The Pandemic Experience for People with Depressive Symptoms: Substance Use, Finances, Access to Treatment, and Trusted Sources of Information.

Autor:	Sanchez, Katherine, da Graca, Briget, Hall, Lauren R, Bennett, Monica M, Powers, Mark B, Warren, Ann Marie
Předmět:	SUBSTANCE abuse & psychology HEALTH services accessibility MEDICINE information services CONFIDENCE intervals SOCIAL media FAMILIES HEALTH information services SURVEYS INCOME MENTAL depression FINANCIAL stress QUESTIONNAIRES EMPLOYMENT ODDS ratio COVID-19 pandemic MENTAL health services TRUST PSYCHOLOGICAL stress
Zdroj:	Substance Abuse: Research & Treatment; 9/27/2022, p1-10, 10p
Abstrakt:	Background: Mental health impacts of the COVID-19 pandemic are well recognized, but little is known about the pandemic experience among people experiencing mental health symptoms. Methods: In June 2020, a national sample of 5023 U.S. adults, including 785 scoring ⩾10 on the PHQ-8 for symptoms of depression, completed survey measures related to their pandemic experience. Results: After adjusting for sociodemographic characteristics, aspects of the COVID-19 pandemic experience for which participants scoring PHQ-8 ⩾ 10 had the greatest increase in odds of reporting moderate/severe negative impacts included: mental health treatment access (odds ratio [OR], 95% confidence interval [CI] = 8.81, 6.70-11.57), family stress/discord (OR, 95% CI = 5.21, 4.24-6.42), food access (OR, 95% CI = 3.76, 2.97-4.77), and income/employment (OR, 95% CI = 3.19, 2.66-3.83). They were also significantly more likely to report increased use of prescription painkillers (OR, 95% CI = 8.46, 4.50-15.92) and other drugs (OR, 95% CI = 4.43, 2.85-6.89), and less trust in healthcare authorities/providers, family/friends, and employers, and more trust in websites/blogs/social media, for COVID-19 information (P -values <.05). Conclusions: The interplay among depressive symptoms, substance use, lack of trust in healthcare authorities, and negative impact of the pandemic on family, finances, and access to mental health treatment and food indicate the need for robust social and behavioral health safety nets to buffer communities from the shadow epidemics of depression, family violence, and overdose deaths during public health disasters. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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