Girona Biomedical Research Institute (IDIBGI), Catalonia, Spain; Institut d'Assistència Sanitària, Catalonia, Spain; Department of Medical Sciences, School of Medicine, University of Girona, Catalonia, Spain.
Girona Biomedical Research Institute (IDIBGI), Catalonia, Spain; Institut d'Assistència Sanitària, Catalonia, Spain.
Compr Psychiatry. 2021 Jan;104:152214. doi: 10.1016/j.comppsych.2020.152214. Epub 2020 Oct 20.
The measures adopted to control the spread of the COVID-19 pandemic in several countries included mobility and social restrictions that produced an immediate impact on the lifestyle of their inhabitants.
We assessed the association between the consequences of these measures and depressive symptomatology using a population-based sample of 692 individuals aged 18 or over from an ongoing study in the province of Girona (Catalonia, Spain). Participants responded to a telephone-based survey that included questions related to the consequences of confinement and the Patient Health Questionnaire-9 (PHQ-9) was used to assess depressive symptomatology. Multivariate logistic and linear regressions were used to identify which changes in lifestyle resulting from confinement were independently associated with a possible depression episode and depressive symptomatology.
The prevalence of a possible depressive episode during the confinement was 12.7% (95% CI = 10.3-15.4). An adverse work situation, expected economic distress, self-reported worsening of the mental health and of the dietary pattern, and worries about a relative's potential infection were variables related to an increased risk of having a possible depressive episode. The changes in lifestyle accounted for 32% of the variance of the PHQ-9 score.
The findings indicate an association of the job situation, the expected negative economic consequences, the perceived worsening of health and habits, and the worries about COVID-19 infection with depressive symptomatology during the confinement.
为控制 COVID-19 疫情在多个国家的传播而采取的措施包括流动性和社会限制，这些措施立即对居民的生活方式产生了影响。
我们使用来自西班牙加泰罗尼亚赫罗纳省正在进行的一项研究中的一个基于人群的 692 名 18 岁或以上个体的样本，评估了这些措施的后果与抑郁症状之间的关联。参与者通过电话调查回答问题，其中包括与禁闭后果相关的问题，并使用患者健康问卷-9（PHQ-9）评估抑郁症状。使用多变量逻辑回归和线性回归来确定禁闭期间生活方式的哪些变化与可能出现的抑郁发作和抑郁症状独立相关。
禁闭期间可能出现抑郁发作的患病率为 12.7%（95%CI=10.3-15.4）。不良的工作状况、预期的经济困境、自我报告的心理健康和饮食习惯恶化以及对亲属潜在感染的担忧是与出现可能的抑郁发作风险增加相关的变量。生活方式的改变占 PHQ-9 评分方差的 32%。
研究结果表明，禁闭期间工作状况、预期的负面经济后果、健康和习惯感知恶化以及对 COVID-19 感染的担忧与抑郁症状之间存在关联。
