Using patient-reported outcome measures to assess psychological well-being in a non-representative US general population during the COVID-19 pandemic
Abstract Purpose The impact of the COVID-19 pandemic on psychological well-being will likely be long-lasting. Efforts directed towards monitoring the onset and progression of distress and mental health disorders are needed to identify and prioritize at-risk populations. This study assesses the psych...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2022-11-01
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| Series: | Journal of Patient-Reported Outcomes |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s41687-022-00526-y |
| _version_ | 1811217674494017536 |
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| author | Manraj N. Kaur Elena Tsangaris Tanujit Dey Shelby Deibert Janina Kueper Maria Edelen Andrea L. Pusic |
| author_facet | Manraj N. Kaur Elena Tsangaris Tanujit Dey Shelby Deibert Janina Kueper Maria Edelen Andrea L. Pusic |
| author_sort | Manraj N. Kaur |
| collection | DOAJ |
| description | Abstract Purpose The impact of the COVID-19 pandemic on psychological well-being will likely be long-lasting. Efforts directed towards monitoring the onset and progression of distress and mental health disorders are needed to identify and prioritize at-risk populations. This study assesses the psychological well-being of the United States (US) general population during the early phase of the COVID-19 COVID-19 pandemic using validated patient-reported outcome measures (PROMs). Methods A cross-sectional study design was used. Adults (18 years or older) who could read and write in English were recruited through Prolific in May 2020. Participants completed a REDCap survey including demographic and health-related questions and three PROMs measuring global health (PROMIS-10 Global Health), anxiety [Generalized Anxiety Disorder Scale-7 (GAD-7)], and depression [Patient Health Questionnaire-9 (PHQ-9)]. A multivariable linear regression was used to identify key factors associated with worse psychological well-being. Results Mean age of the 2023 participants was 31.92 ± 11.57 years (range, 18–82). Participants were mainly White (64.7%, n = 1309), female (52.2%, n = 1057), working full-time before the pandemic (43.5%, n = 879), and completed a college, trade, or university degree (40.7%, n = 823). Most participants reported mild to severe anxiety (57.3%, n = 1158) and depression (60%, n = 1276) on the GAD-7 and PHQ-9, respectively. Patient characteristics associated with worse psychological well-being included: age ≤ 39 years, non-White, female or gender diverse, BMI ≥ 30, uninsured, annual income ≤ $49,999 (USD), lower educational attainment, and belief that COVID-19 is deadlier than flu. Conclusion PROMs can be used to assess and monitor psychological well-being during the COVID-19 pandemic and to inform the planning and delivery of targeted public health interventions to support at-risk populations. |
| first_indexed | 2024-04-12T06:58:45Z |
| format | Article |
| id | doaj.art-f6e4b19553e3458bbcc889176f5157d7 |
| institution | Directory Open Access Journal |
| issn | 2509-8020 |
| language | English |
| last_indexed | 2024-04-12T06:58:45Z |
| publishDate | 2022-11-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Journal of Patient-Reported Outcomes |
| spelling | doaj.art-f6e4b19553e3458bbcc889176f5157d72022-12-22T03:43:05ZengSpringerOpenJournal of Patient-Reported Outcomes2509-80202022-11-016111310.1186/s41687-022-00526-yUsing patient-reported outcome measures to assess psychological well-being in a non-representative US general population during the COVID-19 pandemicManraj N. Kaur0Elena Tsangaris1Tanujit Dey2Shelby Deibert3Janina Kueper4Maria Edelen5Andrea L. Pusic6Department of Surgery, Patient-Reported Outcomes, Value and Experience (PROVE) Center, Brigham and Women’s HospitalBrigham and Women’s Hospital, Harvard Medical SchoolCenter for Surgery and Public Health, Department of Surgery, Brigham and Women’s Hospital, Harvard Medical SchoolMcMaster UniversityDepartment of Surgery, Patient-Reported Outcomes, Value and Experience (PROVE) Center, Brigham and Women’s HospitalBrigham and Women’s Hospital, Harvard Medical SchoolBrigham and Women’s Hospital, Harvard Medical SchoolAbstract Purpose The impact of the COVID-19 pandemic on psychological well-being will likely be long-lasting. Efforts directed towards monitoring the onset and progression of distress and mental health disorders are needed to identify and prioritize at-risk populations. This study assesses the psychological well-being of the United States (US) general population during the early phase of the COVID-19 COVID-19 pandemic using validated patient-reported outcome measures (PROMs). Methods A cross-sectional study design was used. Adults (18 years or older) who could read and write in English were recruited through Prolific in May 2020. Participants completed a REDCap survey including demographic and health-related questions and three PROMs measuring global health (PROMIS-10 Global Health), anxiety [Generalized Anxiety Disorder Scale-7 (GAD-7)], and depression [Patient Health Questionnaire-9 (PHQ-9)]. A multivariable linear regression was used to identify key factors associated with worse psychological well-being. Results Mean age of the 2023 participants was 31.92 ± 11.57 years (range, 18–82). Participants were mainly White (64.7%, n = 1309), female (52.2%, n = 1057), working full-time before the pandemic (43.5%, n = 879), and completed a college, trade, or university degree (40.7%, n = 823). Most participants reported mild to severe anxiety (57.3%, n = 1158) and depression (60%, n = 1276) on the GAD-7 and PHQ-9, respectively. Patient characteristics associated with worse psychological well-being included: age ≤ 39 years, non-White, female or gender diverse, BMI ≥ 30, uninsured, annual income ≤ $49,999 (USD), lower educational attainment, and belief that COVID-19 is deadlier than flu. Conclusion PROMs can be used to assess and monitor psychological well-being during the COVID-19 pandemic and to inform the planning and delivery of targeted public health interventions to support at-risk populations.https://doi.org/10.1186/s41687-022-00526-yPatient-reported outcome measuresHealth-related quality of lifePsychological well-beingCOVID-19 pandemic |
| spellingShingle | Manraj N. Kaur Elena Tsangaris Tanujit Dey Shelby Deibert Janina Kueper Maria Edelen Andrea L. Pusic Using patient-reported outcome measures to assess psychological well-being in a non-representative US general population during the COVID-19 pandemic Journal of Patient-Reported Outcomes Patient-reported outcome measures Health-related quality of life Psychological well-being COVID-19 pandemic |
| title | Using patient-reported outcome measures to assess psychological well-being in a non-representative US general population during the COVID-19 pandemic |
| title_full | Using patient-reported outcome measures to assess psychological well-being in a non-representative US general population during the COVID-19 pandemic |
| title_fullStr | Using patient-reported outcome measures to assess psychological well-being in a non-representative US general population during the COVID-19 pandemic |
| title_full_unstemmed | Using patient-reported outcome measures to assess psychological well-being in a non-representative US general population during the COVID-19 pandemic |
| title_short | Using patient-reported outcome measures to assess psychological well-being in a non-representative US general population during the COVID-19 pandemic |
| title_sort | using patient reported outcome measures to assess psychological well being in a non representative us general population during the covid 19 pandemic |
| topic | Patient-reported outcome measures Health-related quality of life Psychological well-being COVID-19 pandemic |
| url | https://doi.org/10.1186/s41687-022-00526-y |
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