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  1. Article ; Online: Increases in depression and anxiety symptoms in adolescents and young adults during the COVID-19 pandemic.

    Hawes, Mariah T / Szenczy, Aline K / Klein, Daniel N / Hajcak, Greg / Nelson, Brady D

    Psychological medicine

    2021  Volume 52, Issue 14, Page(s) 3222–3230

    Abstract: ... and decreased social anxiety symptoms, respectively.: Conclusions: Adolescents and young adults ... at an early epicenter of the COVID-19 pandemic in the U.S. experienced increased depression and anxiety ... that depression and anxiety are elevated during COVID-19, but no prior study has explored changes ...

    Abstract Background: The coronavirus [coronavirus disease 2019 (COVID-19)] pandemic has introduced extraordinary life changes and stress, particularly in adolescents and young adults. Initial reports suggest that depression and anxiety are elevated during COVID-19, but no prior study has explored changes at the
    Methods: Depression (Children's Depression Inventory) and anxiety symptoms (Screen for Child Anxiety Related Symptoms) were assessed between December 2014 and July 2019, and, along with COVID-19 experiences, symptoms were re-assessed between March 27th and May 15th, 2020.
    Results: Across participants and independent of age, there were increased generalized anxiety and social anxiety symptoms. In females, there were also increased depression and panic/somatic symptoms. Multivariable linear regression indicated that greater COVID-19 school concerns were uniquely associated with increased depression symptoms. Greater COVID-19 home confinement concerns were uniquely associated with increased generalized anxiety symptoms, and decreased social anxiety symptoms, respectively.
    Conclusions: Adolescents and young adults at an early epicenter of the COVID-19 pandemic in the U.S. experienced increased depression and anxiety symptoms, particularly amongst females. School and home confinement concerns related to the pandemic were independently associated with changes in symptoms. Overall, this report suggests that the COVID-19 pandemic is having multifarious adverse effects on the mental health of youth.
    MeSH term(s) Female ; Child ; Adolescent ; Young Adult ; Humans ; COVID-19 ; Pandemics ; Depression/psychology ; SARS-CoV-2 ; Anxiety/psychology
    Language English
    Publishing date 2021-01-13
    Publishing country England
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 217420-0
    ISSN 1469-8978 ; 0033-2917
    ISSN (online) 1469-8978
    ISSN 0033-2917
    DOI 10.1017/S0033291720005358
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Sharp increase in depression and anxiety among Brazilian adults during the COVID-19 pandemic: findings from the PAMPA cohort.

    Feter, N / Caputo, E L / Doring, I R / Leite, J S / Cassuriaga, J / Reichert, F F / da Silva, M C / Coombes, J S / Rombaldi, A J

    Public health

    2020  Volume 190, Page(s) 101–107

    Abstract: ... anxiety symptoms had a 6.6- and 7.4-fold increase since the COVID-19 pandemic. Public policies ... and anxiety were reported in 3.9% and 4.5% of participants, respectively, before COVID-19. During ... and severe symptoms of depression and anxiety before and during the social distancing restrictions ...

