Mental health of Korean adults before and during the COVID-19 pandemic: a special report of the 2020 Korea National Health and Nutrition Examination Survey

Jeong, Hyunsuk; Park, Suyeon; Kim, Jihee; Oh, Kyungwon; Yim, Hyeon Woo

doi:10.4178/epih.e2022042

Cited by 22 publications

(18 citation statements)

References 39 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The prevalence of MDD increased gradually from 1.6% in 2001 to 2.5% in 2006 and 3.1% in 2011 [ 26 ]. Additionally, a study showed an increase in the number of Korean adults with suicidal plans between 2016–2019 and 2020 [ 27 ] Both cataracts and MDD are on the rise among Koreans, so more attention is needed to prevent older Koreans with cataracts from developing MDD.…”

Section: Discussionmentioning

confidence: 99%

The Risk of Major Depressive Disorder Due to Cataracts among the Korean Elderly Population: Results from the Korea National Health and Nutrition Examination Survey (KNHANES) in 2016 and 2018

Kang

Park

et al. 2023

IJERPH

View full text Add to dashboard Cite

Cataracts and major depressive disorder (MDD) both have high prevalence, representing for major health burdens globally. In this study, we examined the risk of MDD due to cataracts. Data from the 2016 to 2018 Korea National Health and Nutrition Examination Survey (KNHANES) were used, including 4122 participants. Logistic regression analysis was performed to evaluate the odds ratio for MDD in association with cataracts. Controlled variables were age, gender, smoking, dyslipidemia and mobility. Subgroup analysis was performed with stratification by gender. The results reveal that cataracts are significantly correlated with MDD. Elderly people with cataracts were found to be more likely to develop MDD compared to those without cataracts (adjusted odds ratio: 1.654; 95% CI = 1.197–2.286). In subgroup analysis, men (adjusted odds ratio: 2.631; 95% CI = 1.247–5.551) were found to be more likely to develop MDD than women (adjusted odds ratio: 1.510; 95% CI = 1.061–2.150). Cataracts may be a risk factor for MDD in the elderly, especially among the male population.

show abstract

Section: Discussionmentioning

confidence: 99%

The Risk of Major Depressive Disorder Due to Cataracts among the Korean Elderly Population: Results from the Korea National Health and Nutrition Examination Survey (KNHANES) in 2016 and 2018

Kang

Park

et al. 2023

IJERPH

View full text Add to dashboard Cite

show abstract

“…Second, the results of this study provide supporting evidence that depression and anxiety can be assessed by the PHQ-2 and GAD-2, which are useful and efficient scales for patients with COVID-19 quarantined at home. As the prevalence of mood disorders has increased after the onset of the COVID-19 pandemic [4][5][6][7], concerns about individuals' mental health are growing. Patients with COVID-19 who are self-isolated at home or at an RTC might be in a clinically mild condition and are not fully aware of the need for mental health assessment.…”

Section: Principal Findingsmentioning

confidence: 99%

“…These remarkable increases in psychological symptoms are known to contribute to mental health problems such as anxiety, depression, insomnia, somatization, posttraumatic stress disorder, self-harm, and suicidal thoughts and behaviors. Thus, the importance of early detection and management of mental health disorders cannot be overemphasized [ 6 , 8 ].…”

Section: Introductionmentioning

confidence: 99%

“…A systematic review on the prevalence of psychological symptoms in the general population during the COVID-19 pandemic reported that the prevalence of depressive symptoms ranged from 14.6% to 48.3% and that of anxiety ranged from 6.33% to 50.9%, which is more than double the prevalence in the nonpandemic era [4]. South Korea is no exception because of its increased prevalence of psychological symptoms associated with depression and stress [5][6][7]. These remarkable increases in psychological symptoms are known to contribute to mental health problems such as anxiety, depression, insomnia, somatization, posttraumatic stress disorder, self-harm, and suicidal thoughts and behaviors.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The Association of Acute Signs and Symptoms of COVID-19 and Exacerbation of Depression and Anxiety in Patients With Clinically Mild COVID-19: Retrospective Observational Study

