Acute COVID-19 severity and mental health morbidity trajectories in patient populations of six nations:an observational study
Background : Long-term mental and physical health consequences of COVID-19 (long COVID) are a persistent public health concern. Little is still known about the long-term mental health of non-hospitalised patients with COVID-19 with varying illness severities. Our aim was to assess the prevalence of...
Published in: | The Lancet Public Health |
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Main Authors: | , , , , , , , , , , , , , , , , , , , , , , |
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Language: | English |
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2022
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Online Access: | https://discovery.dundee.ac.uk/en/publications/70d28751-ef4f-4a16-a6bc-d160c89dacd5 https://doi.org/10.1016/S2468-2667(22)00042-1 https://discovery.dundee.ac.uk/ws/files/101820353/1_s2.0_S2468266722000421_main.pdf http://www.scopus.com/inward/record.url?scp=85129781421&partnerID=8YFLogxK |
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/dk/atira/pure/subjectarea/asjc/2700/2739 name=Public Health Environmental and Occupational Health Magnúsdóttir, Ingibjörg Lovik, Anikó Unnarsdóttir, Anna Bára McCartney, Daniel Ask, Helga Kõiv, Kadri Christoffersen, Lea Arregui Nordahl Johnson, Sverre Urnes Hauksdóttir, Arna Fawns-Ritchie, Chloe Helenius, Dorte González-Hijón, Juan Lu, Li Ebrahimi, Omid V. Hoffart, Asle Porteous, David J. Fang, Fang Jakobsdóttir, Jóhanna Lehto, Kelli Andreassen, Ole A. Pedersen, Ole B.V. Aspelund, Thor Valdimarsdóttir, Unnur Anna Acute COVID-19 severity and mental health morbidity trajectories in patient populations of six nations:an observational study |
topic_facet |
/dk/atira/pure/subjectarea/asjc/2700/2739 name=Public Health Environmental and Occupational Health |
description |
Background : Long-term mental and physical health consequences of COVID-19 (long COVID) are a persistent public health concern. Little is still known about the long-term mental health of non-hospitalised patients with COVID-19 with varying illness severities. Our aim was to assess the prevalence of adverse mental health symptoms among individuals diagnosed with COVID-19 in the general population by acute infection severity up to 16 months after diagnosis. Methods : This observational follow-up study included seven prospectively planned cohorts across six countries (Denmark, Estonia, Iceland, Norway, Sweden, and the UK). Participants were recruited from March 27, 2020, to Aug 13, 2021. Individuals aged 18 years or older were eligible to participate. In a cross-sectional analysis, we contrasted symptom prevalence of depression, anxiety, COVID-19-related distress, and poor sleep quality (screened with validated mental health instruments) among individuals with and without a diagnosis of COVID-19 at entry, 0-16 months from diagnosis. In a cohort analysis, we further used repeated measures to estimate the change in mental health symptoms before and after COVID-19 diagnosis. Findings : The analytical cohort consisted of 247 249 individuals, 9979 (4·0%) of whom were diagnosed with COVID-19 during the study period. Mean follow-up was 5·65 months (SD 4·26). Participants diagnosed with COVID-19 presented overall with a higher prevalence of symptoms of depression (prevalence ratio [PR] 1·18 [95% CI 1·03-1·36]) and poorer sleep quality (1·13 [1·03-1·24]) but not symptoms of anxiety (0·97 [0·91-1·03]) or COVID-19-related distress (1·05 [0·93-1·20]) compared with individuals without a COVID-19 diagnosis. Although the prevalence of depression and COVID-19-related distress attenuated with time, individuals diagnosed with COVID-19 but never bedridden due to their illness were consistently at lower risk of depression (PR 0·83 [95% CI 0·75-0·91]) and anxiety (0·77 [0·63-0·94]) than those not diagnosed with COVID-19, whereas ... |
