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Improved lifestyle is associated with improved depression,anxiety and wellbeing over time in UK healthcare professionals during the COVID-19 pandemic:insights from the CoPE-HCP cohort study

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综合精神医学(英文) 2023年第1期36卷 19-27页

作者： Mohammed Y Khanji George Collett Thomas Godec carmela maniero Sher May Ng Imrana Siddiqui Jaya Gupta Vikas Kapil Ajay Gupta William Harvey Research Institute Queen Mary University of LondonLondonUK Department of Cardiology Barts Heart CentreSaint Bartholomew's HospitalBarts Health NHS TrustLondonUK Newham University Hospital Barts Health NHS TrustLondonUK Wellbeing Hub Newham Training HubLondonUK NHS North East London CCG LondonUK Child and Adolescent Mental Health Service South West London and St George's Mental Health NHS TrustLondonUK

Background One potential modifiable factor to improve the mental health of healthcare professionals(HCPs)during the pandemic is *** This study aimed to assess whether an improved lifestyle during the pandemic is associated with improved mental health symptoms and mental well-being in HCPs over *** This was a cohort study involving an online survey distributed at two separate time points during the pandemic(baseline(July–September 2020)and follow-up(December 2020–March 2021))to HCPs working in primary or secondary care in the *** surveys assessed for major depressive disorder(MDD)(Patient Health Questionnaire-9(PHQ-9)),generalised anxiety disorder(GAD)(Generalised Anxiety Disorder-7(GAD-7)),mental well-being(Short Warwick-Edinburgh Mental Well-being Score(SWEMWBS))and self-reported lifestyle change(compared with the start of the pandemic)on multiple *** scores were calculated to estimate overall lifestyle change compared with that before the pandemic(at both baseline and follow-up).At each time point,separate logistic regression models were constructed to relate the lifestyle change score with the presence of MDD,GAD and low mental *** regression models were also developed relating the change in lifestyle scores from baseline to follow-up to changes in PHQ-9,GAD-7 and SWEMWBS *** 613 HCPs completed both baseline assessment and follow-up *** significant cross-sectional associations between increased lifestyle change scores and a reduced risk of MDD,GAD and low mental well-being were observed at both baseline and *** the study period,a whole unit increase in the change in novel scores(ie,improved overall lifestyle)over 4 months was inversely associated with changes in PHQ-9(adjusted coefficient:−0.51,95%confidence interval(CI):−0.73 to−0.30,p<0.001)and GAD-7 scores(adjusted coefficient:−0.32,95%CI:−0.53 to−0.10,p=0.004)and positively associated with the change in SWEMWBS scores

关键词： Edinburgh lifestyle coefficient

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