Article ; Online: Increase in prevalence of current mental disorders in the context of COVID-19: analysis of repeated nationwide cross-sectional surveys.
Epidemiology and psychiatric sciences
2020 Volume 29, Page(s) e173
Abstract: ... of mental disorders prior to and during the COVID-19 pandemic.: Methods: We analysed data from repeated ... whether there is an increase in the prevalence of mental disorders as existing studies lack a reliable baseline ... compared the prevalence of current mood and anxiety disorders, suicide risk and alcohol-related disorders ...
| Abstract | Aims: The United Nations warned of COVID-19-related mental health crisis; however, it is unknown whether there is an increase in the prevalence of mental disorders as existing studies lack a reliable baseline analysis or they did not use a diagnostic measure. We aimed to analyse trends in the prevalence of mental disorders prior to and during the COVID-19 pandemic. Methods: We analysed data from repeated cross-sectional surveys on a representative sample of non-institutionalised Czech adults (18+ years) from both November 2017 (n = 3306; 54% females) and May 2020 (n = 3021; 52% females). We used Mini International Neuropsychiatric Interview (MINI) as the main screening instrument. We calculated descriptive statistics and compared the prevalence of current mood and anxiety disorders, suicide risk and alcohol-related disorders at baseline and right after the first peak of COVID-19 when related lockdown was still in place in CZ. In addition, using logistic regression, we assessed the association between COVID-19-related worries and the presence of mental disorders. Results: The prevalence of those experiencing symptoms of at least one current mental disorder rose from a baseline of 20.02 (95% CI = 18.64; 21.39) in 2017 to 29.63 (95% CI = 27.9; 31.37) in 2020 during the COVID-19 pandemic. The prevalence of both major depressive disorder (3.96, 95% CI = 3.28; 4.62 v. 11.77, 95% CI = 10.56; 12.99); and suicide risk (3.88, 95% CI = 3.21; 4.52 v. 11.88, 95% CI = 10.64; 13.07) tripled and current anxiety disorders almost doubled (7.79, 95% CI = 6.87; 8.7 v. 12.84, 95% CI = 11.6; 14.05). The prevalence of alcohol use disorders in 2020 was approximately the same as in 2017 (10.84, 95% CI = 9.78; 11.89 v. 9.88, 95% CI = 8.74; 10.98); however, there was a significant increase in weekly binge drinking behaviours (4.07% v. 6.39%). Strong worries about both, health or economic consequences of COVID-19, were associated with an increased odds of having a mental disorder (1.63, 95% CI = 1.4; 1.89 and 1.42, 95% CI = 1.23; 1.63 respectively). Conclusions: This study provides evidence matching concerns that COVID-19-related mental health problems pose a major threat to populations, particularly considering the barriers in service provision posed during lockdown. This finding emphasises an urgent need to scale up mental health promotion and prevention globally. |
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| MeSH term(s) | Adult ; Alcohol-Related Disorders/epidemiology ; Alcohol-Related Disorders/etiology ; Anxiety Disorders/epidemiology ; Anxiety Disorders/etiology ; Betacoronavirus ; COVID-19 ; Coronavirus Infections/epidemiology ; Coronavirus Infections/psychology ; Cross-Sectional Studies ; Czech Republic/epidemiology ; Depressive Disorder, Major/epidemiology ; Depressive Disorder, Major/etiology ; Female ; Humans ; Male ; Mental Disorders/epidemiology ; Mental Disorders/etiology ; Mental Health/statistics & numerical data ; Middle Aged ; Mood Disorders/epidemiology ; Mood Disorders/etiology ; Pandemics ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/psychology ; Prevalence ; Psychiatric Status Rating Scales ; SARS-CoV-2 ; Suicide/statistics & numerical data ; Surveys and Questionnaires |
| Keywords | covid19 |
| Language | English |
| Publishing date | 2020-09-29 |
| Publishing country | England |
| Document type | Journal Article |
| ZDB-ID | 2607964-1 |
| ISSN | 2045-7979 ; 2045-7960 |
| ISSN (online) | 2045-7979 |
| ISSN | 2045-7960 |
| DOI | 10.1017/S2045796020000888 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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