scholarly journals Depression and Anxiety Symptoms in Young Adults Before and During the Covid-19 Pandemic: Evidence from a Canadian Population-Based Cohort

2021 ◽  
Author(s):  
K. Watkins-Martin ◽  
Massimiliano Orri ◽  
Marie-Hélène Pennestri ◽  
Natalie Castellanos-Ryan ◽  
Simon Larose ◽  
...  
Keyword(s):  
Young Adults ◽  
Anxiety Symptom ◽  
Severe Depression ◽  
Population Based ◽  
Poor Mental Health ◽  
Anxiety Symptoms ◽  
Depression And Anxiety ◽  
Canadian Population ◽  
Increase Risk ◽  
Severe Anxiety

Background: Concerns have been raised that the Covid-19 pandemic could increase risk for poor mental health, especially in young adults, a vulnerable age group. We investigated changes in depression and anxiety symptoms (overall and severe) from before to during the pandemic, as well as whether these changes are linked to Covid-19 related stressors and pre-existing vulnerabilities in young adults followed in the context of a population-based cohort. Method: Participants (n=1039) from the Quebec Longitudinal Study of Child Development reported on their depression and anxiety and completed a Covid-19 questionnaire during the first wave of the COVID-19 pandemic in Summer 2020 (age 22 years). Assessments at age 20 (2018) were used to estimate pre-pandemic depression and anxiety symptom severity. Results: While overall levels of depression and anxiety symptoms did not change, there was an increase in rates of severe depression (but not severe anxiety) from before (6.1%) to during (8.2%) the pandemic. Covid-19 related variables (e.g., loss of education/occupation, frequent news seeking) and pre-existing vulnerabilities (e.g., low SES, low social support) were not associated with changes in depression or anxiety symptoms. Further, youth with pre-existing depression and anxiety symptoms did not report a greater increase in symptoms during the pandemic, compared to those without; instead, they tended to show an improvement. Interpretation: Depression and anxiety symptoms in young adults from Quebec in Summer 2020 were comparable to symptoms reported in 2018. Most Covid-19 related stressors and pre-existing vulnerabilities were not associated with change in symptoms. However, the increased rate of severe depression is concerning.

scholarly journals Depression and anxiety symptoms in young adults before and during the COVID-19 pandemic: evidence from a Canadian population-based cohort

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Kia Watkins-Martin ◽  
Massimiliano Orri ◽  
Marie-Hélène Pennestri ◽  
Natalie Castellanos-Ryan ◽  
Simon Larose ◽  
...  
Keyword(s):  
Young Adults ◽  
Short Form ◽  
Depression Scale ◽  
Severe Depression ◽  
Population Based ◽  
Anxiety Symptoms ◽  
Living Alone ◽  
Depression And Anxiety ◽  
Regression To The Mean ◽  
The Mean

Abstract Background Concerns have been raised that the COVID-19 pandemic could increase risk for adverse mental health outcomes, especially in young adults, a vulnerable age group. We investigated changes in depression and anxiety symptoms (overall and severe) from before to during the pandemic, as well as whether these changes are linked to COVID-19-related stressors and pre-existing vulnerabilities in young adults followed in the context of a population-based cohort. Method Participants (n = 1039) from the Quebec Longitudinal Study of Child Development reported on their depression (Centre for Epidemiological Studies Depression Scale, short form) and anxiety (General Anxiety Disorder-7 Scale) symptoms and completed a COVID-19 questionnaire during the first wave of the COVID-19 pandemic in the summer of 2020 (age 22 years). Assessments at age 20 (2018) were used to estimate pre-pandemic depression and anxiety symptom severity. Results While mean levels of depression and anxiety symptoms did not change from before to during the first wave of the COVID-19 pandemic (e.g., the mean of depressive symptoms was 9.30 in 2018 and 9.59 in 2020), we observed a slight increase in rates of severe depression (scores ≥ 21) from before (6.1%) to during (8.2%) the pandemic. Most COVID-19-related variables (e.g., loss of education/occupation, frequent news-seeking) – except living alone – and most pre-existing vulnerabilities (e.g., low SES, low social support) were not associated with changes in depression or anxiety symptoms. However, results varied as a function of pre-pandemic levels of depression and anxiety: depression and anxiety symptoms increased among adults with the lowest levels of symptoms before the pandemic, while they decreased among those with the highest levels of symptoms, possibly reflecting a regression to the mean. Conclusions Depression and anxiety symptoms in young adults from Québec in Summer 2020 were mostly comparable to symptoms reported in 2018. Most COVID-19-related stressors and pre-existing vulnerabilities were not associated with changes in symptoms, except living alone and pre-existing symptoms of depression and anxiety. However, the increased rate of severe depression warrants further investigation.

