4.7 Article

Mental health outcomes associated with the COVID-19 pandemic: Prevalence and risk factors in a southern US state

Journal

PSYCHIATRY RESEARCH
Volume 293, Issue -, Pages -

Publisher

ELSEVIER IRELAND LTD
DOI: 10.1016/j.psychres.2020.113476

Keywords

Depression; Anxiety; Trauma; Risk factors; Pandemic; Screening

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Funding

  1. Translational Research Institute (TRI) [UL1 TR003107]
  2. National Center for Advancing Translational Sciences of the National Institutes of Health (NIH)

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The COVID-19 pandemic has had a dramatic effect on the functioning of individuals and institutions around the world. This cross-sectional registry-based study examined some of the burdens of the pandemic, the prevalence of mental health difficulties, and risk factors for psychosocial morbidity among community residents in Arkansas. The study focused on a period of gradual reopening but rising infection rates. The investigation included validated screening measures of depressive symptoms (PHQ-9), generalized anxiety (GAD-7), traumarelated symptoms (PCL-5), and alcohol use (AUDIT-C). A notable percentage of participants reported elevated symptoms on each of these outcomes. In separate multivariable analyses that accounted for a number of demographic and pandemic-related covariates, individuals who reported greater pandemic-related disruption in daily life, and those with a prior history of mental health concerns, were more likely to screen positive for depressive, anxiety and trauma-related symptoms. Findings illuminate burdens experienced by community residents during a period of phased reopening, and offer a foundation for future screening and intervention initiatives.

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