Moderators of Loneliness Trajectories in People with Systemic Sclerosis During the COVID-19 Pandemic: A SPIN COVID-19 Cohort Longitudinal Study

期刊论文
发表日期：

2024年1月18日

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Chelsea S. Rapoport,
Alyssa K. Choi,
Linda Kwakkenbos,
Marie-Eve Carrier,
Richard S. Henry,
Brooke Levis,
Susan J. Bartlett,
Amy Gietzen,
Karen Gottesman,
Geneviève Guillot,
Amanda Lawrie-Jones,
Maureen D. Mayes,
Luc Mouthon,
Michelle Richard,
Maureen Worron-Sauvé,
Andrea Benedetti,
Scott C. Roesch,
Brett D. Thombs,
Vanessa L. Malcarne,
Catherine Fortuné ,
Amy Gietzen,
Geneviève Guillot,
Nancy Lewis,
Karen Nielsen,
Michelle Richard`,
Maureen Worron-Sauvé,
Marie Hudson,
Laura K. Hummers,
Warren R. Nielson,
Robyn K. Wojeck,
Claire E. Adams,
Shervin Assassi,
Ghassan El-Baalbaki,
Kim Fligelstone,
Tracy Frech,
Daphna Harel,
Monique Hinchcliff,
Sindhu R. Johnson,
Maggie Larche,
Catarina Leite,
Christelle Nguyen,
Janet Pope,
François Rannou,
Tatiana Sofia Rodriguez Reyna,
Anne A. Schouffoer,
Maria E. Suarez-Almazor,
Christian Agard,
Marc André,
Elana J. Bernstein,
Sabine Berthier,
Lyne Bissonnette,
Alessandra Bruns,
Carlotta Cacciatore,
Patricia Carreira,
Marion Casadevall,
Benjamin Chaigne,
Lorinda Chung,
Benjamin Crichi,
Christopher Denton,
Robyn Domsic,
James V. Dunne,
Bertrand Dunogue,
Regina Fare,
Dominique Farge-Bancel,
Paul R. Fortin,
Jessica Gordon,
Brigitte Granel-Rey,
Aurélien Guffroy,
Genevieve Gyger,
Eric Hachulla,
Sabrina Hoa,
Alena Ikic,
Niall Jones,
Suzanne Kafaja,
Nader Khalidi,
Kimberly Lakin,
Marc Lambert,
David Launay,
Yvonne C. Lee,
Hélène Maillard,
Nancy Maltez,
Joanne Manning,
Isabelle Marie,
Maria Martin,
Thierry Martin,
Ariel Masetto,
François Maurier,
Arsene Mekinian,
Sheila Melchor Díaz,
Mandana Nikpour,
Louis Olagne,
Vincent Poindron,
Susanna Proudman,
Alexis Régent,
Sébastien Rivière,
David Robinson,
Esther Rodríguez Almazar,
Sophie Roux,
Perrine Smets,
Vincent Sobanski,
Robert Spiera,
Virginia Steen,
Evelyn Sutton,
Carter Thorne,
John Varga,
Pearce Wilcox,
Mara Cañedo Ayala,
Vanessa Cook,
Sophie Hu,
Bianca Matthews,
Elsa-Lynn Nassar,
Marieke Alexandra Neyer,
Julia Nordlund,
Sabrina Provencher

摘要

Background

Many individuals with systemic sclerosis (SSc) are at heightened risk for COVID-19 related morbidity and isolation due to interstitial lung disease, frailty, and immunosuppressant use. Minimal research has explored loneliness predictors in individuals with chronic illnesses during COVID-19. This study evaluated moderators of loneliness trajectories in individuals with SSc during COVID-19.

Methods

Longitudinal data were analyzed across 30 timepoints from April 2020 to May 2022 from 775 adults in the Scleroderma Patient-centered Intervention Network (SPIN) COVID-19 Cohort. Hierarchical linear modeling evaluated cross-level moderators of loneliness trajectories, including marital status, baseline number of household members, number of virtual or telephone one-on-one or virtual group conversations, number of hours spent enjoying in-person household conversations or activities, and satisfaction with quality of in-person household conversations (all in the past week). Level-1 moderation analyses assessed effects of conversation, activity, and satisfaction means and slopes over time.

Results

Baseline values were not statistically significant moderators of loneliness trajectories. Higher mean (averaged over time) virtual or telephone one-on-one and in-person household conversations, in-person household activity, and in-person household conversation satisfaction were associated with lower loneliness trajectories (ps < .05). The relationship between in-person household conversation satisfaction and loneliness trajectory was statistically significantly but minimally attenuated over time (p < .001).

Conclusions

For people with SSc, higher mean conversation, activity, and satisfaction variables were associated with lower levels of loneliness during the pandemic, but changes in these social variables were generally not predictive of changes in loneliness.