Evidence map›Paper›PMID 34475179›Full record

ArticleBMJ open2021

Association between mental health trajectories and somatic symptoms following a second lockdown in Israel: a longitudinal study.

Menachem Ben-Ezra, Yaira Hamama-Raz, Robin Goodwin, Elazar Leshem, Yafit Levin

Abstract read
In one paragraph

Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

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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

5 authors.

Menachem Ben-EzraSchool of Social Work, Ariel University, Ariel, Israel menbe@ariel.ac.il.ORCID 0000-0002-7890-2069
Yaira Hamama-RazSchool of Social Work, Ariel University, Ariel, Israel.
Robin GoodwinDepartment of Psychology, University of Warwick, Coventry, UK.
Elazar LeshemSchool of Social Work, Ariel University, Ariel, Israel.
Yafit LevinSchool of Education, Ariel University, Ariel, Israel.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo identify mental health prospective trajectories before and after a second lockdown during the COVID-19 pandemic and their associations with somatic symptoms.

designProspective Study.

settingPopulation-based study drawn from a probability-based internet panel of over 100 000 Israelis.

participantsAdults 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 measuresTrajectories 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).

resultsThree 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.

conclusionsOur 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.

Indexed as

COVID-19Medically Unexplained SymptomsAdultCommunicable Disease ControlHumansIsraelLongitudinal StudiesMental HealthPandemicsProspective StudiesSARS-CoV-2anxiety disordersCOVID-19epidemiologymental health

Identifiers

PMID34475179
PMCPMC8413470

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LicenceCC BY-NC
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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.