Symptoms of anxiety/depression during the COVID-19 pandemic and associated lockdown in the community: longitudinal data from the TEMPO cohort in France.

Symptoms of anxiety/depression during the COVID-19 pandemic and associated lockdown in the community: longitudinal data from the TEMPO cohort in France.
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DOI:
10.1186/s12888-021-03383-z
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发表时间:
2021-07-28
期刊:
影响因子:
4.4
通讯作者:
Melchior M
Melchior M
中科院分区:
医学2区
文献类型:
--
作者:
Andersen AJ;Mary-Krause M;Bustamante JJH;Héron M;El Aarbaoui T;Melchior M

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为科普COVID-19疫情,法国实施社交距离限制,可能导致社交孤立。预计这将影响到心理健康状况,包括增加一般人群中焦虑和抑郁症状的风险。有心理健康问题的人可能是一个特别脆弱的群体,然而,很少有研究在考虑到预先存在的心理健康问题的情况下对这一点进行实证检验。我们在一个纵向社区样本中研究了先前存在的焦虑/抑郁症状与因COVID-19大流行而封锁期间的焦虑/抑郁之间的关联。在克里思队列的参与者中实施了锁定期间的纵向随访(2020年3月至6月的数据收集)。从先前的数据收集波中纳入焦虑/抑郁的先前知识。广义估计方程模型被用来估计之间的关联先前存在的焦虑/抑郁症状和焦虑/抑郁症状在662中年人封锁。在封锁前测量有焦虑/抑郁症状的个体在封锁期间焦虑/抑郁症状的几率高出6.73 [95%CI = 4.45-10.17]。此外,女性(OR = 2.07 [95% CI = 1.32-3.25])、低家庭收入受试者(OR = 2.28 [1.29-4.01])和报告孤独的受试者(OR = 3.94 [95% CI = 2.47-6.28])在锁定期间出现焦虑/抑郁症状的可能性升高。我们的研究强调了先前存在的焦虑/抑郁症状作为锁定期间焦虑/抑郁的脆弱性因素的作用。应考虑针对有心理健康问题的个人以及感到孤独的人采取干预措施,以减少COVID-19大流行的心理影响。在线版本包含补充材料,可通过10.1186/s12888-021-03383-z获得。
To cope with the COVID-19 pandemic, social distancing restrictions where implemented in France, which could have led to social isolation. This is expected to have affected the mental health situation, including increasing risk of symptoms of anxiety and depression in the general population. Persons with prior mental health difficulties could be an especially vulnerable group, however, few studies have tested this empirically considering preexisting mental health difficulties. We examine the association between preexisting symptoms of anxiety/depression and anxiety/depression during lockdown due to the COVID-19 pandemic in a longitudinal community sample. A longitudinal follow-up during lockdown (data collection March–June 2020) was implemented among participants of the TEMPO cohort. Prior knowledge of anxiety/depression was included from prior waves of data collection. Generalized estimation equations models were used to estimate the association between preexisting symptoms of anxiety/depression and symptoms of anxiety/depression during lockdown among 662 mid-aged individuals. Individuals with symptoms of anxiety/depression measured prior to lockdown had 6.73 higher odds [95% CI = 4.45–10.17] of symptoms of anxiety/depression during lockdown. Additionally, the likelihood of symptoms of anxiety/depression during lockdown was elevated among women (OR = 2.07 [95% CI = 1.32–3.25]), subjects with low household income (OR = 2.28 [1.29–4.01]) and persons who reported being lonely (OR = 3.94 [95% CI = 2.47–6.28]). Our study underlines the role of preexisting symptoms of anxiety/depression as a vulnerability factor of anxiety/depression during lockdown. Interventions focusing on individuals with mental health difficulties as well as people feeling lonely should be considered, to reduce the psychological impact of the COVID-19 pandemic. The online version contains supplementary material available at 10.1186/s12888-021-03383-z.
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