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Changes in mental health and help-seeking among young Australian adults during the COVID-19 pandemic: A prospective cohort study

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journal contribution
posted on 01.01.2021, 00:00 authored by E Upton, P J Clare, A Aiken, V C Boland, C De Torres, R Bruno, Delyse HutchinsonDelyse Hutchinson, K Kypri, R Mattick, N McBride, A Peacock
Background
Young people may have elevated risk for poorer mental health during the coronavirus disease 2019 (COVID-19) pandemic, yet longitudinal studies documenting this impact are lacking. This study assessed changes in mental health and help-seeking since COVID-19 restrictions in young Australians, including gender differences.

Methods
Data were drawn from a recent subsample (n = 443; 60% female; Mage = 22.0) of a prospective cohort originally recruited in secondary school to complete annual surveys. The subsample completed an additional COVID-19 survey during COVID-19 restrictions (May–June 2020), which was compared to responses from their latest annual survey (August 2019–March 2020). Mixed effect models with time and gender as the primary predictors were conducted for: (i) scores on the Patient Health Questionnaire Depression 9-item (PHQ-9) and Generalised Anxiety Disorder 7-item (GAD-7) modules assessed before and during COVID-19 restrictions, and (ii) self-reported help-seeking from a health professional in February 2020, and the month preceding May–June 2020.

Results
Mean symptom scores increased from before to during COVID-19 restrictions on the PHQ-9 (coefficient: 1.29; 95% CI 0.72–1.86) and GAD-7 (0.78; 95% CI 0.26–1.31), but there was no increase in help-seeking over time (odds ratio 0.50; 95% CI 0.19–1.32). There was no evidence of differential changes by gender.

Conclusions
This study found increases in depression and anxiety symptoms but not greater help-seeking among young Australian adults during the first wave of the pandemic. Increasing availability and awareness of accessible treatment options and psychoeducation is critical, as well as further research into risk and protective factors to help target treatment to this vulnerable age group.

History

Journal

Psychological medicine

Pagination

1 - 9

Publisher

Cambridge University Press

Location

Cambridge, Eng.

ISSN

0033-2917

eISSN

1469-8978

Language

eng

Notes

FirstView Article

Publication classification

C1 Refereed article in a scholarly journal