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COVID-19大流行对意大利皮埃蒙特地区ASL TO4年轻成年人抗抑郁药使用情况的影响

Impact of the COVID-19 Pandemic on the Use of Antidepressants by Young Adults in the ASL TO4 Regione Piemonte (Italy).

作者信息

Armando Lucrezia Greta, Baroetto Parisi Raffaella, Rolando Cristina, Esiliato Mariangela, Vinciguerra Valeria, Bertiond Cecilia, Diarassouba Abdoulaye, Cena Clara, Miglio Gianluca

机构信息

Department of Drug Science and Technology, University of Turin, Via Pietro Giuria 9, 10125 Turin, Italy.

Struttura Complessa Farmacia Territoriale ASL TO4, Regione Piemonte, Via Po 11, 10034 Chivasso, Italy.

出版信息

Pharmacy (Basel). 2024 Jan 23;12(1):21. doi: 10.3390/pharmacy12010021.

Abstract

The association between younger age and poorer mental health during the COVID-19 pandemic has been documented. Whether these changes were associated with a change in antidepressant (AD) use is not well understood. This study aimed to estimate the impact of the COVID-19 pandemic on AD use by young adults in the ASL TO4 Regione Piemonte (Italy). The impact of the pandemic on the weekly prevalence of AD users was assessed using interrupted time-series analysis with autoregressive integrated moving average models. A total of 1071 subjects (18-22 years with ≥1 AD dispensation) were included in the study. The observed prevalence was lower than the predicted value for several weeks after the introduction of the lockdown. However, it was consistently higher than the predicted values from week 134. The maximum difference between observed and predicted values (25 subjects per 10,000 young adults) was found at week 170. Changes in AD use were observed in both genders and were more pronounced for selective serotonin reuptake inhibitors. In conclusion, the impact of the COVID-19 pandemic on the mental health of young adults is likely to be significant in the coming years, which may place a future burden on pharmaceutical public health and community health.

摘要

新冠疫情期间,年轻人与较差心理健康状况之间的关联已有记载。但这些变化是否与抗抑郁药(AD)使用的改变有关,目前尚不清楚。本研究旨在评估新冠疫情对意大利皮埃蒙特大区ASL TO4地区年轻人使用抗抑郁药的影响。采用自回归积分移动平均模型的中断时间序列分析,评估疫情对每周抗抑郁药使用者患病率的影响。共有1071名受试者(年龄在18 - 22岁,至少有一次抗抑郁药配药记录)纳入本研究。在实施封锁后的几周内,观察到的患病率低于预测值。然而,从第134周起,其一直高于预测值。在第170周时,观察值与预测值之间的最大差异被发现(每10000名年轻人中有25人)。抗抑郁药使用的变化在男女两性中均有观察到,且对选择性5-羟色胺再摄取抑制剂更为明显。总之,未来几年,新冠疫情对年轻人心理健康的影响可能很大,这可能给药品公共卫生和社区卫生带来未来负担。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f05/10892218/ad9780a233d4/pharmacy-12-00021-g001.jpg

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