期刊
JOURNAL OF AFFECTIVE DISORDERS
卷 291, 期 -, 页码 1-8出版社
ELSEVIER
DOI: 10.1016/j.jad.2021.04.054
关键词
COVID-19; Economy; Depression; Financial strain; Mental health
资金
- National Institute of Mental Health (NIMH) [K23-MH120437, R01-MH119219, R01-MH117014]
- US-Israel Binational Science Foundation [2017369]
- Foundation Dora
- Lifespan Brain Institute of Children's Hospital of Philadelphia and Penn Medicine, University of Pennsylvania
- Zuckerman STEM Leadership Program
- Kirsh Foundation
The study showed that income loss and financial strain due to COVID-19 were associated with depressive symptoms and their exacerbation over time. These effects were found to be distinct from pandemic-related anxiety, highlighting specific links between the economic impact of COVID-19 and psychiatric outcomes.
Background: COVID-19 pandemic has major ramifications for global health and economy, with growing concerns about economic recession and implications for mental health. Here we investigated the associations between pandemic-related income loss with financial strain and mental health trajectories over a 1-month course, in two independent cohorts. Methods: Two independent studies were conducted in the U.S and in Israel at the beginning of the outbreak (March-April 2020, T1; study I: N = 2904, study II: N = 1267) and at a 1-month follow-up (T2; study I: N = 1318, study II: N = 241). Mixed-effects models were applied to assess associations among COVID-19-related income loss, financial strain, and pandemic-related worries about health, with anxiety and depression, controlling for multiple covariates including pre-COVID-19 income. Results: In both studies, income loss and financial strain were associated with greater depressive symptoms at T1, above and beyond T1 anxiety, worries about health, and pre-COVID-19 income. Worsening of income loss was associated with exacerbation of depression at T2 in both studies. Worsening of subjective financial strain was associated with exacerbation of depression at T2 in one study (US). Conclusions: Income loss and financial strain were uniquely associated with depressive symptoms and their exacerbation over time, above and beyond pandemic-related anxiety. In times when a myriad of stressors are affecting mental health worldwide, our findings reveal specific links between the economic impact of COVID-19 and psychiatric outcomes.
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