在COVID-19大流行之前,期间和之后的心理健康障碍:全国性的研究
Clara S Grønkjær1, Rune H B Christensen1, Daniel Kondziella2,3
1Copenhagen Research Center for Biological and Precision Psychiatry, Mental Health Centre Copenhagen, Copenhagen University Hospital, Copenhagen 2900, Denmark.
Brain : a journal of neurology
|November 6, 2024
概括
随着COVID-19大流行和封锁,丹麦的整体心理健康负担并没有显著增加. 虽然精神病患者入院和自杀企图减少,但精神药物使用略有增加.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 心理健康研究 心理健康研究
背景情况:
- COVID-19 疫情引发了人们对其对人口心理健康影响的担忧.
- 全国范围内对大流行病对心理健康服务和结果的间接影响的研究有限.
研究的目的:
- 调查COVID-19流行病及其相关封锁对丹麦心理健康服务利用和结果的影响.
- 分析精神病医院入院,药物使用,自杀未遂和自杀的趋势.
主要方法:
- 丹麦一项全面的全国性注册链接研究,从1990年开始跟踪个人.
- 使用日志正常模型来评估大流行 (2020年3月至2023年6月) 和封锁的影响,并根据大流行前的趋势 (2017年1月至2020年3月) 进行调整.
- 关键的结果包括精神病医院的入院,精神药物使用,自杀企图,自杀,私人诊所的利用和转诊.
主要成果:
- 与大流行前的趋势相比,在大流行期间,精神病医院的入院和自杀企图较低.
- 自杀率,私人诊所使用率和转诊率没有显著差异.
- 在最初的封锁期间,精神病诊所的入院,自杀未遂,自杀,私人诊所的使用和转诊都减少了.
- 然而,在疫情期间,精神药物的使用增加了6%.
结论:
- 随着COVID-19大流行和封锁,丹麦的整体心理健康负担并没有严重增加.
- 具体的心理健康服务利用率和结果显示出不同的趋势,其中一些趋势下降,药物使用量增加.
- 研究结果表明,大流行对人口心理健康的影响是复杂而细微的,而不是均的恶化.
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