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. 2022 Feb 15:299:517-524.
doi: 10.1016/j.jad.2021.12.029. Epub 2021 Dec 15.

Prevalence and determinants of probable depression and anxiety during the COVID-19 pandemic in seven countries: Longitudinal evidence from the European COvid Survey (ECOS)

André Hajek  1 , Iryna Sabat  2 , Sebastian Neumann-Böhme  3 , Jonas Schreyögg  4 , Pedro Pita Barros  2 , Tom Stargardt  4 , Hans-Helmut König  5
Affiliations

Prevalence and determinants of probable depression and anxiety during the COVID-19 pandemic in seven countries: Longitudinal evidence from the European COvid Survey (ECOS)

André Hajek et al. J Affect Disord. .

Abstract

Background: Our aim was to present data on the prevalence of probable depression and anxiety and to determine their correlates during the COVID-19 pandemic in seven European countries using a longitudinal approach.

Methods: Longitudinal data (wave 4 in November 2020: n = 7,115; wave 5 in January 2021: n = 7,068; wave 6 in April 2021: n = 7,204) were taken from the European COvid Survey (ECOS), a representative sample of non-institutionalized inhabitants from Germany, United Kingdom, Denmark, Netherlands, France, Portugal and Italy aged 18+. Probable depression and anxiety were quantified using the established and validated PHQ-4 (2-item depression scale, PHQ-2 / 2-item anxiety scale, GAD-2).

Results: In wave 4 (wave 5; wave 6), 26.6% (25.5%; 23.8%) of all respondents had probable depression and 25.7% (23.6%; 22.1%) had probable anxiety. Prevalence rates for probable depression and probable anxiety differed significantly between countries. Among all countries and waves, particularly high prevalence rates were found among individuals aged 18 to 29 years. Longitudinal analysis showed that the likelihood of probable depression was positively associated with increasing age, great income difficulties and lower health-related quality of life. The likelihood of probable anxiety was positively associated with income difficulties, and lower health-related quality of life.

Limitations: Screening tool was used to quantify the outcomes.

Conclusion: The magnitude of probable depression and anxiety during the COVID-19 pandemic in European countries was highlighted. Moreover, determining the factors associated with probable depression or anxiety (e.g., income difficulties, worse health-related quality of life) may assist in identifying individuals at increased risk.

Keywords: Anxiety; COVID-19; Coronavirus; Depression; Mental disorders; Mental illness; Patient Health Questionnaire (PHQ); Prevalence; SARS-CoV-2.

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Conflict of interest statement

All authors declare that they have no conflicts of interest.

Figures

Fig 1
Fig. 1
Prevalence of probable depression among European countries.
Fig 2
Fig. 2
Prevalence of probable anxiety among European countries.
See this image and copyright information in PMC

Comment in

References

    1. Association A.P. American Psychiatric Association; Washington DC: 2013. Diagnostic and Statistical Manual of Mental Disorders (DSM-5®)
    1. Bagcchi S. Stigma during the COVID-19 pandemic. Lancet Infect. Dis. 2020;20:782. - PMC - PubMed
    1. Banna M.H.A., Sayeed A., Kundu S., Christopher E., Hasan M.T., Begum M.R., Kormoker T., Dola S.T.I., Hassan M.M., Chowdhury S. The impact of the COVID-19 pandemic on the mental health of the adult population in Bangladesh: a nationwide cross-sectional study. Int. J. Environ. Health Res. 2020:1–12. - PubMed
    1. Brunoni A.R., Suen P.J.C., Bacchi P.S., Razza L.B., Klein I., dos Santos L.A., de Souza Santos I., da Costa Lane Valiengo L., Gallucci-Neto J., Moreno M.L., Pinto B.S., de Cássia Silva Félix L., de Sousa J.P., Viana M.C., Forte P.M., de Altisent Oliveira Cardoso M.C., Bittencourt M.S., Pelosof R., de Siqueira L.L., Fatori D., Bellini H., Bueno P.V.S., Passos I.C., Nunes M.A., Salum G.A., Bauermeister S., Smoller J.W., Lotufo P.A., Benseñor I.M. Prevalence and risk factors of psychiatric symptoms and diagnoses before and during the COVID-19 pandemic: findings from the ELSA-Brasil COVID-19 mental health cohort. Psychol. Med. 2021:1–12. - PMC - PubMed
    1. Budimir S., Pieh C., Dale R., Probst T. Healthcare. Multidisciplinary Digital Publishing Institute; 2021. Severe Mental Health Symptoms during COVID-19: A Comparison of the United Kingdom and Austria; p. 191. - PMC - PubMed

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