Mental Health Outcomes and Associations During the COVID-19 Pandemic: A Cross-Sectional Population-Based Study in the United States.
Mental Health Outcomes and Associations During the COVID-19 Pandemic: A Cross-Sectional Population-Based Study in the United States.
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COVID-19 大流行期间的心理健康结果和关联：美国一项基于人群的横断面研究。
DOI：
10.3389/fpsyt.2020.569083
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发表时间：
2020
影响因子：
4.7
通讯作者：
Kantor J
中科院分区：
文献类型：
--
作者：
Kantor BN;Kantor J
2019年冠状病毒病（COVID-19）可能会导致严重的心理健康压力，可能存在可改变的风险因素。我们进行了一项基于互联网的横断面调查的年龄，性别和种族分层的代表性样本，从美国一般人群。焦虑、抑郁和孤独的程度分别使用7项广泛性焦虑障碍量表（GAD-7）、9项患者健康问卷和8项UCLA孤独量表进行评估。进行未校正和多变量logistic回归分析，以确定与基线人口统计学特征的相关性。在开始的1,020项调查中，共有1,005项完成调查，调查小组的完成率为98.5%。受访者的平均（标准差）年龄为45（16）岁，其中494人（48.8%）为男性。总体而言，264例受试者（26.8%）符合基于GAD-7临界值10的焦虑障碍标准;临界值7产生416例受试者（41.4%），符合焦虑的临床标准。在多变量分析中，男性（比值比[OR] = 0.65，95%置信区间[CI] [0.49，0.87]），识别为黑人（OR = 0.49，95% CI [0.31，0.77]），住在较大的房子里（OR = 0.46，95%CI [0.24，0.88]）与满足焦虑标准的几率降低相关。农村地区（OR 1.39，95%CI [1.03，1.89]）、孤独（OR 4.92，95%CI [3.18，7.62]）和住院史（OR = 2.04，95%CI [1.38，3.03]）与满足焦虑标准的几率增加相关。232例受试者（23.6%）符合临床抑郁标准。在多变量分析中，男性（OR = 0.71，95% CI [0.53，0.95]），确定为黑人（OR = 0.62，95% CI [0.40，0.97]），户外时间增加（OR = 0.51，95%CI [0.29，0.92]）和住在大房子里（OR = 0.35，95%CI [0.18，0.69]）与符合抑郁标准的几率降低相关。失业（OR = 1.64，95%CI [1.05，2.54]）、孤独（OR = 10.42，95%CI [6.26，17.36]）和住院史（OR = 2.42，95%CI [1.62，3.62]）与符合抑郁标准的几率增加相关。收入、媒体消费和宗教信仰与心理健康结果无关。在COVID-19大流行的背景下，焦虑和抑郁在美国普通人群中很常见，并且与潜在的可改变因素有关。
Pandemic coronavirus disease 2019 (COVID-19) may lead to significant mental health stresses, potentially with modifiable risk factors. We performed an internet-based cross-sectional survey of an age-, sex-, and race-stratified representative sample from the US general population. Degrees of anxiety, depression, and loneliness were assessed using the 7-item Generalized Anxiety Disorder-7 scale (GAD-7), the 9-item Patient Health Questionnaire, and the 8-item UCLA Loneliness Scale, respectively. Unadjusted and multivariable logistic regression analyses were performed to determine associations with baseline demographic characteristics. A total of 1,005 finished surveys were returned of the 1,020 started, yielding a completion rate of 98.5% in the survey panel. The mean (standard deviation) age of the respondents was 45 (16) years, and 494 (48.8%) were male. Overall, 264 subjects (26.8%) met the criteria for an anxiety disorder based on a GAD-7 cutoff of 10; a cutoff of 7 yielded 416 subjects (41.4%), meeting the clinical criteria for anxiety. On multivariable analysis, male sex (odds ratio [OR] = 0.65, 95% confidence interval [CI] [0.49, 0.87]), identification as Black (OR = 0.49, 95% CI [0.31, 0.77]), and living in a larger home (OR = 0.46, 95% CI [0.24, 0.88]) were associated with a decreased odds of meeting the anxiety criteria. Rural location (OR 1.39, 95% CI [1.03, 1.89]), loneliness (OR 4.92, 95% CI [3.18, 7.62]), and history of hospitalization (OR = 2.04, 95% CI [1.38, 3.03]) were associated with increased odds of meeting the anxiety criteria. Two hundred thirty-two subjects (23.6%) met the criteria for clinical depression. On multivariable analysis, male sex (OR = 0.71, 95% CI [0.53, 0.95]), identifying as Black (OR = 0.62, 95% CI [0.40, 0.97]), increased time outdoors (OR = 0.51, 95% CI [0.29, 0.92]), and living in a larger home (OR = 0.35, 95% CI [0.18, 0.69]) were associated with decreased odds of meeting depression criteria. Having lost a job (OR = 1.64, 95% CI [1.05, 2.54]), loneliness (OR = 10.42, 95% CI [6.26, 17.36]), and history of hospitalization (OR = 2.42, 95% CI [1.62, 3.62]) were associated with an increased odds of meeting depression criteria. Income, media consumption, and religiosity were not associated with mental health outcomes. Anxiety and depression are common in the US general population in the context of the COVID-19 pandemic and are associated with potentially modifiable factors.
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DOI：
10.1037/tra0000840
发表时间：
2020-08-01
影响因子：
6.3
作者：
Alonzi, Sarah;La Torre, Adelaide;Silverstein, Madison W.
通讯作者：
Silverstein, Madison W.
影响因子：
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作者：
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影响因子：
6.9
作者：
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通讯作者：
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