{"title":"夫妻中的孤独感与健康危机的影响:文献综述","authors":"Emmanuelle Dufait , Nadine Demogeot","doi":"10.1016/j.amp.2023.03.015","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this review is to define the feeling of loneliness within a couple while taking into consideration the factors that lead a person to feel lonely in a couple or in a romantic relationship. Our goal is to understand the effects of the feeling of loneliness on these individuals during the global health crisis brought on by COVID-19 and to take these factors into account in designing effective therapeutic care. The different manifestations of loneliness in a couple should also be highlighted.</div></div><div><h3>Methods</h3><div>We used the PRISMA methodology to select the relevant studies. The keywords (“Solitude” or “Loneliness”) and (“Couple” or “Married” or “Partnership”) allowed us to select 19 references dealing with the theme. We conducted searches of the following databases: “Cairn”, “PsychInfo and Psycarticle”, “PubMed and Medline”, “ScienceDirect” and finally, “Web of Science” in order to find articles covering a ten-year period.</div></div><div><h3>Results</h3><div>There are different definitions for the subjective experience of loneliness. The review of the literature highlights the fact that loneliness can lead to positive or negative psychological consequences (it can lead to the development of creative capacity or, on the contrary, result in depression in some cases). Attachment patterns have been shown to be the basis for the tolerance of feelings of loneliness. Indeed, an anxious attachment would encourage the couple to avoid the feeling of loneliness. According to the literature, this defensive mechanism of seeking presence in the couple would make it possible to limit the impact of loneliness. This solitude depends on the level of relational quality within the couple. A poor relational quality would lead to greater loneliness and would impact intimate relationships. Loneliness is supposedly not experienced in the same way by men and women: Men seem to be more protected by marriage while women's level of loneliness may be higher because of the household chores they have to do. Men and women would nevertheless remain subject to the phenomena of contamination, i.e., when one of the partners feels lonely, the other will also be lonely. However, it seems that marriage protects against feelings of loneliness and its negative consequences. Loneliness does not have only negative effects. It can be beneficial for developing creativity and finding oneself. The periods of confinement during the COVID-19 crisis provided people with an increase in the amount of time they didn’t normally have on a daily basis. This may have been beneficial for some people and can be associated with positive emotions. Individuals who spent the lockdowns with others felt less alone and experienced less psychological distress. However, confinements did produce some negative effects on couples. The increased stress of the pandemic and the constant proximity led to an increase in spousal abuse. The consequences of confinement for couples whose relationships were already troubled resulted in frequent separation and/or divorce. The potential for conflict was related to limited financial resources, not working, and the significant risk of contracting SARS COV-2.</div></div><div><h3>Conclusion</h3><div>The articles dealing with the feeling of loneliness that we reviewed presented quantitative methods to the detriment of qualitative aspects and focused largely on the negative aspects of the feeling of loneliness. Other academic disciplines, such as sociology, demonstrate a lack of understanding concerning what is at stake with the feeling of loneliness. The articles intersect and tend to highlight the attachment relationships that are formed in childhood as a determining factor in the feeling of solitude later in life. The quality of the relationship, gender, and marital status are also factors to be considered. Loneliness has a clear influence on the well-being of the relationship but it is not an individual characteristic of the relationship itself. It finally appears as an individual characteristic with an impact on the assessment of the quality of the relationship and on the appreciation of the spouse.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 5","pages":"Pages 481-486"},"PeriodicalIF":0.5000,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Le sentiment de solitude dans le couple et l’impact de la crise sanitaire : une revue de la littérature\",\"authors\":\"Emmanuelle Dufait , Nadine Demogeot\",\"doi\":\"10.1016/j.amp.2023.03.015\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objective</h3><div>The purpose of this review is to define the feeling of loneliness within a couple while taking into consideration the factors that lead a person to feel lonely in a couple or in a romantic relationship. Our goal is to understand the effects of the feeling of loneliness on these individuals during the global health crisis brought on by COVID-19 and to take these factors into account in designing effective therapeutic care. The different manifestations of loneliness in a couple should also be highlighted.</div></div><div><h3>Methods</h3><div>We used the PRISMA methodology to select the relevant studies. The keywords (“Solitude” or “Loneliness”) and (“Couple” or “Married” or “Partnership”) allowed us to select 19 references dealing with the theme. We conducted searches of the following databases: “Cairn”, “PsychInfo and Psycarticle”, “PubMed and Medline”, “ScienceDirect” and finally, “Web of Science” in order to find articles covering a ten-year period.