Role of Stigma in Moderating the Effects of Loneliness on Mental Health Problems Among Patients With COVID-19 in South Korea
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Objective This study examined the factors affecting depression, anxiety, and suicidal ideation among patients with coronavirus disease-2019 (COVID-19) during the early phase of COVID-19 in South Korea and investigated the role of stigma in moderating the effects of loneliness on mental health problems among these patients.Methods Conducted as part of the COVID-19 Mental Health Panel Survey over 12 weeks in 2021, this survey enrolled participants aged 15–79 years, applying standardized weights for ratio correction, and collected 640 completed questionnaires. Demographic characteristics were analyzed using descriptive statistics. Suicidal ideation, anxiety, and depression post-COVID-19 were examined using t-tests and logistic regression. The PROCESS macro explored stigma’s moderating effects on loneliness and mental health outcomes.Results Results showed that 7.9% and 10.0% of the enrolled participants were at risk for anxiety and depression, respectively, with 3% contemplating suicide post-COVID-19. Stigma positively impacted depression and anxiety, acting as a significant moderator for loneliness, and mental health, with a stronger effect for higher stigma perception. Unemployment and college education elevated mental health risks in COVID-19 cases. Low health satisfaction and poor sleep were linked to suicidal ideation, while fatigue and COVID-19 stigma increased depression and anxiety risks. Loneliness was significantly associated with suicidal ideation, depression, and anxiety.Conclusion Unemployment, college education, low health satisfaction, and poor sleep were linked to suicidal ideation. Fatigue and COVID-19 stigma raised depression/anxiety risks. Loneliness correlated with suicidal thoughts, depression, and anxiety. Stigma moderated the link between loneliness and mental health issues.
Abstract
Objective This study examined the factors affecting depression, anxiety, and suicidal ideation among patients with coronavirus disease-2019 (COVID-19) during the early phase of COVID-19 in South Korea and investigated the role of stigma in moderating the effects of loneliness on mental health problems among these patients.Methods Conducted as part of the COVID-19 Mental Health Panel Survey over 12 weeks in 2021, this survey enrolled participants aged 15–79 years, applying standardized weights for ratio correction, and collected 640 completed questionnaires. Demographic characteristics were analyzed using descriptive statistics. Suicidal ideation, anxiety, and depression post-COVID-19 were examined using t-tests and logistic regression. The PROCESS macro explored stigma’s moderating effects on loneliness and mental health outcomes.Results Results showed that 7.9% and 10.0% of the enrolled participants were at risk for anxiety and depression, respectively, with 3% contemplating suicide post-COVID-19. Stigma positively impacted depression and anxiety, acting as a significant moderator for loneliness, and mental health, with a stronger effect for higher stigma perception. Unemployment and college education elevated mental health risks in COVID-19 cases. Low health satisfaction and poor sleep were linked to suicidal ideation, while fatigue and COVID-19 stigma increased depression and anxiety risks. Loneliness was significantly associated with suicidal ideation, depression, and anxiety.Conclusion Unemployment, college education, low health satisfaction, and poor sleep were linked to suicidal ideation. Fatigue and COVID-19 stigma raised depression/anxiety risks. Loneliness correlated with suicidal thoughts, depression, and anxiety. Stigma moderated the link between loneliness and mental health issues.
참고문헌 (69)
- "WHO director-general’s opening remarks at the media briefing on COVID-19 - 11 March 2020"[URL]
- Sim M, "Psychological effects of the coronavirus disease 2019 pandem ic", Korean J Med, 95, pp.360~363 (2020)
- Pfefferbaum B, "Mental health and the Covid-19 pandemic", N Engl J Med, 383, pp.510~512 (2020)
- Krishnamoorthy Y, "Prevalence of psychological morbidities among general population, healthcare work ers and COVID-19 patients amidst the COVID-19 pandemic : a sys tematic review and meta-analysis", Psychiatry Res, 293, pp.113382~ (2020)
- "COVID-19 mental health survey 2022"[URL]
- Goffman E, "Stigma. Notes on the management of spoiled identity" (1963), Penguin Books
