Correlates of Mental Health Symptoms Among US Adults During COVID-19, March-April 2020
Correlates of Mental Health Symptoms Among US Adults During COVID-19, March-April 2020
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DOI：
10.1177/0033354920970179
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发表时间：
2021-01-01
影响因子：
3.3
通讯作者：
Creber, Ruth Masterson
中科院分区：
文献类型：
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作者：
Reading Turchioe, Meghan;Grossman, Lisa V.;Creber, Ruth Masterson
了解2019冠状病毒病（COVID-19）大流行期间的心理健康症状对于确保卫生政策充分满足美国人民的心理健康需求至关重要。这项研究的目的是检查美国成年人在COVID-19大流行早期阶段的心理健康症状。方法我们于2020年3月下旬使用在线研究平台对963名美国成年人进行了一项全国样本的横断面研究。参与者使用患者报告结果测量信息系统测量中经过验证的患者报告结果量表，自我报告了COVID-19背景下的居住状况、心理社会特征以及焦虑、抑郁、愤怒、认知功能和疲劳水平。我们使用方差分析和多元线性回归来评估心理健康症状的相关性。总体而言，参与者报告了高水平的焦虑（平均值[SD]，57.2 [9.3]）和抑郁（平均值[SD]，54.2 [9.5]）。愤怒、焦虑、认知功能、抑郁和疲劳的水平在千禧一代和X一代（与婴儿潮一代相比）、那些没有足够或足够（与足够多）财政资源的人、女性与男性）、那些自我报告残疾的人（与没有自我报告残疾的人相比）以及那些健康素养不足的人中显着更高。在调整后的模型中，X一代和千禧一代（相对于婴儿潮一代），没有足够的或足够的（相对于足够的）财政资源，以及健康素养不足（相对于足够的）与更严重的心理健康症状密切相关。结果表明，在COVID-19大流行的早期阶段，心理健康症状在全国范围内普遍存在，无论居住在哪个州，特别是在年轻的心理社会弱势群体中。
Objectives An understanding of mental health symptoms during the coronavirus disease 2019 (COVID-19) pandemic is critical to ensure that health policies adequately address the mental health needs of people in the United States. The objective of this study was to examine mental health symptoms among US adults in an early stage of the COVID-19 pandemic. Methods We conducted a cross-sectional study in late March 2020 with a national sample of 963 US adults using an online research platform. Participants self-reported state of residence, psychosocial characteristics, and levels of anxiety, depression, anger, cognitive function, and fatigue in the context of COVID-19 using validated patient-reported outcomes scales in the Patient-Reported Outcome Measurement Information System measures. We used analysis of variance and multivariate linear regression to evaluate correlates of mental health symptoms. Results Overall, participants reported high levels of anxiety (mean [SD], 57.2 [9.3]) and depression (mean [SD], 54.2 [9.5]). Levels of anger, anxiety, cognitive function, depression, and fatigue were significantly higher among the Millennial Generation and Generation X (vs Baby Boomers), those with not enough or enough (vs more than enough) financial resources, females vs males), those with self-reported disability (vs no self-reported disability), and those with inadequate (vs adequate) health literacy. In adjusted models, being in Generation X and the Millennial Generation (vs Baby Boomer), having not enough or enough vs more than enough) financial resources, and having inadequate (vs adequate) health literacy were most strongly correlated with worse mental health symptoms. Conclusions Results suggest that mental health symptoms during the early stages of the COVID-19 pandemic were prevalent nationally, regardless of state of residence and especially among young, psychosocially vulnerable groups.