Chai, Yi, Man, Kenneth K.C., Luo, Hao, Torre, Carmen Olga, Wing, Yun Kwok, Hayes, Joseph F., Osborn, David P.J., Chang, Wing Chung, Lin, Xiaoyu, Yin, Can, Chan, Esther W., Lam, Ivan C.H., Fortin, Stephen, Kern, David M., Lee, Dong Yun, Park, Rae Woong, Jang, Jae Won, Li, Jing, Seager, Sarah, Lau, Wallis C.Y. and Wong, Ian C.K. (2024). Incidence of mental health diagnoses during the COVID-19 pandemic: a multinational network study. Epidemiology and psychiatric sciences, 33 ,
Abstract
Aims. Population-wide restrictions during the COVID-19 pandemic may create barriers to mental health diagnosis. This study aims to examine changes in the number of incident cases and the incidence rates of mental health diagnoses during the COVID-19 pandemic. Methods. By using electronic health records from France, Germany, Italy, South Korea and the UK and claims data from the US, this study conducted interrupted time-series analyses to compare the monthly incident cases and the incidence of depressive disorders, anxiety disorders, alcohol misuse or dependence, substance misuse or dependence, bipolar disorders, personality disorders and psychoses diagnoses before (January 2017 to February 2020) and after (April 2020 to the latest available date of each database [up to November 2021]) the introduction of COVID-related restrictions. Results. A total of 629,712,954 individuals were enrolled across nine databases. Following the introduction of restrictions, an immediate decline was observed in the number of incident cases of all mental health diagnoses in the US (rate ratios (RRs) ranged from 0.005 to 0.677) and in the incidence of all conditions in France, Germany, Italy and the US (RRs ranged from 0.002 to 0.422). In the UK, significant reductions were only observed in common mental illnesses. The number of incident cases and the incidence began to return to or exceed pre-pandemic levels in most countries from mid-2020 through 2021. Conclusions. Healthcare providers should be prepared to deliver service adaptations to mitigate burdens directly or indirectly caused by delays in the diagnosis and treatment of mental health conditions.
Publication DOI: | https://doi.org/10.1017/S2045796024000088 |
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Divisions: | College of Health & Life Sciences > Aston Pharmacy School |
Funding Information: | This work was supported by Collaborative Research Fund, University Grants Committee, HKSAR Government (C7154-20GF). |
Additional Information: | Copyright © The Author(s), 2024. Published by Cambridge University Press. This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited. |
Uncontrolled Keywords: | COVID-19,mental health,OHDSI,OMOP,psychiatric disorder,SARS-CoV-2,Epidemiology,Public Health, Environmental and Occupational Health,Psychiatry and Mental health |
Publication ISSN: | 2045-7979 |
Last Modified: | 08 Aug 2024 07:08 |
Date Deposited: | 07 Aug 2024 16:50 |
Full Text Link: | |
Related URLs: |
https://www.cam ... E54C97F#article
(Publisher URL) http://www.scop ... tnerID=8YFLogxK (Scopus URL) |
PURE Output Type: | Article |
Published Date: | 2024-03-04 |
Published Online Date: | 2024-03-04 |
Accepted Date: | 2024-01-20 |
Authors: |
Chai, Yi
Man, Kenneth K.C. Luo, Hao Torre, Carmen Olga Wing, Yun Kwok Hayes, Joseph F. Osborn, David P.J. Chang, Wing Chung Lin, Xiaoyu Yin, Can Chan, Esther W. Lam, Ivan C.H. Fortin, Stephen Kern, David M. Lee, Dong Yun Park, Rae Woong Jang, Jae Won Li, Jing Seager, Sarah Lau, Wallis C.Y. Wong, Ian C.K. ( ![]() |