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10.1136/bmjopen-2020-045325

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33941630!8098295!33941630
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suck abstract from ncbi


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pmid33941630      BMJ+Open 2021 ; 11 (5): e045325
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  • Depression, anxiety and stress during the COVID-19 pandemic: results from a New Zealand cohort study on mental well-being #MMPMID33941630
  • Gasteiger N; Vedhara K; Massey A; Jia R; Ayling K; Chalder T; Coupland C; Broadbent E
  • BMJ Open 2021[May]; 11 (5): e045325 PMID33941630show ga
  • OBJECTIVES: The COVID-19 pandemic has caused unprecedented disruption to daily life. This study investigated depression, anxiety and stress in New Zealand (NZ) during the first 10 weeks of the COVID-19 pandemic, and associated psychological and behavioural factors. It also compares the results with a similar cross-sectional study in the UK. DESIGN: Cross-sectional study. SETTING: NZ community cohort. PARTICIPANTS: N=681 adults (>/=18 years) in NZ. The cohort was predominantly female (89%) with a mean age of 42 years (range 18-87). Most (74%) identified as NZ European and almost half (46%) were keyworkers. Most were non-smokers (95%) and 20% identified themselves as having clinical risk factors which would put them at increased or greatest risk of COVID-19. MAIN OUTCOME MEASURES: Depression, anxiety, stress, positive mood and engagement in health behaviours (smoking, exercise, alcohol consumption). RESULTS: Depression and anxiety significantly exceeded population norms (p<0.0001). Being younger (p<0.0001) and most at risk of COVID-19 (p<0.05) were associated with greater depression, anxiety and stress. Greater positive mood, lower loneliness and greater exercise were protective factors for all outcomes (p<0.0001). Smoking (p=0.037) and alcohol consumption (p<0.05) were associated with increased anxiety. Pet ownership was associated with lower depression (p=0.006) and anxiety (p=0.008). When adjusting for age and gender differences, anxiety (p=0.002) and stress (p=0.007) were significantly lower in NZ than in the UK. The NZ sample reported lower perceived risk (p<0.0001) and worry about COVID-19 (p<0.0001) than the UK sample. CONCLUSIONS: The NZ population had higher depression and anxiety compared with population norms. Younger people and those most at risk of COVID-19 reported poorer mental health. Interventions should promote frequent exercise, and reduce loneliness and unhealthy behaviours.
  • |*COVID-19[MESH]
  • |*Pandemics[MESH]
  • |Adolescent[MESH]
  • |Adult[MESH]
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |Anxiety/epidemiology[MESH]
  • |Cohort Studies[MESH]
  • |Cross-Sectional Studies[MESH]
  • |Depression/epidemiology[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Mental Health[MESH]
  • |Middle Aged[MESH]
  • |New Zealand/epidemiology[MESH]
  • |SARS-CoV-2[MESH]
  • |Stress, Psychological/epidemiology[MESH]


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