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Mental Health in Individuals with a History of Mental Disorder during COVID-19-Pandemic - Preliminary Results of the National Cohort Study in Germany

Published online by Cambridge University Press:  01 September 2022

S.G. Riedel-Heller ,
A. Pabst ,
J. Stein ,
H. Grabe ,
M. Rietschel  and
K. Berger
S.G. Riedel-Heller*
Affiliation:
University of Leipzig, Faculty of Medicine, Institute Of Social Medicine, Occupational Health And Public Health (isap), Leipzig, Germany
A. Pabst
Affiliation:
University of Leipzig, Faculty of Medicine, Institute Of Social Medicine, Occupational Health And Public Health (isap), Leipzig, Germany
J. Stein
Affiliation:
University of Leipzig, Faculty of Medicine, Institute Of Social Medicine, Occupational Health And Public Health (isap), Leipzig, Germany
H. Grabe
Affiliation:
University Medicine Greifswald, Department Of Psychiatry And Psychotherapy,, Greifswald, Germany
M. Rietschel
Affiliation:
Medical Faculty Mannheim, Central Institute Of Mental Health, Department Of Genetic Epidemiology In Psychiatry, Mannheim, Germany
K. Berger
Affiliation:
University of Münster, Institute Of Epidemiology And Social Medicine, Münster, Germany
*
*Corresponding author.

Abstract

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Introduction

Research of COVID-19-Pandemic mental health impact focus on three groups: the general population, (2) so called vulnerable groups (e.g. individuals with mental disorders) and (3) individuals suffering COVID-19 including Long-COVID syndromes.

Objectives

We investigate whether individuals with a history of depression in the past, react to the COVID-19 pandemic with increased depressive symptoms.

Methods

Longitudinal Data stem from the NAKO-Baseline-Assessment (2014-2019, 18 study centers in Germany, representative sampled individuals from 20 to 74 years) and the subsequent NAKO-COVID-Assessment (5-11/2020). The sample for analysis comprises 115.519 individuals. History of psychiatric disorder was operationalized as lifetime self-report for physician-diagnosed depression. Depressive symptoms were measured with the PHQ 9.

Results

Mean age of the sample at baseline was 49.95 (SD 12.53). It comprised 51.70 women; 14 % of the individuals had a history of physician-diagnosed depression. Considering a PHQ-Score with cut-off 10 as a clinical relevant depression, 3.65 % of the individuals without history of depression and 24.19 % of those with a history of depression were depressed at baseline. The NAKO-COVID-Assessment revealed 6.53 % depressed individuals without any history of depression and a similar rate of 23.29 % in those with history of depression.

Conclusions

In contrast to that what we expected, individuals with a history of a physician-diagnosed depression, did not react with increasing depressiveness during the first phase of the pandemic in Germany. Several reasons could be discussed. Whether there medium and long-term impact remains open.

Disclosure

No significant relationships.

Keywords

Vulnerable GroupsCOVID19Longitudinal studyDepression
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S376 - S377
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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