The mental health impact of COVID-19 and lockdown-related stressors among adults in the UK.
The mental health impact of COVID-19 and lockdown-related stressors among adults in the UK.
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DOI：
10.1017/s0033291720005048
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发表时间：
2022-10
影响因子：
6.9
通讯作者：
Benzeval M
中科院分区：
文献类型：
--
作者：
Chandola T;Kumari M;Booker CL;Benzeval M
英国的COVID-19疫情及随后的封城措施可能影响了人口的心理健康。本研究探讨了在封锁的最初几个月内，英国成年人群中常见精神障碍（CMD）的患病率和发病率是否有所增加，以及CMD的变化是否与大流行和封锁相关的压力源有关。分析了英国家庭纵向研究第10-11波：2019-2020年和4月（n = 17 761）至2020年7月（n = 13 754）COVID-19月度调查第1-4波的纵向数据，这是英国成年人口的代表性样本。使用12项一般健康问卷（GHQ-12）（临界值>2）测量CMD。CMD的变化与COVID-19和社会压力因素有关。大约29%的不到一年前没有CMD的成年人在2020年4月患有CMD。然而，到2020年7月，CMD的月发病率已降至9%。大多数就业、金融和心理“冲击”在4月份达到最高水平，并在随后几个月稳步下降。尽管到7月解除了一些封锁条件，但与孤独、失业、财务问题和家务工作有关的压力源继续影响CMD。部分COVID-19政策应对措施（如休假）可能有效缓解了部分雇员群体的CMD增加。尽管截至二零二零年年中，疫情及封城相关压力源水平有所下降，但孤独及财务压力源仍是英国成年人口中CMD发病率的主要决定因素。
The COVID-19 pandemic in the UK and subsequent lockdown may have affected the mental health of the population. This study examines whether there was an increase in the prevalence and incidence of common mental disorders (CMD) in the UK adult population during the first months of lockdown and whether changes in CMD were associated with stressors related to the pandemic and lockdown. Longitudinal data from the UK Household Longitudinal Study waves 10–11: 2019–2020 and waves 1–4 of the COVID-19 monthly surveys in April (n = 17 761) to July 2020 (n = 13 754), a representative sample of UK adult population, were analysed. CMD was measured using the 12-item General Health Questionnaire (GHQ-12) (cut-off >2). Changes in CMD were analysed in relation to COVID-19 and social stressors. Around 29% of adults without CMD less than a year earlier had a CMD in April 2020. However, by July 2020, monthly incidence of CMD had reduced to 9%. Most employment, financial and psychological ‘shocks’ were at their highest levels in April and reduced steadily in later months. Despite the lifting of some lockdown conditions by July, stressors related to loneliness, unemployment, financial problems and domestic work continued to influence CMD. Some COVID-19 policy responses such as furloughing may have been effective in mitigating the increase in CMD for some groups of employees. Despite some reduction in levels of pandemic and lockdown-related stressors by the middle of 2020, loneliness and financial stressors remained key determinants of incidence in CMD among the UK adult population.