Longitudinal changes in mental health and the COVID-19 pandemic: evidence from the UK Household Longitudinal Study.
Longitudinal changes in mental health and the COVID-19 pandemic: evidence from the UK Household Longitudinal Study.
复制标题
DOI：
10.1017/s0033291720004432
复制
发表时间：
2022-10
影响因子：
6.9
通讯作者：
Robinson E
中科院分区：
文献类型：
--
作者：
Daly M;Sutin AR;Robinson E
COVID-19大流行已产生一系列负面社会及经济影响，可能导致精神健康问题增加。在这项基于人群的观察性研究中，我们研究了从COVID-19危机之前到期间心理健康问题患病率的纵向变化，并确定了在大流行期间心理脆弱的亚组。参与者（N = 14393;观察值= 48486）是来自全国代表性的英国家庭纵向研究（UKHLS）第9波（2017-2019）的成年人，并在2020年4月，5月和6月的三波评估中进行了随访。使用12项一般健康问卷（GHQ-12）评估心理健康问题。精神健康问题的人口患病率（GHQ-12评分为10.3）由2017-2019年的24. 3%上升13. 5个百分点至2020年4月的37. 8%，并于2020年5月（34. 7%）及6月（31. 9%）维持高水平。2020年4月，所有接受调查的社会人口学群体的心理健康问题都出现了统计学上的显著增加。18-34岁年龄组的增幅最大（18.6个百分点，95%置信区间14.3-22.9%），其次是女性和高收入及教育群体。精神健康问题的水平随后在2020年4月至6月期间有所下降，但仍显著高于COVID-19前的水平。其他分析显示，在整个COVID-19大流行期间观察到的心理健康问题增加不太可能是由于季节性或年度变化所致。这项研究表明，随着2020年4月至6月英国出现COVID-19大流行，心理健康出现了明显和长期的恶化。
The COVID-19 pandemic has had a range of negative social and economic effects that may contribute to a rise in mental health problems. In this observational population-based study, we examined longitudinal changes in the prevalence of mental health problems from before to during the COVID-19 crisis and identified subgroups that are psychologically vulnerable during the pandemic. Participants (N = 14 393; observations = 48 486) were adults drawn from wave 9 (2017–2019) of the nationally representative United Kingdom Household Longitudinal Study (UKHLS) and followed-up across three waves of assessment in April, May, and June 2020. Mental health problems were assessed using the 12-item General Health Questionnaire (GHQ-12). The population prevalence of mental health problems (GHQ-12 score ⩾3) increased by 13.5 percentage points from 24.3% in 2017–2019 to 37.8% in April 2020 and remained elevated in May (34.7%) and June (31.9%) 2020. All sociodemographic groups examined showed statistically significant increases in mental health problems in April 2020. The increase was largest among those aged 18–34 years (18.6 percentage points, 95% CI 14.3–22.9%), followed by females and high-income and education groups. Levels of mental health problems subsequently declined between April and June 2020 but remained significantly above pre-COVID-19 levels. Additional analyses showed that the rise in mental health problems observed throughout the COVID-19 pandemic was unlikely to be due to seasonality or year-to-year variation. This study suggests that a pronounced and prolonged deterioration in mental health occurred as the COVID-19 pandemic emerged in the UK between April and June 2020.