The Impact of the COVID-19 Pandemic on Self-Reported Health

被引：106

作者：

Peters, Annette ^{[1
,2
,3
]}

Rospleszcz, Susanne ^{[1
,2
]}

Greiser, Karin H. ^{[4
,8
]}

Dallavalle, Marco ^{[1
]}

Karch, Andre ^{[5
]}

Mikolajczyk, Rafael ^{[6
]}

Krause, Gerard ^{[7
]}

Castell, Stefanie ^{[7
]}

Nieters, Alexandra ^{[8
]}

Kraft, Daniel ^{[9
]}

Wolff, Robert ^{[10
]}

Stuebs, Gunthard ^{[10
]}

Lang, Olga ^{[1
]}

Panreck, Leo ^{[11
]}

Rietschel, Marcella ^{[12
]}

Rujescu, Dan ^{[13
]}

Dragano, Nico ^{[14
]}

Schmidt, Boerge ^{[15
]}

Becher, Heiko ^{[16
]}

Brenner, Hermann ^{[17
]}

Damms-Machado, Antje ^{[4
,8
]}

Fischer, Beate ^{[18
]}

Franzke, Claus-Werner ^{[19
]}

Gastell, Sylvia ^{[20
]}

Guenther, Kathrin ^{[21
]}

Hermes, Anne ^{[22
]}

Holleczek, Bernd ^{[23
,24
]}

Jaeschke, Lina ^{[25
]}

Joeckel, Karl-Heinz ^{[15
]}

Kaaks, Rudolf ^{[4
,8
]}

Keil, Thomas ^{[26
,27
,28
]}

Kemmling, Yvonne ^{[29
]}

Kluttig, Alexander ^{[6
]}

Kuss, Oliver ^{[30
]}

Legath, Nicole ^{[5
]}

Leitzmann, Michael ^{[18
]}

Lieb, Wolfgang ^{[22
]}

Loeffler, Markus ^{[31
,32
]}

Meinke-Franze, Claudia ^{[10
]}

Michels, Karin B. ^{[19
]}

Obi, Nadia ^{[16
]}

Pischon, Tobias ^{[25
]}

Schikowski, Tamara ^{[33
]}

Schulze, Matthias B. ^{[34
,35
]}

Stang, Andreas ^{[15
]}

Thierry, Sigrid ^{[1
,36
]}

Voelzke, Henry ^{[10
]}

Willlich, Stefan N. ^{[37
]}

Wirkner, Kerstin ^{[31
,32
]}

Wolf, Kathrin ^{[1
]}

机构：

[1] Helmholtz Ctr Munich, Inst Epidemiol, Munich, Germany

[2] Ludwig Maximilians Univ Munchen, Dept Epidemiol, Inst Med Informat Proc Biometry & Epidemiol, Fac Med, Munich, Germany

[3] Harvard TH Chan Sch Publ Hlth, Dept Environm Hlth, Boston, MA USA

[4] German Canc Res Ctr, Dept Canc Epidemiol, Heidelberg, Germany

[5] Univ Munster, Inst Epidemiol & Social Med, Munster, Germany

[6] Univ Halle Wittenberg, Inst Med Epidemiol Biometr & Informat, Halle, Saale, Germany

[7] Helmholtz Ctr Infect Res, Dept Epidemiol, Braunschweig, Germany

[8] Univ Freiburg, Med Ctr, Ctr Chron Immunodeficiency CCI, Freiburg, Germany

[9] German Canc Res Ctr, Med Informat Translat Oncol, Heidelberg, Germany

[10] Univ Greifswald, Inst Community Med, Greifswald, Germany

[11] NAKO eV, Heidelberg, Germany

[12] Cent Inst Mental Hlth, Dept Genet Epidemiol Psychiat, Mannheim, Germany

[13] Univ Halle Wittenberg, Dept Psychiat Psychotherapy & Psychosomat, Halle, Saale, Germany

[14] Univ Hosp Dusseldorf, Inst Med Sociol, Dusseldorf, Germany

[15] Univ Hosp Essen, Inst Med Informat Biometry & Epidemiol, Essen, Germany

[16] Univ Med Ctr Hamburg Eppendorf, Inst Med Biometry & Epidemiol, Hamburg, Germany

