Mental Health Burden of the COVID-19 Outbreak in Germany: Predictors of Mental Health Impairment

Abstract:

Introduction: COVID-19 is causing an enormous psychological burden for most people. This study aims to assess individual
changes in mental health and health status before and after the COVID-19 outbreak, and to explore potential predictors of
change. Methods: A cross-sectional study in Germany (n = 15 037) were conducted. Demographics, depression and anxiety
symptoms (PHQ-2, GAD-2), distress (DT), and health status (EQ-5D-3L) were assessed. Additionally, all instruments used
were adapted to measure the participants’ mental health and health status before the COVID-19 outbreak. COVID-19-
related fear, trust in governmental actions to face COVID-19, and the subjective level of information about COVID-19
were examined. Results: Overall, the participants showed a significant increase in depression and anxiety symptoms, and
distress, while health status deteriorated since the COVID-19 outbreak. Impairment in mental health was predicted by
COVID-19-related fear. Pre-existing mental illness predicted an increase in depression symptoms and a deterioration in
health status. Trust in governmental actions and the subjective level of information predicted less increase in psychological
burden. Conclusions: Our data revealed that there have been changes in mental health and health status at an individual
level since the outbreak of COVID-19. In order to maintain mental health, the observed predictors should be addressed.

SEEK ID: https://seek.studyhub.nfdi4health.de/publications/1

DOI: 10.1177/2150132720953682

Projects: COVID-19 related studies and tools in Germany

Publication type: Journal

Journal: Journal of Primary Care & Community Health

Citation: J Prim Care Community Health 11:215013272095368

Date Published: 2020

Registered Mode: by DOI

Authors: Alexander Bäuerle, Jasmin Steinbach, Adam Schweda, Jil Beckord, Madeleine Hetkamp, Benjamin Weismüller, Hannah Kohler, Venja Musche, Nora Dörrie, Martin Teufel, Eva-Maria Skoda

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Bäuerle, A., Steinbach, J., Schweda, A., Beckord, J., Hetkamp, M., Weismüller, B., … Skoda, E.-M. (2020). Mental Health Burden of the COVID-19 Outbreak in Germany: Predictors of Mental Health Impairment. Journal of Primary Care & Community Health, 11, 215013272095368. http://doi.org/10.1177/2150132720953682
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Created: 2nd Mar 2021 at 08:23

Last updated: 2nd Mar 2021 at 08:25

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