The impact of COVID-related perceived stress and social support on generalized anxiety and major depressive disorders: moderating effects of pre-pandemic mental disorders

Annals of General Psychiatry

Montse Ferrer¹  Gemma Vilagut¹  Philippe Mortier¹  Jordi Alonso²  Anna Monistrol-Mula³  Aina Gabarrell-Pascuet³  Mireia Felez-Nobrega⁴  Beatriz Olaya⁴  Paula Cristóbal-Narváez⁴  Josep Maria Haro⁵  Joan Domènech-Abella⁶ 

[1] Health Services Research Unit, Hospital del Mar Medical Research Institute (IMIM), Barcelona, Spain;Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain;Health Services Research Unit, Hospital del Mar Medical Research Institute (IMIM), Barcelona, Spain;Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain;Department of Life and Health Sciences, Pompeu Fabra University (UPF), Barcelona, Spain;Research, Teaching and Innovation Unit, Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Barcelona, Spain;Research, Teaching and Innovation Unit, Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Barcelona, Spain;Centre for Biomedical Research on Mental Health (CIBERSAM), Madrid, Spain;Research, Teaching and Innovation Unit, Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Barcelona, Spain;Centre for Biomedical Research on Mental Health (CIBERSAM), Madrid, Spain;Departament de Medicine, Universitat de Barcelona, Barcelona, Spain;Research, Teaching and Innovation Unit, Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Barcelona, Spain;Centre for Biomedical Research on Mental Health (CIBERSAM), Madrid, Spain;Department of Sociology, Universitat de Barcelona, Barcelona, Spain;

关键词: Affective disorders;    SARS-Cov2;    Psychiatric disorders;    COVID-stress syndrome;    Social determinants;   

DOI  :  10.1186/s12991-022-00385-3

来源: Springer

【 摘 要 】

BackgroundWe assessed the moderating effect of pre-pandemic mental disorders on the association of COVID-related perceived stress and social support with mental health.MethodsA nationally representative sample of 3500 Spanish adults was interviewed in June 2020 (mean age 49.25 years, ± 15.64; 51.50% females). Mental health included Generalized Anxiety Disorders (GAD; GAD-7, cut-off point of ≥ 10), Major Depressive Disorders (MDD; PHQ-8, cut-off point of ≥ 10) and the comorbid form (those screening positive for GAD and MDD). COVID-related stress was assessed using an adapted version of the Peri Life Events Scale, and social support using the Oslo Social Support Scale. Logistic regression models were used to assess if COVID-related stress and social support were related to mental health outcomes and interactions were conducted to examine whether these relationships differed according to the presence of pre-pandemic mental disorders.ResultsHigher COVID-related stress was associated with a higher risk of lower mental health. The association between COVID-related stress with GAD and MDD was significantly moderated by pre-pandemic mental disorders, except for comorbid GAD + MDD. Higher levels of social support were linked to better mental health. Only the association between social support and GAD was significantly moderated by pre-pandemic mental disorders. That is, for those without pre-pandemic mental disorders, higher levels of social support decreased the odds of GAD, while minor decreases were observed in those with pre-pandemic mental disorders.ConclusionsThe impact of COVID-related stress and social support on specific indicators of mental health may vary depending on the existence of a previous mental disorder.

【 授权许可】

CC BY