Mental health and COVID-19 in a general population cohort in Spain (COVICAT study)

Purpose Mental health conditions may affect outcome of COVID-19 disease, while exposure to stressors during the pandemic may impact mental health. The purpose of this study was to examine these factors in relation to ocurrence of depression and anxiety after the first outbreak in Spain. Methods We c...

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Autores: Goldberg, X, Castano-Vinyals, G, Espinosa, A, Carreras, A, Liutsko, L, Sicuri, E, Foraster, M, O'Callaghan-Gordo, C, Dadvand, P, Moncunill, G, Dobano, C, Cortes, B, Pleguezuelos, V, Straif, K, Garcia-Aymerich, J, de Cid, R, Cardis, E, Kogevinas, M
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:España
Institución:Institut d'Investigació i Innovació Parc Taulí (I3PT)
Repositorio:r-I3PT. Repositorio Institucional Producción Científica del Institut d'Investigació i Innovació Parc Taulí
OAI Identifier:oai:i3pt.fundanetsuite.com:p1594
Acceso en línea:https://i3pt.portalinvestigacion.com/publicaciones/1594
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85131055309&doi=10.1007%2fs00127-022-02303-0&partnerID=40&md5=642bac6ce390b141b82160955f9f883d
Access Level:acceso abierto
Palabra clave:Anxiety
Depression
COVID-19
Lockdown
Cohort study
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spelling Mental health and COVID-19 in a general population cohort in Spain (COVICAT study)Goldberg, XCastano-Vinyals, GEspinosa, ACarreras, ALiutsko, LSicuri, EForaster, MO'Callaghan-Gordo, CDadvand, PMoncunill, GDobano, CCortes, BPleguezuelos, VStraif, KGarcia-Aymerich, Jde Cid, RCardis, EKogevinas, MAnxietyDepressionCOVID-19LockdownCohort studyPurpose Mental health conditions may affect outcome of COVID-19 disease, while exposure to stressors during the pandemic may impact mental health. The purpose of this study was to examine these factors in relation to ocurrence of depression and anxiety after the first outbreak in Spain. Methods We contacted 9515 participants from a population-based cohort study in Catalonia between May and October 2020. We drew blood samples to establish infection to the virus. Pre-pandemic mental health conditions were confirmed through Electronic Health Registries. We used the Hospital Anxiety and Depression Scale to assess severe depression and anxiety post-pandemic. Exposure to proximal, financial and wider environment stressors during the lockdown were collected. We calculated Relative Risks (RR), adjusting for individual- and contextual covariates. Results Pre-pandemic mental health disorders were not associated with SARS-CoV-2 infection , but were associated with severity of COVID-19 disease. People with pre-existing mental health disorders showed higher prevalence of severe depression (25.4%) and anxiety (37.8%) than those without prior mental disorders (4.9% and 10.1%). Living alone was a strong predictor of severe depression among mental health patients (RR = 1.6, 95% CI 1.2-2.2). Among those without prior mental health disorders, post-lockdown depression and anxiety were associated with household interpersonal conflicts (RR = 2.6, 95% CI 2.1-3.1; RR = 2.1, 95% CI 1.9-2.4) and financial instability (RR = 2.2, 95% CI 1.8-2.9; 1.9, 95% CI 1.6-2.2). Conclusions The COVID-19 pandemic and the lockdown were associated with increased post-lockdown depression and anxiety. Patients with pre-existing mental health conditions are a vulnerable group for severe COVID-19 disease.SPRINGER HEIDELBERG2022info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://i3pt.portalinvestigacion.com/publicaciones/1594https://www.scopus.com/inward/record.uri?eid=2-s2.0-85131055309&doi=10.1007%2fs00127-022-02303-0&partnerID=40&md5=642bac6ce390b141b82160955f9f883dSOCIAL PSYCHIATRY AND PSYCHIATRIC EPIDEMIOLOGYISSN: 09337954ISSNe: 14339285reponame:r-I3PT. Repositorio Institucional Producción Científica del Institut d'Investigació i Innovació Parc Taulíinstname:Institut d'Investigació i Innovació Parc Taulí (I3PT)Inglésinfo:eu-repo/semantics/openAccessoai:i3pt.fundanetsuite.com:p15942026-06-21T15:30:37Z
dc.title.none.fl_str_mv Mental health and COVID-19 in a general population cohort in Spain (COVICAT study)
title Mental health and COVID-19 in a general population cohort in Spain (COVICAT study)
