Elevated symptoms of depression and anxiety among family members and friends of critically ill COVID-19 patients – an observational study of five cohorts across four countries
Publisher Copyright: © 2023 The Author(s) Background: Little is known regarding the mental health impact of having a significant person (family member and/or close friend) with COVID-19 of different severity. Methods: The study included five prospective cohorts from four countries (Iceland, Norway,...
Published in: | The Lancet Regional Health - Europe |
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Main Authors: | , , , , , , , , , , , , , , , , , , , , , , , , , , |
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Format: | Article in Journal/Newspaper |
Language: | English |
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2023
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Online Access: | https://hdl.handle.net/20.500.11815/4556 https://doi.org/10.1016/j.lanepe.2023.100733 |
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Sálfræði Anxiety COVID-19 Cross-country study Depression Significant person Internal Medicine Oncology Health Policy |
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Sálfræði Anxiety COVID-19 Cross-country study Depression Significant person Internal Medicine Oncology Health Policy Lovik, Anikó González-Hijón, Juan Hoffart, Asle Fawns-Ritchie, Chloe Magnúsdóttir, Ingibjörg Lu, Li Unnarsdóttir, Anna Bára Kähler, Anna K. Campbell, Archie Hauksdóttir, Arna Chourpiliadis, Charilaos McCartney, Daniel L. Thordardóttir, Edda Björk Joyce, Emily E. Frans, Emma M. Jakobsdóttir, Jóhanna Trogstad, Lill Andreassen, Ole A. Magnus, Per Johnson, Sverre Urnes Sullivan, Patrick F. Aspelund, Thor Porteous, David J. Ask, Helga Ebrahimi, Omid V. Valdimarsdóttir, Unnur Anna Fang, Fang Elevated symptoms of depression and anxiety among family members and friends of critically ill COVID-19 patients – an observational study of five cohorts across four countries |
topic_facet |
Sálfræði Anxiety COVID-19 Cross-country study Depression Significant person Internal Medicine Oncology Health Policy |
description |
Publisher Copyright: © 2023 The Author(s) Background: Little is known regarding the mental health impact of having a significant person (family member and/or close friend) with COVID-19 of different severity. Methods: The study included five prospective cohorts from four countries (Iceland, Norway, Sweden, and the UK) with self-reported data on COVID-19 and symptoms of depression and anxiety during March 2020–March 2022. We calculated prevalence ratios (PR) of depression and anxiety in relation to having a significant person with COVID-19 and performed a longitudinal analysis in the Swedish cohort to describe temporal patterns. Findings: 162,237 and 168,783 individuals were included in the analysis of depression and anxiety, respectively, of whom 24,718 and 27,003 reported a significant person with COVID-19. Overall, the PR was 1.07 (95% CI: 1.05–1.10) for depression and 1.08 (95% CI: 1.03–1.13) for anxiety in relation to having a significant person with COVID-19. The respective PRs for depression and anxiety were 1.15 (95% CI: 1.08–1.23) and 1.24 (95% CI: 1.14–1.34) if the patient was hospitalized, 1.42 (95% CI: 1.27–1.57) and 1.45 (95% CI: 1.31–1.60) if the patient was ICU-admitted, and 1.34 (95% CI: 1.22–1.46) and 1.36 (95% CI: 1.22–1.51) if the patient died. Individuals with a significant person with hospitalized, ICU-admitted, or fatal COVID-19 showed elevated prevalence of depression and anxiety during the entire year after the COVID-19 diagnosis. Interpretation: Family members and close friends of critically ill COVID-19 patients show persistently elevated prevalence of depressive and anxiety symptoms. Funding: This study was primarily supported by NordForsk (COVIDMENT, 105668) and Horizon 2020 (CoMorMent, 847776). Peer reviewed |
author2 |
Interdisciplinary Graduate Studies Faculty of Medicine Landspitali - The National University Hospital of Iceland |