    Abstract Objectives: We aimed to compare the prevalence of depression and anxiety symptoms before and during the pandemic and identify factors associated with aggravated mental health symptoms.
    Study design: Retrospective cohort study.
    Methods: We identified the proportion of normal, mild, moderate, and severe symptoms of depression and anxiety before and during the social distancing restrictions in adults from southern Brazil. An online, self-administered questionnaire was delivered for residents within the state of Rio Grande do Sul. Depressive and anxiety symptoms were examined by the Hospital Anxiety and Depression Scale.
    Results: Most of the participants (n = 2314) aged between 31 and 59 years (54.2%), were women (76.6%), White (90.6%) with a university degree (66.6%). Moderate-to-severe symptoms of depression and anxiety were reported in 3.9% and 4.5% of participants, respectively, before COVID-19. During the pandemic (June-July, 2020), these proportions increased to 29.1% (6.6-fold increase) and 37.8% (7.4-fold increase), respectively. Higher rates of depressive and anxiety symptoms were observed among women, those aged 18-30 years, diagnosed with chronic disease and participants who had their income negatively affected by social restrictions. Remaining active or becoming physically active during social distancing restrictions reduced the probability of aggravated mental health disorders.
    Conclusions: Depressive and anxiety symptoms had a 6.6- and 7.4-fold increase since the COVID-19 pandemic. Public policies such as physical activity promotion and strategies to reduce the economic strain caused by this pandemic are urgently needed to mitigate the impact of the pandemic on mental health.
    MeSH term(s) Adolescent ; Adult ; Aged ; Aged, 80 and over ; Anxiety/epidemiology ; Anxiety/etiology ; Anxiety Disorders/epidemiology ; Anxiety Disorders/etiology ; Brazil/epidemiology ; COVID-19/complications ; COVID-19/epidemiology ; COVID-19/prevention & control ; COVID-19/psychology ; Cohort Studies ; Depression/epidemiology ; Depression/etiology ; Female ; Humans ; Income ; Longitudinal Studies ; Male ; Mental Health/statistics & numerical data ; Middle Aged ; Pandemics ; Prevalence ; Retrospective Studies ; SARS-CoV-2 ; Surveys and Questionnaires ; Young Adult
    Language English
    Publishing date 2020-12-31
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 427333-3
    ISSN 1476-5616 ; 0033-3506
    ISSN (online) 1476-5616
    ISSN 0033-3506
    DOI 10.1016/j.puhe.2020.11.013
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Increased alcohol use during the COVID-19 pandemic: The effect of mental health and age in a cross-sectional sample of social media users in the U.S.

    Capasso, Ariadna / Jones, Abbey M / Ali, Shahmir H / Foreman, Joshua / Tozan, Yesim / DiClemente, Ralph J

    Preventive medicine

    2021  Volume 145, Page(s) 106422

    Abstract: ... modified the association of anxiety and depressive symptoms with alcohol use during the COVID-19 pandemic ... scale-up of substance use services for middle-aged and older adults with symptoms of depression and anxiety. ... greater among those with symptoms of anxiety and depression, compared to those without symptoms ...

    Abstract The COVID-19 pandemic has triggered a public health crisis of unprecedented scale. Increased alcohol use has been extensively documented during other crises, particularly among persons with anxiety and depression. Despite COVID-19's differential impact by age, the association of age, mental health and alcohol use during the pandemic has not been explored. This study aimed to examine whether age modified the association of anxiety and depressive symptoms with alcohol use during the COVID-19 pandemic. Two online surveys were administered to U.S. adult social media users in March and April 2020. Generalized linear models were conducted in 2020 among 5850 respondents (52.9% female; 22.0% aged 18-39 years, 47.0% aged 40-59 years, and 31.0% aged ≥60 years) to examine if age modified the association of anxiety and depression symptomatology and alcohol use. Overall, 29% of respondents reported increased alcohol use. Adjusted odds ratios of reporting increased alcohol use were 1.41 (95% CI = 1.20-1.66) among respondents with anxiety symptoms and 1.64 (95% CI = 1.21-2.23) among those with depressive symptoms compared to those without such symptoms. Whereas respondents aged 18-39 years had the highest probability of reporting increased alcohol use, the probability of older persons (40-59 and ≥60 years) reporting increased drinking was much greater among those with symptoms of anxiety and depression, compared to those without symptoms. These findings warrant age-differentiated public health messaging on the risks of excessive alcohol use and scale-up of substance use services for middle-aged and older adults with symptoms of depression and anxiety.
    MeSH term(s) Adolescent ; Adult ; Age Factors ; Aged ; Aged, 80 and over ; Alcohol Drinking/epidemiology ; Alcohol Drinking/psychology ; COVID-19/epidemiology ; COVID-19/psychology ; Cross-Sectional Studies ; Female ; Humans ; Male ; Mental Health/statistics & numerical data ; Middle Aged ; Pandemics ; SARS-CoV-2 ; Social Media/statistics & numerical data ; Stress, Psychological ; Surveys and Questionnaires ; United States/epidemiology ; Young Adult
    Language English
    Publishing date 2021-01-07
    Publishing country United States
    Document type Comparative Study ; Journal Article
    ZDB-ID 184600-0
    ISSN 1096-0260 ; 0091-7435
    ISSN (online) 1096-0260
    ISSN 0091-7435
    DOI 10.1016/j.ypmed.2021.106422
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Severely increased generalized anxiety, but not COVID-19-related fear in individuals with mental illnesses: A population based cross-sectional study in Germany.

