Mental health and well-being during the COVID-19 pandemic: longitudinal analyses of adults in the UK COVID-19 Mental Health & Wellbeing study.

Mental health and well-being during the COVID-19 pandemic: longitudinal analyses of adults in the UK COVID-19 Mental Health & Wellbeing study.
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DOI:
10.1192/bjp.2020.212
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发表时间:
2021-06
期刊:
The British journal of psychiatry : the journal of mental science
影响因子:
--
通讯作者:
Robb KA
Robb KA
中科院分区:
其他
文献类型:
--
作者:
O'Connor RC;Wetherall K;Cleare S;McClelland H;Melson AJ;Niedzwiedz CL;O'Carroll RE;O'Connor DB;Platt S;Scowcroft E;Watson B;Zortea T;Ferguson E;Robb KA

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2019冠状病毒病(COVID-19)对人口心理健康和福祉的影响可能是深远而持久的。调查英国成年人在封锁的前6周内心理健康和幸福的轨迹。采用了一种配额调查设计和一个抽样框架,允许在全国范围内进行抽样。这里报告了第1波(2020年3月31日至4月9日),第2波(2020年4月10日至4月27日)和第3波(2020年4月28日至5月11日)的结果。一系列的心理健康因素进行了评估:预先存在的心理健康问题,自杀企图和自我伤害,自杀意念,抑郁,焦虑,失败,诱捕,心理健康和孤独。英国共有3077名成年人在第一波完成了调查。自杀意念随着时间的推移而增加。焦虑的症状,失败和诱捕的水平下降,而抑郁症状的水平没有显着变化。积极的幸福感也在增加。孤独的水平并没有显着变化的波浪。亚组分析表明,妇女、年轻人(18-29岁)、社会处境不利的人和先前存在心理健康问题的人在大流行期间的心理健康结果在大多数因素中都更差。英国成年人口的心理健康和福祉似乎在COVID-19大流行的初始阶段受到影响。越来越多的人,特别是年轻人,有自杀念头,这令人担忧。
The effects of coronavirus disease 2019 (COVID-19) on the population's mental health and well-being are likely to be profound and long lasting. To investigate the trajectory of mental health and well-being during the first 6 weeks of lockdown in adults in the UK. A quota survey design and a sampling frame that permitted recruitment of a national sample was employed. Findings for waves 1 (31 March to 9 April 2020), 2 (10 April to 27 April 2020) and 3 (28 April to 11 May 2020) are reported here. A range of mental health factors was assessed: pre-existing mental health problems, suicide attempts and self-harm, suicidal ideation, depression, anxiety, defeat, entrapment, mental well-being and loneliness. A total of 3077 adults in the UK completed the survey at wave 1. Suicidal ideation increased over time. Symptoms of anxiety, and levels of defeat and entrapment decreased across waves whereas levels of depressive symptoms did not change significantly. Positive well-being also increased. Levels of loneliness did not change significantly over waves. Subgroup analyses showed that women, young people (18–29 years), those from more socially disadvantaged backgrounds and those with pre-existing mental health problems have worse mental health outcomes during the pandemic across most factors. The mental health and well-being of the UK adult population appears to have been affected in the initial phase of the COVID-19 pandemic. The increasing rates of suicidal thoughts across waves, especially among young adults, are concerning.
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