Abstract P192: Depression And Anxiety Are Associated With Cardiovascular Health In Young Adults

Circulation ◽  
2021 ◽  
Vol 143 (Suppl_1) ◽  
Author(s):  
Sierra L Patterson ◽  
Michele Marcus ◽  
Margarethe Goetz ◽  
Holly C Gooding
Keyword(s):  
Physical Activity ◽  
Body Mass Index ◽  
Young Adults ◽  
Cardiovascular Health ◽  
Severe Depression ◽  
P Value ◽  
Age Group ◽  
Depression And Anxiety ◽  
Lower Standard ◽  
Severe Anxiety

Introduction: Cardiovascular health (CVH) declines substantially in young adulthood, and mood disorders commonly emerge during this life stage. This study aimed to examine the association between CVH metrics and 1) depression and 2) anxiety among young adults ages 18-34 years. Hypothesis: We hypothesized that young adults with depression or anxiety will have less optimal CVH. Methods: We used data from the Emory Healthy Aging Study (EHAS), a prospective cohort study of US adults that aims to understand factors associated with aging. We conducted a cross-sectional analysis among participants ages 18-34 years who completed the EHAS Health History Questionnaire (n=882). We classified participants as having poor, intermediate, or ideal levels of the seven CVH metrics using definitions set forth by the AHA, with slight modifications as needed based on questionnaire items, and calculated total CVH scores (range 0-14). We defined depression and anxiety as absent, mild, or moderate-to-severe using standard cutoffs for Patient Health Questionnaire (PHQ-8) and General Anxiety Disorder (GAD) scales. We used multivariable regression to examine the association between CVH, depression, and anxiety, controlling for gender, race, age group, income, and education. Results: A total of 134 (15.2%) participants had moderate-to-severe anxiety, and 132 (15.0%) participants had moderate-to-severe depression. The mean total CVH score among participants was 10.4. Compared to those without anxiety, participants with moderate-to-severe anxiety were less likely to meet ideal levels of physical activity (PR: 0.63, 95% CI: 0.44-0.90), smoking (PR: 0.89, 95% CI: 0.81-0.98), and body mass index (PR: 0.78, 95% CI: 0.65-0.94). Participants with moderate-to-severe depression were less likely to meet ideal levels of cholesterol (PR: 0.93, 95% CI: 0.86-1.00), physical activity (PR: 0.45, 95% CI: 0.30-0.69), smoking (PR: 0.89, 95% CI: 0.79-0.99), blood pressure (PR: 0.91, 95% CI: 0.84-0.98), and body mass index (PR: 0.81, 95% CI: 0.71-0.93). Stratified analysis showed that these associations appeared stronger in older young adults (26-34 years). Relative to those without anxiety, participants with moderate-to-severe anxiety had a CVH score that was 0.91 points lower (standard error: 0.18, p-value<0.01). Relative to those without depression, participants with moderate-to-severe depression had a CVH score that was 1.19 points lower (standard error: 0.18, p-value<0.01). Conclusion: Anxiety and depression are associated with CVH in young adults. Interventions to address mood disorders in this age group should consider targeting CVH behaviors such as physical activity and weight management to improve both mood and CVH.

scholarly journals Determinants of patient-reported outcome trajectories and symptomatic recovery in Improving Access to Psychological Therapies (IAPT) services

