scholarly journals Psychological distress associated with the second COVID-19 wave: Prospective evidence from the UK Household Longitudinal Study

2021 ◽  
Author(s):  
Michael Daly ◽  
Eric Robinson

BackgroundIn late 2020 a second wave of COVID-19 infections occurred in many countries and resulted in a national lockdown in the UK including stay at home orders and school closures. This study aimed to compare the prevalence of psychological distress before and during the second COVID-19 wave in the UK. MethodsThis study drew on data from 10,657 participants from the nationally representative probability-based UK Household Longitudinal Study (UKHLS). The 12-item General Health Questionnaire (GHQ-12) assessment measure was used to detect the proportion of UK adults experiencing clinically significant psychological distress. Changes in distress levels associated with the second pandemic wave were examined between September 2020 and January 2021 using logistic regression and linear fixed-effects regression models. ResultsLongitudinal analyses showed that the prevalence of clinically significant distress rose by 5.8% (95% CI:4.4-7.2) from 21.3% in September 2020 to 27.1% in January 2021, compared with a 2019 pre-pandemic estimate of 21% in this cohort. Fixed effects analyses confirmed that the second COVID-19 wave was associated with a significant within-person increase in distress (d =0.15, p<.001). Increases were particularly pronounced among those with school-age children in the home. LimitationsA non-specific measure of mental health symptoms was utilized and it was not possible to separate the potential impact of the pandemic from other changes occurring in tandem within the study period. ConclusionClinically significant distress rose during the second wave of the COVID-19 pandemic and reached levels similar to those observed in the immediate aftermath of the first pandemic wave.

2021 ◽  
Vol 12 ◽  
Author(s):  
Celine Teo ◽  
Chungah Kim ◽  
Andrew Nielsen ◽  
Thomas Young ◽  
Patricia O'Campo ◽  
...  

Background: National lockdown in the UK during the COVID-19 pandemic severely restricted the mobility of residents and increased time spent in their residential neighbourhoods. This is a unique opportunity to understand how an exogenous factor that reduces mobility may influence the association between neighbourhood social environment and mental health. This study investigates whether the COVID-19 lockdown may modify the effect of neighbourhood disorder on psychological distress.Methods: We tracked changes in psychological distress, using the UK household longitudinal survey across the pre-COVID and lockdown periods in 16,535 adults. Neighbourhood disorder was measured along two subscales: social stressors and property crime. Fixed-effects regression was used to evaluate whether the widespread reduction in mobility modifies the association between the subscales of neighbourhood disorder and psychological distress.Results: The effect of neighbourhood social stressors on psychological distress was stronger in the lockdown period compared to the pre-COVID period. Compared to the pre-COVID period, the effect of being in neighbourhoods with the highest social stressors (compared to the lowest) on psychological distress increased by 20% during the lockdown. Meanwhile, the effect of neighbourhood property crime on mental health did not change during the lockdown.Conclusion: The sudden loss of mobility as a result of COVID-19 lockdown is a unique opportunity to address the endogeneity problem as it relates to mobility and locational preferences in the study of neighbourhood effects on health. Vulnerable groups who have limited mobility are likely more sensitive to neighbourhood social stressors compared to the general population.


BJPsych Open ◽  
2021 ◽  
Vol 7 (3) ◽  
Author(s):  
Claire L. Niedzwiedz ◽  
Michaela Benzeval ◽  
Kirsten Hainey ◽  
Alastair H. Leyland ◽  
Srinivasa Vittal Katikireddi

Summary Studies exploring the longer-term effects of experiencing coronavirus disease-2019 (COVID-19) on mental health are lacking. We explored the relationship between reporting probable COVID-19 symptoms in April 2020 and psychological distress (measured using the General Health Questionnaire) 1, 2, 3, 5 and 7 months later. Data were taken from the UK Household Longitudinal Study, a nationally representative household panel survey of UK adults. Elevated levels of psychological distress were found up to 7 months after probable COVID-19, compared with participants with no likely infection. Associations were stronger among younger age groups and men. Further research into the psychological sequalae of COVID-19 is urgently needed.