format |
Article in Journal/Newspaper |
author |
Magnúsdóttir, Ingibjörg Lovik, Anikó Unnarsdóttir, Anna Bára McCartney, Daniel Ask, Helga Kõiv, Kadri Christoffersen, Lea Arregui Nordahl Johnson, Sverre Urnes Hauksdóttir, Arna Fawns-Ritchie, Chloe Helenius, Dorte González-Hijón, Juan Lu, Li Ebrahimi, Omid V. Hoffart, Asle Porteous, David J. Fang, Fang Jakobsdóttir, Jóhanna Lehto, Kelli Andreassen, Ole A. Pedersen, Ole B.V. Aspelund, Thor Valdimarsdóttir, Unnur Anna |
author_facet |
Magnúsdóttir, Ingibjörg Lovik, Anikó Unnarsdóttir, Anna Bára McCartney, Daniel Ask, Helga Kõiv, Kadri Christoffersen, Lea Arregui Nordahl Johnson, Sverre Urnes Hauksdóttir, Arna Fawns-Ritchie, Chloe Helenius, Dorte González-Hijón, Juan Lu, Li Ebrahimi, Omid V. Hoffart, Asle Porteous, David J. Fang, Fang Jakobsdóttir, Jóhanna Lehto, Kelli Andreassen, Ole A. Pedersen, Ole B.V. Aspelund, Thor Valdimarsdóttir, Unnur Anna |
author_sort |
Magnúsdóttir, Ingibjörg |
title |
Acute COVID-19 severity and mental health morbidity trajectories in patient populations of six nations:an observational study |
title_short |
Acute COVID-19 severity and mental health morbidity trajectories in patient populations of six nations:an observational study |
title_full |
Acute COVID-19 severity and mental health morbidity trajectories in patient populations of six nations:an observational study |
title_fullStr |
Acute COVID-19 severity and mental health morbidity trajectories in patient populations of six nations:an observational study |
title_full_unstemmed |
Acute COVID-19 severity and mental health morbidity trajectories in patient populations of six nations:an observational study |
title_sort |
acute covid-19 severity and mental health morbidity trajectories in patient populations of six nations:an observational study |
publishDate |
2022 |
url |
https://discovery.dundee.ac.uk/en/publications/70d28751-ef4f-4a16-a6bc-d160c89dacd5 https://doi.org/10.1016/S2468-2667(22)00042-1 https://discovery.dundee.ac.uk/ws/files/101820353/1_s2.0_S2468266722000421_main.pdf http://www.scopus.com/inward/record.url?scp=85129781421&partnerID=8YFLogxK |
geographic |
Norway |
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Norway |
genre |
Iceland |
genre_facet |
Iceland |
op_source |
Magnúsdóttir , I , Lovik , A , Unnarsdóttir , A B , McCartney , D , Ask , H , Kõiv , K , Christoffersen , L A N , Johnson , S U , Hauksdóttir , A , Fawns-Ritchie , C , Helenius , D , González-Hijón , J , Lu , L , Ebrahimi , O V , Hoffart , A , Porteous , D J , Fang , F , Jakobsdóttir , J , Lehto , K , Andreassen , O A , Pedersen , O B V & Aspelund , T & Valdimarsdóttir , U A 2022 , ' Acute COVID-19 severity and mental health morbidity trajectories in patient populations of six nations : an observational study ' , Lancet Public Health , vol. 7 , no. 5 , pp. e406-e416 . https://doi.org/10.1016/S2468-2667(22)00042-1 |
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https://discovery.dundee.ac.uk/en/publications/70d28751-ef4f-4a16-a6bc-d160c89dacd5 |
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info:eu-repo/semantics/openAccess |
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https://doi.org/10.1016/S2468-2667(22)00042-1 |
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The Lancet Public Health |
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e406 |
