Predictors of mental health during the Covid-19 pandemic in the US: Role of economic concerns, health worries and social distancing.
Predictors of mental health during the Covid-19 pandemic in the US: Role of economic concerns, health worries and social distancing.
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DOI：
10.1371/journal.pone.0241895
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发表时间：
2020
期刊：
影响因子：
3.7
通讯作者：
Kohler HP
中科院分区：
文献类型：
--
作者：
Kämpfen F;Kohler IV;Ciancio A;Bruine de Bruin W;Maurer J;Kohler HP
尽管2019冠状病毒病对健康和经济产生了深远影响，但迄今为止，人们对大流行期间经济担忧、健康担忧和社交距离对心理健康结果的影响知之甚少。我们分析了具有全国代表性的“了解美国研究”（UAS）在2020年3月10日至31日期间的在线调查数据（样本量：6585）。心理健康的评估是通过有效的PHQ-4量表来测量抑郁和焦虑的症状。在研究期间，约29% （CI:27.4- 0.30.4%）的美国成年人报告了一些抑郁/焦虑症状，症状在3月份恶化。心理健康状况的恶化与对大流行经济后果的担忧最为密切相关，而对病毒对受访者自身健康和社交距离的潜在影响的担忧也预示着，在大流行的早期阶段，美国的抑郁和焦虑症状会增加，尽管不那么强烈。我们的研究结果表明，一场重大的心理健康危机可能与大流行同时爆发，而经济问题是这场危机的主要推动力。这些结果突出了经济对策和社会政策对于减轻Covid-19对美国成年人心理健康的影响的重要性，而不是有效的公共卫生应对措施。
Despite the profound health and economic implications of Covid-19, there is only limited knowledge to date about the role of economic concerns, health worries and social distancing for mental health outcomes during the pandemic. We analyze online survey data from the nationally representative “Understanding America Study” (UAS) covering the period of March 10-31st 2020 (sample size: 6,585). Mental health is assessed by the validated PHQ-4 instrument for measuring symptoms of depression and anxiety. About 29% (CI:27.4-.30.4%) of the US adult population reported some depression/anxiety symptoms over the study period, with symptoms deteriorating over the month of March. Worsening mental health was most strongly associated with concerns about the economic consequences of the pandemic, while concerns about the potential implications of the virus for respondents’ own health and social distancing also predicted increases in symptoms of depression and anxiety during the early stages of the pandemic in the US, albeit less strongly. Our findings point towards the possibility of a major mental health crisis unfolding simultaneously with the pandemic, with economic concerns being a key driving force of this crisis. These results highlight the likely importance of economic countermeasures and social policy for mitigating the impact of Covid-19 on adult mental health in the US over and above an effective public health response.
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影响因子：
11.8
作者：
Hawryluck L;Gold WL;Robinson S;Pogorski S;Galea S;Styra R
通讯作者：
Styra R
DOI：
10.1093/geronb/gbaa074
发表时间：
2021-02-01
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