2020 ◽  
Author(s):  
Claire L Niedzwiedz ◽  
Michaela Benzeval ◽  
Kirsten Hainey ◽  
Alastair H Leyland ◽  
Srinivasa Vittal Katikireddi

SummaryStudies exploring the longer-term effects of experiencing COVID-19 infection on mental health are lacking. We explored the relationship between reporting probable COVID-19 symptoms in April 2020 and psychological distress (measured using the General Health Questionnaire) one, two and three months later. Data were taken from the UK Household Longitudinal Study, a nationally representative household panel survey of UK adults. Elevated levels of psychological distress were found up to three months after probable COVID-19, compared to participants with no likely infection. Associations were stronger among younger age groups and men. Further research into the psychological sequalae of COVID-19 is urgently needed.


2018 ◽  
Vol 49 (10) ◽  
pp. 1652-1660 ◽  
Author(s):  
Rebecca E. Lacey ◽  
Anne McMunn ◽  
Elizabeth Webb

AbstractBackgroundApproximately seven million people in the UK are engaged in informal caregiving. Informal caregivers are at risk of poorer mental and physical health. However, less is known about how the relationship between the informal caregiving and psychological distress changes over time. The aim of this study was to investigate longitudinal associations between the informal caregiving and psychological distress amongst UK men and women aged 16+.MethodsData were analysed from the UK Household Longitudinal Study (UKHLS, n = 9368), a nationally representative study of UK households. Longitudinal linear mixed modelling was used to estimate associations between the longitudinal patterns of informal caregiving (non-caregiver/one episode of 1–2 years/intermittent caregiving/3+ years caregiving) and trajectories of psychological distress across seven waves of UKHLS data.ResultsInformal caregiving was not associated with psychological distress for men. Women engaged in long-term (⩾3 years) or intermittent caregiving had higher levels of psychological distress at the point of initiation, compared with women who were not caregivers throughout the study period (3+ years caregiver: regression coefficient 0.48, 95% confidence interval (CI) 0.07–0.89; intermittent caregiver: regression coefficient 0.47, 95% CI 0.02–0.92). Trajectories of psychological distress changed little over time, suggesting a plateau effect for these caregiving women.ConclusionsWomen engaged in long-term or repeated shorter episodes of informal caregiving reported more symptoms of psychological distress than non-caregiving women. Given the increased risk of reporting psychological distress and the increasing importance of the informal care sector, the risk of poorer mental health of informal caregivers should be a priority for public health.


2021 ◽  
pp. jech-2021-217266
Author(s):  
Thierry Gagné ◽  
Alita Nandi ◽  
Ingrid Schoon

BackgroundDespite concerns about mental health problems among those aged 16–24 in England, which social groups have been most at risk, both over the past decade and during the COVID-19 pandemic, remains unclear.MethodsWe examined trends in psychological distress among young adults 16–24 years old in England using data from the UK Household Longitudinal Study. Using longitudinal data as repeated cross-sectional waves, we examined differences over time in mean General Health Questionnaire (GHQ) scores from wave 1 (2009–2010) to wave 10 (2018–2019) and six COVID-19 waves collected between April and November 2020, by economic activity, cohabitation with parents, parental education, area deprivation, ethnicity, age and sex.ResultsCompared with 2009–2010, increases in GHQ scores in 2018–2019 were higher in women than men (2.1 vs 1.3), those aged 16–18 than aged 22–24 (2.6 vs 0.9), those from white UK group versus other ethnic minorities, and those out of the labour force (3.6) or employed part time (2.2) than those employed full time (0.8). Compared with 2018–2019, psychological distress in 2020 also further increased among young adults residing in the most deprived areas (4.1 vs 1.2 in the least deprived areas). In 2020, losing one’s job or most of one’s work hours was associated with higher psychological distress and attenuated the differences between deprivation quartiles by 17%.ConclusionIn England, inequalities in psychological distress among young adults may have changed and increased during the COVID-19 pandemic. Investing in opportunities for young adults, particularly in more deprived areas, may be key to improve population levels of mental health.


BMJ Open ◽  
2020 ◽  
Vol 10 (8) ◽  
pp. e039851
Author(s):  
Tom Roberts ◽  
Jo Daniels ◽  
William Hulme ◽  
Daniel Horner ◽  
Mark David Lyttle ◽  
...  

