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10.1016/j.jad.2021.03.085

http://scihub22266oqcxt.onion/10.1016/j.jad.2021.03.085
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33839557!9754659!33839557
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suck abstract from ncbi


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pmid33839557      J+Affect+Disord 2021 ; 288 (ä): 41-49
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  • Psychological distress and alcohol use disorder during the COVID-19 era among middle- and low-income U S adults #MMPMID33839557
  • Tsai J; Elbogen EB; Huang M; North CS; Pietrzak RH
  • J Affect Disord 2021[Jun]; 288 (ä): 41-49 PMID33839557show ga
  • PURPOSE: This study examined how exposure to events during the Coronavirus Disease-19 (COVID-19) era is linked to symptoms of major depressive disorder (MDD), generalized anxiety disorder (GAD), COVID-19 era-related stress (CS), alcohol use disorder (AUD), and suicidal ideation (SI) in low and middle-income U.S adults. METHODS: A national sample of 6,607 adults (4.4% who reported testing positive for COVID-19, 25.3% testing negative, and 70.3% untested) were recruited an online platform andcompleted the Patient Health Questionnaire-2, Generalized Anxiety Disorder-2, PTSD-Checklist for DSM-5, the Alcohol Use Disorder Identification-Consumption scale, and an item assessing SI in May-June 2020. A series of multivariable analyses were conducted. RESULTS: In the total sample, 35.3% screened positive for current AUD, 33.6% for MDD, 33.6% for GAD, 24.6% for SI, and 20.2% for CS. Past 2-week SI (adjusted odds ratios [AORs]= 1.49-12.06), number of close friends (AORs= 1.40-2.72), history of AUD (AORs= 1.15-1.92), history of anxiety disorder (AORs= 1.07-2.63), and younger age (AORs= 0.97-0.98) were significantly associated with screening positive for MDD, GAD, CS, and AUD. COVID-19 status was not independently associated with these conditions, but the combination of testing positive for COVID-19, meeting criteria for AUD, and screening positive for MDD, GAD, or CS predicted a 96% probability for SI. CONCLUSION: Predisposing factors are stronger predictors of psychological distress than personal COVID-19 infection or exposure. The additive effects of COVID-19 infection, alcohol use, and psychiatric problems in predicting SI suggest screening, monitoring, and treating these conditions in population-based prevention and treatment efforts may be important.
  • |*Alcoholism/epidemiology[MESH]
  • |*COVID-19[MESH]
  • |*Depressive Disorder, Major/diagnosis/epidemiology[MESH]
  • |*Psychological Distress[MESH]
  • |Adult[MESH]
  • |Humans[MESH]


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