Psychiatric symptoms in COVID-19-positive individuals in the general population: Trajectories of depression, anxiety, and insomnia

ElsevierVolume 317, November 2022, 114806Psychiatry ResearchHighlights•

Those tested positive for COVID-19 experience higher levels of depression after restrictions are lifted.

Psychiatric symptoms of SARS-CoV-2-positive individuals decreased over time.

Age and amount of physical activity did not predict the trajectories of anxiety and depression.

There were no significant differences in trajectory when compared to matched controls.

Abstract

The present study investigates differences in the trajectories of anxiety, depression, and sleep problems among infected versus non-infected case-controlled individuals. Patients who tested positive for COVID-19 were selected from a representative sample in Norway (N > 10,000). In total, 126 of these individuals were infected during the project period, and this group was analyzed at T5 (May 2021). Of these positive cases, those who had completed both PHQ-9 and GAD-7 at all three measurement points were selected for longitudinal analysis using multilevel modeling. There was a significant difference at T5 between those who had tested positive for COVID-19 and matched controls. Anxiety and depression were reduced among those who tested positive, but there were no differences in trajectory when compared to matched controls. Limitations include the use of self-report measures and the assessment of symptoms at a time when strict virus mitigation protocols were in place. The present findings indicate that individuals who test positive for COVID-19 exhibit higher levels of depressive symptoms after restrictions are lifted. However, comparison of anxiety and depression symptom trajectories with matched controls reveals that both groups exhibited stable or slightly decreased symptoms.

Keywords

Long COVID

Anxiety

Depression

COVID-19

Descriptive survey study

© 2022 The Authors. Published by Elsevier B.V.

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