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1. A longitudinal study of psychological distress in the United States before and during the COVID-19 pandemic

   Breslau, J.; Finucane, M.L.; Locker, A.R.; Baird, M.D.; Roth, E.A.; Collins, R.L. (February 2021, Preventive medicine)

   null (Ed.)

   The COVID-19 pandemic has caused financial stress and disrupted daily life more quickly than any prior economic downturn and on a scale beyond any prior natural disaster. This study aimed to assess the impact of the pandemic on psychological distress and identify vulnerable groups using longitudinal data to account for pre-pandemic mental health status. Clinically significant psychological distress was assessed with the Kessler-6 in a national probability sample of adults in the United States at two time points, February 2019 (T1) and May 2020 (T2). To identify increases in distress, psychological distress during the worst month of the past year at T1 was compared with psychological distress over the past 30-days at T2. Survey adjusted logistic regression was used to estimate associations of demographic characteristics at T1 (gender, age, race, and income) and census region at T2 with within-person increases in psychological distress. The past-month prevalence of serious psychological distress at T2 was as high as the past-year prevalence at T1 (10.9% vs. 10.2%). Psychological distress was strongly associated across assessments (X2(4) = 174.6, p < .0001). Increase in psychological distress above T1 was associated with gender, age, household income, and census region. Equal numbers of people experienced serious psychological distress in 30-days during the pandemic as did over an entire year prior to the pandemic. Mental health services and research efforts should be targeted to those with a history of mental health conditions and groups identified as at high risk for increases in distress above pre-pandemic levels. 

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2. Finding benefits during collective stress: A study of health behaviors in a longitudinal representative U.S. sample during the COVID-19 era.

   https://doi.org/10.1037/hea0001394  

   Garfin, Dana Rose; Jones, Nickolas M; Holman, E Alison; Silver, Roxane Cohen (October 2024, Health Psychology)

   Objective: During the COVID-19 pandemic, unprecedented collective stressors disrupted assumptions of safety and security. Cognitive strategies like finding benefits during adversity may facilitate coping during such times of social disruption by reducing distress or motivating health protective behaviors. Methods: We explored relationships between benefit finding, collective- and individual-level adversity exposure, psychological distress, and health protective behaviors using four waves of data collected during the COVID-19 era from a longitudinal sample from the NORC AmeriSpeak panel, a representative, probability-based online panel of U.S. residents: Wave 1 (N=6,514, 3/18/2020-4/18/2020, 58.5% completion rate); Wave 2 (N=5,661, 9/24/2020-10/16/2020, 87.1% completion rate); Wave 3 (N=4,881, 11/8/2021-11/24/2021, 75.3% completion rate); and Wave 4 (N=4,859, 5/19/2022-6/16/2022, 75.1% completion rate). Results: Benefit finding was common; k-means clustering (an exploratory, data-driven approach) yielded five trajectories: Always High (15.92%), Always Low (18.13%), Always Middle (29.81%), Increasing (16.84%) and Decreasing (19.30%). Benefit finding trajectories were generally not strong correlates of emotional exhaustion, traumatic stress symptoms, global distress, and functional impairment over time. Rather, benefit finding robustly correlated with health protective behaviors relevant to COVID-19 and another viral threat (the seasonal flu): adjusting for demographics, pre-pandemic mental health, and collective- and individual-level adversity, benefit finding was positively associated with more social distancing (β=0.28, p<.001) and mask wearing (β=.21, p<.001) at Wave 2 and greater COVID-19 (OR=1.37, p<.001) and flu (OR=1.18, p<.001) vaccination at Wave 3. Conclusions: Although benefit finding was not generally associated with lower psychological distress during a collective stressor, it correlated with engagement in stressor-related health protective behaviors. Public significance statement: Finding benefits or “silver linings” during collective stress may not be associated with reduced psychological distress. However, finding benefits may promote cognitive coping strategies that encourage health protective behaviors. 

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3. A Longitudinal Study of Student Mental Health during the Course of the COVID-19 Pandemic

   Danowitz, Andrew; Beddoes, Kacey (June 2023, 2023 ASEE Annual Conference & Exposition)

   The early phases of the COVID-19 pandemic in the United States caused unprecedented disruption to engineering students and society-at-large. Residential students suddenly found themselves forced off-campus and into a new regime of online learning. On top of this, students faced pandemic related uncertainty about their health and the health of their loved ones, restrictions on social life, and the privations of a stuttering economy. It is perhaps unsurprising, then, that during the early days of the COVID-19 pandemic the engineering student population saw large increases in incidences of depression and other psychological conditions. While COVID-19 continues to be a concern, many of the restrictions and precautions associated with the early outbreak have been relaxed. Most engineering programs are back to in person learning, and strict COVID-testing regimes, mask mandates, and limits on large public gatherings have been largely phased out. With academia and society slowly adjusting to this “new normal,” it is important to know whether and to what extent mental health of engineering students has changed over the course of the pandemic. This work explores this question by analyzing longitudinal data collected at four times from 2019-2021. We analyze how the prevalence of different conditions changed with the onset of the COVID-19 pandemic, and whether they have returned to pre-pandemic levels. Among other results, we found statistically significant increases were observed in total depressive disorders between our initial sample (Fall 2019) and a sample taken immediately post-COVID (Spring 2020). While measured rates of depression decreased between Spring 2020 and Fall 2021, it was not statistically significant, potentially indicating that the student population is still recovering on this metric. Conversely our data shows a statistically significant drop in moderate-to-major psychological distress between our Fall 2019 pre-pandemic sampling and our Fall 2021 post-pandemic sampling indicating, potentially indicating an improvement in overall mental health. Breaking the data down by gender, no significant changes were observed across any measure during the four sample periods for women respondents. Men, however, showed a significant increase in depressive disorders from Fall 2019 to Spring 2020; and a significant decrease in depressive disorders from Spring 2020 to Fall 2021. 

