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10.1017/S2045796020000888

http://scihub22266oqcxt.onion/10.1017/S2045796020000888
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32988427!7573458!32988427
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suck abstract from ncbi


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pmid32988427      Epidemiol+Psychiatr+Sci 2020 ; 29 (ä): e173
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  • Increase in prevalence of current mental disorders in the context of COVID-19: analysis of repeated nationwide cross-sectional surveys #MMPMID32988427
  • Winkler P; Formanek T; Mlada K; Kagstrom A; Mohrova Z; Mohr P; Csemy L
  • Epidemiol Psychiatr Sci 2020[Sep]; 29 (ä): e173 PMID32988427show ga
  • AIMS: The United Nations warned of COVID-19-related mental health crisis; however, it is unknown whether there is an increase in the prevalence of mental disorders as existing studies lack a reliable baseline analysis or they did not use a diagnostic measure. We aimed to analyse trends in the prevalence of mental disorders prior to and during the COVID-19 pandemic. METHODS: We analysed data from repeated cross-sectional surveys on a representative sample of non-institutionalised Czech adults (18+ years) from both November 2017 (n = 3306; 54% females) and May 2020 (n = 3021; 52% females). We used Mini International Neuropsychiatric Interview (MINI) as the main screening instrument. We calculated descriptive statistics and compared the prevalence of current mood and anxiety disorders, suicide risk and alcohol-related disorders at baseline and right after the first peak of COVID-19 when related lockdown was still in place in CZ. In addition, using logistic regression, we assessed the association between COVID-19-related worries and the presence of mental disorders. RESULTS: The prevalence of those experiencing symptoms of at least one current mental disorder rose from a baseline of 20.02 (95% CI = 18.64; 21.39) in 2017 to 29.63 (95% CI = 27.9; 31.37) in 2020 during the COVID-19 pandemic. The prevalence of both major depressive disorder (3.96, 95% CI = 3.28; 4.62 v. 11.77, 95% CI = 10.56; 12.99); and suicide risk (3.88, 95% CI = 3.21; 4.52 v. 11.88, 95% CI = 10.64; 13.07) tripled and current anxiety disorders almost doubled (7.79, 95% CI = 6.87; 8.7 v. 12.84, 95% CI = 11.6; 14.05). The prevalence of alcohol use disorders in 2020 was approximately the same as in 2017 (10.84, 95% CI = 9.78; 11.89 v. 9.88, 95% CI = 8.74; 10.98); however, there was a significant increase in weekly binge drinking behaviours (4.07% v. 6.39%). Strong worries about both, health or economic consequences of COVID-19, were associated with an increased odds of having a mental disorder (1.63, 95% CI = 1.4; 1.89 and 1.42, 95% CI = 1.23; 1.63 respectively). CONCLUSIONS: This study provides evidence matching concerns that COVID-19-related mental health problems pose a major threat to populations, particularly considering the barriers in service provision posed during lockdown. This finding emphasises an urgent need to scale up mental health promotion and prevention globally.
  • |Adult[MESH]
  • |Alcohol-Related Disorders/epidemiology/etiology[MESH]
  • |Anxiety Disorders/epidemiology/etiology[MESH]
  • |Betacoronavirus[MESH]
  • |COVID-19[MESH]
  • |Coronavirus Infections/epidemiology/*psychology[MESH]
  • |Cross-Sectional Studies[MESH]
  • |Czech Republic/epidemiology[MESH]
  • |Depressive Disorder, Major/epidemiology/etiology[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Mental Disorders/*epidemiology/etiology[MESH]
  • |Mental Health/*statistics & numerical data[MESH]
  • |Middle Aged[MESH]
  • |Mood Disorders/epidemiology/etiology[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/epidemiology/*psychology[MESH]
  • |Prevalence[MESH]
  • |Psychiatric Status Rating Scales[MESH]
  • |SARS-CoV-2[MESH]
  • |Suicide/statistics & numerical data[MESH]


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