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
中科院分区:
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
关键词:
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
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