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How Does the COVID-19 Pandemic Impact on Population Mental Health? A Network Analysis of COVID Influences on Depression, Anxiety and Traumatic Stress in the UK Population

Zavlis, O; Butter, S; Bennett, K; Hartman, TK; Hyland, P; Mason, L; McBride, O; ... Bentall, RP; + view all (2021) How Does the COVID-19 Pandemic Impact on Population Mental Health? A Network Analysis of COVID Influences on Depression, Anxiety and Traumatic Stress in the UK Population. Psychological Medicine 10.1017/S0033291721000635. (In press). Green open access

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Abstract

BACKGROUND: The coronavirus disease 2019 (COVID-19) emergency has led to numerous attempts to assess the impact of the pandemic on population mental health. The findings indicate an increase in depression and anxiety but have been limited by the lack of specificity about which aspects of the pandemic (e.g. viral exposure or economic threats) have led to adverse mental health outcomes. METHODS: Network analyses were conducted on data from wave 1 (N = 2025, recruited 23 March–28 March 2020) and wave 2 (N = 1406, recontacts 22 April–1 May 2020) of the COVID-19 Psychological Research Consortium Study, an online longitudinal survey of a representative sample of the UK adult population. Our models included depression (PHQ-9), generalized anxiety (GAD-7) and trauma symptoms (ITQ); and measures of COVID-specific anxiety, exposure to the virus in self and close others, as well as economic loss due to the pandemic. RESULTS: A mixed graphical model at wave 1 identified a potential pathway from economic adversity to anxiety symptoms via COVID-specific anxiety. There was no association between viral exposure and symptoms. Ising network models using clinical cut-offs for symptom scores at each wave yielded similar findings, with the exception of a modest effect of viral exposure on trauma symptoms at wave 1 only. Anxiety and depression symptoms formed separate clusters at wave 1 but not wave 2. CONCLUSIONS: The psychological impact of the pandemic evolved in the early phase of lockdown. COVID-related anxiety may represent the mechanism through which economic consequences of the pandemic are associated with psychiatric symptoms.

Type: Article
Title: How Does the COVID-19 Pandemic Impact on Population Mental Health? A Network Analysis of COVID Influences on Depression, Anxiety and Traumatic Stress in the UK Population
Open access status: An open access version is available from UCL Discovery
DOI: 10.1017/S0033291721000635
Publisher version: https://doi.org/10.1017/S0033291721000635
Language: English
Additional information: This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology
URI: https://discovery.ucl.ac.uk/id/eprint/10125183
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