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在八个国家的孤独,抑郁和普遍焦虑
Salma M Abdalla1,2, Bernard Banda3, Madison Pickerel3
1Washington University in St Louis School of Public Health, One Brookings Drive, St. Louis, MO, 63130, USA. s.abdalla@wustl.edu.
Social psychiatry and psychiatric epidemiology
|February 5, 2026
概括
孤独是一个普遍的问题,影响全球超过三分之一的成年人. 这项研究揭示了孤独与全球范围内抑郁症和普遍焦虑的风险增加之间的强烈联系.
科学领域:
- 全球心理健康全球心理健康
- 健康的社会决定因素
- 流行病学 流行病学
背景情况:
- 孤独是一个日益严重的全球公共卫生问题,与负面的心理健康结果有关.
- 有限的跨国数据存在于孤独的流行及其与抑郁症和普遍焦虑症的关联.
研究的目的:
- 调查各个国家的孤独的流行情况.
- 检查孤独与心理健康结果之间的联系,特别是抑郁症和普遍焦虑.
主要方法:
- 来自2023-2024年全球健康社会决定因素调查的数据分析,这是一项针对八个国家的7,997名成年人的横截面研究.
- 使用PHQ-9和GAD-7选工具,分别针对抑郁症和一般性焦虑症;孤独感是自我报告的.
- 采用加权的双变量和多变量物流和波桑回归模型,调整为人口因素.
主要成果:
- 总体患病率:38.9%的人表示孤独,9.2%的人表示抑郁,5.5%的人表示普遍焦虑.
- 孤独不成比例地影响了年轻人,妇女,较低的社会经济群体,未婚个人和城市居民.
- 调整后的模型显示了显著的关联:孤独与抑郁 (OR 2.82) 和普遍焦虑 (OR 3.89).
结论:
- 孤独是普遍存在的,并且在不同的全球环境中与抑郁症和普遍焦虑症有显著的关联.
- 强调需要将社会联系策略纳入心理健康政策和干预措施.
- 建议未来的研究探索孤独和心理健康状况之间的因果关系.
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