Saint Louis University (Southwest Illinois) Family Medicine Residency, O'Fallon, Illinois.
375th Healthcare Operations Squadron Pediatrics, Scott AFB, Illinois.
J Adolesc Health. 2023 Aug;73(2):387-389. doi: 10.1016/j.jadohealth.2023.02.042. Epub 2023 Apr 30.
To assess the rate of mental health diagnoses and selective serotonin reuptake inhibitor (SSRI) prescribing before and during the Coronavirus Disease 2019 pandemic.
We conducted a cross-sectional study at an ambulatory pediatric clinic. A prepandemic (June 2018 to June 2019) and intrapandemic (June 2020 to June 2021) cohort were reviewed. The rate of mental health visits and new SSRI prescriptions were compared. Chi-squared analyses demonstrated a variance of statistical significance.
From 15,414 encounters (9,791 prepandemic and 5,623 intrapandemic), 397 mental health encounters were identified. 231 (4.1%) encounters occurred during the pandemic (vs. 1.7% prepandemic) and 63 (27.3%) SSRIs were prescribed (vs. 5.4% prepandemic). Mental health encounters (prevalence ratio 2.42, 95% confidence interval, 1.99-2.95, p < .001) and SSRI prescriptions (prevalence ratio 5.03, 95% confidence interval, 2.58-9.82, p < .001) were higher during the pandemic.
Our findings demonstrate increased rates of SSRI prescribing and mental health diagnoses during the Coronavirus Disease 2019 pandemic, suggesting an increased incidence of these conditions. Clinicians should be prepared to manage and screen for mental health conditions.
评估 2019 年冠状病毒病（COVID-19）大流行前后精神健康诊断和选择性 5-羟色胺再摄取抑制剂（SSRI）处方的比率。
我们在一家门诊儿科诊所进行了一项横断面研究。回顾了大流行前（2018 年 6 月至 2019 年 6 月）和大流行期间（2020 年 6 月至 2021 年 6 月）的队列。比较了精神健康就诊和新 SSRI 处方的比率。卡方分析显示存在统计学意义的差异。
从 15414 次就诊（9791 次大流行前和 5623 次大流行期间）中确定了 397 次精神健康就诊。231 次就诊（4.1%）发生在大流行期间（vs. 大流行前的 1.7%），开了 63 次 SSRI（vs. 大流行前的 5.4%）。精神健康就诊（患病率比 2.42，95%置信区间，1.99-2.95，p <.001）和 SSRI 处方（患病率比 5.03，95%置信区间，2.58-9.82，p <.001）在大流行期间更高。
我们的研究结果表明，COVID-19 大流行期间 SSRI 处方和精神健康诊断的比率增加，表明这些疾病的发病率增加。临床医生应准备好管理和筛查精神健康状况。
