Objective

To identify people with history of mental health disorders before the COVID-19 pandemic in the Brazilian population and estimate the prevalence of mood swings and the subjective distress of the pandemic among individuals with or without mental health disorders.

Methods

Through an online survey, participants were asked about presence or absence of mental health disorders. In addition, they answered the Brunel Mood Scale and the Impact of Event Scale. The mean percentile of mood swing indicators and psychological impact scores were estimated, and data were analyzed by logistic regression.

Results

13,248 people participated (70.5% women, mean age 35.4 years, 31.2% with history of mental health disorder). Women and younger people were more likely to be diagnosed with mental health disorder. All participants had significant changes in mood due to the pandemic. Anger, depressed mood, mental confusion, and fatigue were higher among individuals with bipolar disorder or with combined disorders. Individuals with mental health disorders had a greater subjective distress, especially the group with bipolar disorder (OR = 4.89 [3.64–6.56]) and combined disorders (OR = 6.89 [5.21–9.10]).

Conclusion

Individuals previously diagnosed with mental health disorders at some point in life are more vulnerable to psychological impact from the pandemic.

中文翻译：

---

COVID-19 对有和没有精神健康障碍的个人的心理影响

客观的

识别巴西人群在 COVID-19 大流行之前有精神疾病史的人，并估计有或没有精神疾病的个体中情绪波动的流行率和大流行的主观痛苦。

方法

通过在线调查，参与者被问及是否存在精神健康障碍。此外，他们还回答了布鲁内尔情绪量表和事件量表的影响。估计情绪波动指标和心理影响评分的平均百分位数，并通过逻辑回归分析数据。

结果

13,248 人参与（70.5% 为女性，平均年龄 35.4 岁，31.2% 有精神疾病史）。女性和年轻人更容易被诊断出患有精神疾病。由于大流行，所有参与者的情绪都发生了显着变化。双相情感障碍或合并症患者的愤怒、抑郁情绪、精神错乱和疲劳程度更高。患有精神健康障碍的个体有更大的主观痛苦，尤其是双相情感障碍组（OR = 4.89 [3.64-6.56]）和合并障碍组（OR = 6.89 [5.21-9.10]）。

结论

以前在生命的某个阶段被诊断出患有精神健康障碍的人更容易受到大流行的心理影响。