Mental health trajectories among the general population and higher-risk groups following the COVID-19 pandemic in Switzerland, 2021-2023.

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Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_0531013FA1F9
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Mental health trajectories among the general population and higher-risk groups following the COVID-19 pandemic in Switzerland, 2021-2023.
Journal
Journal of affective disorders
Author(s)
Schrempft S., Pullen N., Baysson H., Zaballa M.E., Lamour J., Lorthe E., Nehme M., Guessous I., Stringhini S.
Working group(s)
Specchio-COVID19 study group
ISSN
1573-2517 (Electronic)
ISSN-L
0165-0327
Publication state
Published
Issued date
15/08/2024
Peer-reviewed
Oui
Volume
359
Pages
277-286
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Mental health deteriorated in the early stages of the COVID-19 pandemic, but improved relatively quickly as restrictions were eased, suggesting overall resilience. However, longer-term follow-up of mental health in the general population is scarce.
We examined mental health trajectories in 5624 adults (58 % women; aged 18-97 years) from the Specchio-COVID19 cohort, using the Generalized Anxiety Disorder scale-2 and the Patient Health Questionnaire-2, administered each month from February to June 2021, and in Spring 2022 and 2023.
Depressive and anxiety symptoms declined during a pandemic wave from February to May 2021 (β = -0.06 [-0.07, -0.06]; -0.06 [-0.07, -0.05]), and remained lower at longer-term follow-up than at the start of the wave. Loneliness also declined over time, with the greatest decline during the pandemic wave (β = -0.25 [-0.26, -0.24]). Many higher-risk groups, including socioeconomically disadvantaged individuals, those with a chronic condition, and those living alone had poorer mental health levels throughout the study period. Women and younger individuals had a faster improvement in mental health during the pandemic wave. Loneliness trajectories were associated with mental health trajectories throughout the study period.
We cannot definitively conclude that the observed changes in mental health were due to experiences of the pandemic.
While there was a need for additional mental health support during stricter policy responses to COVID-19, overall, mental health improved relatively soon after measures were eased. Nevertheless, the persistence of mental health disparities highlights the need for further efforts from the government and healthcare practitioners to support vulnerable groups beyond the pandemic.
Keywords
Humans, COVID-19/psychology, COVID-19/epidemiology, Female, Adult, Middle Aged, Male, Aged, Switzerland/epidemiology, Aged, 80 and over, Adolescent, Young Adult, Mental Health/statistics & numerical data, Anxiety/epidemiology, Anxiety/psychology, Loneliness/psychology, Depression/epidemiology, Depression/psychology, SARS-CoV-2, Risk Factors, Anxiety, COVID-19, Depression, Loneliness, Mental health trajectories, Pandemic
Pubmed
Open Access
Yes
Create date
24/05/2024 9:46
Last modification date
15/06/2024 7:08
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