Psychological distress and adaptation to the COVID-19 crisis in the United States.
Psychological distress and adaptation to the COVID-19 crisis in the United States.
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心理困扰和适应美国的共同危机。
DOI：
10.1016/j.jpsychires.2020.10.035
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发表时间：
2021-04
影响因子：
4.8
通讯作者：
Robinson E
中科院分区：
文献类型：
--
作者：
Daly M;Robinson E
人们越来越担心，COVID-19 危机可能会对全社会的心理健康产生长期影响，特别是对于那些已有心理健康问题的人。在这项基于人群的观察性研究中，我们研究了美国出现 COVID-19 危机后心理困扰的变化，并测试了某些人群亚组是否容易在危机期间遭受持续的困扰。我们分析了 2020 年 3 月 10 日至 7 月 20 日期间收集的八波理解美国研究 (UAS) 的全国代表性纵向数据（N = 7319 观察 = 46,145）。通过年龄、性别、种族/民族、家庭收入以及先前存在的心理健康诊断来检查痛苦趋势的差异。使用患者健康问卷 4 (PHQ-4) 的标准化总分来评估心理困扰。随着 COVID-19 危机的出现以及美国开始实施封锁限制，从 2020 年 3 月 10 日至 18 日到 4 月 1 日至 14 日，平均心理困扰显着增加了 0.27 个标准差 (95% CI [0.23,0.31], p < .001)。随后，到 2020 年 6 月，痛苦水平下降至 3 月中旬的水平（d = –0.31，95% CI [–0.34，–0.27]，p <.001）。在接受调查的社会人口群体和那些已有心理健康状况的群体中，我们观察到痛苦急剧上升，随后又恢复到基线痛苦水平。这项研究发现，在 COVID-19 危机出现期间，美国的痛苦大幅增加，但在接下来的几周内大幅减少，并表明人口层面的心理健康复原力可能是为了应对这一流行病而出现的。
There is growing concern that the COVID-19 crisis may have long-standing mental health effects across society particularly amongst those with pre-existing mental health conditions. In this observational population-based study, we examined how psychological distress changed following the emergence of the COVID-19 crisis in the United States and tested whether certain population subgroups were vulnerable to persistent distress during the crisis. We analyzed longitudinal nationally representative data from eight waves of the Understanding America Study (UAS) collected between March 10th and July 20th, 2020 (N = 7319 Observations = 46,145). Differences in distress trends were examined by age, sex, race/ethnicity, and household income and by the presence of a pre-existing mental health diagnosis. Psychological distress was assessed using the standardized total score on the Patient Health Questionnaire-4 (PHQ-4). On average psychological distress increased significantly by 0.27 standard deviations (95% CI [0.23,0.31], p < .001) from March 10–18 to April 1–14, 2020 as the COVID-19 crisis emerged and lockdown restrictions began in the US. Distress levels subsequently declined to mid-March levels by June 2020 (d = –0.31, 95% CI [–0.34, –0.27], p < .001). Across the sociodemographic groups examined and those with pre-existing mental health conditions we observed a sharp rise in distress followed by a recovery to baseline distress levels. This study identified substantial increases in distress in the US during the emergence of the COVID-19 crisis that largely diminished in the weeks that followed and suggests that population level resilience in mental health may be occurring in response to the pandemic.
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DOI：
10.15585/mmwr.mm6918e2
发表时间：
2020-05-08
期刊：
MMWR. Morbidity and mortality weekly report
影响因子：
--
作者：
Schuchat A;CDC COVID-19 Response Team
通讯作者：
CDC COVID-19 Response Team
影响因子：
10.5
作者：
Iob, Eleonora;Steptoe, Andrew;Fancourt, Daisy
通讯作者：
Fancourt, Daisy
影响因子：
6.6
作者：
Loewe, Bernd;Wahl, Inka;Braehler, Elmar
通讯作者：
Braehler, Elmar
影响因子：
6.9
作者：
Daly M;Sutin AR;Robinson E
通讯作者：
Robinson E
影响因子：
3.8
作者：
Lancee, William J.;Maunder, Robert G.;Goldbloom, David S.
通讯作者：
Goldbloom, David S.