Mental health of people in Australia in the first month of COVID-19 restrictions: a national survey.
Mental health of people in Australia in the first month of COVID-19 restrictions: a national survey.
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DOI：
10.5694/mja2.50831
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发表时间：
2020-11
期刊：
影响因子：
--
通讯作者：
Kirkman M
中科院分区：
文献类型：
--
作者：
Fisher JR;Tran TD;Hammarberg K;Sastry J;Nguyen H;Rowe H;Popplestone S;Stocker R;Stubber C;Kirkman M
评估有临床显著症状的抑郁、全面性焦虑、想到自己会过得更好、易怒和对未来高度乐观的人群患病率，以及直接接触新冠肺炎、因新冠肺炎限制而失业、担心感染新冠肺炎或因限制而严重不利的人群流行率；研究这些经历与报告精神症状之间的关系。对澳大利亚成年居民的匿名在线调查，2020年4月3日至5月2日。用患者健康问卷9(PHQ-9；抑郁症状)和一般焦虑量表(GAD-7)评估前两周的自我报告的心理状态。对未来的乐观情绪用10分研究特定视觉模拟量表进行评估。13829名受访者提供了完整的回复数据。临床显著抑郁症状(≥-9)和焦虑临床显著症状(≥-7)的估计患病率分别为27.6%(95%CI，26.1-29.1%)和21.0%(95%CI，19.6-22.4%)；14.6%的受访者(95%可信区间，13.5-16.0%)认为自己至少有一段时间认为自己死了或自残(PHQ-9，第9项)，59.2%(95%可信区间，57.6-60.7%)的受访者认为自己更易怒(GAD-7，第6项)。据估计，28.3%的受访者(95%CI，27.1-29.6%)对未来非常乐观(得分≥为8)。与没有这些经历的人相比，那些失去工作、担心感染新冠肺炎，或者这些限制措施对日常生活产生极大不利影响的人更有可能报告出现抑郁或焦虑症状，而不太可能报告高度乐观。在新冠肺炎第二阶段限制的第一个月里，澳大利亚人中普遍存在心理健康问题；此外，约四分之一的受访者报告说，他们有轻度到中度的抑郁或焦虑症状。需要一种包括普遍的、选择性的和有针对性的临床干预措施的公共精神卫生应对措施。
To estimate the population prevalence of clinically significant symptoms of depression, generalised anxiety, thoughts of being better off dead, irritability, and high optimism about the future, and of direct experience of COVID‐19, loss of employment caused by COVID‐19 restrictions, worry about contracting COVID‐19, or major disadvantage because of the restrictions; to examine the relationship between these experiences and reporting mental symptoms. Anonymous online survey of adult Australian residents, 3 April – 2 May 2020. Self‐reported psychological status during the preceding fortnight assessed with the Patient Health Questionnaire 9 (PHQ‐9; symptoms of depression) and the Generalised Anxiety Disorder Scale (GAD‐7). Optimism about the future was assessed with a 10‐point study‐specific visual analogue scale. 13 829 respondents contributed complete response data. The estimated prevalence of clinically significant symptoms of depression (PHQ‐9 ≥ 10) was 27.6% (95% CI, 26.1–29.1%) and of clinically significant symptoms of anxiety (GAD‐7 ≥ 10) 21.0% (95% CI, 19.6–22.4%); 14.6% of respondents (95% CI, 13.5–16.0%) reported thoughts of being better off dead or self‐harm (PHQ‐9, item 9) on at least some days and 59.2% (95% CI, 57.6–60.7%) that they were more irritable (GAD‐7, item 6). An estimated 28.3% of respondents (95% CI, 27.1–29.6%) reported great optimism about the future (score ≥ 8). People who had lost jobs, were worried about contracting COVID‐19, or for whom the restrictions had a highly adverse impact on daily life were more likely to report symptoms of depression or anxiety, and less likely to report high optimism than people without these experiences. Mental health problems were widespread among Australians during the first month of the stage two COVID‐19 restrictions; in addition, about one‐quarter of respondents reported mild to moderate symptoms of depression or anxiety. A public mental health response that includes universal, selective and indicated clinical interventions is needed.
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影响因子：
4.4
作者：
Haller H;Cramer H;Lauche R;Gass F;Dobos GJ
通讯作者：
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DOI：
10.3122/jabfm.2011.01.100121
发表时间：
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期刊：
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