Mental health following an initial period of COVID-19 restrictions: findings from a cross-sectional survey in the Republic of Ireland

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Troya, Maria Isabela
Joyce, Mary
Khashan, Ali
Buckley, Claire
Chakraborti, Kasturi
Hoevel, Philipp
Humphries, Rory
Kearney, Patricia M
Kiely, Elizabeth
Murphy, Mike
Perry, Ivan
Arensman, Ella
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2021
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Abstract

Background: We assessed the mental health of individuals in the general population, during an initial period of easing of COVID-19 restrictions in the Republic of Ireland (RoI). Methods: Data were collected through a nationally representative cross-sectional telephone survey, during the first period of easing of restrictions during the COVID-19 pandemic between May and July 2020. Mental health was examined using the Patient Health Questionnaire Anxiety Depression Scale. Poisson regression analyses were conducted to estimate risk ratios with robust variance estimation of the association between selected demographic factors and the risk of having depression and anxiety symptoms. Results: Of the 1,983 participants, 27.7% (n = 549; 95% CI: 0.26 - 0.30) reported depression and anxiety symptoms, while 74 (3.8%; 95% CI: 0.03 - 0.05) disclosed self-harm and/or suicidal thoughts. Females (RR: 1.60, 95% CI: 1.37 - 1.87, p < 0.0005), employed individuals who experienced a change in work status (RR: 1.50, 95% CI: 1.24 - 1.82, p < 0.0005), participants cocooning due to a health condition (RR: 1.34, 95% CI: 1.08 - 1.66, p< 0.01), participants who were self-isolating (RR: 1.25, 95% CI: 1.03 - 1.51, p=0.025) and moderate-heavy drinkers (RR: 1.27, 95% CI: 1.09 - 1.47, p<0.01) were at increased risk of depression and anxiety. Young people aged 18-29 years and those in the two lowest income categories were most likely to report self-harm and/or suicidal thoughts. Conclusion: As the COVID-19 pandemic continues, with further waves and associated restrictions, the impact on mental health in the population as a whole and in specific subgroups must be considered. Study protocol registration: doi.org/10.12688/hrbopenres.13103.2.

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HRB Open Research

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4

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© 2021 Troya MI et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Psychology

Virus diseases; COVID-19; public health; public mental health; epidemiology; mental health

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Troya, MI; Joyce, M; Khashan, A; Buckley, C; Chakraborti, K; Hoevel, P; Humphries, R; Kearney, PM; Kiely, E; Murphy, M; Perry, I; Arensman, E, Mental health following an initial period of COVID-19 restrictions: findings from a cross-sectional survey in the Republic of Ireland, HRB Open Research, 2021, 4, pp. 130-

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