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Predictors of mental health deterioration from pre- to post-COVID-19 outbreak.
Rius Ottenheim, Nathaly; Pan, Kuan-Yu; Kok, Almar A L; Jörg, Frederike; Eikelenboom, Merijn; Horsfall, Melany; Luteijn, Rob A; van Oppen, Patricia; Rhebergen, Didi; Schoevers, Robert A; Penninx, Brenda W J H; Giltay, Erik J.
  • Rius Ottenheim N; Department of Psychiatry, Leiden University Medical Center, The Netherlands.
  • Pan KY; Department of Psychiatry, Amsterdam Public Health, Amsterdam University Medical Center, Vrije Universiteit, The Netherlands; and Department of Psychiatry, Geestelijke Gezondheidszorg (GGZ) InGeest, The Netherlands.
  • Kok AAL; Department of Psychiatry, Amsterdam Public Health, Amsterdam University Medical Center, Vrije Universiteit, The Netherlands; and Department of Psychiatry, GGZ InGeest, The Netherlands.
  • Jörg F; University Center for Psychiatry, University Medical Center Groningen, The Netherlands; and Research Department, GGZ Friesland, The Netherlands.
  • Eikelenboom M; Department of Psychiatry, Amsterdam Public Health, Amsterdam University Medical Center, Vrije Universiteit, The Netherlands; and Department of Psychiatry, GGZ InGeest, The Netherlands.
  • Horsfall M; Department of Psychiatry, Amsterdam Public Health, Amsterdam University Medical Center, Vrije Universiteit, The Netherlands; and Department of Psychiatry, GGZ InGeest, The Netherlands.
  • Luteijn RA; Department of Psychiatry, Amsterdam Public Health, Amsterdam University Medical Center, Vrije Universiteit, The Netherlands; and Department of Psychiatry, GGZ InGeest, The Netherlands.
  • van Oppen P; Department of Psychiatry, Amsterdam Public Health, Amsterdam University Medical Center, Vrije Universiteit, The Netherlands; and Department of Psychiatry, GGZ InGeest, The Netherlands.
  • Rhebergen D; Department of Psychiatry, Amsterdam Public Health, Amsterdam University Medical Center, Vrije Universiteit, The Netherlands; Department of Psychiatry, GGZ InGeest, The Netherlands; and Mental Health Care Institute, GGZ Centraal, The Netherlands.
  • Schoevers RA; University Center for Psychiatry, University Medical Center Groningen, The Netherlands.
  • Penninx BWJH; Department of Psychiatry, Amsterdam Public Health, Amsterdam University Medical Center, Vrije Universiteit, The Netherlands; and Department of Psychiatry, GGZ InGeest, The Netherlands.
  • Giltay EJ; Department of Psychiatry, Leiden University Medical Center, The Netherlands.
BJPsych Open ; 8(5): e162, 2022 Aug 30.
Article in English | MEDLINE | ID: covidwho-2021388
ABSTRACT

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 (ß = 0.172, P = 0.003). Living alone and female gender predicted increases in depressive symptoms and loneliness (ß = 0.05-0.08), whereas quarantine and strict adherence with COVID-19 restrictions predicted increases in anxiety and worry symptoms (ß = 0.07-0.11).Teleworking predicted a decrease in anxiety symptoms (ß = -0.07) and higher age predicted a decrease in anxiety (ß = -0.08) and worry symptoms (ß = -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.
Keywords

Full text: Available Collection: International databases Database: MEDLINE Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study Topics: Long Covid Language: English Journal: BJPsych Open Year: 2022 Document Type: Article Affiliation country: Bjo.2022.555

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study Topics: Long Covid Language: English Journal: BJPsych Open Year: 2022 Document Type: Article Affiliation country: Bjo.2022.555