Predictors of mental health during the Covid-19 pandemic in the US: Role of economic concerns, health worries and social distancing.
Adult
Anxiety
/ diagnosis
Betacoronavirus
/ isolation & purification
COVID-19
Coronavirus Infections
/ epidemiology
Depression
/ diagnosis
Economic Status
Female
Health Behavior
Humans
Male
Mental Health
Middle Aged
Pandemics
Pneumonia, Viral
/ epidemiology
Risk
SARS-CoV-2
Surveys and Questionnaires
United States
/ epidemiology
Journal
PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081
Informations de publication
Date de publication:
2020
2020
Historique:
received:
02
07
2020
accepted:
22
10
2020
entrez:
11
11
2020
pubmed:
12
11
2020
medline:
20
11
2020
Statut:
epublish
Résumé
Despite the profound health and economic implications of Covid-19, there is only limited knowledge to date about the role of economic concerns, health worries and social distancing for mental health outcomes during the pandemic. We analyze online survey data from the nationally representative "Understanding America Study" (UAS) covering the period of March 10-31st 2020 (sample size: 6,585). Mental health is assessed by the validated PHQ-4 instrument for measuring symptoms of depression and anxiety. About 29% (CI:27.4-.30.4%) of the US adult population reported some depression/anxiety symptoms over the study period, with symptoms deteriorating over the month of March. Worsening mental health was most strongly associated with concerns about the economic consequences of the pandemic, while concerns about the potential implications of the virus for respondents' own health and social distancing also predicted increases in symptoms of depression and anxiety during the early stages of the pandemic in the US, albeit less strongly. Our findings point towards the possibility of a major mental health crisis unfolding simultaneously with the pandemic, with economic concerns being a key driving force of this crisis. These results highlight the likely importance of economic countermeasures and social policy for mitigating the impact of Covid-19 on adult mental health in the US over and above an effective public health response.
Identifiants
pubmed: 33175894
doi: 10.1371/journal.pone.0241895
pii: PONE-D-20-20513
pmc: PMC7657497
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, Non-P.H.S.
Langues
eng
Sous-ensembles de citation
IM
Pagination
e0241895Subventions
Organisme : NICHD NIH HHS
ID : P2C HD044964
Pays : United States
Organisme : NIA NIH HHS
ID : P30 AG012836
Pays : United States
Organisme : NICHD NIH HHS
ID : R24 HD044964
Pays : United States
Organisme : NIA NIH HHS
ID : U01 AG054580
Pays : United States
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
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