Institut de Santé Publique, d'Epidémiologie et de Développement (ISPED), Université de Bordeaux, Bordeaux, France.
Team IETO, Bordeaux Population Health Research Center, UMR U1219, INSERM, Université de Bordeaux, Bordeaux, France.
Global Health. 2021 Mar 22;17(1):29. doi: 10.1186/s12992-021-00682-8.
The impact of general population lockdown implemented in the face of the COVID-19 epidemic needs to be evaluated. We describe here a longitudinal study on the mental health of adults in France.
We did a secondary analysis of a web-based cohort, initially set up to study home and leisure injuries, in order to measure the consequences of the national lockdown implemented in France from 17 March 2020 to 11 May 2020, and to assess potential vulnerability and resilience factors. Eligible participants were invited to answer an online questionnaire designed to assess their living conditions and health during lockdown. Comparisons were done with answers provided 4.8 years earlier on average.
On 15th April 2020, we sent email invitations to 9598 participants recruited between November 2014 and December 2019 and 1237 volunteers took part in the study by completing the online questionnaire. The proportion of those with anxiety symptoms markedly increased from 17.3 to 20.1%. The average self-rated level of mental health decreased from 7.77 to 7.58. Women, the elderly and the youngest appeared to be more vulnerable. A small living space (less than 30 m) was associated with an increase in depression symptoms (PHQ-9 score), and poorer self-rated physical health at recruitment was associated with an increase in anxiety symptoms (GAD-7 score). On the contrary, the average self-rated level of physical health markedly increased from 7.44 to 7.94 between recruitment and lockdown, and the proportion of those who reported a level of 9 or 10 jumped from 25.7% at recruitment to 43.1% during lockdown.
Mental health deteriorated during lockdown in France during the 2020 COVID-19 crisis. Overall, self-rated physical health improved but those who experienced a worse physical health were more likely to report anxiety symptoms.
面对 COVID-19 疫情实施的一般人群封锁的影响需要进行评估。我们在此描述一项针对法国成年人心理健康的纵向研究。
我们对一个最初设立以研究家庭和休闲伤害的基于网络的队列进行了二次分析，以衡量 2020 年 3 月 17 日至 2020 年 5 月 11 日在法国实施的全国封锁的后果，并评估潜在的脆弱性和弹性因素。合格的参与者被邀请回答一个在线问卷，旨在评估他们在封锁期间的生活条件和健康状况。将这些回答与平均提前 4.8 年提供的回答进行了比较。
在 2020 年 4 月 15 日，我们向 2014 年 11 月至 2019 年 12 月期间招募的 9598 名参与者中的 1237 名志愿者发送了电子邮件邀请，并参加了这项研究。焦虑症状的比例从 17.3%明显增加到 20.1%。平均自我评定的心理健康水平从 7.77 下降到 7.58。女性、老年人和最年轻的人似乎更容易受到影响。小的居住空间（小于 30 平方米）与抑郁症状（PHQ-9 评分）增加有关，而招募时自我评定的身体健康状况较差与焦虑症状（GAD-7 评分）增加有关。相反，在招募和封锁期间，平均自我评定的身体健康水平从 7.44 显著增加到 7.94，报告等级为 9 或 10 的比例从招募时的 25.7%跃升至封锁期间的 43.1%。
在 2020 年 COVID-19 危机期间，法国的封锁期间心理健康状况恶化。总体而言，自我评定的身体健康状况有所改善，但那些身体健康状况较差的人更有可能报告焦虑症状。
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