The association of detachment with affective disorder symptoms during the COVID-19 lockdown: The role of living situation and social support

JOURNAL OF AFFECTIVE DISORDERS

卷:292

Article

Domenech-Abella, Joan^1,2,3  Gabarrell-Pascuet, Aina³  Hanaa Faris, Lydia³  Cristobal-Narvaez, Paula^2,3  Felez-Nobrega, Mireia³  Mortier, Philippe^4,6  Vilagut, Gemma^4,6  Olaya, Beatriz^2,3  Alonso, Jordi^4,5,6  Maria Haro, Josep^1,2,7 

[1] Univ Barcelona, Dept Sociol, Barcelona, Spain

[2] Inst Salud Carlos III, Ctr Invest Biomed Red Salud Mental CIBERSAM, Madrid, Spain

[3] Parc Sanitari St Joan de Deu, Teaching Res & Innovat Unit, Sant Boi De Llobregat, Barcelona, Spain

[4] IMIM Hosp Mar Med Res Inst, Hlth Serv Res Unit, Barcelona, Spain

[5] Pompeu Fabra Univ UPF, Dept Expt & Hlth Sci, Barcelona, Spain

[6] Inst Salud Carlos III, Ctr Invest Biomed Red Epidemiol & Salud Pabl CIBE, Madrid, Spain

[7] Inst Invest Sanitaria Princesa IP, Madrid, Spain

关键词: Detachment;    Lockdown;    Anxiety;    Depression;    Social networks;   

DOI  :  10.1016/j.jad.2021.05.125

来源: Elsevier

【 摘 要 】

Introduction: There is growing concern about the effect of lockdown and social distancing on mental health. Subjective feelings related to social relationships such as detachment have shown a strong effect on mental health, whereas objective factors might have a moderating role in that association. Objective: To investigate whether social support and living situation have a moderating effect on the association between detachment and affective disorder symptoms during the COVID-19 lockdown. Methods: 3,305 Spanish adults were interviewed by phone at the end of the COVID-19 lockdown (May-June 2020). Detachment during confinement was assessed with a single-item frequency question. Anxiety symptoms were measured through GAD-7, depressive symptoms through PHQ-9, and social support through the Oslo Social Support Scale (OSSS). Associations with anxiety and depressive symptoms were tested through Tobit regression models. Interactions of detachment with living situation and social support were tested as independent variables. Results: People living alone showed significantly lower levels of anxiety whereas people living with another (but not as a couple) showed higher levels of depression. Detachment was strongly associated with both affective disorders. Social support had a statistically significant moderating effect on that association. Those with a low level of social support and a high level of detachment reported means of depression and anxiety above major depression (10.5 CI 95% 9.6, 11.4 at OSSS=10) and generalized anxiety disorders (10.1 CI 95% 9.2, 11.0 at OSSS=9) cut offs Conclusion: Interventions centered on improving social support could alleviate feelings of detachment and prevent affective disorders during lockdowns.

【 授权许可】

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