COVID-19 after two years: trajectories of different components of mental health in the Spanish population
Aims: Our study aimed to (1) identify trajectories on different mental health components during a two-year follow-up of the COVID-19 pandemic and contextualise them according to pandemic periods; (2) investigate the associations between mental health trajectories and several exposures, and determine...
| Autores: | , , , , , , , , |
|---|---|
| Tipo de recurso: | artículo |
| Fecha de publicación: | 2023 |
| País: | España |
| Institución: | Universitat Politècnica de Catalunya (UPC) |
| Repositorio: | UPCommons. Portal del coneixement obert de la UPC |
| Idioma: | inglés |
| OAI Identifier: | oai:upcommons.upc.edu:2117/386520 |
| Acceso en línea: | https://hdl.handle.net/2117/386520 https://dx.doi.org/10.1017/S2045796023000136 |
| Access Level: | acceso abierto |
| Palabra clave: | COVID-19 (Disease) -- Spain -- Statistics Mental health -- Spain COVID-19 Growth mixture models Mental health Trajectories COVID-19 (Malaltia) -- Espanya -- Estadístiques Salut mental -- Espanya Àrees temàtiques de la UPC::Matemàtiques i estadística::Estadística aplicada::Estadística biosanitària Àrees temàtiques de la UPC::Ciències de la salut |
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| dc.title.none.fl_str_mv |
COVID-19 after two years: trajectories of different components of mental health in the Spanish population |
| title |
COVID-19 after two years: trajectories of different components of mental health in the Spanish population |
| spellingShingle |
COVID-19 after two years: trajectories of different components of mental health in the Spanish population Bayés Marín, Ivet COVID-19 (Disease) -- Spain -- Statistics Mental health -- Spain COVID-19 Growth mixture models Mental health Trajectories COVID-19 (Malaltia) -- Espanya -- Estadístiques Salut mental -- Espanya Àrees temàtiques de la UPC::Matemàtiques i estadística::Estadística aplicada::Estadística biosanitària Àrees temàtiques de la UPC::Ciències de la salut |
| title_short |
COVID-19 after two years: trajectories of different components of mental health in the Spanish population |
| title_full |
COVID-19 after two years: trajectories of different components of mental health in the Spanish population |
| title_fullStr |
COVID-19 after two years: trajectories of different components of mental health in the Spanish population |
| title_full_unstemmed |
COVID-19 after two years: trajectories of different components of mental health in the Spanish population |
| title_sort |
COVID-19 after two years: trajectories of different components of mental health in the Spanish population |
| dc.creator.none.fl_str_mv |
Bayés Marín, Ivet Cabello-Toscano, Maria Cattaneo, Gabrielle Solana-Sánchez, J Fernández Martínez, Daniel|||0000-0003-0012-2094 Portellano-Ortiz, C Tormos Muñoz, José María Pascual-Leone, A Bartrés-Faz, David |
| author |
Bayés Marín, Ivet |
| author_facet |
Bayés Marín, Ivet Cabello-Toscano, Maria Cattaneo, Gabrielle Solana-Sánchez, J Fernández Martínez, Daniel|||0000-0003-0012-2094 Portellano-Ortiz, C Tormos Muñoz, José María Pascual-Leone, A Bartrés-Faz, David |
| author_role |
author |
| author2 |
Cabello-Toscano, Maria Cattaneo, Gabrielle Solana-Sánchez, J Fernández Martínez, Daniel|||0000-0003-0012-2094 Portellano-Ortiz, C Tormos Muñoz, José María Pascual-Leone, A Bartrés-Faz, David |
| author2_role |
author author author author author author author author |
| dc.subject.none.fl_str_mv |
COVID-19 (Disease) -- Spain -- Statistics Mental health -- Spain COVID-19 Growth mixture models Mental health Trajectories COVID-19 (Malaltia) -- Espanya -- Estadístiques Salut mental -- Espanya Àrees temàtiques de la UPC::Matemàtiques i estadística::Estadística aplicada::Estadística biosanitària Àrees temàtiques de la UPC::Ciències de la salut |
| topic |
COVID-19 (Disease) -- Spain -- Statistics Mental health -- Spain COVID-19 Growth mixture models Mental health Trajectories COVID-19 (Malaltia) -- Espanya -- Estadístiques Salut mental -- Espanya Àrees temàtiques de la UPC::Matemàtiques i estadística::Estadística aplicada::Estadística biosanitària Àrees temàtiques de la UPC::Ciències de la salut |
| description |
