Mehrabadi Milad Asgari, Nurmi Erika L, Borelli Jessica L, Lambert Natalie, Rahmani Amir M, Downs Charles A, Chakraborty Rana, Pinto Melissa D
Department of Computer Science, University of California, Irvine, CA, USA.
Department of Psychiatry and Biobehavioral Science, University of California, Los Angeles, CA, USA.
Issues Ment Health Nurs. 2024 Dec;45(12):1353-1358. doi: 10.1080/01612840.2024.2418563. Epub 2024 Nov 29.
The goal of this study was to examine the influence of the COVID-19 pandemic, including public health measures (mitigation and containment efforts), on new onset mental health diagnoses by age group. This study was a longitudinal retrospective cohort study. Data on new mental health diagnoses were extracted from the University of California Health System Electronic Health Records (EHR) that contained five academic health centers in California. Data were examined for identical timeframes before the COVID-19 pandemic (historical control cohort) and following the start of the pandemic (case cohort). Paired t-tests were used to test for differences in the number of new mental health diagnoses by age group. A two-way ANOVA was used to test for between group differences. The largest increase in mental health diagnoses (overall) was observed in the 26-35-year-old age group ( < 0.001) and for the following mental health diagnoses: anxiety, bipolar, depression, mood disturbance, and psychosis. Study findings may inform post-pandemic recovery efforts and pandemic preparedness strategies for future public health emergencies. Specifically, findings may guide the deployment of mental health screening, universal mental health interventions, and resource allocation for mental health to best support at risk groups during times of high vulnerability.
本研究的目的是考察新冠疫情，包括公共卫生措施（缓解和遏制措施）对各年龄组新发心理健康诊断的影响。本研究是一项纵向回顾性队列研究。新发心理健康诊断数据取自加利福尼亚大学卫生系统电子健康记录（EHR），该记录包含加利福尼亚州的五个学术医疗中心。对新冠疫情之前（历史对照队列）和疫情开始之后（病例队列）相同时间范围内的数据进行了检查。采用配对t检验来检验各年龄组新发心理健康诊断数量的差异。使用双向方差分析来检验组间差异。心理健康诊断增加最多的（总体上）是26 - 35岁年龄组（<0.001），以及以下心理健康诊断：焦虑症、双相情感障碍、抑郁症、情绪障碍和精神病。研究结果可为疫情后恢复工作以及未来公共卫生紧急情况的疫情防范策略提供参考。具体而言，研究结果可指导心理健康筛查的开展、通用心理健康干预措施以及心理健康资源分配，以便在高脆弱时期为高危人群提供最佳支持。
