How does the COVID-19 pandemic impact on population mental health? A network analysis of COVID influences on depression, anxiety and traumatic stress in the UK population.
How does the COVID-19 pandemic impact on population mental health? A network analysis of COVID influences on depression, anxiety and traumatic stress in the UK population.
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DOI：
10.1017/s0033291721000635
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发表时间：
2021-03-16
影响因子：
6.9
通讯作者：
Bentall RP
中科院分区：
文献类型：
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作者：
Zavlis O;Butter S;Bennett K;Hartman TK;Hyland P;Mason L;McBride O;Murphy J;Gibson-Miller J;Levita L;Martinez AP;Shevlin M;Stocks TVA;Vallières F;Bentall RP
2019冠状病毒病（COVID-19）紧急情况导致多次尝试评估大流行对人群心理健康的影响。研究结果表明，抑郁和焦虑增加，但由于缺乏关于大流行的哪些方面（例如病毒暴露或经济威胁）导致不良心理健康结果的具体性而受到限制。对COVID-19心理研究联盟研究的第1波（N = 2025，2020年3月23日至3月28日招募）和第2波（N = 1406，2020年4月22日至5月1日重新接触）的数据进行了网络分析，该研究是对英国成年人群代表性样本的在线纵向调查。我们的模型包括抑郁症（PHQ-9），广泛性焦虑症（GAD-7）和创伤症状（ITQ）;以及COVID特异性焦虑，自我和亲密他人暴露于病毒以及大流行造成的经济损失的措施。第1波的混合图形模型确定了从经济逆境到焦虑症状的潜在途径，即通过COVID特异性焦虑。病毒暴露与症状之间没有关联。在每个波使用症状评分的临床截止值的伊辛网络模型产生了类似的结果，除了病毒暴露对创伤症状的适度影响仅在波1。焦虑和抑郁症状在第1波形成单独的集群，但在第2波没有。疫情的心理影响在封城初期有所演变。与COVID相关的焦虑可能代表了大流行的经济后果与精神症状相关的机制。
The coronavirus disease 2019 (COVID-19) emergency has led to numerous attempts to assess the impact of the pandemic on population mental health. The findings indicate an increase in depression and anxiety but have been limited by the lack of specificity about which aspects of the pandemic (e.g. viral exposure or economic threats) have led to adverse mental health outcomes. Network analyses were conducted on data from wave 1 (N = 2025, recruited 23 March–28 March 2020) and wave 2 (N = 1406, recontacts 22 April–1 May 2020) of the COVID-19 Psychological Research Consortium Study, an online longitudinal survey of a representative sample of the UK adult population. Our models included depression (PHQ-9), generalized anxiety (GAD-7) and trauma symptoms (ITQ); and measures of COVID-specific anxiety, exposure to the virus in self and close others, as well as economic loss due to the pandemic. A mixed graphical model at wave 1 identified a potential pathway from economic adversity to anxiety symptoms via COVID-specific anxiety. There was no association between viral exposure and symptoms. Ising network models using clinical cut-offs for symptom scores at each wave yielded similar findings, with the exception of a modest effect of viral exposure on trauma symptoms at wave 1 only. Anxiety and depression symptoms formed separate clusters at wave 1 but not wave 2. The psychological impact of the pandemic evolved in the early phase of lockdown. COVID-related anxiety may represent the mechanism through which economic consequences of the pandemic are associated with psychiatric symptoms.