Shevlin Mark, McBride Orla, Murphy Jamie, Miller Jilly Gibson, Hartman Todd K, Levita Liat, Mason Liam, Martinez Anton P, McKay Ryan, Stocks Thomas V A, Bennett Kate M, Hyland Philip, Karatzias Thanos, Bentall Richard P
Ulster University, Northern Ireland.
University of Sheffield, England.
BJPsych Open. 2020 Oct 19;6(6):e125. doi: 10.1192/bjo.2020.109.
The COVID-19 pandemic has created an unprecedented global crisis, necessitating drastic changes to living conditions, social life, personal freedom and economic activity. No study has yet examined the presence of psychiatric symptoms in the UK population under similar conditions.
We investigated the prevalence of COVID-19-related anxiety, generalised anxiety, depression and trauma symptoms in the UK population during an early phase of the pandemic, and estimated associations with variables likely to influence these symptoms.
Between 23 and 28 March 2020, a quota sample of 2025 UK adults aged 18 years and older, stratified by age, gender and household income, was recruited by online survey company Qualtrics. Participants completed standardised measures of depression, generalised anxiety and trauma symptoms relating to the pandemic. Bivariate and multivariate associations were calculated for demographic and health-related variables.
Higher levels of anxiety, depression and trauma symptoms were reported compared with previous population studies, but not dramatically so. Anxiety or depression and trauma symptoms were predicted by young age, presence of children in the home, and high estimates of personal risk. Anxiety and depression were also predicted by low income, loss of income and pre-existing health conditions in self and others. Specific anxiety about COVID-19 was greater in older participants.
This study showed a modest increase in the prevalence of mental health problems in the early stages of the pandemic, and these problems were predicted by several specific COVID-related variables. Further similar surveys, particularly of those with children at home, are required as the pandemic progresses.
新冠疫情引发了一场前所未有的全球危机，生活条件、社会生活、个人自由和经济活动都因此发生了巨大变化。尚无研究考察过在类似情况下英国人群中精神症状的出现情况。
我们调查了在疫情早期英国人群中与新冠相关的焦虑、广泛性焦虑、抑郁和创伤症状的患病率，并估计了与可能影响这些症状的变量之间的关联。
2020年3月23日至28日，在线调查公司Qualtrics招募了2025名18岁及以上的英国成年人配额样本，按年龄、性别和家庭收入分层。参与者完成了与疫情相关的抑郁、广泛性焦虑和创伤症状的标准化测量。计算了人口统计学和健康相关变量的双变量和多变量关联。
与之前的人群研究相比，焦虑、抑郁和创伤症状的水平有所升高，但幅度不大。年轻、家中有孩子以及对个人风险的高估计可预测焦虑或抑郁以及创伤症状。低收入、收入损失以及自身和他人先前存在的健康状况也可预测焦虑和抑郁。老年参与者对新冠的特定焦虑更为严重。
本研究表明，在疫情早期心理健康问题的患病率略有上升，这些问题可由几个与新冠相关的特定变量预测。随着疫情的发展，需要进行进一步的类似调查，特别是针对家中有孩子的人群。
