Investigating the relationship between COVID-19-related and distress and ICD-11 adjustment disorder: two cross-sectional studies
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...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2021-01-01
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| Series: | BJPsych Open |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S2056472420001581/type/journal_article |
| _version_ | 1811156917220802560 |
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| author | Menachem Ben-Ezra Wai Kai Hou Robin Goodwin |
| author_facet | Menachem Ben-Ezra Wai Kai Hou Robin Goodwin |
| author_sort | Menachem Ben-Ezra |
| collection | DOAJ |
| description | 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.
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| first_indexed | 2024-04-10T04:59:09Z |
| format | Article |
| id | doaj.art-6980c469bc3244c6b96910844c2063fa |
| institution | Directory Open Access Journal |
| issn | 2056-4724 |
| language | English |
| last_indexed | 2024-04-10T04:59:09Z |
| publishDate | 2021-01-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | BJPsych Open |
| spelling | doaj.art-6980c469bc3244c6b96910844c2063fa2023-03-09T12:29:06ZengCambridge University PressBJPsych Open2056-47242021-01-01710.1192/bjo.2020.158Investigating the relationship between COVID-19-related and distress and ICD-11 adjustment disorder: two cross-sectional studiesMenachem Ben-Ezra0https://orcid.org/0000-0002-7890-2069Wai Kai Hou1https://orcid.org/0000-0003-1402-2318Robin Goodwin2https://orcid.org/0000-0002-2407-7016School of Social Work, Ariel University, IsraelDepartment of Psychology, Centre for Psychosocial Health, The Education University of Hong Kong, Hong Kong, ChinaDepartment of Psychology, University of Warwick, UKBackground 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. https://www.cambridge.org/core/product/identifier/S2056472420001581/type/journal_articleCOVID-19serious mental illnessICD-11adjustment disorderhealth |
| spellingShingle | Menachem Ben-Ezra Wai Kai Hou Robin Goodwin Investigating the relationship between COVID-19-related and distress and ICD-11 adjustment disorder: two cross-sectional studies BJPsych Open COVID-19 serious mental illness ICD-11 adjustment disorder health |
| title | Investigating the relationship between COVID-19-related and distress and ICD-11 adjustment disorder: two cross-sectional studies |
| title_full | Investigating the relationship between COVID-19-related and distress and ICD-11 adjustment disorder: two cross-sectional studies |
| title_fullStr | Investigating the relationship between COVID-19-related and distress and ICD-11 adjustment disorder: two cross-sectional studies |
| title_full_unstemmed | Investigating the relationship between COVID-19-related and distress and ICD-11 adjustment disorder: two cross-sectional studies |
| title_short | Investigating the relationship between COVID-19-related and distress and ICD-11 adjustment disorder: two cross-sectional studies |
| title_sort | investigating the relationship between covid 19 related and distress and icd 11 adjustment disorder two cross sectional studies |
| topic | COVID-19 serious mental illness ICD-11 adjustment disorder health |
| url | https://www.cambridge.org/core/product/identifier/S2056472420001581/type/journal_article |
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