[17] German Canc Res Ctr, Div Clin Epidemiol & Aging Res, Heidelberg, Germany

[18] Regensburg Univ, Med Ctr, Dept Epidemiol & Prevent Med, Regensburg, Germany

[19] Univ Freiburg, Med Ctr, Fac Med, Inst Prevent & Canc Epidemiol, Freiburg, Germany

[20] German Inst Nutrit Res Potsdam Rehbruecke, NAKO Study Ctr South Berlin Brandenburg, Nuthetal, Germany

[21] Leibniz Inst Prevent Res & Epidemiol BIPS, Bremen, Germany

[22] Univ Kiel, Inst Epidemiol, Kiel, Germany

[23] Saarland Canc Registry, Saarbrucken, Germany

[24] German Canc Res Ctr, Div Clin Epidemiol & Aging Res, Heidelberg, Germany

[25] Max Delbruck Ctr Mol Med MDC, Mol Epidemiol Res Grp, Berlin, Germany

[26] Charite Univ Med Ctr Berlin, Inst Social Med Epidemiol & Hlth Econ, Berlin, Germany

[27] Univ Wurzburg, Inst Clin Epidemiol & Biometry, D-97080 Wurzburg, Germany

[28] Bavarian State Off Hlth Hlth & Food Safety, Bad Kissingen, Germany

[29] Helmholtz Ctr Infect Res, Dept Epidemiol, Braunschweig, Germany

[30] Univ Dusseldorf, Leibniz Ctr Diabet Res, German Diabet Ctr, Inst Biometr & Epidemiol, Dusseldorf, Germany

[31] Univ Leipzig, Inst Med Informat Stat & Epidemiol IMISE, Leipzig, Germany

[32] Univ Leipzig, Leipzig Res Ctr Civilizat Dis LIFE, Leipzig, Germany

[33] IUF Leibniz Inst Environm Med, Dusseldorf, Germany

[34] German Inst Human Nutr Potsdam Rehbrucke, Dept Mol Epidemiol, Nuthetal, Germany

[35] Univ Potsdam, German Inst Nutrit Res Potsdam Rehbruecke, Potsdam, Germany

[36] Univ Hosp Augsburg, NAKO Study Ctr, Augsburg, Germany

[37] Charite Univ Med Ctr, Inst Social Med Epidemiol & Hlth Econ, Berlin, Germany

[38] Leibniz Inst Prevent Res & Epidemiol BIPS, Bremen, Germany

[39] Univ Bremen, Human & Hlth Sci, Bremen, Germany

来源：

DEUTSCHES ARZTEBLATT INTERNATIONAL | 2020年 / 117卷 / 50期

关键词：

MENTAL-HEALTH; DEPRESSION; QUESTIONNAIRE; VALIDATION; DISORDER; ANXIETY; PHQ;

D O I：

10.3238/arztebl.2020.0861

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Background: The pandemic caused by the coronavirus SARS-CoV-2 and the countermeasures taken to protect the public are having a substantial effect on the health of the population. In Germany, nationwide protective measures to halt the spread of the virus were implemented in mid-March for 6 weeks. Methods: In May, the impact of the pandemic was assessed in the German National Cohort (NAKO). A total of 113 928 men and women aged 20 to 74 years at the time of the baseline examination conducted 1 to 5 years earlier (53%) answered, within a 30-day period, a follow-up questionnaire on SARS-CoV-2 test status, COVID-19-associated symptoms, and self-perceived health status. Results: The self-reported SARS-CoV-2 test frequency among the probands was 4.6%, and 344 participants (0.3%) reported a positive test result. Depressive and anxiety-related symptoms increased relative to baseline only in participants under 60 years of age, particularly in young women. The rate of moderate to severe depressive symptoms increased from 6.4% to 8.8%. Perceived stress increased in all age groups and both sexes, especially in the young. The scores for mental state and self-rated health worsened in participants tested for SARS-CoV-2 compared with those who were not tested. In 32% of the participants, however, self-rated health improved. Conclusion: The COVID-19 pandemic and the protective measures during the first wave had effects on mental health and on self-rated general health.

引用

页码：861 / +

页数：22

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