Risk of stress/depression and functional impairment in Denmark immediately following a COVID-19 shutdown.

Risk of stress/depression and functional impairment in Denmark immediately following a COVID-19 shutdown.
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在19日停机后,丹麦的压力/抑郁和功能障碍的风险和功能障碍的风险。

DOI:
10.1186/s12889-021-11020-3
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发表时间:
2021-05-26
期刊:
影响因子:
4.5
通讯作者:
Bruckner TA
Bruckner TA
中科院分区:
医学2区
文献类型:
--
作者:
Andersen LH;Fallesen P;Bruckner TA

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COVID-19负担对心理健康影响的现有估计来自高死亡率国家。因此,本研究旨在调查首次COVID-19封城(2020年3月至4月)对感染率较低的丹麦成年人代表性样本的压力/抑郁和功能障碍风险的影响,以及封城的影响是否在不同的生活环境中存在差异。使用2020年3月2日至4月13日(n = 2836)和2020年7月(n = 1526,留存率为54%)采访的丹麦成年人中随机抽取的代表性样本,我们研究了丹麦第一波COVID-19感染爆发后3月11日宣布的强制封锁如何影响心理健康。我们使用世界卫生组织五项幸福指数(WHO-5)和工作与社会适应量表(WSAS)来捕捉压力/抑郁(WHO-5 < 50)和功能障碍(WSAS > 10)的风险。使用协变量调整的普通最小二乘线性概率模型,并利用在引入锁定之前和之后发生的响应时间的变化,我们将锁定之前的受访者与锁定期间回答的受访者进行比较,以及7月份重新采访的答案。在我们完全控制的模型中,我们发现关闭后成年人的抑郁症状立即减少,集中在有孩子住在家里的成年人中(-0.089,p <0.01(从封锁前的基线0.273))。在3月关闭后,有孩子住在家里的成年人的功能障碍指标也立即下降(-0.066,p <0.05(从封锁前的基线0.150))。在3月至7月期间,整个样本的损害加剧(+.199,p < .001(从封锁前的基线.248)),但7月抑郁症状的发生率仍较低(-.033,p < .05(从封锁前的基线.332))。丹麦的研究结果表明,在短期内,与孩子一起生活可能缓冲了COVID-19关闭的潜在心理健康后遗症。在线版本包含补充材料,可通过10.1186/s12889-021-11020-3获得。
Existing estimates of the impact of the COVID-19 burden on mental wellbeing come from countries with high mortality rates. This study therefore aimed to investigate the impact of the first COVID-19 lockdown (March–April 2020) on risk for stress/depression and functional impairment in a representative sample of adult individuals in Denmark, which had lower infection rates, and whether the impact of lockdown was heterogeneous across living situation. Using a representative, randomly drawn sample from the complete Danish adult population interviewed in March 2 to April 13, 2020 (n = 2836) and again in July 2020 (n = 1526, 54% retention rate), we study how the imposed lockdown announced March 11 following the onset of the first Danish wave of COVID-19 infections affected mental wellbeing. We use the World Health Organization Five Well-being Index (WHO-5) and the Work and Social Adjustment Scale (WSAS) to capture risk for stress/depression (WHO-5 < 50) and functional impairment (WSAS > 10). Using covariate adjusted ordinary least squares linear probability models and exploiting variation in the timing of responses occurring just before and just after the introduction of lockdown, we compare respondents before lockdown to respondents that answered during lockdown, as well as to answers in re-interviews in July. In our fully controlled models, we find reduced depressive symptoms among adults immediately after the shutdown, concentrated in adults with children living at home (−.089, p < .01 (from pre lockdown baseline .273)). Measures of functional impairment also declined immediately after the March shutdown among adults with children living at home (−.066, p < .05 (from pre lockdown baseline .150)). Impairment intensified for the entire sample between March and July (+.199, p < .001 (from pre lockdown baseline .248)), but depressive symptoms remained at lower rate in July (−.033, p < .05 (from pre lockdown baseline .332). Findings in Denmark indicate that living with children at home may have, in the short term, buffered the potential mental health sequelae of the COVID-19 shutdown. The online version contains supplementary material available at 10.1186/s12889-021-11020-3.
DOI: 10.3390/jcm9123906
发表时间: 2020-12-01
影响因子: 3.9
作者:
Mari E;Fraschetti A;Lausi G;Pizzo A;Baldi M;Paoli E;Giannini AM;Avallone F
通讯作者: Avallone F
DOI: 10.1136/jnnp.2008.169672
发表时间: 2009-08-01
影响因子: 11
作者:
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通讯作者: Jaillard, A.
DOI: 10.1177/1745691615570616
发表时间: 2015-03
期刊: Perspectives on psychological science : a journal of the Association for Psychological Science
影响因子: --
作者:
Cacioppo S;Grippo AJ;London S;Goossens L;Cacioppo JT
通讯作者: Cacioppo JT
DOI: 10.1192/bjp.bp.109.071928
发表时间: 2010-05-01
影响因子: 10.5
作者:
Claassen, Cynthia A.;Carmody, Thomas;Trivedi, Madhukar H.
通讯作者: Trivedi, Madhukar H.
DOI: 10.1093/aje/kww089
发表时间: 2016-10-01
影响因子: 5
作者:
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通讯作者: Dinesen, Peter T.