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

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  • dc.contributor.author Goldberg, Ximena
  • dc.contributor.author Castaño Vinyals, Gemma
  • dc.contributor.author Espinosa Díaz, Ana
  • dc.contributor.author Carreras, Anna
  • dc.contributor.author Liutsko, Liudmila
  • dc.contributor.author Sicuri, Elisa
  • dc.contributor.author Foraster Pulido, Maria, 1984-
  • dc.contributor.author O'Callaghan-Gordo, Cristina
  • dc.contributor.author Dadvand, Payam
  • dc.contributor.author Moncunill, Gemma
  • dc.contributor.author Dobaño, Carlota
  • dc.contributor.author Cortés, B.
  • dc.contributor.author Pleguezuelos, V.
  • dc.contributor.author Straif, Kurt
  • dc.contributor.author García Aymerich, Judith
  • dc.contributor.author Cid Ibeas, Rafael de
  • dc.contributor.author Cardis, Elisabeth
  • dc.contributor.author Kogevinas, Manolis
  • dc.date.accessioned 2022-12-13T06:54:49Z
  • dc.date.available 2022-12-13T06:54:49Z
  • dc.date.issued 2022
  • dc.description.abstract 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.
  • dc.format.mimetype application/pdf
  • dc.identifier.citation Goldberg X, Castaño-Vinyals G, Espinosa A, Carreras A, Liutsko L, Sicuri E, et al. Mental health and COVID-19 in a general population cohort in Spain (COVICAT study). Soc Psychiatry Psychiatr Epidemiol. 2022 Dec; 57(12): 2457-68. DOI: 10.1007/s00127-022-02303-0
  • dc.identifier.doi http://dx.doi.org/10.1007/s00127-022-02303-0
  • dc.identifier.issn 0933-7954
  • dc.identifier.uri http://hdl.handle.net/10230/55102
  • dc.language.iso eng
  • dc.publisher SpringerOpen
  • dc.rights Copyright © Goldberg X, Castaño-Vinyals G, Espinosa A, Carreras A, Liutsko L, Sicuri E, et al. 2022 Open Access. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
  • dc.rights.accessRights info:eu-repo/semantics/openAccess
  • dc.rights.uri http://creativecommons.org/licenses/by/4.0/
  • dc.subject.keyword Anxiety
  • dc.subject.keyword COVID-19
  • dc.subject.keyword Cohort study
  • dc.subject.keyword Depression
  • dc.subject.keyword Lockdown
  • dc.title Mental health and COVID-19 in a general population cohort in Spain (COVICAT study)
  • dc.type info:eu-repo/semantics/article
  • dc.type.version info:eu-repo/semantics/publishedVersion

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