Shaffer Seth R, Dolovich Casandra, El-Gabalawy Renée, Graff Lesley A, Singh Harminder, Jackson Gia L, Chochinov Sydney, Shaw Souradet, Bernstein Charles N
Department of Internal Medicine, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada.
University of Manitoba IBD Clinical and Research Centre, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada.
J Can Assoc Gastroenterol. 2024 Jan 22;7(2):212-218. doi: 10.1093/jcag/gwad060. eCollection 2024 Apr.
We sought to understand the trends in media use, and how consumption and source affected mental health of persons with inflammatory bowel disease during the early parts of the pandemic. Dissemination of news during the coronavirus disease 2019 (COVID-19) pandemic was integral to educating the public but also could be harmful if constantly consumed, leading to worsening anxiety.
We performed a survey study in autumn 2020 during the second wave of COVID-19 in Manitoba. The survey included questions on consumption of COVID-19 news, along with validated measures of perceived stress, generalized anxiety, health anxiety, and depression. We used multivariable logistic regression analysis to assess trusted sources of news as a predictor of clinically significant mental health symptoms.
Of the 2940 participants in the registry, 1384 (47.1%) persons responded. The most trusted sources of news were television (64.2%), internet (46.1%), newspaper (27.6%), friends/family (21.7%), social media (16.9%), and radio (16.6%). Those who trusted social media had higher odds of depression (aOR 1.52, 95%CI 1.04-2.22), and perceived stress (aOR 2.56, 95%CI 1.09-2.21). Persons who reported extreme difficulty limiting their time-consuming news about COVID-19 and who spent more than 1 h daily consuming information on COVID-19 both had increased odds of any clinically significant mental health symptoms.
It is unknown if consumption of COVID-19 news led to heightened mental health symptoms or if increasing anxieties and concerns led to consuming more news. Further research is needed to assess whether these elevated mental health symptoms led to worse disease outcomes.
我们试图了解疫情早期炎症性肠病患者的媒体使用趋势,以及信息消费和来源对其心理健康的影响。2019年冠状病毒病(COVID-19)大流行期间的新闻传播对公众教育至关重要,但如果持续关注也可能有害,导致焦虑加剧。
2020年秋季,在曼尼托巴省第二波COVID-19疫情期间,我们进行了一项调查研究。该调查包括关于COVID-19新闻消费的问题,以及经过验证的感知压力、广泛性焦虑、健康焦虑和抑郁的测量指标。我们使用多变量逻辑回归分析来评估可靠的新闻来源作为临床显著心理健康症状的预测因素。
登记的2940名参与者中,1384人(47.1%)做出了回应。最受信任的新闻来源是电视(64.2%)、互联网(46.1%)、报纸(27.6%)、朋友/家人(21.7%)、社交媒体(16.9%)和广播(16.6%)。那些信任社交媒体的人患抑郁症的几率更高(调整后比值比1.52,95%置信区间1.04-2.22),感知压力也更高(调整后比值比2.56,95%置信区间1.09-2.21)。报告在限制自己关于COVID-19的耗时新闻方面极度困难,以及每天花费超过1小时消费COVID-19信息的人,出现任何临床显著心理健康症状的几率都增加了。
尚不清楚COVID-19新闻的消费是否导致心理健康症状加剧,或者焦虑和担忧的增加是否导致更多新闻消费。需要进一步研究来评估这些心理健康症状的加剧是否导致更差的疾病结局。