Aims: Our study aimed to (1) identify trajectories on different mental health components during a two-year follow-up of the COVID-19 pandemic and contextualise them according to pandemic periods; (2) investigate the associations between mental health trajectories and several exposures, and determine whether there were differences among the different mental health outcomes regarding these associations. Methods: We included 5535 healthy individuals, aged 40–65 years old, from the Barcelona Brain Health Initiative (BBHI). Growth mixture models (GMM) were fitted to classify individuals into different trajectories for three mental health-related outcomes (psychological distress, personal growth and loneliness). Moreover, we fitted a multinomial regression model for each outcome considering class membership as the independent variable to assess the association with the predictors. Results: For the outcomes studied we identified three latent trajectories, differentiating two major trends, a large proportion of participants was classified into ‘resilient’ trajectories, and a smaller proportion into ‘chronic-worsening’ trajectories. For the former, we observed a lower susceptibility to the changes, whereas, for the latter, we noticed greater heterogeneity and susceptibility to different periods of the pandemic. From the multinomial regression models, we found global and cognitive health, and coping strategies as common protective factors among the studied mental health components. Nevertheless, some differences were found regarding the risk factors. Living alone was only significant for those classified into ‘chronic’ trajectories of loneliness, but not for the other outcomes. Similarly, secondary or higher education was only a risk factor for the ‘worsening’ trajectory of personal growth. Finally, smoking and sleeping problems were risk factors which were associated with the ‘chronic’ trajectory of psychological distress. Conclusions: Our results support heterogeneity in reactions to the pandemic and the need to study different mental health-related components over a longer follow-up period, as each one evolves differently depending on the pandemic period. In addition, the understanding of modifiable protective and risk factors associated with these trajectories would allow the characterisation of these segments of the population to create targeted interventions |
| publishDate |
2023 |
| dc.date.none.fl_str_mv |
2023 2023-04-17 2023 2023-04-21 |
| dc.type.none.fl_str_mv |
journal article http://purl.org/coar/resource_type/c_6501 VoR http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| dc.type.openaire.fl_str_mv |
info:eu-repo/semantics/article |
| format |
article |
| dc.identifier.none.fl_str_mv |
https://hdl.handle.net/2117/386520 https://dx.doi.org/10.1017/S2045796023000136 |
| url |
https://hdl.handle.net/2117/386520 https://dx.doi.org/10.1017/S2045796023000136 |
| dc.language.none.fl_str_mv |
Inglés eng |
| language_invalid_str_mv |
Inglés |
| language |
eng |
| dc.relation.none.fl_str_mv |
Agencia Estatal de Investigación http://doi.org/10.13039/501100011033 Plan Estatal de Investigación Científica y Técnica y de Innovación 2017-2020 PID2019-104830RB-I00 METODOLOGIAS ESTADISTICAS PARA DATOS CLINICOS Y OMICOS Y SUS APLICACIONES EN CIENCIAS DE LA SALUD |
| dc.rights.none.fl_str_mv |
open access http://purl.org/coar/access_right/c_abf2 Attribution 4.0 International http://creativecommons.org/licenses/by/4.0/ |
| dc.rights.openaire.fl_str_mv |
info:eu-repo/semantics/openAccess |
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open access http://purl.org/coar/access_right/c_abf2 Attribution 4.0 International http://creativecommons.org/licenses/by/4.0/ |
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openAccess |
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application/pdf |
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reponame:UPCommons. Portal del coneixement obert de la UPC instname:Universitat Politècnica de Catalunya (UPC) |
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Universitat Politècnica de Catalunya (UPC) |
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UPCommons. Portal del coneixement obert de la UPC |
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UPCommons. Portal del coneixement obert de la UPC |
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1869402761149284352 |
| spelling |
