Trends in depression & anxiety symptom severity among mental health service attendees during the COVID-19 pandemic.

Journal of Affective Disorders
Rob SaundersStephen Pilling

Abstract

General population surveys have shown that some groups, particularly young women, experienced increased distress during nationally mandated restrictions to control the spread of COVID-19. However, there has been limited research on such trends among people with pre-existing mental health conditions, leaving mental health services ill equipped to plan for current and future lockdowns. Mean weekly scores on the GAD-7 and PHQ-9 between 01/01/2020-22/06/2020 (n=9,538 individuals) for all patients of two psychological treatment services (Improving Access to Psychological Therapies) in London, were compared to mean weekly scores from the same time periods in 2017-2019 (n=37,849). The proportion of scores which were above the clinical thresholds for 'caseness' each week were compared, and scores between groups based on gender, age group, and ethnicity, were also compared. Confirmed community transmission in the UK (26/02/2020-03/03/2020) and the announcement of the national 'lockdown' (23/03/2020) were associated with significant increases in anxiety symptom scores. 'Lockdown' was associated with a decrease in depression scores. These changes were not maintained during lockdown. Significant increases in depression and anxiety were obs...Continue Reading

References

Sep 15, 2001·Journal of General Internal Medicine·K KroenkeJ B Williams
May 24, 2006·Archives of Internal Medicine·Robert L SpitzerBernd Löwe
Jan 20, 2018·Annual Review of Clinical Psychology·David M Clark
Feb 26, 2019·Journal of Affective Disorders·Rob SaundersStephen Pilling
Apr 8, 2020·Annals of Internal Medicine·Steffie Woolhandler, David U Himmelstein
May 8, 2020·The American Journal of Psychiatry·Junying ZhouXiangdong Tang
Nov 24, 2020·JAMA : the Journal of the American Medical Association·Emma E McGintyColleen L Barry
May 11, 2021·Behavioural and Cognitive Psychotherapy·Joshua E J BuckmanRebecca Minton

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