Mental Health Symptomatology and Posttraumatic Growth among Those with Multimorbidity in COVID Pandemic: Cross-Sectional Findings from the STRONG Study in Greece

IF 1.2 Q4 PSYCHIATRY
Katerina Kavalidou, K. Kotsis, Dimitra Laimou, Dionysia Panagidou, Olga Mégalakaki
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引用次数: 1

Abstract

Background: Individuals with physical or mental health conditions represent a vulnerable population, especially during the COVID-19 pandemic. However, limited information is available concerning posttraumatic growth and common mental health symptoms of this vulnerable health group during COVID-19. Methods: An online cross-sectional study (STRONG study; psychological changes and effects after COVID-19 quarantine in Greece) was conducted from 28 September 2020 (no lockdown restrictions) to 2 November 2020, just before the second lockdown in Greece. Main outcomes were depressive and anxiety symptoms as well as posttraumatic growth. Results: A total of 860 adults participated in the study. A high proportion of participants did not report any pre-existing health condition (61%), while 334 individuals reported one or more physical or mental health conditions. Overall, 20.2% of the participants reported significant depressive symptoms, and 27.9% reported moderate to high posttraumatic growth. The presence of physical and mental health conditions, either as single diagnosis or as a multimorbidity, was significantly associated with the development of depressive symptomatology (either physical or mental health conditions: OR = 1.12; 95% CI, 1.07–1.17, p < 0.001; both physical and mental health conditions: OR = 1.23; 95% CI, 1.14–1.33, p < 0.001). Posttraumatic growth did not differ between those with or without any pre-existing health issue. Conclusions: Although having a physical or/and a mental health condition predicted the development of depressive symptomatology in a post-lockdown period, the presence of pre-existing conditions was not associated with posttraumatic growth development. Clinicians should be aware of depressive symptoms among their multimorbid patients, even after exiting lockdown.
希腊STRONG研究的横断面结果:新冠肺炎疫情多发病患者的心理健康症状和创伤后成长
背景:有身体或精神健康问题的个体是弱势群体,特别是在COVID-19大流行期间。然而,关于这一弱势健康群体在2019冠状病毒病期间的创伤后成长和常见心理健康症状的信息有限。方法:一项在线横断面研究(STRONG研究;从2020年9月28日(无封锁限制)到2020年11月2日(就在希腊第二次封锁之前),对希腊COVID-19隔离后的心理变化和影响进行了研究。主要结局是抑郁和焦虑症状以及创伤后成长。结果:共有860名成年人参与了这项研究。很高比例的参与者没有报告任何先前存在的健康状况(61%),而334人报告了一种或多种身体或精神健康状况。总体而言,20.2%的参与者报告了显著的抑郁症状,27.9%的参与者报告了中度至高度的创伤后成长。身体和精神健康状况的存在,无论是作为单一诊断还是作为多重疾病,都与抑郁症状的发展显著相关(身体或精神健康状况:or = 1.12;95% CI, 1.07-1.17, p < 0.001;身心健康状况:OR = 1.23;95% CI, 1.14-1.33, p < 0.001)。创伤后成长在有或没有任何先前健康问题的人之间没有差异。结论:虽然身体或/和精神健康状况可以预测禁闭后抑郁症状的发展,但已有疾病的存在与创伤后生长发育无关。临床医生应该意识到他们的多病患者的抑郁症状,即使在退出封锁之后。
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来源期刊
CiteScore
1.90
自引率
0.00%
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0
审稿时长
11 weeks
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