2021 ◽  
pp. 1-10
Author(s):  
Jan Stochl ◽  
Emma Soneson ◽  
Freya Stuart ◽  
Jessica Fritz ◽  
Annabel E. L. Walsh ◽  
...  
Keyword(s):  
Symptom Severity ◽  
Severe Depression ◽  
Anxiety Symptoms ◽  
Rate Of Change ◽  
Depression And Anxiety ◽  
Rapid Improvement ◽  
Baseline Severity ◽  
Psychological Therapies ◽  
Patient Reported ◽  
Functionally Impaired

Abstract Background Despite evidence for the general effectiveness of psychological therapies, there exists substantial heterogeneity in patient outcomes. We aimed to identify factors associated with baseline severity of depression and anxiety symptoms, rate of symptomatic change over the course of therapy, and symptomatic recovery in a primary mental health care setting. Methods Using data from a service evaluation involving 35 527 patients in England's psychological and wellbeing [Improving Access to Psychological Therapies (IAPT)] services, we applied latent growth models to explore which routinely-collected sociodemographic, clinical, and therapeutic variables were associated with baseline symptom severity and rate of symptomatic change. We used a multilevel logit model to determine variables associated with symptomatic recovery. Results Being female, younger, more functionally impaired, and more socioeconomically disadvantaged was associated with higher baseline severity of both depression and anxiety symptoms. Being older, less functionally impaired, and having more severe baseline symptomatology was associated with more rapid improvement of both depression and anxiety symptoms (male gender and greater socioeconomic disadvantage were further associated with rate of change for depression only). Therapy intensity and appointment frequency seemed to have no correlation with rate of symptomatic improvement. Patients with lower baseline symptom severity, less functional impairment, and older age had a greater likelihood of achieving symptomatic recovery (as defined by IAPT criteria). Conclusions We must continue to investigate how best to tailor psychotherapeutic interventions to fit patients’ needs. Patients who begin therapy with more severe depression and/or anxiety symptoms and poorer functioning merit special attention, as these characteristics may negatively impact recovery.

scholarly journals Mexican pregnant women show higher depression and anxiety with rising age and in the case of being single

2020 ◽  
Vol 26 (4) ◽  
pp. 227-236
Author(s):  
Irma Visoso Salgado ◽  
Jayson Leonel Moncada Mendoza ◽  
Hugo Mendieta Zerón
Keyword(s):  
Pregnant Women ◽  
Severe Depression ◽  
Cross Sectional Study ◽  
Anxiety And Depression ◽  
Depression And Anxiety ◽  
Mild Depression ◽  
Cross Sectional ◽  
Psychology Service ◽  
First Time ◽  
Severe Anxiety

Background. Pregnancy is an important predisposition period to develop anxiety and depression, with a direct impact on the woman’s offspring. The aim of this study was to report the correlation between depression and anxiety in pregnant women and its association with the marital status and age. Materials. A descriptive, retrospective and cross-sectional study was conducted in the outpatient care of the Psychology Service at the “Mónica Pretelini Sáenz” Maternal Perinatal Hospital (HMPMPS), Toluca, Mexico, from June 2012 to March 2019. As routine, the Beck Depression Inventory (BDI-II) and the Beck Anxiety Inventory-Trait (BAIT), were applied to all women seeking attention at the HMPMPS. Only pregnant patients were selected for this study, with the women referred for the first time to the external Psychology Clinic as inclusion criteria. Pearson’s correlation coefficient and the frequency of cases for age, BDI-II, and BAIT were obtained using the IBM SPSS Statistics ® v.23 software. Results. The study included 2947 pregnant patients with a mean age of 28.6 ± 6.9 years. Of these, 2616 (88.8%) presented with mild anxiety, 269 (9.1%) with moderate, and 62 (2.1%) with severe anxiety. On the other hand, 2149 (72.9%) patients presented with minimal depression, 341 (11.6%) mild depression, 268 (9.1%) moderate depression, and 189 (6.4%) had severe depression. The correlations between age and BDI-II was –0.026 (P = 0.152), between age and BAI was –0.038 (P = 0.037), and between BAIT and BDI-II 0.650 (P ≤ 0.001). Conclusions. The age group with the highest frequency of depression and anxiety was from 20 to 29 years. The absence of a stable partner represented an important risk factor for anxiety and depression during pregnancy.

