Longitudinal analysis of the UK COVID-19 Psychological Wellbeing Study: Trajectories of anxiety, depression and COVID-19-related stress symptomology

McPherson, Kerri; McAloney‐Kocaman, Kareena; McGlinchey, Emily; Faeth, Pia Charlotte; Armour, Chérie

doi:10.1016/j.psychres.2021.114138

Cited by 62 publications

(78 citation statements)

References 52 publications

(79 reference statements)

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“…This finding contrasts with studies in the general population, which show that the high impact at the beginning of the first wave of the pandemic tends to decline after 3–5 weeks of the first wave (Gonzalez-Sanguino et al ., 2020; Daly and Robinson, 2021; Fancourt et al ., 2021; Robinson and Daly, 2021). Nevertheless, some general population studies show a persistently high level of mental health impact through the initial phases of the pandemic (Kikuchi et al ., 2020; McGinty et al ., 2020) while still another study shows that a substantial proportion of the general population maintained high levels of symptoms (McPherson et al ., 2021). A possible explanation of the different trajectory among healthcare workers is the maintained levels of proximal stressors they faced, like other essential workers (Paul et al ., 2021).…”

Section: Discussionmentioning

confidence: 99%

Mental impact of Covid-19 among Spanish healthcare workers. A large longitudinal survey

Alonso

Vilagut

Alayo

et al. 2022

Epidemiol Psychiatr Sci

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Aims Longitudinal data on the mental health impact of the coronavirus disease 2019 (Covid-19) pandemic in healthcare workers is limited. We estimated prevalence, incidence and persistence of probable mental disorders in a cohort of Spanish healthcare workers (Covid-19 waves 1 and 2) -and identified associated risk factors. Methods 8996 healthcare workers evaluated on 5 May–7 September 2020 (baseline) were invited to a second web-based survey (October–December 2020). Major depressive disorder (PHQ-8 ≥ 10), generalised anxiety disorder (GAD-7 ≥ 10), panic attacks, post-traumatic stress disorder (PCL-5 ≥ 7), and alcohol use disorder (CAGE-AID ≥ 2) were assessed. Distal (pre-pandemic) and proximal (pandemic) risk factors were included. We estimated the incidence of probable mental disorders (among those without disorders at baseline) and persistence (among those with disorders at baseline). Logistic regression of individual-level [odds ratios (OR)] and population-level (population attributable risk proportions) associations were estimated, adjusting by all distal risk factors, health care centre and time of baseline interview. Results 4809 healthcare workers participated at four months follow-up (cooperation rate = 65.7%; mean = 120 days s.d. = 22 days from baseline assessment). Follow-up prevalence of any disorder was 41.5%, (v. 45.4% at baseline, p < 0.001); incidence, 19.7% (s.e. = 1.6) and persistence, 67.7% (s.e. = 2.3). Proximal factors showing significant bivariate-adjusted associations with incidence included: work-related factors [prioritising Covid-19 patients (OR = 1.62)], stress factors [personal health-related stress (OR = 1.61)], interpersonal stress (OR = 1.53) and financial factors [significant income loss (OR = 1.37)]. Risk factors associated with persistence were largely similar. Conclusions Our study indicates that the prevalence of probable mental disorders among Spanish healthcare workers during the second wave of the Covid-19 pandemic was similarly high to that after the first wave. This was in good part due to the persistence of mental disorders detected at the baseline, but with a relevant incidence of about 1 in 5 of HCWs without mental disorders during the first wave of the Covid-19 pandemic. Health-related factors, work-related factors and interpersonal stress are important risks of persistence of mental disorders and of incidence of mental disorders. Adequately addressing these factors might have prevented a considerable amount of mental health impact of the pandemic among this vulnerable population. Addressing health-related stress, work-related factors and interpersonal stress might reduce the prevalence of these disorders substantially. Study registration number: NCT04556565

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Section: Discussionmentioning

confidence: 99%

Mental impact of Covid-19 among Spanish healthcare workers. A large longitudinal survey

Alonso

Vilagut

Alayo

et al. 2022

Epidemiol Psychiatr Sci

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“…However, the timing of data collection in relation to the pandemic phase may also have a role. In one study, for example, the authors found that the pre-existing mental health condition was a significant predictor for psychological distress early in the study phase, while the effect disappeared later in the study [ 13 ]. Similarly, they found that people with increasing mental health symptoms have experienced resilience early in the pandemic, which faded later, and in contrast to those who reported high scores in the early weeks, they showed considerable improvement with the pandemic progression [ 13 ].…”

