The trajectory of anxiety and depressive symptoms and the impact of self-injury: A longitudinal 12-month cohort study of individuals with psychiatric symptoms.

Autor: Ojala O; Department of Clinical Neuroscience, Karolinska Institutet, Centre for Psychiatry Research, Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden., Garke MÅ; Department of Clinical Neuroscience, Karolinska Institutet, Centre for Psychiatry Research, Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden., El Alaoui S; Department of Clinical Neuroscience, Karolinska Institutet, Centre for Psychiatry Research, Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden., Forsström D; Department of Clinical Neuroscience, Karolinska Institutet, Centre for Psychiatry Research, Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden.; Department of Psychology, Stockholm University, Stockholm, Sweden., Hedman-Lagerlöf M; Department of Clinical Neuroscience, Karolinska Institutet, Centre for Psychiatry Research, Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden., Jangard S; Department of Clinical Neuroscience, Karolinska Institutet, Centre for Psychiatry Research, Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden.; Department of Clinical Neuroscience, Division of Psychology, Karolinska Institutet, Stockholm, Sweden., Lundin J; Department of Clinical Neuroscience, Karolinska Institutet, Centre for Psychiatry Research, Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden., Rozental A; Department of Clinical Neuroscience, Karolinska Institutet, Centre for Psychiatry Research, Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden.; Department of Health, Education and Technology, Luleå University of Technology, Luleå, Sweden., Shahnavaz S; Department of Clinical Neuroscience, Karolinska Institutet, Centre for Psychiatry Research, Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden., Sörman K; Department of Clinical Neuroscience, Karolinska Institutet, Centre for Psychiatry Research, Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden., Lundgren T; Department of Clinical Neuroscience, Karolinska Institutet, Centre for Psychiatry Research, Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden., Hellner C; Department of Clinical Neuroscience, Karolinska Institutet, Centre for Psychiatry Research, Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden., Jayaram-Lindström N; Department of Clinical Neuroscience, Karolinska Institutet, Centre for Psychiatry Research, Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden., Månsson KNT; Department of Clinical Neuroscience, Karolinska Institutet, Centre for Psychiatry Research, Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden.; Department of Clinical Psychology and Psychotherapy, Babeș-Bolyai University, Cluj-Napoca, Romania.
Jazyk: angličtina
Zdroj: PloS one [PLoS One] 2024 Nov 21; Vol. 19 (11), pp. e0313961. Date of Electronic Publication: 2024 Nov 21 (Print Publication: 2024).
DOI: 10.1371/journal.pone.0313961
Abstrakt: Background: Individuals reporting self-injury are at greater risk of several adverse outcomes, including suicide. There is reason to be concerned how these individuals cope when stressful life events increase. This study aimed to investigate the trajectories of anxiety and depressive symptoms and the predictive value of self-injury history in individuals with psychiatric symptoms during the unique and stressful conditions of the COVID-19 pandemic.
Methods: In a longitudinal population cohort study (N = 1810) ranging from 2020 to 2022, anxiety (measured by Generalized Anxiety Disorder, GAD-7) and depressive symptoms (measured by Patient Health Questionnaire, PHQ-9) were self-reported monthly during 12 months. Latent growth curve models with and without self-reported self-injury history as predictors were conducted.
Results: Overall, anxiety and depressive symptoms decreased from baseline, but remained at moderate severity at follow-up. Individuals reporting suicidal or nonsuicidal self-injury reported significantly higher symptom severity at baseline. In addition, individuals reporting suicidal self-injury demonstrated a slower rate of decline in the symptom load over the course of 12 months.
Conclusions: Over the course of 12 months, anxiety and depressive symptoms decreased in individuals with psychiatric symptoms, but still indicate a psychiatric burden. Individuals with a history of self-injury could be more vulnerable in face of stressful conditions such as those experienced during the COVID-19 pandemic.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright: © 2024 Ojala et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
Databáze: MEDLINE
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