Trends in Psychological Distress Among Adults in England, 2020-2022.
Trends in Psychological Distress Among Adults in England, 2020-2022.
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DOI：
10.1001/jamanetworkopen.2023.21959
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发表时间：
2023-07-03
影响因子：
13.8
通讯作者：
Brose, Leonie
中科院分区：
文献类型：
--
作者：
Jackson, Sarah E.;Brown, Jamie;Shahab, Lion;McNeill, Ann;Munafo, Marcus R.;Brose, Leonie
自2020年以来，英国成年人口中心理困扰的流行程度发生了怎样的变化？这项对51名 861名成年人的调查研究发现，自大流行开始以来，报告严重痛苦程度的比例在已经较高的基线水平上稳步增加了46%。除老年人(≥65岁)外，所有人口亚组都出现了严重痛苦的增加，其中年轻人(18-24岁)最为明显。这些发现提供了英国日益严重的精神健康危机的证据，并强调了解决其原因和为精神健康服务提供足够资金的迫切需要。这项调查研究考察了2020年4月至2022年12月期间英国成年人心理困扰的趋势，并检验了关键潜在调节因素的差异。在过去的三年里，英国人经历了一场大流行以及生活成本和医疗保健危机，所有这些都可能导致人们的心理健康状况恶化。评估成年人在这段时间内的心理痛苦趋势，并检查关键潜在调节因素的差异。2020年4月至2022年12月，英国对18岁及以上的成年人进行了一项具有全国代表性的月度横向家庭调查。过去一个月的苦恼用凯斯勒心理苦恼量表进行评定。对任何痛苦(中度到重度，≥5分)和严重痛苦(≥13分)的时间趋势进行建模，并测试与年龄、性别、职业社会等级、家庭中的孩子、吸烟状况和饮酒风险状况的交互作用。数据来自51名 861名成年人(加权平均[SD]年龄， 48.6[18.5]岁；26名 609名女性[51.3%])。报告任何痛苦的受访者比例总体变化不大(从34.5%到32.0%；患病率[PR]， 0.93；95%CI， 0.87-0.99)，但报告严重痛苦的比例增加了46%，从5.7%增加到8.3%(PR， 1.46；95%CI， 1.21-1.76)。尽管社会人口学特征、吸烟和饮酒的趋势不同，但在所有亚组中都观察到了严重痛苦的增加(PR估计从1.17%到2.16%)，除了65岁及以上的人(PR， 0.79；95%CI， 0.43-1.38)；自2021年底以来，25岁以下的人的增加尤其明显(从2021年12月的13.6%增加到2022年12月的202%)。在这项针对英格兰成年人的调查研究中，2022年12月报告任何心理痛苦的比例与2020年4月(新冠肺炎大流行的一个极其困难和不确定的时刻)相似，但报告严重痛苦的比例高出46%。这些发现提供了英国日益严重的精神健康危机的证据，并强调了解决其原因和为精神健康服务提供足够资金的迫切需要。
How has the prevalence of psychological distress in the adult population of England changed since 2020? This survey study of 51 861 adults found that the proportion reporting severe levels of distress increased steadily by 46%, from an already elevated baseline, since the start of the pandemic. This increase in severe distress occurred across all population subgroups, with the exception of older adults (aged ≥65 years), and was most pronounced in young adults (aged 18-24 years). These findings provide evidence of a growing mental health crisis in England and underscore an urgent need to address its cause and to adequately fund mental health services. This survey study examines trends in psychological distress among adults in England from April 2020 to December 2022 and examines differences by key potential moderators. In the last 3 years, people in England have lived through a pandemic and cost-of-living and health care crises, all of which may have contributed to worsening mental health in the population. To estimate trends in psychological distress among adults over this period and to examine differences by key potential moderators. A monthly cross-sectional, nationally representative household survey of adults aged 18 years or older was conducted in England between April 2020 and December 2022. Past-month distress was assessed with the Kessler Psychological Distress Scale. Time trends in any distress (moderate to severe, scores ≥5) and severe distress (scores ≥13) were modeled, and interactions with age, gender, occupational social grade, children in the household, smoking status, and drinking risk status were tested. Data were collected from 51 861 adults (weighted mean [SD] age, 48.6 [18.5] years; 26 609 women [51.3%]). There was little overall change in the proportion of respondents reporting any distress (from 34.5% to 32.0%; prevalence ratio [PR], 0.93; 95% CI, 0.87-0.99), but the proportion reporting severe distress increased by 46%, from 5.7% to 8.3% (PR, 1.46; 95% CI, 1.21-1.76). Although trends differed by sociodemographic characteristics, smoking, and drinking, the increase in severe distress was observed across all subgroups (with PR estimates ranging from 1.17 to 2.16), with the exception of those aged 65 years and older (PR, 0.79; 95% CI, 0.43-1.38); the increase was particularly pronounced since late 2021 among those younger than 25 years (increasing from 13.6% in December 2021 to 20.2% in December 2022). In this survey study of adults in England, the proportion reporting any psychological distress was similar in December 2022 to that in April 2020 (an extremely difficult and uncertain moment of the COVID-19 pandemic), but the proportion reporting severe distress was 46% higher. These findings provide evidence of a growing mental health crisis in England and underscore an urgent need to address its cause and to adequately fund mental health services.
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影响因子：
3.6
作者：
Docherty, Mary;Thornicroft, Graham
通讯作者：
Thornicroft, Graham
DOI：
10.1111/j.1749-6632.2011.06202.x
发表时间：
2012-01-01
期刊：
ADDICTION REVIEWS
影响因子：
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作者：
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通讯作者：
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影响因子：
4.5
作者：
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通讯作者：
West, Robert
影响因子：
11.3
作者：
Daly, Michael;Robinson, Eric
通讯作者：
Robinson, Eric
DOI：
10.1111/add.14249
发表时间：
2018-06-05
期刊：
Addiction (Abingdon, England)
影响因子：
--
作者：
Ervasti J;Kivimäki M;Head J;Goldberg M;Airagnes G;Pentti J;Oksanen T;Salo P;Suominen S;Jokela M;Vahtera J;Zins M;Virtanen M
通讯作者：
Virtanen M