scholarly journals Are we back to normal yet? The impact of the COVID-19 pandemic on mental health with a specific focus on schizotypal traits in the general population of Germany and the UK, comparing responses from April/May vs. September/October

Author(s):  
Sarah Daimer ◽  
Lorenz Mihatsch ◽  
Lisa Ronan ◽  
Graham K. Murray ◽  
Franziska Knolle

AbstractStudies reported a strong impact on mental health during the first wave of the COVID-19 pandemic in March–June, 2020. In this study, we investigated the impact of the pandemic on mental health in general and on schizoptypal traits specifically in general population samples of the UK (N 1sttimepoint=239, N 2ndtimepoint= 126) and Germany (N 1sttimepoint= 543, N 2ndtimepoint=401) over two timepoints, April/May and September/October 2020. We were able to show that whereas general psychological symptoms (global symptom index, GSI) and percentage of responders above clinical cut-off for further psychological investigation declined from the first to the second timepoint in both countries, schizotypy scores (Schizotypal Personality Questionnaire) were increased at the second timepoint. We investigated potential predictors, using regression models. For schizotypy, we detected a doubling or more of the estimated impact from the first to the second timepoint, including stronger perceived loneliness, increased use of drugs, stronger financial burden, and decreased regular exercise and sleep. These effects predicted GSI, however with a lower increase of impact from the first to the second timepoint. We furthermore found that living in the UK was a predictor for higher schizotypal scores or GSI. However, the results are highly comparable between the two countries. In conclusion, this study shows that while the general psychological impact decreases, potentially showing a normative response to an exceptional situation; schizotypy scores increase, revealing a stronger impact of loneliness, drug use, and financial burden. This development might create an increased risk for developing psychosis in some individuals. The development of the general psychological and schizotypy scores over time requires further attention and investigation.

2021 ◽  
Vol 12 ◽  
Author(s):  
Sarah Daimer ◽  
Lorenz Mihatsch ◽  
Lisa Ronan ◽  
Graham K. Murray ◽  
Franziska Knolle

Studies reported a strong impact on mental health during the first wave of the COVID-19 pandemic in March–June, 2020. In this study, we assessed the impact of the pandemic on mental health in general and on schizotypal traits in two independent general population samples of the United Kingdom (May sample N: 239, October sample N: 126; participation at both timepoints: 21) and in two independent general population samples of Germany (May sample N: 543, October sample N: 401; participation at both timepoints: 100) using online surveys. Whereas general psychological symptoms (global symptom index, GSI) and percentage of responders above clinical cut-off for further psychological investigation were higher in the May sample compared to the October sample, schizotypy scores (Schizotypal Personality Questionnaire) were higher in the October sample. We investigated potential associations, using general linear regression models (GLM). For schizotypy scores, we found that loneliness, use of drugs, and financial burden were more strongly corrected with schizotypy in the October compared to the May sample. We identified similar associations for GSI, as for schizotypy scores, in the May and October samples. We furthermore found that living in the United Kingdom was related to higher schizotypal scores or GSI. However, individual estimates of the GLM are highly comparable between the two countries. In conclusion, this study shows that while the general psychological impact is lower in the October than the May sample, potentially showing a normative response to an exceptional situation; schizotypy scores are higher at the second timepoint, which may be due to a stronger impact of estimates of loneliness, drug use, and financial burden. The ongoing, exceptional circumstances within this pandemic might increase the risk for developing psychosis in some individuals. The development of general psychological symptoms and schizotypy scores over time requires further attention and investigation.


2020 ◽  
Vol 9 (9) ◽  
pp. 2976 ◽  
Author(s):  
Juliana Alvares Duarte Bonini Campos ◽  
Bianca Gonzalez Martins ◽  
Lucas Arrais Campos ◽  
João Marôco ◽  
Rayya Ahmed Saadiq ◽  
...  