format |
Article in Journal/Newspaper |
author |
Lovik, Anikó González-Hijón, Juan Hoffart, Asle Fawns-Ritchie, Chloe Magnúsdóttir, Ingibjörg Lu, Li Unnarsdóttir, Anna Bára Kähler, Anna K. Campbell, Archie Hauksdóttir, Arna Chourpiliadis, Charilaos McCartney, Daniel L. Thordardóttir, Edda Björk Joyce, Emily E. Frans, Emma M. Jakobsdóttir, Jóhanna Trogstad, Lill Andreassen, Ole A. Magnus, Per Johnson, Sverre Urnes Sullivan, Patrick F. Aspelund, Thor Porteous, David J. Ask, Helga Ebrahimi, Omid V. Valdimarsdóttir, Unnur Anna Fang, Fang |
author_facet |
Lovik, Anikó González-Hijón, Juan Hoffart, Asle Fawns-Ritchie, Chloe Magnúsdóttir, Ingibjörg Lu, Li Unnarsdóttir, Anna Bára Kähler, Anna K. Campbell, Archie Hauksdóttir, Arna Chourpiliadis, Charilaos McCartney, Daniel L. Thordardóttir, Edda Björk Joyce, Emily E. Frans, Emma M. Jakobsdóttir, Jóhanna Trogstad, Lill Andreassen, Ole A. Magnus, Per Johnson, Sverre Urnes Sullivan, Patrick F. Aspelund, Thor Porteous, David J. Ask, Helga Ebrahimi, Omid V. Valdimarsdóttir, Unnur Anna Fang, Fang |
author_sort |
Lovik, Anikó |
title |
Elevated symptoms of depression and anxiety among family members and friends of critically ill COVID-19 patients – an observational study of five cohorts across four countries |
title_short |
Elevated symptoms of depression and anxiety among family members and friends of critically ill COVID-19 patients – an observational study of five cohorts across four countries |
title_full |
Elevated symptoms of depression and anxiety among family members and friends of critically ill COVID-19 patients – an observational study of five cohorts across four countries |
title_fullStr |
Elevated symptoms of depression and anxiety among family members and friends of critically ill COVID-19 patients – an observational study of five cohorts across four countries |
title_full_unstemmed |
Elevated symptoms of depression and anxiety among family members and friends of critically ill COVID-19 patients – an observational study of five cohorts across four countries |
title_sort |
elevated symptoms of depression and anxiety among family members and friends of critically ill covid-19 patients – an observational study of five cohorts across four countries |
publishDate |
2023 |
url |
https://hdl.handle.net/20.500.11815/4556 https://doi.org/10.1016/j.lanepe.2023.100733 |
geographic |
Norway |
geographic_facet |
Norway |
genre |
Iceland |
genre_facet |
Iceland |
op_relation |
The Lancet Regional Health - Europe; 33() http://www.scopus.com/inward/record.url?scp=85169791055&partnerID=8YFLogxK Lovik , A , González-Hijón , J , Hoffart , A , Fawns-Ritchie , C , Magnúsdóttir , I , Lu , L , Unnarsdóttir , A B , Kähler , A K , Campbell , A , Hauksdóttir , A , Chourpiliadis , C , McCartney , D L , Thordardóttir , E B , Joyce , E E , Frans , E M , Jakobsdóttir , J , Trogstad , L , Andreassen , O A , Magnus , P , Johnson , S U , Sullivan , P F , Aspelund , T , Porteous , D J , Ask , H , Ebrahimi , O V , Valdimarsdóttir , U A & Fang , F 2023 , ' Elevated symptoms of depression and anxiety among family members and friends of critically ill COVID-19 patients – an observational study of five cohorts across four countries ' , The Lancet Regional Health - Europe , vol. 33 , 100733 , pp. 100733 . https://doi.org/10.1016/j.lanepe.2023.100733 2666-7762 188390704 9f102d76-9ff9-4cb3-ba16-884a577e3e41 85169791055 37953992 https://hdl.handle.net/20.500.11815/4556 doi:10.1016/j.lanepe.2023.100733 |
op_rights |
info:eu-repo/semantics/openAccess |
op_doi |
https://doi.org/20.500.11815/455610.1016/j.lanepe.2023.100733 |
container_title |
The Lancet Regional Health - Europe |
container_volume |
33 |
container_start_page |
100733 |
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1785585930902437888 |
spelling |
