The impact of the initial COVID-19 outbreak on young adults’ mental health: a longitudinal study of risk and resilience factors
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Le résumé fourni par la source
Few studies assessing the effects of COVID-19 on mental health include prospective markers of risk and resilience necessary to understand and mitigate the combined impacts of the pandemic, lockdowns, and other societal responses. This population-based study of young adults includes individuals from the Neuroscience in Psychiatry Network (n = 2403) recruited from English primary care services and schools in 2012-2013 when aged 14-24. Participants were followed up three times thereafter, most recently during the initial outbreak of the COVID-19 outbreak when they were aged between 19 and 34. Repeated measures of psychological distress (K6) and mental wellbeing (SWEMWBS) were supplemented at the latest assessment by clinical measures of depression (PHQ-9) and anxiety (GAD-7). A total of 1000 participants, 42% of the original cohort, returned to take part in the COVID-19 follow-up; 737 completed all four assessments [mean age (SD), 25.6 (3.2) years; 65.4% female; 79.1% White]. Our findings show that the pandemic led to pronounced deviations from existing mental health-related trajectories compared to expected levels over approximately seven years. About three-in-ten young adults reported clinically significant depression (28.8%) or anxiety (27.6%) under current NHS guidelines; two-in-ten met clinical cut-offs for both. About 9% reported levels of psychological distress likely to be associated with serious functional impairments that substantially interfere with major life activities; an increase by 3% compared to pre-pandemic levels. Deviations from personal trajectories were not necessarily restricted to conventional risk factors; however, individuals with pre-existing health conditions suffered disproportionately during the initial outbreak of the COVID-19 pandemic. Resilience factors known to support mental health, particularly in response to adverse events, were at best mildly protective of individual psychological responses to the pandemic. Our findings underline the importance of monitoring the long-term effects of the ongoing pandemic on young adults' mental health, an age group at particular risk for the emergence of psychopathologies. Our findings further suggest that maintaining access to mental health care services during future waves, or potential new pandemics, is particularly crucial for those with pre-existing health conditions. Even though resilience factors known to support mental health were only mildly protective during the initial outbreak of the COVID-19 pandemic, it remains to be seen whether these factors facilitate mental health in the long term.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- The impact of the initial COVID-19 outbreak on young adults’ mental health: a longitudinal study of risk and resilience factors
- Date Crossref
- 05/10/2022
- Éditeur
- Springer Science and Business Media LLC
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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University of Cambridge Department of Psychiatry pays non établi dans la noticeUniversité ou école supérieure
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National Institute for Health and Care Research pays non établi dans la noticeOrganisme public
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Cambridgeshire and Peterborough NHS Foundation Trust pays non établi dans la noticeÉtablissement de santé
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Charles University Department of Kinanthropology and Humanities pays non établi dans la noticeUniversité ou école supérieure
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Philipps University of Marburg Department of Clinical Psychology pays non établi dans la noticeUniversité ou école supérieure
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Prostate Cancer Research pays non établi dans la noticeOrganisation à but non lucratif
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University College London Research Department of Clinical pays non établi dans la noticeUniversité ou école supérieure
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Wellcome Centre for Human Neuroimaging pays non établi dans la noticeStructure de recherche
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MRC Cognition and Brain Sciences Unit pays non établi dans la noticeStructure de recherche
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Medical Research Council pays non établi dans la noticeOrganisme public
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Southern Health NHS Foundation Trust pays non établi dans la noticeÉtablissement de santé
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University of Southampton pays non établi dans la noticeUniversité ou école supérieure
Department of Psychiatry — University of Cambridge, National Institute for Health and Care Research et Cambridgeshire and Peterborough NHS Foundation Trust, avec 9 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.