IntroductionThe COVID-19 pandemic is putting an unprecedented strain on healthcare systems globally. The psychological impact on frontline doctors of dealing with the COVID-19 pandemic is currently unknown. This longitudinal professional survey aims to understand the evolving and cumulative effects of working during the COVID-19 outbreak on the psychological well-being of doctors working in emergency departments (ED), intensive care units (ICU) and anaesthetics during the pandemic.Methods and analysisThis study is a longitudinal questionnaire-based study with three predefined time points spanning the acceleration, peak and deceleration phases of the COVID-19 pandemic.The primary outcomes are psychological distress and post-trauma stress as measured by the General Health Questionnaire-12 (GHQ-12) and Impact of Events Scale-Revised (IES-R). Data related to personal and professional characteristics will also be collected. Questionnaires will be administered prospectively to all doctors working in ED, ICU and anaesthetics in the UK and Ireland via existing research networks during the sampling period. Data from the questionnaires will be analysed to assess the prevalence and degree of psychological distress and trauma, and the nature of the relationship between personal and professional characteristics and the primary outcomes. Data will be described, analysed and disseminated at each time point; however, the primary endpoint will be psychological distress and trauma at the final time point.Ethics and disseminationEthical approval was obtained from the University of Bath, UK (ref: 4421), and Children’s Health Ireland at Crumlin, Ethics Committee. Regulatory approval from the Health Regulation Authority (UK), Health and Care Research Wales (IRAS: 281944).This study is limited by the fact that it focuses on doctors only and is survey based without further qualitative interviews of participants. It is expected this study will provide clear evidence of the psychological impact of COVID-19 on doctors and will allow present and future planning to mitigate against any psychological impact.Trial registration numberISRCTN10666798.


2007 ◽  
Vol 38 (3) ◽  
pp. 433-439 ◽  
Author(s):  
J. M. Boden ◽  
D. M. Fergusson ◽  
L. J. Horwood

BackgroundThis study examined the associations between cigarette smoking and suicidal ideation and suicide attempts, both before and after control for potentially confounding using fixed effects regression models.MethodData were gathered during the Christchurch Health and Development Study, a 25-year longitudinal study of a birth cohort of New Zealand children (635 males, 630 females). The analysis was based on a sample of 1041 participants with available data on cigarette smoking and suicidal behaviour from ages 16 to 25 years. The main outcome measures were suicidal ideation and suicide attempts, ages 16–18, 18–21, and 21–25.ResultsThere were significant bivariate associations between the frequency of cigarette smoking and both suicidal ideation and suicide attempts. Cohort members who smoked 20 or more cigarettes per day had odds of suicidal ideation that were 3.39 times (95% CI 2.06–5.59) those of non-smokers, and odds of suicide attempt that were 4.39 (95% CI 2.18–8.85) times those of non-smokers. Control for non-observed fixed confounding factors reduced the association between cigarette smoking and suicidal ideation and suicide attempts to statistical non-significance. After adjustment, those smoking more than 20 cigarettes per day had odds of suicidal ideation that were 1.00 times (95% CI 0.46–2.18) those of non-smokers, and odds of suicide attempt that were 1.84 (95% CI 0.81–4.18) times those of non-smokers.ConclusionsThe findings suggest that the associations between frequency of cigarette smoking and suicidal behaviour may largely be explained by the non-observed background factors and life circumstances that are associated with both cigarette smoking and suicidal behaviour.


2021 ◽  
pp. jech-2021-217179
Author(s):  
Liam Wright ◽  
Andrew Steptoe ◽  
Hei Wan Mak ◽  
Daisy Fancourt

IntroductionCOVID-19 vaccines do not confer immediate immunity and vaccinated individuals may still be at risk of transmitting the virus. Governments have not exempted vaccinated individuals from behavioural measures to reduce the spread of COVID-19, such as practising social distancing. However, vaccinated individuals may have reduced compliance with these measures, given lower perceived risks.MethodsWe used monthly panel data from October 2020 to March 2021 in the UK COVID-19 Social Study to assess changes in compliance following vaccination. Compliance was measured with two items on compliance with guidelines in general and compliance with social distancing. We used matching to create comparable groups of individuals by month of vaccination (January, February or not vaccinated by February) and fixed effects regression to estimate changes in compliance over the study period.ResultsCompliance increased between October 2020 and March 2021, regardless of vaccination status or month of vaccination. There was no clear evidence that vaccinated individuals decreased compliance relative to those who were not yet vaccinated.ConclusionThere was little evidence that sample members vaccinated in January or February reduced compliance after receiving vaccination for COVID-19. Continued monitoring is required as younger individuals receive the vaccine, lockdown restrictions are lifted and individuals receive second doses of the vaccine.