- Corrigan P, "How stigma interferes with mental health care", Am Psychol, 59, pp.614~625 (2004)
- Corrigan PW, "On the self-stigma of mental illness : stages, dis closure, and strategies for change", Can J Psychiatry, 57, pp.464~469 (2012)
- Vogel DL, "The role of public and self-stigma in predicting attitudes toward group counseling", Couns Psychol, 38, pp.904~922 (2010)
- Corrigan PW, "The self–stigma of mental illness : im plications for self–esteem and self–efficacy", J Soc Clin Psychol, 25, pp.875~884 (2006)
- Williams J, "Infectious diseases and social stigma", Appl Technol Innov, 4, pp.58~70 (2011)
- Li H, "The mediating role of internalized stigma and shame on the relationship between COVID-19related discrimination and mental health outcomes among back-to school students in Wuhan", Int J Environ Res Public Health, 17, pp.9237~ (2020)
- Campo-Arias A, "Relation of perceived discrimination with depression, insomnia and post-trau matic stress in COVID-19 survivors", Psychiatry Res, 307, pp.114337~ (2022)
- Mahmoudi H, "A mediating role for mental health in associ ations between COVID-19-related self-stigma, PTSD, quality of life, and insomnia among patients recovered from COVID-19", Brain Behav, 11, pp.e02138~ (2021)
- Oh JH, "Stigma scarier than infection? Anal ysis of stigma patterns in COVID-19 headlines by epidemic period", Korean J Advert Public Relat, 25, pp.45~85 (2023)
- "Loneliness stigma rapid evidence assessment (REA)"[URL]
- Perlman D, "Personal relationships in disorder", pp.31~56 (1981), Academic Press
- Rotenberg KJ, "Behavioral confirmation of the loneliness stereotype", Basic Appl Soc Psychol, 24, pp.81~89 (2002)
- Rotenberg KJ, "Stigmatization of social and intimacy loneli ness", Psychol Rep, 84, pp.147~148 (1999)
- Jones WH, "Loneliness and interpersonal judg ments", Pers Soc Psychol Bull, 9, pp.437~441 (1983)
- Maes M, "Gen der differences in loneliness across the lifespan : a meta–analysis", Eur J Pers, 33, pp.642~654 (2019)
- Rotenberg KJ, "Perception of lonely and non-lonely persons as a function of individual differences in loneliness", J Soc Pers Relatsh, 9, pp.325~330 (1992)
- Barreto M, "Exploring the nature and variation of the stigma associated with loneliness", J Soc Pers Relat, 39, pp.2658~2679 (2022)
- Mushtaq R, "psychiatric disorders and physical health? A review on the psy chological aspects of loneliness", J Clin Diagn Res, 8, pp.WE01~WE04 (2014)
- Wang J, "Loneli ness as a predictor of outcomes in mental disorders among people who have experienced a mental health crisis : a 4-month prospective study", BMC Psychiatry, 20, pp.249~ (2020)
- Holt-Lunstad J, "Loneliness and social isolation as risk factors for mortality : a meta-analytic review", Perspect Psychol Sci, 10, pp.227~237 (2015)
- Barger SD, "Social relationship correlates of major depressive disorder and depressive symptoms in Switzerland : na tionally representative cross sectional study", BMC Public Health, 14, pp.273~ (2014)
- Meltzer H, "Feelings of loneliness among adults with mental disorder", Soc Psychiatry Psychiatr Epidemiol, 48, pp.5~13 (2013)
- Miret M, "Factors associated with suicidal ideation and attempts in Spain for different age groups. Prevalence before and after the onset of the economic crisis", J Affect Disord, 163, pp.1~9 (2014)
- Groarke JM, "Loneliness in the UK during the COVID-19pandemic : cross-sectional results from the COVID-19 psychological wellbeing study", PLoS One, 15, pp.e0239698~ (2020)
- Hwang TJ, "Loneliness and social isolation during the COVID-19 pandemic", Int Psychogeri atr, 32, pp.1217~1220 (2020)
- Spitzer RL, "Validation and utility of a self-re port version of PRIME-MD : the PHQ primary care study", JAMA, 282, pp.1737~1744 (1999)
- Spitzer RL, "A brief measure for as sessing generalized anxiety disorder : the GAD-7", Arch Intern Med, 166, pp.1092~1097 (2006)
- Ahn YC, "Reliability and validity of the modified Kore an version of the chalder fatigue scale(mKCFQ11)", Healthcare(Basel), 8, pp.427~ (2020)
- Shin S, "The reliability and validity testing of Korean version of the Pittsburgh Sleep Quality Index", J Converg Inf Technol, 10, pp.148~155 (2020)
- Hwang SJ, "Develop ment and validation of loneliness and social isolation scale", J Korean Neuropsychiatr Assoc, 60, pp.291~297 (2021)
- Yoon H, "Peritraumatic distress during the COVID-19pandemic in Seoul, South Korea", Int J Environ Res Public Health, 18, pp.4689~ (2021)
- Wang C, "A longitudinal study on the mental health of general population during the COV ID-19 epidemic in China", Brain Behav Immun, 87, pp.40~48 (2020)
