在COVID-19大流行之前和期间,职业类型的精神药物治疗趋势:一个链接的行政数据研究研究
Finola Ferry1,2, Lisa Kent3,4, Michael Rosato5,3
1Bamford Centre for Mental Health and Wellbeing, Ulster University, Coleraine, BT52 1SA, Northern Ireland. f.ferry@ulster.ac.uk.
Social psychiatry and psychiatric epidemiology
|May 21, 2025
概括
随着COVID-19大流行,各个职业的心理健康药物使用方式也发生了不同影响. 一些工人看到抗焦虑药物处方减少,而另一些人,特别是在护理专业,经历了抗抑郁药和催眠药的使用增加.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 职业健康 职业健康 职业健康
背景情况:
- COVID-19 流行病带来了前所未有的公共卫生挑战,可能会影响多元化劳动力的心理健康.
- 在疫情期间,跨职业群体的心理健康趋势的纵向数据对于理解差异性影响至关重要.
研究的目的:
- 在COVID-19大流行之前和期间,对各职业群体的工人心理健康趋势进行第一个纵向分析.
- 通过广泛的职业分类来检查与大流行期间相吻合的心理药物使用 (抗抑郁药,抗焦虑药,催眠药) 的变化.
主要方法:
- 分析了来自北爱尔兰增强处方数据库 (EPD) 和北爱尔兰纵向研究 (NILS) 的相关行政数据.
- 2011年至2021年,北爱尔兰200004名工人对抗抑郁药,抗焦虑药和催眠药的处方趋势进行了检查.
- 自动回归集成移动平均 (ARIMA) 模型被用来比较大流行期间预测和观察到的处方率,分层按职业分类.
主要成果:
- 在2020年第二季度,在几个职业类型中,观察到焦虑缓解和抗抑郁药的处方低于预期.
- 从2020年第三季度到2021年第一季度,管理人员,董事和高级官员的抗焦虑药物处方显著下降.
- 在护理/休职业的员工中,抗抑郁药处方的显著,长期增加发生,在2021年第二季度观察到更高的催眠率.
结论:
- 职业类型成为影响流行病相关压力和心理健康结果的重要因素.
- 特定的职业,如照顾职业的职业,在流行病期间可能面临更高的不良心理健康影响风险.
- 调查结果强调,在未来的公共卫生危机中,需要针对高风险职业进行有针对性的干预.
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