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4. Discrimination and Subsequent Mental Health, Substance Use, and Well-being in Young Adults

   https://doi.org/10.1542/peds.2021-051378  

   Lei, Yvonne; Shah, Vivek; Biely, Christopher; Jackson, Nicholas; Dudovitz, Rebecca; Barnert, Elizabeth; Hotez, Emily; Guerrero, Alma; Bui, Anthony L.; Sastry, Narayan; et al (December 2021, Pediatrics)

   OBJECTIVES Discrimination has been shown to have profound negative effects on mental and behavioral health and may influence these outcomes early in adulthood. We aimed to examine short-term, long-term, and cumulative associations between different types of interpersonal discrimination (eg, racism, sexism, ageism, and physical appearance discrimination) and mental health, substance use, and well-being for young adults in a longitudinal nationally representative US sample. METHODS We used data from 6 waves of the Transition to Adulthood Supplement (2007–2017, 1834 participants) of the Panel Study of Income Dynamics. Outcome variables included self-reported health, drug use, binge drinking, mental illness diagnosis, Languishing and Flourishing score, and Kessler Psychological Distress Scale score. We used logistic regression with cluster-robust variance estimation to test cross-sectional and longitudinal associations between discrimination frequency (overall, cumulative, and by different reason) and outcomes, controlling for sociodemographics. RESULTS Increased discrimination frequency was associated with higher prevalence of languishing (relative risk [RR] 1.34 [95% CI 1.2–1.4]), psychological distress (RR 2.03 [95% CI 1.7–2.4]), mental illness diagnosis (RR 1.26 [95% CI 1.1–1.4]), drug use (RR 1.24 [95% CI 1.2–1.3]), and poor self-reported health (RR 1.26 [95% CI 1.1–1.4]) in the same wave. Associations persisted 2 to 6 years after exposure to discrimination. Similar associations were found with cumulative high-frequency discrimination and with each discrimination subcategory in cross-sectional and longitudinal analyses. CONCLUSIONS In this nationally representative longitudinal sample, current and past discrimination had pervasive adverse associations with mental health, substance use, and well-being in young adults. 

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5. Trajectories of Mental Distress Among U.S. Adults During the COVID-19 Pandemic

   https://doi.org/10.1093/abm/kaaa126  

   Riehm, Kira E; Holingue, Calliope; Smail, Emily J; Kapteyn, Arie; Bennett, Daniel; Thrul, Johannes; Kreuter, Frauke; McGinty, Emma E; Kalb, Luther G; Veldhuis, Cindy B; et al (February 2021, Annals of Behavioral Medicine)

   null (Ed.)

   Abstract Background Cross-sectional studies have found that the coronavirus disease 2019 (COVID-19) pandemic has negatively affected population-level mental health. Longitudinal studies are necessary to examine trajectories of change in mental health over time and identify sociodemographic groups at risk for persistent distress. Purpose To examine the trajectories of mental distress between March 10 and August 4, 2020, a key period during the COVID-19 pandemic. Methods Participants included 6,901 adults from the nationally representative Understanding America Study, surveyed at baseline between March 10 and 31, 2020, with nine follow-up assessments between April 1 and August 4, 2020. Mixed-effects logistic regression was used to examine the association between date and self-reported mental distress (measured with the four-item Patient Health Questionnaire) among U.S. adults overall and among sociodemographic subgroups defined by sex, age, race/ethnicity, household structure, federal poverty line, and census region. Results Compared to March 11, the odds of mental distress among U.S. adults overall were 1.84 (95% confidence interval [CI] = 1.65–2.07) times higher on April 1 and 1.92 (95% CI = 1.62–2.28) times higher on May 1; by August 1, the odds of mental distress had returned to levels comparable to March 11 (odds ratio [OR] = 0.80, 95% CI = 0.66–0.96). Females experienced a sharper increase in mental distress between March and May compared to males (females: OR = 2.29, 95% CI = 1.85–2.82; males: OR = 1.53, 95% CI = 1.15–2.02). Conclusions These findings highlight the trajectory of mental health symptoms during an unprecedented pandemic, including the identification of populations at risk for sustained mental distress. 

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