Background: Isolation measures used to contain epidemics generate social interaction restrictions and impose changes in routines of the public that increase negative psychological outcomes. Anxiety and depression are the most common symptoms. Objective: To evaluate the mental health of the Brazilian population during the SARs-CoV-2 pandemic and its relationship with demographic and health characteristics. Methods: Adults from all Brazilian States participated (n = 12,196; women: 69.8%, mean age = 35.2 years). The Depression, Anxiety and Stress Scale, and the Impact of Event Scale–revised were used (online survey). Data validity and reliability were verified by confirmatory factor analysis and ordinal alpha coefficient. The probability of presenting psychological symptoms was calculated by multiple logistic regression and odds ratio (OR) (0 = without symptoms, 1 = with mild, moderate, and severe levels of symptoms). Results: High prevalence of depression (61.3%), anxiety (44.2%), stress (50.8%), and psychological impact (54.9%) due to the isolation experienced from the pandemic was found. Younger individuals (OR = 1.58–3.58), those that felt unsafe (OR = 1.75–2.92), with a previous diagnosis of mental health (OR = 1.72–2.64) and/or had general health problems before the pandemic (OR = 1.17–1.51), who noticed changes in their mental state due to the pandemic context (OR = 2.53–9.07), and excessively exposed to the news (OR = 1.19–2.18) were at increased risk of developing symptoms. Women (OR = 1.35–1.65) and those with lower economic status (OR = 1.38–2.69) were more likely to develop psychological symptoms. Lower educational levels increased the likelihood of depressive (OR = 1.03–1.34) and intrusive symptoms (OR = 1.09–1.51). Conclusions: The pandemic and related factors can have a high impact on the mental health of the population. Demographic characteristics can influence the occurrence of psychological symptoms.


2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Franziska Knolle ◽  
Lisa Ronan ◽  
Graham K. Murray

Abstract Background The COVID-19 pandemic has led to dramatic social and economic changes in daily life. First studies report an impact on mental health of the general population showing increased levels of anxiety, stress and depression. In this study, we compared the impact of the pandemic on two culturally and economically similar European countries: the UK and Germany. Methods Participants (UK = 241, German = 541) completed an online-survey assessing COVID-19 exposure, impact on financial situation and work, substance and media consumption, mental health using the Symptom-Check-List-27 (SCL-27) and the Schizotypal Personality Questionnaire. Results We found distinct differences between the two countries. UK responders reported a stronger direct impact on health, financial situation and families. UK responders had higher clinical scores on the SCL-27, and higher prevalence. Interestingly, German responders were less hopeful for an end of the pandemic and more concerned about their life-stability. Conclusion As 25% of both German and UK responders reported a subjective worsening of the general psychological symptoms and 20–50% of German and UK responders reached the clinical cut-off for depressive and dysthymic symptoms as well as anxieties, it specifically shows the need for tailored intervention systems to support large proportions of the general public.


2020 ◽  
Vol 29 ◽  
Author(s):  
M. Strand ◽  
R. Zhang ◽  
L. M. Thornton ◽  
A. Birgegård ◽  
B. M. D'Onofrio ◽  
...  

Abstract Aims Compared to the general population, adoptees are more often referred to specialist psychiatric treatment, exhibit increased risk of suicide and display more symptoms of attention-deficit/hyperactivity-disorder. However, little is known about the impact of being an adoptee on the risk of developing an eating disorder. The aim of the present study was to assess whether international adoptees have a higher risk for eating disorders than native Swedes. Methods In the present retrospective cohort study, data from the Swedish total population registers on individuals born between 1979 and 2005 were used to assess whether international adoptees residing in Sweden (n = 25 287) have a higher risk for anorexia nervosa (AN) and other eating disorders (OED) than non-adoptees with Swedish-born parents from the general population (n = 2 046 835). The patterns of these results were compared to those for major depressive disorder (MDD), obsessive-compulsive disorder (OCD), and anxiety disorders to determine whether any observed effects were unique to eating disorders or reflected a more general impact on mental health outcomes. Results A survival analysis adjusting for relevant demographic covariates revealed an elevated risk of all examined psychiatric disorders in international adoptees: hazard ratios (95% confidence intervals) are 1.21 (1.04–1.41) for AN, 1.60 (1.44–1.79) for OED, 1.90 (1.81–2.00) for MDD, 1.25 (1.09–1.44) for OCD, and 1.69 (1.60–1.78) for anxiety disorders. Conclusions Elevated risk of eating disorders as well as of MDD, OCD, and anxiety disorders was found in international adoptees. A parallel pattern between AN and OCD was observed, which both display less elevated rates than the other diagnoses. A considerable number of biological, environmental, and societal factors have been suggested to explain the observed differences in mental health between adoptees and non-adoptees, but they remain primarily theoretical.


QJM ◽  
2020 ◽  
Vol 113 (8) ◽  
pp. 531-537 ◽  
Author(s):  
G Serafini ◽  
B Parmigiani ◽  
A Amerio ◽  
A Aguglia ◽  
L Sher ◽  
...  