Who pays the price for high neuroticism? Moderators of longitudinal risks for depression and anxiety

2017 ◽  
Vol 47 (10) ◽  
pp. 1794-1805 ◽  
Author(s):  
J. R. Vittengl
Keyword(s):  
Anxiety Symptom ◽  
Social Problems ◽  
Economic Status ◽  
Significant Risk ◽  
The United States ◽  
Anxiety Symptoms ◽  
Depression And Anxiety ◽  
Socio Economic Status ◽  
Symptom Intensity ◽  
Physical Limitations

BackgroundHigh neuroticism is a well-established risk for present and future depression and anxiety, as well as an emerging target for treatment and prevention. The current analyses tested the hypothesis that physical, social and socio-economic disadvantages each amplify risks from high neuroticism for longitudinal increases in depression and anxiety symptoms.MethodA national sample of adults (n = 7108) provided structured interview and questionnaire data in the Midlife Development in the United States Survey. Subsamples were reassessed roughly 9 and 18 years later. Time-lagged multilevel models predicted changes in depression and anxiety symptom intensity across survey waves.ResultsHigh neuroticism predicted increases in a depression/anxiety symptom composite across retest intervals. Three disadvantage dimensions – physical limitations (e.g. chronic illness, impaired functioning), social problems (e.g. less social support, more social strain) and low socio-economic status (e.g. less education, lower income) – each moderated risks from high neuroticism for increases in depression and anxiety symptoms. Collectively, high scores on the three disadvantage dimensions amplified symptom increases attributable to high neuroticism by 0.67 standard deviations. In contrast, neuroticism was not a significant risk for increases in symptoms among participants with few physical limitations, few social problems or high socio-economic status.ConclusionsRisks from high neuroticism are not shared equally among adults in the USA. Interventions preventing or treating depression or anxiety via neuroticism could be targeted toward vulnerable subpopulations with physical, social or socio-economic disadvantages. Moreover, decreasing these disadvantages may reduce mental health risks from neuroticism.

scholarly journals Mental Health, Potential Minority Stressors And Resilience: Evidence From A Cross-Sectional Survey Of Gay, Bisexual And Other Men Who Have Sex With Men Within The Celtic Nations

2020 ◽  
Author(s):  
Arlene McGarty ◽  
Lisa McDaid ◽  
Paul Flowers ◽  
Julie Riddell ◽  
John Pachankis ◽  
...  
Keyword(s):  
Mental Health ◽  
Protective Effect ◽  
Severe Depression ◽  
Anxiety And Depression ◽  
Future Research ◽  
Depression And Anxiety ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Sex With Men ◽  
Severe Anxiety

Abstract Background: Gay, bisexual and other men who have sex with men (GBMSM) are at a greater risk of mental health problems, such as anxiety and depression, than heterosexual adults. Numerous factors and stressors have been reported to impact men’s mental health, although it has been suggested that resilience could have a protective effect. The aim of this study is to explore mental health, minority stressors, and resilience among a large online cross-sectional survey of GBMSM in the Celtic nations. Methods: Data for this cross-sectional study were collected from the Social Media, GBMSM and Sexual and Holistic Health (SMMASH2) self-report online survey. Participants (n=3077) were recruited via gay sociosexual media in Scotland, Wales, Northern Ireland, and the Republic of Ireland. Binary logistic regression analyses were conducted to identify factors that increased the odds of moderate-to-severe anxiety and depression. Potentially relevant variables (p<0.05) were carried forward in hierarchal logistic regression analyses. Results: The prevalence of moderate-to-severe anxiety and depression was 19.9% and 14.4%, respectively. Having a disability (OR = 1.73) and having financial worries sometimes/all of the time (OR = 1.93) increased the odds of having moderate-to-severe depression and anxiety, respectively. No minority stressors were associated with depression, whereas experiencing any form of relationship abuse in the last 12 months significantly increased the odds of anxiety (OR = 1.50). Resilience, namely a sense of coherence, had a protective effect and significantly reduced the odds of moderate-to-severe depression (OR = 0.85) and anxiety (OR = 0.89). Discussion: Disability and financial worries were associated with increased depression and anxiety, respectively, while resilience had a protective effect for GBMSM in the SMMASH2 study. Future research is needed to better understand the role of resilience and the challenges and stresses of everyday life and intersecting health problems. Future research is also needed that incorporates the perspectives of those most affected by mental ill-health to co-develop effective solutions that respond to their contextual surroundings.