spellingShingle Mental health and COVID-19 in a general population cohort in Spain (COVICAT study)
Goldberg, X
Anxiety
Depression
COVID-19
Lockdown
Cohort study
title_short Mental health and COVID-19 in a general population cohort in Spain (COVICAT study)
title_full Mental health and COVID-19 in a general population cohort in Spain (COVICAT study)
title_fullStr Mental health and COVID-19 in a general population cohort in Spain (COVICAT study)
title_full_unstemmed Mental health and COVID-19 in a general population cohort in Spain (COVICAT study)
title_sort Mental health and COVID-19 in a general population cohort in Spain (COVICAT study)
dc.creator.none.fl_str_mv Goldberg, X
Castano-Vinyals, G
Espinosa, A
Carreras, A
Liutsko, L
Sicuri, E
Foraster, M
O'Callaghan-Gordo, C
Dadvand, P
Moncunill, G
Dobano, C
Cortes, B
Pleguezuelos, V
Straif, K
Garcia-Aymerich, J
de Cid, R
Cardis, E
Kogevinas, M
author Goldberg, X
author_facet Goldberg, X
Castano-Vinyals, G
Espinosa, A
Carreras, A
Liutsko, L
Sicuri, E
Foraster, M
O'Callaghan-Gordo, C
Dadvand, P
Moncunill, G
Dobano, C
Cortes, B
Pleguezuelos, V
Straif, K
Garcia-Aymerich, J
de Cid, R
Cardis, E
Kogevinas, M
author_role author
author2 Castano-Vinyals, G
Espinosa, A
Carreras, A
Liutsko, L
Sicuri, E
Foraster, M
O'Callaghan-Gordo, C
Dadvand, P
Moncunill, G
Dobano, C
Cortes, B
Pleguezuelos, V
Straif, K
Garcia-Aymerich, J
de Cid, R
Cardis, E
Kogevinas, M
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Anxiety
Depression
COVID-19
Lockdown
Cohort study
topic Anxiety
Depression
COVID-19
Lockdown
Cohort study
description Purpose Mental health conditions may affect outcome of COVID-19 disease, while exposure to stressors during the pandemic may impact mental health. The purpose of this study was to examine these factors in relation to ocurrence of depression and anxiety after the first outbreak in Spain. Methods We contacted 9515 participants from a population-based cohort study in Catalonia between May and October 2020. We drew blood samples to establish infection to the virus. Pre-pandemic mental health conditions were confirmed through Electronic Health Registries. We used the Hospital Anxiety and Depression Scale to assess severe depression and anxiety post-pandemic. Exposure to proximal, financial and wider environment stressors during the lockdown were collected. We calculated Relative Risks (RR), adjusting for individual- and contextual covariates. Results Pre-pandemic mental health disorders were not associated with SARS-CoV-2 infection , but were associated with severity of COVID-19 disease. People with pre-existing mental health disorders showed higher prevalence of severe depression (25.4%) and anxiety (37.8%) than those without prior mental disorders (4.9% and 10.1%). Living alone was a strong predictor of severe depression among mental health patients (RR = 1.6, 95% CI 1.2-2.2). Among those without prior mental health disorders, post-lockdown depression and anxiety were associated with household interpersonal conflicts (RR = 2.6, 95% CI 2.1-3.1; RR = 2.1, 95% CI 1.9-2.4) and financial instability (RR = 2.2, 95% CI 1.8-2.9; 1.9, 95% CI 1.6-2.2). Conclusions The COVID-19 pandemic and the lockdown were associated with increased post-lockdown depression and anxiety. Patients with pre-existing mental health conditions are a vulnerable group for severe COVID-19 disease.
publishDate 2022
dc.date.none.fl_str_mv 2022
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://i3pt.portalinvestigacion.com/publicaciones/1594
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85131055309&doi=10.1007%2fs00127-022-02303-0&partnerID=40&md5=642bac6ce390b141b82160955f9f883d
url https://i3pt.portalinvestigacion.com/publicaciones/1594
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85131055309&doi=10.1007%2fs00127-022-02303-0&partnerID=40&md5=642bac6ce390b141b82160955f9f883d
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv SPRINGER HEIDELBERG
publisher.none.fl_str_mv SPRINGER HEIDELBERG
dc.source.none.fl_str_mv SOCIAL PSYCHIATRY AND PSYCHIATRIC EPIDEMIOLOGY
ISSN: 09337954
ISSNe: 14339285
reponame:r-I3PT. Repositorio Institucional Producción Científica del Institut d'Investigació i Innovació Parc Taulí
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