ftopinvisindi:oai:opinvisindi.is:20.500.11815/4556 2023-12-17T10:32:20+01:00 Elevated symptoms of depression and anxiety among family members and friends of critically ill COVID-19 patients – an observational study of five cohorts across four countries Lovik, Anikó González-Hijón, Juan Hoffart, Asle Fawns-Ritchie, Chloe Magnúsdóttir, Ingibjörg Lu, Li Unnarsdóttir, Anna Bára Kähler, Anna K. Campbell, Archie Hauksdóttir, Arna Chourpiliadis, Charilaos McCartney, Daniel L. Thordardóttir, Edda Björk Joyce, Emily E. Frans, Emma M. Jakobsdóttir, Jóhanna Trogstad, Lill Andreassen, Ole A. Magnus, Per Johnson, Sverre Urnes Sullivan, Patrick F. Aspelund, Thor Porteous, David J. Ask, Helga Ebrahimi, Omid V. Valdimarsdóttir, Unnur Anna Fang, Fang Interdisciplinary Graduate Studies Faculty of Medicine Landspitali - The National University Hospital of Iceland 2023-10 1590082 100733 https://hdl.handle.net/20.500.11815/4556 https://doi.org/10.1016/j.lanepe.2023.100733 en eng The Lancet Regional Health - Europe; 33() http://www.scopus.com/inward/record.url?scp=85169791055&partnerID=8YFLogxK Lovik , A , González-Hijón , J , Hoffart , A , Fawns-Ritchie , C , Magnúsdóttir , I , Lu , L , Unnarsdóttir , A B , Kähler , A K , Campbell , A , Hauksdóttir , A , Chourpiliadis , C , McCartney , D L , Thordardóttir , E B , Joyce , E E , Frans , E M , Jakobsdóttir , J , Trogstad , L , Andreassen , O A , Magnus , P , Johnson , S U , Sullivan , P F , Aspelund , T , Porteous , D J , Ask , H , Ebrahimi , O V , Valdimarsdóttir , U A & Fang , F 2023 , ' Elevated symptoms of depression and anxiety among family members and friends of critically ill COVID-19 patients – an observational study of five cohorts across four countries ' , The Lancet Regional Health - Europe , vol. 33 , 100733 , pp. 100733 . https://doi.org/10.1016/j.lanepe.2023.100733 2666-7762 188390704 9f102d76-9ff9-4cb3-ba16-884a577e3e41 85169791055 37953992 https://hdl.handle.net/20.500.11815/4556 doi:10.1016/j.lanepe.2023.100733 info:eu-repo/semantics/openAccess Sálfræði Anxiety COVID-19 Cross-country study Depression Significant person Internal Medicine Oncology Health Policy /dk/atira/pure/researchoutput/researchoutputtypes/contributiontojournal/article 2023 ftopinvisindi https://doi.org/20.500.11815/455610.1016/j.lanepe.2023.100733 2023-11-22T23:55:19Z Publisher Copyright: © 2023 The Author(s) Background: Little is known regarding the mental health impact of having a significant person (family member and/or close friend) with COVID-19 of different severity. Methods: The study included five prospective cohorts from four countries (Iceland, Norway, Sweden, and the UK) with self-reported data on COVID-19 and symptoms of depression and anxiety during March 2020–March 2022. We calculated prevalence ratios (PR) of depression and anxiety in relation to having a significant person with COVID-19 and performed a longitudinal analysis in the Swedish cohort to describe temporal patterns. Findings: 162,237 and 168,783 individuals were included in the analysis of depression and anxiety, respectively, of whom 24,718 and 27,003 reported a significant person with COVID-19. Overall, the PR was 1.07 (95% CI: 1.05–1.10) for depression and 1.08 (95% CI: 1.03–1.13) for anxiety in relation to having a significant person with COVID-19. The respective PRs for depression and anxiety were 1.15 (95% CI: 1.08–1.23) and 1.24 (95% CI: 1.14–1.34) if the patient was hospitalized, 1.42 (95% CI: 1.27–1.57) and 1.45 (95% CI: 1.31–1.60) if the patient was ICU-admitted, and 1.34 (95% CI: 1.22–1.46) and 1.36 (95% CI: 1.22–1.51) if the patient died. Individuals with a significant person with hospitalized, ICU-admitted, or fatal COVID-19 showed elevated prevalence of depression and anxiety during the entire year after the COVID-19 diagnosis. Interpretation: Family members and close friends of critically ill COVID-19 patients show persistently elevated prevalence of depressive and anxiety symptoms. Funding: This study was primarily supported by NordForsk (COVIDMENT, 105668) and Horizon 2020 (CoMorMent, 847776). Peer reviewed Article in Journal/Newspaper Iceland Opin vísindi (Iceland) Norway The Lancet Regional Health - Europe 33 100733 |