Informing the response to COVID-19 in Spain: priorities for mental health research

Ayuso-Mateos, José Luís; Mediavilla, Roberto; Rodriguez, K R; Bravo, M Ferrari

doi:10.1016/j.rpsmen.2021.04.001

Cited by 5 publications

(3 citation statements)

References 20 publications

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“…In Catalonia, non-essential health activities were interrupted during the lockdown in order to prioritise COVID-19 services, and health authorities advised against going to health centres except in the event of serious illness or urgent situations. Mental health services were also affected by the pandemic due to the relocation of healthcare professionals and temporary suspensions 23. Psychiatric inpatient units were largely reconverted to provide care to patients with COVID-19, and outpatient mental health visits were replaced by telephone consultations.…”

Section: Discussionmentioning

confidence: 99%

Impact of the COVID-19 pandemic on diagnoses of common mental health disorders in adults in Catalonia, Spain: a population-based cohort study

et al. 2022

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ObjectiveTo investigate how trends in incidence of anxiety and depressive disorders have been affected by the COVID-19 pandemic.DesignPopulation-based cohort study.SettingRetrospective cohort study from 2018 to 2021 using the Information System for Research in Primary Care (SIDIAP) database in Catalonia, Spain.Participants3 640 204 individuals aged 18 or older in SIDIAP on 1 March 2018 with no history of anxiety and depressive disorders.Primary and secondary outcomes measuresThe incidence of anxiety and depressive disorders during the prelockdown period (March 2018–February 2020), lockdown period (March–June 2020) and postlockdown period (July 2020–March 2021) was calculated. Forecasted rates over the COVID-19 periods were estimated using negative binomial regression models based on prelockdown data. The percentage of reduction was estimated by comparing forecasted versus observed events, overall and by sex, age and socioeconomic status.ResultsThe incidence rates per 100 000 person-months of anxiety and depressive disorders were 151.1 (95% CI 150.3 to 152.0) and 32.3 (31.9 to 32.6), respectively, during the prelockdown period. We observed an increase of 37.1% (95% prediction interval 25.5 to 50.2) in incident anxiety diagnoses compared with the expected in March 2020, followed by a reduction of 15.8% (7.3 to 23.5) during the postlockdown period. A reduction in incident depressive disorders occurred during the lockdown and postlockdown periods (45.6% (39.2 to 51.0) and 22.0% (12.6 to 30.1), respectively). Reductions were higher among women during the lockdown period, adults aged 18–34 years and individuals living in the most deprived areas.ConclusionsThe COVID-19 pandemic in Catalonia was associated with an initial increase in anxiety disorders diagnosed in primary care but a reduction in cases as the pandemic continued. Diagnoses of depressive disorders were lower than expected throughout the pandemic.

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Section: Discussionmentioning

confidence: 99%

Impact of the COVID-19 pandemic on diagnoses of common mental health disorders in adults in Catalonia, Spain: a population-based cohort study

et al. 2022

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“…The extent to which the deleterious mental health effects brought about by the initial pandemic outbreak may have subsequently led to negative mid-and long-term mental health outcomes among HCWs, however, remains largely unexplored-despite important public health and clinical implications [8]. For instance, whether mental health support interventions for HCWs should be maintained in the long-term following the initial pandemic outbreak remains unexplored.…”

Section: Introductionmentioning

confidence: 99%

Sustained Negative Mental Health Outcomes Among Healthcare Workers Over the First Year of the COVID-19 Pandemic: A Prospective Cohort Study

Mediavilla

Fernández-Jiménez

Martínez-Morata³

et al. 2022

Int J Public Health

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Objective: To characterize the evolution of healthcare workers’ mental health status over the 1-year period following the initial COVID-19 pandemic outbreak and to examine baseline characteristics associated with resolution or persistence of mental health problems over time.Methods: We conducted an 8-month follow-up cohort study. Eligible participants were healthcare workers working in Spain. Baseline data were collected during the initial pandemic outbreak. Survey-based self-reported measures included COVID-19-related exposures, sociodemographic characteristics, and three mental health outcomes (psychological distress, depression symptoms, and posttraumatic stress disorder symptoms). We examined three longitudinal trajectories in mental health outcomes between baseline and follow-up assessments (namely asymptomatic/stable, recovering, and persistently symptomatic/worsening).Results: We recruited 1,807 participants. Between baseline and follow-up assessments, the proportion of respondents screening positive for psychological distress and probable depression decreased, respectively, from 74% to 56% and from 28% to 21%. Two-thirds remained asymptomatic/stable in terms of depression symptoms and 56% remained symptomatic or worsened over time in terms of psychological distress.Conclusion: Poor mental health outcomes among healthcare workers persisted over time. Occupational programs and mental health strategies should be put in place.

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“…The impact of confinement on mental health is being studied in order to discover its psychological effects on different population groups ( Martínez de Salazar and López-Soler, 2020 ; Primdahl et al, 2021 ). In the adult population, it has been found that anxiety, depression, and particularly stress levels all increased significantly during confinement ( Planchuelo-Gómez et al, 2020 ; Ayuso-Mateos et al, 2021 ; González-Sanguino et al, 2021 ; Gilbar et al, 2022 ; Medda et al, 2022 ; Niederkrotenthaler et al, 2022 ). There are direct and indirect effects derived from confinement that can affect the mental health of the child and adolescent population: thus, the former would be linked to psychological detriment caused by the reduction in social interaction and the latter with the negative impact on the mental health of family members and primary caregivers ( Robertson et al, 2021 ; Sonuga-Barke and Fearon, 2021 ).…”

Section: Introductionmentioning

confidence: 99%

Children Exposed to Intimate Partner Violence During Confinement: Characteristics by Age and Sex

et al. 2022

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The COVID-19 pandemic and restrictions imposed to stop its advance have affected the entire population. Children living with difficulties or in vulnerable situations prior to the pandemic might have suffered an even greater impact. This present study examines the psychological impact of quarantine on children and adolescents exposed to intimate partner violence against their mothers. Participants were 185 mothers who reported 269 children, as well as 108 children who self-reported. An emotional and behavioral checklist was administered to both mothers and children throughout confinement. Results show mothers observed changes in their children’s psychological state. Children, in turn, reported an increase in different variables. Mothers reported a higher percentage of overall increase for both general and severe symptoms than their children. Differences were found by sex and age. Future research with similar population groups is necessary to establish the support and intervention children require in similar contexts, as well as to clarify possible causes of differences found by age and sex.

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Informing the response to COVID-19 in Spain: priorities for mental health research

Cited by 5 publications

References 20 publications

Impact of the COVID-19 pandemic on diagnoses of common mental health disorders in adults in Catalonia, Spain: a population-based cohort study

Impact of the COVID-19 pandemic on diagnoses of common mental health disorders in adults in Catalonia, Spain: a population-based cohort study

Sustained Negative Mental Health Outcomes Among Healthcare Workers Over the First Year of the COVID-19 Pandemic: A Prospective Cohort Study

Children Exposed to Intimate Partner Violence During Confinement: Characteristics by Age and Sex

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