Mental health before and during the COVID-19 pandemic in two longitudinal UK population cohorts.
Mental health before and during the COVID-19 pandemic in two longitudinal UK population cohorts.
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DOI：
10.1192/bjp.2020.242
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发表时间：
2021-06
期刊：
影响因子：
--
通讯作者：
Timpson NJ
中科院分区：
文献类型：
--
作者：
Kwong ASF;Pearson RM;Adams MJ;Northstone K;Tilling K;Smith D;Fawns-Ritchie C;Bould H;Warne N;Zammit S;Gunnell DJ;Moran PA;Micali N;Reichenberg A;Hickman M;Rai D;Haworth S;Campbell A;Altschul D;Flaig R;McIntosh AM;Lawlor DA;Porteous D;Timpson NJ
COVID-19 大流行和缓解措施可能会对心理健康产生显着影响。使用纵向数据来改进推断非常重要。量化 COVID-19 大流行之前和期间抑郁、焦虑和心理健康的患病率。此外，还可以识别大流行期间面临抑郁和/或焦虑风险的群体。数据来自雅芳父母和儿童纵向研究 (ALSPAC) 指数一代（n = 2850，平均年龄 28 岁）和父母一代（n = 3720，平均年龄 59 岁）和苏格兰一代（n = 4233，平均年龄 59 岁）。抑郁症通过 ASPAC 的简短情绪和情感问卷和苏格兰一代的患者健康问卷 9 进行测量。焦虑和心理健康状况通过广泛性焦虑症评估-7 和短沃里克爱丁堡心理健康量表进行测量。在 ASPAC 指数中，大流行期间的抑郁症水平与大流行前的水平相似，但经历焦虑的人几乎翻了一番，达到 24%（95% CI 23-26%），而大流行前的抑郁水平为 13%（95% CI 12-14%）。在这两项研究中，即使在控制大流行前的焦虑和抑郁的情况下，年轻成员、女性、已有精神/身体健康状况的人和处于社会经济逆境的个人在大流行期间的焦虑和抑郁程度也更高。这些结果提供了证据表明，与大流行同时发生的年轻人的焦虑增加。在 COVID-19 大流行期间，特定群体患抑郁和焦虑的风险较高。这对于规划当前的心理健康规定以及这场大流行之后的长期影响非常重要。
The COVID-19 pandemic and mitigation measures are likely to have a marked effect on mental health. It is important to use longitudinal data to improve inferences. To quantify the prevalence of depression, anxiety and mental well-being before and during the COVID-19 pandemic. Also, to identify groups at risk of depression and/or anxiety during the pandemic. Data were from the Avon Longitudinal Study of Parents and Children (ALSPAC) index generation (n = 2850, mean age 28 years) and parent generation (n = 3720, mean age 59 years), and Generation Scotland (n = 4233, mean age 59 years). Depression was measured with the Short Mood and Feelings Questionnaire in ALSPAC and the Patient Health Questionnaire-9 in Generation Scotland. Anxiety and mental well-being were measured with the Generalised Anxiety Disorder Assessment-7 and the Short Warwick Edinburgh Mental Wellbeing Scale. Depression during the pandemic was similar to pre-pandemic levels in the ALSPAC index generation, but those experiencing anxiety had almost doubled, at 24% (95% CI 23–26%) compared with a pre-pandemic level of 13% (95% CI 12–14%). In both studies, anxiety and depression during the pandemic was greater in younger members, women, those with pre-existing mental/physical health conditions and individuals in socioeconomic adversity, even when controlling for pre-pandemic anxiety and depression. These results provide evidence for increased anxiety in young people that is coincident with the pandemic. Specific groups are at elevated risk of depression and anxiety during the COVID-19 pandemic. This is important for planning current mental health provisions and for long-term impact beyond this pandemic.
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