Do pre-existing anxiety-related and mood disorders differentially impact COVID-19 stress responses and coping?
Adaptation, Psychological
Adolescent
Adult
Aged
Aged, 80 and over
Anxiety Disorders
/ epidemiology
COVID-19
Canada
/ epidemiology
Case-Control Studies
Coronavirus Infections
/ epidemiology
Fear
/ psychology
Female
Humans
Male
Mental Health
/ statistics & numerical data
Middle Aged
Mood Disorders
/ epidemiology
Pandemics
Pneumonia, Viral
/ epidemiology
Stress, Psychological
/ epidemiology
United States
/ epidemiology
Young Adult
Anxiety-related disorders
COVID-19
Coronavirus
Mental health
Mood disorders
Pandemic
Journal
Journal of anxiety disorders
ISSN: 1873-7897
Titre abrégé: J Anxiety Disord
Pays: Netherlands
ID NLM: 8710131
Informations de publication
Date de publication:
08 2020
08 2020
Historique:
received:
23
06
2020
revised:
29
06
2020
accepted:
30
06
2020
pubmed:
17
7
2020
medline:
28
8
2020
entrez:
17
7
2020
Statut:
ppublish
Résumé
People with pre-existing mental health conditions may be more susceptible to stressors associated with COVID-19 relative to the general population; however, no studies have assessed whether susceptibility differs between classes of mental health disorders. We assessed COVID-19-related stress, self-isolation stressors, and coping in those with a primary anxiety-related disorder diagnosis, a primary mood disorder diagnosis, and no mental health disorder. Adults from a population-representative sample from the United States and Canada who reported current (past year) anxiety-related (n = 700) or mood (n = 368) disorders were compared to a random sample of respondents who did not report a current mental health diagnosis (n = 500) on COVID-19-related stress, self-isolation stress, and coping. The anxiety-related disorders group exhibited higher COVID Stress Scales total scores and higher scores on its fears about danger and contamination, socioeconomic consequences, xenophobia, and traumatic stress symptoms scales than the other groups. The mood disorders group had higher scores on the traumatic stress symptoms and socioeconomic consequences scales than those with no current mental disorder. Those with current anxiety-related or mood disorders were more likely to voluntarily self-isolate and were more likely to report greater self-isolation stressors and distress than those without a mental health disorder. Yet, there were no major differences in perceived effectiveness of coping strategies across groups. People with anxiety-related or mood disorders were more negatively affected by COVID-19 compared to those with no mental health disorder; however, adding to psychological burden, those with anxiety-related disorders reported greater fears about danger and contamination, socioeconomic consequences, xenophobia, and traumatic stress symptoms than the other groups. These findings suggest the need for tailoring COVID-19-related mental health interventions to meet the specific needs of people with pre-existing mental health conditions.
Sections du résumé
BACKGROUND
People with pre-existing mental health conditions may be more susceptible to stressors associated with COVID-19 relative to the general population; however, no studies have assessed whether susceptibility differs between classes of mental health disorders. We assessed COVID-19-related stress, self-isolation stressors, and coping in those with a primary anxiety-related disorder diagnosis, a primary mood disorder diagnosis, and no mental health disorder.
METHODS
Adults from a population-representative sample from the United States and Canada who reported current (past year) anxiety-related (n = 700) or mood (n = 368) disorders were compared to a random sample of respondents who did not report a current mental health diagnosis (n = 500) on COVID-19-related stress, self-isolation stress, and coping.
RESULTS
The anxiety-related disorders group exhibited higher COVID Stress Scales total scores and higher scores on its fears about danger and contamination, socioeconomic consequences, xenophobia, and traumatic stress symptoms scales than the other groups. The mood disorders group had higher scores on the traumatic stress symptoms and socioeconomic consequences scales than those with no current mental disorder. Those with current anxiety-related or mood disorders were more likely to voluntarily self-isolate and were more likely to report greater self-isolation stressors and distress than those without a mental health disorder. Yet, there were no major differences in perceived effectiveness of coping strategies across groups.
CONCLUSION
People with anxiety-related or mood disorders were more negatively affected by COVID-19 compared to those with no mental health disorder; however, adding to psychological burden, those with anxiety-related disorders reported greater fears about danger and contamination, socioeconomic consequences, xenophobia, and traumatic stress symptoms than the other groups. These findings suggest the need for tailoring COVID-19-related mental health interventions to meet the specific needs of people with pre-existing mental health conditions.
Identifiants
pubmed: 32673930
pii: S0887-6185(20)30085-2
doi: 10.1016/j.janxdis.2020.102271
pmc: PMC7342169
pii:
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
102271Informations de copyright
Copyright © 2020 Elsevier Ltd. All rights reserved.
Références
Lancet Psychiatry. 2020 Apr;7(4):e21
pubmed: 32199510
J Anxiety Disord. 2012 Apr;26(3):468-79
pubmed: 22366534
Brain Behav Immun. 2020 Jul;87:84-92
pubmed: 32335200
BMC Psychiatry. 2008 Jun 17;8:43
pubmed: 18558014
Med Sci Monit. 2020 Mar 20;26:e923921
pubmed: 32194290
Psychosomatics. 2009 Nov-Dec;50(6):613-21
pubmed: 19996233
JAMA Psychiatry. 2020 Sep 1;77(9):891-892
pubmed: 32242888
J Gen Intern Med. 2020 Aug;35(8):2296-2303
pubmed: 32472486
Gen Psychiatr. 2020 Mar 6;33(2):e100213
pubmed: 32215365
Depress Anxiety. 2020 Aug;37(8):706-714
pubmed: 32627255
J Affect Disord. 2010 Apr;122(1-2):86-95
pubmed: 19616305
J Anxiety Disord. 2019 Dec;68:102143
pubmed: 31548108
Int J Environ Res Public Health. 2020 Mar 06;17(5):
pubmed: 32155789
J Anxiety Disord. 2020 Aug;74:102258
pubmed: 32569905
Asian J Psychiatr. 2020 Jun;51:102071
pubmed: 32334407
J Anxiety Disord. 2020 May;72:102232
pubmed: 32408047
Int J Ment Health Addict. 2020 Mar 27;:1-9
pubmed: 32226353
Health Rep. 2010 Sep;21(3):61-75
pubmed: 20973435
Death Stud. 2020;44(7):393-401
pubmed: 32299304