Addressing the critical need for long-term mental health data during the COVID-19 pandemic: Changes in mental health from April to September 2020.

Addressing the critical need for long-term mental health data during the COVID-19 pandemic: Changes in mental health from April to September 2020.
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DOI:
10.1016/j.ypmed.2021.106465
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发表时间:
2021-05
影响因子:
5.1
通讯作者:
Anderson JC
Anderson JC
中科院分区:
医学2区
文献类型:
--
作者:
Veldhuis CB;Nesoff ED;McKowen ALW;Rice DR;Ghoneima H;Wootton AR;Papautsky EL;Arigo D;Goldberg S;Anderson JC

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尽管目前正在进行大量研究,并发表了大量社论警告潜在的心理健康影响,但关于大流行影响的纵向心理健康数据令人震惊地缺乏。然而,大流行可能会对心理困扰和健康行为产生相当大的长期影响--这些影响可能是长期的,对某些人口群体的影响可能比其他人口群体更大。数据来自一项关于新冠肺炎疫情对成年人心理困扰和幸福感影响的纵向国际研究(N=1567)。我们发现抑郁症(55%的基线被诊断为可能患有抑郁症)、焦虑(65%)和创伤后应激障碍(51%)的风险很高。在报告饮酒的参与者中,超过三分之一的人表示,自大流行开始以来,他们的饮酒量有所增加。随着时间的推移,抑郁症状和自杀想法和行为显著增加,但急性应激症状减少。通过分析,特定的人口群体(有色人种、性少数群体和性别少数群体)似乎有很高的痛苦风险。我们的发现表明,即使在五个月的随访中,抑郁、焦虑、急性压力和其他痛苦迹象的发生率也很高,如孤立、绝望和使用药物来应对。我们的发现表明,在大流行和恢复期间,需要优先考虑精神卫生保健的可用性和可及性。
Despite the large amounts of research currently being conducted and the high number of editorials warning about the potential mental health impacts, there is a stunning lack of longitudinal mental health data on the effects of the pandemic. Yet, the pandemic may have sizable long-term impacts on psychological distress and health behaviors—these effects may be long-lasting and may disproportionately affect some demographic groups more than others. Data came from a longitudinal international study of the impacts of the COVID-19 pandemic on adults' psychological distress and wellbeing (N = 1567). We found high rates of depression (55% were diagnosable with probable depression at baseline), anxiety (65%), and risk for PTSD (51%). More than one-third of participants who reported that they drank alcohol indicated that their drinking had increased since the start of the pandemic. Over time, depressive symptoms and suicidal thoughts and behaviors increased significantly, but acute stress symptoms decreased. Specific demographic groups (people of color and sexual and gender minorities) appeared to be at high risk of distress across analyses. Our findings suggest high rates of depression, anxiety, acute stress, and other signs of distress like isolation, hopelessness, and use of substances to cope—even at five-month follow-up. Our findings suggest a need to prioritize availability of, and access to, mental health care during both the pandemic and the recovery.
DOI: 10.15585/mmwr.mm6915e3
发表时间: 2020-04-17
期刊: MMWR. Morbidity and mortality weekly report
影响因子: --
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发表时间: 1993-05-01
影响因子: 2.8
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