Mental health before and during the COVID-19 pandemic: a longitudinal probability sample survey of the UK population
Mental health before and during the COVID-19 pandemic: a longitudinal probability sample survey of the UK population
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DOI：
10.1016/s2215-0366(20)30308-4
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发表时间：
2020-10-01
影响因子：
64.3
通讯作者：
Abel, Kathryn M.
中科院分区：
文献类型：
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作者：
Pierce, Matthias;Hope, Holly;Abel, Kathryn M.
背景COVID-19疫情对人群心理健康的潜在影响日益受到全球关注。方法在这项全国性纵向队列研究的二次分析中，参加英国家庭纵向研究（UKHLS）小组第8或第9波的家庭，包括2020年4月16岁或以上的所有成员，被邀请于4月23日至30日完成COVID-19网络调查，2020.因无行为能力而无法做出知情决定的参与者，或邮政地址或国外地址不详的参与者被排除在外。使用12项一般健康问卷（GHQ-12）评估心理健康状况。进行了重复的横断面分析，以检查时间趋势。固定效应回归模型进行了拟合，以确定与以前的trends.Findings波6-9的UKHLS有53 351名参与者相比，人内的变化。COVID-19网络调查的合资格参与者来自参加Waves 8或9的家庭，42330名合资格人士中有17452名（41.2%）参与了网络调查。具有临床意义的精神痛苦水平的人群患病率从2018-19年的18.9%（95%CI 17.8-20.0）上升到2020年4月的27.3%（26.3-28.2），即英国封锁一个月。平均GHQ-12评分也在这段时间内增加，从2018-19年的11.5（95% CI 11.3-11.6）增加到2020年4月的12.6（12.5-12.8）。考虑到2014年至2018年之前的上升趋势，这比预期高出0.48（95%CI 0.07-0.90）个百分点。比较个人的GHQ-12分数，调整时间趋势和变化的重要预测因素，18-24岁的增长最大（2.69分，95% CI 1.89-3.48），25-34岁人群（1.57，0.96-2.18），女性（0.92，0.50-1.35）和与幼儿一起生活的人群（1.45，0.79-242）。疫情前就业人士的GHQ-12平均得分亦显著上升（0. 63，95% CI 0. 20 - 1. 06）。强调妇女、年轻人和有学龄前儿童的人的需求的政策可能在预防未来的精神疾病方面发挥重要作用。版权所有（C）2020爱思唯尔有限公司保留所有权利。
Background The potential impact of the COVID-19 pandemic on population mental health is of increasing global concern. We examine changes in adult mental health in the UK population before and during the lockdown.Methods In this secondary analysis of a national, longitudinal cohort study, households that took part in Waves 8 or 9 of the UK Household Longitudinal Study (UKHLS) panel, induding all members aged 16 or older in April, 2020, were invited to complete the COVID-19 web survey on April 23-30, 2020. Participants who were unable to make an informed decision as a result of incapacity, or who had unknown postal addresses or addresses abroad were excluded. Mental health was assessed using the 12-item General Health Questionnaire (GHQ-12). Repeated cross-sectional analyses were done to examine temporal trends. Fixed-effects regression models were fitted to identify within-person change compared with preceding trends.Findings Waves 6-9 of the UKHLS had 53 351 participants. Eligible participants for the COVID-19 web survey were from households that took part in Waves 8 or 9, and 17452 (41.2%) of 42330 eligible people participated in the web survey. Population prevalence of clinically significant levels of mental distress rose from 18.9% (95% CI 17.8-20.0) in 2018-19 to 27.3% (26.3-28.2) in April, 2020, one month into UK lockdown. Mean GHQ-12 score also increased over this time, from 11.5 (95% CI 11.3-11.6) in 2018-19, to 12.6 (12.5-12.8) in April, 2020. This was 0.48 (95% CI 0.07-0.90) points higher than expected when accounting for previous upward trends between 2014 and 2018. Comparing GHQ-12 scores within individuals, adjusting for time trends and significant predictors of change, increases were greatest in 18-24-year-olds (2.69 points, 95% CI 1.89-3.48), 25-34-year-olds (1.57, 0.96-2.18), women (0.92, 0.50-1.35), and people living with young children (1.45, 0.79-242). People employed before the pandemic also averaged a notable increase in GHQ-12 score (0.63, 95% CI 0.20-1.06).Interpretation By late April, 2020, mental health in the UK had deteriorated compared with pre-COV1D-19 trends. Policies emphasising the needs of women, young people, and those with preschool aged children are likely to play an important part in preventing future mental illness. Copyright (C) 2020 Elsevier Ltd. All rights reserved.