Trends in psychological distress during and after the COVID-19 pandemic: Findings from a population-based Costa Rican cohort study
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| Autores: | , , , , , , , , , |
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| 格式: | artículo original |
| Fecha de Publicación: | 2025 |
| 实物特征: | Objectives The COVID-19 pandemic has resulted in an increase of psychological distress. We hypothesized that the mental health of individuals has improved since the end of the pandemic. Study design 1459 population-based participants of the RESPIRA cohort study (Costa Rica) Methods Psychological distress was measured at 6-month intervals using the Mental Health Inventory 5 (MHI-5) during the 2-year follow-up. Visits occurred between June 2021 and November 2023. Age-sex-standardized MHI-5 mean and proportion of individuals living with psychological distress were estimated by calendar time. We evaluated both cross-sectional estimates over time among all cohort participants, and within-individual evolution among the subset of 1341 participants with repeated measures between June 2021–June 2022 and January–November 2023. Results Standardized prevalence of people living with psychological distress was 13.6 % [10.8–16.8] during the height of the pandemic compared to 8.8 % [6.5–11.6] post-pandemic. The standardized MHI-5 mean increased from 76.3 [74.8–77.9] to 82.9 [81.6–84.3] between the height and post-pandemic periods. 14.5 % of the participants had a much better MHI-5 score (24 points or more) in the post-pandemic period compared to the height of the pandemic, and only 5.3 % had a much worse MHI-5 score. Consistent improvements were observed among sexes and across age, except for 12-17-year-olds. Conclusions This study showed a decrease in the proportion of people living with psychological distress in Costa Rica since the end of the pandemic. |
| País: | Kérwá |
| 机构: | Universidad de Costa Rica |
| Repositorio: | Kérwá |
| 语言: | Inglés |
| OAI Identifier: | oai:kerwa.ucr.ac.cr:10669/103134 |
| 在线阅读: | https://hdl.handle.net/10669/103134 https://doi.org/10.1016/j.puhe.2025.01.017 |
| Palabra clave: | COVID-19 Latin America Mental health Psychological distress Costa Rica |