Behavioral Medicine Division, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USA.
Department of Health Promotion and Disease Prevention, Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USA.
Psychiatry Res. 2020 Nov;293:113476. doi: 10.1016/j.psychres.2020.113476. Epub 2020 Sep 24.
The COVID-19 pandemic has had a dramatic effect on the functioning of individuals and institutions around the world. This cross-sectional registry-based study examined some of the burdens of the pandemic, the prevalence of mental health difficulties, and risk factors for psychosocial morbidity among community residents in Arkansas. The study focused on a period of gradual reopening but rising infection rates. The investigation included validated screening measures of depressive symptoms (PHQ-9), generalized anxiety (GAD-7), trauma-related symptoms (PCL-5), and alcohol use (AUDIT-C). A notable percentage of participants reported elevated symptoms on each of these outcomes. In separate multivariable analyses that accounted for a number of demographic and pandemic-related covariates, individuals who reported greater pandemic-related disruption in daily life, and those with a prior history of mental health concerns, were more likely to screen positive for depressive, anxiety and trauma-related symptoms. Findings illuminate burdens experienced by community residents during a period of phased reopening, and offer a foundation for future screening and intervention initiatives.
COVID-19 大流行对全球个人和机构的运作产生了巨大影响。本横断面基于登记的研究调查了大流行带来的一些负担、精神健康困难的流行程度，以及阿肯色州社区居民精神社会发病率的危险因素。该研究集中在逐渐重新开放但感染率上升的时期。该调查包括经过验证的抑郁症状 (PHQ-9)、广泛性焦虑症 (GAD-7)、创伤相关症状 (PCL-5) 和酒精使用 (AUDIT-C) 的筛查措施。相当一部分参与者在这些结果中的每一项上都报告了升高的症状。在单独的多变量分析中，考虑了一些人口统计学和与大流行相关的协变量，报告日常生活中与大流行相关的干扰更大，以及有心理健康问题既往史的个体，更有可能对抑郁、焦虑和创伤相关症状进行阳性筛查。这些发现阐明了社区居民在分阶段重新开放期间所经历的负担，并为未来的筛查和干预计划提供了基础。
