Trajectories of Mental Distress Among U.S. Adults During the COVID-19 Pandemic.

Adult Aged COVID-19 / psychology Cross-Sectional Studies Female Humans Male Mental Health / trends Middle Aged Patient Health Questionnaire Psychological Distress Self Report Socioeconomic Factors United States Young Adult
COVID-19 Mental health Psychiatric epidemiology Sociodemographic disparities

Journal

Annals of behavioral medicine : a publication of the Society of Behavioral Medicine
ISSN: 1532-4796
Titre abrégé: Ann Behav Med
Pays: England
ID NLM: 8510246

Informations de publication

Date de publication:
16 03 2021
Historique:
pubmed: 9 2 2021
medline: 27 3 2021
entrez: 8 2 2021
Statut: ppublish

Résumé

Cross-sectional studies have found that the coronavirus disease 2019 (COVID-19) pandemic has negatively affected population-level mental health. Longitudinal studies are necessary to examine trajectories of change in mental health over time and identify sociodemographic groups at risk for persistent distress. To examine the trajectories of mental distress between March 10 and August 4, 2020, a key period during the COVID-19 pandemic. Participants included 6,901 adults from the nationally representative Understanding America Study, surveyed at baseline between March 10 and 31, 2020, with nine follow-up assessments between April 1 and August 4, 2020. Mixed-effects logistic regression was used to examine the association between date and self-reported mental distress (measured with the four-item Patient Health Questionnaire) among U.S. adults overall and among sociodemographic subgroups defined by sex, age, race/ethnicity, household structure, federal poverty line, and census region. Compared to March 11, the odds of mental distress among U.S. adults overall were 1.84 (95% confidence interval [CI] = 1.65-2.07) times higher on April 1 and 1.92 (95% CI = 1.62-2.28) times higher on May 1; by August 1, the odds of mental distress had returned to levels comparable to March 11 (odds ratio [OR] = 0.80, 95% CI = 0.66-0.96). Females experienced a sharper increase in mental distress between March and May compared to males (females: OR = 2.29, 95% CI = 1.85-2.82; males: OR = 1.53, 95% CI = 1.15-2.02). These findings highlight the trajectory of mental health symptoms during an unprecedented pandemic, including the identification of populations at risk for sustained mental distress.

Sections du résumé

BACKGROUND
Cross-sectional studies have found that the coronavirus disease 2019 (COVID-19) pandemic has negatively affected population-level mental health. Longitudinal studies are necessary to examine trajectories of change in mental health over time and identify sociodemographic groups at risk for persistent distress.
PURPOSE
To examine the trajectories of mental distress between March 10 and August 4, 2020, a key period during the COVID-19 pandemic.
METHODS
Participants included 6,901 adults from the nationally representative Understanding America Study, surveyed at baseline between March 10 and 31, 2020, with nine follow-up assessments between April 1 and August 4, 2020. Mixed-effects logistic regression was used to examine the association between date and self-reported mental distress (measured with the four-item Patient Health Questionnaire) among U.S. adults overall and among sociodemographic subgroups defined by sex, age, race/ethnicity, household structure, federal poverty line, and census region.
RESULTS
Compared to March 11, the odds of mental distress among U.S. adults overall were 1.84 (95% confidence interval [CI] = 1.65-2.07) times higher on April 1 and 1.92 (95% CI = 1.62-2.28) times higher on May 1; by August 1, the odds of mental distress had returned to levels comparable to March 11 (odds ratio [OR] = 0.80, 95% CI = 0.66-0.96). Females experienced a sharper increase in mental distress between March and May compared to males (females: OR = 2.29, 95% CI = 1.85-2.82; males: OR = 1.53, 95% CI = 1.15-2.02).
CONCLUSIONS
These findings highlight the trajectory of mental health symptoms during an unprecedented pandemic, including the identification of populations at risk for sustained mental distress.

Identifiants

DOI: 10.1093/abm/kaaa126 PMID: 33555336 PMC: PMC7929474
pubmed: 33555336
pii: 6130807
doi: 10.1093/abm/kaaa126
pmc: PMC7929474
doi:

Types de publication

Journal Article Research Support, N.I.H., Extramural

Langues

eng

Sous-ensembles de citation

IM

Pagination

93-102

Subventions

Organisme : NIMH NIH HHS
ID : T32 MH109436
Pays : United States
Organisme : NICHD NIH HHS
ID : U54 HD079123
Pays : United States
Organisme : NIA NIH HHS
ID : T32 AG000247
Pays : United States
Organisme : NIAAA NIH HHS
ID : F32 AA025816
Pays : United States
Organisme : NICHD NIH HHS
ID : P2C HD041041
Pays : United States
Organisme : NIA NIH HHS
ID : U01 AG054580
Pays : United States

Informations de copyright

© Society of Behavioral Medicine 2021. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

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Auteurs

Kira E Riehm (KE)

Department of Mental Health, Bloomberg School of Public Health, Johns Hopkins University, 624 N Broadway, Room 798, Baltimore, MD, USA.

