Persistent depressive symptoms during COVID-19: a national, population-representative, longitudinal study of U.S. adults.
Persistent depressive symptoms during COVID-19: a national, population-representative, longitudinal study of U.S. adults.
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DOI：
10.1016/j.lana.2021.100091
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发表时间：
2022-01
期刊：
影响因子：
--
通讯作者：
Galea S
中科院分区：
文献类型：
--
作者：
Ettman CK;Cohen GH;Abdalla SM;Sampson L;Trinquart L;Castrucci BC;Bork RH;Clark MA;Wilson I;Vivier PM;Galea S
COVID-19大流行及其后果与贫困人口心理健康状况的增加有关。我们评估了在COVID-19大流行期间美国成年人的抑郁症状如何变化，并确定了这些症状的关键风险因素。在2020年3月至4月（时间1; N=1441）和2021年3月至4月（时间2; N=1161）的COVID-19和生活压力对心理健康和福祉的影响研究（CLIMB）中，对全国代表性的18岁及以上美国成年人群体进行了纵向小组研究。使用患者健康问卷-9（PHQ-9）定义升高的抑郁症状（临界值≥10）和抑郁症状评分（0-27）。抑郁症状升高的患病率从2020年的27. 8%（95% CI：24. 9，30. 9）持续至2021年的32. 8%（95% CI：29. 1，36. 8）。随着时间的推移，抑郁症状的主要驱动因素是家庭收入低，没有结婚，以及在COVID-19大流行期间经历多种压力。低收入人群相对于高收入人群抑郁症状加重的比值比从2020年的2. 3（95% CI：1. 2，4. 2）上升至2021年的7. 0（95% CI：3. 7，13. 3）。2021年报告经历4种或以上COVID-19压力因素的人数少于2020年（2020年为47.5%，2021年为37.1%），但与4个或更多压力源相关的抑郁症状升高相对于1个或更少压力源的比值比从1.9（95% CI：1. 2，3. 1）至二零二一年的5. 4（95% CI：3. 2，9. 2）。在COVID-19大流行期间，美国成年人口的抑郁症状负担增加。在COVID-19大流行期间，不同资产和压力源经历的人群之间的心理健康差距扩大。CLIMB Time 1由洛克菲勒基金会-波士顿大学3D委员会赞助。CLIMB Time 2由德博蒙基金会赞助。
The COVID-19 pandemic and its consequences have been associated with an increase in poor population mental health. We assessed how depressive symptoms changed among U.S. adults over the course of the COVID-19 pandemic and identified the key risk factors for these symptoms. Longitudinal panel study of a nationally representative group of U.S. adults ages 18 years and older surveyed in March-April 2020 (Time 1; N=1441) and March-April 2021 (Time 2; N=1161) in the COVID-19 and Life Stressors Impact on Mental Health and Well-being study (CLIMB). The Patient Health Questionnaire-9 (PHQ-9) was used to define elevated depressive symptoms (cut-off ≥10) and depressive symptoms score (0-27). The prevalence of elevated depressive symptoms persisted from 27.8% in 2020 (95% CI: 24.9, 30.9) to 32.8% in 2021 (95% CI: 29.1, 36.8). Over time, the central drivers of depressive symptoms were low household income, not being married, and experiencing multiple stressors during the COVID-19 pandemic. The odds ratio of elevated depressive symptoms for low income relative to high income persons increased from 2.3 (95% CI: 1.2, 4.2) in 2020 to 7.0 (95% CI: 3.7, 13.3) in 2021. Fewer people reported experiencing 4 or more COVID-19 stressors in 2021 than in 2020 (47.5% in 2020 vs 37.1% in 2021), but the odds ratio of elevated depressive symptoms associated with 4 or more stressors relative to 1 stressor or less increased from 1.9 (95% CI: 1.2, 3.1) in 2020 to 5.4 (95% CI: 3.2, 9.2) in 2021. The burden of depressive symptoms in the U.S. adult population increased over the course of the COVID-19 pandemic. Mental health gaps grew between populations with different assets and stressor experiences during the COVID-19 pandemic. CLIMB Time 1 was sponsored by the Rockefeller Foundation-Boston University 3-D Commission. CLIMB Time 2 was sponsored by the de Beaumont Foundation.
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