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Age-specific determinants of psychiatric outcomes after the first COVID-19 wave: baseline findings from a Canadian online cohort study

BACKGROUND: Canadians endured unprecedented mental health (MH) and support access challenges during the first COVID-19 wave. Identifying groups of individuals who remain at risk beyond the acute pandemic phase is key to guiding systemic intervention efforts and policy. We hypothesized that determina...

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Autores principales: Stewart, S. Evelyn, Best, John, Selles, Robert, Naqqash, Zainab, Lin, Boyee, Lu, Cynthia, Au, Antony, Snell, Gaelen, Westwell-Roper, Clara, Vallani, Tanisha, Ewing, Elise, Dogra, Kashish, Doan, Quynh, Samji, Hasina
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9901839/
https://www.ncbi.nlm.nih.gov/pubmed/36747252
http://dx.doi.org/10.1186/s13034-023-00560-8
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author Stewart, S. Evelyn
Best, John
Selles, Robert
Naqqash, Zainab
Lin, Boyee
Lu, Cynthia
Au, Antony
Snell, Gaelen
Westwell-Roper, Clara
Vallani, Tanisha
Ewing, Elise
Dogra, Kashish
Doan, Quynh
Samji, Hasina
author_facet Stewart, S. Evelyn
Best, John
Selles, Robert
Naqqash, Zainab
Lin, Boyee
Lu, Cynthia
Au, Antony
Snell, Gaelen
Westwell-Roper, Clara
Vallani, Tanisha
Ewing, Elise
Dogra, Kashish
Doan, Quynh
Samji, Hasina
author_sort Stewart, S. Evelyn
collection PubMed
description BACKGROUND: Canadians endured unprecedented mental health (MH) and support access challenges during the first COVID-19 wave. Identifying groups of individuals who remain at risk beyond the acute pandemic phase is key to guiding systemic intervention efforts and policy. We hypothesized that determinants of three complementary, clinically actionable psychiatric outcomes would differ across Canadian age groups. METHODS: The Personal Impacts of COVID-19 Survey (PICS) was iteratively developed with stakeholder feedback, incorporating validated, age-appropriate measures. Baseline, cross-sectional online data collected between November 2020-July 2021 was used in analyses. Age group-specific determinants were sought for three key baseline MH outcomes: (1) current probable depression, generalized anxiety disorder, obsessive–compulsive disorder and/or suicide attempt during COVID-19, (2) increased severity of any lifetime psychiatric diagnosis, and (3) inadequate MH support access during COVID-19. Multivariable logistic regression models were constructed for children, youth (self- and parent-report), young adults (19–29 years) and adults over 29 years, using survey type as a covariate. Statistical significance was defined by 95% confidence interval excluding an odds ratio of one. RESULTS: Data from 3140 baseline surveys were analyzed. Late adolescence and early adulthood were identified as life phases with the worst MH outcomes. Poverty, limited education, home maker/caregiver roles, female and non-binary gender, LGBTQ2S + status and special educational, psychiatric and medical conditions were differentially identified as determinants across age groups. INTERPRETATION: Negative psychiatric impacts of COVID-19 on Canadians that include poor access to MH support clearly persisted beyond the first wave, widening pre-existing inequity gaps. This should guide policy makers and clinicians in current and future prioritization efforts. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13034-023-00560-8.
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spelling pubmed-99018392023-02-07 Age-specific determinants of psychiatric outcomes after the first COVID-19 wave: baseline findings from a Canadian online cohort study Stewart, S. Evelyn Best, John Selles, Robert Naqqash, Zainab Lin, Boyee Lu, Cynthia Au, Antony Snell, Gaelen Westwell-Roper, Clara Vallani, Tanisha Ewing, Elise Dogra, Kashish Doan, Quynh Samji, Hasina Child Adolesc Psychiatry Ment Health Research BACKGROUND: Canadians endured unprecedented mental health (MH) and support access challenges during the first COVID-19 wave. Identifying groups of individuals who remain at risk beyond the acute pandemic phase is key to guiding systemic intervention efforts and policy. We hypothesized that determinants of three complementary, clinically actionable psychiatric outcomes would differ across Canadian age groups. METHODS: The Personal Impacts of COVID-19 Survey (PICS) was iteratively developed with stakeholder feedback, incorporating validated, age-appropriate measures. Baseline, cross-sectional online data collected between November 2020-July 2021 was used in analyses. Age group-specific determinants were sought for three key baseline MH outcomes: (1) current probable depression, generalized anxiety disorder, obsessive–compulsive disorder and/or suicide attempt during COVID-19, (2) increased severity of any lifetime psychiatric diagnosis, and (3) inadequate MH support access during COVID-19. Multivariable logistic regression models were constructed for children, youth (self- and parent-report), young adults (19–29 years) and adults over 29 years, using survey type as a covariate. Statistical significance was defined by 95% confidence interval excluding an odds ratio of one. RESULTS: Data from 3140 baseline surveys were analyzed. Late adolescence and early adulthood were identified as life phases with the worst MH outcomes. Poverty, limited education, home maker/caregiver roles, female and non-binary gender, LGBTQ2S + status and special educational, psychiatric and medical conditions were differentially identified as determinants across age groups. INTERPRETATION: Negative psychiatric impacts of COVID-19 on Canadians that include poor access to MH support clearly persisted beyond the first wave, widening pre-existing inequity gaps. This should guide policy makers and clinicians in current and future prioritization efforts. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13034-023-00560-8. BioMed Central 2023-02-06 /pmc/articles/PMC9901839/ /pubmed/36747252 http://dx.doi.org/10.1186/s13034-023-00560-8 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Stewart, S. Evelyn
Best, John
Selles, Robert
Naqqash, Zainab
Lin, Boyee
Lu, Cynthia
Au, Antony
Snell, Gaelen
Westwell-Roper, Clara
Vallani, Tanisha
Ewing, Elise
Dogra, Kashish
Doan, Quynh
Samji, Hasina
Age-specific determinants of psychiatric outcomes after the first COVID-19 wave: baseline findings from a Canadian online cohort study
title Age-specific determinants of psychiatric outcomes after the first COVID-19 wave: baseline findings from a Canadian online cohort study
title_full Age-specific determinants of psychiatric outcomes after the first COVID-19 wave: baseline findings from a Canadian online cohort study
title_fullStr Age-specific determinants of psychiatric outcomes after the first COVID-19 wave: baseline findings from a Canadian online cohort study
title_full_unstemmed Age-specific determinants of psychiatric outcomes after the first COVID-19 wave: baseline findings from a Canadian online cohort study
title_short Age-specific determinants of psychiatric outcomes after the first COVID-19 wave: baseline findings from a Canadian online cohort study
title_sort age-specific determinants of psychiatric outcomes after the first covid-19 wave: baseline findings from a canadian online cohort study
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9901839/
https://www.ncbi.nlm.nih.gov/pubmed/36747252
http://dx.doi.org/10.1186/s13034-023-00560-8
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