Department of Psychology, University of Oslo, Forskningsveien 3A, Harald Schjelderups hus, Oslo 0373, Norway; Modum Bad Psychiatric Hospital, Vikersund, Norway.
Department of Psychology, University of Bergen, Norway.
Psychiatry Res. 2022 Nov;317:114806. doi: 10.1016/j.psychres.2022.114806. Epub 2022 Aug 21.
The present study investigates differences in the trajectories of anxiety, depression, and sleep problems among infected versus non-infected case-controlled individuals. Patients who tested positive for COVID-19 were selected from a representative sample in Norway (N > 10,000). In total, 126 of these individuals were infected during the project period, and this group was analyzed at T5 (May 2021). Of these positive cases, those who had completed both PHQ-9 and GAD-7 at all three measurement points were selected for longitudinal analysis using multilevel modeling. There was a significant difference at T5 between those who had tested positive for COVID-19 and matched controls. Anxiety and depression were reduced among those who tested positive, but there were no differences in trajectory when compared to matched controls. Limitations include the use of self-report measures and the assessment of symptoms at a time when strict virus mitigation protocols were in place. The present findings indicate that individuals who test positive for COVID-19 exhibit higher levels of depressive symptoms after restrictions are lifted. However, comparison of anxiety and depression symptom trajectories with matched controls reveals that both groups exhibited stable or slightly decreased symptoms.
本研究调查了感染与非感染病例对照个体在焦虑、抑郁和睡眠问题轨迹上的差异。从挪威的代表性样本中选择了 COVID-19 检测呈阳性的患者(N > 10,000)。在项目期间,共有 126 人感染,该组在 T5 期(2021 年 5 月)进行了分析。在这些阳性病例中,选择了在所有三个测量点均完成 PHQ-9 和 GAD-7 的那些人进行使用多层次建模的纵向分析。在 T5 期,COVID-19 检测呈阳性的患者与匹配对照之间存在显著差异。阳性患者的焦虑和抑郁有所减轻,但与匹配对照相比,其轨迹没有差异。局限性包括使用自我报告措施以及在严格的病毒缓解协议实施时评估症状。本研究结果表明,在限制措施解除后,COVID-19 检测呈阳性的个体表现出更高水平的抑郁症状。然而,与匹配对照比较焦虑和抑郁症状轨迹表明,两组都表现出稳定或略有下降的症状。