Calliope Holingue (C)

Department of Mental Health, Bloomberg School of Public Health, Johns Hopkins University, 624 N Broadway, Room 798, Baltimore, MD, USA.
Department of Neuropsychology, Kennedy Krieger Institute, Johns Hopkins University, Baltimore, MD, USA.

Emily J Smail (EJ)

Department of Mental Health, Bloomberg School of Public Health, Johns Hopkins University, 624 N Broadway, Room 798, Baltimore, MD, USA.

Arie Kapteyn (A)

Center for Economic and Social Research, University of Southern California, Los Angeles, CA, USA.

Daniel Bennett (D)

Center for Economic and Social Research, University of Southern California, Los Angeles, CA, USA.

Johannes Thrul (J)

Department of Mental Health, Bloomberg School of Public Health, Johns Hopkins University, 624 N Broadway, Room 798, Baltimore, MD, USA.
Centre for Alcohol Policy Research, La Trobe University, Bundoora, VIC, Australia.

Frauke Kreuter (F)

Joint Program in Survey Methodology, University of Maryland, College Park, College Park, MD, USA.
School of Social Sciences, University of Mannheim, Mannheim, Germany.
Statistical Methods Group, Institute for Employment Research, Nuremberg, Germany.

Emma E McGinty (EE)

Department of Health Policy and Management, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA.

Luther G Kalb (LG)

Department of Mental Health, Bloomberg School of Public Health, Johns Hopkins University, 624 N Broadway, Room 798, Baltimore, MD, USA.
Department of Neuropsychology, Kennedy Krieger Institute, Johns Hopkins University, Baltimore, MD, USA.

Cindy B Veldhuis (CB)

School of Nursing, Columbia University, New York, NY, USA.

Renee M Johnson (RM)

Department of Mental Health, Bloomberg School of Public Health, Johns Hopkins University, 624 N Broadway, Room 798, Baltimore, MD, USA.

M Daniele Fallin (MD)

Department of Mental Health, Bloomberg School of Public Health, Johns Hopkins University, 624 N Broadway, Room 798, Baltimore, MD, USA.

Elizabeth A Stuart (EA)

Department of Mental Health, Bloomberg School of Public Health, Johns Hopkins University, 624 N Broadway, Room 798, Baltimore, MD, USA.

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Classifications MeSH

questionsmedicales.fr › Personnes › Tranches d'âge › Adulte › Trajectories of Mental Distress Among U.S....
questionsmedicales.fr › Personnes › Tranches d'âge › Adulte › Sujet âgé › Trajectories of Mental Distress Among U.S....
questionsmedicales.fr › Maladies de l'appareil respiratoire › Infections de l'appareil respiratoire › Pneumopathie infectieuse › Pneumopathie virale › COVID-19 › Trajectories of Mental Distress Among U.S....
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Caractéristiques des études épidémiologiques › Études épidémiologiques › Études transversales › Trajectories of Mental Distress Among U.S....
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Trajectories of Mental Distress Among U.S....
questionsmedicales.fr › Caractéristiques de la population › Santé › Santé mentale › Trajectories of Mental Distress Among U.S....
questionsmedicales.fr › Personnes › Tranches d'âge › Adulte › Adulte d'âge moyen › Trajectories of Mental Distress Among U.S....
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Collecte de données › Enquêtes et questionnaires › Questionnaire de santé du patient › Trajectories of Mental Distress Among U.S....
questionsmedicales.fr › Comportement et mécanismes comportementaux › Émotions › Détresse psychologique › Trajectories of Mental Distress Among U.S....
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Collecte de données › Enquêtes et questionnaires › Autorapport › Trajectories of Mental Distress Among U.S....
questionsmedicales.fr › Caractéristiques de la population › Facteurs socioéconomiques › Trajectories of Mental Distress Among U.S....
questionsmedicales.fr › Régions géographiques › Amériques › Amérique du Nord › États-Unis › Trajectories of Mental Distress Among U.S....
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