关键词: COVID-19 Loneliness Medical residents Mental disorders Social isolation

Mesh : Humans Loneliness COVID-19 / epidemiology Cross-Sectional Studies Pandemics Internship and Residency Social Isolation Mental Disorders / epidemiology Suicidal Ideation Depression / epidemiology

来  源:   DOI:10.1016/j.psychres.2023.115233   PDF(Pubmed)

Abstract:
Loneliness and social isolation usually increase the risk of mental disorders. However, this association among Chinese medical residents during the COVID-19 pandemic remains unclear.
This study was conducted in September 2022; 1,338 medical residents from three hospitals in Northeastern China were included in the final analysis. The data were collected via online self-administered questionnaires. Adjusted odds ratios and 95% confidence intervals were determined for adjusting for potential confounders by binary logistic regression.
Among the 1,338 participants, 12.93% (173), 9.94% (133), and 9.72% (130) had experienced major depression, major anxiety, and suicidal ideation, respectively. Further, 24.40% (327) and 44.50% (596) of the total participants had experienced loneliness and social isolation. Loneliness increased the risk of major depression, major anxiety, and suicidal ideation (all p<0.001); Compared with the lowest quartile, the odds ratios of the highest quartile were 4.81, 4.63, and 5.34. The same result was obtained in relation to social isolation (all p<0.001).
The findings of this study revealed a considerable prevalence of loneliness, social isolation, and mental disorders among Chinese medical residents during the COVID-19 pandemic. Both loneliness and social isolation increased the risk of major depression, major anxiety, and suicidal ideation.
摘要:
背景:孤独和社会隔离通常会增加精神障碍的风险。然而,在COVID-19大流行期间,中国医学居民之间的这种关联仍不清楚.
方法:本研究于2022年9月进行;最终分析包括来自东北三所医院的1,338名医疗居民。数据是通过在线自我管理问卷收集的。通过二元逻辑回归确定调整后的比值比和95%置信区间,以调整潜在的混杂因素。
结果:在1,338名参与者中,12.93%(173),9.94%(133),9.72%(130人)经历过严重抑郁,主要的焦虑,和自杀意念,分别。Further,24.40%(327)和44.50%(596)的参与者经历了孤独和社会孤立。孤独会增加患抑郁症的风险,主要的焦虑,和自杀意念(所有p<0.001);与最低四分位数相比,最高四分位数的比值比分别为4.81,4.63和5.34.在社会隔离方面也获得了同样的结果(所有p<0.001)。
结论:这项研究的结果揭示了孤独感的相当普遍,社会孤立,COVID-19大流行期间中国医学居民的精神障碍。孤独和社会孤立都会增加患抑郁症的风险,主要的焦虑,和自杀意念。
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