期刊
BJPSYCH OPEN
卷 8, 期 5, 页码 -出版社
CAMBRIDGE UNIV PRESS
DOI: 10.1192/bjo.2022.555
关键词
Anxiety disorders; depressive disorders; epidemiology; COVID-19; neuroticism
类别
资金
- Dutch Research Council [440.20.009]
- RESPOND project from the European Union [101016127]
- Geestkracht programme of the Netherlands Organisation for Health Research and Development [10-000-1002]
- VU Medical Center
- Geestelijke Gezondheidszorg (GGZ) inGeest
- Leiden University Medical Center
- Leiden University
- GGZ Rivierduinen
- University Medical Center Groningen
- University of Groningen
- Lentis
- GGZ Friesland
- GGZ Drenthe
- Rob Giel Onderzoekscentrum
- Fonds NutsOhra [0701-065]
- Stichting tot Steun VCVGZ (Vereniging voor Christelijke Verzorging van Geestes-en Zenuwzieken)
- NARSAD (National Alliance for Research in Schizophrenia and Affective Disorders)
- Brain and Behaviour Research Fund [41080]
- University Medical Center St Radboud
- GGZ inGeest
- GGNet
- GGZ Nijmegen
- Parnassia
- Academic Department VU Medical Center
- GGZ inGeest, Innova Research Centre
- Mental Health Care Institute GGZ Centraal
- Marina de Wolf Anxiety Research Centre
- Center for Anxiety Disorders Overwaal
- Dimence
- GGZ Overijssel
- Department of Psychiatry at Leiden University Medical Center
- Vincent van Gogh Institute Mental Health Care Centre
- Academic Anxiety Center
- PsyQ Maastricht University
- Division Mental Health and Neuroscience
- Stichting Steun
The study found neuroticism to be a robust predictor of adverse changes in mental health, and identified additional sociodemographic and COVID-19-related predictors that explain longitudinal variability in mental health during the COVID-19 pandemic.
Background Mental health was only modestly affected in adults during the early months of the COVID-19 pandemic on the group level, but interpersonal variation was large. Aims We aim to investigate potential predictors of the differences in changes in mental health. Method Data were aggregated from three Dutch ongoing prospective cohorts with similar methodology for data collection. We included participants with pre-pandemic data gathered during 2006-2016, and who completed online questionnaires at least once during lockdown in The Netherlands between 1 April and 15 May 2020. Sociodemographic, clinical (number of mental health disorders and personality factors) and COVID-19-related variables were analysed as predictors of relative changes in four mental health outcomes (depressive symptoms, anxiety and worry symptoms, and loneliness), using multivariate linear regression analyses. Results We included 1517 participants with (n = 1181) and without (n = 336) mental health disorders. Mean age was 56.1 years (s.d. 13.2), and 64.3% were women. Higher neuroticism predicted increases in all four mental health outcomes, especially for worry (beta = 0.172, P = 0.003). Living alone and female gender predicted increases in depressive symptoms and loneliness (beta = 0.05-0.08), whereas quarantine and strict adherence with COVID-19 restrictions predicted increases in anxiety and worry symptoms (beta = 0.07-0.11).Teleworking predicted a decrease in anxiety symptoms (beta = -0.07) and higher age predicted a decrease in anxiety (beta = -0.08) and worry symptoms (beta = -0.10). Conclusions Our study showed neuroticism as a robust predictor of adverse changes in mental health, and identified additional sociodemographic and COVID-19-related predictors that explain longitudinal variability in mental health during the COVID-19 pandemic.
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