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爱尔兰共和国在 COVID-19 大流行之前和期间的抑郁和焦虑的纵向评估。

A longitudinal assessment of depression and anxiety in the Republic of Ireland before and during the COVID-19 pandemic.

机构信息

Department of Psychology, Maynooth University, Ireland; Trinity Centre for Global Health, Trinity College Dublin, Ireland.

School of Psychology, Ulster University, Northern Ireland.

出版信息

Psychiatry Res. 2021 Jun;300:113905. doi: 10.1016/j.psychres.2021.113905. Epub 2021 Mar 31.


DOI:10.1016/j.psychres.2021.113905
PMID:33827013
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9755108/
Abstract

Few studies have examined changes in mental health before and after the outbreak of COVID-19. We examined changes in the prevalence of major depression and generalized anxiety disorder (GAD) between February 2019 and March-April 2020; if there were changes in major depression and GAD during six weeks of nationwide lockdown; and we identified factors that predicted major depression and GAD across the six-week lockdown period. Nationally representative samples of Irish adults were gathered using identical methods in February 2019 (N = 1020) and March-April 2020 (N = 1041). The latter was reassessed six weeks later. Significantly more people screened positive for depression in February 2019 (29.8% 95% CI = 27.0, 32.6) than in March-April 2020 (22.8% 95% CI = 20.2, 25.3), and there was no change in GAD. There were no significant changes in depression and GAD during the lockdown. Major depression was predicted by younger age, non-city dwelling, lower resilience, higher loneliness, and higher somatic problems. GAD was predicted by a broader set of variables including several COVID-19 specific variables. These findings indicate that the prevalence of major depression and GAD did not increase as a result of, or during the early phase of the COVID-19 pandemic in Ireland.

摘要

很少有研究调查 COVID-19 爆发前后心理健康的变化。我们调查了 2019 年 2 月至 2020 年 3 月至 4 月期间重度抑郁症和广泛性焦虑症(GAD)患病率的变化;如果在全国封锁的六周内重度抑郁症和 GAD 是否有变化;我们确定了在封锁的六周内预测重度抑郁症和 GAD 的因素。使用相同的方法在 2019 年 2 月(N=1020)和 2020 年 3 月至 4 月(N=1041)收集了爱尔兰成年人的全国代表性样本。后者在六周后重新评估。在 2019 年 2 月,有更多的人筛查出抑郁症(29.8% 95% CI=27.0, 32.6),而在 2020 年 3 月至 4 月,有更多的人筛查出抑郁症(22.8% 95% CI=20.2, 25.3),GAD 没有变化。在封锁期间,抑郁症和 GAD 没有明显变化。年轻、非城市居住、韧性较低、孤独感较高和躯体问题较多预测重度抑郁症。广泛性焦虑症由更广泛的一组变量预测,包括几个与 COVID-19 相关的变量。这些发现表明,在爱尔兰 COVID-19 大流行期间或早期,重度抑郁症和 GAD 的患病率并没有增加。

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本文引用的文献

[1]
A systematic review and meta-analysis of longitudinal cohort studies comparing mental health before versus during the COVID-19 pandemic in 2020.

J Affect Disord. 2022-1-1

[2]
Death anxiety in the time of COVID-19: theoretical explanations and clinical implications.

Cogn Behav Therap. 2020-6-11

[3]
Longitudinal changes in mental health and the COVID-19 pandemic: evidence from the UK Household Longitudinal Study.

Psychol Med. 2022-10

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Trauma, PTSD, and complex PTSD in the Republic of Ireland: prevalence, service use, comorbidity, and risk factors.

Soc Psychiatry Psychiatr Epidemiol. 2021-4

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Addressing the public mental health challenge of COVID-19.

Lancet Psychiatry. 2020-8

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Covid-19: Mental health services must be boosted to deal with "tsunami" of cases after lockdown.

BMJ. 2020-5-15

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PLoS One. 2020-4-29

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Suicide Mortality and Coronavirus Disease 2019-A Perfect Storm?

JAMA Psychiatry. 2020-11-1

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The psychiatric impact of the novel coronavirus outbreak.

Psychiatry Res. 2020-2-28

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Urbanization, urbanicity, and depression: a review of the recent global literature.

Curr Opin Psychiatry. 2020-5

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