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  

作　　者：Mohammed Y Khanji George Collett Thomas Godec Carmela Maniero Sher May Ng Imrana Siddiqui Jaya Gupta Vikas Kapil Ajay Gupta 

机构地区：[1]William Harvey Research Institute,Queen Mary University of London,London,UK [2]Department of Cardiology,Barts Heart Centre,Saint Bartholomew's Hospital,Barts Health NHS Trust,London,UK [3]Newham University Hospital,Barts Health NHS Trust,London,UK [4]Wellbeing Hub,Newham Training Hub,London,UK [5]NHS North East London CCG,London,UK [6]Child and Adolescent Mental Health Service,South West London and St George's Mental Health NHS Trust,London,UK

出　　处：《General Psychiatry》2023年第1期19-27,共9页综合精神医学（英文）

基　　金：This work was supported by a Barts Charity project grant(MGU0586).

摘　　要：Background One potential modifiable factor to improve the mental health of healthcare professionals(HCPs)during the pandemic is lifestyle.Aims 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 time.Methods 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 UK.Both 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 domains.Cumulative 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 well-being.Linear 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 scores.Results 613 HCPs completed both baseline assessment and follow-up assessment.Consistent 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 follow-up.Over 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(adjusted coefficient:0.37,95%CI

关 键 词：Edinburgh LIFESTYLE coefficient 

分 类 号：R395.6[哲学宗教—心理学]