Evidence map›Paper›PMID 32988427›Full record

ArticleEpidemiology and psychiatric sciences2020

Increase in prevalence of current mental disorders in the context of COVID-19: analysis of repeated nationwide cross-sectional surveys.

P Winkler, T Formanek, K Mlada, A Kagstrom, Z Mohrova, P Mohr, L Csemy

Registry-linked trialAbstract read
In one paragraph

Article in Epidemiology and psychiatric sciences, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05069090 (Effect of COVID-19 Lockdown on Alcohol and Tobacco Use in Two Chilean Universities), which is not on this map. Cited by 104 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
104citing papers in PubMed, 11 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05069090 completednot on this map

Effect of COVID-19 Lockdown on Alcohol and Tobacco Use in Two Chilean Universities: a Difference-in-difference Analysis

TypeobservationalSponsorUniversidad de La FronteraRan2020 to 2021Enrolled1,038ConditionsSARS-CoV-2 Infection, COVID-19ArmsLockdown and other social distancing measures
3 · Its place in the literature

Who cites it

104 citing papers in PubMed, 11 syntheses or guidelines pooled it.

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44 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

P WinklerNational Institute of Mental Health, Topolová 748, 250 67, Klecany, Czech Republic.ORCID https://orcid.org/0000-0002-7244-0051
T FormanekNational Institute of Mental Health, Topolová 748, 250 67, Klecany, Czech Republic.ORCID https://orcid.org/0000-0002-6740-6860
K MladaNational Institute of Mental Health, Topolová 748, 250 67, Klecany, Czech Republic.
A KagstromNational Institute of Mental Health, Topolová 748, 250 67, Klecany, Czech Republic.
Z MohrovaNational Institute of Mental Health, Topolová 748, 250 67, Klecany, Czech Republic.
P MohrNational Institute of Mental Health, Topolová 748, 250 67, Klecany, Czech Republic.
L CsemyNational Institute of Mental Health, Topolová 748, 250 67, Klecany, Czech Republic.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsThe United Nations warned of COVID-19-related mental health crisis; however, it is unknown whether there is an increase in the prevalence of mental disorders as existing studies lack a reliable baseline analysis or they did not use a diagnostic measure. We aimed to analyse trends in the prevalence of mental disorders prior to and during the COVID-19 pandemic.

methodsWe analysed data from repeated cross-sectional surveys on a representative sample of non-institutionalised Czech adults (18+ years) from both November 2017 (n = 3306; 54% females) and May 2020 (n = 3021; 52% females). We used Mini International Neuropsychiatric Interview (MINI) as the main screening instrument. We calculated descriptive statistics and compared the prevalence of current mood and anxiety disorders, suicide risk and alcohol-related disorders at baseline and right after the first peak of COVID-19 when related lockdown was still in place in CZ. In addition, using logistic regression, we assessed the association between COVID-19-related worries and the presence of mental disorders.

resultsThe prevalence of those experiencing symptoms of at least one current mental disorder rose from a baseline of 20.02 (95% CI = 18.64; 21.39) in 2017 to 29.63 (95% CI = 27.9; 31.37) in 2020 during the COVID-19 pandemic. The prevalence of both major depressive disorder (3.96, 95% CI = 3.28; 4.62 v. 11.77, 95% CI = 10.56; 12.99); and suicide risk (3.88, 95% CI = 3.21; 4.52 v. 11.88, 95% CI = 10.64; 13.07) tripled and current anxiety disorders almost doubled (7.79, 95% CI = 6.87; 8.7 v. 12.84, 95% CI = 11.6; 14.05). The prevalence of alcohol use disorders in 2020 was approximately the same as in 2017 (10.84, 95% CI = 9.78; 11.89 v. 9.88, 95% CI = 8.74; 10.98); however, there was a significant increase in weekly binge drinking behaviours (4.07% v. 6.39%). Strong worries about both, health or economic consequences of COVID-19, were associated with an increased odds of having a mental disorder (1.63, 95% CI = 1.4; 1.89 and 1.42, 95% CI = 1.23; 1.63 respectively).

conclusionsThis study provides evidence matching concerns that COVID-19-related mental health problems pose a major threat to populations, particularly considering the barriers in service provision posed during lockdown. This finding emphasises an urgent need to scale up mental health promotion and prevention globally.

Indexed as

AdultAlcohol-Related DisordersAnxiety DisordersBetacoronavirusCoronavirus InfectionsCOVID-19Cross-Sectional StudiesCzech RepublicFemaleHumansMajor Depressive DisorderMaleMental DisordersMental HealthMiddle AgedMood DisordersAnxietyCOVID-19depressionmental disordersprevalenceSARS-CoV-2suicide risk

Identifiers

PMID32988427
PMCPMC7573458

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.