Background

Events from spring to fall 2020, including the COVID-19 pandemic, hate crimes, and social unrest, may have impacted mental health, particularly mood and anxiety disorders. This study compares rates of positive screens for anxiety and depressive disorders in separate U.S. national samples from 2019 and April to September 2020. The analysis includes trends within demographic groups, which have received scant attention.

Methods

Nationally representative probability samples of U.S. adults administered by the U.S. Census Bureau (n = 1.3 million) completed the PHQ-2 screening for depressive disorder and the GAD-2 screening for anxiety disorder.

Results

U.S. adults in 2020 were four times more likely to screen positive for depressive and anxiety disorders than in 2019, with the largest increases among males, 18- to 29-year-olds (for depression), Asian Americans, and parents with children in the home. Anxiety and depression rose and fell in tandem with the number of COVID-19 cases in the U.S., as well as increasing during the early June weeks of racial justice protests.

Conclusions

Screens for mood and anxiety disorders remained at elevated levels in spring, summer, and fall 2020, especially among certain groups.

中文翻译：

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美国人口普查局成人评估中的焦虑和抑郁症状：2019 年至 2020 年秋季各人口群体的趋势

背景

2020 年春季至秋季的事件，包括 COVID-19 大流行、仇恨犯罪和社会动荡，可能影响了心理健康，尤其是情绪和焦虑症。本研究比较了 2019 年和 2020 年 4 月至 2020 年 9 月的不同美国国家样本中焦虑和抑郁症的阳性筛查率。该分析包括人口群体内的趋势，这些趋势很少受到关注。

方法

美国人口普查局管理的具有全国代表性的美国成年人概率样本（n = 130 万）完成了 PHQ-2 抑郁症筛查和 GAD-2 焦虑症筛查。

结果

2020 年的美国成年人抑郁症和焦虑症筛查呈阳性的可能性是 2019 年的四倍，其中男性、18 至 29 岁（抑郁症）、亚裔美国人和有孩子的父母的增幅最大。家。焦虑和抑郁随着美国 COVID-19 病例数量的增加而上升和下降，并且在 6 月初的种族正义抗议活动中有所增加。

结论

2020 年春季、夏季和秋季，情绪和焦虑症的筛查水平仍然较高，尤其是在某些群体中。