COVID-19 after two years: trajectories of different components of mental health in the Spanish populationBayés Marín, IvetCabello-Toscano, MariaCattaneo, GabrielleSolana-Sánchez, JFernández Martínez, Daniel|||0000-0003-0012-2094Portellano-Ortiz, CTormos Muñoz, José MaríaPascual-Leone, ABartrés-Faz, DavidCOVID-19 (Disease) -- Spain -- StatisticsMental health -- SpainCOVID-19Growth mixture modelsMental healthTrajectoriesCOVID-19 (Malaltia) -- Espanya -- EstadístiquesSalut mental -- EspanyaÀrees temàtiques de la UPC::Matemàtiques i estadística::Estadística aplicada::Estadística biosanitàriaÀrees temàtiques de la UPC::Ciències de la salutAims: Our study aimed to (1) identify trajectories on different mental health components during a two-year follow-up of the COVID-19 pandemic and contextualise them according to pandemic periods; (2) investigate the associations between mental health trajectories and several exposures, and determine whether there were differences among the different mental health outcomes regarding these associations. Methods: We included 5535 healthy individuals, aged 40–65 years old, from the Barcelona Brain Health Initiative (BBHI). Growth mixture models (GMM) were fitted to classify individuals into different trajectories for three mental health-related outcomes (psychological distress, personal growth and loneliness). Moreover, we fitted a multinomial regression model for each outcome considering class membership as the independent variable to assess the association with the predictors. Results: For the outcomes studied we identified three latent trajectories, differentiating two major trends, a large proportion of participants was classified into ‘resilient’ trajectories, and a smaller proportion into ‘chronic-worsening’ trajectories. For the former, we observed a lower susceptibility to the changes, whereas, for the latter, we noticed greater heterogeneity and susceptibility to different periods of the pandemic. From the multinomial regression models, we found global and cognitive health, and coping strategies as common protective factors among the studied mental health components. Nevertheless, some differences were found regarding the risk factors. Living alone was only significant for those classified into ‘chronic’ trajectories of loneliness, but not for the other outcomes. Similarly, secondary or higher education was only a risk factor for the ‘worsening’ trajectory of personal growth. Finally, smoking and sleeping problems were risk factors which were associated with the ‘chronic’ trajectory of psychological distress. Conclusions: Our results support heterogeneity in reactions to the pandemic and the need to study different mental health-related components over a longer follow-up period, as each one evolves differently depending on the pandemic period. In addition, the understanding of modifiable protective and risk factors associated with these trajectories would allow the characterisation of these segments of the population to create targeted interventions"This work was supported by a grant from the Agència de Gestió d'Ajuts Universitaris i de Recerca (AGAUR) ‘PANDÈMIES 2020’ (ref. 2020PANDE00043) and a grant from ‘La Marató de TV3’ MARATÓ 2020 COVID-19 (ref. 202129–31). Supported in part by the Spanish Ministry of Science, Innovation and Universities (MICIU/FEDER; grant number RTI2018-095181-B-C21) and an ICREA Academia 2019 grant award to D. B-F. Partially, this research has received funding from ‘La Caixa’ Foundation (grant number LCF/PR/PR16/11110004), and from Institut Guttmann and Fundació Abertis. I.B-M. was supported by a postdoctoral fellowship related to ‘PANDÈMIES 2020’ (AGAUR; 2020PANDE00043). D.F. has been supported by grant 2021 SGR 01421 (GRBIO) administrated by the Departament de Recerca I Universitats de la Generalitat de Catalunya (Spain) and by the Ministerio de Ciencia e Innovación (Spain) [PID2019-104830RB-I00/ DOI (AEI): 10.13039/501100011033].. J.M.T. was partly supported by AGAUR (2018 PROD 00172), Fundació Joan Ribas Araquistain and ‘La Marató de TV3’ Fundation (201735.10). This research was furthermore supported by the Government of Catalonia (2017SGR748). We also acknowledge support from the Spanish Ministry of Science and Innovation and State Research Agency through the ‘Centro de Excelencia Severo Ochoa 2019-2023’ Program (CEX2018-000806-S), and support from the Generalitat de Catalunya through the CERCA Program"Peer Reviewed20232023-04-1720232023-04-21journal articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/2117/386520https://dx.doi.org/10.1017/S2045796023000136reponame:UPCommons. Portal del coneixement obert de la UPCinstname:Universitat Politècnica de Catalunya (UPC)InglésengAgencia Estatal de Investigación http://doi.org/10.13039/501100011033 Plan Estatal de Investigación Científica y Técnica y de Innovación 2017-2020 PID2019-104830RB-I00 METODOLOGIAS ESTADISTICAS PARA DATOS CLINICOS Y OMICOS Y SUS APLICACIONES EN CIENCIAS DE LA SALUDopen accesshttp://purl.org/coar/access_right/c_abf2Attribution 4.0 Internationalhttp://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:upcommons.upc.edu:2117/3865202026-05-27T15:37:01Z |
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15,300719 |