Mental Health Burden of the COVID-19 Outbreak in Germany: Predictors of Mental Health Impairment

被引：109

作者：

Baeuerle, Alexander ^{[1
]}

Steinbach, Jasmin ^{[1
]}

Schweda, Adam ^{[1
]}

Beckord, Jil ^{[1
]}

Hetkamp, Madeleine ^{[1
]}

Weismueller, Benjamin ^{[1
]}

Kohler, Hannah ^{[1
]}

Musche, Venja ^{[1
]}

Doerrie, Nora ^{[1
]}

Teufel, Martin ^{[1
]}

Skoda, Eva-Maria ^{[1
]}

机构：

[1] Univ Duisburg Essen, LVR Univ Hosp Essen, Clin Psychosomat Med & Psychotherapy, Virchowstr 174, D-45147 Essen, Nordrhein Westf, Germany

来源：

JOURNAL OF PRIMARY CARE AND COMMUNITY HEALTH | 2020年 / 11卷

关键词：

mental health; COVID-19; changes in mental health; predictors of change; anxiety; depression;

D O I：

10.1177/2150132720953682

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Introduction: COVID-19 is causing an enormous psychological burden for most people. This study aims to assess individual changes in mental health and health status before and after the COVID-19 outbreak, and to explore potential predictors of change. Methods:A cross-sectional study in Germany (n = 15 037) were conducted. Demographics, depression and anxiety symptoms (PHQ-2, GAD-2), distress (DT), and health status (EQ-5D-3L) were assessed. Additionally, all instruments used were adapted to measure the participants' mental health and health status before the COVID-19 outbreak. COVID-19-related fear, trust in governmental actions to face COVID-19, and the subjective level of information about COVID-19 were examined. Results: Overall, the participants showed a significant increase in depression and anxiety symptoms, and distress, while health status deteriorated since the COVID-19 outbreak. Impairment in mental health was predicted by COVID-19-related fear. Pre-existing mental illness predicted an increase in depression symptoms and a deterioration in health status. Trust in governmental actions and the subjective level of information predicted less increase in psychological burden. Conclusions: Our data revealed that there have been changes in mental health and health status at an individual level since the outbreak of COVID-19. In order to maintain mental health, the observed predictors should be addressed.

引用

页数：8

共 30 条

[1]

Andersen R.E., 1995, Multivariate Data Analysis: With Readings

[2] Increased generalized anxiety, depression and distress during the COVID-19 pandemic: a cross-sectional study in Germany [J].