    Skoda, Eva-Maria / Bäuerle, Alexander / Schweda, Adam / Dörrie, Nora / Musche, Venja / Hetkamp, Madeleine / Kohler, Hannah / Teufel, Martin / Weismüller, Benjamin

    The International journal of social psychiatry

    2020  Volume 67, Issue 5, Page(s) 550–558

    Abstract: ... anxiety (GAD-7), depression (PHQ-2), distress (distress thermometer) and COVID-19-specific items ... concerning levels. Surprisingly, even though generalized anxiety, depressive symptoms, and perceived distress ... The COVID-19 pandemic affected individuals, governments, and health care centers ...

    Abstract The COVID-19 pandemic affected individuals, governments, and health care centers all around the globe. Social isolation obligation, restricted working shifts, and curfews posed unprecedented challenges for the population. Social isolation, boredom, and financial problems have been shown to stress peoples' mental health in previous comparable pandemics and even in regular situations. Individuals with a mental illness may particularly be at risk due to an already instable mental health status. While research mainly focused on the pandemic's impact on somatic health care and risk group patients, psychological obstacles caused by legal restrictions and their impact on already mentally affected individuals have been discussed, but so far only scarcely been investigated in a large sample. For this study, 12,028 people completed an online-survey during that time in Germany, when the COVID-19 outbreak gained momentum with a surge in cases and death rates as well as a lockdown of the public life. Generalized anxiety (GAD-7), depression (PHQ-2), distress (distress thermometer) and COVID-19-specific items, especially COVID-19-related fear, were assessed in healthy individuals, patients suffering from mental illnesses, and in patients with chronic somatic diseases, known to be at risk for an unfavorable course of COVID-19. Results show that the COVID-19-pandemic significantly worsens psychometric scores throughout the population - individuals with already heightened levels, like people with mental illnesses now reach concerning levels. Surprisingly, even though generalized anxiety, depressive symptoms, and perceived distress are elevated in individuals with mental illness, these individuals seem to be less affected by explicit COVID-19-related fear, than the general population or individuals with chronic somatic diseases. This study thus objectively quantifies the psychological impact of COVID-19 in a large sample and provides evidence for not only the public, but also critically affected individuals with a mental illness.
    MeSH term(s) Adolescent ; Adult ; Aged ; Aged, 80 and over ; Anxiety/epidemiology ; COVID-19/epidemiology ; Communicable Disease Control ; Cross-Sectional Studies ; Depression/epidemiology ; Fear ; Female ; Germany/epidemiology ; Humans ; Male ; Mental Disorders/epidemiology ; Mental Disorders/psychology ; Middle Aged ; Pandemics ; Stress, Psychological/epidemiology ; Young Adult
    Keywords covid19
    Language English
    Publishing date 2020-10-10
    Publishing country England
    Document type Journal Article
    ZDB-ID 3062-4
    ISSN 1741-2854 ; 0020-7640
    ISSN (online) 1741-2854
    ISSN 0020-7640
    DOI 10.1177/0020764020960773
    Database MEDical Literature Analysis and Retrieval System OnLINE

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