Role of social determinants in anxiety and depression symptoms during COVID-19: A longitudinal study of adults in North Carolina and Massachusetts.
Role of social determinants in anxiety and depression symptoms during COVID-19: A longitudinal study of adults in North Carolina and Massachusetts.
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社会决定因素在新冠疫情期间焦虑和抑郁症状中的作用：对北卡罗来纳州和马萨诸塞州成年人的一项纵向研究
DOI：
10.1016/j.brat.2022.104102
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发表时间：
2022-07
影响因子：
4.1
通讯作者：
Shrout, Patrick E.
中科院分区：
文献类型：
--
作者：
Alegria, Margarita;Cruz-Gonzalez, Mario;O'Malley, Isabel Shaheen;Alvarez, Kiara;Stein, Gabriela Livas;Fuentes, Larimar;Eddington, Kari;Poindexter, Claire;Markle, Sheri Lapatin;Thorndike, Anne N.;Zhang, Lulu;Shrout, Patrick E.
新冠疫情的轨迹研究描述了症状随时间变化的模式。然而，很少有研究探讨健康的社会决定因素是否能预测新冠疫情期间抑郁和焦虑症状的发展，也很少有研究确定哪些社会决定因素会使症状轨迹恶化。我们使用一个在种族、民族和语言上具有多样性的成年人样本，这些人参与了一项随机临床试验，他们原本就有中度至重度抑郁和/或焦虑症状。我们比较了新冠疫情之前和期间的症状模式；描述了20周随访期间的症状轨迹；并评估了社会决定因素是否与症状轨迹的个体内和个体间差异有关。数据是在马萨诸塞州和北卡罗来纳州在新冠疫情之前和期间收集的。平均而言，与疫情前相比，疫情期间抑郁和焦虑症状似乎并没有恶化。在新冠疫情期间，基线时存在食物无保障情况的参与者（相较于无食物无保障情况的参与者）随访时的焦虑评分更高。存在食物无保障以及公共事业无保障情况的参与者（相较于无此类无保障情况的参与者）随访时的抑郁评分更高。基线时有照顾儿童或家庭责任的参与者抑郁症状的下降速度比没有这些责任的参与者慢。我们讨论了这些发现的重要意义。
Trajectory studies of the COVID-19 pandemic have described patterns of symptoms over time. Yet, few have examined whether social determinants of health predict the progression of depression and anxiety symptoms during COVID-19 or identified which social determinants worsen symptom trajectories. Using a racially, ethnically, and linguistically diverse sample of adults participating in a randomized clinical trial with pre-existing moderate to severe depression and/or anxiety symptoms, we compare symptom patterns before and during COVID-19; characterize symptom trajectories over a 20-week follow-up period; and evaluate whether social determinants are associated with within- and between- person differences in symptom trajectories. Data were collected before and during COVID-19 in Massachusetts and North Carolina. On average, depression and anxiety symptoms did not seem to worsen during the pandemic compared to pre-pandemic. During COVID-19, anxiety scores at follow-up were higher for participants with baseline food insecurity (vs no food insecurity). Depression scores at follow-up were higher for participants with food insecurity and for those with utilities insecurity (vs no insecurity). Participants with child or family care responsibilities at baseline had depression symptoms decreasing at a slower rate than those without these responsibilities. We discuss the important implications of these findings.
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影响因子：
7.2
作者：
Alegria, Margarita;Frontera, Walter;Shrout, Patrick E.
通讯作者：
Shrout, Patrick E.
抑郁，焦虑和大流行经历的轨迹； 2020年春夏期间，一项纽约青年的纵向研究。
影响因子：
11.3
作者：
Hawes, Mariah T.;Szenczy, Aline K.;Olino, Thomas M.;Nelson, Brady D.;Klein, Daniel N.
通讯作者：
Klein, Daniel N.
影响因子：
6.8
作者：
Ahrens KF;Neumann RJ;Kollmann B;Brokelmann J;von Werthern NM;Malyshau A;Weichert D;Lutz B;Fiebach CJ;Wessa M;Kalisch R;Plichta MM;Lieb K;Tüscher O;Reif A
通讯作者：
Reif A
影响因子：
6.3
作者：
Bushman, Gregory;Mehdipanah, Roshanak
通讯作者：
Mehdipanah, Roshanak
影响因子：
3.6
作者：
Choi SW;Schalet B;Cook KF;Cella D
通讯作者：
Cella D