利用基于互联网的心理测量方法来描绘新冠疫情期间社区心理健康状况的恶化：观察性研究。
Using Internet-Based Psychological Measurement to Capture the Deteriorating Community Mental Health Profile During COVID-19: Observational Study.
作者信息
van Agteren Joep, Bartholomaeus Jonathan, Fassnacht Daniel B, Iasiello Matthew, Ali Kathina, Lo Laura, Kyrios Michael
机构信息
Wellbeing and Resilience Centre, Lifelong Health Theme, South Australian Health and Medical Research Institute, Adelaide, Australia.
College of Education, Psychology and Social Work, Flinders University, Adelaide, Australia.
出版信息
JMIR Ment Health. 2020 Jun 11;7(6):e20696. doi: 10.2196/20696.
BACKGROUND
The coronavirus disease (COVID-19) is expected to have widespread and pervasive implications for mental health in terms of deteriorating outcomes and increased health service use, leading to calls for empirical research on mental health during the pandemic. Internet-based psychological measurement can play an important role in collecting imperative data, assisting to guide evidence-based decision making in practice and policy, and subsequently facilitating immediate reporting of measurement results to participants.
OBJECTIVE
The aim of this study is to use an internet-based mental health measurement platform to compare the mental health profile of community members during COVID-19 with community members assessed before the pandemic.
METHODS
This study uses an internet-based self-assessment tool to collect data on psychological distress, mental well-being, and resilience in community cohorts during (n=673) and prior to the pandemic (two cohorts, n=1264 and n=340).
RESULTS
Our findings demonstrate significantly worse outcomes on all mental health measures for participants measured during COVID-19 compared to those measured before (P<.001 for all outcomes, effect sizes ranging between Cohen d=0.32 to Cohen d=0.81. Participants who demonstrated problematic scores for at least one of the mental health outcomes increased from 58% (n=197/340) before COVID-19 to 79% (n=532/673) during COVID-19, leading to only 21% (n=141) of measured participants displaying good mental health during the pandemic.
CONCLUSIONS
The results clearly demonstrate deterioration in mental health outcomes during COVID-19. Although further research is needed, our findings support the serious mental health implications of the pandemic and highlight the utility of internet-based data collection tools in providing evidence to innovate and strengthen practice and policy during and after the pandemic.
背景
冠状病毒病（COVID-19）预计将在心理健康方面产生广泛而深远的影响，包括结果恶化和卫生服务使用增加，这引发了对疫情期间心理健康实证研究的呼吁。基于互联网的心理测量在收集关键数据、协助指导实践和政策中的循证决策以及随后促进向参与者即时报告测量结果方面可以发挥重要作用。
目的
本研究旨在使用基于互联网的心理健康测量平台，比较COVID-19期间社区成员与疫情前评估的社区成员的心理健康状况。
方法
本研究使用基于互联网的自我评估工具，收集疫情期间（n = 673）和疫情前（两个队列，n = 1264和n = 340）社区队列中有关心理困扰、心理健康和心理韧性的数据。
结果
我们的研究结果表明，与疫情前测量的参与者相比，COVID-19期间测量的所有心理健康指标的结果明显更差（所有结果P <.001，效应大小在Cohen d = 0.32至Cohen d = 0.81之间）。至少有一项心理健康结果显示有问题分数的参与者从COVID-19前的58%（n = 197/340）增加到COVID-19期间的79%（n = 532/673），导致在疫情期间只有21%（n = 141）的测量参与者显示出良好的心理健康。
结论
结果清楚地表明COVID-19期间心理健康结果恶化。尽管需要进一步研究，但我们的研究结果支持了疫情对心理健康的严重影响，并强调了基于互联网的数据收集工具在为疫情期间及之后创新和加强实践与政策提供证据方面的效用。
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