Your browser doesn't support javascript.
The effects of the pandemic on mental health in persons with and without a psychiatric history.
Murphy, Eleanor; Svob, Connie; Van Dijk, Milenna; Gameroff, Marc J; Skipper, Jamie; Abraham, Eyal; Yangchen, Tenzin; Posner, Jonathan; Shankman, Stewart A; Wickramaratne, Priya J; Weissman, Myrna M; Talati, Ardesheer.
  • Murphy E; Department of Psychiatry, Vagelos College of Physicians and Surgeons, Columbia University, New York, NY, USA.
  • Svob C; Department of Psychiatry, Vagelos College of Physicians and Surgeons, Columbia University, New York, NY, USA.
  • Van Dijk M; Division of Translational Epidemiology, New York State Psychiatric Institute, New York, NY, USA.
  • Gameroff MJ; Department of Psychiatry, Vagelos College of Physicians and Surgeons, Columbia University, New York, NY, USA.
  • Skipper J; Division of Translational Epidemiology, New York State Psychiatric Institute, New York, NY, USA.
  • Abraham E; Department of Psychiatry, Vagelos College of Physicians and Surgeons, Columbia University, New York, NY, USA.
  • Yangchen T; Division of Translational Epidemiology, New York State Psychiatric Institute, New York, NY, USA.
  • Posner J; Division of Translational Epidemiology, New York State Psychiatric Institute, New York, NY, USA.
  • Shankman SA; Department of Psychiatry, Vagelos College of Physicians and Surgeons, Columbia University, New York, NY, USA.
  • Wickramaratne PJ; Division of Translational Epidemiology, New York State Psychiatric Institute, New York, NY, USA.
  • Weissman MM; Department of Psychiatry, Vagelos College of Physicians and Surgeons, Columbia University, New York, NY, USA.
  • Talati A; Department of Psychiatry, Vagelos College of Physicians and Surgeons, Columbia University, New York, NY, USA.
Psychol Med ; : 1-9, 2021 Nov 08.
Article in English | MEDLINE | ID: covidwho-2300571
ABSTRACT

BACKGROUND:

Prospective studies are needed to assess the influence of pre-pandemic risk factors on mental health outcomes following the COVID-19 pandemic. From direct interviews prior to (T1), and then in the same individuals after the pandemic onset (T2), we assessed the influence of personal psychiatric history on changes in symptoms and wellbeing.

METHODS:

Two hundred and four (19-69 years/117 female) individuals from a multigenerational family study were followed clinically up to T1. Psychiatric symptom changes (T1-to-T2), their association with lifetime psychiatric history (no, only-past, and recent psychiatric history), and pandemic-specific worries were investigated.

RESULTS:

At T2 relative to T1, participants with recent psychopathology (in the last 2 years) had significantly fewer depressive (mean, M = 41.7 v. 47.6) and traumatic symptoms (M = 6.6 v. 8.1, p < 0.001), while those with no and only-past psychiatric history had decreased wellbeing (M = 22.6 v. 25.0, p < 0.01). Three pandemic-related worry factors were identified Illness/death, Financial, and Social isolation. Individuals with recent psychiatric history had greater Illness/death and Financial worries than the no/only-past groups, but these worries were unrelated to depression at T2. Among individuals with no/only-past history, Illness/death worries predicted increased T2 depression [B = 0.6(0.3), p < 0.05].

CONCLUSIONS:

As recent psychiatric history was not associated with increased depression or anxiety during the pandemic, new groups of previously unaffected persons might contribute to the increased pandemic-related depression and anxiety rates reported. These individuals likely represent incident cases that are first detected in primary care and other non-specialty clinical settings. Such settings may be useful for monitoring future illness among newly at-risk individuals.
Keywords

Full text: Available Collection: International databases Database: MEDLINE Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Language: English Journal: Psychol Med Year: 2021 Document Type: Article Affiliation country: S0033291721004372

Similar

MEDLINE

...
LILACS

LIS


Full text: Available Collection: International databases Database: MEDLINE Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Language: English Journal: Psychol Med Year: 2021 Document Type: Article Affiliation country: S0033291721004372