The impact of social connectedness on mental health in LGBTQ + identifying individuals during the COVID-19 pandemic in Germany

Abstract Background Recent studies report that LGBTQ + people have experienced high levels of mental health problems during COVID-19-related social distancing. Given the well-established association between social isolation and mental health, the main aim of the current study was to investigate diff...

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Main Authors: Christine Firk, Nicola Großheinrich, Norbert Scherbaum, Daniel Deimel
Format: Article
Language:English
Published: BMC 2023-08-01
Series:BMC Psychology
Subjects:
Online Access:https://doi.org/10.1186/s40359-023-01265-5
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author Christine Firk
Nicola Großheinrich
Norbert Scherbaum
Daniel Deimel
author_facet Christine Firk
Nicola Großheinrich
Norbert Scherbaum
Daniel Deimel
author_sort Christine Firk
collection DOAJ
description Abstract Background Recent studies report that LGBTQ + people have experienced high levels of mental health problems during COVID-19-related social distancing. Given the well-established association between social isolation and mental health, the main aim of the current study was to investigate differences in mental health and (perceived) social isolation and social support in LGBTQ + individuals compared to heterosexual, cisgender people and to explore whether the hypothesized higher mental health burden in LGBTQ + individuals is (partly) mediated by (perceived) social isolation or social support. Methods N = 531 participants indicating belonging to the LGBTQ + community and N = 1826 not identifying as LGBTQ + participated in a cross-sectional online survey during the initial COVID-19-related lockdown in Germany. Standardized questionnaires were used to assess depression, anxiety, suicidality, loneliness and social support. Further, perceived social isolation and face-to-face communication during the lockdown were assessed. Results LGBTQ + people had higher levels of depression, anxiety and suicidal thought, were lonelier and experienced less social support than non-LGBTQ + identifying individuals. Mediation analysis showed that the higher levels of mental health burden in LGBTQ + people were (partly) mediated by reduced social connectedness. Further face-to-face contact positively affected mental health by reducing feelings of loneliness. Conclusion Given the high impact of loneliness on mental health, governmental actions should be taken to promote social connectedness particularly among LGBTQ + identifying individuals to ensure that the COVID-19 pandemic does not exacerbate the health inequalities that already exist between LGBTQ+-identifying and heterosexual, cisgender people.
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spelling doaj.art-fa5c0f2abf254df286be3637d557c3282023-11-20T11:20:39ZengBMCBMC Psychology2050-72832023-08-011111910.1186/s40359-023-01265-5The impact of social connectedness on mental health in LGBTQ + identifying individuals during the COVID-19 pandemic in GermanyChristine Firk0Nicola Großheinrich1Norbert Scherbaum2Daniel Deimel3Catholic University of Applied Sciences North Rhine–WestphaliaInstitute of Health Research and Social Psychiatry, Catholic University of Applied Sciences North Rhine–WestphaliaDepartment of Psychiatry and Psychotherapy, Medical Faculty, LVR-University Hospital Essen, University of Duisburg-EssenCatholic University of Applied Sciences North Rhine–WestphaliaAbstract Background Recent studies report that LGBTQ + people have experienced high levels of mental health problems during COVID-19-related social distancing. Given the well-established association between social isolation and mental health, the main aim of the current study was to investigate differences in mental health and (perceived) social isolation and social support in LGBTQ + individuals compared to heterosexual, cisgender people and to explore whether the hypothesized higher mental health burden in LGBTQ + individuals is (partly) mediated by (perceived) social isolation or social support. Methods N = 531 participants indicating belonging to the LGBTQ + community and N = 1826 not identifying as LGBTQ + participated in a cross-sectional online survey during the initial COVID-19-related lockdown in Germany. Standardized questionnaires were used to assess depression, anxiety, suicidality, loneliness and social support. Further, perceived social isolation and face-to-face communication during the lockdown were assessed. Results LGBTQ + people had higher levels of depression, anxiety and suicidal thought, were lonelier and experienced less social support than non-LGBTQ + identifying individuals. Mediation analysis showed that the higher levels of mental health burden in LGBTQ + people were (partly) mediated by reduced social connectedness. Further face-to-face contact positively affected mental health by reducing feelings of loneliness. Conclusion Given the high impact of loneliness on mental health, governmental actions should be taken to promote social connectedness particularly among LGBTQ + identifying individuals to ensure that the COVID-19 pandemic does not exacerbate the health inequalities that already exist between LGBTQ+-identifying and heterosexual, cisgender people.https://doi.org/10.1186/s40359-023-01265-5LGBTQ+; gender identitySexual orientation; COVID-19; mental healthDepressionAnxietySuicidalityLoneliness
spellingShingle Christine Firk
Nicola Großheinrich
Norbert Scherbaum
Daniel Deimel
The impact of social connectedness on mental health in LGBTQ + identifying individuals during the COVID-19 pandemic in Germany
BMC Psychology
LGBTQ+; gender identity
Sexual orientation; COVID-19; mental health
Depression
Anxiety
Suicidality
Loneliness
title The impact of social connectedness on mental health in LGBTQ + identifying individuals during the COVID-19 pandemic in Germany
title_full The impact of social connectedness on mental health in LGBTQ + identifying individuals during the COVID-19 pandemic in Germany
title_fullStr The impact of social connectedness on mental health in LGBTQ + identifying individuals during the COVID-19 pandemic in Germany
title_full_unstemmed The impact of social connectedness on mental health in LGBTQ + identifying individuals during the COVID-19 pandemic in Germany
title_short The impact of social connectedness on mental health in LGBTQ + identifying individuals during the COVID-19 pandemic in Germany
title_sort impact of social connectedness on mental health in lgbtq identifying individuals during the covid 19 pandemic in germany
topic LGBTQ+; gender identity
Sexual orientation; COVID-19; mental health
Depression
Anxiety
Suicidality
Loneliness
url https://doi.org/10.1186/s40359-023-01265-5
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