Covid-19-Beyond virology: Potentials for maintaining mental health during lockdown
Covid-19-Beyond virology: Potentials for maintaining mental health during lockdown
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DOI：
10.1371/journal.pone.0236688
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发表时间：
2020-08-04
期刊：
影响因子：
3.7
通讯作者：
Hennig, Juergen
中科院分区：
文献类型：
--
作者：
Munk, Aisha J. L.;Schmidt, Norina M.;Hennig, Juergen
背景本研究旨在评估新冠肺炎大流行期间精神障碍的患病率-以及德国的相应封锁，以及可能对预防严重精神问题具有保护作用的潜在行为/状态。为了确定人们的心理痛苦，评估精神障碍的患病率以及寻找潜在的保护变量非常重要。它为教授可能的应对方式提供了基础，以防止心理健康的重大崩溃。在大流行期间，精神障碍的患病率预计会增加，特别是抑郁症、（一般性-和健康-）焦虑症、惊恐发作-和精神障碍以及强迫症。此外，潜在的保护变量，如弹性和应对，也包括在内。方法N = 949名受试者完成了一项在线调查，询问有关抑郁症，（健康）焦虑，惊恐障碍，强迫症和锁定相关行为的症状，在德国锁定后14天开始。结果本次调查对象的精神障碍患病率明显高于一般人群，有50.6%的被调查对象至少有一种精神障碍。复原力与任何精神障碍的风险较低相关（OR = 4.23，p <0.0001，95%CI = 3.21-5.57），以及与任何其他测量的精神疾病相关（强迫症的所有OR = 2.82，恐慌症的OR = 41.44，所有p <0.001）。在应对方面也获得了类似的结果（侧重于积极的）。结论结果具有高度相关性，以便了解目前的大流行和封锁情况对全国乃至全世界的心理健康产生了哪些实质性影响。目前正在拟订和讨论防止局势恶化和帮助应付目前局势的可能办法。
Background The current study aimed to assess prevalence of mental disorders during Covid-19 pandemic- and respective lockdown in Germany, and potential behaviors/states that can have protective functions on preventing severe mental problems. Assessing prevalence of mental disorders, as well as to find potential protective variables is very important in order to determine people's psychological suffering. It provides the basis for teaching possible coping styles in order to prevent a major breakdown on mental health. Prevalence on mental disorders was expected to increase during the pandemic, especially depression, (general-/and health-) anxiety, panic attacks- and disorder, as well as obsessive-compulsive disorder. Additionally, potentially protective variables, such as resilience and coping, were included. Methods N = 949 subjects completed an online-survey that asked for symptoms regarding depression, (health) anxiety, panic disorder, obsessive-compulsive disorder, and lock-down related behavior-starting 14 days after lockdown in Germany. Results Prevalence of mental disorders in the current sample was much higher than usual prevalence of mental disorders, with 50.6% expressing at least one mental disorder. Resilience was associated with lower risks for any mental disorder (OR = 4.23, p < .0001, 95%CI = 3.21-5.57), as well as with any other measured mental illness (all ORs between = 2.82 for obsessive-compulsive disorder and OR = 41.44 for panic disorder, all p < .001). Similar results were obtained regarding coping (focus on positive). Conclusion Results are highly relevant in order to provide a glance on what substantial influence the current pandemic- and lockdown situation has on mental health across the country, and possibly across the world. Possible ways in order to prevent deterioration and help coping with the current situation are being elaborated and discussed.