Using patient-reported outcome measures to assess psychological well-being in a non-representative US general population during the COVID-19 pandemic

Journal of Patient-Reported Outcomes

Research

Maria Edelen¹  Elena Tsangaris¹  Andrea L. Pusic¹  Tanujit Dey²  Janina Kueper³  Manraj N. Kaur³  Shelby Deibert⁴ 

[1] Brigham and Women’s Hospital, Harvard Medical School, 75 Francis Street, 02115, Boston, MA, USA;Center for Surgery and Public Health, Department of Surgery, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, USA;Department of Surgery, Patient-Reported Outcomes, Value and Experience (PROVE) Center, Brigham and Women’s Hospital, 75 Francis Street, 02115, Boston, MA, USA;McMaster University, 1280 Main Street W, L8S 4K1, Hamilton, ON, Canada;

关键词: Patient-reported outcome measures;    Health-related quality of life;    Psychological well-being;    COVID-19 pandemic;   

DOI  :  10.1186/s41687-022-00526-y

 received in 2022-02-09, accepted in 2022-11-02,  发布年份 2022

来源: Springer

【 摘 要 】

PurposeThe impact of the COVID-19 pandemic on psychological well-being will likely be long-lasting. Efforts directed towards monitoring the onset and progression of distress and mental health disorders are needed to identify and prioritize at-risk populations. This study assesses the psychological well-being of the United States (US) general population during the early phase of the COVID-19 COVID-19 pandemic using validated patient-reported outcome measures (PROMs).MethodsA cross-sectional study design was used. Adults (18 years or older) who could read and write in English were recruited through Prolific in May 2020. Participants completed a REDCap survey including demographic and health-related questions and three PROMs measuring global health (PROMIS-10 Global Health), anxiety [Generalized Anxiety Disorder Scale-7 (GAD-7)], and depression [Patient Health Questionnaire-9 (PHQ-9)]. A multivariable linear regression was used to identify key factors associated with worse psychological well-being.ResultsMean age of the 2023 participants was 31.92 ± 11.57 years (range, 18–82). Participants were mainly White (64.7%, n = 1309), female (52.2%, n = 1057), working full-time before the pandemic (43.5%, n = 879), and completed a college, trade, or university degree (40.7%, n = 823). Most participants reported mild to severe anxiety (57.3%, n = 1158) and depression (60%, n = 1276) on the GAD-7 and PHQ-9, respectively. Patient characteristics associated with worse psychological well-being included: age ≤ 39 years, non-White, female or gender diverse, BMI ≥ 30, uninsured, annual income ≤ $49,999 (USD), lower educational attainment, and belief that COVID-19 is deadlier than flu.ConclusionPROMs can be used to assess and monitor psychological well-being during the COVID-19 pandemic and to inform the planning and delivery of targeted public health interventions to support at-risk populations.

【 授权许可】

CC BY   
© This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply 2022

【 图 表 】

41116_2022_35_Article_IEq15.gif