</div></div><div><h3>Results</h3><div>There are different definitions for the subjective experience of loneliness. The review of the literature highlights the fact that loneliness can lead to positive or negative psychological consequences (it can lead to the development of creative capacity or, on the contrary, result in depression in some cases). Attachment patterns have been shown to be the basis for the tolerance of feelings of loneliness. Indeed, an anxious attachment would encourage the couple to avoid the feeling of loneliness. According to the literature, this defensive mechanism of seeking presence in the couple would make it possible to limit the impact of loneliness. This solitude depends on the level of relational quality within the couple. A poor relational quality would lead to greater loneliness and would impact intimate relationships. Loneliness is supposedly not experienced in the same way by men and women: Men seem to be more protected by marriage while women's level of loneliness may be higher because of the household chores they have to do. Men and women would nevertheless remain subject to the phenomena of contamination, i.e., when one of the partners feels lonely, the other will also be lonely. However, it seems that marriage protects against feelings of loneliness and its negative consequences. Loneliness does not have only negative effects. It can be beneficial for developing creativity and finding oneself. The periods of confinement during the COVID-19 crisis provided people with an increase in the amount of time they didn’t normally have on a daily basis. This may have been beneficial for some people and can be associated with positive emotions. Individuals who spent the lockdowns with others felt less alone and experienced less psychological distress. However, confinements did produce some negative effects on couples. The increased stress of the pandemic and the constant proximity led to an increase in spousal abuse. The consequences of confinement for couples whose relationships were already troubled resulted in frequent separation and/or divorce. The potential for conflict was related to limited financial resources, not working, and the significant risk of contracting SARS COV-2.</div></div><div><h3>Conclusion</h3><div>The articles dealing with the feeling of loneliness that we reviewed presented quantitative methods to the detriment of qualitative aspects and focused largely on the negative aspects of the feeling of loneliness. Other academic disciplines, such as sociology, demonstrate a lack of understanding concerning what is at stake with the feeling of loneliness. The articles intersect and tend to highlight the attachment relationships that are formed in childhood as a determining factor in the feeling of solitude later in life. The quality of the relationship, gender, and marital status are also factors to be considered. Loneliness has a clear influence on the well-being of the relationship but it is not an individual characteristic of the relationship itself. It finally appears as an individual characteristic with an impact on the assessment of the quality of the relationship and on the appreciation of the spouse.</div></div>\",\"PeriodicalId\":7992,\"journal\":{\"name\":\"Annales medico-psychologiques\",\"volume\":\"183 5\",\"pages\":\"Pages 481-486\"},\"PeriodicalIF\":0.5000,\"publicationDate\":\"2025-05-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Annales medico-psychologiques\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0003448723001580\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"PSYCHIATRY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Annales medico-psychologiques","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0003448723001580","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PSYCHIATRY","Score":null,"Total":0}
引用次数: 0
摘要
目的本综述的目的是定义一对夫妇的孤独感,同时考虑到导致一个人在一对夫妇或恋爱关系中感到孤独的因素。我们的目标是了解在2019冠状病毒病带来的全球健康危机期间,孤独感对这些人的影响,并在设计有效的治疗护理时考虑这些因素。夫妻之间不同的孤独表现也应该被强调。方法采用PRISMA方法筛选相关研究。关键词(“孤独”或“孤独”)和(“夫妻”或“已婚”或“伙伴关系”)允许我们选择19个与主题相关的参考文献。我们对以下数据库进行了搜索:“Cairn”、“PsychInfo and Psycarticle”、“PubMed and Medline”、“ScienceDirect”,最后是“Web of Science”,以找到涵盖十年的文章。结果对孤独的主观体验有不同的定义。对文献的回顾强调了这样一个事实,即孤独可以导致积极或消极的心理后果(它可以导致创造性能力的发展,或者相反,在某些情况下导致抑郁)。依恋模式已被证明是容忍孤独感的基础。事实上,焦虑的依恋会鼓励夫妻避免孤独感。根据文献,这种在夫妻中寻求存在感的防御机制可能会限制孤独的影响。这种独处取决于夫妻之间的关系质量。关系质量差会导致更大的孤独感,并会影响亲密关系。据推测,男性和女性经历孤独的方式是不同的:男性似乎更受婚姻的保护,而女性的孤独程度可能更高,因为她们必须做家务。然而,男人和女人仍然会受到污染现象的影响,即当一方感到孤独时,另一方也会感到孤独。然而,婚姻似乎可以防止孤独感及其负面影响。孤独并不只有负面影响。这对发展创造力和发现自我是有益的。在2019冠状病毒病危机期间,人们被隔离的时间增加了,这是他们平时每天没有的时间。这对一些人来说可能是有益的,可以与积极的情绪联系在一起。与他人一起度过封锁的人感到不那么孤独,经历的心理痛苦也更少。然而,分娩确实对夫妻产生了一些负面影响。大流行病造成的压力增加,再加上不断靠近,导致虐待配偶的情况增加。对那些关系已经出现问题的夫妇来说,禁闭的后果是经常分居和/或离婚。潜在的冲突与有限的财政资源、不工作以及感染SARS COV-2的重大风险有关。结论我们回顾的关于孤独感的文章采用了定量的方法,而不利于定性的方面,并且主要集中在孤独感的消极方面。其他学科,如社会学,表明缺乏对孤独感的危险的理解。这些文章相互交叉,并倾向于强调童年时期形成的依恋关系,这是后来生活中孤独感的决定性因素。关系的质量、性别和婚姻状况也是需要考虑的因素。孤独对人际关系的健康有明显的影响,但它并不是人际关系本身的个体特征。它最终表现为一种个人特征,影响对关系质量的评估和对配偶的欣赏。
Le sentiment de solitude dans le couple et l’impact de la crise sanitaire : une revue de la littérature
Objective
The purpose of this review is to define the feeling of loneliness within a couple while taking into consideration the factors that lead a person to feel lonely in a couple or in a romantic relationship. Our goal is to understand the effects of the feeling of loneliness on these individuals during the global health crisis brought on by COVID-19 and to take these factors into account in designing effective therapeutic care. The different manifestations of loneliness in a couple should also be highlighted.
