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Investigating the relationship between COVID-19-related and distress and ICD-11 adjustment disorder : two cross-sectional studies
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Ben-Ezra, Menachem, Hou, Wai Kai and Goodwin, Robin (2021) Investigating the relationship between COVID-19-related and distress and ICD-11 adjustment disorder : two cross-sectional studies. BJPsych Open, 7 (1). e21. doi:10.1192/bjo.2020.158 (In Press)
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WRAP-Investigating-relationship-COVID-19-related-distress and ICD-11-disorder-2020.pdf - Published Version - Requires a PDF viewer. Available under License Creative Commons Attribution 4.0. Download (456Kb) | Preview |
Official URL: https://doi.org/10.1192/bjo.2020.158
Abstract
Background
To assess the prevalence of elevated risk of serious mental illness and probable ICD-11 adjustment disorder in the UK population at two time points during COVID-19, and their association with COVID-19-related stressful events.
Aims
To check the dose–response model for stress between the number of COVID-19-related stressful events and mental health indices.
Method
We conducted two cross-sectional studies, using internet survey samples across the UK (N = 1293 for study 1; N = 1073 for study 2). Samples used internet panel surveys during March–April 2020 and 3 months later (June 2020), and used random stratified samples. Studies assessed prevalence of serious risk of mental illness and probable ICD-11 adjustment disorder.
Results
Elevated risk of serious mental illness was found among those with COVID-19-related social life or occupationally stressful events (study 1). Elevated risk of serious mental illness and probable ICD-11 adjustment disorder was evident among those reporting COVID-19-related stressful events (personal health problems and caregiving; study 2). Cumulative COVID-19-related stressful events were associated with elevated risk of serious mental illness in study 1 (odds ratio 1.65; 95% CI 1.03–2.64; P = 0.037), and with both elevated risk of serious mental illness (odds ratio 2.19; 95% CI 1.15–4.15; P = 0.017) and probable ICD-11 adjustment disorder (odds ratio 2.45; 95% CI 1.27–4.72; P = 0.007) in study 2.
Conclusions
Psychiatrists should be aware that COVID-19-related stressful events can lead to serious psychological problems. Mental health professionals need to pay particular attention to patients who report cumulative COVID-19-related stressful events, and consider them for mental health assessment and treatment.
| Item Type: | Journal Article | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Subjects: | R Medicine > RA Public aspects of medicine | ||||||||
| Divisions: | Faculty of Science > Psychology | ||||||||
| Library of Congress Subject Headings (LCSH): | COVID-19 (Disease) -- Social aspects, Mental health, COVID-19 (Disease) -- Psychological aspects, Stress management, Adjustment disorders | ||||||||
| Journal or Publication Title: | BJPsych Open | ||||||||
| Publisher: | Royal College of Psychiatrists | ||||||||
| ISSN: | 2056-4724 | ||||||||
| Official Date: | January 2021 | ||||||||
| Dates: |
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| Date of first compliant deposit: | 5 January 2021 | ||||||||
| Volume: | 7 | ||||||||
| Number: | 1 | ||||||||
| Article Number: | e21 | ||||||||
| DOI: | 10.1192/bjo.2020.158 | ||||||||
| Status: | Peer Reviewed | ||||||||
| Publication Status: | In Press | ||||||||
| Access rights to Published version: | Open Access | ||||||||
| Copyright Holders: | Copyright © The Author(s), 2020. Published by Cambridge University Press on behalf of the Royal College of Psychiatrists | ||||||||
| RIOXX Funder/Project Grant: |
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