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ftunivdundeepure:oai:discovery.dundee.ac.uk:publications/70d28751-ef4f-4a16-a6bc-d160c89dacd5 2024-09-09T19:47:58+00:00 Acute COVID-19 severity and mental health morbidity trajectories in patient populations of six nations:an observational study Magnúsdóttir, Ingibjörg Lovik, Anikó Unnarsdóttir, Anna Bára McCartney, Daniel Ask, Helga Kõiv, Kadri Christoffersen, Lea Arregui Nordahl Johnson, Sverre Urnes Hauksdóttir, Arna Fawns-Ritchie, Chloe Helenius, Dorte González-Hijón, Juan Lu, Li Ebrahimi, Omid V. Hoffart, Asle Porteous, David J. Fang, Fang Jakobsdóttir, Jóhanna Lehto, Kelli Andreassen, Ole A. Pedersen, Ole B.V. Aspelund, Thor Valdimarsdóttir, Unnur Anna 2022-05 application/pdf https://discovery.dundee.ac.uk/en/publications/70d28751-ef4f-4a16-a6bc-d160c89dacd5 https://doi.org/10.1016/S2468-2667(22)00042-1 https://discovery.dundee.ac.uk/ws/files/101820353/1_s2.0_S2468266722000421_main.pdf http://www.scopus.com/inward/record.url?scp=85129781421&partnerID=8YFLogxK eng eng https://discovery.dundee.ac.uk/en/publications/70d28751-ef4f-4a16-a6bc-d160c89dacd5 info:eu-repo/semantics/openAccess Magnúsdóttir , I , Lovik , A , Unnarsdóttir , A B , McCartney , D , Ask , H , Kõiv , K , Christoffersen , L A N , Johnson , S U , Hauksdóttir , A , Fawns-Ritchie , C , Helenius , D , González-Hijón , J , Lu , L , Ebrahimi , O V , Hoffart , A , Porteous , D J , Fang , F , Jakobsdóttir , J , Lehto , K , Andreassen , O A , Pedersen , O B V & Aspelund , T & Valdimarsdóttir , U A 2022 , ' Acute COVID-19 severity and mental health morbidity trajectories in patient populations of six nations : an observational study ' , Lancet Public Health , vol. 7 , no. 5 , pp. e406-e416 . https://doi.org/10.1016/S2468-2667(22)00042-1 /dk/atira/pure/subjectarea/asjc/2700/2739 name=Public Health Environmental and Occupational Health article 2022 ftunivdundeepure https://doi.org/10.1016/S2468-2667(22)00042-1 2024-06-18T15:03:48Z Background : Long-term mental and physical health consequences of COVID-19 (long COVID) are a persistent public health concern. Little is still known about the long-term mental health of non-hospitalised patients with COVID-19 with varying illness severities. Our aim was to assess the prevalence of adverse mental health symptoms among individuals diagnosed with COVID-19 in the general population by acute infection severity up to 16 months after diagnosis. Methods : This observational follow-up study included seven prospectively planned cohorts across six countries (Denmark, Estonia, Iceland, Norway, Sweden, and the UK). Participants were recruited from March 27, 2020, to Aug 13, 2021. Individuals aged 18 years or older were eligible to participate. In a cross-sectional analysis, we contrasted symptom prevalence of depression, anxiety, COVID-19-related distress, and poor sleep quality (screened with validated mental health instruments) among individuals with and without a diagnosis of COVID-19 at entry, 0-16 months from diagnosis. In a cohort analysis, we further used repeated measures to estimate the change in mental health symptoms before and after COVID-19 diagnosis. Findings : The analytical cohort consisted of 247 249 individuals, 9979 (4·0%) of whom were diagnosed with COVID-19 during the study period. Mean follow-up was 5·65 months (SD 4·26). Participants diagnosed with COVID-19 presented overall with a higher prevalence of symptoms of depression (prevalence ratio [PR] 1·18 [95% CI 1·03-1·36]) and poorer sleep quality (1·13 [1·03-1·24]) but not symptoms of anxiety (0·97 [0·91-1·03]) or COVID-19-related distress (1·05 [0·93-1·20]) compared with individuals without a COVID-19 diagnosis. Although the prevalence of depression and COVID-19-related distress attenuated with time, individuals diagnosed with COVID-19 but never bedridden due to their illness were consistently at lower risk of depression (PR 0·83 [95% CI 0·75-0·91]) and anxiety (0·77 [0·63-0·94]) than those not diagnosed with COVID-19, whereas ... Article in Journal/Newspaper Iceland Discovery - University of Dundee Online Publications Norway The Lancet Public Health 7 5 e406 e416 |