Methods
We used the PRISMA methodology to select the relevant studies. The keywords (“Solitude” or “Loneliness”) and (“Couple” or “Married” or “Partnership”) allowed us to select 19 references dealing with the theme. We conducted searches of the following databases: “Cairn”, “PsychInfo and Psycarticle”, “PubMed and Medline”, “ScienceDirect” and finally, “Web of Science” in order to find articles covering a ten-year period.
Results
There are different definitions for the subjective experience of loneliness. The review of the literature highlights the fact that loneliness can lead to positive or negative psychological consequences (it can lead to the development of creative capacity or, on the contrary, result in depression in some cases). Attachment patterns have been shown to be the basis for the tolerance of feelings of loneliness. Indeed, an anxious attachment would encourage the couple to avoid the feeling of loneliness. According to the literature, this defensive mechanism of seeking presence in the couple would make it possible to limit the impact of loneliness. This solitude depends on the level of relational quality within the couple. A poor relational quality would lead to greater loneliness and would impact intimate relationships. Loneliness is supposedly not experienced in the same way by men and women: Men seem to be more protected by marriage while women's level of loneliness may be higher because of the household chores they have to do. Men and women would nevertheless remain subject to the phenomena of contamination, i.e., when one of the partners feels lonely, the other will also be lonely. However, it seems that marriage protects against feelings of loneliness and its negative consequences. Loneliness does not have only negative effects. It can be beneficial for developing creativity and finding oneself. The periods of confinement during the COVID-19 crisis provided people with an increase in the amount of time they didn’t normally have on a daily basis. This may have been beneficial for some people and can be associated with positive emotions. Individuals who spent the lockdowns with others felt less alone and experienced less psychological distress. However, confinements did produce some negative effects on couples. The increased stress of the pandemic and the constant proximity led to an increase in spousal abuse. The consequences of confinement for couples whose relationships were already troubled resulted in frequent separation and/or divorce. The potential for conflict was related to limited financial resources, not working, and the significant risk of contracting SARS COV-2.
Conclusion
The articles dealing with the feeling of loneliness that we reviewed presented quantitative methods to the detriment of qualitative aspects and focused largely on the negative aspects of the feeling of loneliness. Other academic disciplines, such as sociology, demonstrate a lack of understanding concerning what is at stake with the feeling of loneliness. The articles intersect and tend to highlight the attachment relationships that are formed in childhood as a determining factor in the feeling of solitude later in life. The quality of the relationship, gender, and marital status are also factors to be considered. Loneliness has a clear influence on the well-being of the relationship but it is not an individual characteristic of the relationship itself. It finally appears as an individual characteristic with an impact on the assessment of the quality of the relationship and on the appreciation of the spouse.
期刊介绍:
The Annales Médico-Psychologiques is a peer-reviewed medical journal covering the field of psychiatry. Articles are published in French or in English. The journal was established in 1843 and is published by Elsevier on behalf of the Société Médico-Psychologique.
The journal publishes 10 times a year original articles covering biological, genetic, psychological, forensic and cultural issues relevant to the diagnosis and treatment of mental illness, as well as peer reviewed articles that have been presented and discussed during meetings of the Société Médico-Psychologique.To report on the major currents of thought of contemporary psychiatry, and to publish clinical and biological research of international standard, these are the aims of the Annales Médico-Psychologiques.