Abstract As a result of the emergence of coronavirus disease 2019 (COVID-19) outbreak caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection in the Chinese city of Wuhan, a situation of socio-economic crisis and profound psychological distress rapidly occurred worldwide. Various psychological problems and important consequences in terms of mental health including stress, anxiety, depression, frustration, uncertainty during COVID-19 outbreak emerged progressively. This work aimed to comprehensively review the current literature about the impact of COVID-19 infection on the mental health in the general population. The psychological impact of quarantine related to COVID-19 infection has been additionally documented together with the most relevant psychological reactions in the general population related to COVID-19 outbreak. The role of risk and protective factors against the potential to develop psychiatric disorders in vulnerable individuals has been addressed as well. The main implications of the present findings have been discussed.


2020 ◽  
Author(s):  
Franziska Knolle ◽  
Lisa Ronan ◽  
Graham K Murray

In March 2020 the SARS-CoV-2infection (COVID-19) was declared a pandemic. In response to its world-wide outbreak radical measures were taken by governments across the world including curfew, quarantine, travel bans, social distancing, work place and school closures, etc, to reduce the transmission of the virus. These measures led to dramatic social and economic changes for the general population, in addition to the fears and worries related to the disease and its contraction. First studies report the impact of the pandemic on mental well-being of the general population showing increased levels of anxiety, stress and depression. In this study, we compare the impact of the pandemic on two European countries: the UK and Germany, which reported their first cases within a week. 241 residents of the UK and 541 residents of Germany filled in an online survey, including questions on COVID-19 exposure, impact on financial situation and work, substance and media consumption, self-reported mental and physical health, as well as including two clinical questionnaires, the general mental health Symptom Check List-27 (SCL-27) and the Schizotypal Personality Questionnaire. Data collection was completed between 27/04/20-31/05/20. We found distinct differences between the two countries. UK responders reported a stronger direct impact on their health, financial situation and their families. UK responders had higher clinical scores on the SCL-27, with a higher percentage being above cut-off. Interestingly, however, we found that German responders were less hopeful for an end of the pandemic and more concerned about their life-stability. Generally, we found that a younger age, being female, lower education, poorer mental and physical health before the pandemic, as well as more social media and substance consumption was associated with a higher clinical risk. This research shows strong differences between two economically and culturally similar countries, but as 25% of both German and UK responders reported a subjective worsening of the general psychological symptoms and 20-50% of German and UK responders reached the clinical cut-off for depressive, dysthymic and anxieties, it specifically shows the need for health emergency tailored intervention systems to assist not only people vulnerable for mental health problems, but also large proportions of the general public.


2020 ◽  
Author(s):  
Joel Vos

Objective: This meta-analysis examines the psychological impact of COVID-19, SARS and MERS pandemics on health-care workers, patients and the general population, in line with PRISMA, MOOSE, MARS and CASP guidelines. Methods: Searches were conducted on 28-29 March 2020 in Pubmed, Medline, PsycInfo, APA articles, Web-of-Knowledge and scholar.google.com. Hedges’ g was calculated with random-effects models. Results: The final selection included 75 publications from 15,984 papers. Twenty-six studies described the impact of COVID-19 in 104,361 participants, showing that 59% (95%CI: 37%-85%) of health-care workers experienced acute/post-traumatic stress, and 37% (95%CI: 30%-54%) experienced depression, general distress, insomnia and/or anxiety. Of all COVID-19 patients, 32% (95% CI: 22%-42%) experienced acute/post-traumatic stress disorder, anxiety, depression, insomnia and/or distress. In the general population, 25% (95%CI: 15%-35%) experienced any of these psychological symptoms. COVID-19 had a larger impact than SARS/MERS in 28,499 participants in 44 studies. During SARS/MERS pandemics, 33% (95%CI: 25%-41%) of health-care workers, 31% (95%CI: 18%-45%) of SARS/MERS-patients and 15% (95%CI: 7%-23%) of the general population experienced any of these psychological symptoms. The psychological impact was predicted (R<.20-.40>) by the individual’s physical health, restrictions to leisure and social activities, and quarantine. Frontline health-care workers experienced a larger psychological impact than the general population, particularly if they worked with infected patients and reported unfavourable work circumstances. Conclusions: This study can be used to predict the prevalence of mental health problems during and after the COVID-19 pandemic, and to predict which individuals are most at risk of developing mental health problems. Health care workers and vulnerable individuals should be psychologically screened and offered mental health-care. Quarantine should be as short as possible, to prevent mental health problems. Public health significance statementThis meta-analysis indicates that between one-third of the general population and half of all health care workers experience a moderate to severe mental health impact of the COVID-19 pandemic. This impact is larger than during SARS and MERS pandemics. The psychological impact on health care workers is mainly predicted by their work circumstances, and the impact on the general population by their pre-existing physical and mental well-being and the psychological effects of quarantine.


