Depressive symptoms among Peruvian adult residents amidst a National Lockdown during the COVID-19 pandemic.
Depressive symptoms among Peruvian adult residents amidst a National Lockdown during the COVID-19 pandemic.
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DOI：
10.1186/s12888-021-03107-3
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发表时间：
2021-02-18
期刊：
影响因子：
4.4
通讯作者：
Bruni A
中科院分区：
文献类型：
--
作者：
Antiporta DA;Cutipé YL;Mendoza M;Celentano DD;Stuart EA;Bruni A
拉丁美洲是当前COVID-19大流行的中心，其人口健康和福祉在过去一个学期受到严重影响。尽管有越来越多的证据表明这一流行病、其控制措施和世界范围内的心理健康之间存在联系，但仍然没有区域性证据表明这一流行病对心理健康有潜在影响。我们描述了2019冠状病毒病大流行期间全国封锁期间秘鲁人口中抑郁症状在人口统计学和社会经济风险因素中的患病率和分布。在社区传播阶段和秘鲁全国封锁期间进行的横断面研究（2020年5月4日至16日）。我们记录了64，493份来自秘鲁成年居民的在线问卷调查。所有分析都使用基于2017年秘鲁最后一次人口普查的社会人口变量比例的排序进行加权。使用患者健康问卷（PHQ-9）评分10分或以上计算抑郁症状的患病率。我们通过先前的心理健康诊断确定了相关的人口统计学和社会经济因素。敏感性分析考虑了PHQ-9 ≥ 14的抑郁症状的替代截止点。共有57，446名参与者被纳入分析样本。三分之一的参与者（n = 23，526，未加权）在研究前2周表现出抑郁症状。报告先前精神健康诊断的参与者的抑郁症状的样本患病率（59，95%CI 56.7，61.4%）是没有先前诊断的参与者的两倍。心理社会和功能反应在女性和年轻人中更为普遍。家庭收入与抑郁症状之间存在剂量-反应关系，最富裕组的抑郁症状比最贫困组低32%（PR：0.68，95%CI 0.58，0.79）。与抑郁症状负担较高相关的其他关键因素是较低的教育水平、单身、失业和慢性合并症。与往年相比，在秘鲁的COVID-19大流行期间，抑郁症状和心理社会反应的负担有所增加。心理健康负担不成比例地影响妇女、年轻人口以及低收入和低教育水平的人。随着国家放松社会距离措施，至关重要的是利用当地证据调整公共卫生政策和精神卫生服务，以满足新的人口需求。在线版本包含补充材料，可通过10.1186/s12888-021-03107-3获得。
Population health and well-being in Latin America, the current epicenter of the COVID-19 pandemic, has been severely affected during the past semester. Despite the growing evidence about the link between the pandemic, its control measures, and mental health worldwide, there is still no regional evidence of the potential mental health impact. We describe the prevalence and distribution of depressive symptoms across demographic and socioeconomic risk factors in the Peruvian population amidst a national lockdown during the COVID-19 pandemic. Cross-sectional study conducted during the community transmission phase and national lockdown in Peru (May 4th–16th, 2020). We recorded 64,493 responses from adult Peruvian residents through an opt-in online questionnaire. All analyses were weighted using raking based on proportions of sociodemographic variables from the last Peruvian census in 2017. The prevalence of depressive symptoms was calculated using the Patient Health Questionnaire (PHQ-9) score of 10 or more. We identified associated demographic and socioeconomic factors by prior mental health diagnosis. Sensitivity analysis considered an alternative cut-off point for depressive symptoms of PHQ-9 ≥ 14. A total of 57,446 participants were included in the analytical sample. A third of the participants (n = 23,526, unweighted) showed depressive symptoms in the 2 weeks prior to the study. Participants who reported a previous mental health diagnosis doubled the sample prevalence of depressive symptoms (59, 95%CI 56.7, 61.4%) of those without a prior diagnosis. Psychosocial and functioning reactions were largely more prevalent among females and young adults. A dose-response relationship was found between household income and depressive symptoms across previous mental health diagnosis strata, being as low as 32% less in the wealthiest than the most impoverished group (PR: 0.68, 95%CI 0.58,0.79). Other critical factors associated with a higher burden of depressive symptoms were lower education level, single, unemployed, and chronic comorbidity. An increased burden of depressive symptoms and psychosocial reactions has emerged during the COVID-19 pandemic in Peru compared to previous years. The mental health burden disproportionately affects women, the younger population, and those with low income and education. As the country eases the social distancing measures, it is crucial to use local evidence to adjust public health policies and mental health services to the renewed population needs. The online version contains supplementary material available at 10.1186/s12888-021-03107-3.
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影响因子：
3.7
作者：
Poole, Danielle N.;Liao, Shirley;Fawzi, Mary C. Smith
通讯作者：
Fawzi, Mary C. Smith
影响因子：
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作者：
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通讯作者：
Schmits E
DOI：
10.1192/bjp.2020.212
发表时间：
2021-06
期刊：
The British journal of psychiatry : the journal of mental science
影响因子：
--
作者：
O'Connor RC;Wetherall K;Cleare S;McClelland H;Melson AJ;Niedzwiedz CL;O'Carroll RE;O'Connor DB;Platt S;Scowcroft E;Watson B;Zortea T;Ferguson E;Robb KA
通讯作者：
Robb KA
影响因子：
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作者：
Hernandez-Vasquez, Akram;Vargas-Fernandez, Rodrigo;Nicolas Grendas, Leandro
通讯作者：
Nicolas Grendas, Leandro
影响因子：
4.7
作者：
Giallonardo, Vincenzo;Sampogna, Gaia;Fiorillo, Andrea
通讯作者：
Fiorillo, Andrea