Anxiety and depression symptoms, and lack of emotional support among the general population before and during the COVID-19 pandemic. A prospective national study on prevalence and risk factors

Anxiety and depression symptoms, and lack of emotional support among the general population before and during the COVID-19 pandemic. A prospective national study on prevalence and risk factors
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DOI:
10.1016/j.jad.2020.08.026
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发表时间:
2020-12-01
影响因子:
6.6
通讯作者:
Bosmans, Mark W. G.
Bosmans, Mark W. G.
中科院分区:
医学2区
文献类型:
--
作者:
van der Velden, Peter G.;Contino, Carlo;Bosmans, Mark W. G.

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背景:新冠肺炎疫情对普通人群心理健康和情绪支持的影响尚不清楚。因此,我们评估了高度焦虑和抑郁症状(ADS)水平和缺乏情感支持(ES)的患病率是否增加,以及ADS和ES的危险因素是否发生变化。方法:数据来自荷兰纵向人群LISS小组进行的调查(N=3983)。2019年3月和2020年对ADS和ES进行了评估。ADS和ES的风险因素是从2018年11月和2019年的调查中提取的。分别是:ADS、性别、教育程度、家庭状况、就业情况、年龄、民族、心肺问题和糖尿病。结果:ADS水平高和ES缺乏的患病率与暴发前相比没有增加。在2019年3月和2020年,广告、非本土种族背景、(部分)工作残疾和肺部问题都预示着广告和缺乏ES。在2020年3月,求职者、学生和打理家务的人广告风险更大,但在2019年不是这样。虽然35-49岁的受访者在2019年3月面临的广告风险较低,但在2020年他们面临的风险更大。2020年3月,家里有孩子的父母和更经常照顾家务的父母缺乏精神卫生服务,但在2019年不是这样。限制:没有评估其他心理健康问题。结论:未发现ADS和ES缺乏的患病率增加。一些风险因素在疫情爆发后仍然很重要,而另一些则发生了显著变化。
Background: The effects of the COVID-19 pandemic on the mental health and emotional support among the general population are unclear. We therefore assessed if the prevalence of high Anxiety and Depression Symptoms (ADS) levels and lack of Emotional Support (ES) increased, and if risk factors of ADS and ES changed.Methods: Data was extracted from surveys conducted with the Dutch longitudinal population-based LISS panel (N = 3,983). ADS and ES were assessed in March 2019 and 2020. Risk factors for ADS and ES were extracted from surveys in November 2018 and 2019. These were: ADS, gender, education, domestic situation, employ-ment, age, ethnicity, lung and heart problems, and diabetes.Results: The prevalence of high ADS levels and lack of ES did not increase compared to the pre-outbreak prevalence. ADS, non-native ethnic background, (partial) work disabilities and lung problems were predictive of both ADS and lack of ES in March 2019 and 2020. Job seekers, students and those who take care of housekeeping were more at risk for ADS in March 2020, but not in 2019. While 35-49 years old respondents were less at risk for ADS in March 2019, they were more at risk in 2020. Parents with child(ren) at home and those who take care of housekeeping more often lacked ES in March 2020, but not in 2019.Limitations: No other mental health problems were assessed. Conclusions: No increase in the prevalence of ADS and lack of ES was found. Some risk factors remained significant after the outbreak, while others changed notably.