A longitudinal study of psychological distress in the United States before and during the COVID-19 pandemic.
A longitudinal study of psychological distress in the United States before and during the COVID-19 pandemic.
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DOI：
10.1016/j.ypmed.2020.106362
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发表时间：
2021-02
影响因子：
5.1
通讯作者：
Collins RL
中科院分区：
文献类型：
--
作者：
Breslau J;Finucane ML;Locker AR;Baird MD;Roth EA;Collins RL
COVID-19大流行造成财务压力及扰乱日常生活的速度比以往任何一次经济衰退都快，规模也超过以往任何一次自然灾害。本研究旨在评估大流行对心理困扰的影响，并使用纵向数据确定弱势群体，以说明大流行前的心理健康状况。在2019年2月（T1）和2020年5月（T2）这两个时间点，在美国成年人的全国概率样本中，使用Kessler-6评估了具有临床意义的心理困扰。为了确定痛苦的增加，在T1的过去一年中最糟糕的一个月的心理痛苦与在T2的过去30天的心理痛苦进行了比较。调查调整的逻辑回归被用来估计在T1（性别，年龄，种族和收入）和人口普查地区在T2与心理困扰的人内增加的人口统计学特征的关联。T2时严重心理困扰的上个月患病率与T1时的去年患病率一样高（10.9%对10.2%）。心理困扰在各评估中密切相关（X2（4）= 174.6，p < .0001）。T1以上心理困扰的增加与性别、年龄、家庭收入和人口普查地区有关。在大流行病期间的30天内经历严重心理痛苦的人数与大流行病前一整年的人数相同。精神卫生服务和研究工作应针对那些有精神卫生疾病史的人，以及被确定为比大流行前水平更有可能增加痛苦的群体。
The COVID-19 pandemic has caused financial stress and disrupted daily life more quickly than any prior economic downturn and on a scale beyond any prior natural disaster. This study aimed to assess the impact of the pandemic on psychological distress and identify vulnerable groups using longitudinal data to account for pre-pandemic mental health status. Clinically significant psychological distress was assessed with the Kessler-6 in a national probability sample of adults in the United States at two time points, February 2019 (T1) and May 2020 (T2). To identify increases in distress, psychological distress during the worst month of the past year at T1 was compared with psychological distress over the past 30-days at T2. Survey adjusted logistic regression was used to estimate associations of demographic characteristics at T1 (gender, age, race, and income) and census region at T2 with within-person increases in psychological distress. The past-month prevalence of serious psychological distress at T2 was as high as the past-year prevalence at T1 (10.9% vs. 10.2%). Psychological distress was strongly associated across assessments (X2(4) = 174.6, p < .0001). Increase in psychological distress above T1 was associated with gender, age, household income, and census region. Equal numbers of people experienced serious psychological distress in 30-days during the pandemic as did over an entire year prior to the pandemic. Mental health services and research efforts should be targeted to those with a history of mental health conditions and groups identified as at high risk for increases in distress above pre-pandemic levels.
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影响因子：
3.7
作者：
Pietrzak, Robert H.;Tracy, Melissa;Norris, Fran H.
通讯作者：
Norris, Fran H.
影响因子：
--
作者：
Kessler, RC;Barker, PR;Zaslavsky, AM
通讯作者：
Zaslavsky, AM
DOI：
10.1073/pnas.2006706117
发表时间：
2020-06-09
影响因子：
11.1
作者：
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通讯作者：
Lowe, Sarah R.
影响因子：
2.1
作者：
Cygan-Rehm, Kamila;Kuehnle, Daniel;Oberfichtner, Michael
通讯作者：
Oberfichtner, Michael
影响因子：
4.8
作者：
Daly M;Robinson E
通讯作者：
Robinson E