Lancet sub-journal: The mental health effects of the new crown on people with depression, anxiety disorder or obsessive compulsive disorder

Since the first confirmed case of neo-coronary pneumonia was reported, the disease has had a huge impact on all aspects of society as a whole.
countries around the world have initiated national measures such as isolation, blockade and physical isolation in response to the rising number of cases and deaths caused by neo-crown pneumonia.
measures may have eased the spread of SARS-CoV-2, they may also have a negative impact on the economy, employment and public health.
the mental health after-effects of the new crown pneumonia crisis are growing because of concerns about uncertainty about the future.
effects of the new crown pneumonia pandemic on mental health vary from population to population.
particular note is that the emotional response to the epidemic and its management is stronger among vulnerable groups, such as those with pre-existing mental illnesses.
nationwide segregation has led to dramatic changes in the way health care is provided, disrupting mental health care.
previously, evidence of the mental health effects of neo-corona pneumonia on people with mental health disorders was limited to cross-sectional studies.
, however, the pre-epidemic symptoms of neo-coronary pneumonia were not monitored in these studies, so it is not clear whether the pandemic actually led to changes in symptom levels in people with mental disorders.
To this end, experts from the Department of Public Health Psychiatry at the Free University Medical Center in Amsterdam, the Netherlands, compared the effects and responses of patients with depression, anxiety or obsessive-compulsive disorder, as well as changes in depressive symptoms, anxiety, worry and loneliness before and after the new crown pneumonia pandemic.
results were published in the latest Lancet issue of Lancet Paychiatry.
between April 1 and May 13, 2020, researchers distributed online questionnaires to participants in the Dutch Depression and Anxiety Study, the Netherlands Elderly Depression Study and the Dutch Obsessive Compulsive Disorder Association.
were included in the population with (n-1181) and those without (n-336) depression, anxiety, or obsessive compulsive disorder.
questionnaire included perceived mental health effects, fear of neo-coronary pneumonia, coping problems, and four effective scales for assessing depressive symptoms, anxiety, worry and loneliness between 2006 and 2016.
results showed that two variables of the burden of mental health disorders (number of diseases and degree of chronicity) showed dose-response grade effects, indicating that neo-corona pneumonia had a greater impact on the mental health of individuals with more severe or chronic mental health disorders, and that the group was less motivated to respond to pandemics.
at the same time, a similar trend was found at each individual project level.
e.g., those with a higher burden of disease have more sleep problems, lower moods, less healthy lifestyles (e.g., snacking, drinking, smoking or in activity), greater fear of infection, less social connection and less confidence.
However, although people with depression, anxiety or obsessive compulsive disorder scored higher on all four symptom scales before and after the COVID-19 epidemic than those without these mental health disorders, their symptoms did not increase significantly during the pandemic.
fact, during the COVID-19 pandemic, people who had not previously suffered from depression, anxiety or obsessive compulsive disorder showed a more significant mental health burden.
to fully explain that people with depression, anxiety or obsessive compulsive disorder are experiencing the adverse effects of the COVID-19 pandemic on their mental health, which requires close monitoring in clinical practice.
, however, the COVID-19 pandemic does not appear to have further increased the severity of symptoms compared to pre-epidemic levels.
, the mental health of people with depression, anxiety or obsessive-compulsive disorder suffers from adverse effects during coronary pneumonia, which still needs to be closely monitored in clinical practice.
, however, the new coronary pneumonia does not appear to significantly aggravate the severity of the mental symptoms of the above-mentioned patients.
: The mental health impact of the COVID-19 pandemic on people and without depressive, anxiety, or obsessive-compulsive disorders: a longitudinal of three Dutch case-control cohorts. Lancet Psychiatry 2021; 8: 121–29. MedSci Original Source: MedSci Original Copyright Notice: All text, images and audio and video materials on this website that indicate "Source: Mets Medicine" or "Source: MedSci Original" are owned by Mets Medicine and are not authorized to be reproduced by any media, website or individual, and are authorized to be reproduced with the words "Source: Mets Medicine".
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