Section: Discussionmentioning

confidence: 99%

“…Emerging evidence from studies on the COVID-19 pandemic or similar disasters, suggests that several factors are implicated in the development of mental health and anxiety symptoms; for example, sociodemographic characteristics, such as age, gender, or receiving inadequate social support have significantly impacted mental health outcomes during such difficult times [ 5 , 12 , 13 , 14 ]. Additionally, having an infected family member with COVID-19 or excessive fear of becoming infected were also associated with stress-related symptoms [ 14 , 15 , 16 ].…”

Section: Introductionmentioning

confidence: 99%

“…Additionally, having an infected family member with COVID-19 or excessive fear of becoming infected were also associated with stress-related symptoms [ 14 , 15 , 16 ]. Furthermore, having an existing mental health condition such as depression or anxiety may present an additional risk, which may contribute to potential exacerbation of the symptoms or relapsing due to service disruption or the need for isolation [ 13 , 14 , 15 , 16 , 17 ]. The received support during the current pandemic was also a significant protector against mental health symptoms.…”

Section: Introductionmentioning

confidence: 99%

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COVID-19 Pandemic in a Vulnerable Population: Prevalence and Correlates of Anxiety

Shalaby

Eboreime

Nkire

et al. 2022

Behavioral Sciences

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Background: The COVID-19 pandemic has produced negative mental health outcomes. These effects were more prominent in vulnerable communities that experienced prior similar disasters. The study aimed to examine the likelihood and correlates of anxiety symptoms among Fort McMurray (FMM) residents, during the COVID-19 pandemic. Methods: A cross-sectional online survey questionnaire was applied between 24 April and 2 June 2021, at FMM, to gather sociodemographic, COVID-19, and clinical information, including generalized anxiety disorder (using GAD-7 scale). Results: Overall, 186 individuals completed the survey (response rate 74.7%). Most of the respondents were females (159, 85.5%); above 40 years (98, 52.7%); employed (175, 94.1%); and in relationship (132, 71%). The prevalence of moderate-to-severe anxiety was (42.5%, 71) on GAD-7 self-reported scale. Subscribers who reported that they would like to receive mental health support; have received no family support since COVID-19 declaration; and have lost their job during the pandemic were all more likely to report moderate-to-severe anxiety (OR = 3.39; 95% CI: 1.29–8.88), (OR = 4.85; 95% CI: 1.56–15.03), and (OR = 4.40; 95% CI: 1.01–19.24), respectively. Conclusions: Anxiety levels were high among FMM residents, compared to levels before COVID-19. Clinical and social factors significantly predicted likely anxiety in the Fort McMurray population, during the COVID-19 pandemic. It is imperative that resources are mobilized to support vulnerable communities during the COVID-19 pandemic.

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“…Ensuring social distancing and reducing interpersonal relationships are needed worldwide to combat the present COVID-19 pandemic. It has various effects such as increased stress, heightened anxiety, and worsening depression [ 1 , 2 ]. Moreover, it has chronic effects on children’s social life and mental health.…”

Section: Introductionmentioning

confidence: 99%

Descriptive review of internet-based cognitive behavior therapy on anxiety-related problems in children under the circumstances of COVID-19

Shirotsuki

Sugaya²,

Nakao

2022

BioPsychoSocial Med

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Background COVID-19 continues to have a global impact and has yet to converge. Behavioral restrictions in daily life are widespread, forcing changes to the behavioral patterns of people. Significant changes have also occurred in children’s lives, raising concerns about mental health. The same is true for anxiety symptoms. Research In this paper, we described the COVID-19 pandemic effects on mental health, summarized Internet-based cognitive behavioral therapy (ICBT) as an applicability of cognitive behavioral therapy (CBT) for COVID-19, and summarized ICBT’s current state as a response for anxiety. An overview of previous intervention studies, including randomized controlled trials (RCTs) on ICBT, showed that many studies were highly effective against anxiety symptoms. Furthermore, regarding the follow-up of ICBT’s intervention effect, long-term effect maintenance was also clarified. It was likewise pointed out that ICBT may be used in the future since it is beneficial for children’s anxiety symptoms in telemedicine. Conclusions Based on these results from previous studies, we discuss ICBT’s applicability during the COVID-19 pandemic. Additionally, future measures and prospects for children’s mental health during the pandemic are discussed in this study.

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Longitudinal analysis of the UK COVID-19 Psychological Wellbeing Study: Trajectories of anxiety, depression and COVID-19-related stress symptomology

Cited by 62 publications

References 52 publications

Mental impact of Covid-19 among Spanish healthcare workers. A large longitudinal survey

Mental impact of Covid-19 among Spanish healthcare workers. A large longitudinal survey

COVID-19 Pandemic in a Vulnerable Population: Prevalence and Correlates of Anxiety

Descriptive review of internet-based cognitive behavior therapy on anxiety-related problems in children under the circumstances of COVID-19

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