Q4 PSYCHIATRY
Ryoko Katsuki, Hiroaki Kubo, Itsuki Yamakawa, N. Shinfuku, N. Sartorius, S. Sakamoto, Takahiro A. Kato
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引用次数: 5

摘要

背景:新冠肺炎大流行迫使人们改变生活方式,尤其是在限制外出方面。强制隔离(即封锁)和自我约束行为(SRB),包括自我隔离,被认为会对公众心理健康产生潜在的负面影响。SRB似乎与政府政策、每个人的社会背景和心理状况有关;然而,尚未进行实证研究。方法:来自日本疫情地区和非疫情地区的1053名参与者(主要是上班族)于2020年6月自愿进行了一项在线调查。我们通过原始问卷评估了新冠肺炎相关方面,如SRB的程度、SRB的动机、新冠肺炎引起的耻辱感、焦虑和抑郁感)和一般心理健康状况(MINI-SPIN的社交焦虑、PHQ-9的抑郁倾向、TACS-22的抑郁相关人格特征和TRS的复原力)。结果:区域比较显示SRB和社交焦虑存在显著差异。疫区的人们往往不出门。相反,非疫情地区的人们往往避开公众视线。无论疫情状况如何,主动性SRB与SRB的动机更高、社交焦虑更高、抑郁倾向更高、与COVID-19相关的心理因素更强和韧性更低相关。此外,非疫区的SRB患者抑郁倾向最高。讨论:目前对日本上班族进行的横断面调查显示,无论居住在哪里,患有积极性SRB的人都有更强的新冠肺炎相关焦虑和抑郁情绪。我们的关键发现是,在非疫情地区患有积极性SRB的人有最高的抑郁倾向。基于目前的发现,我们在此提出以下假设:较高水平的抑郁倾向可能会增强主动性SRB,这可能部分与新冠肺炎相关的较高水平的羞辱、焦虑和抑郁情绪有关。局限性:没有评估避免危险和耻辱的总体趋势。结论:抑郁倾向与预防新冠肺炎的SRB有关。在非临床环境(如工作场所)中对抑郁倾向进行干预可能有助于公民适当了解感染情况,并在疫情期间有效行事。应进行进一步调查,以澄清目前的调查结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Association between Self-Restraint Behavior, Stigma and Depressive Tendency in Office Workers during the COVID-19 Pandemic in Japan—Self-Restraint Behavior and Depression during the COVID-19
Background: The COVID-19 pandemic has forced people to change their lifestyles, especially with respect to restrictions on going out. Forced quarantine (i.e., lockdown) and self-restraint behavior (SRB), including self-quarantine, are suggested to induce potential negative impacts on public mental health. SRB seems to be related to governmental policies, each individual’s social background and mental condition; however, no empirical studies have been conducted. Methods: 1053 participants (mainly office workers) from epidemic areas and non-epidemic areas in Japan voluntarily conducted an online survey in June 2020. We assessed COVID-19-related aspects such as the degree of SRB, motivation for SRB, stigma, anxiety and depressive feelings due to COVID-19 by original questionnaires) and general mental health status (social anxiety by MINI-SPIN, depressive tendency by PHQ-9, depression-related personality traits by TACS-22 and resilience by TRS). Results: Regional comparison showed significant differences in SRB and social anxiety. People in epidemic areas tend to refrain from going out. Conversely, people in non-epidemic areas tend to shun the public eye. Regardless of epidemic status, proactive SRB was associated with higher motivation for SRB, higher social anxiety, higher depressive tendency, stronger COVID-19-related psychological factors and lower resilience. Moreover, people with proactive SRB in non-epidemic areas had the highest depressive tendency. Discussion: The present cross-sectional survey among office workers in Japan showed that people with proactive SRB have stronger COVID-19-related anxiety and depressive feelings, regardless of where they live. Our key finding is that people with proactive SRB in non-epidemic areas have the highest depressive tendency. Based on the present finding, we herein propose the following hypothesis: Higher levels of depressive tendency may enhance proactive SRB, which may be partly associated with higher levels of stigma, anxiety and depressive feelings related to COVID-19. Limitations: The general tendencies to avoid danger and stigma were not evaluated. Conclusions: Depressive tendency is suggested to be associated with proactive SRB against COVID-19. Intervention for depressive tendency in non-clinical settings (e.g., workplaces) may help citizens understand the infectious situation appropriately and to behave effectively during the pandemic. Further investigations should be conducted to clarify the present findings.
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