Multimorbidity worsened anxiety and depression symptoms during the COVID-19 pandemic in Brazil.

Multimorbidity worsened anxiety and depression symptoms during the COVID-19 pandemic in Brazil.
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DOI:
10.1016/j.jad.2022.07.005
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发表时间:
2022-10-01
影响因子:
6.6
通讯作者:
Barbosa, Jakeline Ribeiro
Barbosa, Jakeline Ribeiro
中科院分区:
医学2区
文献类型:
--
作者:
Silva Castro-de-Araujo, Luis Fernando;Rodrigues, Elisangela da Silva;Machado, Daiane Borges;Pessanha Henriques, Claudio Maierovitch;Verotti, Mariana Pastorello;Goncalves, Alessandra Queiroga;Duarte-Salles, Talita;Kanaan, Richard A.;Barreto, Mauricio Lima;Lewis, Glyn;Barbosa, Jakeline Ribeiro

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多发性硬化症是一个全球性的健康问题,影响所有年龄段的生活质量。患有精神障碍的多发病者很少被研究,很可能受到了COVID-19大流行的影响。我们对居住在巴西的14,007名受访者进行了一项调查,以调查已经患有至少一种慢性疾病的人在2020年社交距离期间是否会出现更多的抑郁和焦虑症状。广义线性模型和结构方程模型被用来估计的影响。女性和男性的抑郁症状分别增加19%和15%,报告的慢性病观察值每增加一个单位。年龄较大的受试者表现出较少的抑郁和焦虑症状。报告的慢性病变量每增加一个单位,女性的焦虑症状就增加16%,男性增加14%。年轻的受试者更受焦虑症状的影响,呈剂量反应方式。男性和女性的高收入与较少的抑郁和焦虑症状显着相关。体力活动与较少的焦虑和抑郁症状显着相关。结构方程模型证实了这些结果,并提供了进一步的洞察假设的路径。评估慢性疾病的存在是否会增加大流行中报告焦虑或抑郁症状的风险发现这种关联存在,并且对于焦虑和抑郁症状都很重要高收入与男性和女性中较少的抑郁和焦虑症状显着相关
Multimorbidity is a global health issue impacting the quality of life of all ages. Multimorbidity with a mental disorder is little studied and is likely to have been affected by the COVID-19 pandemic. We used a survey of 14,007 respondents living in Brazil to investigate whether people who already had at least one chronic medical condition had more depression and anxiety symptoms during social distancing in 2020. Generalized linear models and structural equation modelling were used to estimate the effects. A 19 % and 15 % increase in depressive symptoms were found in females and males, respectively, for each unit of increase in the observed value of reported chronic disease. Older subjects presented fewer symptoms of depression and anxiety. There was a 16 % increase in anxiety symptoms in females for each unit increase in the reported chronic disease variable and a 14 % increase in males. Younger subjects were more affected by anxiety symptoms in a dose-response fashion. High income was significantly related to fewer depressive and anxiety symptoms in both males and females. Physical activity was significantly associated with fewer anxiety and depression symptoms. Structural equation modelling confirmed these results and provided further insight into the hypothesised paths. To evaluate if the presence of chronic diseases rises the risk of reporting anxiety or depression symptoms in the pandemic It was found that this association existed and was significant for both anxiety and depressive symptoms High income was significantly related to fewer depressive and anxiety symptoms in both males and females
冠状病毒病(COVID-19)大流行期间,全球人群中抑郁,焦虑和压力的患病率,心理反应以及相关的相关性。
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