Patterns and predictors of depressive and anxiety symptoms within a population-based sample of adults diagnosed with COVID-19 in Michigan.
Patterns and predictors of depressive and anxiety symptoms within a population-based sample of adults diagnosed with COVID-19 in Michigan.
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DOI：
10.1007/s00127-023-02453-9
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发表时间：
2023-07
影响因子：
4.4
通讯作者：
Fleischer, Nancy L.
中科院分区：
文献类型：
--
作者：
Titus, Andrea R.;Mezuk, Briana;Hirschtick, Jana L.;McKane, Patricia;Elliott, Michael R.;Fleischer, Nancy L.
COVID-19大流行对心理健康产生了广泛的影响，然而，对于经历过COVID-19诊断的成年人的心理健康结果的预测因素知之甚少。我们在美国密歇根州大流行早期诊断为COVID-19的成年人人群样本中，研究了抑郁和焦虑症状的人口统计学、经济学和疾病相关预测因素的交叉点。数据来自对2020年8月1日之前经历COVID-19诊断的密歇根州成年人（N = 1087）进行的基于人群的调查。我们使用加权患病率估计和多项逻辑回归来检查心理健康结果（抑郁症状、焦虑症状和抑郁/焦虑共病症状）与人口统计学特征、获得基本需求（获得食物/清洁水和支付重要账单）的流行相关变化、自我报告的COVID-19症状严重程度和症状持续时间之间的关联。经历不良心理健康结果的相对风险因性别、年龄、种族/民族和收入而异。在调整后的模型中，经历与大流行相关的基本需求的变化与焦虑和共病焦虑/抑郁症状的相对风险较高相关。更严重的COVID-19症状与更高的共病抑郁/焦虑症状负担相关。“长期COVID”（症状持续时间超过60天）与所有结局相关。被诊断患有COVID-19的成年人可能面临精神健康状况不佳的重叠风险因素，包括与流行病相关的家庭和经济福祉中断，以及与COVID-19症状严重程度和持续时间相关的因素。有必要采取综合方法治疗COVID-19幸存者的抑郁/焦虑症状。在线版本包含补充材料，可通过10.1007/s 00127 -023-02453-9获得。
The COVID-19 pandemic has had wide-ranging impacts on mental health, however, less is known about predictors of mental health outcomes among adults who have experienced a COVID-19 diagnosis. We examined the intersection of demographic, economic, and illness-related predictors of depressive and anxiety symptoms within a population-based sample of adults diagnosed with COVID-19 in the U.S. state of Michigan early in the pandemic. Data were from a population-based survey of Michigan adults who experienced a COVID-19 diagnosis prior to August 1, 2020 (N = 1087). We used weighted prevalence estimates and multinomial logistic regression to examine associations between mental health outcomes (depressive symptoms, anxiety symptoms, and comorbid depressive/anxiety symptoms) and demographic characteristics, pandemic-associated changes in accessing basic needs (accessing food/clean water and paying important bills), self-reported COVID-19 symptom severity, and symptom duration. Relative risks for experiencing poor mental health outcomes varied by sex, age, race/ethnicity, and income. In adjusted models, experiencing a change in accessing basic needs associated with the pandemic was associated with higher relative risks for anxiety and comorbid anxiety/depressive symptoms. Worse COVID-19 symptom severity was associated with a higher burden of comorbid depressive/anxiety symptoms. “Long COVID” (symptom duration greater than 60 days) was associated with all outcomes. Adults diagnosed with COVID-19 may face overlapping risk factors for poor mental health outcomes, including pandemic-associated disruptions to household and economic wellbeing, as well as factors related to COVID-19 symptom severity and duration. An integrated approach to treating depressive/anxiety symptoms among COVID-19 survivors is warranted. The online version contains supplementary material available at 10.1007/s00127-023-02453-9.
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影响因子：
17.3
作者：
Aiyegbusi OL;Hughes SE;Turner G;Rivera SC;McMullan C;Chandan JS;Haroon S;Price G;Davies EH;Nirantharakumar K;Sapey E;Calvert MJ;TLC Study Group
通讯作者：
TLC Study Group
影响因子：
11.3
作者：
Liu, Dong;Baumeister, Roy F.;Zhang, Shi
通讯作者：
Zhang, Shi
影响因子：
15.1
作者：
Guo, Qian;Zheng, Yuchen;Yang, Zongguo
通讯作者：
Yang, Zongguo
影响因子：
5.4
作者：
Burton A;Aughterson H;Fancourt D;Philip KEJ
通讯作者：
Philip KEJ
DOI：
10.1192/bjp.2020.212
发表时间：
2021-06
期刊：
The British journal of psychiatry : the journal of mental science
影响因子：
--
作者：
O'Connor RC;Wetherall K;Cleare S;McClelland H;Melson AJ;Niedzwiedz CL;O'Carroll RE;O'Connor DB;Platt S;Scowcroft E;Watson B;Zortea T;Ferguson E;Robb KA
通讯作者：
Robb KA