Increased Internet Searches for Insomnia as an Indicator of Global Mental Health During the COVID-19 Pandemic: Multinational Longitudinal Study.
Increased Internet Searches for Insomnia as an Indicator of Global Mental Health During the COVID-19 Pandemic: Multinational Longitudinal Study.
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DOI：
10.2196/22181
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发表时间：
2020-09-21
影响因子：
7.4
通讯作者：
Lin YL
中科院分区：
文献类型：
--
作者：
Lin YH;Chiang TW;Lin YL
为了跟踪新冠肺炎大流行的长期影响，迫切需要实时的全球心理健康监测。这项研究的目的是利用谷歌趋势的数据，通过分析三个表明精神痛苦的关键字：“失眠”、“抑郁”和“自杀”，来调查大流行对全球心理健康的影响。我们调查了19个国家的搜索查询的增长情况。显著增长被定义为实际的每日搜索值(从2020年3月20日至4月19日)高于通过ARIMA(自回归综合移动平均)模型从3个月基线预测的95%的CI。我们研究了新冠肺炎相关死亡人数的增加与多个国家失眠、抑郁和自杀搜索量显著增加的天数之间的相关性。失眠搜索量增长最快的国家是伊朗、西班牙、美国和意大利；在观察的31天中，这些国家有超过10天的失眠症搜索量显著增加。在19个国家中，与新冠肺炎相关的死亡人数与失眠搜索天数呈正相关(ρ=0.64，P=0.003)。相比之下，死亡人数与抑郁症(ρ=-0.12，P=.63)或自杀(ρ=-0.07，P=.79)搜索次数的增加之间没有显著的相关性。我们的分析表明，在新冠肺炎大流行期间，失眠可能是常规精神健康筛查的一部分。
Real-time global mental health surveillance is urgently needed for tracking the long-term impact of the COVID-19 pandemic. This study aimed to use Google Trends data to investigate the impact of the pandemic on global mental health by analyzing three keywords indicative of mental distress: “insomnia,” “depression,” and “suicide.” We examined increases in search queries for 19 countries. Significant increases were defined as the actual daily search value (from March 20 to April 19, 2020) being higher than the 95% CIs of the forecast from the 3-month baseline via ARIMA (autoregressive integrated moving average) modeling. We examined the correlation between increases in COVID-19–related deaths and the number of days with significant increases in search volumes for insomnia, depression, and suicide across multiple nations. The countries with the greatest increases in searches for insomnia were Iran, Spain, the United States, and Italy; these countries exhibited a significant increase in insomnia searches on more than 10 of the 31 days observed. The number of COVID-19–related deaths was positively correlated to the number of days with an increase in searches for insomnia in the 19 countries (ρ=0.64, P=.003). By contrast, there was no significant correlation between the number of deaths and increases in searches for depression (ρ=–0.12, P=.63) or suicide (ρ=–0.07, P=.79). Our analysis suggests that insomnia could be a part of routine mental health screening during the COVID-19 pandemic.
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