Changes in mental health symptoms from pre-COVID-19 to COVID-19 among participants with systemic sclerosis from four countries : A Scleroderma Patient-centered Intervention Network (SPIN) Cohort study
Copyright © 2020 Elsevier Inc. All rights reserved..
INTRODUCTION: No studies have reported mental health symptom comparisons prior to and during COVID-19 in vulnerable medical populations.
OBJECTIVE: To compare anxiety and depression symptoms among people with a pre-existing medical condition and factors associated with changes.
METHODS: Pre-COVID-19 Scleroderma Patient-centered Intervention Network Cohort data were linked to COVID-19 data from April 2020. Multiple linear and logistic regression were used to assess factors associated with continuous change and ≥ 1 minimal clinically important difference (MCID) change for anxiety (PROMIS Anxiety 4a v1.0; MCID = 4.0) and depression (Patient Health Questionnaire-8; MCID = 3.0) symptoms, controlling for pre-COVID-19 levels.
RESULTS: Mean anxiety symptoms increased 4.9 points (95% confidence interval [CI] 4.0 to 5.7). Depression symptom change was negligible (0.3 points; 95% CI -0.7 to 0.2). Compared to France (N = 159), adjusted anxiety symptom change scores were significantly higher in the United Kingdom (N = 50; 3.3 points, 95% CI 0.9 to 5.6), United States (N = 128; 2.5 points, 95% CI 0.7 to 4.2), and Canada (N = 98; 1.9 points, 95% CI 0.1 to 3.8). Odds of ≥1 MCID increase were 2.6 for the United Kingdom (95% CI 1.2 to 5.7) but not significant for the United States (1.6, 95% CI 0.9 to 2.9) or Canada (1.4, 95% CI 0.7 to 2.5). Older age and adequate financial resources were associated with less continuous anxiety increase. Employment and shorter time since diagnosis were associated with lower odds of a ≥ 1 MCID increase.
CONCLUSIONS: Anxiety symptoms, but not depression symptoms, increased dramatically during COVID-19 among people with a pre-existing medical condition.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2020 |
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| Erschienen: |
2020 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:139 |
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| Enthalten in: |
Journal of psychosomatic research - 139(2020) vom: 15. Dez., Seite 110262 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Thombs, Brett D [VerfasserIn] |
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| Links: |
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| Themen: |
Adult |
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| Anmerkungen: |
Date Completed 29.12.2020 Date Revised 10.11.2021 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1016/j.jpsychores.2020.110262 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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NLM316394785 |
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| 100 | 1 | |a Thombs, Brett D |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Changes in mental health symptoms from pre-COVID-19 to COVID-19 among participants with systemic sclerosis from four countries |b A Scleroderma Patient-centered Intervention Network (SPIN) Cohort study |
| 264 | 1 | |c 2020 | |
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| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
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| 500 | |a Date Completed 29.12.2020 | ||
| 500 | |a Date Revised 10.11.2021 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2020 Elsevier Inc. All rights reserved. | ||
| 520 | |a INTRODUCTION: No studies have reported mental health symptom comparisons prior to and during COVID-19 in vulnerable medical populations | ||
| 520 | |a OBJECTIVE: To compare anxiety and depression symptoms among people with a pre-existing medical condition and factors associated with changes | ||
| 520 | |a METHODS: Pre-COVID-19 Scleroderma Patient-centered Intervention Network Cohort data were linked to COVID-19 data from April 2020. Multiple linear and logistic regression were used to assess factors associated with continuous change and ≥ 1 minimal clinically important difference (MCID) change for anxiety (PROMIS Anxiety 4a v1.0; MCID = 4.0) and depression (Patient Health Questionnaire-8; MCID = 3.0) symptoms, controlling for pre-COVID-19 levels | ||
| 520 | |a RESULTS: Mean anxiety symptoms increased 4.9 points (95% confidence interval [CI] 4.0 to 5.7). Depression symptom change was negligible (0.3 points; 95% CI -0.7 to 0.2). Compared to France (N = 159), adjusted anxiety symptom change scores were significantly higher in the United Kingdom (N = 50; 3.3 points, 95% CI 0.9 to 5.6), United States (N = 128; 2.5 points, 95% CI 0.7 to 4.2), and Canada (N = 98; 1.9 points, 95% CI 0.1 to 3.8). Odds of ≥1 MCID increase were 2.6 for the United Kingdom (95% CI 1.2 to 5.7) but not significant for the United States (1.6, 95% CI 0.9 to 2.9) or Canada (1.4, 95% CI 0.7 to 2.5). Older age and adequate financial resources were associated with less continuous anxiety increase. Employment and shorter time since diagnosis were associated with lower odds of a ≥ 1 MCID increase | ||
| 520 | |a CONCLUSIONS: Anxiety symptoms, but not depression symptoms, increased dramatically during COVID-19 among people with a pre-existing medical condition | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Multicenter Study | |
| 650 | 4 | |a Research Support, Non-U.S. Gov't | |
| 650 | 4 | |a Adult | |
| 650 | 4 | |a Anxiety | |
| 650 | 4 | |a COVID-19 | |
| 650 | 4 | |a Clinical epidemiology | |
| 650 | 4 | |a Depressed mood | |
| 650 | 4 | |a Depressive symptoms | |
| 650 | 4 | |a Epidemiology | |
| 650 | 4 | |a Pandemic | |
| 650 | 4 | |a Scleroderma | |
| 650 | 4 | |a Systemic sclerosis | |
| 700 | 1 | |a Kwakkenbos, Linda |e verfasserin |4 aut | |
| 700 | 1 | |a Henry, Richard S |e verfasserin |4 aut | |
| 700 | 1 | |a Carrier, Marie-Eve |e verfasserin |4 aut | |
| 700 | 1 | |a Patten, Scott |e verfasserin |4 aut | |
| 700 | 1 | |a Harb, Sami |e verfasserin |4 aut | |
| 700 | 1 | |a Bourgeault, Angelica |e verfasserin |4 aut | |
| 700 | 1 | |a Tao, Lydia |e verfasserin |4 aut | |
| 700 | 1 | |a Bartlett, Susan J |e verfasserin |4 aut | |
| 700 | 1 | |a Mouthon, Luc |e verfasserin |4 aut | |
| 700 | 1 | |a Varga, John |e verfasserin |4 aut | |
| 700 | 1 | |a Benedetti, Andrea |e verfasserin |4 aut | |
| 700 | 0 | |a SPIN Patient Advisors |e verfasserin |4 aut | |
| 700 | 0 | |a SPIN Investigators |e verfasserin |4 aut | |
| 700 | 1 | |a Fortuné, Catherine |e investigator |4 oth | |
| 700 | 1 | |a Gietzen, Amy |e investigator |4 oth | |
| 700 | 1 | |a Guillot, Geneviève |e investigator |4 oth | |
| 700 | 1 | |a Lewis, Nancy |e investigator |4 oth | |
| 700 | 1 | |a Richard, Michelle |e investigator |4 oth | |
| 700 | 1 | |a Sauvé, Maureen |e investigator |4 oth | |
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| 700 | 1 | |a Fligelstone, Kim |e investigator |4 oth | |
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