The Effect of COVID-19 on Mental Health and Wellbeing in a Representative Sample of Australian Adults.
The Effect of COVID-19 on Mental Health and Wellbeing in a Representative Sample of Australian Adults.
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DOI：
10.3389/fpsyt.2020.579985
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发表时间：
2020
影响因子：
4.7
通讯作者：
Batterham PJ
中科院分区：
文献类型：
--
作者：
Dawel A;Shou Y;Smithson M;Cherbuin N;Banfield M;Calear AL;Farrer LM;Gray D;Gulliver A;Housen T;McCallum SM;Morse AR;Murray K;Newman E;Rodney Harris RM;Batterham PJ
人们对大规模流行病对社区心理健康的影响知之甚少，特别是在急性期。这种知识差距意味着我们在支持社区应对前所未有的 COVID-19 大流行时的能力严重不足。这项研究旨在提供迫切需要的数据，为当前和未来其他危机中的政府政策和资源分配提供信息。该研究首次对 COVID-19 大流行早期急性阶段的澳大利亚人口进行了代表性样本的调查。使用经过充分验证的量表（PHQ-9、GAD-7、WHO-5）测量抑郁、焦虑和心理健康。我们使用线性回归测试了心理健康与接触 COVID-19 之间的关联、COVID-19 对工作和社会功能的影响以及社会人口因素。与通常的人群数据相比，抑郁和焦虑症状大幅升高，包括没有现有心理健康诊断的个体。接触 COVID-19 与心理健康结果的关联极小。最近接触澳大利亚丛林大火也与抑郁和焦虑无关，尽管接触丛林大火烟雾与心理健康状况下降有关。相比之下，大流行引起的工作和社会功能障碍与抑郁和焦虑症状加剧以及心理健康状况下降密切相关。大流行造成的财务困境，而不是失业本身，也是心理健康状况不佳的一个关键相关因素。这些发现表明，最大限度地减少对工作和社会功能的干扰，并增加社区获得心理健康服务的机会，是最大限度地减少流行病对心理健康和福祉的影响的重要政策目标。需要创新和创造性的策略来满足这些社区需求，同时继续制定重要的公共卫生策略来控制 COVID-19 的传播。
There is minimal knowledge about the impact of large-scale epidemics on community mental health, particularly during the acute phase. This gap in knowledge means we are critically ill-equipped to support communities as they face the unprecedented COVID-19 pandemic. This study aimed to provide data urgently needed to inform government policy and resource allocation now and in other future crises. The study was the first to survey a representative sample from the Australian population at the early acute phase of the COVID-19 pandemic. Depression, anxiety, and psychological wellbeing were measured with well-validated scales (PHQ-9, GAD-7, WHO-5). Using linear regression, we tested for associations between mental health and exposure to COVID-19, impacts of COVID-19 on work and social functioning, and socio-demographic factors. Depression and anxiety symptoms were substantively elevated relative to usual population data, including for individuals with no existing mental health diagnosis. Exposure to COVID-19 had minimal association with mental health outcomes. Recent exposure to the Australian bushfires was also unrelated to depression and anxiety, although bushfire smoke exposure correlated with reduced psychological wellbeing. In contrast, pandemic-induced impairments in work and social functioning were strongly associated with elevated depression and anxiety symptoms, as well as decreased psychological wellbeing. Financial distress due to the pandemic, rather than job loss per se, was also a key correlate of poorer mental health. These findings suggest that minimizing disruption to work and social functioning, and increasing access to mental health services in the community, are important policy goals to minimize pandemic-related impacts on mental health and wellbeing. Innovative and creative strategies are needed to meet these community needs while continuing to enact vital public health strategies to control the spread of COVID-19.
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影响因子：
7
作者：
Kocalevent, Rueya-Daniela;Hinz, Andreas;Braehler, Elmar
通讯作者：
Braehler, Elmar
影响因子：
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作者：
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通讯作者：
Meltzer, H.
影响因子：
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作者：
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通讯作者：
Bullmore, Ed