Risk and protective factors for new-onset binge eating, low weight, and self-harm symptoms in >35,000 individuals in the UK during the COVID-19 pandemic.
Risk and protective factors for new-onset binge eating, low weight, and self-harm symptoms in >35,000 individuals in the UK during the COVID-19 pandemic.
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DOI：
10.1002/eat.23834
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发表时间：
2023-01
影响因子：
5.5
通讯作者：
Breen, Gerome
中科院分区：
文献类型：
--
作者：
Davies, Helena L.;Hubel, Christopher;Herle, Moritz;Kakar, Saakshi;Mundy, Jessica;Peel, Alicia J.;ter Kuile, Abigail R.;Zvrskovec, Johan;Monssen, Dina;Lim, Kai Xiang;Davies, Molly R.;Palmos, Alish B.;Lin, Yuhao;Kalsi, Gursharan;Rogers, Henry C.;Bristow, Shannon;Glen, Kiran;Malouf, Chelsea Mika;Kelly, Emily J.;Purves, Kirstin L.;Young, Katherine S.;Hotopf, Matthew;Armour, Cherie;McIntosh, Andrew M.;Eley, Thalia C.;Treasure, Janet;Breen, Gerome
COVID-19大流行造成的破坏与心理健康状况不佳有关，包括饮食失调和自残症状的增加。我们调查了大流行期间这些症状新发的风险和保护因素。数据来自COVID-19精神病学和神经遗传学研究以及流行病研究中的心理健康重复评估（n = 36，715）。暴露量为社会人口统计学特征、终生精神疾病和COVID相关变量，包括SARS-CoV-2感染/COVID-19疾病。我们确定了四个没有流行前经历的参与者子样本：暴饮暴食（n = 24，211），低体重（n = 24，364），自杀和/或自我伤害想法（n = 18，040）和自我伤害（n = 29，948）。参与者定期（每两周到每月）报告我们的结果。我们拟合了多元逻辑回归模型，以确定与我们的结果的新开始相关的因素。在每个子样本中，报告新发事件的有：暴饮暴食21%，低体重10.8%，自杀和/或自残意念23.5%，自残3.5%。共同的风险因素包括终身患有精神疾病，没有带薪工作，更高的流行病担忧分数，以及种族少数化。相反，SARS-CoV-2感染/COVID-19疾病与暴饮暴食、低体重、自杀和/或自残意念的几率较低有关。总的来说，我们发现了可能导致饮食失调和自残之间共病的共同风险因素。在未来的大流行期间，可能需要对具有这些风险因素的亚群个体进行更频繁的监测。在35，000名英国居民的样本中，患有精神疾病的人，被确定为种族少数群体的一部分，没有带薪工作，或者更担心大流行，更有可能在大流行期间经历暴饮暴食，低体重，自杀和/或自我伤害想法以及首次自我伤害。在未来的大流行期间，具有这些风险因素的人可能需要特别关注，以便能够早期识别新的精神病症状。
The disruption caused by the COVID‐19 pandemic has been associated with poor mental health, including increases in eating disorders and self‐harm symptoms. We investigated risk and protective factors for the new onset of these symptoms during the pandemic. Data were from the COVID‐19 Psychiatry and Neurological Genetics study and the Repeated Assessment of Mental health in Pandemics Study (n = 36,715). Exposures were socio‐demographic characteristics, lifetime psychiatric disorder, and COVID‐related variables, including SARS‐CoV‐2 infection/illness with COVID‐19. We identified four subsamples of participants without pre‐pandemic experience of our outcomes: binge eating (n = 24,211), low weight (n = 24,364), suicidal and/or self‐harm ideation (n = 18,040), and self‐harm (n = 29,948). Participants reported on our outcomes at frequent intervals (fortnightly to monthly). We fitted multiple logistic regression models to identify factors associated with the new onset of our outcomes. Within each subsample, new onset was reported by: 21% for binge eating, 10.8% for low weight, 23.5% for suicidal and/or self‐harm ideation, and 3.5% for self‐harm. Shared risk factors included having a lifetime psychiatric disorder, not being in paid employment, higher pandemic worry scores, and being racially minoritized. Conversely, infection with SARS‐CoV‐2/illness with COVID‐19 was linked to lower odds of binge eating, low weight, and suicidal and/or self‐harm ideation. Overall, we detected shared risk factors that may drive the comorbidity between eating disorders and self‐harm. Subgroups of individuals with these risk factors may require more frequent monitoring during future pandemics. In a sample of 35,000 UK residents, people who had a psychiatric disorder, identified as being part of a racially minoritized group, were not in paid employment, or were more worried about the pandemic were more likely to experience binge eating, low weight, suicidal and/or self‐harm ideation, and self‐harm for the first time during the pandemic. People with these risk factors may need particular attention during future pandemics to enable early identification of new psychiatric symptoms.
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