Department of Psychology, Maynooth University, Ireland; Trinity Centre for Global Health, Trinity College Dublin, Ireland.
School of Psychology, Ulster University, Northern Ireland.
Psychiatry Res. 2021 Jun;300:113905. doi: 10.1016/j.psychres.2021.113905. Epub 2021 Mar 31.
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.
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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