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Long-Term Impact of COVID-19 on Mental Health among the General Public: A Nationwide Longitudinal Study in China.
Shi, Le; Lu, Zheng-An; Que, Jian-Yu; Huang, Xiao-Lin; Lu, Qing-Dong; Liu, Lin; Zheng, Yong-Bo; Liu, Wei-Jian; Ran, Mao-Sheng; Yuan, Kai; Yan, Wei; Sun, Yan-Kun; Sun, Si-Wei; Shi, Jie; Kosten, Thomas; Bao, Yan-Ping; Lu, Lin.
  • Shi L; Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Peking University, Beijing 100191, China.
  • Lu ZA; Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Peking University, Beijing 100191, China.
  • Que JY; Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Peking University, Beijing 100191, China.
  • Huang XL; Savaid Medical School, University of Chinese Academy of Sciences, Beijing 100049, China.
  • Lu QD; Beijing Key Laboratory of Drug Dependence, National Institute on Drug Dependence, Peking University, Beijing 100191, China.
  • Liu L; School of Public Health, Peking University, Beijing 100191, China.
  • Zheng YB; Beijing Key Laboratory of Drug Dependence, National Institute on Drug Dependence, Peking University, Beijing 100191, China.
  • Liu WJ; School of Public Health, Peking University, Beijing 100191, China.
  • Ran MS; Peking-Tsinghua Center for Life Sciences, PKU-IDG/McGovern Institute for Brain Research, Beijing 100871, China.
  • Yuan K; Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Peking University, Beijing 100191, China.
  • Yan W; Department of Social Work and Social Administration, University of Hong Kong, Hong Kong, China.
  • Sun YK; Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Peking University, Beijing 100191, China.
  • Sun SW; Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Peking University, Beijing 100191, China.
  • Shi J; Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Peking University, Beijing 100191, China.
  • Kosten T; Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Peking University, Beijing 100191, China.
  • Bao YP; Beijing Key Laboratory of Drug Dependence, National Institute on Drug Dependence, Peking University, Beijing 100191, China.
  • Lu L; Department of Psychiatry, Baylor College of Medicine, Houston, TX 77030, USA.
Int J Environ Res Public Health ; 18(16)2021 08 20.
Article in English | MEDLINE | ID: covidwho-1367832
ABSTRACT
COVID-19 might have long-term mental health impacts. We aim to investigate the longitudinal changes in mental problems from initial COVID-19 peak to its aftermath among general public in China. Depression, anxiety and insomnia were assessed among a large-sample nationwide cohort of 10,492 adults during the initial COVID-19 peak (28 February 2020 to 11 March 2020) and its aftermath (8 July 2020 to 8 August 2020) using the Patient Health Questionnaire-9, Generalized Anxiety Disorder-7, and Insomnia Severity Index. We used generalized estimating equations and linear mixed models to explore factors associated with long-term mental health symptoms during COVID-19. During the five months, mental health symptoms remained consistently elevated (baseline 46.4%; follow-up 45.1%). Long-term depression, anxiety and insomnia were associated with several personal and work-related factors including quarantine (adjusted OR for any mental health symptoms 1.31, 95%CI 1.22-1.41, p < 0.001), increases in work burden after resuming work (1.77, 1.65-1.90, p < 0.001), occupational exposure risk to COVID-19 (1.26, 1.14-1.40, p < 0.001) and living in places severely affected by initial COVID-19 peak (1.21, 1.04-1.41, p = 0.01) or by a COVID-19 resurgence (1.38, 1.26-1.50, p < 0.001). Compliance with self-protection measures, such as wearing face masks (0.74, 0.61-0.90, p = 0.003), was associated with lower long-term risk of mental problems. The findings reveal a pronounced and prolonged mental health burden from the initial COVID-19 peak through to its aftermath in China. We should regularly monitor the mental health status of vulnerable populations throughout COVID-19.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Mental Health / COVID-19 Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Topics: Long Covid Limits: Adult / Humans Country/Region as subject: Asia Language: English Year: 2021 Document Type: Article Affiliation country: Ijerph18168790

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Mental Health / COVID-19 Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Topics: Long Covid Limits: Adult / Humans Country/Region as subject: Asia Language: English Year: 2021 Document Type: Article Affiliation country: Ijerph18168790