Relationships between depression and anxiety symptoms scores and blood pressure in young adults

2017 ◽  
Vol 35 (10) ◽  
pp. 1983-1991 ◽  
Author(s):  
Sunil K. Bhat ◽  
Lawrence J. Beilin ◽  
Monique Robinson ◽  
Sally Burrows ◽  
Trevor A. Mori
Keyword(s):  
Blood Pressure ◽  
Young Adults ◽  
Anxiety Symptoms ◽  
Depression And Anxiety

scholarly journals Psychotic-Like Experiences in Major Depression and Anxiety Disorders: A Population-Based Survey in Young Adults

2009 ◽  
Vol 37 (2) ◽  
pp. 389-393 ◽  
Author(s):  
D. Varghese ◽  
J. Scott ◽  
J. Welham ◽  
W. Bor ◽  
J. Najman ◽  
...  
Keyword(s):  
Young Adults ◽  
Major Depression ◽  
Anxiety Disorders ◽  
Population Based ◽  
Depression And Anxiety ◽  
Population Based Survey

scholarly journals Reducing worry and rumination in young adults via a mobile phone app: study protocol of the ECoWeB (Emotional Competence for Well-Being in Young Adults) randomised controlled trial focused on repetitive negative thinking

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Daniel Edge ◽  
Alexandra Newbold ◽  
Thomas Ehring ◽  
Tabea Rosenkranz ◽  
Mads Frost ◽  
...  
Keyword(s):  
Mental Health ◽  
Young Adults ◽  
Young People ◽  
Emotional Competence ◽  
Well Being ◽  
Poor Mental Health ◽  
Depression And Anxiety ◽  
Repetitive Negative Thinking ◽  
Randomised Controlled ◽  
The Uk

Abstract Background Promoting well-being and preventing poor mental health in young people is a major global priority. Building emotional competence skills via a mobile app may be an effective, scalable and acceptable way to do this. A particular risk factor for anxiety and depression is elevated worry and rumination (repetitive negative thinking, RNT). An app designed to reduce RNT may prevent future incidence of depression and anxiety. Method/design The Emotional Competence for Well-Being in Young Adults study developed an emotional competence app to be tested via randomised controlled trials in a longitudinal prospective cohort. This off-shoot study adapts the app to focus on targeting RNT (worry, rumination), known risk factors for poor mental health. In this study, 16–24 year olds in the UK, who report elevated worry and rumination on standardised questionnaires are randomised to (i) receive the RNT-targeting app immediately for 6 weeks (ii) a waiting list control who receive the app after 6 weeks. In total, the study will aim to recruit 204 participants, with no current diagnosis of major depression, bipolar disorder or psychosis, across the UK. Assessments take place at baseline (pre-randomisation), 6 and 12 weeks post-randomisation. Primary endpoint and outcome for the study is level of rumination assessed on the Rumination Response Styles Questionnaire at 6 weeks. Worry, depressive symptoms, anxiety symptoms and well-being are secondary outcomes. Compliance, adverse events and potentially mediating variables will be carefully monitored. Discussion This trial aims to better understand the benefits of tackling RNT via an mobile phone app intervention in young people. This prevention mechanism trial will establish whether targeting worry and rumination directly via an app provides a feasible approach to prevent depression and anxiety, with scope to become a widescale public health strategy for preventing poor mental health and promoting well-being in young people. Trial registration ClinicalTrials.gov, NCT04950257. Registered 6 July 2021 – Retrospectively registered.

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