Anxiety, depression and sleep problems: a second wave of COVID-19.
Anxiety, depression and sleep problems: a second wave of COVID-19.
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DOI：
10.1136/gpsych-2020-100299
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发表时间：
2020
影响因子：
11.9
通讯作者：
COCONEL Group
中科院分区：
文献类型：
--
作者：
Peretti-Watel P;Alleaume C;Léger D;Beck F;Verger P;COCONEL Group
亲爱的编辑：2020年初春，随着新冠肺炎(2019年冠状病毒病)大流行像病毒海啸一样席卷全球，许多国家紧急实施了前所未有的缓解措施，以减缓其传播速度，以中国为榜样，该疾病于2019年底首次出现。结果，全球超过30亿毫无准备的人不得不根据国家的不同，在严格的封锁措施下生活数周或数月。连同数十万人死于这种疾病，一种可怕的情感冲击触动了地球各地的人们。数以百万计的人失去了工作，其他人的个人生活也发生了巨大的变化；例如，老年人有时会被隔离在任何探望之外。据我们所知，还没有提出任何预防心理创伤的指导方针，即使是对最脆弱的人也是如此。尽管如此，在这场危机开始之前，几位专家曾根据之前的隔离经验就此类措施对民众心理健康的潜在影响发出警告，正如一篇综述文章中所总结的那样，当时疫情正蔓延至欧洲，在封锁之前。1几天后，中国发表的一项全国性研究证实了这一警告，该研究报告称，隔离引发了各种心理障碍。在欧洲受灾最严重的国家之一法国，3月17日开始了全国性的封锁，一直持续到5月11日。公共卫生当局每天都会就如何预防新冠肺炎感染提出建议，但几乎没有关于心理预防的具体建议。因此，我们感兴趣的是在这场史无前例的8周封锁开始后，评估法国民众的心理健康状况。2020年3月底，我们开始重复每周一次的全国横断面在线调查，COCONEL(冠状病毒与隔离，Enquéte Longitudinale)调查。法国18岁及以上人口的代表性样本来自一个在线研究小组，该小组由75万多个家庭组成，按性别、年龄、职业地位、教育水平、城镇和地区大小进行分层。这项调查是在最后4天(5月7日至10日)进行的，重点是精神健康(参与者：2003)，并包括患者健康问卷-9(PHQ-9)和一般焦虑症-7(GAD-7)工具，分别筛查前两周的严重抑郁症和广泛性焦虑症。3 4我们应用PHQ-9的分界点15来确定中度到重度抑郁症状的个体，并应用GAD-7的分界点15来定义严重焦虑。对于PHQ-9，我们还使用了第二个较低的分界点10来识别中度抑郁症状的个体，并将我们的结果与2014年在法国收集的数据进行比较。5名参与者还被问及他们在过去一周是否经历过睡眠问题，以及他们是否觉得在封锁期间需要健康专业人员的心理支持。我们用以下项目来评估睡眠问题：你在过去一周有没有睡眠问题：(A)完全没有，(B)很少，(C)很多？这项研究最初来自生活质量量表《杜克大学健康概况》。6在过去十年中，它经常被用于法国的调查，我们发现它与失眠的声称显著相关(根据《国际睡眠障碍分类》第二版和《精神障碍诊断和统计手册》第四版)。7我们使用它是因为它允许我们使用…
Dear Editor, During the early spring of 2020, as the COVID-19 (coronavirus disease 2019) pandemic spread across the globe like a viral tsunami, many countries urgently implemented unprecedented mitigation measures to slow it down, following the example of China, where the disease first emerged at the end of 2019. As a result, more than 3 billion unprepared people worldwide had to cope with living under stringent lockdown measures for weeks or months, depending on the country. Together with the deaths of hundreds of thousands of people from this disease, a frightening emotional shock has touched populations everywhere around the planet. Millions have lost their jobs, others have had their personal lives changed drastically; the elderly, for example, have sometimes been isolated from any visits. To our knowledge, no guidelines to prevent psychological trauma have been proposed, even for the most vulnerable individuals. Nonetheless, before this crisis began, several experts had warned about the potential impact of such measures on the populations’ mental health, based on previous experiences of quarantine, as summarised in a review published, as this pandemic reached Europe and before any lockdowns. 1 This warning was confirmed a few days later by the publication of a nationwide study conducted in China reporting that the quarantine triggered a wide variety of psychological disorders. 2 In France, one of the hardest hit countries in Europe, a nationwide lockdown started on 17 March and lasted till 11 May. Public health authorities made daily recommendations on how to prevent COVID-19 infection with almost no specific advice on psychological prevention. Our interest was, therefore, to assess the French population’s mental health after the onset of this unprecedented 8-week lockdown. At the end of March 2020, we began repeated weekly national cross-sectional online surveys, the COCONEL (COronavirus & CONfinement, Enquête Longitudinale) survey. Representative samples of the French population aged 18 years and older were drawn from an online research panel of more than 750 000 households stratified for sex, age, occupational status, education level, size of town and region. The survey conducted during the last 4 days of lockdown (7–10 May) focused on mental health (participants: n= 2003) and included the Patient Health Questionnaire-9 (PHQ-9) and the General Anxiety Disorder-7 (GAD-7) instruments to screen, respectively, for major depression and generalised anxiety disorders during the previous 2 weeks. 3 4 We applied a cut-off point of 15 for the PHQ-9 to identify individuals with moderate to severe depressive symptoms, and a cut-off point of 15 on the GAD-7 to define severe anxiety. For the PHQ-9, we also used a second lower cut-off point of 10 to identify individuals with moderate depressive symptoms and compare our results with the data collected in France in 2014. 5 Participants were also asked if they had experienced sleep problems over the last week and if they felt they needed psychological support from a health professional during the lockdown. We used the following item to assess sleep problems: did you have sleep problems during the last week:(A) not at all,(B) few,(C) a lot? It initially came from the quality-of-life scale ‘The Duke health profile’. 6 It has been regularly used in French surveys during the last decade, and we found that it was significantly associated with the claim of insomnia (according to International Classification of Sleep Disorders, Second Edition, and Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV)). 7 We used it because this allowed us to …
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影响因子：
11.3
作者：
Cao, Wenjun;Fang, Ziwei;Zheng, Jianzhong
通讯作者：
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影响因子：
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影响因子：
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通讯作者：
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影响因子：
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作者：
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通讯作者：
TSE, CK