Sung¹,

Kim²,

Lee³

et al. 2023

JMIR Public Health Surveill

View full text Add to dashboard Cite

Background To date, the association between acute signs and symptoms of COVID-19 and the exacerbation of depression and anxiety in patients with clinically mild COVID-19 has not been evaluated. Objective This study was designed to assess the correlation between acute signs and symptoms of COVID-19 and the exacerbation of depression and anxiety in patients with clinically mild COVID-19 at a residential treatment center in South Korea. Methods This retrospective study assessed 2671 patients with COVID-19 admitted to 4 residential treatment centers operated by Seoul National University Hospital, South Korea, from March 2020 to April 2022. Depression and anxiety were assessed using the 2-item Patient Health Questionnaire (PHQ-2) and 2-item Generalized Anxiety Disorder (GAD-2) scale, respectively. The exacerbation of depression and anxiety symptoms was identified from the differences in PHQ-2 and GAD-2 scores between admission and discharge, respectively. The patients’ clinical characteristics, including acute signs and symptoms of COVID-19, GAD-2 and PHQ-2 scores, were obtained from electronic health records. Demographic characteristics, a summary of vital signs, and COVID-19 symptoms were analyzed and compared between the patient groups with and those without exacerbated PHQ-2 and GAD-2 scores using the chi-square test. We applied logistic regression to identify the association between acute signs and symptoms of COVID-19 and the exacerbation of depression and anxiety. Results Sleep disorders were associated with exacerbated depression (odds ratio [OR] 1.09, 95% CI 1.05-1.13) and anxiety (OR 1.1, 95% CI 1.06-1.14), and the sore throat symptom was associated with exacerbated anxiety symptoms (OR 1.03, 95% CI 1.00-1.07). Patients with abnormal oxygen saturation during quarantine were more likely to have exacerbated depression (OR 1.27, 95% CI 1.00-1.62), and those with an abnormal body temperature during quarantine were more likely to experience anxiety (OR 1.08, 95% CI 1.01-1.16). As anticipated, patients who experienced psychological symptoms at admission were more likely to experience depression (OR 1.91, 95% CI 1.52-2.41) and anxiety (OR 1.98, 95% CI 1.54-2.53). Meanwhile, the PHQ-2 and GAD-2 scores measured at admission revealed that lower the score, higher the possibility of exacerbation of both depression (OR 0.15, 95% CI 0.11-0.22) and anxiety (OR 0.13, 95% CI 0.10-0.19). Conclusions Results from this study suggest the importance of further interventions for patients with abnormal oxygen saturation, abnormal body temperatures, sore throat, and sleep disorder symptoms or initial psychological symptoms to mitigate the exacerbation of depression and anxiety. In addition, this study highlights the usability of short and efficient scales such as the PHQ-2 and GAD-2 in the assessment of the mental health of patients with clinically mild COVID-19 symptoms who were quarantined at home during the pandemic era.

show abstract

“…Negative impacts were also found on mental health. Anxiety, depression, and stress about an uncertain future were exacerbated by prolonged lockdown periods and the contraction of economic activity [13][14][15][16][17]. This deterioration of mental health negatively affected physical activity and eating behaviors, further exacerbating the vicious circle.…”

Section: E P U B a H E A D O F P R I N Tmentioning

confidence: 99%

Changes in the prevalence of metabolic syndrome in Korean adults after the COVID-19 outbreak

Kwon¹,

Song²

2022

Epidemiol Health

View full text Add to dashboard Cite

Objectives: This study sought to reveal changes in the prevalence of metabolic syndrome between before and after the start of the coronavirus disease 2019 (COVID-19) pandemic and to identify the group showing the greatest change.Methods: We compared the prevalence of metabolic syndrome between 3 years before the COVID-19 pandemic and soon after the initial outbreak of COVID-19 in 2020 among 24,564 adults ≥19 years of age using data from the Korea National Health and Nutrition Examination Survey. Results:The prevalence of metabolic syndrome increased steadily between 2017 and 2020 (29.4% to 35.3%, P for trend < 0.001), with annual percent changes of 2.0%p, 2.2%p, and 1.7%p, respectively. Changes in prevalence after the COVID-19 outbreak compared to 3 years before the COVID-19 pandemic showed a significant increase in men (6.2%p; 95% confidence interval [CI], 3.5-8.9) compared to women (1.5%p; 95% CI, −1.2 to 4.1).The age groups with the most significant increase in metabolic syndrome prevalence after the COVID-19 pandemic were those in their 40s (4.6%p; 95% CI, 0.9-8.4) and 50s(5.8%p; 95% CI, 2.2-9.4). By education background, the increase in metabolic syndrome prevalence was greatest among those with a college degree or higher (5.1%p). According to income, the prevalence of metabolic syndrome in high-(5.3%p) and low-income (4.6%p) groups increased statistically significantly. Conclusion:The increasing trend in the overall prevalence of metabolic syndrome continued after the COVID-19 pandemic. However, the prevalence of metabolic syndrome among adult men in their 40s and 50s changed significantly after the COVID-19 outbreak in Korea.

show abstract

Mental health of Korean adults before and during the COVID-19 pandemic: a special report of the 2020 Korea National Health and Nutrition Examination Survey

Cited by 22 publications

References 39 publications

The Risk of Major Depressive Disorder Due to Cataracts among the Korean Elderly Population: Results from the Korea National Health and Nutrition Examination Survey (KNHANES) in 2016 and 2018

The Risk of Major Depressive Disorder Due to Cataracts among the Korean Elderly Population: Results from the Korea National Health and Nutrition Examination Survey (KNHANES) in 2016 and 2018

The Association of Acute Signs and Symptoms of COVID-19 and Exacerbation of Depression and Anxiety in Patients With Clinically Mild COVID-19: Retrospective Observational Study

Changes in the prevalence of metabolic syndrome in Korean adults after the COVID-19 outbreak

Contact Info

Product

Resources

About