Department of Health and Human Performance, Texas A&M University- Commerce, Commerce, Texas, United States of America.
College of Osteopathic Medicine, Ohio University, Athens, Ohio, United States of America.
PLoS One. 2023 Aug 4;18(8):e0289533. doi: 10.1371/journal.pone.0289533. eCollection 2023.
An unintended consequence of COVID-19 quarantine preventive measures, is the increased prevalence of anxiety and depression. The purpose of this study was to examine the association between COVID-19 preventive behaviors and mental health conditions.
A cross-sectional study was conducted using secondary data collected weekly from US adults aged 18 and older nationwide as part of the COVID-19 Household Impact Survey (CIS) from the University of Chicago. Logistic regression examined associations between COVID-19 preventive behaviors (wearing a face mask, washing or sanitizing hands, and keeping six-feet distance from those outside their household), mental health conditions (self-reporting feeling nervous, anxious, or on edge, feeling lonely, and feeling hopeless about the future and a history of a mental health condition) and demographic factors.
Majority of study participants were under 60 years (62.2%), female (55.8%), and non-Hispanic White (72.2%). Overall, participants more likely to have followed all three COVID-19 measures were those who reported high psychological distress compared to those with low distress for feeling anxious (adj. OR 1.16, 95% CI: 1.06-1.28, p = 0.002), lonely (adj. OR 1.12, 95% CI: 1.02-1.23, p = 0.019) or hopeless (adj. OR 1.10, 95% CI: 1.00-1.21, p = 0.043) for more than a day during the past 7 days.
Our findings highlight that individuals with mental health conditions reported more psychological distress. Specifically, feeling depressed, anxious, lonely, and hopeless were triggered and exacerbated as a result of the pandemic and may have long-term effects on general well-being and productivity. Therefore, our findings have important implications on the need to include mental health promotion as part of pandemic response efforts. This includes developing policies and allocating funding so as to ensure sustainable mental health interventions and support, public and provider education on the importance of screening for mental health issues.
COVID-19 隔离预防措施的一个意外后果是焦虑和抑郁的发病率增加。本研究的目的是探讨 COVID-19 预防行为与心理健康状况之间的关联。
这是一项使用芝加哥大学全国性收集的 18 岁及以上美国成年人每周数据进行的横断面研究，作为 COVID-19 家庭影响调查（CIS）的一部分。Logistic 回归分析了 COVID-19 预防行为（戴口罩、洗手或消毒、与家庭以外的人保持六英尺距离）与心理健康状况（报告感到紧张、焦虑或烦躁、感到孤独、对未来感到绝望以及有精神健康状况史）和人口统计学因素之间的关联。
研究参与者大多数年龄在 60 岁以下（62.2%）、女性（55.8%）和非西班牙裔白人（72.2%）。总体而言，与低压力组相比，报告采取了所有三种 COVID-19 措施的参与者更有可能感到焦虑（adj. OR 1.16，95% CI：1.06-1.28，p = 0.002）、孤独（adj. OR 1.12，95% CI：1.02-1.23，p = 0.019）或绝望（adj. OR 1.10，95% CI：1.00-1.21，p = 0.043）超过一天。
我们的研究结果表明，患有精神健康状况的个体报告的心理困扰更多。具体而言，感到沮丧、焦虑、孤独和绝望是由于大流行而引发和加剧的，可能对整体幸福感和生产力产生长期影响。因此，我们的研究结果对于需要将精神健康促进作为大流行应对努力的一部分具有重要意义。这包括制定政策和分配资金，以确保可持续的精神卫生干预和支持，对精神卫生问题筛查的重要性进行公众和提供者教育。
