Psychological distress, anxiety, family violence, suicidality, and wellbeing in New Zealand during the COVID-19 lockdown: A cross-sectional study.

Psychological distress, anxiety, family violence, suicidality, and wellbeing in New Zealand during the COVID-19 lockdown: A cross-sectional study.
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DOI:
10.1371/journal.pone.0241658
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发表时间:
2020
期刊:
影响因子:
3.7
通讯作者:
Stanley J
Stanley J
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Every-Palmer S;Jenkins M;Gendall P;Hoek J;Beaglehole B;Bell C;Williman J;Rapsey C;Stanley J

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新西兰对新型冠状病毒大流行的早期反应包括严格封锁,以消除COVID-19的社区传播。然而,这一成功在经济和社会方面并非没有代价。在我们的研究中,我们调查了新西兰人在COVID-19封锁期间的心理健康状况,当时限制减少了社交接触,限制了娱乐机会,并导致失业和经济不安全。我们于2020年4月对2010年新西兰成年人的人口统计学代表性样本进行了在线小组调查。该调查包含三个标准化的措施-凯斯勒心理困扰量表(K10),GAD-7和幸福指数(WHO-5)-以及专门设计的问题,以衡量家庭暴力,自杀意念和酒精消费。它还包括评估封锁积极方面的项目。30%的受访者报告中度至重度心理困扰(K10),16%中度至高度焦虑,39%幸福感低;远高于基线测量。在年轻人和那些失去工作或工作较少的人,健康状况不佳的人以及过去诊断出精神疾病的人中看到了积极的结果。6%的人报告有自杀意念,2%的人报告有自杀计划,2%的人报告有自杀企图。18-34岁人群的自杀率最高。只有不到10%的参与者在封锁期间直接经历了某种形式的家庭伤害。然而,并非所有封锁的后果都是负面的,62%的人报告了“银”,包括享受在家工作,花更多时间与家人在一起,以及更安静,污染更少的环境。新西兰的封锁成功地从社区中消除了COVID-19,但我们的结果显示,这一成就带来了重大的心理损失。尽管关于封锁措施的大部分辩论都集中在其经济影响上,但我们的研究结果强调,需要同样关注其对心理健康的影响。
New Zealand’s early response to the novel coronavirus pandemic included a strict lockdown which eliminated community transmission of COVID-19. However, this success was not without cost, both economic and social. In our study, we examined the psychological wellbeing of New Zealanders during the COVID-19 lockdown when restrictions reduced social contact, limited recreation opportunities, and resulted in job losses and financial insecurity. We conducted an online panel survey of a demographically representative sample of 2010 adult New Zealanders in April 2020. The survey contained three standardised measures–the Kessler Psychological Distress Scale (K10), the GAD-7, and the Well-Being Index (WHO-5)–as well as questions designed specifically to measure family violence, suicidal ideation, and alcohol consumption. It also included items assessing positive aspects of the lockdown. Thirty percent of respondents reported moderate to severe psychological distress (K10), 16% moderate to high levels of anxiety, and 39% low wellbeing; well above baseline measures. Poorer outcomes were seen among young people and those who had lost jobs or had less work, those with poor health status, and who had past diagnoses of mental illness. Suicidal ideation was reported by 6%, with 2% reporting making plans for suicide and 2% reporting suicide attempts. Suicidality was highest in those aged 18–34. Just under 10% of participants had directly experienced some form of family harm over the lockdown period. However, not all consequences of the lockdown were negative, with 62% reporting ‘silver linings’, which included enjoying working from home, spending more time with family, and a quieter, less polluted environment. New Zealand’s lockdown successfully eliminated COVID-19 from the community, but our results show this achievement brought a significant psychological toll. Although much of the debate about lockdown measures has focused on their economic effects, our findings emphasise the need to pay equal attention to their effects on psychological wellbeing.
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期刊: BMC MEDICINE
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DOI: 10.1001/archpsyc.60.2.184
发表时间: 2003-02-01
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Kessler, RC;Barker, PR;Zaslavsky, AM
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发表时间: 2006-10-01
影响因子: 4.6
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