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The association between mental health trajectories and somatic symptoms following a second lockdown in Israel : a longitudinal study
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Ben-Erza, M., Hamama-Razm, Y., Goodwin, Robin, Leshem, E. and Levin, Y. (2021) The association between mental health trajectories and somatic symptoms following a second lockdown in Israel : a longitudinal study. BMJ Open, 11 (9). e050480. doi:10.1136/bmjopen-2021-050480 ISSN 2044-6055.
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WRAP-Association-mental-health-trajectories-somatic-Israel-study-2021.pdf - Published Version - Requires a PDF viewer. Available under License Creative Commons: Attribution-Noncommercial 4.0. Download (458Kb) | Preview |
Official URL: https://doi.org/10.1136/bmjopen-2021-050480
Abstract
Objectives To identify mental health prospective trajectories before and after a second lockdown during the COVID-19 pandemic and their associations with somatic symptoms.
Design Prospective Study.
Setting Population-based study drawn from a probability-based internet panel of over 100 000 Israelis.
Participants Adults aged 18 years or more, representative of the adult Israeli population. The participants were measured at two time points (time 1 (T1) pre-second lockdown N=1029; response rate=76.17%; time 2 (T2) post-second lockdown N=764; response rate=74.24%).
Main outcome measures Trajectories of anxiety and adjustment disorder based on clinical cut-off score for probable diagnoses across T1-T2, somatic symptoms at T2. The four trajectories: stable-low, (no probable diagnosis), stable-high (stable probable diagnosis), exacerbation (no probable diagnosis at T1, probable diagnosis at T2), recovery (probable diagnosis at T1, no probable diagnosis at T2).
Results Three anxiety trajectories predicted probable somatic symptoms (stable-high OR=6.451; exacerbation OR=5.379; recovery OR=2.025) compared with the stable-low trajectory. The three adjustment disorder trajectories also predicted somatic symptoms (stable-high OR=4.726; exacerbation OR=6.419; recovery OR=4.666) compared with the stable-low trajectory.
Conclusions Our data show elevated somatic symptoms among those whose mental health trajectories were poor, exacerbated and those who recovered following the second lockdown. The presentation of somatic symptoms may mask psychological vulnerabilities, even among those who appear to have recovered from the stressor. This indicates that lockdown may be a double-edged sword and should be carefully administered given these populations vulnerabilities.
| Item Type: | Journal Article | ||||||
|---|---|---|---|---|---|---|---|
| Divisions: | Faculty of Science, Engineering and Medicine > Science > Psychology | ||||||
| Journal or Publication Title: | BMJ Open | ||||||
| Publisher: | BMJ | ||||||
| ISSN: | 2044-6055 | ||||||
| Official Date: | September 2021 | ||||||
| Dates: |
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| Volume: | 11 | ||||||
| Number: | 9 | ||||||
| Article Number: | e050480 | ||||||
| DOI: | 10.1136/bmjopen-2021-050480 | ||||||
| Status: | Peer Reviewed | ||||||
| Publication Status: | Published | ||||||
| Access rights to Published version: | Open Access (Creative Commons) | ||||||
| Date of first compliant deposit: | 1 October 2021 | ||||||
| Date of first compliant Open Access: | 1 October 2021 | ||||||
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