COVID-19-Related Stressors and Clinical Mental Health Symptoms in a Northeast US Sample

Research has linked specific COVID-19-related stressors to the mental health burden, yet most previous studies have examined only a limited number of stressors and have paid little attention to their clinical significance. This study tested the hypothesis that individuals who reported greater COVID-19-related stressors would be more likely to have elevated levels of anxiety, posttraumatic stress symptoms, and serious psychological distress.

METHODS: An online survey was administered to a convenience sample from 18 June to 19 July 2020, in US states that were most affected by COVID-19 infections and deaths at the time. Individuals who were 18 or older and residents of five Northeast US states were eligible to participate (N = 1079). In preregistered analyses, we used logistic regression models to test the associations of COVID-19 stressors with symptoms on the Generalized Anxiety Disorder-7 (GAD-7), Impact of Event Scale-Revised, and K6, adjusting for sociodemographic covariates.

RESULTS: COVID-19-related stressors (i.e., essential worker status, worry about COVID-19 infection, knowing someone hospitalized by COVID-19, having children under 14 at home, loneliness, barriers to environmental rewards, food insecurity, loss of employment) were associated with meeting thresholds (i.e., positive screening) for anxiety, posttraumatic stress, and/or serious psychological distress. Loneliness and barriers to environmental rewards were associated with all mental health outcomes.

LIMITATIONS: We used a non-probability sample and cannot assume temporal precedence of stressors with regard to development of mental health symptoms.

CONCLUSIONS: These findings link specific stressors to the mental health burden of the COVID-19 pandemic.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:20

Enthalten in:

International journal of environmental research and public health - 20(2023), 2 vom: 12. Jan.

Sprache:

Englisch

Beteiligte Personen:

Monnig, Mollie A [VerfasserIn]
Clark, Samantha E [VerfasserIn]
Avila, Jaqueline C [VerfasserIn]
Sokolovsky, Alexander W [VerfasserIn]
Treloar Padovano, Hayley [VerfasserIn]
Goodyear, Kimberly [VerfasserIn]
Aston, Elizabeth R [VerfasserIn]
Haass-Koffler, Carolina L [VerfasserIn]
Tidey, Jennifer W [VerfasserIn]
Ahluwalia, Jasjit S [VerfasserIn]
Monti, Peter M [VerfasserIn]

Links:

Volltext

Themen:

Anxiety
COVID-19 pandemic
COVID-19 related stressors
Clinical mental health symptoms
Food insecurity
Journal Article
Loneliness
Posttraumatic stress
Psychological distress
Research Support, N.I.H., Extramural

Anmerkungen:

Date Completed 24.01.2023

Date Revised 18.11.2023

published: Electronic

Citation Status MEDLINE

doi:

10.3390/ijerph20021367

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM351848428