2021 ◽  
Author(s):  
Michael Daly ◽  
Eric Robinson

In a large (n =10918), national, longitudinal probability-based sample of UK adults the prevalence of clinically significant psychological distress rose from prepandemic levels of 20.8% in 2019 to 29.5% in April 2020 and then declined significantly to prepandemic levels by September (20.8%). Longitudinal analyses showed that all demographic groups examined (age, sex, race/ethnicity, income) experienced increases in distress after the onset of the pandemic followed by significant decreases. By September 2020 distress levels were indistinguishable from prepandemic levels for all groups. This recovery may reflect the influence of the easing of restrictions and adaptation to the demands of the pandemic.


2011 ◽  
Vol 23 (2) ◽  
pp. 173-195
Author(s):  
Sebastian Schnettler ◽  
Anja Steinbach

Consistent with inclusive fitness theory, evolutionary biologists predict that individuals care more for their biological than their social children and hence that biological children assess the relationships to their parents better than stepchildren. To test this assumption, we use data from the U.S. National Longitudinal Study of Adolescent Health (Add Health). Unlike many other studies that have been conducted so far, this survey allows us to analyze the consequences of the dynamic between social and biological parent-child relationships within the same families. We use comparisons of sibling pairs and fixed-effects regression to achieve the within-family comparison. Both the descriptive and multivariate regression results confirm that – even after controlling for other relevant influences – biological parenthood matters with regard to children’s relationship assessments (perceived parental care and closeness of the parent-child relationship) and in both the relationships to resident fathers and mothers. In the discussion, we comment on the possible integration of the evolutionary and sociological perspectives and close with some recommendations for future data collection that could allow researchers to analyze the relative impact of biological and social influences on parent-child relationships on a more fine-grained level. Zusammenfassung Abgeleitet aus der Theorie der Verwandtenselektion sagen Evolutionsbiologen vorher, dass Individuen gegenüber ihren biologischen Kindern mehr Fürsorge zeigen sollten als gegenüber Kindern, zu denen eine soziale Elternschaft besteht. Entsprechend wird erwartet, dass biologische Kinder die Beziehungen zu ihren Eltern besser einschätzen als Stiefkinder. Zur Überprüfung dieser Hypothese ziehen wir die Daten der U.S. National Longitudinal Study of Adolescent Health (Add Health) heran. Diese Studie erlaubt es, im Gegensatz zu vielen anderen Datenquellen, die Konsequenzen der innerfamilialen Dynamik sozialer und biologischer Eltern-Kind-Beziehungen zu untersuchen. Um diesen Vergleich innerhalb der Familien zu ermöglichen, untersuchen wir Geschwisterdyaden und führen eine fixed-effects-Regression durch. Die Resultate der deskriptiven und der multivariaten Analysen bestätigen, dass der Status biologischer Elternschaft auch dann die Beziehungs-einschätzungen der Jugendlichen (wahrgenommene elterliche Fürsorge und emotionale Nähe) vorhersagt, wenn für andere relevante Einflussfaktoren kontrolliert wird – sowohl in Bezug auf die väterliche als auch auf die mütterliche Beziehung. In der Diskussion kommentieren wir das Ergebnis im Hinblick auf eine mögliche Integration evolutionsbiologischer und soziologischer Forschungsperspektiven und schließen mit einigen Empfehlungen für die zukünftige empirische Datenerhebung ab. Eine Umsetzung dieser Empfehlungen könnte es interessierten Forscherinnen und Forschern in Zukunft ermöglichen, die relative Bedeutung biologischer und sozialer Einflüsse auf die Eltern detaillierter zu untersuchen.


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