- de Sousa GM, "Mental health in COVID-19 pan demic : a meta-review of prevalence meta-analyses", Front Psychol, 12, pp.703838~ (2021)
- Wang F, "Editorial : uncertainty induced emo tional disorders during the COVID-19", Front Psychol, 13, pp.943966~ (2022)
- Berchicci M, "Stimulus onset predict ability modulates proactive action control in a Go", No-go task, 2015, pp.9, 101~
- Li Y, "Gender differences in anxiety, depression, and nursing needs among isolated coronavirus dis ease 2019 patients", Front Psychol, 12, pp.615909~ (2021)
- Song S, "Psychological re silience as a protective factor for depression and anxiety among the pub lic during the outbreak of COVID-19", Front Psychol, 11, pp.618509~ (2021)
- Shanbehzadeh S, "Physical and mental health complications post-COVID-19 : scoping review", J Psychosom Res, 147, pp.110525~ (2021)
- "Fit mind, fit job: from evidence to practice in mental health and work"[URL]
- "Tackling the mental health impact of the COVID-19 crisis: an integrated, whole-of-society response"[URL]
- Fancourt D, "Trajectories of anxiety and depressive symptoms during enforced isolation due to COVID-19 in England : a longitudinal observational study", Lancet Psychiatry, 8, pp.141~149 (2021)
- Hao F, "A quantitative and qualitative study on the neuropsychiatric sequelae of acutely ill COV ID-19 inpatients in isolation facilities", Transl Psychiatry, 10, pp.355~ (2020)
- McNally RJ, "Mental disorders as causal systems : a network approach to posttrau matic stress disorder", Clin Psychol Sci, 3, pp.836~849 (2015)
- Huang C, "6-month conse quences of COVID-19 in patients discharged from hospital : a cohort study", Lancet, 397, pp.220~232 (2021)
- Mazza MG, "One-year mental health outcomes in a cohort of COVID-19 survi vors", J Psychiatr Res, 145, pp.118~124 (2021)
- Loades ME, "Rapid systematic review : the impact of social isolation and loneliness on the mental health of children and adolescents in the context of COVID-19", J Am Acad Child Adolesc Psychiatry, 59, pp.1218~1239 (2020)
- Li LZ, "Prevalence and predictors of general psychiatric disorders and loneliness during COVID-19 in the United Kingdom", Psychiatry Res, 291, pp.113267~ (2020)
- Odenthal M, "Temporal dynam ics in mental health symptoms and loneliness during the COVID-19pandemic in a longitudinal probability sample : a network analysis", Transl Psychiatry, 13, pp.162~ (2023)
- "Social stigma associated with COVID-19"[URL]
- Bai F, "Female gender is associated with long COVID syndrome : a prospective cohort study", Clin Microbiol Infect, 28, pp.611~ (2022)
- Wu Y, "Perceived stigma among discharged patients of COVID-19 in Wuhan, China : a latent profile analysis", Front Public Health, 11, pp.1111900~ (2023)
- Bor A, "Discriminatory attitudes against un vaccinated people during the pandemic", Nature, 613, pp.704~711 (2023)
- Graso M, "Blaming the unvaccinated during the COVID-19 pandemic : the roles of political ideology and risk perceptions in the USA", J Med Ethics, 50, pp.246~252 (2024)
- Hazumi M, "Differ ence in the risk of discrimination on psychological distress experienced by early wave infected and late wave infected COVID-19 survivors in Japan", Sci Rep, 13, pp.13139~ (2023)
- Thomason ME, "Perceived discrim ination as a modifier of health, disease, and medicine : empirical data from the COVID-19 pandemic", Transl Psychiatry, 12, pp.284~ (2022)
- Kartono R, "Covid-19 stigmatization : a systematic literature review", J Public Health Res, 11, pp.22799036221115780~ (2022)
- Saeed F, "A narrative review of stigma related to infectious disease outbreaks:what can be learned in the face of the Covid-19 pandemic?", Front Psychiatry, 11, pp.565919~ (2020)
- Gronholm PC, "Reducing stigma and discrimination associated with COVID-19 : early stage pandemic rapid review and practical recommendations", Epidemiol Psychiatr Sci, 30, pp.e15~ (2021)
- "An overview of health-related stigma reduction interventions"[URL]
- Smith RA, "Language of the lost : an explication of stigma communica tion", Commun Theory, 17, pp.462~485 (2007)
- Mousavi SB, "To be able, or disable, that is the question : a critical discussion on how language af fects the stigma and self-determination in people with parability", Int J Soc Psychiatry, 66, pp.424~430 (2020)
- Aminnejad R, "Physical distancing or social distancing : that is the question", Can J Anaesth, 67, pp.1457~1458 (2020)
- Major B, "The social psychology of stigma", Annu Rev Psy chol, 56, pp.393~421 (2005)
