Trajectories of Mental Distress Among U.S. Adults During the COVID-19 Pandemic.
Trajectories of Mental Distress Among U.S. Adults During the COVID-19 Pandemic.
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DOI：
10.1093/abm/kaaa126
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发表时间：
2021-03-16
期刊：
影响因子：
--
通讯作者：
Stuart EA
中科院分区：
文献类型：
--
作者：
Riehm KE;Holingue C;Smail EJ;Kapteyn A;Bennett D;Thrul J;Kreuter F;McGinty EE;Kalb LG;Veldhuis CB;Johnson RM;Fallin MD;Stuart EA
横断面研究发现，2019年冠状病毒病（COVID-19）大流行对人口层面的心理健康产生了负面影响。纵向研究是必要的，以检查心理健康随时间变化的轨迹，并确定有持续痛苦风险的社会人口统计学群体。研究2020年3月10日至8月4日（2019冠状病毒病大流行的关键时期）精神痛苦的轨迹。参与者包括来自全国代表性的“了解美国研究”的6901名成年人，该研究在2020年3月10日至31日期间进行了基线调查，并在2020年4月1日至8月4日期间进行了9次后续评估。使用混合效应逻辑回归来检查美国成年人总体和按性别、年龄、种族/民族、家庭结构、联邦贫困线和人口普查地区定义的社会人口亚组中日期与自我报告的精神困扰（用四项患者健康问卷测量）之间的关系。与3月11日相比，美国成年人患精神疾病的几率在4月1日是1.84倍（95%可信区间[CI] = 1.65-2.07），在5月1日是1.92倍（95% CI = 1.62-2.28）；到8月1日，精神痛苦的几率已恢复到与3月11日相当的水平（优势比[OR] = 0.80, 95% CI = 0.66-0.96）。与男性相比，女性在3月至5月期间经历了更剧烈的精神痛苦增加（女性：OR = 2.29, 95% CI = 1.85-2.82；男性：OR = 1.53, 95% CI = 1.15-2.02）。这些发现突出了在前所未有的大流行期间精神健康症状的轨迹，包括确定有持续精神痛苦风险的人群。2020年3月至8月期间，美国成年人精神困扰的患病率有所波动，4月中旬达到峰值；与男性相比，女性经历了更大比例的精神痛苦增加。
Cross-sectional studies have found that the coronavirus disease 2019 (COVID-19) pandemic has negatively affected population-level mental health. Longitudinal studies are necessary to examine trajectories of change in mental health over time and identify sociodemographic groups at risk for persistent distress. To examine the trajectories of mental distress between March 10 and August 4, 2020, a key period during the COVID-19 pandemic. Participants included 6,901 adults from the nationally representative Understanding America Study, surveyed at baseline between March 10 and 31, 2020, with nine follow-up assessments between April 1 and August 4, 2020. Mixed-effects logistic regression was used to examine the association between date and self-reported mental distress (measured with the four-item Patient Health Questionnaire) among U.S. adults overall and among sociodemographic subgroups defined by sex, age, race/ethnicity, household structure, federal poverty line, and census region. Compared to March 11, the odds of mental distress among U.S. adults overall were 1.84 (95% confidence interval [CI] = 1.65–2.07) times higher on April 1 and 1.92 (95% CI = 1.62–2.28) times higher on May 1; by August 1, the odds of mental distress had returned to levels comparable to March 11 (odds ratio [OR] = 0.80, 95% CI = 0.66–0.96). Females experienced a sharper increase in mental distress between March and May compared to males (females: OR = 2.29, 95% CI = 1.85–2.82; males: OR = 1.53, 95% CI = 1.15–2.02). These findings highlight the trajectory of mental health symptoms during an unprecedented pandemic, including the identification of populations at risk for sustained mental distress. The prevalence of mental distress among U.S. adults fluctuated between March and August 2020, with a peak observed in mid-April; women experienced a proportionally larger increase in prevalence of mental distress compared to men.
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作者：
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DOI：
10.1056/nejmp2023616
发表时间：
2020-09-17
期刊：
The New England journal of medicine
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