2020 ◽  
Author(s):  
James Gilleen ◽  
Aida Santaolalla ◽  
Lorena Valdearenas ◽  
Clara Salice ◽  
Montserrat Fusté

AbstractBackgroundThere is an urgent need to understand the psychological impact the COVID-19 pandemic has had on UK healthcare workers (HCW).AimsTo reveal risk and protective factors associated with poor mental wellbeing of HCW working during the COVID-19 pandemic in the UK.Method2773 UK HCWs completed a survey between 22ndApril and 10th May 2020 containing scales measuring anxiety, depression, PTSD, and stress, and questions about roles and COVID-19-related factors including workplace preparation and risk management. Respondents were classified as high or low symptomatic on each mental health scale and logistic regression revealed risk and protective factors associated with each outcome. Change in wellbeing from pre to during COVID-19 was also quantified.ResultsA large proportion of UK HCW had high mental health symptoms. ‘Fixed’ risk factors of poor mental health included being female, being ‘frontline’, pre-existing mental health diagnoses, and experience of stressful/traumatic events. An additional set of ‘controllable’ factors also significantly increased risk: PPE availability, workload, lack of COVID-19 preparation and training, and insufficient communication of clinical procedures. Resilience and sharing stress reduced risk, as did ethical support for those making treatment decisions. Allied HCW and managers were at elevated risk of high symptoms particularly PTSD. Wellbeing, especially of frontline workers, had significantly worsened compared to before COVID-19.ConclusionsPoor mental wellbeing was prevalent in HCW during the UK COVID-19 response. A number of controllable factors should be targeted, and protective factors promoted, to reduce the detrimental effect of COVID-19 and other pandemics on HCW mental health.


Author(s):  
Federica Cielo ◽  
Randi Ulberg ◽  
Dina Di Giacomo

The coronavirus disease (COVID-19) outbreak has affected not only physical health but also mental health and psychological wellbeing. This narrative review aimed to map the literature on the psychological impact on the young generation of the COVID-19 pandemic, social restrictions, and extraordinary measures to curb the spread of coronavirus. We performed a systematic search of MEDLINE through PubMed and Web of Science [Science Citation Index Expanded, SCI-EXPANDED), Social Sciences Citation Index (SSCI), and Emerging Sources Citation Index (ESCI)] of all scientific literature published from May 2020 until 15 March 2021. Based on inclusion and exclusion criteria, a total of 15 articles were included. We conducted a narrative review. The reviewed articles suggested the impact of the pandemic and lockdown measures on young persons for several mental symptoms as well as anxiety, stress, depression, event-specific distress, decrease in psychological wellbeing, and changes in sleep habits. Psychological symptoms were related to the experience of several stressors, such as risk for reduction of academic perspectives, massive e-learning adoption, economic issues, social restrictions, and implications for daily life related to the COVID-19 outbreak. This narrative review points out the negative psychological impact of the pandemic outbreak and the high vulnerability of the young in the development of psychological distress, highlighting the relevant focus on the mental health of young people during the pandemic and the need for structured and tailored psychological support and interventions focused to the improvement of Quality of Life of university students after the pandemic experience.


2021 ◽  
Author(s):  
Ana Aguiar ◽  
Marta Pinto ◽  
Raquel Duarte

BACKGROUND The outbreak of the coronavirus disease 2019 (COVID-19) and all physical distance measures implemented across the world have caused significant stress, anxiety and mental health implications in the general population. Unemployment, working from home and day-to-day changes may lead to a greater risk of poor mental health outcomes. OBJECTIVE To describe the protocol for a cross-sectional online study that aims to address the impact of the COVID-19 pandemic on mental health. METHODS Individuals from the general population with 18 or more years of age living in Portugal were included. Data was collected between 10 November 2020 and 10 February 2021. An exponential non-discriminative snowball sampling method was applied to recruit participants. An online survey was prepared and shared on social network applications (Facebook, Instagram, Twitter, Linkedin, and WhatsApp groups) and through e-mail mailing lists for the recruitment of the “seeds”. RESULTS Analysis will be performed in accordance to the different variables and outcomes of interest based on quantitative methods, qualitative methods or mixed-methods, accordingly. As of 10 February 2021, 929 individuals had completed the survey. Results of the survey will be disseminated in national and international scientific journals during 2021-2022. CONCLUSIONS Our findings will have broad implications for understanding the psychological impact of the COVID-19 pandemic on Portuguese residents as well as aspects related to informal economy. We also hope to be able to provide insights and guidelines for action to the Portuguese Government. In the end, we expect this protocol to provide a roadmap for other countries and researchers that would like to implement a similar questionnaire considering the related conclusions.


Sign in / Sign up

Export Citation Format

Share Document