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10.1017/S0033291721001719

http://scihub22266oqcxt.onion/10.1017/S0033291721001719
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33880984!8144814!33880984
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suck abstract from ncbi


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pmid33880984      Psychol+Med 2023 ; 53 (2): 446-457
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  • Prevalence and risk factors of psychiatric symptoms and diagnoses before and during the COVID-19 pandemic: findings from the ELSA-Brasil COVID-19 mental health cohort #MMPMID33880984
  • Brunoni AR; Suen PJC; Bacchi PS; Razza LB; Klein I; Dos Santos LA; de Souza Santos I; da Costa Lane Valiengo L; Gallucci-Neto J; Moreno ML; Pinto BS; de Cassia Silva Felix L; de Sousa JP; Viana MC; Forte PM; de Altisent Oliveira Cardoso MC; Bittencourt MS; Pelosof R; de Siqueira LL; Fatori D; Bellini H; Bueno PVS; Passos IC; Nunes MA; Salum GA; Bauermeister S; Smoller JW; Lotufo PA; Bensenor IM
  • Psychol Med 2023[Jan]; 53 (2): 446-457 PMID33880984show ga
  • BACKGROUND: There is mixed evidence on increasing rates of psychiatric disorders and symptoms during the coronavirus disease 2019 (COVID-19) pandemic in 2020. We evaluated pandemic-related psychopathology and psychiatry diagnoses and their determinants in the Brazilian Longitudinal Study of Health (ELSA-Brasil) Sao Paulo Research Center. METHODS: Between pre-pandemic ELSA-Brasil assessments in 2008-2010 (wave-1), 2012-2014 (wave-2), 2016-2018 (wave-3) and three pandemic assessments in 2020 (COVID-19 waves in May-July, July-September, and October-December), rates of common psychiatric symptoms, and depressive, anxiety, and common mental disorders (CMDs) were compared using the Clinical Interview Scheduled-Revised (CIS-R) and the Depression Anxiety Stress Scale-21 (DASS-21). Multivariable generalized linear models, adjusted by age, gender, educational level, and ethnicity identified variables associated with an elevated risk for mental disorders. RESULTS: In 2117 participants (mean age 62.3 years, 58.2% females), rates of CMDs and depressive disorders did not significantly change over time, oscillating from 23.5% to 21.1%, and 3.3% to 2.8%, respectively; whereas rate of anxiety disorders significantly decreased (2008-2010: 13.8%; 2016-2018: 9.8%; 2020: 8%). There was a decrease along three wave-COVID assessments for depression [beta = -0.37, 99.5% confidence interval (CI) -0.50 to -0.23], anxiety (beta = -0.37, 99.5% CI -0.48 to -0.26), and stress (beta = -0.48, 99.5% CI -0.64 to -0.33) symptoms (all ps < 0.001). Younger age, female sex, lower educational level, non-white ethnicity, and previous psychiatric disorders were associated with increased odds for psychiatric disorders, whereas self-evaluated good health and good quality of relationships with decreased risk. CONCLUSION: No consistent evidence of pandemic-related worsening psychopathology in our cohort was found. Indeed, psychiatric symptoms slightly decreased along 2020. Risk factors representing socioeconomic disadvantages were associated with increased odds of psychiatric disorders.
  • |*COVID-19/epidemiology[MESH]
  • |*Mental Disorders/epidemiology/psychology[MESH]
  • |Anxiety/epidemiology/psychology[MESH]
  • |Brazil/epidemiology[MESH]
  • |Depression/epidemiology/psychology[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Longitudinal Studies[MESH]
  • |Male[MESH]
  • |Mental Health[MESH]
  • |Middle Aged[MESH]
  • |Pandemics[MESH]
  • |Prevalence[MESH]


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