The role of social support, detachment, and depressive and anxiety symptoms in suicidal thoughts and behaviours during the Covid-19 lockdown: Potential pathways.
Por:
Gabarrell A, Félez M, Cristobal P, Mortier P, Vilagut G, Olaya B, Alonso J, Haro JM and Domènech J
Publicada:
1 ene 2023
Ahead of Print:
19 ago 2021
Categoría:
Psychology (miscellaneous)
Resumen:
During the COVID-19 pandemic, anxiety and depressive symptoms, as well as problems related to social relationships, such as available social support and feelings of detachment from others, have worsened. These factors are strongly associated with suicidal thoughts and behaviours (STB). The effects of feelings of detachment on mental health and on STB have been scarcely studied, together with the relation that it may have with available social support. Therefore, the aim of the present study was to assess potential pathways connecting these conditions. A nationally representative sample of Spanish adults (N = 3305) was interviewed during the COVID-19 pandemic (June 2020). STB, social support, and depressive and anxiety symptoms were measured with the C-SSRS (modified version), OSSS-3, PHQ-8, and GAD-7 scales, respectively. Multivariable logistic regression models and mediation analyses were performed. Social support and some of its components (i.e., social network size and relations of reciprocity) were associated with lower odds of STB. Detachment significantly mediated (22% to 25%) these associations. Symptoms of emotional disorders significantly mediated the association between social support components (29% to 38%) - but not neighbourhood support - with STB, as well as the association between detachment and higher odds of STB (47% to 57%). In both cases, depressive symptoms were slightly stronger mediating factors when compared to anxiety symptoms. Our findings suggest that interventions aimed at lowering depressive and anxiety symptoms, and STB should provide social support and help tackle the feeling of detachment in a complementary way.
Filiaciones:
Gabarrell A:
Teaching, Research & Innovation Unit, Parc Sanitari Sant Joan de Déu, C/ Doctor Antoni Pujades, 42, ES-08830 Sant Boi de Llobregat, Barcelona Spain. GRID: grid.466982.7. ISNI: 0000 0004 1771 0789
Centre for Biomedical Research on Mental Health (CIBERSAM), Instituto de Salud Carlos III, Madrid, Spain. GRID: grid.413448.e. ISNI: 0000 0000 9314 1427
Félez M:
Teaching, Research & Innovation Unit, Parc Sanitari Sant Joan de Déu, C/ Doctor Antoni Pujades, 42, ES-08830 Sant Boi de Llobregat, Barcelona Spain. GRID: grid.466982.7. ISNI: 0000 0004 1771 0789
Centre for Biomedical Research on Mental Health (CIBERSAM), Instituto de Salud Carlos III, Madrid, Spain. GRID: grid.413448.e. ISNI: 0000 0000 9314 1427
Cristobal P:
Teaching, Research & Innovation Unit, Parc Sanitari Sant Joan de Déu, C/ Doctor Antoni Pujades, 42, ES-08830 Sant Boi de Llobregat, Barcelona Spain. GRID: grid.466982.7. ISNI: 0000 0004 1771 0789
Centre for Biomedical Research on Mental Health (CIBERSAM), Instituto de Salud Carlos III, Madrid, Spain. GRID: grid.413448.e. ISNI: 0000 0000 9314 1427
Mortier P:
Health Services Research Unit, IMIM (Hospital del Mar Medical Research Institute), Barcelona, Spain. GRID: grid.411142.3. ISNI: 0000 0004 1767 8811
Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Instituto de Salud Carlos III, Madrid, Spain. GRID: grid.413448.e. ISNI: 0000 0000 9314 1427
Vilagut G:
Health Services Research Unit, IMIM (Hospital del Mar Medical Research Institute), Barcelona, Spain. GRID: grid.411142.3. ISNI: 0000 0004 1767 8811
Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Instituto de Salud Carlos III, Madrid, Spain. GRID: grid.413448.e. ISNI: 0000 0000 9314 1427
Olaya B:
Teaching, Research & Innovation Unit, Parc Sanitari Sant Joan de Déu, C/ Doctor Antoni Pujades, 42, ES-08830 Sant Boi de Llobregat, Barcelona Spain. GRID: grid.466982.7. ISNI: 0000 0004 1771 0789
Centre for Biomedical Research on Mental Health (CIBERSAM), Instituto de Salud Carlos III, Madrid, Spain. GRID: grid.413448.e. ISNI: 0000 0000 9314 1427
Alonso J:
Health Services Research Unit, IMIM (Hospital del Mar Medical Research Institute), Barcelona, Spain. GRID: grid.411142.3. ISNI: 0000 0004 1767 8811
Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Instituto de Salud Carlos III, Madrid, Spain. GRID: grid.413448.e. ISNI: 0000 0000 9314 1427
Department of Experimental and Health Sciences, Pompeu Fabra University (UPF), Barcelona, Spain. GRID: grid.5612.0. ISNI: 0000 0001 2172 2676
Haro JM:
Teaching, Research & Innovation Unit, Parc Sanitari Sant Joan de Déu, C/ Doctor Antoni Pujades, 42, ES-08830 Sant Boi de Llobregat, Barcelona Spain. GRID: grid.466982.7. ISNI: 0000 0004 1771 0789
Centre for Biomedical Research on Mental Health (CIBERSAM), Instituto de Salud Carlos III, Madrid, Spain. GRID: grid.413448.e. ISNI: 0000 0000 9314 1427
Instituto de Investigación Sanitaria Princesa (IP), Madrid, Spain. GRID: grid.411251.2. ISNI: 0000 0004 1767 647X
Department of Medicine, Universitat de Barcelona (UB), Barcelona, Spain. GRID: grid.5841.8. ISNI: 0000 0004 1937 0247
Domènech J:
Teaching, Research & Innovation Unit, Parc Sanitari Sant Joan de Déu, C/ Doctor Antoni Pujades, 42, ES-08830 Sant Boi de Llobregat, Barcelona Spain. GRID: grid.466982.7. ISNI: 0000 0004 1771 0789
Centre for Biomedical Research on Mental Health (CIBERSAM), Instituto de Salud Carlos III, Madrid, Spain. GRID: grid.413448.e. ISNI: 0000 0000 9314 1427
Department of Sociology, Universitat de Barcelona (UB), Barcelona, Spain. GRID: grid.5841.8. ISNI: 0000 0004 1937 0247
Bronze, Green Published
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