Change in Depression and Its Determinants during the COVID-19 Pandemic: A Longitudinal Examination among Racially/Ethnically Diverse US Adults.

Change in Depression and Its Determinants during the COVID-19 Pandemic: A Longitudinal Examination among Racially/Ethnically Diverse US Adults.
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DOI:
10.3390/ijerph19031194
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发表时间:
2022-01-21
影响因子:
--
通讯作者:
van den Berg A
van den Berg A
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Zhang Y;Janda KM;Ranjit N;Salvo D;Nielsen A;van den Berg A

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本研究检查了纵向数据,以确定抑郁症状发生的变化,并探讨这种变化是否与2019冠状病毒病大流行期间德克萨斯州中部居民的社会人口统计学、运动行为和健康变量有关。参与者在2020年(6月和11月)完成了一项正在进行的纵向研究的两项在线调查。抑郁症状采用《患者健康问卷-2》进行测量。两个时间点之间抑郁症状发生状态的变化分为(1)稳定/改善,(2)持续抑郁症状/下降。社会人口因素、运动行为和健康数据均为自我报告。统计分析采用描述性统计和逻辑回归。在总共290个人中(84.1%为女性,71.0%为种族/少数民族),13.5%被归类为持续抑郁症状/下降。多变量logistic回归表明,种族/少数民族、年龄较大和体力活动增加与较低的可能性相关,而久坐时间较长与持续抑郁症状/状态下降的可能性较高相关。在大流行发生3个月至8个月期间,各种社会人口统计学和行为变量与抑郁症状发生状态的变化有关。未来的研究应探索COVID-19对不同人群抑郁症的长期影响,并确定抑郁症的危险因素。
This study examined longitudinal data to identify changes in the occurrence of depressive symptoms, and to explore if such changes were associated with socio-demographic, movement behaviors, and health variables during the COVID-19 pandemic, among a diverse sample of central Texas residents. Participants who completed two online surveys in 2020 (in June and November) from an on-going longitudinal study were included. Depressive symptoms were measured by Patient Health Questionnaire-2. Change in depressive symptoms’ occurrence status between the two time points was categorized into (1) stable/improved, and (2) consistent depressive symptoms/declined. Sociodemographic factors, movement behaviors and health data were self-reported. Statistical analyses utilized descriptive statistics and logistical regression. Among a total of 290 individuals (84.1% female; 71.0% racial/ethnic minorities), 13.5% were categorized as consistent depressive symptoms/declined. Multivariable logistic regression indicated that racial/ethnic minorities, older age, and increased physical activity were associated with a lower likelihood, while greater sedentary time was associated with higher likelihood of consistent depressive symptoms/declined status. Between 3 months and 8 months into the pandemic, various socio-demographic and behavioral variables were associated with changes in depressive symptoms’ occurrence status. Future research should explore the longer-term impacts of COVID-19 on depression among a diverse population and identify risk factors for depression.
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