247. The co-morbidity mechanism and intervention ideas of social phobia, loneliness and depression among college students

Abstract Background Social anxiety disorder is an anxiety disorder characterized by strong fear and avoidance behavior towards social situations. Patients often excessively worry about being negatively evaluated or scrutinized, which can affect their daily life, work, and interpersonal relationships. Loneliness is a subjective emotion caused by isolation or exclusion from the outside world. Depression is a brief and widespread psychological state characterized by low mood, decreased interest, and lack of energy. The comorbidity mechanism refers to the phenomenon where two or more diseases appear simultaneously or sequentially in the same patient. In the group of college students, social anxiety, loneliness, and depression often occur, but whether there is a comorbidity mechanism among them needs further verification. This study validated the comorbidity mechanism between social anxiety, loneliness, and depression among college students through a combination of data analysis and scale evaluation, and proposed corresponding intervention measures. Methods In this study, 100 patients with social anxiety disorder, 100 patients with loneliness, and 100 patients with depression were selected as research subjects in a certain university. The Social Phobia Inventory (SPIN) was used to score the social anxiety status of social patients, the UCLA Loneliness Scale was used to assess the degree of loneliness felt by participants, and the Patient Health Questionnaire-9 (PHQ-9) was used to score the severity of depression among participants. Further intervene in patients with comorbidity mechanisms at the biological level through methods such as aerobic exercise intervention and group exercise intervention. Also guide students to pay attention to positive emotions in daily life, learn to express their emotions, and engage in psychological interventions. In addition, social interventions such as encouraging students to actively participate in club activities and strengthening the construction of student psychological counseling centers should be carried out. The intervention period is 3 months, with biological intervention, psychological intervention, and social intervention conducted once a month for 45 minutes each time. Record the changes in various indicators of students before and after intervention to determine the correctness of the intervention approach. Results Analyze the collected data showed that among the 100 patients with social phobia, 65 also reported high levels of loneliness and 58 showed symptoms of depression; similarly, among the 100 patients with loneliness, 72 had social phobia and 60 had depression; among the 100 patients with depression, 68 had social phobia and 70 felt lonely. After intervention for patients with comorbid mechanisms, their SPIN score was reduced to 18.7 ± 5.2 (p<.01), UCLA score was reduced by 43.8% (p<.01), and PHQ-9 score was reduced to 6.3 ± 2.8 (p<.01). Discussion The above results show that social phobia, loneliness and depression have comorbid mechanisms among college students, and their incidence rates are high. After the students are intervened through biological, psychological and social intervention ideas, their various symptoms will be alleviated. Therefore, in the future, student psychological service centers should be established in colleges and universities to provide timely psychological intervention to students and protect the mental health of college students.