Faculty of Health Sciences, Simon Fraser University, Burnaby, BC V5A 1S6, Canada.
Community Health Research Team, St. Paul's Hospital, Vancouver, BC V6Z 1Y6, Canada.
Int J Environ Res Public Health. 2021 Jun 2;18(11):5972. doi: 10.3390/ijerph18115972.
The COVID-19 pandemic has caused an increase in anxiety and depression levels across broad populations. While anyone can be infected by the virus, the presence of certain chronic diseases has been shown to exacerbate the severity of the infection. There is a likelihood that knowledge of this information may lead to negative psychological impacts among people with chronic illness. We hypothesized that the pandemic has resulted in increased levels of anxiety and depression symptoms among people with chronic illness. We recruited 540 participants from the ongoing Prospective Urban and Rural Epidemiology (PURE) study in British Columbia, Canada. Participants were asked to fill out an online survey that included the Hospital Anxiety Depression Scale (HADS) to assess anxiety and depression symptoms. We tested our hypothesis using bivariate and multivariable linear regression models. Out of 540 participants, 15% showed symptoms of anxiety and 17% reported symptoms of depression. We found no significant associations between having a pre-existing chronic illness and reporting higher levels of anxiety or depression symptoms during COVID-19. Our results do not support the hypothesis that having a chronic illness is associated with greater anxiety or depression symptoms during the COVID-19 pandemic. Our results were similar to one study but in contrast with other studies that found a positive association between the presence of chronic illness and developing anxiety or depression during this pandemic.
COVID-19 大流行导致广泛人群的焦虑和抑郁水平上升。虽然任何人都可能感染该病毒，但某些慢性疾病的存在已被证明会使感染的严重程度恶化。有可能了解这些信息会给患有慢性疾病的人带来负面的心理影响。我们假设大流行导致患有慢性疾病的人焦虑和抑郁症状增加。我们从加拿大不列颠哥伦比亚省正在进行的前瞻性城乡流行病学（PURE）研究中招募了 540 名参与者。参与者被要求填写在线调查，其中包括医院焦虑和抑郁量表（HADS），以评估焦虑和抑郁症状。我们使用双变量和多变量线性回归模型来检验我们的假设。在 540 名参与者中，有 15%表现出焦虑症状，17%报告有抑郁症状。我们没有发现预先存在的慢性疾病与 COVID-19 期间报告更高水平的焦虑或抑郁症状之间存在显著关联。我们的结果不支持这样一种假设，即患有慢性疾病与 COVID-19 大流行期间出现更大的焦虑或抑郁症状有关。我们的结果与一项研究相似，但与其他研究结果相反，这些研究发现，在这一大流行期间，慢性疾病的存在与出现焦虑或抑郁之间存在正相关关系。
